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Home My WebLink About16238-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16281 Date October 13, 1987 THIS CERTIFIES that the building CONVERT GARAGE INTO FAMILY ROOM & ADD WOOD STOVE Location 2930 Little Neck Road Cutchogue, New York of Property// .................. ouse No. Street ............. h~n/e~ County Tax Map No. 1000 Section 103 .Block 9 .Lot 8 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 13, 1987 16238 Z ..................... pursuant to which Building Permit No ...................... dated July 19, 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 ......... CONVERT ATTACHED GARAGE INTO FAMILY ROOM & ADD WOOD STOVE AS APPLIED FOR The certificate is issued to DONALD & SUE MORGAN ..................... ioYn' ;, ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N82789 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FO~ NO. ft TO~N OF ~OUTItOI.D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16238 z Permission is hereby granted to: ~.~~...~.......~..~..~ ......... a..~...~.~....~.~ ~.; ................... ,o ..~.~......~.:,~......~..~.~....~....~.~ ....................... ~ .~. ........................................ ;. ...... ~.: .......... .~ ........................................... .: .................................. at premises located at .~.~..~.. .......~..~ ....... .,~...~. ,...~: ........ .~..~~ ........... County Tax Map No. 1000 Section ...... J....~.....~, ..... Block ........ .(~....~ ..... Lot No...., .(~.....~.. ........... ~.r~o., ,o o~,~o,,o. ~o,e~ ......... ~..~...,..~ ................. , ,~.,..~., o.~ o,~rov~ ~,,he Building Inspector. Fee $..~,~...:...../... ...... Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY August 18, .t~S~es JOHN STREET, NEW YORK, THIS ~ERTIFIE~ THAT o~y the electrical equipment ~ ~scribed belo~ and intr~uced by t~ applicant named on the a~ve application number in the premises of Don~l~ 0 ~organ~ 29~0 Little ~eck Ro~d, C~t~hogue, ~.,~o,,o..~.~,,~s~..~~ ~ - ~: ,.... ~ 2.. ~-~. RXTURE SWITCHES FIXTURES RANGES :OOKINGDECKS OVENS DISH WASHERS EXHAUST FANS NCANDESCENT FLUORESCENT VAPOR DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME,LOCKS ~JNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C NO OF CC COND. A. w G NO OF HI-{EG A.W. G NO OF NEUTRALS A W G, PER ,ff OF CC. COND OF HI-LEG OF NEUTRAL OTHER APPARATUS: Donald O. ~organ 2930 Ll~tle HNeck Rd. Cutchogue, N.Y. 11936 P, O, Bmx 7Z4 This certificate must not be altered in any manner; return to the office of the Board if incorrect. In~pectors be credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT,BE ALTERED IN ANY MANNER. UNDATION (lst) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE ADDITIONA'L COMMENTS: FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I~ 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 disposel--(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 property showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: ~dditions $ 25 . 00~ 1. Certificate of occupancy New Dwelling $25.0.0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certiflcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New C OhS t r uc t, i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of PropertY.Hou~e~.~3.~...No. '~' ~' /~' .'~.~. .-~. K. . ~Street ................ ~ L~'~' '~H~'e~t ~'- Owner or Owners of Property .'.-~.~.~.~ .C,~...O...~... ;5~.~-¢-~..~.,.; .~...'0..~.~(~A~. )~1 ..... County Tax Map No. 1000 Section .../.~-?-~ ..... Block . ..(~. .......... Lot...~'. ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.(c~ ~.~. ~.. Date of Permit /.~/.~."~?.Applicant . . ~).~,~'r;...)/~ .'~ .~'.~(~..~ ........ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval...~. ~ .~...~..~. J ........ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant...~'[~(-~ ...... .~....~-)....~. ~,/~,~ .................. Rev. 10-10-78 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~]/~INAL REMARKS: DATE ~? , INSPECTOR 765-1802 BUILDING DEPT. qNSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 'DATE ~///~ ~7 I NSPECTOI~'~/~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1802 Examined..~..~.t],..,19.~). t~,~..t .~., 19 ~.~. Permit No..~. ~..~..~ .~..~ Approved Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH .....~,-- 3 SETS OF PLANS ..... '.~.. SURVEY ..... : .... CHECr '~-~$& .... SEPTIC FORM · NOTIFY CAL MAlL TO: Date .................. , 19... INSTRUCTIONS a. iThis application must be completely filled in by Wpewriter 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 ar~as, 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 South~old, 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 necessa~'inspections.; ~ ~ (Signature o.f'a!bplicant, or name, ifa'corporation) (l~ailin'g address of apl~licant) State whether applicant is owner, lessee, a.gent, architect, e. ngifleer, g~neka],contract,..,o[, electrician, plumber or builder. · tgu,).~.erT ..................... ' ......... i ....... '.. ~'..:'.: .................... :~ ................... Name of owner of premises '.~ O..'CK~.('~ . . ¢...*.. '.~ 6Ce~..'~ ..... ~J D ~'.q a.4 ..... ..... ~ .............. (as on the tax roll or latest ~deed) If applicant is a corporation, signature of duly authorized officer. ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... 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 ..... /. ~..~ ...... Block .... q ............ Lot .... ~. ............. 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 . . ~{5[,.r/O,.~,~.. ...................................................... b. Intended use and occupancy . 7.~.(5~ r'/q(~.[.~......~..O.O. DQ ............. i :... :i ?.. :'; .................. 3. Natureofwork (check which appli, :able): New Building ' Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ , ~ (Descrigtion) 7.0..o.0 ' .... Fee .,.,~"'0.,. ~ ...................... 4. Estimated Cost . ; . ~ ...................... (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 ....... I ........................................................ ; ........ 6. If business, commercial or mixed o~cupancy specify nature and extent of each type'of use .././.. '.. ' . ...... .... l . t / , ' ': ' 7. Dlmenslons of exlsting structures, zf any: Front....7..q.'. ~/ ~. ~Rear ... ~. ~,. ?. .... Depth,.o2&.,, %/. .... Height . .............. NumbeI of Stories .... ~. ...... ~. ......' ....... ! .......... '.. '.. } ....'. ......... Dimensions'of same structure with ialterations or additions: Front .... ~.q~ ~/ ........ Rear .... 2~r~ ¢ ./. ...... Depth . d? ~...', :.q(... ~. ~ ....... Height ...................... Number of Stones .... /. ................ 8. Dimensions of entire new construction: Front .......... ..... Rear ............... Depth ............... Height ............... Nt~mbe~' of Stories .... ~ ........ ' ............ '... .................. , ............ 9. Size of lot' Front I q.~.~ ~'/ ~ 'Rear ' / q~ * ' , Do, nth d~.~., r ....... : ................................ epth .................. 10. Date of Purchase .., ~./[./~.~,.! ................ Name of Former Owner.~-~J... ~.~3~. ~%, ......... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violat~ any zoning law, ordinance or regulation' ~.~ ................... 13. Will lot be regraded .... ~.~ .... I .................. Will excess fill b~ removed fr, om premises: Yes No 14. Name of Owner of premises .D~ .o4[q~.t~tbe~. P~lOVt~OLCI. Address~.~ J-/f-id&.fl/. ~#}~.t~-~/t~4/~one No..7,3.. 5~.-..~,.o9.~..,;~ Name of Architect .... ! ...... 2 .... Address .................. ~. Phone No ................ Name of Contractor ........... ............... Address .... : .............. Phone No .............. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .~%... ~ · If yes, Southold Town Trust~es Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly ali b~ildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nu nber or description according to deed, and show street names and indicate whether interior or corner lot. % STATE OF NEW YORK, S.S COUNTY OF ................. (Name of individual signing contract) ~bove named. ~f said owner or owners, and is duly application; that all statements contain ~ork will be performed in the manner s ~worn to before me this being duly sworn, deposes and says that he is the applicant tie is the ......................................................................................... (Contractor, agent, corporate officer, etc.) [uthorized to perform or have performed the said work and to make and file this ~d in this application are true to the best of his knowledge and belief; and that the ~t forth in the application filed therewith. No. 4707878 S~olk Co, My p~ T~ Ex~ Mm'eh ;30, ItI / County g (Signature of applicant) io. Cd APPROVED A~ MOTID ~OTI~ ~ILDINO OEPA~ AT FOumI~ qO~ ;~0 REQ~