HomeMy WebLinkAbout13527-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No .... .Z~1,4%0~3 ....... Date ... December 19 ., 19 .8.5,
THIS CERTIFIES that the building ........ .o.n.e.-~ f.a..m.i.l.y..dy.e. 1..1.i.n.g.: ................
Deer foot Path Cutchocjue
Location of Propertyrtouse"' ' .1..9. 5.tvo. .......................
County Tax Map No. I000 Section ..... 9..7......Block ...... 7 .Lot 22
Subdivision...Mp. qs..e Cove .Filed Map No. .32.3..0.Lot No. 4
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·..O.c..t.qb, e.r...9. ........198..4. pursuant to which Building Permit No. 13527Z
dated ...... .N.qv.e..m.b.e.r...9 ..........198. 5.., 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 .........
.... .Pr~v.a~:e..o,er.~r~J-53...d.~.e.3,% .i .rig... ..........................................
The certificate is issued to EDWARD tr. & GEArEVTEVE DENLEA
of the aforesaid building.
152
Suffolk County Department of Health Approval ................... .1.4.-~S.O. r ................
N718830
UNDERWRITERS CERTIFICATE NO ..................................................
Building Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No ...... .z~LA].09 ..... Date ........ p.e. qe..m.b.e.r., .3..9. ........... 19.8..5
THIS CERTIFIES that the building ...... .~.c. qe..s .~.o.~.y. gg.~.~, c3.e.. ......................
Location of Property ... 3.S.5. ................ .D. eer~c~o~:..P.~:~ ........... .c~.Lq139g. tl~..
House No. Street Hamlet
County Tax Map No. 1000 Section ..... .9.7. .... Block ......... ? ..... Lot ....... 2.2. ........
Subdivision ..... ~I.o.(~e..C.c~x~e .............. Filed Map No...3..2.3.Q .Lot No ...... .4 .......
conforms substantially to the Application for Building Permit heretofore filed in tlxis office dated
·...O.q$91~.o.~:. 9 ....... ,19.8.4 pursuant to wlfich Building Permit No .... .1.3.5..2.7g
dated ... ~l. ta~.eml~.e~:. 9 ............. 19 B.4, was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
·...~.~QIT~'..qr~ w.c.~.~, cjia.~$c$~.. ...............................................
The certificate is issued to .............. ~Dg//~I~I~. I5... ,,~..G~.~..V.I.~.V.I~...D.g..~ffa..~.~' ...........
of the aforesaid building.
Suffolk County Department of Health Approval .................... ~../.g, ................. ...
UNDERWRITERS CERTIFICATE NO ..............................................
Rev. 1/81
Building Inspector
JeOB~l NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
13527 Z
Permission is hereby granted to:
.................................................
Ut premises ,ocote~ at.....!....J..,~...~..~ ...~..~..~ ~..~ .~...q~ ........
County Tax Map No. 1000 Section ..... ..C~...~..-J. ........ Block ....... ..~....~.. ....... 'Lot No ...... ...~:.....~... ........
pursuant *o application dated ...... .(~..~.......~.. .................., 19~.., and approved by the
Building Inspector.
Rev. 6/30/80
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
November 19, 1985
Greenwood Village
P.O. Box 671
Center Moriches, N.Y.
11934
Re: Edward Denlea--Deerfoot Path~ Cutchogue
Dear Mr. Kohn:
Enclosed please find two applications
for Certificate of Occupancy for B.P. #13527Z
This requires two C.O.'s.
In order to issue the C.O.'s we will
need a final certificate from the Board of
Health, a certificate from your plumber (form
enclosed), the two applications filled out,
and a check for $10.00 ($5.00 for each C.0.)
The final inspection was done on 11/18/85
and everything was O. K. Underw~ Cert.
Yours truly,
Helen De Voe, Sec.
also needed.
United States
Postal Service
~anuary, 1986
Dear Postal Customer:
Recemtly the U. S. Pe~b~l Service e~perienced
vamdallm at the C~ter ~hea
~elcsed f~d ~= ~iole' ch ~ recevere~~
d~tng the ~a~,~ ~vestigatio~
The purpose ef this letter is te aid the sender er
addrsasee with am exP'Lanatie~ for any delay er
depredatioa that may have eccurredwhile the matl
was in transit.
Sincerely,
Postmaster
U. ~, Pest Office
Center Noriches, N~
1193~-9998
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted m"------~ 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 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 p~operty 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.0 0
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
Date ....Ng.v.em..b.eF..3Q,. 39..8.5 ......
Old or Pre-existing Building Vacant Land
Location of Property ... J.9.5..D.e.eF..F.oQ.t..P~[~ .......... Cu.tcb0gUe,. ~,. ¥, ....................
House No. Street Hamlet
qwner or Owners of Property .... .E.d.w.a.r.d, .K : . . .a ., .d . .G .e ~ .e .v .~ .e.v.e..D.e.n ! .e.a .........................
County Tax Map No, 1000 Section , ,09~7 ........... Block ,...0~ .......... Lot... ~ ...........
3230 . - 4
...... Hap of [vloose Cove at E. Cutchogu~. ,a Map No ........... LOt NO ..............
11/9/84 Greenwood Village Custom Homes
Permit No, 13527Z Date of Permit .......... Applicant
Health Dept. Approval... !.4.5.0!,5,2 .............. Labor Dept. Approval ...dZ4... ' ........
Underwriters Approval ........................ Planning Board Approval . . .~/.'/4 ...............
Request for Temporary Certificate ................... ~=inal c~ ......................
Fee Submitted $. ~: ..~.. .........
Construction on above described building and permit meets k~J~plicable cod~ ~nd regulations.
FORM NO. 6
TOWN OF SOUTHOLD
B~ilding Department
Town Hall
Southold, N,Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted I ~ 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 p~*operty 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.
C. Fees:
1, Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $ Z 5.0 0
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
Date .... .N .oy ,e .m.b.e .r..30.:. ! 98.5' .....
~___._.~w~-B~uilding . .> ......... Old or Pre-existing Building ............ Vacant Land .............
Location of Property .... .1,9,5.p.e.er. ........ .C .u .t .c .h .o g .u .e , . ., , . y:.
House No. Street Ham/et
Q, wner or Owners of Property Edward I(. and Genevieve Den]ea
County Tax Map No. 1000 Section ...0,9,7 .......... Block ..... 9,7 ........ Lot ...... 2.2, ........
Subdivision Map of Moose Cove at E. Cutchogu~.~ Map No. 3230 .Lot No. 4
PermitNo. l.3.5.2.7.Z ..... Date of Permit 11/9/84 .Applicant Greenwood Vi.[lage Custom Homes
-
Health Dept. Approval ........................ Labor Dept. Approval ......................
Underwriters Approval ........................ Planning Board Approval . . ./~../.~ ..............
Request for Temporary Certificate ................... ~Certificate~.. .....................
Fee Submitted $ §.00 , .~.~. ~0~.~ '~ --~ ,~
Construction on above described building and permit meets all appf~ble code~and regulations.
~,O,:~::~ Iq/q~, _ Applicant ............. ~
la ......... .. ...........
Rev. 10f10-78 ~~
' THE NEW YORK BOARD OF FIRE UNDERWRITERS
1(Y0~$38
~ ~ BUREAU OF ELECTRICITy
SS JOHN STREET, NEW YORK, NEW YORK 10038
· H,S ~.~,.,.s ~.~ N 718827
only the electrical e~u~mertt ~ described below and in~ro~f~d by the applicant named on the abo~ application number in the orem~es
~,~ ~1~ ~95 I~e~)t Pa~ch~ 478 ,,/0 ~n~ ~,d, ~ C~tch~ ~ ~ -
in the followir~g location; ~ Basemertt [] 1st FI.
wosexamlnedon ~OVi~/L~'&) 1~ ]]'~ '~.9~
FIXTURE
OUTLETS
RECEPTACLES
~ 2nd Fi, ~ff~O, ~'~S!~ Sectlotr Block Lot
and found to be in corr*pllartce with the r~quiretrtents of this Board.
SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
FLUO~$C~~ VApoR
1
DRYERS
FURNACE
FUTURE APPLIANCE
TIME CLOCKS
MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS~
S E R V I C E
OF NEUTRAL
lk~b~t O'Brien
21 No~sh Ocean Ave~ue
Csn~r ~k~ric~s, N.Y, 11934
Lie, 233~E
GENE~A~L MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlaJs.
'. THI~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
~,~ ~5 vlpplication No. on file 327132/8-2)
Date
only the electrical e~ui~ment ~ dezc~bed below a~d i~tro~ced by the a~lica~t named on the ab e a I erich umber ' ·
in the followlng location; ~ Basement [] 1st Fl.
wasexaminedon ~'(')V~)~IC~: ~ ],¢.~
FIXTURE
OUTLETS
3
RECEPTACLES
[~ 2nd FI. Section Blocl~
and found to be in compliance with the requirements of this Board.
Lot
SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FAN~
OTHER APPARATUS:
E
E V I C
2/0 1
21 ~orth ~'~n Av~
This certificate must not be altered in any manner; return to the offl-~ ~t .~ ,- _,., - . . ~ '
~ ~, ,,~ auara n mcorrecr nsnectors ma be identfied
~~~~C~ y by thmr credenhals.
COPY FOR BUILDING DEPARTMENT. THI~ COpY O~ CER~!EICA~E , T~OT'~E ~TE~ED N ANY MANNER.
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765~! 802
CERTIFICATION
Date November ~m, 1985
Building Permit No. 13527Z
Owner Edward Denlea
Plumber
(please print)
Charles Sanders
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
~lumber's signature)
Sworn to before me this
~6 day of
1985
Notary Public, Suffolk
~ Notary Puk~ic
County ~i'~ '~. ~V~,IGi'!E~.i~rT
-/
lsd ',~INS P ECT ION COMMENTS
FOUNDATION (~st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
qODE
FINAL
ADD%TIONRL COMMENTS:
F1ELD ~NSF~TION
FOUNDA~TION (1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
iODE
FINAL
COMMENTS
ADDITIONAL COMMENTS:
PATIO
12' X 16'
BEDROOM 2
iI'-~'X 9'-0
160 FEET EAST
DINING 'ROOM ' KITCHEN
11'-4" X 9'-7'
11'-~" X t(
GARAGE
12' X 20'
D
R
MASTER
BEDROOM
12'-6" X 11'-4"
WALK
IN
LIVING ROOM
19'-0" X 11'-~"
!
:- ..... 12'
WALKWAY
V
E
W
A
LLAGE
Location:
CHAPMAN BOULEVARD
CENTER MORICHES, N.Y. 11934
(516) 878-4200
November 16, 1984
Mailing Address:
P.O. BOX 671
CENTER MORICHES, N.Y. 11934
Ed Hindeman
Building Inspector
Town of Southold
Town Hall
Southold , N.Y. 11971
RE: Building Permit #13527-Z
195 Deerfoot Path, E. Cutchogue
Dear Mr. Hindeman:
Please find enclosed the surveys you requested regarding the
property located on Deerfoot Path in East Cutchogue.
Note the revision shows the garage moved back to a set back
of 71' with the front parallel to the rear of the house.
If you have further questions, please contact me at the
above address and phone number. Thank you.
Sincerely yours,
Sonia 8alsamo
Eno.
SB/~b
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
[/~ FINAL
DATE
INSPECTOR ,
FORM NO. 1
TOWN OF SOUTHOLD
30B g207 BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined. )0~..(~.., 19~..t!
Approved . .~, . . .~'~'A~...~..C~.., 198 .ti Permit No ............
Disapproved a/c .......................... ' ...........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
TOWN OF SOUTHOLD
Application No ..................
Date 5~ 19 84
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 of property must be drawn on the diagram which is part of this 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 Occupahcy
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~} ~ions.~ ~t-~-~ X~ -
,,NwooD ....... .......
(Signature of applicant, or name, it a corpora o )
P.O. BOX 671"
Gilbert Kohn,, President
Cr-NTER MORICHE5, N'. Y. 11~3.4 ...............................................
878 - 4200 (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluinber or builder.
general contractor
Name of owner of premises .E..d.~.a.r. qt. ~<....5. B.e. nevLeue. O.enlea.,..1..P.r.q 5 P-e.c.t...P.k..S.W.,. ~3.r 00k.Ly.m, N.Y..
(as on the tax roll or latest deed) 11215
.ap~'i~ant is a corporation,~signature of duly authorized officer. GR[[NWOOD VII. LAG[
'(Name and tztle of orporate officer) '~ 878 - 4200
................ : .... ~ .......... . ............ CENT£R MORJCH~, Iq'. V. 11934
Gilbert Kohn, President
Builder's License No ..... r.- ...................
Plumber's License No ~ertsand Plumbing x ~1487P
, --Robert O'Brien, ~f2338E
Electrician s License No .......................
Other Trade's License No ..... .N .o.n.e. ............
1. Location of land on which proposed work will be done ..................................................
kq~ Deerfoot Path E. 9.s~ O,u..~ghqg.u?
House Number Street Hamlet
Comity Tax Map No. 1000 Section ...... 0.9..7 ......... Block 07 Lot 22
Subdivision ....... Ma..p..o.f...~.o.o.s.e...C.o.v.e. ..........Filed Map No....~.2fl. 0. ....... Lot ...... 4. ........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
None
a. Existing use and occupancy ....................................................................
b. lntended use and occupancy One story ,s~ng~e faintly dwelling, Elm model
3. Nature 0 f Work (c'hec~'i~l~k}t~ ~,PPlicable):
New Building .... 2( .....Addition .......... Alteration ..........
Repair ~, '[~0 Removal .............. Demolition .............. Other Work ...............
~ ~,_ ' ~ (D ripti )
·~"" '-"' '~ '' ' i ~ ~ D esc on
4. Estimated Cost .... .-r...1,0~: ,i(J13~l ...................... Fe~..~ .G...~"~.. .............................
(to be paid on filing this application)
5. If dwelling, number of dwelling units....s.i.n.§ 1..% .f.a. ~ .. Number of dwelling units on each floor .... .1 ...........
If garage, number of ears ..... ~, .................................................................
6. If business, commermal or m~xed occupancy, specify nature and extent of each t pe of use ....-'. ..............
7. D!mensions of existing structures! if any: Front ............... Rear .............. Depth .............
Number of Stories '
Height............... .....................................................
Dimensions of same structure wi~h alterations or additions: Front ................. Rear ................
Depth .................... i · Height ...................... Number of Stories ....................
8. Dimensions of entire new construction: Front 40.t . Rear .40 ' Depth .~.4: .....
Height ~ ~ ' Number of Stories 1 ........
9. Size oflot: Front ....47.'. .....'....,...... Rear.....35.'..&.5.7.'....... Depth .......... ,..... ....
10. Date of Purchase ... (9./.~29/.&} ................. Name of Former Owner . .~.eorge .I,..Cleale. a ......
11. Zone or use dmtnct ~n which pre[roses are mtuated .....
12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~q .......................
13..Will lot be regraded ..... y.e.s.. ! ................... Will excess fill be removed from premises: Yes No
14.. Nam~ of Owner of premises .E. clt~, I<.-..~p.l.q ~ ....Address J~. ~.r.q ~ ~!e.cj;. ~I<..S ¢./l~h~n~axlq:g .~r o.o. kl yD..].1215
· see be.l.o~ (a) Address PhoneNo
. Name of Architect ..........................................................
Name of Contractor .. $~c.e.~q~O.o. cl. Y J-.1J, ~g~ ... Address P...O.. l:3.a,x ......... Phone No.. 8.7.8-42g0 ....
· , I Center Moriches, N.Y. 11934
PLOT DIAGRAM
Locate clearly and distinctly all,! buildings, whether existing or proposed, and, indicate ail set-back dimensions from
property lines. Give 'street and block ;number or description according to deed, and show street names and indicate whether
interior or Comer lot.
· a). Architects: Dave Driscolt, 34 Gannett Or., Commack, N.Y~ 11725
E.E. Callahan, 67 W. Timmonium Rd., Timmoniumt MD 21093
· See attached survey"
Notary Pu/blic, ...... '~ .. '~ .... ;i .... 5.ti f. fp,l.k ..... County
, ,i NOTARY PUBLIC, Stme of N~ .~ ....... 4 ........ ~. · ~ .......................
] : No. 47999~8, Suffolk County (Si~atum of appHc~t:
~ ~m ~1~ ~greh aG, 19~l~
STA'TE OF NEW;YORK,
S.S
COUNTY OF .................
......... ....~.(~..b.e ?.~. ~ 9iq t, . ................. being duly sworn, deposes and says that he is the applicant
'" f ~Name of individual signing contract)
above named.
Coo~Icar t, 91c
He is the ............................................................................
(Contractor,' ag~nt, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements co~tained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the man,ncr set forth in the application filed therewith.
Sworn to before me this
the Sutfol~ County Depadm~t
/7~.
/
/ooo- o~7_
/7'
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
UA,,
water SUPldy aad: ~ ,~ ;~; f~
res~ce wi~ mnf~m to the s~atds d
Suffolk County Depa~ment of Health Services.
GREENWOOD VILLAGE
' ~ P.'O. aOX ~71
(:ENTER MORICHES, N. ¥.' 11~[~
/?,o
L
WINDOW SCHFPdbF GEN'. STRUCTURAL NOTES GEN. PLUMBING NoTes 6EN, EL CT lCAb GEN. HEATING NoTF s MOP[L LI51
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