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Home My WebLink About10980-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z10676 Date September 10 .,19.8.1. THIS CERTIFIES that the building ................................................ Location of Property 2340 Fairway Drive Cutchogue h J ~s'o ~'d ' '. ..................... 's't/e; i ....................... County Tax Map No. 1000 Section 109 . . .Block 5 .Lot 14.1~( Pt.: ! Subdivision Fair~ay Farms .Filed Map No.69.6.6. .................................. Lot No. 12 conforms substantially to the Application for Building Permit heretofore filed in this office dated .....................Novernb,~r 24 , 19 ~.0. pursuant to which Building Permit No ..................... .10980 Z ' dated ?~ovember 24 BO ............................ 19..., 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 ......... Frivate One-Family Dwelling The certificate is issued to John B. Hayes ................. ro~,,,'.;;x/t4~'~iz~,~iCxx ................... of the aforesaid building. Suffolk County Department of Health Approval ........ ~. /. .1.0 ./?. ! ~..1.0.:~ .0:.8.~ ~...R.,..g.:..V.i. 1..la, N52~ 176 / UNDERWRITERS CERTIFICATE NO ................[/"'5~ ........... ")/ ............... Building Inspector Rev. 1/81 TOWN OF~ TOWN HXLL SOUTH'OLD, (TH S PERMIT MUST BE KEPT ON TH~ PRE~IS~S COMPLETION OF THE WORK AUTHORIZED) [JNTIL ~ LILL N0, ~0980 7 Dote ..Z'~/~'.~./(,,........ Permission is hereby granted to: /,./,2./. ~.,,~ ... ~ ..... ,~ z o ~/~ ~: ~.~ ' ..~.~ County T&x Map No, ~000 Section ............ ~lo~E :'~.,,,, ...... Lot No. Bul ~lng Inspector. FORM NO, 6 TOWN OF SOUTHOLD Buildin[I Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and st~bmitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final su~¥ey 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 peoperty showing all property lines, streets, buildings and unusua~ 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 or land use $5.00 3. Copy of certificate of occupancy $1.00 . .~... Date ......................... New Building ........ Old or Pre-existing Building ............ Vacant Land ............. Locat,on of Proper,y ............ O .... ....... Owner or Owners of Property .~.~ lt~ ~ /'~r County Tax Map No. 1000 Section //¢ ~ Block ~ Lot.. / '/'~-'/~" .~..~¢~ Subdivision..~/~/L. ~¢./~. ~:¢-¢z.,~ .............. Filed Map No..~.~'..~..~...Lot No../.~. ........ Permit No. /0.¢~.o. ?-¢. Date ofPermit./¢/~. Y///O. Applicant .~.'c.~'../~....~../~..~..d'/.~'~ ,~..~.~r-;~...,. Health Dept. Approval ........................ Labor Dept. Approval .................... ~,~t,. ........................ Planning Board Approval ................. ~/.. ,~Oo ~}, , Underwriters Approval Request for Temporary Certificate ..................... Final Certificate... ~ .......... Fee Submitted $.~-~ ........................... ulations. Construction on above described building and per~:jit meets all applicable/codes and reg App,,ca . .............. Rev. 10-10-78 First American Title Insurance Company of New York 210 Court Street, Riv~rhead, New York 11901 July ~7,1981 Town of Southold Building Department Main Road Southold, New York EAST SUFFOLK (516) 727-5700 WEST SUFFOLK (516) 421-3020 GENTLEMEN: RE: Title No. PREMISES: OWNERS: TAX MAP~ 111-S-0604 Fairway Drive Cutchogue James F. Murray & Priscilla S. Murray,Hit ~000-109.00-05'.00- 014.012 Please furnish us with a copy of the Certificate of Occupancy covering the above premises. Enclosed please find our check in the amount of $ 1.00 a copy of the survey and a self-addressed stamped envelope for your convenience. Very truly yours, FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ENCLS: MARY E~ 5{ILES Survey Department P.S. Please inform us if there are any additional C.O. 's on record. Member of New York Board of Title Underwriters--New York State Land Title Association THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY · ~ E5 Jo.. sTRE=, .E~V ¥0.., ~o..~ ,0038 THI~ CERTIFIES THAT . o, oyoUo~ ~o~.~o.; ~ ~[~.t ~ ~t r~. ~ ~,,d n. s~t~o, mo~ Lot FIXTURE OUTLETS FIXTURES IECEPTACLES SWITCHES FEEDERS RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET 1 m~oke E R V I C NO OF CC, COND A, W. a, A W o NO OF NEUTRALS A W. O PER ,~ OF CC COND OF HI-lEG OF NEUTRAL 1 500~Q~ 1 500M¢~ P.O bo× 143 This certificate ~ust not be altered in any manner return to the office of the Board if 'incorrect. Inspectors may be identified by their Vcredenhal~. ~o, FIELD INSPECT FOUNDATION ~OONOAr~ON (aha) ROUGH FRAME & PLUMBING COMMENTS~ ,, ~ INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FOB,M NO. ! TOWN OF $OUTNOLD BUILDING DEPARTMENT TOWN CLIRK'S OFFICE SOUTHOLD, N. Y. Examined /~......;~....~'....~..~...~.~..~..., 19.2. Application No.../...~..~.C.~.,O.).. .............. Approved/.~(g..~...~...'...~d../..~..,~....~.-M~...., 19..~..C.!. Permit No..../....~..~.....~....~ ........ Disappraved a/c ......................... :~....,. ...........................// ...................... ........................................... ....... ...... .................... ............... .................. {Buildir~ In~:tor) APPLICATION FOR BUILDING PERMIT Date //./.. / ~ 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. ........ i" ';' ........ .............. (Address of applicant) State whether applicant !~o,wner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... ......................................................... Nome of owner of premises .,..,Z.~..~....~.......~....,.,~,.,~..,..~', .................................................................................................. If ap?JJc~r~s a corporatq, sign, a~re of duly autho~zed officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No /~'/~ ..~....(..~....~....~. Other Trode's License No ............................................... .~.~../.,...y~.....~.....~...~ 1. Location of land on which proposed work will be done. Map No.: ................ · ...... Lot No ..... ]...~... ........... Street ancl..~N, umber ........ ~'~:~..~..,4~ ....... ~.'~...~,..~. · ................................................... ~.~...~. ,~. · · .~ ...~ .~..~. ...... ~ ¥__ ~' ~_/~,J Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ......... ~.~..~. ~J../~..'.~.'; ~/.~...... · .~.~..~. · · ./~.....: ....................................................................... b. Intended use and occupancy ~'~c '/'/'~/(~/ /'~._..,,~...~.'~./'../:'./i/~_..' 3. Nature of work (check which applicable): New Building,. .......... Addition .................. Alteration ................ Repair .................. Removal. ................. Demolition.: ................... Other Work ..................................................... (to be pa~d on filing th~s apphcahon) 5. If dwelling, number of dwelling units ..... ~ ............. Number of dwelling units on each floor ............................ If garage, number of cars ........ ~....~ ................................................. ............................................................... 6. If business, commercial or mixed 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 structure with alterations or additions; Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ , , 8. Dimensions of entire new construction: Front ...... JJ~ ....................... Rear ...~. .................. Depth .............. Height ....~ ......... Number: of Stories ................................................................................................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ i J. Zone or use district in which premises are situated ........... ~ ......................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ..~ ............................................... 13. Will ot be regraded .....~.~.~; .............Will excess fill be removed from premises: ( ) Yes ( ~ No 14. Name of Owner of prem,ses .~....~..~..~ .................... Add~ .............................. Phone No ...................... Name of Architect ........................................... ~. ................ Address ..............,. ~ N ............... PLO~ DIAGRAM . c: Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and bl~ck number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF' NEW ¥O1~, // z~[li¢ c COUNFY OF ~.., ' ....................... '.i~..~....~.,',,.,.,..~....~....~'..~...~/..L/~'.. ..... be ng duly sworn, deposes cna says that he is the appli~am (Name of individual signing contracO above n6med. ~-- , . He is the .......... ;:~~ ....... ......................................................................................................................... : ..... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed~erewith. / / mora~ ~ublic, . ......... ~ ........... ~ ~oun~ ...... ~ ................ :2 ..........7 ' ' ', .... ~ .......................... ~ - ~/ // ~ I~/ ~ ' ~ ~ [~ignature or appficantl ~ EL)ZAB~A~ N~UC, ~ of N.w ~ork Term ~xplres March 30,