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Home My WebLink About12591-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of OccUpancy Date ................ Januarx...2~.,19.~ THIS CERTIFIES that the building ... ~aa~ags .Add£tior~ ,to. existing. ~N.a]~$i~. Location of Property 300 Deerfoot Path Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section .. fi. ?. ....... Block 7 . .Lot 15 Subdivision ....... .M.o?.s..e..C.o.v..e ............Filed Map No..3230 .Lot No. 16 conforms substantially to the Application for Building Permit heretofore fried in this office dated · ~. O.elq.~.~..m.b.~.r...6 ..... 1~ 83. pursuant to which Building Permit No; 12591 Z dated ........ S..~p.~.~.m..bg.~' .1. .3 ...... 1983., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ... k44i~i.o.n.. ~.o..e.x. ,i.s.t.i.n.g..d.w..e.l.l.i.n.g. as applied for The certificate is issued to Mathew J, & Regina I., Martin .................... it~,n'e'r,'l~&'6r't~n'ti .............. of the aforesaid building· Suffolk County Department of Health Approval ............... N./..A ........................ UNDERWRITERS CERTIFICATE NO. N. 787216 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12591 Z Permission is hereby granted to: ~ ~ __...f~ . .......... at premises I~,ted at .J~.~.~.~.M.J...~ ....... ~.~.~ ........... County Tax Map No. 1000 Section ...... ..~...~. .......... Block ....... .~.~. .......... Lot No ....... [..~-~... ........ pursuant to application dated~~r~,~.....b ......... ..., 19.~..~,-- and approved by the Building Inspector. '-Building Inspector Rew 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ 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 Health Dept. of water supply and sewerage disposal-(S-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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occup~ancy 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 dwe{ling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 Date ......................... NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property...~.. ,~)..~... i ~~ .... ~ .~.,~/... ......... ~.-.~'.~'~-¢~..~'~' House No, Street Hamlet, Owner or Owners of Property ..../~....~..~...~=~-~.. ......................................... County Tax Map No. 1000 Section .... ~"7 ....... Block ..... 7 ........ Lot .... ~', ~.. ...... Subdivision. ~'~. ~.~......~-~.. ¢~.~. ......... Filed Map No..-~...'~.~.¢~., .Lot No .... .~.~. ...... Permit No,/.~..~..~4~,~-. Date of Permit .......... Applicant./~. ~.,~:::~....~.,.. ,~/..~;;;~..~../.,~/' Health Dept. Approval ........................ Labor Deptl Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temp/~ry Certificate ..................... Final Certificate ./~ ................... Fee Submitted $ ~'..v./.. ....................... Construction on above described building and per~e~. I~ic~.~ . codes and regulations. Applicant~ .......................... Rev. 10-10-78 FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY pDE FINAL ADDI IONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY Jant.m_--y 7, 1987 85 JOHN STREET, NEW YORK. NEW~'~:~I~38 ,,.,e ",','"~""°" ~0' °"/'e N 787216 THIS CERTIFIES THAT only the ,lectrice~eg~,~.~ bel~l~,~~~ ~.~J~ eL~.t~e' ,lx~, ~epplieation number in the pre,,es of garage in the following loc~ l~a~]~ Ist FI. [] 2nd FL Section Block Lot tt~s examined on and found to be in compliance with the requirements o.f this Board. ~Vl~ ~N~T ~. OF S OF CC. CONO. TIME CLOCKS B~LL UNIT HEATERS MULTI-OUTLET SYSTEMS .~4T. ~Y. PS~ TRANS. NO. OF FEET I C EXHAUST FANS DIMMERS OF NEUTRAL 300 Deerfoot Path Cu~.chogue, N.Y11935 ~N~at ~NA~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. Eq~ .... -g .-~ ~ o%"& .%7. ~ '~-;; ;;,; ~ .-~ .% '~ ,~' g .;%7 ~; ;~ ;;~ ,%~ 7. -~u-~ ;" .%7;; :,~ ~'~ .-g ,-~ -~.-. -S.'~ ~'~: ...... ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Examined ............... , ·.. Approved Disapproved a/c ..................................... Received .......... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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, ~elationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must b'e 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 issQed a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu~hout 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 fro: thee 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 .for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (SigBat,.ure of applicant, or name, if a corporation) ..... 2o.2. ??.g.u. ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. OWNER Name of owner of premises . . .l~.a..~.h.e.w...J.,..&...R.e~.igg..I.....~I.a&2..~..n ......... ~ ............................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (N~.me and title of corporate officer) Builder's License No..?~. · . . .~ ........ Plumber's License No ......................... Electrician's License No ~ Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ?99 C.U. .e.h.o.g.u.e N.Y. 11:$93.5 House Nmnber Street Hamlet County Tax Map No. t000 Section ...... .~.~ ........ Block .... '[....'-/ ......... Lot .... .......... Subdivision...~. 99.S~. 99Y ...................... Filed Map N~)32.~Q ........... Lot .1.6. ............ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .R.e.8.J.:.d..e.n.'l:.J:.~.._l,..D.w..e.l.l.~.~g ........................................... b. Intended use and occupancy . .S..a:~.e. ................... ' ................ ............................ 3. Nature of work (check which applicable): New Building .......... Addition xxx Alteration Repair .............. Rem6val ............. Demolition .............. Other Work ............... ._~ (Description) 4. Estimated Cost ......................... Fee . .° ................................ (to be paid on filing this application) :t 5. If dwelling, number of dwelling Cnits ........... Number of dwelling units on each floor ................. If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of eitqh type of use ..................... 7. Dimensions of existing structure,s, if any: Front .~'?: Pg · . Rear . q'/~ F.¢ · . . Depth ~.1..F.t;.,. Height ~.6..P.~, ........ Number of Stories ..... J-.~ ................................................. Dimensions of same structure wlth alterations or. additions: Front . .8.2.. ?.¢.: ........ Rea~..8.2..P..¢: .......... Depth . .~.~. ?.-I:: ........... ,.. Height .. ,J:.,6,.?.~: ............ N. umherof Stories .1.~ ............... · . ' . ' ~ · z. J¢~;. z. ~'-I;. 28F~. 8. Dtmensmrls of entire new construction: Front ............... Rear ............... Depth ............... Height .1..6. ?,~: ......... Number of Stories .J'.. ' .......... Sizeoflot Front 'Iq. 0 F'I;. ',~ ":).Ll-'0' F'J;,' ......... ;.";¢"l.~0 1~'t:'.' .......... 9. : . .:L.~6 ................. t~ear ...................... ueprn ...................... 10. Date of Purchase .. ?.. ¢ ..... ,i .................. Name of Former Owner . .H.a:z'..z'.7..l~.a..?.o.n. .............. 11..Zone or use district in which premises-are s~tuated...e.. 12. Does proposed construction violate any zoning law, ordinanceorregulation:....I)19 ............................ 13. Will lot be regraded ..hlO.. i ............... Will excess fill be removed from premises: L~ Yes6 No 14. Name of Owner of premises i~.'ar.'.~ielw.'..lyl.a..z?.~..n .... Address .~.0.0..D..e.e?.f..o.o..¢..P.a..~hone No..7..~.. 7,5.9.. 9; .... Name of Architect .......... ! ................. Address ................... Phone No ............. ': Nmne of Contractor .0..wn..e.z'. I .......... Address ................ Phone No. PLOT DIAGRAM Locate clearly and distinctly alt buildings, whether existing Or proposed, and. indicate all set-back dimensions from property lines. Give street and block Inumber or description according to deed, and show street names and indicate whether interior or corner lot. /4o ' STATE OF NEW YORK, "S.S COUNTY OF ................. /4/ Ma,;hew J, Maz'~n ~ ' being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the ..................... i ................................................................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this application that all statements cont3ined in this application are true to the best ofhis knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this QuaJiJietl iii Suffolk County (Signature of applicant) Corntgi~ton Expi:ms M~lrch 30, NO'~I~'-Bt]iL-nlNG DEPARTMENT AT FOLLO~flN~ I~ECTIONS: 1. ~Uk"~AtlON - ~O REQUIRED 2. R~u - ~MING & PLUMBING ALL THE SHALL MEET OF TI"t~ N.Y. & ENERGY ~' FOR ~"'/~"~' ~',,~/A/~' ~,,~'~'-- ~l,,'~,9 ~'~' E-A 3 -I- ~/-- £ VA 7-/ 1 I __ 7 I0~-0 '7