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Home My WebLink About12944-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12745 Date August 30 19 84 THIS CERTIFIES that the building . .Qg~..~ ~rg;i..l~. Clwal 1 ins ....................... 590 Silver Coil Road Cutchogue Location of Property I:t3[~sb hi'o[ ....................... 'S't/e$i ....................... b3~l'ei County Tax Map No. 1000 Section · 095 .... Block 04 .Lot 018. 036 Subdivision .0..r?.q.o.n...V.Jx.~.w...E.s.L.a..L.e?. ....... Filed Map No. 6241 .Lot No. 36 conforms substantially to the Application for Building Permit heretofore filed in this office dated Mar, 8 198..4 gp 12944.Z ....................... pursuant to which Buildin ermlt No ..................... dated ..... .M.a.r.....2 .8 ............... 19 . 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 ......... ...................................................... The certificate is issued to ..... A..1.f.r.e.d...a.. ?.?¥.c.e.. S..L.e.J:n..e.r.., ......................... (owner, ~..~Y2~N~ of the aforesaid building. Suffolk County Department of Health Approval ....... 13.-.SQ ,-J-,9.4 ........................ Pending UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 I~B.~ NO. II TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDI~IG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~? 129~ Z Dote ...... ./.~.,~C~.. .............................. , Permission is hereby granted to: ...... ,~..~z..~,~.~.~,.~.....,~.p~...~'.~....-.. ........ ........ ....................... ....... ~..~c~.....=..~.~.~.....~_//:~.-.~- ~o .... C.~./,~. ~.~.~.~.......~..~......~.~.~.~.~.c-~........~c~,~- Z/~, .....~.~...~..~.; ......... ~,,,-~.-------~-~ /..d'~--.;,;~ ~,~.,~_~_~.~/9 ~. .......................................... ,,~.,~ ..~.,~,,~ f~....~ .......... ,E. ~.. ~). ~.~'~'~. ~/.... ,~..,f :': · ."~.~,~'.'~,..':~ ................ ~ ..... o, p,e i,,, a,ed .......... .............. ......................... .~.,~.~.f.~ .~.~'. ~.~ Count,,, To× Map No. ~000 Section ....~..~...~T.:. ..... mec~ ...~..~ .......... Lot No. &Z'..~.'-f.:.~..E/~ ~u~uo~, ,o o~,,~t,on dot~ ../~.~.Z../.....~ ....................... , ~.~ and oppro~e~ b~ ,he Building Inspector. Fee $. ,/.......~,, .......... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhoM, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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 $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1,00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .~..~. ,.~..~.~. New Building , ,,..P~., ...... Old or Pre-existing Building ............Vacant Land ............. Location of Property..~.~.~. .... ~..'~....~.. ~,...~-~(-~ .~. ........ Hou~ No. Street Ham/et Owner or Owners of Property...~~ . .~. ~ ~ ................. County Tax Map No. 1000 S~ction ...~ ..... ~lock ...~. ........ Lot..~. ~.~ ~ ..... Subdivision~~ ~ ~~ FiledMap'No 0¢~/ LotNo ,'~ ....... Permit No./.~ ~¢.~ Date of Permit~.~ .Applicant ~~.~ ~~ ....... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $~.~ ~., ....................... Construction on above described building and/~err~ it meets a~pp/~icable co_des and regulations. Applicant..~?~'r4, · .~, · .~.~-~. ! .............. Rev. 10-10-78 FIELD INSPECY'ION 1, COMMENTS FOU~ND~TIO__N ~ (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: BUILDING DEPT, INSPECTION FOUNDATION 1ST ~ROUGH pLBG. FOUNDATION 2NO [ ]INSULATION` ~J.,,~FRAMI "G [ ]FINAL REMARKS: ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ................. 19... Approved ~,/t,d;~ 19 .~?/Permit No. /' .a~'; .'~.'.~.<?. Disapproved a/c .......... ' ........................... (Building Inspector) APPLICATION FOR BIJILDING PERMIT INSTRUCTIONS Received ....... ,19. a. Tins application must 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 tins appli- cation. c. The work covered by tins 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,.,~nd regulations, and to admit authorized inspectors on premises and in building for necessary inspec~ns~, ,,,~ ~ -- -~__/'J/~' "L.. - (Sigfidtur~'of'' ~applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . me of owner of premises...' . '.. .. f . . .. f . . f . ..... ..... d/ (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.~.~.~.~..~.t~.O.~. 77..~J~.....~.~' 7 Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed %prk will be done .................................................. ........- ........... ........................ House Number Street Hdm61et County Tax Map No. 1000 ~lc. tion .... O..~.~.'~. ........ Block ....O.d ........... Lot...O./~, 0.~. Subdivision .~:~t~,~...~/..,¢¢~)." ...~...-.~...a~. ....... Filed Map No ............... Lot. i i i i .~. 211111' (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ,,:Z~. ff-~g~-J~..~..~c~ ........................................... b. Intended use and occupancy .~:fdZ-g-~t,: .~:~4~. t .J./4~..~.,.././~. ~. · ?~. · ,~~ ..... 3. Nature' of work (check which applicable): New Building Addition .......... Alteration Repair~ .............. Remgval' .............. Demolition .............. Other Work ............... ' ' ' ....... OD ..................... Fee ..... '. 4. f;st~mated Cost .. .......................... I (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 ..... Y,~ .............................................................. 6. If business, commercial or mixed occupancy, specify,nature and extent of each type of use .. 7. Dimensions of existing structures, if any: Front ./~///~ .......... Rear .............. Depth .............. Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... ~'.. Height ...................... Number of Stories... ~ ...... , ........... 8. Dimensions of entire new constrUction: Front ... ~.~2 t.., .... Rear .... 6v. ......... Depth Height ....~.. ~a .... . ....Number of Stones ... ! .............. " ~. ~ ........... Rear ............................... 10. )ate of Purchase .. <e~. ...... r Owner ............................. 1 1. Zone or use district in winch premises are situated.. X~ ..................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ,/;Z40 ........................... _13. Will lot be regraded . .~5'~.. P..~i ............... : ....Will excess fill be removed f.r, qm premises: Yes ~ No ~1,~ ')Name of Owner of premises ~ .¢.?~vd~.~.. ¢..4eJne4aAddress /~,. 69.a~. Cp.;~ fJLa,~;/~st2~h%'fie No. e¢,.¢, ,g ~ Name of Archztect ......... t ................. Address ................... Phone No ................ [~vJ--v~.~ ',~¢~+3~*' ' PLOT DIAGRAM O~" Locate clearly and d~st~nctly all buildmgs, whether ex~stmg or proposed, and,~nd~cate all set-back dnnens~ons from property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, i S.S COUNTY OF ................. ............................ ~ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the ..................... ..................... ' ..... : ......................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du.ly authorized to perform or have performed the said work and to make and file this applicatiort; tha~ all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perfoi'med in the manner set forth in the application filed therewith. Sworn to before me this ......................./ c/'~]~., day o'f..~.~...~...',4. . ......... Notaw Public .... ~ ...... County N0. 4707878, ~;uffoll{ Cmlnt~ (Signature of appliean0 lerm E:;p~re'; March 30, 19~~ OOUNTY HEALTH DEPARTMENT 81984 facilitiem fo~' tb[s 3oe,~~,~o~ have ~hief of flenera~ En~nee~in~ Se~viee~ HEALTH DEPARTMEST-DATA F~ APPRO~ TO c~srRucr" ADDRESS I -' MONUMgNr SUBDIVISION MAP F/LED IN rNE OFFICE OF THE CLERK OF SUFFO£K COUNTY ON APt~ ¢, 19~. AS FIlE NO. 8~41 / SURVEY FOR ALFRED Vt, STEINER & dOYCE A. STEINER 10T $6, "OREGON WEW ESTATES' AT CUTCHOGUE . TOWN OF SOUTHOLD SUFFOLK COUNTY', NEW YORK AND ~ HIS ~EHALF TO TI~E TITLE COMPANY, GOVE/~N- MEHTAL AO CY AND LE" lNG INSTITUTION LISTED H~E~,:~E ASSigNEES OF THE LENOING ALDEN W.~UNO, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S:UCENSE NO. 12845 [~OW~RD W. YOUNG, LAND SURVEYOR N.Y.S.~ LICENSE N0.45893 GUARANTEED CHICAGO DATE: SCALE: 1":50' NO. 85-823 AUG. I0~ 1984 dUIV~ I~ 1984 APRIL $, 1984 MARCH ,22, 1984 OCT. Y, 1983 CO, 400 OSTRANDER AVENUE RIVERHEAD~ NEW YORK