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Home My WebLink About10422-zTOWN OF SOUTHOLD BUILDING DEPARTMENT 'TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) No. 10422 Z Permission is hereby granted to: / ./ .. .~.~-~.. .~¢~r~.:;~ ........ ...... .............................. ............................................................ ,. .................. ~'"~ ..... -':"Z'"'; ' ..... ~....:........~,..,...: ............. : ......... ~ ............... : .............. ~ ..................................... ~:,. ........................ ~.:~:. ...... :~a~+~ :~.:~...~..d~E ........... ~E...z.~ .............. Building Inspector. ..~~~ ..... Bfiilding ln~ector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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: I. 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 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 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, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1,00 $5.00 Date June 10, 1980 New Building . .. ,~ ......... Old or Pre-existing Building ............ Vacant Land ............. 430 Greenway Cutchogue Location of Property ................................................................... House No, Street Hamlet Owner or Ownersof Property John A. & Phoebe Cushman County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision. Fairway Farms ...Filed Map No. 6066 .Lot No. 19 Permit No. 10422Z Date of Permit 10/1/79 .Applicant . Clarendo. n. Homes, Inc. Health Dept. Approval Yes .Labor Dept. Approval Yes Planning Board Approval Underwriters Approval .............................................. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...5...0. 0. ...................... Construction on above described buirding ar~---'~r~'t meets_all ~pplicable codes and regulations. THE NEW YORK BOARD OF FI,RE UNDERWRITERS BUREAU OF ELECTRIC~ITY 8.5 JOHN STREET, NEW YORK, NEVV Y~ORK 10038 THIS CERTIFIES THAT John,. A, ~J'm~an~/~ Green Way,a/o Cas~$ La.,C~c~ogu~,~ ~0~22 ~ in the following location; ~ Basement ~ 1st FI. ' ~2nd FI. Section Block Lot 19 was examined on O ~H~ ~) ~ ~ ~ ~ 0 a. d fou.d to be in comp~,aace ~ita ta~ requireme.ts of ta,~ Bo.rd. FIXTURE FIXTURES OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MvEA~F~¥ 37 52 3~ 37 DRYERS I FURNACE MOTORS r FUTURE APPLIANCE FEEDER~ SERVICE DISCONNECT ~o OF S 0 G g Motors; l~3/~hp i~GFI i-.Smoke Der, 1-405kw 1-20,0kw Ymr ance £~ 4tlp Goxnpressor %~-10.0kw D~eat gu p RANGES K W iPECIAL REC'PT JCOOKING DE AMT K TIME CLOCKS BELL TRANS OVENS DISH WASHERS .5 1 1.2 UNIT HEATERS MULTI-OUTLE1 SYSTEMS NO OF FEET EXHAUST FANS DIMMERS Stony brook glac, inc. 1M1 Jcu~ip~r Ave, This not be d in R 'V AWOl OF CC COND 4/O C AWG OF HI LEG AWG OF NEUTRAL 2/0 ,y rOanner; return to the office of the Board ~f COPY FOR THIS COPY OF, iN ANY MANN~R, ~ox 543 Cutchogue New York 11935 Jmle 9, 1980 Southold Building Department Mmtn l~ad $outhold, New York 11971 Attention: .Mr- Horton Dear Mr. Horton: In consideration for the Town of Southold issuing a Certificate of Occupancy for premise owned by me in Fairway Farms, Cotchogue, New York, on which I have Just completed a one family residence, I aEree to install storm doors to meet the N.Y.S. ~hergy Code on all exterior doors within 60 days of the above date. Very truly yours, TOWN OF SOUTHOLD BUILDING DEPARTMI~NT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. ~).....~..(~...~.......-~.. ...... Disapproved a/c .......................................... ~,q .............................................. APPLICATION FOR BUILDING PERMIT Date . ,,=~.~n~er 26 19..?.~ ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 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 buildings for necessary inSpections. ~t~ ~am~_hogu hague Road . (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Builder Nome of owner of orem ses John Cushman, 29 Pr..o~....p~..ct Place, Riverhead, New York 11901 If applicant is a corporate, s~gnature of duly authorized officer. .... ~..o..h...n... ff. :....~.c. ~.~..1.~;~. :... ?,~.e...s..J:..c]:.e. ~ ~.:....C.,]:~..e.~..c]on }tomes, (Name and title of corporate officer) IBC. Builder's License No ..................................................... Plumber's License No. 202 P (Surf Plbg & Htg) Electrician's License No. 19.8.~...~C~y...~QOk..~cbric) Other Trade's License No ............................................... ]. Location of land on which proposed work will be done. Map No.: .6..0.6..6.~..F...a~.'.,.r~....,s~...~.... Lot No..1.9. .................... Street and Number ....~...~..(~. ................ .C;..~..e..e...q....W..a.~. ................................................................ ..C..u.?.?..~...o..g..?..e. .......... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisihng use and occupancy .~...,~......C.~j~,/L,// b. Intended use and occupancy .......... g..n..e....~..m.~.[X...~.e..s..$.c]..e.g..c..e. ...................................................................... i Natgre of work (check whirl Repair .................. Removal 3. applicable): New Building ..ti ............. Addition ..................Alteration ................ .................. Demolition .................... Other Work ................................................... ~'~,~ ~.~... (Description) , 4. Estimated Cost ..... .6,.0..¢..0..0...0.4 ....................................... Fee . .. //.. .~. .... ......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwel(ing units ............................ Number of dwelling units on each floor ............................ i 2 If garage, number aY cars i ..................................................................................................................................... 6. If business, commercial or imixed occupancy, specify nature and extent of each type of use ........................... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................ Dimensions of same structur? with alterations or additions: Front ....................................Rear ........................... Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new colnstruction: Front ....... .~.~..~..., ................ Rear,,.~,l,.~.,~.'.~. ............. Depth ..3,5.[.8[~'. .......... Height 22' Number of Stories 2 .......................... 9. Size of lot: Front ........ 2k5.].;.3~). .................................. Rear .156...8.1. .......................... Depth ...~.7.0..,.~.8 ............... F i 10. Date of Purchase ...~U~D,[iI...~,,,q.7.2 ......................... Name of Former Owner .6~,~,~....Q.~,~.¢D, ............................... 11. Zone or use district in which~ premises are situated ...... .~t~8.3,~er~l;3,~.l .................................................................... 12. Does proposed construction 9iolate any zoning law, ordinance or regulation: ..... .N...o. .............................................. 13. Will lot be regraded ............. ' ............... Will excess fill be removed frown Eremises: ( ~ Yes ( ) No i ~ - - - z.~ ~rosp~_ct Place ~ . ~onn uusnman n 14. Name Of Owner of pram.sss ...~ ................................................ Address .5~eMr-h?3~%~. Pho e No..7.:~.7.r.~.4.4.4 ...... Name of Architect .,At3,.~i..J..:...S.~..t..Z. .......................... Address ~lunt, inc3'r_~...1,.124,3Phone No. ~.7..1..-:~..3.Q.3. ...... I 612 PatchoQue Road Nome of Contractor~,~rP~'l,.c!QP~.~.q~,,.../-D~., ................... Address .Ror~.~eff..St~.... Phone No. &7.3~..313fl ...... PLOT DIAGRAM Locate cleaHy and distinctly qll buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. G~ve street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW_YOF, I<~, COUNTY: OF ...~.u..z...~.o._.J~. ............... ~ John J. McNu S.S ~;. ..................................... being duly sworn, deposes and says that he is the applicant ' (Name of individual si~ning contract) above named. , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dbly authorized to perform or have performed the said work and to make and file this appliFation; that all statements contained in this application are true to the'best of his knowledge and belief; and tha~ the Work will be performed in [the manne~ set forth n the application filed therewith. Sworn to before me this L. oI 25 vacant 7.1 ~4 ~ N 89~/2'/~"~ Recreation TataR! Area UNAUTHORIZEO ALTERATION OR ADDITION TO T~IS SURVEY IS A VIOLATION OF SECTION 7~09 OF THE NEW YORK STATE EOOCATION COPIES OF THIS SURVEY MAP NOT SEARING THE LAND SURVEYOR'S INKEO SEAL OR EMBOSSFD SEAL SHALL NOT BE CONSIDERED ~9,19FX iN.' 7, 1980 ~,N. 9, 1980 1980 G-~;80-FINAL THE LOCATION OF WELLS AND .CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWADE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTV BEPARTMEN1 oF .EALr. SeRViCeS APPLICANT: . ADDRESS _ TEL ..... SU~FOL~( COUNTY MEALTH DEPAE,~ME~ , ,,,, he sewage disoosal and watgr supply acilitios fey, %L!s lsc:-tl !,,n !~vo been Chief of Genera/ Engineertn~ So)-v~cos · : MONUMFNT SUBDIVISION ~AP F/LEO IN THE OFFICE OF ~"NE ¢£~RK OF SUFFOLK COUNTY ON FEB. 15~ 19T4 SUFFOLK COUNTY TAX MAP DIST. SECT, BLOCK LOT. I000 109 5 14,19 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG FOR: A. CUSHMAN LOT NO. 19, "FAIRWAY FARMS HOWARD W, YOUNG AT CUTCHOGUE SOUTHOI D SUFFOLK CO., N.Y. I ''= 40 ' DATE FEB. 14 1977 ¸26 Lol 25 vacant GREEN m4 THE LOCATION OF WELLS AND .CESSPOOLS SHOWN HEREON ARE FROM FIELD O~$ERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS APPLICANT: ADDRESS suFr-OLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CON$TI;:UCTJON ONLY APPROVED Lc 19 Area -- Hecreat/on .4red NOTE: · -' MONUMENT SUBOIVISION MAP FILED IN THE OFFICE OF THE CLEHK OF SUFFOLK COUNTY ON FEB. 15,1974. ASFILE N0.6066. SUFFOLK COUNTY TAX MAP DIST. SECT. BLOCK LOT~ I000 109 5 14.19 vacan! ~EViSiONS YOUNG & YOUNG ~,R.~/D~'Z 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK M~)~. ~9,/9~7' ~LDEN W. YOUNG HOWARD W. YOUNG SEPT. 27~ 1979 ~.OFESmO.^L [.e~N[~. ~URVEY FOR: JOHN ~. , $04/THO/ I CALE DATE NO Loi 23 '.~ vacant ~ THE LOCATION OF WELLS AND.CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERB THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM8 FOR THIS REsIDEncE' WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY OEPARTMEN* APPLICANT: ADDRESS_ _ TEL SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ~ FOR APPROVAL OF CONSTRUCTION ONLY DATE HS REF. NO. APPROVED,~, ,, ,, 10.4 Area = ~O,105 sq. ft MA~9,~77 Recreation Area vacant NOTE; m -- MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLEBK OF' SUFFOLK COUNTY' ON ' FEe. 15,1974 ~ AS FILE NO. 6065. SUFFOLK COUNTY TAX MAI= DIST. SECT. BLOCK LOT. I000 109 5 14.19 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W, YOUNG SURVEY FOR: JOHN A. CUSHMAN LOT NO. 19, 'FAIRWAY FARMS'; AT CUTCHOGUE TOWN o~ SOUTHOLD SUFFOLK CO., N.Y. SCALE /"= z~O' DATE: FEB. II,1977 .26