The URL can be used to link to this page

Home My WebLink About16210-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16459 Date DECEMBER 4, 1987 THIS CERTIFIES that the building ..... .P.o.q 1...a.n.d...f.e.n.c.e. .......................... Location of Property 1030 Horseshoe Dr. Cutchogue County Tax Map No. 1000 Section ...0.9.5 ....... Block 04 .Lot 18. 17 Subdivision .O.r..a g.o.n..¥.i.e.w...E,s.t.a.t..e.s ........ Filed Map No. 624 ] .Lot No. 17 conforms substantially to the Application for Building Permit heretofore flied in this office dated .J.u.l.y.. 22 1987 pursuant to which Building Permit No. 16210Z dated..J,u.........................lY 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 and fence as applied for including deck. The certiflcate is issued to MR. & MRS. JAMES P. ANDERSON (owner, X~(~X~lF~ X X of the aforesaid building. Suffolk County Department of Health Approval ....N/fi. ................................... UNDERWRITERSCERTIFICATENO ...... N831993 9/ 15/87 PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FOBM~ NO. O TOWN OF SOUTHOLD 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_o 16210 Z ***~..o.,.¢...~C.~ ............................................ ~, .~......~.....~..,....~.~..~.~ ......... /~ ,: at premises I~ated at .~.~.~....~..~..~: ........ ~~ ......... Cou.~ Tox Mop ~o. 100~ Section ..... ,~.~,~ .......B ~k .... ~..~ ...... Lot No ....~ ~.t.~.3 ..... Building Inspector. Building Inspector Rev, 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 'tOWN OF SOU~, Ot~, ~ instructions This application must be filled in typewriter OR ink, and submitted m ~ 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-conforming uses, or buildings and "pre*existing" land uses: 1. Accurate survey of p~operty showing all properW lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner es to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informs- tion required to prepare a certificate, C. Fees: Additions $25,00 ~-¥S $25'.Q~ 1. Certificste of occupancy New Dwelling $2.5.00, Accessory,S10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupency $ 5.00, over 5 years $I0.00 4.Vacant Land C,Oo $ 20.00 5.Updated C.O $ 50.00 Date .../~/.~.v.~..~f.~.<.~.. New C on s t p u c t i on..r'Sf~,~' Old or Pre-ex isting Building ............ Vacant Land ............. Location of Property ................................. House No. Street Ham/et Owner or Owners of Property ./~1. ,~.- ......... ~r .~..t~.~.,..,..¥,..A~..~,~. .....~;,,, ~...07. ¢.~..;[~...; ...' ........ 4 County Tax Map No, 1000 Section ............... Block ............... Lot ........... Subdivision. 0~-.~..~. ~..~3¢.~...~.'~.'(~. ........ Filed Map No. ~b.~... :.~, .Lot No .... J..7. ,. Permit No, I~.~,).O, . .~,.. Date of Permit ~7 7..., .Applicant . ,~A~, ,TI,~, ,/~,.. Health Dept. Approval ......... . .f'~.,..'. .......Labor Dept. Approval . . ,~., ............ '~.~ .~. .~./~-).~. Planning Board Approval Underwriters Approval .............................. Request for Temporary Certificate ..................... Final Certificate ...... · ,~. ·. ............ Fee Submitted $ ...... ~.~.. ................... UI~DATION ( 2nd ) UGH FRAME & FLUMBING SULATION FERN. Y. STATE ENERGY CODE FINAL · ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT in thefollowlng locatlon; ~ Bmsement ~ Ist Fl. ~ 2nd ~7. Ou~de ' seetlon Block Lot t¢~s examined on ~g~ 27 s ~9~ and found to be ~. compllance with the req.~re.~ents qf tills Board. fIXTURE FIXTURES RANGES COOKING DECKS OVENS OISH WASHERS EXHAUST FANS OUTLETS SWITCHES ~t~O~E$CEN7 1 I DRYERS OIMMERS OTHER APPARATUS: E R C A. WG OF HI-LEG ISW~I~M~.~H._.G___I~__]~ This certificate cover~ compliance at the date or ~acause of unusual env~.ronent~ ~t ~ advisable to have frequent test made by a qualif~ed person, Paul Burns 275 Town Harbor Lane Southold, N.Y. 11971 Ltc. 282E GENERAL MANAGER 11 Per __ This certificate must not be altered in any manner; return to the office of the Soard if incorrect. Inspectors may be identified by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICatE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST r ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING REMARKS: DATE 7 INSPECTOR Examined ..'~. Approved ..'~. 8OUTHOLD, N.Y. 11971 TEL.: 765-1803 . ~..>---,., 19~. ?. Permit No./.~, .~..~..~. .~. BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY CALL 3. ..... Disapproved c ..................................... (Bmld]n~ Inspector) APPLICATION FOR BUILDING PERMIT MAIL TO: TOWN OF SOUTHOLO Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink mid 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 i)~'on.s. i [ PZ BOX i39 (Signature of applicant, or name, if a corporation) i S(3LJl 4 .L[), f',iY 11971 . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..P?'.r~., A~..¢~.. (v)..~:~...~.~ .~x.. ~... A~.~ .l~.fi,.cd...~.%.~., (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ...... ~'[ .~-. ............... Plumber's License No ......................... Electrician's License No.. ~.~q~-. 12~ $?..~. ....... 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 Subdivision .O.~. ~ .C~..~.. ?. {~..o~..~.~-.~T.~ .'~ ......... Filed Map No.. (~.ql .~ ....... Lot .... ? ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b. intended use and occupancy .. 3. Nature of work (check which applicgble): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. Removal! .............. Demolition .............. Other Work .'<-Kk*l.~s. [2~ ~kZ~_... , 4. Estimated Cost .:./,(.=,~ ..... ~ ...................... Fee ...................................... ~ (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 ........ . .............................................................. :. 6. If business, commercial or mixed ocgupancy, specify nature and extent of each type of use .... ~ ................. 7. Dimensions of existing structures, i~ any: Front .......... .. ~.[.. Rear .............. Depth '. .............. Height ....... ~,~,,~.~,.. N~lioberlof Stories ....................................................... Dimensions'of san~ll[ku~I~th ~lterations or additions: Front '. ................ Rear ......... i ........ Depth ...................... Height ...................... Number of Stories ...................... :8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... He~ ht ........ I~umber of Stones ..................................... g . 10. Date of Purchase ....~/r.q :.~.~7..i ............... Name of Former Owner ............................. 11. Zone or use district in which premiJes are situated ..................................................... 12. Does proposed constructlon wolate any zoning law, ordinance or regulation: ../,dC~ ............... ~ ...... 13. Will lot be regraded ...... ./-4.0...' ................ Will excess fill be removed from premises: ~es9 No Name of Architect ............. : .............. Address ........... .... .......Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yea ..... No ..... *If yes, Southold Town Trustees Permit may be required. : PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and. indicate ail 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. STATE OF NEi'~VORI~, ,~' [ I~- ~ k ...... c,, ...... (Name of individual signin~ contract) being duly sworn, deposes and says that he is the applicant 1bore name . i .~Ie is the ........................ i ................................................................. , (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements containled in this application are true to the best of his knowledge and belief; and that the ~ork will be performed m the manner set forth in the application filed therewith. gworn to before me this qotary Public, . ~ County CLAIflE L ~LEWi ................... I~ Publ/e, 8rite ef Nl~w York . (Signature of applicant) ~ O No. 4879505 ~ / uellf/ed in Surfak COunty Commission Expires December 8, 19 DATUM ASSUMED LOT AREA 40173 SQ, F% NEAREST WATER MAIN IN EXCESS OF' 500 CrT TAX MAP DISTRICT 1000 sECTION 95 ~LOCK 4 LOT 14917 . oecJJPANCY OR USE_ FUL WJTHOUT CERTIFICATE ~ ~/~' ~ L 41.12 (431) o HORSESHOE VACANT 0 ¼ 'r :434:19 108.68 L= 6.97 (40.0) DRIVE ,~P~IL 6, 197~ DWELL. UNDEF,~ CONST. SUFFOLK cOuNTY DEPT. OF HEALTH SERVICES FOR APPROVAL OF CONST. ONLY DATE H.S. REF. NO. APPROVED BY NAME ADDRESS , TELEPHONE JOB NO; 79- 25 FILE NO, ORF.,(~:)N VIEW' EST .% SURVEYED FOR JAMES R ~ E~AR~,RA ANDERSON LOT NO. I 7 MAP OF' ORE(~ON VIEW ESTATES SITUATED AT CUTCHO(.~UE TOWN OF ~,OUTHOLD- SUFFOLE COUNTY N 'f SCALE 1" = '50' DATE 1- 19- 1979 FILED MAP,NO, t~,241 DATE 4-4- 1975 BOOK NO. 'PAGE THE WATER SUPPLY & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STAND- ARDS OF THE SUFFOLK COUNTY DEPT. OF HEALTH SERVICES. GUARANTEED ONLY TO JAMES P & ~ARF3ARA THE TITLE GUARANTEE A NOER SO N COMPANY- I20~/t ~ N HON JR N.Y. LIC. NO. 048992 HAROLD F. TRAC . · PENN. LIC. NO. 21115-E HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR SUCESSOR TO WILLIAM G. MELEE NORTH COUNTRY ROAD - WADING RIVER NEW YORK 11792 (5~6) 929-4695 ALT. 4.73-3626