The URL can be used to link to this page

Home My WebLink About11445-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Zt ~ .152.9 ......... Date .... Rugu~.t;. ~ 3 ................... 19.82 THIS CERTIFIES that the building ................................................ , ~ ~ ........................ qu..t,.c.h.o.~.u.<~ ...... Location of Property .$~3 ........ ~'~.oJ~b. House/Vo. Street Hamlet County Tax Map No. ]000 Section ....~l.0.~ ..... Bloc1< ... ~ ~ .......... Lot ... 0..~. Snbdivision .... .X .......................... Filed Map No....X ..... Lot No...~ .......... conforms substantially to the Application for Building Permit heretofore f'ded in this office dated ·..0.c 1> o~.e.~:. E0 .......,19 .~ ~ pursuant to which Building Permit No .... ].l. tt t~-5..~ .......... dated ... ~ o. y e ~ .~.e. ~.. ?_ .............19 .S. ~, 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 ono-f'amil7 dwelling. The certificate is issued to .... ~4.a. 1 ~?..%. ~.o.~.~ ].p.e.rl. ~u?.lr.*. ........................... (owner, of the aforesaid building· Suffolk County Department of Health Approval .. ~..~ .- :5.Q-: J ).3.,.. 6./..3./.~ 2. .,..R. q b. ~... . ~ :. y. 5.1. 1..a., P . E . UNDERWRITERS CERTIFICATE NO ..... t.~..5.6..~ .4 .~ .3 .................................... Rev. 1/81 No.¸ Per~nissior BUILDI TOWN iH~U~ sOUTH'OLD, N, Y. ~1445 (THIS PERMIT MUST BE KEPT C)N ~HE PI~E~I-~ iS UNTIL~ULL COMPLETION OF THE WORK AUTHORIZED) Z Dote ~..:~.....:~;~....~ ....~...., , 9....~./ is hereby granted to:.~ ...... ~i~:~ ...... ,,~. ~ ':' .~.~ ..W.. ..... ....... :.~......Z.Z..~.+ ............. ~...:~ . tO at p'remi, ¢Ouhty TcJx Map No. 1000 Sect,o_n .............. ¢ ....... r' Block i.,~ ..~.~... }Lot :No. ~l~.O~.... ......... pul~s~ant to, appli¢otion ated ............. ' ..... : :...;, ~i,. and ~pproved, by the FORM NO. 6 TOWN OF SOUTNOLD 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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-exist'ng' 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 $5.00 3. Copy of certificate of occupancy $1,00 Date ....... New Building ............. Old or Pre,~sting Building(X) ......... =/Vacant Land -~ Lo°at,on ofFroperty..~X_~. ~%...Z"/~..~/?>~ ,o~ ~o. _ ·/" <."'~'" ~;~;;; ....... ~ ..... ~.-..~.~;%; o~,~ o, O~n~, o, ,ro,,rt~ . .~ ~ ~. ~,: ~,;~ ~., ./~ ~.., ......... County Tax Map No. 1000 Section . .~ ........ Block ....Q/.~ ..... Lot,.. Subdivision ~ ................................. Filed Map No ........... Lot NO, ............. ....... ~C~.~. .... /~ ~ ~,/~ ,~ '/~- ~o-~ ~ ~ .. ~.: ......... Health Dept. Approval ...................... Labor Dept. Approval ...... Unde~riters Approval.. .... ...~,~ so~,~ A~o~ ...~ ......... Request for Temporary Gertificate ..................... Final Gertificate . ~ .... - ......... . Fee Submitted $ ............................. Construction on above described building and p~;mit'meet,~s all app~cab, le~,codes and regulations. APplicant ~~ ' .~"~.~, ..... Rev. I0-I0-7e ~/~'1~ ~ 1001071 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ ES JOHN STREET, NEW YORK, NEW YORK 10038 ,ate' ~'~ l~, 1982 ,'p,,,icat,o,,"'o.o,,X,,e 151~.1"S]. N 565413 THIS :CERTIFIES THAT only the electrical equipment as described below and iutroduced by the applicant named on the above application number in the premises of Mr. & Mrs. W. B-.u~/i~, E/S Pequash Ave., Acc, ross From No. Cz'oas Ave., Oatchogue, NY in tbe/otlowin~ location; :~ .a~em~nt ~t]] l~t ri. [] ~nd ri. Section mo& rot ,~ ¢xami.~d on 5une 3, 1982 and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 18 DRYERS rECEPTACLES SWITCHES FIXTURES RANGES NCANDE$CENT FLUORESCENT DISH WASHERS EXHAUST SYSTEMS NO. OF FEET OTHER APPARATUS: lvlO1;ors ~l-F, i~J.F.%. 1-~make I~t~ctor, 1-4.~kw H.W.H. S E R V I C A. W, G. NO OF HI-LEG OF CC CONO. A,W.G OF HI-LEO NO. OF NEUTRALS A. W G OF NEUTRAL 4 G & S Electric, Box 215, Southold, N.Y. 11971 THIS ANY MANNER. FIELD INSP~CTY~N 1. · FOUNDATION (lst) FOUNDATION (~nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE 4. FINAL DATE COMMENTS ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 14 July 1982 TEL. 765-1802 Mr. Waiter Burke 3295 Pequash Avenue Cutchogue NY 11935 Dear Mr. Burke~ This is to inform you that the Permit #11445 issued 11/2/81 has expired. At present the windows installed in the bedroom are i~ violation of the New York State Building Code. Also, the windows in the library if it is to be used for anything else. (Windows must be minimum of 18" with minimum total of (4) four 'square feet). (A 206-2~b) I"suggest this violation be rectified either by chang- ing the windows or getting approval from New York State Division of Housing 2 World Trade Center New York NY 10047. If they give you the approval, please send ua a copy and you will be able to apply for a Certificate of Occupancy. It is unlawful to occupy a house without a Certificate of Occupancy. Hoping this matter can be cleared up, I remain. Sinc~ yours, Victor Lessard Executive Administrator Lot ~ Lot $ EL"29.7 ~AENT OF HEALTH SERVICFS ,CONST~ UCa'.ION cOJ-~ Ly ~PI~ROVAL TO CONSTRUCT Lot 2 Areo = 43,265 scl. lt. N 45~8~20 "~. 189.55' IO9.5~' ROAD · SURVEY FOR WALTER A. BURI~'E 81 ROSALEEN R. BURKE LOT 2 , "MAP OF PEQUASH ACRES" AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE: SEPT. 25, 1981 I" 40' SCALE: = NO. 81 - 56:5 400 OSTRANDER AVENUE FORM NO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. (Building Inspector) 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 o~ 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. (Signature of applicant, or nome, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~4f~'~.-~,_ ~ ~'~L,J~'~ '~M(-~C.~T' If applicant is a corporate, signature of duly authorized officer. .. ......... ........................ (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No...~.....~..,..g~,,..,..~..~.~..~.....~.!.?...~. .... Electrician's License No .......~..~..%.......~..~...~..'.~.. Other Trade's License No ........... ~'~'~'-~ .................................... Location of land on which p~posed work w,~ill be done. Map No.: ....................................... Lot No ........... .~. .......... Street and Number ....J~..ji.~.~......~..!,O...~.....,~....~..~..~.......~.i~..~..(.~......~..~...~..:..~....l~...ft~...~.~...~g.:~.~.~,~.~l..~. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ~[ i~C~ ~t--J \ ' b. Intended use and occupancy ~'L~JI~L,~,~~ ~/~t~ tk~.~., ~ k~)~'l'~C.~_, . property lines. Give street and bldck whether interior or corner lot. 3. Nature of work (check whichJ applicable): New Building .................. Addition .................. Al~'~ration .,..~ ........... Repair .................. Removal! .................. Demolition .................... Other Work ................................................. ..... ,, ,, ~ ,.~/~..,~.,. ~ (Description) 4. Estimated Cost ........... ..?....9..Ii,.O...G....C~...~. .................. Fee .......... ~ ..................................................................... ! (to be paid on filing this application) ' I 5. If dwelling, number of dwell(ng 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 structu!res, if any: Front ....~.J.~.~.J~'~.....~. Rear ................................ Depth .................... Height ........................ NumBer of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Dept'h .... ; ........................... Height ............................ Number of Stories ............................... 8. Dimensions of entire new construction: Front ......... ~ ................ Rear .................. Depth ~'~ ............ Numberi of Stories ............ ..O..~..~ ...................... ~] .............................................. Height 9. Size of lot' Front Ii?c:j' ~'' Rear I0. Date of Purchase ................. ~ ...................................... Name of Former Owner ........................................................ 1 1. Zon6 or use district in which premises are situated .................................................................................................... 12. Does, proposed construction vJ]alate any zoning law, ordinance or regulation: ........................................................ 13. Will tot be regraded, .............. Jt ............ Will excess fill be removed from premises: ( ) Yes__ ( ) No 4. Nome of Owner at premises ...... ~, ............. ;."~.. .......................... Address ................................ Phone No ....................... Name of Architect ~/-~ 'T'~'otw' i~:J~cc.~ , ............... [ .............................................. Address ................. f ............. · Phone N ....................... Name of Contractor ...... Address ..~...]..~..~...H._~_.~..~..: ..... Phone No ....................... ~ ~ PLOT DIAGRAM Locate c~early and distinctly ali buildings, whether existing or proposed, and indicate oH set-back dimensions from number or descriptlon according to deed, and show street names and indicate STATE OF NEW ~lf,.~- ................. ,.~ ............................................................................... ~ duly sworn', deposes and says that he is the applicant ~Name of individual sig~ing con{rac~) above nam?d. , He is the , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dully authorized to perform or have performed the said work and to make ~nd file this application; that all statement~ contained in this application are true to the best of his knowledge and belief; and tha~ the wo'rk will be performed in t~e manner set forth in the application filed therewith. Sworn ~ef~re me this ry ,Pu ............. ............ ..................... ~0~ARY PUBLIO, ~ate 0f New Y~k ~0, 52-8~25650, Suffolk Term [x,ire~ March 30, Lo! 5 Lot 6 I I I FL EET ,L.,., NECK ROAD WALTER A. BURKE E ROSALEEN R. BURKE ~A~a dUN 0 ~2 ~. D, ~. g~ LOT 2, "MAP OF PEQUASH ACRES" MAY 12, 1982 AT CUTCHOGUE OATE: SEPT. Z~, ~he sewage ~tspo~t and ~a[e~ s~pply ~WN ~ SOUTHOLD SCALE: I = ' 40' ~aeilities for this loc~tion h~ve been SUFFO~ CO~TY, NEW ~K NO. 81-56~ [~spe~[ed by this dep~rtment ~d found ~ -.., N~ARANT[~S INDICTED,HEREON ~L RUN ~LY ~ ~ ~ HEAL~ DEPARTMENT-DATA F~ A~RO~ TO C~STRUCT ~ K~ ~, WHOM ~HE SU~EY IS ~HER THAN THOSE SHOWN HEREON. OWNERS~ A~ITI~AL INSTITUTI~S OR SUBSEQUENT. ~~~'~-~ :; :! WILL C~FORM TO T~ STAN~ OF THC S~K CO~TY DEPARTMENT TO EXISTING STRUC~RES ~E FOR A SPECIFIC ~%"~'~' ~5~'~// OF H~LTH S~ICES. PURPLE ~NO ARE COY TO BE USED TO ESTABLISH ~ * RIVER~AD~ NEW YORK HOW~RO ~ YO~NG~ LAND SURVEYOR £ot 5 8. 44* 4P' 4o"E.. 'EL=SO. 2 I ~reo = 48,P65 sq. ft. SUFFOLK COUNTY DEPARTMEN'r OF HEAl. TH SERVICFS FOR APPROVAt~ OF CON~,TRUCT~ON Oi'.,~LY HEAL~ DEPARTMENT-DATA F~ ~RO~ TO C~STRUC a~FCO. T~AP atTlO00 SEC;I~ los ~C~ m2 LOT OTHER THAN THOS~ SHOWN HEREON. WILL C~FQRM ~ T~ STANWOS OF THE S~K COUNTY O~ fl~LTH S~ICKS. OWELLING ~ot.$ 109.55' W; MONUMENT FOUND SUBDIVISION MAP FILED IN THE OFFIOE OF THE CLERK OF SUFFOLK COUNTY ON MAR. SO~ 1972 AS FILE NO. S694. ~ TH~ L~T~ ~ W~L(W), ~IC TANK(ST)E CES~OLS(~) ~N HERE ~ ~E ~ ~ELO ~A~,~pNS ~o De O~TA OeT~O ~ OTHERS I09.8P' SURVEY FOR WALTER A. BURKE & ROSALEEN R. BURKE LOT 2 , "MAP OF PEQUASH ACRES" AT CUTCHOGUE DATE: SEPT. 25, 1981 TOWN OF SOUTHOLD SCALE: ~" :40' SUFFOLK COUNTY, NEW YORK NO. 81- 563 N(JNA~THORIZEO ALTEJ~ATION ON ADDITION TO THIS SURVEY I$A VIOLATION (y/r SECTION ?209 OF THE YOUNG e, YOUNG 4000STRANOER AVENUE RIVERHEAD, NEW YORK ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. i2845 HOWARD W. YOUNG, LAND SURVEYOR ,,, N.Y.S. LICENSE NO.4§Gg~ 4. FIN^~ , r'"~"~T?UCTION MUST LEFT ,- /,:,,Qu~sS- I£°/o 1 ii.. L CONSULTING EN~I.N~ NYS PE~ 4~8