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Home My WebLink About13179-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ..... .Z.1.3. 7. 6. 9 ...... Date August 14 1985 THIS CERTIFIES that the building Addition Location of Property 270 North St. Cutchogue House No. Street Ham/er County Tax Map No. 1000 Section . . .~ .0.2. ...... Block ....0.5 .......... Lot 018 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~ ¢ g.u.s.t...27 ........ 198. 3.. pursuant to which Building Permit No...~ .3.1. 7. .9 .Z ............. dated ........ .J.ur~..1 ............. 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 ......... &c[~$~[.o. rl..tp..e.x..i~.t.i.n.g..b.u..i.l.d.i.n.g..f.o.r..g.ar, age & storage use. The certificate is issued to . Jac que line Penney .................... .................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO.. Pending 8/8/85 Rev. 1/81 Building Inspector TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13179 Z Permission is hereby granted to.~_ ..... ~.. ...... ...~...~.~z-_z.....~.~:m ..... ...... .~.~.~.~~~..~,....~.~..~- ,o ....C~r~.~....~...5.~.~....z.~...~.~./~.~...~ .......... ~.....~~..~.~~.....~.~ ...................... '. ................................ . . ~, ,~,~,,, ,~,,~ ~, ....~ ........... ~~ ................. ,..~ ................................................ ...................................................................................................... ~~~) ......... : ..... co,,~ T~, ~p No. ~o sec,~o, .j.~.~ B~k ....~.~. ..... ~o, No....~. ....... Building Inspector. Fee $..~...Z ....... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu{Iding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~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 natu fa{ or topographic featu res. 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 p~operty 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 safeW inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $1 5.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 .~. Date..!~..~-:Q .~.T.. ~ ~..I.~..~ .~.. Old g B X La New Building ............. or Pre-existin uilding ............ Vacant nd ............. Location of Property . ~.~.. ~ ~)~..~. ~..~.?~. ............. ~ ............ ~ ~ .'~.C~..~..~. 0. ~ House No. Street Hamlet Owner or Owners Of Property ~,~t~'~(~. ~.~.~-..(~ ~,~.. ~...~.~..~..~-.~.. ........................... County Tax Map No. 1000 Section . .I.~..~. ........ Block .... .O..?: ...... Lot ...... J~. ....... Subdivision .... ./~..l~ ........................ Filed Map No ........... Lot No .............. Permit No. I .'~ J .~..~. ~:=Date of Permit .......... Applicant..~.L~ 0~[.1~1~(~...~.~0.~..~..~ ....... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate *~ Fee Submitted $ ............................. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10058 Oate Augus~ t$~ 19~5 33640~/85 TMI8 OEBTIFIE$ THaT X X, in ~he follow~ng ~ocatlon; ~ Basement ~ 1st FI. ~ 2nd Fl. Section Block Lot was examined on ~ 0(~ ~ ~ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES EXHAUST OUTLETS SWITCHES INCANDESCENT FLUORESCENT 18 23 8 DRYERS SYSTEMS OTHER APPARATUS: P~nelboa~'d~j R NO Oi~E R~CON O. R V I C OF CC, COND. NO. OF HI-LEG A. WG, OF HI-LEG NO OF NEUTRAl OF NEUTRAL Th ., Per_ ET s cerhflcate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified b the r ~, ~~b~e~i d. y credentials. ~IE~ INSPECTION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY G,ODE FINAL ADDITIONAL COMMENTS: I'FLEF'HONE yr,,, _,,?F~q l~(Og APPEALS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIQONI$, JFL SERGE DOYEN, .iR. I~08ERT J. DOUGLASS J[~SELPH H, SAWIO~I April 18, 1984 Ms. Jacqueline Penney North Street Cutchogue, NY 11935 Re: Appeal No. 3168 Your Letter o'F March 20, 1986 Dear Ms. Penney: After consulting with our town attorney concerning your request in the above matter, we are advised that the board 'is without authority to amend its previous decisions and conditions without a formal application and rehearing. We apologize for not being able to assist you in this manner. Yours very truly, GERARD P. GOEHRi'NGER ~ ' CHA I RMAN lk cc: Mr. Victor Lessard NORTH STREET CU"f'C IOGUE, N.Y. 1 1935 (516) 734-5426 March 20, 1984 Mr. Gerard P. Goehringer, Chairman Southold Town Board of Appeals Main Road Southold, ~. ¥~ 11971 Ref: Appeal No. 3168 Application Bated August 26, 1983 (P~b. Hearing 9/29/83) Dear Mr. Goehringsr, On October 5, 1983, the zoning Board of ~ppea~s unanimously adopted a resolfltion grauting me ~ variance to ~uil8 a 24'X 27' two story frame addition to my existing frame8 residence with art studio and gallery° The adSition w~s propossd for garage and storage on the north side~ Since my original application of August 26~ 1983~ I have decided~ very happily, to m~rry. There is currently adequate living quarters for one person or a couple, but unfortunately no room for my mother or family to visit. I have been informed there is no psrmissable way to add a room a nd bath to the south, east or west side of the house. I would like permission to include a room and bath on the second sto~y of the structure approve~ by your beard on 10/5/83o This would be used ~ for my personal use and I would be ha ppy to sign a statement to that effect° Sincer?ly, , Jacq~eline ~e~y :., .,, , . ,.. ',~,.> /,,' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Examined ........... 19 Application No .................. 7~ ~/°ff~' ' ....... il~il~i~ Inspector) ........ Date .a.~. V.~..2~... ~).~, 19~..~ INSTRUCTIONS 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 this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applleatinn, 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 co, de, and regulations, and to admit authorized inspectors on premises and in building for necessary ~5~,,___zff~.~7=3;,,__~_- ........ (Signature of applicant, or name, if a corporation) ·'. ,... (Mailing address of applicant) ! 74 ? / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................... ./~ ~..~./4. ~. ¢<' .r~. .......................................... Name of owner of premises . . . .4.~. ~..~:~ ~. ~ ~. ~/'-9.~ .... .~.~.~ .04 04. ~."~. ................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ......................... Electrician's License No. ' ~ Other Trade's License No ..... : ................ 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ..... I..o. ~ ........ Block ...... .~..-~.. ....... Lot ..... [ ~ ........... Subdivision /QA ..................................... 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 ~ 5 t ce ,~- ,,a ~.c~. -~ ~ t2 ~, t ~ b Intended use and occupancy ~..~../.A?.~. , , ,, , 3, Nature of work (check whicli applicable): New Building .........· Addition ......,... Alteration Repair .............. R~movai .............. Demolition .............. Other Work .............. .......ii ............... (to be paid on filing"~ '.'. ~d'thls application) S, If dwelling, number of dweiling units...0..~...~.r=, ..... Number of dwelling units on each floor ............... If garage, number of cars ................................................................... 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ...~.T~.t~?..I.~, ........ 7. Dimensions of existing structures, if any: Front .... ~c...'.. Rear ~ ~. Depth... Height . ,~, .~' Number of Stories / ~.~. Dimensions of same structure with alterations or additions: Front ....~,. .......... Rear ... ~'~.~. ........ ~. [ Height ~T'~.. ' Number of Stories [. ~ Depth .................................................. S. Dimensions of entire new construction: Front ............... Rear ............... Depth ........... Height ............... ~umber of Stories ............................................... 9. Size of lot: Front .... l~'~.i,..' ........... Rear ..... ~? . Depth l0 Date of Purchase ' Name of Former Owner 1 1. Zone or use district in whichi premises are situated · · · ~.. v .I. . ~.~! ~..~ ~. ~.~¢ .,~..,~s. s . 12. Does proposed construction ~olate any zomng law, ordinance or regulation: , ~.~., .~, ,~. ¢~., .~, ,,~. ,~..c~, 13. Will lot be regraded ...... !. ~.o. ....... : ......... Will excess fill be removed from premises: /~.¢ ~. ~ ~.. ~, ,~..~..'~.~. Address Phone No Name of Contractor. ............................................... PLOT DIAGRAM Locate clearly and distincflyl all buildings, whether existing or proposed, and, indicate all set-back dimensions fror~ property lines. Give street and bi( )ck number or description according to deed, and show street names and indicate whethe~ interior or corner lot, STATE OF N~'-~RK~, / COUNTYO~. S.S .......................... .~..7'-.,~..~..~.,~ .......... being duly sworn, deposes and says that he is the applican~ (Name of individual ~igning contract) above named. He is the (Contractor agent corporate officer ere ) of said owner or owners, and isi~duly authorized to perform or have performed the said work and to make and file thi== 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 m the application filed therewith; Sworn to before me this ~ ~SO.~S~o~t~ ¥~ ~ (Signature oi applicant- Te~ Expires Match 3~ l~;~'~*'*