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Home My WebLink About13124-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPAP. TMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15570 April 2, 1987 No .................. Date ................................. THiSCERTiFiESthatthebuildingClbse in Breezeway & convert garage to den 1240 Gold Spur Road Cutchogue, New York Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section ....0 .9.5 ...... Block ...4. ........... Lot 18. 11 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Ma y 11, 1984 pursuant to which Building Permit No. 13124 Z dated ..~.a.y..I.....................2' I984 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 ......... CLOSE IN BREEZEWAY & CONVERT GARAGE TO DEN AS APELIED FOR JOSEPH & ALICE SMALLEY The certificate is issued to ..................... ?o~;,.o.r,.leX~,~.~7~x .................... of the aforesaid building. Suffolk County Department of Health Approval ........... .N/.~. ........................... N799168 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 '~ng Inspector l~OR~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEI:~A~T MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13124 Z Date ....... , ............ .(~. ............................ , Permission is hereby granted to: .../..=..- ................. ..~. (.~......g..~.....:.~... ~-~ ................ .~.:~.~!~.0.~.~. .................... .................................................. ~ ........ r ................................ '1 .................. .~ ~......~'...~..~.(].. 4~.~..~.:.....~. ......... :...- .................................................. ~_.;. : .................................... .......... .......... -,- O /~,~1 County Tax Map No. 1000 Section ...... .~?..(.~L.~. ...... Block .......... J. .......... Lot No ....................... .......... .~..:.~....t:..~.4., ...... L! .................... 19.!~...CJ., and approved by t~e pursuant to application dated ~ . ~ . , Building Inspector. Fee $ ...... L.:. ............. Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. ~'bis application must b01 filled in ty,p. ewriter OR ink, and submitted ~a ~ to the Building I n~pec- "[or with the following; fo'r new buildmngs or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unu~al 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, Multlple Residences and similar buildings and in~talia. lions, a certificate of Code compliance from the Archkect or Engineer responsible for the buUding. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957)0 Non-conforming uses, or buildings and "pre-existing" land uses'- 1. Accurate survey of p3~perty 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 Ncu I)welltn[~.$25.00, Accessory :$t0.00 Bus,res: 550.00 2. Certi(icate of occupancy on pre-existing dwelli¢~g $ 50 · O0 3. Copy of certJficato of occupancy $ 5.'00, over 5 yeare $10.00 4.Vacant Land C.O. $ 20.00 March ]9, 1987 5.Uodated C,O. $ 50.00 Date .......................... 6. ~lteration $25.00 New C on s t r u c b :L on Old or Pre-exlsting Building Vacant Land ]240 Gold Spur Ro'ad Cutchogue, New Y.o.r.k. , Location of Property ............................................................... House No. Street Hamlet JOSEPH & ALICE SMALLEY Owner or Owners of Property ' .'.'. · 95 4 1.8...11 County Tax Map No. 1000 Section ............... Block ............... Lot ............. ' ' ' Flied Map No Lot No Subd~vmmn .......................................................... PermitNo. 13124z t 5/11/84 ~nnlicant. Joseph Smaller ' .......... Date of Perm t. ........ ?,,.. ,~,, .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Piannin9 Board Approval Underwrlturs Approval .............................................. Request for Temporary Certiflcato ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above descmbed budding and Rermlt r~c_c.t~s all apphcAble codes and regulatmns. Apphcan! .. 7I Et, D Ii~S?gCTION FOUH D~'~' ]]()tl 2, (?nd~ ~{O~JGH FRAME & PLUMBING 3, 711SULATION FER ~1. STRTE ENERGY C.ODE TOWN OF S0UTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /~/_ An application fo_r~Certifica~e of Occupancy is not on file. /_~ No Underwriters Certificate on file. /Z~f The check is(o~ed/not on file.).~ /Z/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. . ~~/-~ Building Dept, ***/--_!No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~L000~L21 BUREAU OF ELECTRICIT~Y ~ 85 JOHN STREET, NEW YORK, NEW YORK IOO3~B ' Date ~4a_~h 19, 1987 ~ppiicatio. No.o.file 462707/87 N 7991.68 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed be~w and i~troduc~ by t~ applicant ~d on the a~ve application number in the premises of Joseph SmalX~y, ~ld Sp~ Street, ~oz~oe Drive~ ~tcho~e, in the following location; ~ Basement ~ Ist Fl. ~ 2.4 FL Secthm ~t~R Lot ~,os examined on ~Ch ~2 t ~[ ~ 7 and found to be in compliance with the ~equlre.tents ~f th~s Board. FIXTURE OUTLETS RECEPTACLES SWITCHES 6 3 DRYRRS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DIMMERS 01HER APPARA1US: Elec. Room Heaters: E R V I C E 1-2.0kw, 1-1.5kw f40 OF Hi-LEG AW.G OF NEUTRAL Paul Burns 275 Town Harbor Southold, N.¥~ 11971 GENERAL/~ANAGER This certificate must not be altered in any manner; return to the office of the Board il ir, correct. Inspect6js moy be identlfi6d by their credentials. COPY FOR OU!LDING DEPARTMENT. THIS COPY OF CERTIFICATE MUsT NOT BE AL.'~ERED INANY/vLa. NHER. TOWN OF SOUTHOLD OFFqCE OF BU1LDIN('J INSPECTOR ILO. BOX 728 TOWN IIALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 Thln in to advise you that the job under building permit no. 1312~Zissued to Joseph Smalleg on .... ~l_~2L~~ .... for Addition & Alteration is completed a final ~nspectlon has ( ) !las not ( ~")"'been done. and in ord(.~ to complete thin file, it is necessary that ;~ Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a cheek for $~_~OOpayablc to the Town of Sou,.hold. Ple.ase indicate to ~4h~Sthe Certificate of Occupancy xs to be maxled, and .arrange w{th thls office for an inspection (late Occupancy Or II,,te in unlawful without a Certificate of Occupancy. l'lenne help nn to clear up this setter so that legal action does not have to be taken. Thank you for yoor prompt attention. Very truly~, Victor Lessard Executive Administrator VI,: ga r encl . TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 December 6,1985 Joseph Smalley 1240 Gold Spur Rd. Cutchogue, N.Y. 11935 Dear Mr. Smalley; Your request for a six month extention has been granted. Your building permit will expire on the 12th day of May 1986. If you require more time you will have to file for a new building permit. (B.P. # 13124Z) Sincerely yours, VL:dsm Victor Lessard Executive Administrator FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 , · TEL.: 765-1802 Examined. ]/~..~... ]..~...., 19~/ Disapproved a/c .......................... ' ........... (Building Inspector). APPLICATION FOR BUILDING PERMIT Application No .................. ] ! Date..~./(tt]g" .......... h/ 19... INSTRUCTIONS a. This application must b~ 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 B~ilding 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 inspections.~ - .... '.-.'' ....... .... ~ or nam~,4f.~corporat' ) (Mailing address of applicant) ) I q~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... ..... 1~) t~ ~ fe~ ........................................................................ Name of owner of premises .. i~.~ ~.~. U.. S.~.~.fl Lt-.~ .x/'..~.jq~.. ~1F..E .................................... (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. -- · .~q'.~-~[ ..~. ....... Plutnber's License No ......................... Electrician's License No... 7-. .................. Other Trade's License No...~. .................. 1. Location of land on which proposed work will be done...~..o..~....~..g.~. !z:...~.~/~? ........................ .2-.q .o. ..................... .... .,.o. House Number Street Hamlet IJ q-~ ff ' C;ianty Tax Map No. 1000 Section .~ff ....... Block ...q. ' Lot..[.~.~. lt. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ~ ~ff_~w~. ............. , ................................. .b. Intended use. and occupancy ....... ~ .~...~ff~t~d~..t~...~...~..W~C.Z ~..~q/.~Z~..c~.... / 3. Nature 0fwork (check which applicable): New Building .......... Addition .......... Alteration . ¥.. ...... ' Other Work Repair .............. Removal ............ Demolition ............................. ~' ' -' - (Description) 4 Estimated Cost .~.~,~flO, O. O Fee ............................... (to be paid on filing this application) 5. If dwelling, number of dwelling qnits............... Number of dwelling units on each floor ................ If garage number of cars ~ ........... 6. If business, commercial or mixed, occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories '. ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Number of Stories Depth .................... ,.. Height .. ........................................... · · ' ' ' n D pth 8. Dimensions of entire new constr~ct,o : Front ............... Rear ............... e ............... Height ............... Number of Stories ........................................................ Size of lot: Front ........... ........... Rear ...................... Depth ...................... Date of Purchase ............ .................. Name of Former Owner ............................. Zone or use district in which prgmises are situated ..................................................... construction violhte any zoning law ordinance or regulation: Does proposed , . ............................... Will lot be regraded ......... ' ................... Will excess fill be removed from premises: Yes No Address Phone No Name of Owner of premises .............................................. Name of Architect ' Address .. Phone No ................ Name of Contractor ......... ! .............. Address ................... Phone No ................ 10. 11. 12. 13. PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block inumber or description according to deed, ,and show street names and indicate whether interior or corner lot. ~ ~ ~ .)flt.a.z..~t-O.Z~5;/, STATE OF NEW YORK, S.S COUNTY OF .................. is the itll~,g, co~,tract~, ~ . .. being duly sworn, deposes and says that he applicant (Name of individual SI above named. He is the .......................................................................................... (Contractor, agent, 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 con~tained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mantlet set forth in the application filed therewith. Sworn to before me this ............. Notary Public,. ..... ~}..~..~g.~/~... County .... H~[EN t~. Dl!q 'VOE NOTARY PUBLIC, Slat~ of New '(ot~ (Signature '~Flipplicant) No. 47078/8, SuIIolk Courtly ~enn l:xmre,,~ Marc:il 30,