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HomeMy WebLinkAbout16205-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17568 Date DECEMBER 8, 1988 THIS CERTIFIES that the buildin~ POOL AND FENCE. Location of Propert~ 1945 BROADWATERS ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 11 Lot 1.8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 1987 pursuant to which Building Permit No. 16205Z dated JULY 12, 1987 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 INGROUND POOL & FENCE. The certificate is issued to JOSEPH D. & LUZ M. CAVANAGH (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/D UNDERWRITERS CERTIFICATE NO. N825407 AUG. 6~ 1987 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 B~ilding Inspector FOU. M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N, Y. BUILDING PEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 1620.5 Z Permission is hereby granted to: ~ ~'~ ....~..~.~,..~.~,.~ .................................................... ..~ ............ ~,....~..~ ,o ..~.~...~..~.~..~.~ ~....~... ~t premises ~ocoted at ........ County Tax Map No. I000 S~ec'~on .... J...~....L.]. ........ Block ........ )..! .......... Lot No .....J..:.~ ............ pursuant to application doted ....... ....~..~......~. ................... , 19.~....~.., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ... ~ 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. B. For existing buildings (prior to April 1957), Non-conformin~ uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occuDency New Dwelling $25.O0, Accessory ,$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50 00 Date //. New-_ ' ...... Old or Pre-existing Building ~. Vacant Land ..... ......... Location of Property ..... /~ _~//.z~ ~./~; ('/'.~.~...~.(,~r House No. ' ............... · Owner or Owners of Propert . .; ... .%:-. .............. ~ .................. Coun. TaxMapNo. 1000Seet,on ..... B,ock .... .z/. ........ .or .... /:.:3. ...... ~ubdivision ................................. Filed Map No ........... Lot No. Permit No Date of Permit ......... Applican O--~ . u/ .Az' Health Dept. Approval ........................ Labor Dept. Approval ....................... ............... Planning Board Approval .................. Underwriters Approval ....... Request for Temporary Certifieate ..................... Final Certificate ................. Fee Submitted $ ............................. Construction on above described building, a~l~ermit meej~s all/a~icab/J~od~d regulations. Applicant~, - .....l~.... · ................... Rev. 10-10-78 UNDATIO~ (1st) UNDATION (2nd) UGH FRAME & PLUMBING SULATION ?ER N. Y. STATE ENERGY CODE . ADDITIONAL COMME~ Z · THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY  NEW YORK, NEW YORK 10038 85 JOHN STREET, THIS CERTIFIES THAT only the electrical equipment az described below and introduced by the applicant named on the above application number in the premises of Joseph Cavanaugh~ ~945 B~a~wate~ Rd,, Cutchogue~ ~s examined on Jc¥[~ ~4 0 e ~7 and found to be in con*pliance with the requiremeats of this Board. FIXTURE OUTLETS DRYERS FIXTURES RANGES COOKING DECK~ OVENS DISH WASHERS EXHAUST FANS RECEPTACLE.~ ! SWITCHES FLUORESCENT SYSTEMS NO. OF FEET E R V I C i~ RCC,~ ~ A~ W G NO. OF NO, O E COHO OF CC COHO. OTHER APPARATUS: (Swi~ing Pool}~l~nis. ee~tftficate c~ve~ comp%lance at the ~at~ o~ i~pec~ion A, W.O. NO OF NEUTRALS OF HI.[J~G OF NEUTRAL )?at Z~ne lic,%2300E ~///} GENEraL/ ~ANAGEE Thi~ cerfifice~e m~t not be effered in eny menner~ ret~m ~o tee office of the Boerd COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-'~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ])NSULATION FRAMING [~/] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] I/NSULATION FRAMINGr~'/~ ~"N,~ ] FINAL DATE Examined ..~ .t..~w..., 19.~.7 Approved. .~.~4~A~. t..~..., 19~.'l. Pe~it No.I ~.~.~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. I SURVEY~ .... ....~, . . · 'rOWNOFSOtJTHOLD Ct~ECr~-~°--4°?- . BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL TEL.: 765-180:] CALL ...... MAIL TO: INSTRUCTIONS TOWN OF $C U~.~,~,_ , Date .................. 19(? a. This 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 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. .../7 :./2..~.~/.~.4 ~.. ~... ~.z,~.~,.....................ZT~.. ........... (Signature of applicant, or name, if a corporation) · ~o.... ~,?~....q~q......tqr.~.2:.~r.2~.c&'..~.-. ~... (Mailing address of applicant) /[9'd'~_~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... C..~.-~..<..oxy..., ...... .c~...,y..r?q...~..~ ........................................... Name of owner of premises ... ~..~i&-.C~. ~..t~... [,'~ ..... ~. ....g./4. ?-~... fi~. ,....~ .~.(~.4</..g-2/q-.6'/~ ............. (as on the tax roll or latest deed) If app~t is a corporation, signature of duly authorized officer. (Name and title of corp~)a~:e~'fficer) · ALL CONTRACTOR'S HUS2r"BE SUFFOLK COUNTY LICENSED Builder s L~cense No ..... Z.~.' Z .< .h'//.,,Z'"~. ........ Plumber's License No ......................... Electrician's License No../~..O~v---~...../~.~..~.o~. ~r~t' ~ Other Trade's License No ...................... Location of land on which proposed work will be done~ .......................... ': ................ ..... lg.¢../.. .............. ...... ..... House Number Street Hamlet County Tax Map No. I000 Section ..... /(..~.~. ....... Block ........ ///. ....... Lot ..... ~..4(~... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of propbsed.eonstruction: a. Existing use and occupancy ......... ~.~ ( b. Intended use and occupancy .......... .~.t~.t'..~....Z-'~.. './--?..~. ..... (49.../..~./. ..... .~t~).~..~ ................ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Rembval .............. Demolition .............. Other Work ............... i (Descfiplion) 4. Estimated Cost "~.~.(,-'~)~'~ Fee .......... ' ' (to be paid on filing this application) 5. If dwelling, number o f dwellingi units ............... 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 structures, if any: Front ...... , ........ Rear .............. Depth ............... Height ............... Number of Stories ................................. Dimensions'of same structure with alterations or additions: Front ................. Rear .................. ~' ~ . : Height Number of Stories Depth ............. -: ..... ............................................... Dimensions of entire new construction: Front .......... ' ..... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front , ~ Rear Depth Date of Purchase ........... . .................. Name of Former Owner ............................. Zone or use district in which p~emises are situated Does proposed construction violate any zoning law,. ordinance or regulation: ................................ Will lot be regrhded ........ ! .................... Will excess fill be removed from premises: Yes No Name of Owner of premises . . CSq.~.,O~ t~ .~. ..... Address ... ,(~2~ T.c..t~..~..~..~.. Phone No ................ ·. . .................. Address ................... Phone No ................ Name of Architect . Name of Contractor i~.'i. ~'.~...2' .... J~cYT~... Address . .JfJ:'Y:~. I .ff~.. (¢~Phone No...'~.?~.: .(/..~.~'~. · , 15. Is this property locatedlwithin 300 feet of a tidal wetland? *Yes ..... No . . · If yes, Southold Town Trdstees Permit maybe required. I PLO-T DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 10. 11. 13. 14. STATE OF NEW YORK, COUNTY OF ............... i S.S (Name of individual sigfling contract) above named. .. being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) , of said owner or 0wners, and is duly authori'zed to perform or~hav~ performed the said work and ~b~m~e 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. S~,orn to' before me this g No. 4707878, Suffolk ~un~ ' ~e*rn Expires March 30,