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Home My WebLink About12913-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP;tRTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22834 Date J~UARY 14.~. 1994 THIS CERTIFIES that the building~ Location of Property 1980 BRIDGE LANE House No. County Tax Map No. 1000 Section 85 Block 2 subdivision Filed Map No. DWELLING CUTCHOGUEr NEW YORK Street Hamlet Lot Lot No. 27 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 29~ 1984 pursuant to which Building Permit No. 12913-Z dated MARCH 6f 1984 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 FAMILY DWELLING WITHATTACHEDOPFA~PORCHAND GARAGE IN CELLAR AS APPLIED FOR * The certificate is issued to of the aforesaid building. THOMAS R. & WANDA S. SHEAR/tN (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL I4-SO-13- JULY 27, 1984 UNDERWRITERS CERTIFICATE NO. N-656238 - AUGUST 22r 1984 PLUMBERS CERTIFICATION DATED N/A * THIS UPDATES CO Z-12705 DATED AUGUST 16, 1984. ~ild~ing Inspector Rev. 1/81 FOR.~ NO, 0 TOWN OF $OUTHOLD B~JtLDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12913 Z Permission is hereby granted t~. ..~~...~.~..~.~.~......~.~ .~.~..~,...~..:.%.: ......... ~.J...~..~. ..... , ....... ~ ..... ~ ........................... :'~'~'~;'""~-':"~"~'"':v ..................... ~:~'-:'"'~'. ............. at premises located at ...L~I. .............. .~.c~...c.~......(~.~ ..................... ~: ........................ County Tax Map No. 1000 Section ...... ..C?...~....~.. ...... Block ........... ~ ...... Lot lqo.....~....~. ............. pursuant to application doted ...~......~...~.........~.~ ............. , 19..~...~.., and approved by the {~uildlng Inspector. Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy 112705 Date ......... August 16 ]p84 THIS CERTIFIES that the building ... p.n.e, r f~mi. l Y..dxe .1 ].i.n. g: ..................... 1980 Bridge Lane Cutchogue Location of Property h~s'~ bio] ....................... 'S't/e~i ....................... h~r~iei County Tax Map No. 1000 Section '. .... 85 .....Block ........ 2 ...... Lot ..... 2. 7, .......... Subdivision ............ x .................. Filed Map No ...... )~..Lot No... g .......... conforms substantially to the Application for Building Permit heretofore flied in this office dated February 29 19 84. pursuant to which Building Permit No. 129131 dated................March 6 .... .... .... 19.St~,wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... new one-family dwelling. The certificate is issued to T H 0 M A S & S U E S H EAR I N (owner, ! .... ) of the aforesaid building. Suffolk County Department of Health Approval 14- S 0- 13 Pending UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev, 1/81 Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to ~the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from 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. Commercial building, 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 ~'oard 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 properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in .writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations. to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy of Certif~ of. Occupancy -45.00 over 5 years - $10.00 ~_~.- Updated Certificate of Occupanc-~ 5.Temporary Certificate of Occupancy - Reszdential $15.00, Commercial $15.00 Date . ..(./!~/.~.~.. ....................... . . . . .......... Old Or Pre existing Building .......... New Construction . - ocatiou of Property .... ......... ....... E.,_.. House No Street Hamlet Onwer or Owners of Proper , County Tax Map No 1000, Section ..... .~..~.% .... Block .... ~. ......... Lot..~. .................. .................................. Filed Map ............ Lot ...................... Subdivision . . Permit No ................ Date Of Permit ....... Applicant ................. Health Dept. Approval ..... .~.~. .......... - .. .... Underwriters Approval....~[.~. ................ Planning Board Approval Request for: Temporary Certificate ........... Final Certicate ........... ;ee submitted: $ .... FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall P~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Ao This application must be filled in typewriter OR ink, and submitte~l;~'.;;:; 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 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 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 land use --Pre-Existing C.O. $15.00 Vacant'land C.O, $ 5.00 Date .... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............................................................. House No. Street Hamlet Owner or Owners of Property ..................................................... ~.'5~' Block .~. Lot ~.~. County Tax Map No. 1000 Section .................................. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No~/~..~./~.~..Z:.. Date of Permit ..~l~../~..~..Applicant..~.~.4~.~?. ~.~....'~...~..-~..~..~?../~. ....... Health Dept. Approval...~'¢..~. ?.ZOO...~. .......... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Tempora~ Certificate ..................... Final Certificate . . .~... ................ Fee Submitted $...~..~..' .~...~ .................. Construction on above described building and p~mit meets al!applicable codes and regulations. ~p p uu a, .~_~'~ .'~; ;~¥~ f~,~,~.~r ~-r~-,,~' ............................... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 07~[ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipo~ent as described belo~ and int~duced by the applicant named on the above application nu tuber in the premises of in the following location; ~ Base,Rent ~ 1st FI. ~ 2nd FI. . Section B/oc~ Lot w~ exarnined on and found to be in co~npliance with the requirernents of this Board. FIXTURE RANGRS OVENS DISH WASHEE$ EXHAUST FANS OUTLETS DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: R V I C A,W,G, NO, OF HI-LEG A.W G, NO, OF NEUTRALS A 1 ~/0 1 470 R~ta~d ~l¢~ric Co. ~ ~~e~ P.O. Eox 1~ ~ ~ Th~s certificote must not be altered in any manner; return to the office of the 8oard ~f ,ncorrect. ,nspecto~s may be identified by their ~tials. ~ ~ COPY:FOR BpILDING DEPARTMENT. THI~ COP~ OF CERTIFICATE ~U~T NOT BE ~LTERED ~,N ANY MANNER. ~ INFORMATION FOR BUILDING DEPARTMENT WE ARE IN TIlE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE. CUSTOM BUILDERS WILLOW POINT ROAD SOUTHOLD, NEW YORK 11971 765-1084 THE NEW YORK BOARD OF FIRE UNDERWRITERS 7GS'1802 BUILDING DEPT. INSPECTION~ [ '] FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKs: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ *]~'/ROUGH pLBG. FOUNDATION 2ND [ ] INSULATION /,./~ [~FRAMING [ ]FINAL REMARKS: DATE .~A ~-t INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [] FRAMING ,~] FINAL REMARKS: DATE~/~(~/~~ INSPECTOR FIEL~ INSPECTION FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION FERN. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180;3 Disapproved a/c ..................................... ./ Received .......... ,19.., (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application mnst be completely filled in by typewriter 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 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 regnhti0~_s, and to admit authorized inspectors on premises and in building for necessa~4~n,s.pect!ons~k. L2 IL~vW"° 'F'~ ,-,===-~'~. - .~.~ USignature of applicant, or name, if a corporation) ........ (Mailing address of applicant) O_~, ~ t9o 0,~r State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... (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. ' Plumber's License No ........... Electrician's License No...t~.~..~.~...~. ..... ../.. Other Trade's License No ...................... -- 1. Location of land on which proposed work will be done ....... .~/~. ~../~d.I?,~..~. ,k.l~.~.~ ..... CX~. ,t)~,1~,, 2~,. ....................... ~ ..... ~... .... ~ ~ o~o~ : . House Number Street Hamlet County Tax Map No. 1000 Section .... .~.~ ....... g~6ck .... ~. Lot .... ~ ~. ........... Subdivision...Z~~ .... ~C~ ......... Filed Map No..~ZZd .... Lot... ~ ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... ,,Intended use and occupancy . interior or corner lot. 3. Nature of check which applicable): New Building . .. Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ', ,....~ (Description) 4. }'.stlm~ted C _.~ o O ~ cst o Fee ............. (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits .... ~ ..N ~ Ifgarage, number of cars ...~.~.~. u ber of dwelling units on ,ach floor {qT.~ ~P, . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ., 7. D~ansions of existing stmcture~, if any: Front .......... : .... Rear .............. Depth ............... Height ............... Number of Stores ........................................................ Dimensions of same structure wi~h alterations or additi6ns: Front ................. Rear .................. Depth .............. ' Height , . Number of Stories ....... 8. D mensmns ofent~re new construction' Front ~q . Rear ~ n~,h O ~ Height .~. . ~umber of Sto~s A~'* . . . 9. Slzeoflot Front ...... Rear .............. Devth ~.~ ........... 10. Date of Purchase. 52,5J ..... 2N ;; of Owner 5 , 11. Zone or' use district in which premises are situated -~ ............................................ 12. D6es propo~d construction viola',te any zoning law, ordinance or regulation: .... ~ ........................ 13. Will lot be regraded .... ~&~'~ ...... =,, .... , .....Will e~cess fill be removed from premises: ,_ _Yes ' ~ 14. Name of Owner of premises /~et20~. Y~4~N. Addressee .~ J~B~Phone No.~.TZ-~./Z.. Name of Architect ~*~ .~Mee~Z f~ddress~/¢~ ff ~a,/~hana N~ -~ F ' ' Nam e of Contractor g.*NO. ~. a~. ~a~r/~ddress ~O. g ~]~ ~.g.~ 4a~e~t~hone ~o. 7~. r ~.. PLOT DIAGRAM Locate cle~ly ~d dist~ctly ~t bufldhgs, whether existing or proposed, and, indicate ~1 set-back dhnensions from property Shes. Give street ~d block number or description according to deed, ~d show street nines and indicate whether STATE OF NEW YORK.. COUNTY OF ,,51~. £.;5.(.C5 ..... S.S .... ................... (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the .......................... 4 .............................................................. [ (Contractor, agent, corporate officer, etc.) f 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 contained 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 betbre me this NOTARY PUBLIC, State of New ¥or~ ., .k,., !/Id~'¥, ~ .................. No. 52-~24771 (Signature of applicant (~ualif~ed in Su~,~oik County ,/ Commission Expires ~arcl] 30, ~98,~'~ CIO 8 LJ~ ~r~ JUL ~7 ~ ~he se~e disposal anQ Water SUpply ~acilitles for this location bav~ inspected bF this deP~ment ~d ~o be satisF~.~