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Home My WebLink About16248-zFOPu~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19333 Date SEPTEMBER 4~ 1990 THIS CERTIFIES that the building. ADDITION Location of Property~ 505 MATHEWS LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 084 Block 01 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15~ 1987 .pursuant to which Building Permit No. 16248Z dated JULY 19r 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 GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING~ AMENDED TO INCLUDE SCREENED IN PORCH. The certificate is issued to DORIS C. IDLRR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N138468 JUNE 29, 1990 STEVE OCONNER OCT. 13, 1987 Rev. 1/81 /~ ~uilding Inspector FOR. B[ NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIU~IT (THIS PER~IT /~UST BE KEPT ON THE PRE/VIISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 16248 z Permission is hereby granted to: .......'~...~..~...~..~. ................................................. · .~.....~.. ~..~,~., ~...%,...L~.~..~.'I .... o, premises I~oted ~, ~ ~ ~~..~ .~ ....... ~ County Tax Map No. 1000 Section .... ..~...~....~. ........ Block ....... .~.~. ........ Lot No. ,..~..~. ............... pursuont to opplicotion doted ......... ..~..~.~.~. .................. , 19..~..1., ond opproved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCC~ This application' must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept.. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains ~ less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. g. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building unusual natural or topographic features. ' '.° 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. · C. Fees ~ 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesse~ $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updag~d Cernificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 .,ew Construction ........... Old Or Pre-existing Building ................. House Ho. Street ' Hamlet Onwer or Owners of Property .............. County Tax Map No 1000, Section. ~c~ .Block.. /. ..... Lot. / ~ SubdiVision .................................... Filed Map ............ Lot ...................... f{ealth Dept. Approval .......................... Underwriters Approval ........... Planning Board Approval ,'~ '" Request for: , Temporary Certificate ........... Final Certicate.. Fee bmitted: $ ...... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No./~ ~g/ Owner ~3/g~ ~ /~ ~ (please print) Plumber~~ ~)Cv~ ~'A/C-~'--- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this ~0 day of ~ , Notary Public, .~~-- County Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS ~00085~ EIXTURE FIXTURES OUT[I/TS SWITCHES OTHER 28 DRYERS RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO, OF FEET OTHER APPARATUS: SHOK~; DETKC'I'OR: '- 2 TRACK E R V I C NO O~ Hi-LEG AW, G OF HI-LEG 811Fl."OhK M &'iCTR.t, P.O. BOX flIIb/TINOTON, h/Y., ] 1't43 hYC ~ #1830-E ~ENF~EAL MANAGER Per o- This certificate must not be altered ~n any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credeatials. FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MA~INER. UNDATION (1st) UNDATION UGH FRAME PLUMBiN~ SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION ZND[ ] INSULATION ] FRAMING [7~]-~1~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION :)ND []INSULATION [/./]~RAMING []FINAL INSPECT~ BUILDING DEPT. INSPECTION [ ]~ION 1ST [ ] ROUGH PLBG. [, ]~I:'OUNDATION 2ND [/-~'~NSULATION FRAMING [ ] FINAL INSPE?.TO" //~//~ /// /'t' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION 2ND L ]INSULATION .~.,,N~ ~ ~,.~C DATE I~NSPE~T 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~RAMING [ ] FINAL DATE Approved ..~. }.~.., 19~J. Permit No.)..~..~..~. ?.~.. Disapproved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. I SURVEY .... ~.~ TOWN OFSOUTHOLD CHECK ~?g¢5 ..... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................ MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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 tkis 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 ~ 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 heroin 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 in~~ ~, .~.~ ........... (Signature of applicant, or name, if a cor~gration) /¢ .... /,c ~ (Mailing address of app[.icant) -- State whether applicant is owner, lessee, agent, architect, engineer, gefiYral cofitractoff, electrician, plumber or builder. Name of owner of premises ~. ~....~. '...~(.a~c~. ~~ ~~~) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CON, TRACTOR'S~U~T BE_.~SSUF?OLK COUNTY LICENSED Builder s License No. ,~.o.~.o~e,.,to~.~. .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done.~/~.gT.-.~ ~;~.~./..ar?..~...~....~. · . . .............. H;[t~e' ~i~;r Street ' '/' ' h~n'l~/' ....................... County Tax Map No. 1000 Section ....~..~ .......... Block ..... l ............ Lot.../..~ ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: use and occupancy ... ~ ............................ ,., ................... a. Existing Intended use and occupancy .......... " ' ': ' / '! ' . .... Repair .............. Removal ........... :,, Demolition ......... o3,,i,}~, Other Work .,,~ 4.-~sr"lmt'a ea 2ostWfi. ~d~,~.~.. q~ ~ ........................ Fee ......... ;: .i ~~. S. If dwdling, number of dw¢Iling ~ni~ ............. Number of dwelling units on each floor ................ If garage, number of ~ars .... ~ .............................................................. 6. If business, ~omm~r~ial or mix~ o~eupancy, sp~y nature and extent of each yp~ o u~ .. .... ~ ............... ?. Dimensions of existing structures, if any: Front .... ~...:., Rear ......... ..... ~Dept~. ............... Hmgh~ ............... Number of Stones ............................... ~ ..... ~ .............. D~ensions'of same stm~tur~ wRh alterations or additions: Front ................. R~ar . ...... Depth ................... ~.. HeiSt ...................... Number of Stories ...................... '--8. Dimensions of entire new construction: Front .......... ' ..... R~ar ............... D~pth .............. Height ............... Number of Stories ................. ~ ...................................... O'~' Sizeoflot:Front..~....~..../h~.;. .......... Rear..,t ........... , ....... Depth 1 Date of Purchase7/,~;~ Name of Foyer Owner 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction rio}ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ~ ................... ~Vill excess fill be removed from premises: Yes No 14. Nme of Owner of premises .. 4 ................. Address ................... Phone No ................ Nme of Architect ......... ~ ................. Address ................... Phone No ................ Nmne of Contractor ~...~'~.~ ~.qg ~. (~... Address ~8~.~. ~ ~. ~/~H... Phone No ................ 15. 1s th~s property located~w~th~n 300 feet of a t~daI wetland? ~Yas ..... No ..... ~lf yes, Southold To~ TrUstees Permlt maybe required. ~ PLO~ DIAG~M Locate clc~ly ~d distinctly ~! buildings, whether existing or proposed an& indicate M1 set-back d~ensions from property ~nes. G~ve street ~d bloc~ number or description according to deed, ~d show street nines and mdtcate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF S.S ............................ ~ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 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 conialned in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannbr set forth in the application filed therewith. Sworn to before me this ........... /.~ .'7 ......... day o!f ....... ~ ........ 19 ..~? Notary Public, .. ~..~.~.. (q. 4~.. ~...~. ..... County - ' · . ;.; ........... .. .... no~,~¥ ~'O~.,'g ~ ~t~ ~t LSignature of applicant) ; _ NO. 4707~7.8., $~ffo~k i ~ ~ ~h 30. : D~SYg~Cr 1000 SECTION 084.00 BLOCK 01.00 LOT 017.000 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LA~{VYERS ONLY. BETWEEN ERNEST RANDALL and LOIS RAi~ALL, residing at 505 Hatthws Lane¥ Cu~chogue, New York party of the first part, and d. DORIS~IDLERa reslging a~ 1010 Haple Lane, East Harion, New York parry of the second part, WITNESSETH, that the patty of tl~e first part, in consideration of Ten Dollars and other vatuable consideration paid by the party of the second part, does hereby grant and release nnto the patty of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and imptoyements thereon erected situate, lying and heing in the T~ Of Southold~ Cowry Oft S~ff01kn~d State;:of, Ne~-York, kn~ and desi~ated as Lot No. i ~ a certain ~p~en~tl~d, l~ap,,~f Northwoods" ~d tiled in the Office of the Clerk of the Couit~-of'Suffolk'on:~iy 21, 1970 as ~ap ~ber 5t69. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other put .l:,~se. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requtres. IN' WITNESS WHEREOF, the party of the first part has duly execnted this deed the day and year first above written. mtlqDAI.L., STATE OF NEW YORK, COUNTY OF SUFFOLK On the 28 day of I. larch.i 19 87 , before me personally came gI~EST RAIqDALL to me known to be the individual described in and who executed the foregoing instrument, i and acknowledged that executed the same. ADOL~4 J. NOTARY PUBLIC, Strife of New YOgi Nd. 30-~ ~3300 Quolifled -i~ o STATE OF NEW YORK. COUNTY OF sss On tile day of 19 , before me personally came to me known, who, being by me du,'ly sworn, did depose and say that he resides at No. that he is the of i the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; tha. t the seal affixed to said instrument is such corporate seal; tha~ ~t was so affixed by order of the board of directors of said colrporation, and that he signed h name thereto by like order. STATE OF NEW YORK, COUNTY OF SUFFOLK ss: On the I[5, I:: .i.dafof t')J~ne personally came LOIS RAI~ALL "~ ;' 'LJ iV. to me known-to be tl/e ndividual "- described in and who executed the ~oregoing instrument, f~'ffd~-ag, knowledged that executed the same. STATE OF NEW YORK, COUNTY OF On the day of 19 , before me personally came the subscribing wimess to the £orego!ng instrument, with whom I am personally acquainted, w. ho, being by me duly sworn, did depose and say that he resides at No. that he knows to be the individual described in and who executed the fozegoin8 instrument; that he said subscribing witness, was present and saw execute the same,' and that he, sa d witness, at the same time subscribed h name as witness thereto. BARGAIN AND SALE DEflD WITH COVI~NANT AGAINST GRANTt R'S ACTS 'ITrL~ No. Ih T TLE INSU~NCE ~O~PANY A ~e G~p ~ln~s ~ny c-H!l"l':' ,:,,cra Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANW Zip No, ~J · suF~on~ cou~i ~,~--y--- ~'--~ The se~,aSe disposal ::~,t wa;,~r supply facilitios for this Jocatio.~ have been inspected b'y this department and found to be satisfactory. Chief ~ g neerz~ Services