The URL can be used to link to this page

Home My WebLink About12922-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No, Z15419 Date March 23~. 1987 THIS CERTIFIES that the building .A.q c..e .s.s.q r..y..a.n..t .e.n.n.a. ........................... Location of Property 16300 C.R. 48 Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section .... 1.0. I, ..... Block ....2 ........... Lot ,. ! .I ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March I , 1984 pursuant to which Building Permit No. Jg.gA2..z. dated . .M.a.r.q h...8.,.. ] .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 ......... ...g~c ¢ c.s.$.q .r y..a.n. (2 ~.n.n.g...f.q r...T...V.: ............................................. The certificate is issued to ROBER.r L. HUBBARD ..................... ?oh;.'o;, >ai lirkk ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A - - N798593 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: · / B{Rlding Inspector Rev. 1/81 I~O]F,,~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12922 Z Permission is hereby granted to: ..~.~'t.......~.~~ ............. .............. .~.~.~...~i ................................. ,o...fi~~ ...... .....~......~.~.~~ ...... ~.~~.....~ .................. ~,~.q.**q...o-~. ~ ..... i ..~ ................... at premises located at ~ ................ ..L~c..~ ................. County Tax Map No. 1000 Section ..... ~....0...! ......... Block ....... ~.. .......... Lot No ....... 1..I .............. pursuant ,o application dated ....~.(~.......~....:..~ ....................., 19.~..~.., and approved by the Building Inspector. Budding Inspector Rev. 6/30/80 TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR ReceiptNo. 31.5 7_ 6 Tow. Hall Southold, New York 11971 Date ..... · ,-~,, ,/.~...~. · .~, ,Z .................... .___ ,_' , ~----~7----.~ ..................................................................................................... ................... / ................. .................................................. ............ ............... .................................................................... Fee for ............... ./~,..,......0....,2 ................. ;ual Fee for :ilia- Fee for Fee for 1~_3.Ce~ficate Jag, [] H.I.C. [] Building Permit I~1 of Occupancy [] Misc. Building Inspector 2, S~or-n statement o! owner or previous uw,~u, 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.Certificato o! occupancy New DuellinG.S25.00, Acce..~ory '.$10,00 Bu~ne,'~. $50.00 2, Ccrt f cate o! occupancy on pro-existing dwelling $ 50.00 3, Copy of certlflcate of occupancy $ 5.'00, over 5 yearo $10,00 4.Vacant Land C.O. $ 20.00 5 Updated C. O $ 50 O0 Date · 6. ;%iteration $25.00 Building Vacant Land NewtOns truct, ton ...... Old or Pre-existing ......................... Location of Property //~ 3 .¢.¢. . .~//t~/ff./f. ,,~..~.. ~, ............ ~Z~Z.c;4~¢~,~<Q'~.'· ~o',;;~;. ' ....... ~,,.,, - ,,~,~, Owner or Owners of Property ... i¢'~¢~4 ¢.~. ~".. ~ ',. ,/:/¢~.t~,'~/~d .... v ........................... /,~! .2- ~'/,'r/ Block Lot ' County Tax Map No. 1000 Section . r..'~ ................................. Subd~v'slon Flied Map No Lot No PermitNo../.'~.2'~. OateofPermn,.. ~. ,,.Applicant Health Dept. Approval ..... ~ ............... Labo Dept. Approval .. Unde~riters Approval ....... ] A .............. Planning Board Approval Request for Tempora~ Certificate ..................... Final Certificate ....................... Fee Submitted $ /0',0 0 Construction on above described building end permit meets all applicable codes and regulations. Applicant ~'.~,, ~,~,, ~ ........................... ney, 10.10.78 [uuul~4 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW yORK 1003~ ..t~,~ ~, :L~ Appiic.,,o.~o.~,,~ii~ ~9/~ N 798593 THI~ CERTIFIES THAT only the electrical equipment ~ ~scrib~ be~w and i~troduced by t~ applicant ~med on the above application nu tuber in the premises of Kober~ itub~a~, 16300 ~ou~ 48, Cu~cho~ue, ~Y in the following location; ~ Basement ~ Ist Fl. ~ 2,~d FI. OUCSLde Section Bilk Lot u~s examined on ~rC~ O~ ~ ~ 7 and found to be in Compliance with the reqttirements qf this Board. OUTLETS SWITCHES FLUORESCENT DRYERS SYSTEMS qO. OF FEET E APPARATUS: S E R C AW-O, NO OF NEUTRALS A, WG OF Ht-tEG OF N~UTRAL 5Z5 Willow ~oi~t Koad //~NER~L MANAGER Souuhold~ NY i1971 Lic~2816~ r~~~rea in a~ m~ner; r~orn to the office of the Board if COPY FOR B0 LD NG DEPARTMENT. THIS COPY OF CERTI~FICA~E Mps~NOT BE A~ERED 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE FIEDD ~I-i~PECTION FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ttALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 12922Z issued to Robert Hubbard on __3_18/84____ for Accessory is completed a final inspection bas ( ) has not ( x ) been done. and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $10.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection (late Occupancy or nsc ia unlawful without a Certificate of Occupancy. P~ease beIp ns to clear np this matter so that ]egn! action does sot have to be taken. Thank ynu for yo.r prompt attention. Very truly y~, Victor Lessard Executive Administrator VL:gar cncl. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...~0d~q~ .'~ ..... 19~.~. Approved...XY~ .OJ~& .~..., 19~.~.. Permit No. ! .~. ,~. ~ ~ Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERNIIT INSTRUCTIONS Date .... .~//! . . a. This application must be completely tilled 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 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 building for necessary inspections. . ~ ............... ~.~. ?. ~. :%..~5. ~. ~ ~ .c.: ....... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... .~,-,?£~. ~..¢.... ,,,o....::~. ~.,,,.c.~ .~... p. f.., ~ .~..,,-:~. fi .................................... Name of owner of premises .)~o.6.q~e..~.. P./tz.& ~.~C~. ................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~ .... '.'~.~...07..~. .... (.L.~.¢..?:~.,¢... ?,...,w..,rk'.,,:f cc., (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No..~.?...L.b~.(~...~..~ .~:~.~.~.~, O ¢*'¢' ~)~r~are~ /-~Sfft ~c~tr~oov 5 Other Trade's License No ...................... House Number Street Hamlet County Tax Map No. 1,000 Section .. /0.] ............ Block X Lot .... [ t (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing and use occupancy 3. Nature of work (check winch apphcable): New Building .......... Addition .......... Alteration .......... Repair ...... ' ........ RemOval ........ Demolition Other Work ~ 4. Estimated Cos o oo, ..., ............ Fee i (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixeld occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structurqs, if any: Front ............... Rear .............. Depth .............. Height ............... Nurnber of Stories ....................................................... Dimensions of same structure ;vith alterations or additions: Front ................. Rear ................. Depth ! Height Number of Stories 8. Dimensions of entire ' ' /.O..~7~6 .... ~i ..... new construction: Front . .~..~. Rear .-/2~fi~~ .... Depth , I Height ............ Number of Stories .... 0 ................................................... 9. &ze of lot: Front :.,...,..~,.,.,~ De.P!~ · ,.~ ........ Rear ......................" ' ...................... 10. Date of Purchase ~. ~///g~/t~7 .............. Name of Former Owner ........................ I 1. Zone or use district in whicli pretnises are situated .................................................. -]]] 12. Does proposed construction wolate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ 4 .............. , .... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~O~h~,¢$ ~lbbc4~.cfl.... Address l~0M.e/Le--.A.c¢lt2.g~O)g~gPhone No..'Z$.q': .d,.~..~.~/.. Name of Architect ! Address ......... Phone No. Name of Contractor I Address Phone No PLOT DIAGRAM Locate clearly and' distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or COrner lot. STATE OF NEW YORK, IS.S COUNTY 01;'. ................ ~'t)e~t5 t~. t~q,./-O_5 being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· I He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul} authorized to perform or have l~erfonned the said work and to make and file this application; that all statements contained, in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~i ........ ./ .............. day ........... Not ary, Public k:.l~tary¥$aOl~l¢~.M-i~ut~,iO,~o 4?saosestate~Et~¢~l£°' ~aw. ¥. .............. County~ , ~,orami88io~ E~ Ma[ch130, 19Z.'a (Signature of applicant) t ) · ..P.OV D ~~TI rY BUILDING 'D~RTMENT ~ 7~5-1802 9 A~ TO ~ P~ FOR THE FOLI..OWING INSPECTIONS: 1. ,FOUN?ATION r TWQ REQUIRED FOR P~LJRED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSUI. AT~ON 4, FIN~L~- c~h~fi'rRtj,~TiON MUST BE C"~m F"~ FOR C, O. ALL Cf~h?'rm~CTION SHALL THE RFm~mrM~NTS OF THe N, STATE CmN~TRUCTION & ~kt, MAP OF PROPERTY · row. StSFFOt..K COUN.rY, N. Y. ~ ~ ~UARANTIEED TO: tAND SURVEYORS . Center. Moriches, N.Y. 11934 Tel. 878-0120 ~ONUM[NT! ~HOWN THU~_ ·