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Home My WebLink About11370-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zl1310 Date Noverabe~ 23 198..2. THIS CERTIFIES that the building ................................................ Location of Property . 999 .............. ~..a~r~a. :..e.r.a..R..o.a~ .............. .c.u.~.c..h.o.~.u.e.... House No. Street Ham/et County Tax Map No. 1000 Section . 1. .1.1 ........ Block . .0..3 ........... Lot .....0.0.6. ......... Subdivision../~P~R~q..J.o.r. qe.y.~..R..ey.~.a.e..d...Filed Map No.. 7.6.3 .... Lot No..1.1. .......... conforms substantially to the Application for Building Permit heretofore fried in this office dated .... g.e.p.~.e?..b .e?..~. .... ,19~. ~.. pursuant to which Building Permit No...1.1.3.7..0..g. ........... dated .... ~.o.p.~.e.m.b.e..r..1fi. ..........19.8. 1., 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.. p?.~.v..a.~p..o..n.e.-.t.a..m.L~y...d ?.o.! ~..~.n.g.,. ........................................ The certificate is issued to .....J.o.h..n. ?.... p.e.m.p.a..eT.,...I.n.e.. .............................. (owner,.f~.ee'or't, ere~rt~' of the aforesaid building. Suffolk County Department of Health Approval .~. 1..-.S.0.-. 8..3.,..7. ./.9./.8fl. t..R.o.b..g :..~. :..V.~.]:.i..~.,..P. UNDERWRITERS CERTIFICATE NO. N 557726 Building Inspector Rw. 1/81 BUILDINGP, ERMiTi (THIS PERMIT MUST BE KEPT ON THE PIkEMIS~S UNTIL ~ULL COMPLETION OF THE WORK AUTHOR[ZED) No. 1~1370 Z ~o ..:... ~.~ZC~ .......... ................... at prem,ses ~ocated at .. :. .. .~... ~.~ ............. , . ..... ~~.:.2..,~,........ / ..... co~w T,~, M,p No. ~00~ S,,~io. :......Z~ .......... B~o~ .~..~.~ ........ ~Lot No. ~..~g.~ ........ Building 16spector. Rev. ;6/30~80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail 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: 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspectio, n of buildings or premises, or other pertinent informa- tion required to prepare a certificate. 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 New Building ..... ~ ....... Old or Pre-existing Building(Z) ........ =/Vacant Land - Location of Property lt~,~.,,~,ere Ro&d~ N&es~u Poin%~ Out, c,h. og'tio House No. Street Ham/et Owner or Owners of Property John R. De .l~.e..e~.~. County Tax Map No.-1000 Section ...]:!]~ ......... Block ...0.~ .......... Lot....0?5. .......... Subd v s on Rove. ced ~Subdi. vi. eion, Proper%y I: oH ............. · ~i" ii~-~' ~'~,; ' ~;it~i ' 1~ ....... 9/lb,/81 John R. I)e.l~. eey, lac. Permit No. 11}70 ~' . Date of Permit .......... Applicant ................................. Health Dept. Approval .... ? ...... abor Dept. Approval ......................... Underwriters Approval .................. Planning Board Approval .................. Request for Temporary Certificate. .Final Certificate v/ Fee ~ubmitted $.. ~'" ~ 7 Construction on above described building and permit~~pii,cable_..codes and reguli~ions. .O. ~ I{~lO I' ant FI~LD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. STATE ENERGY CeDE FINAL ADDITIONAL cOMMENTS 1000321 THE NEW YORK BOARD OF FIRE UNDEKWRITERS BUREAU OF ELECTRICITY ~- ~ 85 JOHN STREET, NEW YORK, NEW YORK 1003E April' 21, 1982 applic.ao. No. o.fue 151442-81 N 5 5 7 7 2 6 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number m the pretn~ses of ~ john iR. "Der~p~ Sey, :Inc., S/w/s ltaywaters Rd., 372! wf Vanston Rd. Cutchogue, N.Y.' nthefdlfow,nglocat,on;. ¥.[~asement ~ lstFl. []..2nd FI. Section Block Lot w., exam,.ed o. , ~,a~rzI [5 lq82 and found to be in comptlance with the requirements of this Board. FIXTURE / ' I t FIXTURES ] RANGES ]COOKINGDECKS OVENS I DISH WASHERS EXHAUST FANS oRYERs I ' FU.NACE ,~OTORS I FUTURE APPLIANCE FEEDEES SPECIALEEC'PT TIME CLOCKS I BI L 1UNIT HEATERS MtSJg~i~/~A~LET DIMMERS isERViCE~,DiSCONNE(~T~ ~ I-NO. OFI . : qS -. !.. E ,L ' .R , .V C .E ., . Motor/s: 1-¥ . 2-Smoke Detect°r ',' Z-,LS.~g~7 Heat Pump . .. 20 -0 10Lites.Track .L~ghr~ng - : :: ,:16 POPlar 'Ave. 11763 Lic.2677 E 11~ V~'~ ~.' ,, : , Per This certificate must not b~ altered in any manner; return to the office of the Boord if incurred, inspectors moy be identified by the~eci~entials. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, I'J.Y, 11971 TEL.: 765-1802 Appro, ea ..--~../. /.~.., 19.~.Pennit No.. /./. ff. ~.~..-~ · ' . ;. (BuJkling Inspector) APPLICATION FOR BUILDtNG PERMIT INSTRUCTIONS Application No. ,//..4 ZO. ..... a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to tbe Buildi Inspector. with 3 sets of plans, accurate plot plan to scale. Fee according tc schedule. b. Plot plan <'.~o'.ving location of lot and of buildings on premises, relationship to adjoining premises or public stre, or areas, and giving a detailed description of Iayout of property must be drawn on the diagram which is part of this ap[ 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 Bui!ding Permit to the applicant. Such porn shall be kept on the premises available for inspection throughout the work. e. No buildh:g s!~atl be occupied or used in whole or in part for any porpose whatever until a Certificate of Occupan sl:aJl have been granted by the Building Inspector. APPLICATION IS tlEREBY MADE to tile Building Department for the issuance ora Building Permit pnrsuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for tile construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, :md admit authorized inspectors on premises and in buildings for necessary iuspections. ·. ??.h.n. ~... ~.eFp.s.eT~' ~.n.e: ..................... (Signature of applicant, or nzme, if a corporation) ...q%r.r.i.nl.t.°P. 7.g.-a..tYP.t.e5.c ~'~..e,.. i::¥:...1 .l~c~ .... ,(Mailing addres* of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Nmne of owner of premises ..... Jp.hp. ~,..r,5.e .rap ~.ey,. ~.n9: .............................................. (as on the tax roll or latest deed) If applicant is~ure of duly at~thorized officer. IJUllOe~s License No Plumber's License No.. ~.,..~kkP,'~' .\,.1 t.x~....,~ ~. Electrician's License No..(4'...~..Q) .... .~.\t.~.k ..... Other Trade's Licen:e No ...................... o ahon of land on ~lu,.h proposed work ~dl be done.. ,-/,. ,~.;t¢. ,..a~,¥r, ~ .... '~ ~ .-c". · - -Z · · .'3 .' ..... -...'.a.. ~ Uassau Paint, u~ehogue, ::.Y. SC~4-1~CO-1!i-O~-CL House Number Street llamlet County Tax Map No. 1000 Section ..lll ............. Block .... .0.~ ............ Lot. c'C5 "Revised Subdivision~ Prcperty _.:~ SubdMsion ....o~. '.A.lq.r.~q ..4qr q~M,.qe.%n.E 3.1.o.t..p.~.?.r,... Filed Map No. . !9: .......... Lot . .1.1. .......... (Name) State existing use and occupancy of premises and intended use and occt,pancy of proposed construction: a. Existing use and occupancy .... ~qqe;B~ .b~B4 .................................................... b. Intended use and occupancy One Fa~iIx, Dwelling 3. Nature of work (check which applicable): New Building . x.x ....... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... "~ Z~.~ (Description) Estimated Cost ...~'(3..~...,.-% qDO.O ....................... Fee ............................ (to be paid on filing this application) : If dwelling number of dwell n~ u ~ ts 1 Nt ~ber ofdwe n,, units on each floor 1 If garage, number of cars ...~ ......................................................... i. If business, commercial or mixed occupancy, spec;fly ~ature and extent of each type of use ..................... ~. Dimensions of existing structures, if any: Front ' Rear .............. Depth ................ lle ~t ............... Number ot Stones ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth . Height N ' ........................................... umber of Stones ...................... ~. Dimensions of entire new construction: Front ./4g .... Rear /~ ' Depth Height ...15.~ .......... Number of Stories ...... 1. .................................. ~ ........... ). Sizeoflot: Front .... 79.~, ............... Rear 9.0.[ ' Der)th .521~ aver. 0 ~l ~i ..e ....... - ................. ). Date6fPurchase ..... / .................... ~..NameofFom~erO~vner ...ne nt A..',ubel 1. Zone or use distr/ct in which premises are situated...B~,=~.4qr~t,5,~.l, .................... ) .................. Does proposed construction violate any zoning law, ordnance or regulation' no ' ' Will lot be regraded no ............................ Will excess fill be removed from premises: xx Yes No N~me of Or:ncr of premises John. R,. l;empsey, . lac Address .Cugeh~gtle.,. 2~. ..... Phone No.5)-{5/75Pr605q$ .... Name of Architect ......................... '.. Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAG RAM Locate clearly and distinctly ~1 at ildings, xvhether existing or proposed, and. indicate all set-back dim.~nsions from coperty hnes. Give street and block nun:bet or description according to deed, and show street names and indicate whether tcrior or corner lot. t'ATE OF NEW/YO.,D'K,., .~ (Name of indi~al signin~ contact) ' )ore named. is the (Contr~,ctor, agent, corporate officer, etc.) said owner or ownem, and is duly at tborized to perform or bare performed the said work and to make and file this )plicalion; that all statements contained in this application are true to the best of his knowledge and belief; and that the · ork will be performed in the manner set forth in the application flied t:~erewitb. wor:~ to before ale this Commi~sion ~pires March 30, l~ NEW YORK SUFFOLK Co HEALTH DEPT. APPROVAL STATEMENT OF, INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE ;UFFOLK CO. DEPT. OF HEALTH SERVICES APPLICANT SUFFOLK COUNTY DEPT. Of HEALTH SERVICES -- FOR APPROVAL Of CONSTRUCTION ONLY DATE: H. S. REF. NO.. ~ ll -- l~ ~ i s ~ l APPROVED: ...... SUFFOLK ¢0. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL Ow E s 'Ao ss: ..... DEED: L, SEAL SUFFOLK CO. HEALTH OEP~'. APPROVAL '~' . H.S. NO. ' . _.-~ ~ C -- -----' ~':" ........ ~";'":'~ t ~ - --- CO~O~M TO THE STAHDARDS OF T~ ' ' -; - '- ~ ;-- . NN ~F~E ~O. TAX M~ ~ATI~: DESIGN #2505 (~ HOME PLANNERS, INC. 65' 0" TERRACE WALK'IN MASTER CLOSET BED RM, B~~II°x 15° CL GATHERING RM, D'INING RM. DINING 1:34 x 17° 12°X90 TERRACE RAISED HEARTH ENTRY PORCH 3ED RM. II° BED RIV xl KIT DN, NOOK io°×1o6 1366 SQ, FT. CURB HOME PLANNERS, INC. 23761 RESEARCH DRIVE, FARMINGTON HILLS, MICHIGAN 48024 .............................................................................. -- ~me-planners, in~ ) 8 t , A~J~JJJ'fg~'r ~ ~ ~ ~ %-G' h~'"'T,-q~~' / ' ' ~~ I r .~t , - ~ l'"'~''~'-':'--~-~ ...... F~ - "~ ' ~' ~i', I .,,.,...~. ,, ~ ,:,, , _ _ ~ L------~ ~ .... :~ ,~ r J -- ' ' ~~ ' J ~[~ --'~ -~ - ~ r ...... ~ i ~ ~ · ~x. . _ ~ ~r~r ~ { { x.~ ~% , ~ . ~ ~ ~ .(¢, ~V-4' ' ,,~T"' ~'*' '""' """'"','" ~"'~," ~"~/~w~ ~ ~ ~ ~ ~/~I~ ~ '~"~'~ .8~., ~ ' ~ ~ ~,~M~M~ ~ ~OU~DA~/OM ,,~M ~: ~: . ~ u ,~ / ..'., · .= ~ ' ~.~ ~ 7 ~: ~/' ~:: .,.m~- 4"~e~ ~ ~ "': "' .""' '" " '"" :" ~" · .... ~e ' '"<"' '') ": '""~'; .... "~.F '" · "'~--" .... ~.'-. x~.~ ~'~ ' ~ 4" :". '~ ]b0b ,- 16~10 G~ND RIVER AVENUE D~IT, MICHIGAN 4B227~ 6 ~OF '2/'- ~," ~ Cfi-O" 1 ,~ ,,~, ,, ,=L 0 C:) ,e' ,'~,L A .~ ~ ........ 6 --0 --:x~q-~ T- ~' :~ ~ ....... ~ ~ I r;~ s'~,~- - ~% , ~ ' .... ' . ...... ,, [_. ~ ~ ~ : .... .5 /---~ ~,~,~-. ~,~_ ,,,~ ~,,~. .... · , / ~ ~---- : i ~ --- i- ~'~'~ j ,, ~ ~' ~ ~1~-?-- ~ i~.11~-, ~1~ ~ , , ~ ~-. , - ~ ~,,.~ _ - .~ . '- ..... "-"--' ' ............................................................................ a~m~ 16310 G~ND RIV¢R AVENUE D~IT. MICHIGAN 4E227 t I I J I 4-4 I I I I I'1 I ~ / _~ ~/~ T/O/./ "'-' 2505 e rlners, InC. ~.,,,,o. o~