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Home My WebLink About16613-zFORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16466 Date December 8, 1987 CERTIFIES ilding A c c e s s. o r y THIS that the bu ............................................... Ln~tinnnfprnnartv 1030 Horseshoe Drive Cutchogue House No. Street Ham/er County Tax Map No. 1000 Section ....0,9.5. ..... Block 04 ..... Lot 18. 17 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Nov. 9, 1987 hichB ildi 16613.Z ...................... pursuant to w u ng Permit No ..................... dated ............................N°v. I 0, I 987 . 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 ......... Accessory satellite antenna as applied for. The certificate is issued to . MR. & MRS. JAMES P. ANDERSON .................... irit k'x' .................. of the aforesaid building. Suffolk County Department of Health Approval ....N/.A. ................................... UNDERWRITERS CERTIFICATE NO. N / A PLUMBERS CERTIFICATION DATED: N/A Bui~Eng Inspector Rev. 1/81 FORM NO. B 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°_16613 Z Permission is hereby granted t~: /'~ ............. ...e.~..~. ............... .. ,,,..~, ~.t..~ ..... ~-~,=. _ ............................................................................................................... at premises '~ated at ..... /..e..~.~.....~~ ......... ~~~ ................ County Tax Mop No, 1000 Section ...... ..~..~.....~... .... Block ........ ..~...~. ...... Lot No ...... I...~....!J...5[ .... pursuant to application dated ...... ~.,.~...-~......,~. ............. , 19.1..'/., and approved by the Building Inspector. Fee $.0~g.,....~ Building Inspector Rev. 6/30/80 BLDG. DEPT. TOWN OF SOUTHOLD FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hail Southold, N.Y. 11971 765- 1802 LICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~m m~a~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 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 instatla- 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 applicab{e. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings end "pre.existing" land uses: 1. Accurate survey of property 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 1. Certificate of_occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50,00 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 .. /7-~ ?'-~7 New C on s t r u c t i on ...... OJd or Pre-existing Building ............ Vacant Land ............. Location of Property ..................................................... .. Hoqse No. Street Hamlet Owner or Owners of Property .. (~'~ '~ ~Y) ES. ~fi~-v,~:S .~......v~..D. E?;~:~? ' County Tax Map No. 1000 Section ...,~. ~,, ....... Block ...... O.~. ...... Lot.. /8:,/~7.. Subdivision .~.'.~,~. ,C_%?,Y~... ,~, ,-T-,FJ:,., ,~;~',~, ,T~, ~ ........ Filec[ Map No ........... Lot No .... l..'~. ..... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept Approval ' Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ....... ?./~ .0~ ........... Construction o n above described building and p~ec;.mit meets all.~,~.. ~__~.~/ ~ plic~ble codes and regulations. Applicant .... .~../¢~¢~ .................. // f FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: CROSS DEVICES' SATELLITE SYSTEMS TYPICAL SYSTEM INSTALLATION I CROSS DEVICES DAVID B, CROSS RO. BOX 567 CUTCHOGUE NEW YORK 11935 PHONE: 734-7628 ~ R: 279.26 N 25010'25 · g = 41.12 (43.1) o HORSESHOE VACANT (40/ 108 68 '~:43419 t ~g7 (40 O) DR VE ,'l,f/q ~" ~UFFOLK COUNTY DEPT. OF qEALTH SERVICES FOR ~,PPROVAL OF CONST. .ONLY )ATE. ~,S. KEF. NO .... - ~PPROVED BY ' ~ ~',4~,,~'f~'/Z,¢~','~' ..... THE WATER SUPPLY ~ SEWAG~ DISPOSAL FOR ~HIS RESIDENCE 'WILL CONFORM TO THE STAND- ARDS O~ THE SUFFOLK 'COUNTY DEPT, OF HEALTH SERVICES, oNLY TO , GUARAN'~EED : ,, , , ' HE T TL.E eU4~*~' CO~PAN.Y~fZ04~,tS ,' NAME ADDRESS ..... TELEPHONE JOB NO. 7g-25 FILE NO. OREC~-)N VIEW E~TS SURVEYED FOR JAMES R & ~R~aA ANO/RSON T MAP OF ORE~ON VIEW ESTATES SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD- SUFFOLK COUNTY N Y SCALE 1" = ~0' DATE 1- 19- 1,979 .FILED MAP NO. 6241 DATE 4-4 - 1975 BOOK NO. PAGE llAROLD F, TRANCHON JR. P.C. LAND SURVEYOR StJCESSOR TO WILLIAM G. MEIER NORTH COUNTRY ROAD - WADING RIVER NEW YORK il792 (516) 929-4695 ALT. 473-36~'6 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL.: 765-1802 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY ......... o CHECK .......... ' SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: Approved .AJ~.~..../.0.., 19~."]. Permit No../.~.~../.~..~. Disapproved a/c ..................................... "i ............................. ....... (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 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~~ .:... ~, (~r~g~;'e~J~ jpplicant, or name,if a corporation) " V I1..~-_. .q, /o zf~tl (Mailing address of applicant) State whetlier ...................... ............................................................... If applicant is a corporation, signature of duly authorized officer. F~[' ~'~-'_ _ ~¥"~ XJ. ~. L-~ , . 1.41, 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 winch proposed work wall be done..,~ ................................... ............ House Number Street Hamlet ........ ...... ........ ¢ ....... ....... 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 ......... 7 . .~ ..... ' ............ b. Intended use and occupancy ......... .%...~~.~ ........................................ 3. Nature of work (check which applicable): New Building' Addition Repair .............. Removal .............. Demolition ......... ~.~.,~.~. ~ (Descrip~tion) 4. Estimated Cost ......... ,,t~) Fee .~. ,2.~',~Z> . [to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ~ ..... Number of dwelling uhits on each floor. If garage n'uinber of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each ' tlype of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ..... ? ........ Depth ............... Height ............... Number of Stories .......................... i ............................. Dimensions'of same structure with alterationg or additions: Front .... .~7 ..... Rear .................. Depth ............... ~ ....... Height ........... , ............ Numb. e[ Of Storie~ ...................... ---8. Dimensions of entire new construction: F~...~.~j~ ....... Rear. ~.~ ~t~r.. Depth .. ~ ~ .......... ~eight ............... N mber of Sto~ s ............. ~ ............ ', .................. ./ .......... 9. S~izeoflot. F. ront ..... [.~;~.~. Rear ..... ~;~12t! ............. ; Depth .~.~.q..o ........... 10. taate of Purchase ........ e.rf<.[. ~.t/./.l¢ .......... Name of Former Owner! ............................. 11. Zone or use district in which premises are situated O..t,~...t,~..Ole~O ~.,'m.~. 12. Does proposed construction violate any zoning lawi'or'dida'n;;'o'/r;'~ia'do'n':'., i. 13. Will lot be regraded ............ ~ ............. Will excess fill be remoRed from premises: Q~ No 14. Name of Owner of premises .................... Address ................. Phone No ................ Name of Architect ........................... Address .......... i Phone No ................ Name of Contractor ..~. ~.E~. ~.¢.ffp .............. Address .... : ..... ::: i::::: Ph?nej~l,o.." ~(~9,) .............. 15. Is this property located within 300 feet of a tidal wetland? *Yes ...... *If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ ~nd~cate all set-back d~ensions from property lines. Give street and block number or description accordin :d, and shlow street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF .............. ~... .... ~'t~7'~'~ .... .P~.. · ~'~..~.~.~. 5.~.' .............. being duly sworn, de ,odes and says th~aj~lt,e~i~s the applicant (Name of individual signing contract) . above named. ~ *~]? :':" '~ "-%.1 He is the ............. ~. ~ .~.....0~...~...~..t~.. ..................... r].}i;', ...... : .':!~ ......... (Contractor, agent, corporate offi~e~,{et~.~'~i~~i .~. '~ '- of smd owner or owners, and is duly authorized to perform or have perform~i~,ail:l, work ~and to ~ak~ and file this application; that all statements contained in this application are true to the be~[~ ~/i~wle&e ana~i~0~i~'f, and that the work will be performed in the manner set forth in the application filed therewitt~l~;~;* ...... ;~ ....... ' Sworn to before me th'is ........................ ay of ...................... Notary Public .............. UNDA J. COOPER Notary Publlo, Stere of New York No. 4822663 Suffotk Cou.nty~ Term Ex) res De~r 31, 18, (Signature of applicant)