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HomeMy WebLinkAbout12202-z �Q,�SUFFat,f�o� Town of Southold 12/21/2018 0 P.O.Box 1179 a • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40127 Date: 12/21/2018 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 150 Pinewood Raod, Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-2-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/3/1983 pursuant to which Building Permit No. 12202 dated 3/23/1983 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: one family dwelling with covered front porch, rear deck and attached garage. Updated 12/21/2018 to add covered front porch, rear deck and attached garage only. The certificate is issued to Raleigh,Margaret J Rev Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 13-SO-17 8/9/1983 ELECTRICAL CERTIFICATE NO. N610834 7/26/1983 PLUMBERS CERTIFICATION DATED Authorized Signature I - - k -7 Form No.6 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT �( l TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 New Construction: Old or Pre-existing Building: (check one) Location of Properf}T. .1 i GZ-- House No. Street Hamlet Owner or Owners of PropO-ALr—_ \ Suffolk County Tax Map No 1000, Section Block Lot lie Subdivision Filed Map. Lot: Permit No. 1r� Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �� 50 .0 b a _p lit Signature cv"ovell- /to OF SOUL TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL vC D R-� [ ] � ,t(o FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: y_ - ao -leg fw - iqjuk 8,1( ` rzAv 3� P� DATE 3'[ INSPECTOR D CONSENT TO INSPECTION D DEC 1 8 2018 IDUILDUiG,D. TOWN OF SO OLD V_ t OL- the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) a owner(s) of he premises in the Town of Southold, Iocated at _h LA` 0 0 _ ,V which is shown and designated on the Suffolk County Tax Map as District 100 Section 0 , Block 61 ,Lot (A That the undersigned(has) (have) filed,or cause to be filed,an application in the Southold Town Building Inspector's Office r the following: That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws,ordinances,rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es)so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Signature) i G nt Name re 46t AaWb fe— S (Print Name) : t OAP Y"000Jq ' JOKyeVi me�lY �y3 G 0 nOw -O '10,,E, c �= O - /'33 A 1A Ot-t_x> ..., .-4:. .k._, ,.' •az 4s'xz'ii+,( .risv:c.s' S�..'.''v..:{ a.::- -,f' - - —• — ------ - — MGge fill -- -- o J Or formerly o i � - nov, Koty or formerly ��� TY HEALTH DEPARTMO40SUR IE1 FOR ; DATE ALIO 9FRANCS M. RALEIGH 8 MARGARET J. RALEIGH ,JULY z5, /983 "Ale,/&,/9'33 The >tiewage disposal and water supply AT' COTCHOGUE' DATE: JAN. 27,/983 facilities for this 200ation -iIave been ToiN ,'OUTI' OLD SCALE: i = 30 inspect9d by this dap�Irt.>�e>at and 'found SUP' ,0 'Ks COUNTY, NEW YORK NO. 83 - 39 to be 'satisfactory.,_° �N r���,� { �7,L WIL:TH IZEQ ALTER ION OR ADDITION TO THIS GUARANTEED TO' �\ SUR E' M VIOLATION, SECTION 7209 OF THE THE T/TLE 6UQRQNTEE CO. Chief of General Engineering M9W,Y RK' TATE EDUCA 014 LAW NCQPI S THIS SURVE• NOT BOARING THE LAND I Services S)R,v YO S'INKED SEAL°OR EMBOSSED SEAL SHALL NO,TIBC $:IDEItEDTOOEAVALID:TAU ECOPY !(GU/1}' lN f:s•.INDICATE HEREON SMALL RUN ONLY TO HEALTH 'DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE; k FOR WHOM HEREON SURVEY IS PREPARED tE OF NEW Y ANN HI BEHALF-70 THE TITLE COMPANY,GOVERN- �P Q M�1EARES,T W` MAIN.+-NI,t *SOURCE OF WATER PRIVATE—PUBLIC.— MEf((TA A EHCY ANO LE DING INSTITUTION LISTED 5 p.W P� *'BUFF X NAP DIST 1000 SECTION 110 BLOCK d?LOT oil, HEEA�Lt A 0;TO THE ASSIGNEES OF THE LENDING F pti�.� jpG *THERE AM NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTIT 71QUARANTEF ARE NOT TRANSFERABLE A4t p OTHER THANITHOSE SHOWN HEREON. TO'R TI L tNSTITUTONS OR SUBSEQUENT t '•'� Z M THE WATERfSVPPLY AMO SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE . OWN e! S#CIA HC S,-SHOWN HER ' t 1 t f�:= ; ' t WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT -ON FROM PROPERTY LINES r TO'E;Xt YI •STRUCTUR�SARE FOR A SPECIFIC �� e r lX�.`• , OF HEALTH s{ERVICES. PURPO E ',ND-ARE NOTi,TO BE USED TO ESTABLISH ,. c APPLICANT' PROPE,Tyi,,ONES OR FOR THE ERECTION OF FENCES �• ADDRESS t ba' &0 TEL. YOUNG a YOUNG R�V� ftw ORNKE NOTE ■ = MOVUMENT O = S T cl KE 'ALQEN W.YOUNG,PROFESSIONAL ENGINEER. . AND-LAND SURVEYOR N.Y.S.LICENSE NO.1284 ' i H64RD W.YOUNG, LAND SURVEYOR if THE LOCATK11,f OF WELL(W),SEPTIC TA14KISTIO CESSPOOLS(CP)SHOWN HEREON P NX ,LICENSE NO.45893 ARIA FROM FIELD OOSE"TIONS Ahb OR DATA OBTAi*C FROM OTHERS WkANDIS &'SONS, INC, 16LB )� FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..z.1.2.~..6~ .......... Date ......... .D.e.c..e.m.b. qr., ~.9. .......... 19 ..~ THIS CERTIFIES that tile building ................................................ · ' 150 Pinewood .Rg.ad Cutchogue Location of Property ............................................. House No. Street ............... Ham/et County Tax Map No. 1000 Section ... ! .1Q ...... Block 02 . .... Lot 016 . . Subdivision X F}led Map No X Lot No X conforms substantially to the Application for Building Permit heretofore Cried in this office dated March 3 19.83. p hichB ildi Pe itNo ]2202 z ..................... , . ursuant to w u ng rm ..................... dated ...~.a?.qh...2.3 ................ 19 .8.3., 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 ......... a private one-family dwelling. The certificate is issued to .. ............. FRANCIS...H'. .................... & MARGARET, J. R.A. LEfG. H. ........ (owner, le~e of the aforesaid building. Suffolk County Department of Health Approval J &:-~Qr.I.7. UNDERWRITERS CERTIFICATE NO ......... ,N.6. 19.8:3./~ ................................ Building Inspector Rev. 1/81 BUILDING (THIS PEP, MIT MUST BE KEpT ON THE BUILDING ~EPARTM~N' TOWN HALE SOU HOED, N. COMPLETION OF THE WORK AUTHORIZED) N.o 12202 permission is hereby Z Date B~tl' ling I~spector. and approved by the FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE oF occuPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 featu res. 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 R{~sidences 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 ! / Certificate of occupancy on pre-existing dwelling ~r land use $/~'/ $5.00 2. 3. Copy of certificate of occupancy $1.00 Date .. Aug.u,st 10~ , .1.083 New Building .X.X. .......... Old or Pre-existing Building(X). -.=/Vacant Land ' ... 150 Pinewood Road~ ,hog Location of Property . .,. ......... Cutc ue~ N. House No, Street Ham/et Owner or Owners of Property Fz&ncis N. Raleigh & Mazgaret J, Ralelgh County Tax Map No. 1000 Section...............110 Block 0.2. Lot... 016 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.1.3.~.O. 3..Z ....Date,of Permit3./.2.3/.8..3...Applicant ~I.,AND ~.OI¢,,LE, S, TNC. Health Dept. Approval .$,/9/.~;~ ................ Labor Dept. Approval ...................... ,.. NO 108 34 Underwriters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate ................. Fee Subm tted $ .5°00 FIELD INSPECTION ~ COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY qODE FINAL ~IONAL COMMENTS: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.; 765-1803 D~sapproved a/c ....... t ....................// .~..'. ~ ' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date March 3 198.3~ INSTRUCTIONS a. This application must be completely filled in by typewriter or ih ink' and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accdrding to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strer or areas, and giviug a detailed description of layout of property must be drawn on the diagram which is part of this apt: cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc','al of this application, the Building Inspector will issue a Building Permit to the applicant. Such peru shall be kept on the premises available for inspection throughout the work. e. No buikting shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION 1S ltEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constru,cfion of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to co~)ly with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors/on premises and in buildings for necessary inspections. INLAND HOMBS~ I. NC.. (Signature of applicant, or name, if a corporation) : ... X:. k]..9,5. ? .... (Mailing address of at~plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, General Contractor ? Nameofownerofpremises Francis M. Raleigh & Margaret J. Raleigh (as on tile tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz, President (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. 517-P Electrician's License No .... .2.8.%6. .............. Other Trade's License No ...................... r ...... Pinewood Road~ Cutchogue, N. Y. l. Location of land on which proposed we K wm o¢ clone- ................................................ ........... ....... ....... ...... House Number Street Hamlet County Tax Map No. 1000 Section IlO Block Og Lot O16 Subdivision ..................................... Filed Map No ..... Lot ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................. .1.-.f.a..m .i.ly. dwelling ' b. Intcnded use and occupancy ................................................ ....... . ' XX Alt raft Natu of work (check wh'cl applicable): Ne Building Addition Repair. ............. Rcnmval .............. Demolition .............. Other Work ............... Estintated Cost .................... Fe . . :~'. ........... ~ ........... " ' ' (to be paid on filing this application) If d~velling, number of dwelling ~mits ....1. ......... Number of dwelling units on each floor ................ If garage number of cars ' 3 If' business commercial or mixed occupancy specify npture and extent of each type of use Dimensions of existing structurei, if any: Front ............... Rear .............. Depth .............. Height Nam'her of Stories Dimensions of same structure w~th alterations or additions: Front ................. Rear ................. Depth .................... ~.. fteight ...... , ............... Number of Stories ..................... Dimensions of entire new construction: Front . .7.~1 ........... Rear .... ?~ ......... Depth 37 . l~ Nmffber of Stories l Height .................................................................... Size of lot: Front ' Rear Depth Date df Purchase { Name of Former Owner district in which premises are situated ' Zone or use ......................................... Does proposed construction viollate any zoning law, ordinance or regulation: ............................... , WilJ lot be regraded ............................. Will excess fill be removed from premises: Yes No Name of Owner of premises Fr~'l~:J.~..lt~,~..g~l.. Addressl~l~r~J~.~,.. l~{y.,.. ·. Phone No. ~}(?~:-.1.~6..9.. Name of Architect .......... [ ................. Address ................... Phone No ................ Name of Contractor . .I.n.l.a..n.d.: H.o.~..~.~.,...l.n.O.o .... Address .B.o?...1.I.7.,.l~.a..l:.l;.~.t.u..elf, irone No. 298-9696 locate clearly and distinctly ,all roperty lines. Give street and block terior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether aa \ 'FATE OF NEW_YOR~: OUN'r¥ OF.. ...... s.s ........ . ..... R.eibel::l:. ~,,. J-l;i,l,t$ ................. being duly sworn, deposes and says that he is the applicant : (Name ofindMdual sig~iing contract) >eve named. . Contractor i e is the ...................... . .................................................................. i (Contractor, agent, corporate officer, etc.) f said owner or owners, mtd is duiy authorized to perform or have performed the said work and to make and file this )plication; that all statements con(ained in this application are true to the best of his knowledge and belief; and that the 'ark will be performed in the manner set forth ht the application filed therewith. worn to before me tills ....................... day of .......... Public, ~..,-~.... ~.. 'x' ' ' bunty N0ts~/ Public, State of NOw York ....... ~ ............. No. e02-0344963 Suffolk[ Ooun~ ~.~ ' '~-~in'a~'~Jx~; ~pplicant) 0ommi~sion Expires 1000174 THE NEW YORK BOARD OF F[R~ UNDERWRITERS [q~ BUREAU OF ELECTRI~IT'~ ~-- July 26, 1983 Es JOH. STREET NEW YORK, NEW ~ORK'~ ~ ~OO~e THIS CERTIFIES THAT in the following location; ~ Basement ~ 1st Fl. ~ 2nd Fl. Section Block Lot wasexaminedon ~ ~ ~ ~9~ andfoundtobeincomplia.cewlththerequirementsofthisBoard. FIXTURE OUTLETS 21 DRYERS FIXTURES RANGES OVENS EXHAUST FANS FLUORESCENT SYSTEMS NO. OF FEET E R 'V C No. °~E~C%C°N°'i- 4A TM O A w O NO' O~ NEUTRALS A' TM O OF CC COND OF HI-LEO OF NEUTRAL 1 j OTHER APPARATUS: I-G.F.I. I--Smoke Detector , / ~1.=1 325 Will°w Point Rd. ~Thls cerhflcate must not be altered m any manner; return to the office of the Board, ifi~nc~rrect. Inspect6rs may be identfed by the r credentials. COPY FQR .BUILDI~JG DEPARTMENT. THIS COPY OF~ERTIFICATE~ fofrperI? or ,'Y X IT OF HE~,LTH 5ER'VICES NSTRUCTION ONLY p or SURVEY FOR Ft?,~NCI~ M. t?,~LEIGH ~ M, qt~GAt?gT ,Z R~LEIGH AT CUTGHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCALE: / = ..~O NO. 85 - #UNA, UTHO~IZED ALTERATION OR ADDITION TO THIS GUARANTEED TO SUNVEY ~ m VlOLATrO~ oF SECTION 7209 ~ THE NEW YORK STATE E~CATION LAW T~ ~/rLE GU~P~flTEE ~. WCOPIES ~ ~lS S~VEY NOT ~*m~G TH[ LAND SURVE~R*S INKED SEAL OR E~BOSSED SEAL SHALL NOT BE CONSIDERED TO eEA VALID TRUE COPY mm YOUNG a- , -~m ALDEN W. YOUNG, PROFESSIONA~ ENGINEER AND LAND SURVEYOR N.Y.S. UCEHS[ NO. 1~845 HOWARD W. YOUNG, LIN~ SU~V[YOR ~ N.Y.S, LICENSE NO.4589~ DATE The ;eW~ disposal and wate~ sup~17 AT, ,~T~ ~U~ DATE: inspected b~ %his depar%ment a~ found suFI~OI < COUNTY, NEW ~RK NO. N~k ~H( ~IZ~O ALTER~IOM OR ADDITION ~ ~15 GUARANTEED TO · Chief of Qene~l En~ineevtn~ .ew, Y iRK !TAXI E~CA~ION LAW ~r, .... ~ ............... N COPI ES ~ ~ ~IS S~V~Y.NOT ~AR~G THE LAND ' , ~UAt AN1 ~$ INDI~TE~ HEREON ~ALL RUN ~LY HEALTH 'DEPARTMeNT-DATA F~ APPR0~ TO C~STRUCT ~E~ ~ FOR WHOM ~HE $U~EY IS PREPARED N~FC~,Y~MAp ~lT~OOOSECTiOg Ho ~CK oz LOT o[~ ' H~EOI, A D'~TO ~E ASSIGNEES OF THE LENDING / TO'~m~TI( IAL INSTITUTI~S OR SUBSEQUENT OTHER THAN~THOSE SHOW~ HEREON. OWNEI S ~ - f ~ VAH~I~ ~ VAH~I~ NOTF ~ = ~U~F~ ~ : ~T~Kg '~1 ALDEN W. YOUNG, PROFESSIONAL ENGINEER A. LA.0 0r ~0~ 0 f for~erl'/ 0¢ _rr~e IHSPECT ON REQUIRED ~0p,p J erl'/ form "x / SUFFOLK COUNTY DEPARTMENT OF HEa, LTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY HEALTH DEpARTMENT-DATA F~ APPRO~L T[O C~STRUC T por AT CUTGHOGU£ DATE: J.~N 2,7,/985 TOW, N ~ SOUTHOLD SCACE: /" = 50 ' SUFFO[~K COUN3~Y, NEW YORK NO. 85 -59 "U~TH~I I(~tZEO ALTEI.~.ATION ORAODITION TO THIS SURVEY I~A VIOLATION :0~ SECTION 7209 OF THE GUARANTEED TO' THE TITLE GU, dR4NT~E CO 8, YOUNG x ~AV~.U~ YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER ANO LAND SURVEYOR N.Y.S. UCENSE NO. IZ845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.~S. LICENSE N0.4589~ If copper lubir g is used types ( or L on y ~EE: Y: -- NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE ' FOLLOWING INSPECTIONS: q. FOUNDATION ~ TWO REQUIRED ' FO~ POURED CONCRETE copper ,ublng is use~ 2. ROUGH - FRAMING & pLUMBING ~or wa~r ~is~r~butlng 3. INSU~TIOhl s~,s o,,~ . ~g shall be 4. FINAL - CONSTRUCTION MUST BE cOMPtETE FOE C.O. n[ types ~( or Lo~ ALL CONSTRUCTION SHALL MEET ~' THE REQU REMENTS OF THE N.Y. ~ATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE r