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Home My WebLink About12804-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ~12675 Date AUGUST 7 ., 19 .8.4 THIS CERTIFIES that the buHdh%g NEW DWELLING Location of Property ......................... ,....C??.C..H.O.G?.E. .... 435 OLD SADDLE LAN.E. ................... House No. Street Ham/et County Tax Map No. 1000 Section 095 .... Block 04 .Lot 3~8.33 Subdivision..O.R.E.G..O.N..V.~..E.rfl..E.S.?.A?.~.S. ....... Filed Map No. 6241 .Lot No. 33 conforms substantially to the Application for Building Permit heretofore fried in this office dated ,D,E, ,C,E.M,B.E. ,R..8 .......... 19 .8.3. pursuant to which Building Permit No. 12804 Z dated . .D.E..C.E.~.B.E..R..3.0. ............. 19..8.3, was issued, and conforms to all of the requirements oftheapplicableprovisionsofthelaw. Theoccupancy ~rwhicht~scertificateisissuedis ......... ONE FAMILY DWELLING EQ~.~.~$W ...................................................................... The certificate is issued to . .J..g~I..E.S..P.:..H.U.N.T..E.R. ....................................... (owner, le~see or tenant) of the aforesaid building. 13-SO-220 Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO....bi..6. .5.1.5.0. 6. ..................................... Building Inspector Rev. 1/81 ~0~.~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12804 Z Permission is hereby granted to: ~7 ........ ~,~.~.~_: ./. ............. ~. ,z2..~ ............ .... ~~.~:.~:..~. ......... z~.~.~./ ~o ........... ~:~,.,.~ ........... C?~Z~,...~MZ~ ......~.~L.....~......~:~ ..... ............................ ~~...~~:..~~ ~ ~, ~, - ~ ............................................. ~ ...................... ..~z~ ............ ~~: .............................. [[.(~ .... ~ursuan$ ~o oppliccf{on d~fed ................................... , ;9 ...... end cpprov~ by the Building Inspector. Fee $../....~J .~,~....~7:.... Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall ~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~p![cct~to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Hea~th Dept. of water supply and sewerage disposal-iS-9 form or equal}. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/landuse--Pre-Existing C.O. $15,00 3. Copy of certificate of occupancy $1.00 Vacant [and C.0. $ 5.00 Date ......... ~,//·/?.~./. ....... New Building .... .~ ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property....~37,,~)~. ............ ' '~'~' ~'' ~ Hou~ No. Street Owner or Owners of Property . .. ~.~ ........................................... County Tax Map No. 1000 Section .......... Block .. ~ ....... ;. Lot ....... .Fited'MapNo.~.~.!..LotNo...~,3 ...... ~ ~ Date of Permit ~/~ Applicant PermitNo, .~ .......................... ,.. .. ,. Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval ....................... Planning B~ard Approval ..... -,~ .......... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... .~ ..................... Gonstruct,on on abovo d.scribed buildin, and~, me~l_ ~m:bl~ re,ulat'on,. ~~,,licant..~. >~.~ . . ~. ~ .............. ~0-~0-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000127 RUREAU OF ELECTRICITY THIS CERTIFIES THAT ~. the fol~owing lo~ation; ~ B~sement ~ ls~ Fh ~ 2.d F~. Section Block Lot FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES FLUORESCENT DRYERS SYSTEMS OTHER APPARATUS: I~G. F~C. I · 1-~ de~or S E R NO O~CC, COND, A,W,G- PER ~ OF CC COHD C AWG OF HI-LEG NO, OF NEUTRALS OF NEUTRAL '" ~ This certific~e must oot 5. ~hered [, any m~n,,,, re, urn 1o ,'e office o, the Boord if inco,rec,, inspectors moy be identified by their ~redeo,~l,7 COPY FOR BUILDING DEPARTMENT, THIS COPYOF,CERTIFICA~E MUST NOT BE ALTERED IN ANY MANNER. FIELD__. ~SPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [:/~RAMING [ ] FINAL REMARKS: INSPECTOR FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ~,~.~ ?F~. ~. ~. ......... . .~a~z~:: ..... 7:.. PLEASE TAKE NOTICE that your application dated ... ~C~C ..... for pe~it to const~ct...O~;. ~ ( ¢~ ~. . .~~ ........ ~ ..... at House rye. ~ $'t~et County Tax~~~Map No. 1000 Sect~. ~ied Map ~o ~ '~'~' ..... ~lock~d. '¢'~ Lot No ...... Lot ~'~d~ is returned herewith/and dis*pp~o~¢d o. thC rono~i.g g~o~d~¢~d~.. ~<~..~; .. ~/~mm~... ~uilding Inspector RV 1/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,¥. 11971 TEL.: 765-1803 Examine~..:P.. ...... ~9<~.5:' ~isappro~ed a/c.':~'~...~.~3. :. X.X:..:'~X~.4. ..... ,.. (Building Inspector) APPLICATION FOR BUILDING PERIVIIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or f, gvq~oval or d~ffiolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances buil)~ng, e'ode, ~ousi~ code, and regu.l_ation~_s, and to admit authorized inspectors on premises and in building for necessary.~~~~ ~'~~ ~licant, or name, if a corporation) .. 757.e....S~...d..vj?. ~. .~ e?. ........... (Mailing address 9f applicant) State whether avvlicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ~ ~,..~.dv.~. .......... . ............................... Name of owner of premises .... ~ .r~.~ {~ .... ?...~..~..~. ,~.~ .............................. . ............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~ .... U~_=~ ........ Plumbers License No. /~.../~.. Electrician's License No. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .4(... ¥.4..:. ............. '.~.A~...$..~. d~ l. ,.. g.q .......... ~..~..r.~ ~ .~.~ .~ ................. House Number Street Hamlet County Tax Map No. 1000 Section ....~..~..~. ......... Block .... .Of--il ........... Lot.../~.. ~..'m~. ?. ......... Subdivision..~...~..C...?.O..t4.. Vile ~4).....~. r?.~.~.~.5.... Filed Map No..~.~..q~. ...... Lot... 3'~ ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... o b. Intended use and occupancy ..................... ~ ........................ 3. Nature of work (check which applicable): New Building ....~. ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ' ~'~ (Description) 4. Estimated Cost ... ~,.o,, -~- . ....... Fee . . f...-.). .... 5~'~<' ..................... (to be paid on filing this application) 5. If dwelhng, number of dwelhng u~mts .............. Number of dwelling units on each floor ................ If garage, number of cars .... ~ ................ 6. If business, commercial or mixedloccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structureg, if any: Front .~'.'. ? .......... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure wiih alterations or additions: Front ................. Rear .................. Depth .................... ,. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ..... ~.~. ..... Rear ...g .~ ......... Depth . ~ .~ .......... Height ../.~,.' ......... Number of Stories .... ~.... i .............. i ............................... 9. Size of lot: Front ......... /...~.~ ........ Rear ...... 2-. ~.~ ......... Depth . ,~...~. ............... 10. DateofPurchase --.~.,-~ ...' ;q~m~ofr~o,,~c~,~,~ 2 11. Zone or use district in which premises are situated .... ~.~.,,B ............................................ 12. Dogs proposed construct[off violate any zoning law, ordinance or regulation: . ~.o. ........................... 13. Will lot be regraded ../YP.... j .................. Will excess fill be removed,from premises: Yes ]1~ 14. Name of Owner of premises ..-~.,a..,W?:'q.. ~../~..~,~ ~.C.~. Address .~..~..~.~..~.' ~..~fl~.~. Phone No.,2 ~.. ~/..2,.0. ..... Name of Architect .. ]~ .,~..~.~..~3.e~, ............ Address Y'~°.q..$.o~',~. t'~:e.~... Phone No..~.~.,~.~.././.4A'~... Name of Contractor ....... t. )i ................. Address .<~.~?.~.h .~ .t,.q/ ....... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from prope~W lines. Give street and block mmber or description according to deed, and show street names and indicate whether interior or corner lot. COUNT¥ F. .,q"'q. .....S.S ...... (Name of individual sighing contract) .......... being duly sworn, deposes and says that he is the applicant above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is d¢ly authorized to perform or have perfomed the said work and to m~e and file application; that all statements contained ~ this application am true to the best of his ~owledge and belief; and that the work will be perfomed in the m~fier set forth in the application filed therewith. Sworn to before me this NOT ND~ F. KOWALsKI · · · '~ . .' .~sZ~ZT~ ~ ~/ (Signature of apphcant) . ~ua{ifie~ in Sutlo k Co~ ~ , ~omm,ss,on EXpires ~arch 3~"198'~ dimposal and water supply for this location have been by this dep~tment ~d found ~hl~f ~ ~eneral Engineeri~ ~OUU~£Nr SUBDIVISION MAP PILED IN THE OFF/CE OF THE C£ERK OF SUFFOLK COUNTY ON APIR 4, 19~ AS FIL£ NO. r/ L,ot I / SURVEY FOR JAI~ES R HUNTER uo 33 "oREGoN VIEW ~STATES". AT cUrCHOGUE TO~ O~ SOUTHO~D .$UVFOU~ GOU~T¥~ ~EW VORK DATE: SCALE: NO. JUNE ~ 1984 MAY $1, IDD4 MAB. 28,1984 OCrl8,1983 /'= ~0' 83- 88~ ~UNAUTHORIZED ALTER~TION OR AODITION TO THIS SURVEY I~ A VIOLATION Git SECTION 720S OF THE HEW YORK STATE EDUCATION LAW NCOPIES OF THIS ~U~VEY NOT B[&RSAG THE LANO SURVEYOR'S INKED SEAL OREMBOSSED SEAL SHALL HOTilE COHSInEREDTOIiEAVALID TRUE COPY KGU&RANTEES INDICATED'HEREON ~dALL RUN ONLY 1~ GUARANTEED USL/FE OF NEW YOUNG a YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND,'LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N,Y.s. LICENSE N0.45893 400 OSTRANDER AVENUE RIVERHEAD~ NEW YORK SURVEY FOR ~Ut--FOLK' C(')LIN/Y DePAR1MENI ¢OR APPROVAL OF C~/)NSTRUCI'~O~i HE~L~ OEP~TME~T-D~TI F~ ~PPRO~ TO C~ST~UC/ ~ ~F CO. T~MAP ~T~SECTIOH 09~ ~;K ~. LOT ~.~ OTHER TH~ TflOS~ SHOWN HEREON. N THE WATE~ S~y A~ SE~GE DI~AL SYSTEM ~ WlLLC~M ~ T~ STAH~ OF T~E S~K GO~TY DEPARTMENT NOTE: ~ ~ STAKE I = M~ENT SUDDIVI~ION MAP FILED IN THE O~I~E OF THE SO~OLK OOUNTY ~ A~ 4~1~ AS ~lkE I,,0! ,lAtiCES P. HUNTER LOT NO. 35 "OBEGON VIEW ESTATES" TOWN ~ SOOTHOLD Su~FOL.K COUNTY, NEW YORK UTHORIZED ALTKRATIO# OR ADDITION TG THIS !CTIOR ?209 O~r THE ~Y NOT ~AR~G THE ~AND S~t/N ~REON FnOM PROPERTY LINES S rI~UCTUI~ES ARE FOR A SPECIFIC ANO ARE NO~ TO BE US~O TO ESTABLISH LINES OR FOR THE ERECTIOH ~ FENCES YOUNG & YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.s. LICENSE N0.4§89~. DATE: OCT, /~ I~.~ SCALE: /" = SO' NO. ~3 - HEALTH DEPARTMENT-DATA FOR APPROVN. TO CONSTRUCT ~ ~F cO/T~M&P ~T~SECTION O~ ~CK u~ LOT ~-3~ ~'~EK A~ W ~LINI WITHIN IDb F~ET OF T~S PflOPKRTY OTHER THAN~THOSE SHOWN HSREON. NOtE ~ = ~TAKE I ~ot su.VEY ,/AMES P. HUNT~-R £OT NO.$,,~ "OHiEGON VIEW ESTATES" ~ CUTCHOGUE ~WN ~ SouTHoLD ,SUFFOLK COUNTY, NEW ~RK ~UTH~IZ~O ALtEraTION ORAOOITION ~ SURVEI~ BA VI~ATION ~CTION 7209 ~ THE NE~ YORK ~TATE E~CA~I~ LAW MCOPI~ES ~ ~IS S~VI NOT ~WG THE LAND SURVE~S ~ SEAL SHALL ISlOE~O AVALIO TRUE COPY ~s s~N H~EON FROM)PR~ERTY UNE$ 'YOUNGYOUNG / I LDEN W. YOUNG, PROFESSIONAL ENGINEER LAND SURVEYOR N.Y.S. UCENSE NO. 1~'845 "O ARD W.¥O0. .A.O SURVEYOR N.Y.S. LICENSE N0.45895 DATE: 'OCE /8, 1983 SCALE: /" -' 50' NO. ,~.3 - 885 ~UABANFE~D 7'0.* I~VENUE RIVERHEAD~ NEW YORK