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Home My WebLink About11124-z FORM NO. 4 · ~ TOWI~ OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-17336 ~te: 09/21/88 THIS U~I(TIFIES that the building DECK & ALTER ACCY Location of Property: 1652 BRIDGE LANE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County T~ ~4ap No. 473889 Section 118 Block 1 Lot 4.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1981 purs,,mnt to which Building Permit No. 11124-Z dated APRIL 30, 1981 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 DECK ADDITION & ALTER WINDOW ON ACCESSORY BUILDING. 7/29/10 UPDATED FOR ADDRESS CHANGE AND LOT NUMBER CHANGE. Ge certificate is issued to ROSEMARY TRENTAiJkNGE ( OWNER ) of the aforesaid building. SoF~OI,~ COUN~I"f DEPART~NT OF ~IEA~T~ APPROVAL ~.m~-rRICAL u~TIFICATE NO. RL~ C~RTI FIC~TION N/A N/A N/A ~ized Signature Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HA[,[, 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: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final ApprOval fi-om Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi'om 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. Commemial bui]dinE~ 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 proper!y completed application and consent to inspect signed by thc applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. -New Constxuction: Location of Property: owtier or of P opmy: ' Suffolk County Tax Map No 1000, Section C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw mmJlkg po01 $25.00 Accessory building $25.00 Additions to accessory building $25 00, Businesses $50.00. 2. Certificate of Ocenpancy 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 Date. ~ /~,-~') tO Old or Pre-existing Building: f (check one) House NO. Street Hamlet Sleek. ] I Subdivision Filed Map. permit No. \ \ ~ ~ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .~-tD. C) O Final Certificate: (checkone) BUiLDiNG ~ PERM~Ti ~ i' (THIS PERMIT MUST BE KEPT ON ~HE PRE/~J S] ~ UNTIL ULL COMPLETION OF THE WORK AUTHORIZED) N9 11124 Permission is hereby granted to: County Tax Mop No. 1000 Sect,on .... ./.../.. .... ,. Block ! ............. ,: ot No. pursuent to application .dated ... ~.,.(.,,. ....... .~. ............ , 19. and approved by the Buil~ing Inspector. ~ Fee $..../....;. .............. FORM ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17336 Date SEPT. 21~ 1988 THIS CERTIFIES that the buildin~ ADDITION & ALTERATION Location of Property 1600 BRIDGE LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 118 Block 01 Lot 004 Subdivision NASSAU PT CLUB PROP.Filed Map No. 156 Lot No. 115 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17~ 1981 pursuant to which Building Permit No. 11124Z dated APRIL 30, 1981 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 DECK ADDITION & ALTER WINDOW ON ACCESSORY BUILDING. The certificate is issued to ROSEMARY TRENTALANGE (owner, ~L~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FIELD INSF~CTi~N FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ~/,/ ADDITIONAL COMMENTS: ,65/1802. l 9 AM, TO: 4 pM'~R T~E :OLLOWING, INSPEC FOR ~rt_ CRETE I~BING L ROUG~/~ , 3. JNsUHAT?ON f. FINAE ~BE THE ~ATB COb CODES 10 11 J? 18 t4 15 16 17 18 19 20 21 22 23 26 27 28 29 30 31 765-J,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~F~NAL [ ] FRAMING REMARKS: DATE ~/~ INSPECTOR ~/~~ ~2~- FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 -? Disapproved a/c ........... ~.-. · .-~. ........ .,~ .........,.. / APPLICATION FOR BUILDING PERMIT Application No.. ~./-/..~.~..~.. ..... INSTRUCTIONS a. This application must be completely tilled 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 of property must be drawn on the diagram which is part of thi~_appLi~ cation. 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, of for removalFor demohtion, as herein described The applicant agrees to comply w~th all apphcable laws, ord~nance$/Bml~i~g code, h~}~i~g c/eqle2~n'd/~ulatmns, a d to admit authorized inspectors on premises and in buildings for necess~ry~insl~9~ons~/~ :, / /..2/I I (S~gnatur peru ~t~n) (Mailing address of applicant) f/ ~,_~'~ State whether applicant is owner, lessee, agent, architect, enginee~ntrac'c , electrician, plumber or builder. ...... l a'x ;o'li ;; iatest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~.*'.~'...~... ~..'. / .... (-/... .. · . S (.~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................ x ................. ...................... _ ...................................... House Number Hamlet . / County Tax Map No. 1000 Section.,/~.../. {..~. ...... Block ....... / ........ Lot ..... .t_/... .......... Subdivision.. ,~...~..~F.-~ ...~· i~., ............ Filed Map No .... ./..~.'~.~ .... Lot..//~-~.~. ....... (Name) 2. State existing use and occupancy of premises and intended usa, and occupancy of proposed construction: / _,_/ ' ' ' ' ' .Additio~ ' 3, Nature of work (check which applicable): New Building .......... n .......... Alterahon_].~. L'~' ..... Repair .............. Removal .............. Demolition ....... Other Work.... ~t4w--,d.~X,-... 4. Estimated Cost ............................ Fee ............................... / (to be paid on filing this application) / 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 typ~ of use ..................... 7. Dimensions of exis~ting structures, if any: Front ....~,~. ~.:-.... Rear ... ,., ,..~. ~... ,o Depth .. :.E?3~ ......... Height ~ 5. Number of Stories . . ~ a~../~:~.~... ~"'f/~P: .~ .... Dimensions of same structure with alterations or additions. Front ...... ~..~. .... .. Rear ...... ?. ~r~ · .,. · .,~. Depth .... '~,~.C;~ ..........'... Height ...... .~.. c~ ........... Number of Stories ..... .'~.....~.... 8, Dimensions of entire new construction: Front ........ /.0 ..... Rear ...... {.O ...... Depth .... d.~ ....'-J.. t~t. eight .... :2~trl .~: ..... Numhec_of Stories .............. :.~ .................................. 9. Size of lot: Front ........ .~7..,~ .......... l~ear ...... .~,~. l~ ...... Depth .... ~.' .~-~.:~.'1~'. ..... 10. Date of Purchase .............................. Name of Fo.rmer Owner~ ...~ ..................... 1 1.Zone or use district in which premises are sit ated ( ~. ~ .el. ~ 12. Does proposed construction viOlate any zoning law, ordinance or regulation: ......... O ................. 13. Will lot be regraded ........ ~ ................... Will excess fill be removed from premises: ¥~s ~N9 14. Name of Owner of premises . ~. ~ ~.~....o?~..~(y; .%... Address .... ~7~..' .~.~. · ./q,~. Phone No...rtl...g..~....~- .~?.g. ~ ..... '~. C ~.a-...t.4~. Address ...... .C'...,~..q~C.'.,~. Phone No ................ Name of Contra~0TVIRONtVIENT. 'EAST ....... Address ................. Phone No ............. ~... c/o Pc, ret R. Smu~enbnrgh Indian Neck Lane PLOT DIAGRAM '' I~econic, ]Ney,. ¥oeb. Locate clearly aajl6_d~j~9~all 70ulfaifi'g67'~vhether existing or proposed, and. indicate all set-back dimensions from property lines. Give stre¢4f~fl~lo'ck number or description according to deed, and show street names and indicate whether interior or corner lot. STA2gF~OF NEW YKJRK ~ co0, OF. s.s, / (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ........................... f: ·: ~ .................................................. : ~gent, corporate officer, etc.) of saki owner or owners, and is duly authorized to perform or have perfonned the said work and to make and file this application;' that all statements cont'ained in this application are true to the best of his knowledge and belief; and that the work will b~ performed in the manner set forth in the application filed therewith. Swam to before me this , -- fl/ ' / ~0TARY PUBLIO, State of Now Y0r~'(._.~ - f licant