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Home My WebLink About13609-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sonthold, N.Y. Certificate Of Occupancy ZI5544 No. Date March 25, ]987 THIS CERTIFIES that the building ...O.n.e...f.a.m.i..1 .y..d, w..e.l.1, i..fi .~.. ...................... Location of Pro erty 6.5 Garden Court & 1175 Wells Ave. Southold P h3ds'e io; ....................... 's't/e3i ....................... County Tax Map No. 1000 Section .0.6.3. ........ Block . .0.7. ........... Lot . 0 17. I 0 Subdivision SOUTHOLD GARDENS .Filed Map No. .Lot No. 10 conforms substantially to the Application for Building Permit heretofore filed in this office dated N o v. 28, 1984 pursuant to which Building Permit No. 13609 Z. dated .. D..e 9.'.. 5. ~.. 1. 9. 8..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 One familT/ dwelling, attached 2 car garage. The certificate is issued to ROBERT C, AND HELEN M. COCHRAN ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ......... 14 - S O- 22 1 UNDERWRITERS CERTIFICATE NO. N 796962 PLUMBERS CERTIFICATION DATED: March 13, 1987 Building Inspector Rev. 1/81 TO~'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING I~ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13609 Z Permission is hereby granted to;,, .~./..~?~....~..~.~.~...~.... ........................... ...~.~.~.o~.....-.....~'..~......~./..~..~/... ,o ...... .Om~..c~...~...~.~.~........~c. ~....~P_~ =~Z.~ ............................. at premises located at ..~....~.~.~..~..~.~.....:~...~.../....~...~.~....~...~.././~..~ ~.,'z-~....07~.~.~. ............................................... ~..~.za. ..................... pursuant ,o application dated ./~.~~....~......., 19~....,~and approved by the Building Inspector. Fee $.(:~.....~....~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHdLD Building Department Town Hall [~LDG. DEPT. TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hall 3cc- Receipt NO'. 3 t 5 4 5 Southold, New York 11971 sual oate .................................... ~...,~ .......... ~ ................1..:.. ............................................ /100 Dollars Fee for Fee for · Fee for Fee for Certificate [] H.I.C. [~uilding Permit [] of Occupancy [] Misc. ri§" ma- 3. Copy of certificate' of o~cup~ncy 5.00, over .5 years $ 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .... !7 .~..]. ...... NewConstruction ...... Old or Pre-existing Building......... .. Vacant Land Location of Property ........................................, , . House No. Street Ham/et Owner or Owners of Ptope~y ............................. . . .. .,.. , .... .. . . County Tax Map No 1000 Section ... & ~ T~ ............. Block ............. Lot ........... Subdivision ........ ~~.,~'~. .Filed Map No. ~- JO~. .Lot No. ,,....,...10 ... Permit No .......... ua~e o, Permit .[~ ~..App,icant., ~.. Health Dept. Approval ...~ ............ Labor Dept. Approval ........................ Unde~riters Approval ........................ Planning Board Approval . .. .................. Request for Temporary Certificate .......... ; .......... Final Certificate ............ Fee Submitted $ .... ~ Construction on above described building ~;;~r~mit me~e~a~l applicable codes and regulations. App,,cant ..... Rev, lO-lO-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner Plumber (please print) (pleas3e print) J I certify that the solder used in the wa%er supply system contains less than 2/10 of 1% lead. Sworn to before me this 19~7 · Notary Public,r~FDC..~. County BARBARA STEPNOWSKt Natal/Publ}~, State of New York No. 4844762 Qualified in Suffolk County Ceffi~i~iot~ E~ires March 30, 1 ~..~.7 ~Fi~LD~iNSPECTiON COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION FERN. STATE ENERGY FINAL ADDITIONAL COMMENTS: 765-1~0Z BUILDINB DEPT. INSPECTION FOUNDATION 1ST ~ ROUGH PLBB. FOUNDATION 2ND [~ INSULATION [r~FRAMING [] FINAL REMARKS: ~~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Received. ,~./~. /.~.~. · · Disapproved ............................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date./~..~7/~,..~.~. ..... 19 ~..~ INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter or in ink and submitted 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 issued 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 8outhold, 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 building for necessary inspections. , ~ .... ....... (Signature of applicant, or name, if a corporation) . d:.//.z.a . . o. IJ. dY (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises ... ~.O.b~r.~...~.~... ~..../~I~z.,.~Z...~x~, .... ........... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...Z//..//.~...X/.~¢. ~ Plumber's License No ~) .'.~. Electrician's License No ....................... Other Trade's License No ..... -~ ................ "~'~'~'"'~ I. Location of land on which proposed work will be done...C.O.d..~..E. ............................ . ........... . !& .................. House Number Street Hamlet County Tax Map No. 1000 Section ........ ~ .3 ...... Block ........ 7. ........ Lot.. ?..Tf .f.~. ........ Subdivision..~. 012.~..etOn. ....G~..~..D.~/~:. ·~. ...... Filed Map No..~¢.~ ./.0.~. ?.... Lot .... /~. ........ (Name) 2. State existing use and occupancy of premises and intended use and occ. u. pancy, of proposed construction: a. Existing use and occupancy ...... .~..~ ~.~..~. .... ~ ~..~-.,. ' ........ '. · · .~ .......................... /.ii '- .............................. b. Intended use and occupancy .... j-:. ~..t~..e~..,~ .... 3. Nature of work (check which applicable): New Building .. ~..~. .... Addition .......... Alteration .......... Repair .............. Reraoval .............. Demolition .............. Other Work ............... 4. Estimated Cost ...... I Fee *" (to be paid on filing this application) 5. If dwelling, number of dweilin~ units ..... ~.... Number of dwelling units on each floor If garage, number of cars .... i~z~q, t~~' ........................... 6. If business, commercial or max~d occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Nnmber of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. fiepth .................... i. · · Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front .... .t'l/~ .'.~. [l.~.. Rear ....~;6f. ....... Depth ...,~. '.-~..~ ....... Height .... ~.2 f. ..... Number' ' of Stones' ..... . ."~.t~ ~. ............................... ,; ........... 9. Size of lot: Front ...... /..~.~'.'.~ ............Rear ....... ~ ............ Dept~ .... ,Z .7. o-. ..... :.......z · 10. Date of Purchase ...,7l,.. ,l~'.?.~..?.l.. ~..t..[ ........... Name of Former Owner ~.~.~g. 1 1. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ..... ~</.O ........................ 13. Will 10t be regraded ....... z i" '-~'-'-'-'-'-'-'-'-~ · · ........... Will excess fill be rem,o~ed from premises: ~ No 14. Name of Owner of premises ~i ~. I~...~0~¢~-/.2 Address ~'/12~.~..~,.l~, ~'~(~J'. Phone No-]..d~. Samelof Architect ~..~./~..K.-/Y.~. ~.., .2¢(/,,.."'~'.tf~.//./Address . . .~ 'Phone No ........ Name:of Contractor ../~...!~.d.¢~.,~.~.~. ...... Addre~fl.g:.~;~,%..Phone PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all 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 corner lot. '8. STATE OFI NEW YORK, ' COUNTY OF.. ..... :S.S · 4~A~.r.. ~ .... ~.~ .... ~..~..~.. t~ ~..,~... ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· He is the ..................... i ....................................... i'.~ .......................... ! (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this application¢ that all statements con~ained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this , · . ......... ..... ;.dayo .... ........... NOTARY PtJB[IC State of New YorN, N0 g70787q Suffolk Cdunty (Signature of applicant) SINGLE FAMILY DWELLING oNLY ' "'" ROBERT C COC~RAN a HELEN M.COCHRAN ,, :C;LK CC, Uh, IY FFP,',P'TPf~T ~ H~LIH SER'/h:~5 LOT NO~ IO~"SOU HOLD 'GARDENS'' i ' SO~DIVISlON UA~: FILED 'IN THE OFFICE OF THE CLERK OF '~,1 A~O ~NO SURVEYOR N,Y.S. UC~NSE NO. SUFFOLK COUNTY oN ~YT, lg~ A8 FILE N0.681~ .~ l';~/ml H~.,,~,. ~YOIING, ~ND SURVEYOR ' : ' ' ,- ' 5{H'I 0 ,: I. Oi SI H.D. REF. NO. DATE THE SEWAGE LOCATION HAVE FOUND TO BE SATI~< Chief of wa DEPARTMENT ONLY WATER FOR THIS THIS DEPARTMENT AND Management Section HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT N ~UFF CO. T&~(MAP I~S:F'~.~_:$ECTION _Q~L~._ BLOCK ~)0~r LOT IT, IQ NOTE' I= MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAY?,IgT9 AS FILE N0.$812 SURVEY FOR ROBERT 'C. COCHRAN ~ HELEN LOT NO. IO,"SOUTHOLD GARDENS" AT SOUTHOLD TOMfN OF SOUTHOLD SUFFOLK COUNTY, NEW-YORK M.COCHRAN FEB. 9, 1981 JAN. 25 1987 AUG. 6~ 985 DATE: OCTOBER lB, 1984' SCALE: in = 50' NO. 84- 102T YOUNG s YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 12B45 HOWARD W. YOUNG~ LAND SURV[YOR N.Y.S. LICENSE N0.45893 4OO OSTRANDER AVENUE RIVERHEAO~ NEW YORK