HomeMy WebLinkAbout16634-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
5outhold, N.Y,
Certificate Of Occupancy
No. Z-16868 Date May 16, 1988
THIS CERTIFIES that the building ADD I T I ON
Location of Property 195 Eastwood Road Cutchogue, New York
I;-I~t~s'o hie: ................ 'S'tr:e~i ................. Hamlet
County Tax Map No. 1000 Section ...1. 1. 0. ...... Block .... 0.3. ......... Lot 18 ,
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.~o..v.e.m.b.e..r..l ff.:..1.9.8. 7. pursuant to which Building Pem~it No. 16634 Z
dated .... ~9.v.e.m..b ~.r.. ! .9.,.. 1.9..87 .... 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 .........
ADDIT~0N TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to THOMAS & LESLIE CORWIN
..................... ?o¥,'o;~o~'~';r~r,~xx ...................
of the aforesaid building.
Suffolk County Department of Health Approval ..... ~./.A. .................................
U~D ~WmTE~S CERTIFICATE NO ..... ~..0 9.9.8. 6. 7.. 7..~. p. ?.i.l.. 2 ~, ~ 9 8 8
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
Roy. 1781
FOBM NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDIHG PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHOPdZED)
N°-16 ~ ~'~ Z
Permission is hereby granted,~ ~7'¢,~t,L ~--~ ~,,~t°: ' ~.c......~..; .~...,~...
...... ~. ~.~... ~.~,~.....***~-~ .......................
.... ..q~.~~...~.:~.,...l.../..~..~.~: ..........
................................................................................
/ ..../....~...~.......~..~.~..,~,.., ,, ~-,
County To× Map No. ~000 Section ....... l.t.O ......... B~o~k ...... ..0.....~. ...... Lot No ......... I...~ ...........
pursuant to application dated ..... ~...~~ ....... .~..~......, 19..~.'].., and approved by the
Building Inspector.
Fee $..~.,~...'... ~. ....
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF $OUTHOLD
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 Reside, nees and ~sjmi ~l~,,b~uildings and nstalla-
tions, a certif cate of Code compliance from the Architect b~;'rEngihe~er res~ponsit%l~ for the bud rig.
5.SubmitP, lanning Board approval of completed--site~plan requiremen~wh=r= 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
topograph ic 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: ~ions $2~.O~POOLS $25.00 ALTERATION $25.00
]. Certificate of occupancy New Dwel~ing~.QO, 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 $]0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ...5/J.3./..8.8 ................
NewC°ns%ructiOn....,, . Old or Pre-existing Building ............ Vacant Land .............
Location of Property 195 Eastwood ~Road Cutchogue, New York
House No. Street Ham/et
THOMAS & LESLIE CORWI. N
Owner or Owners of Property ...........................................................
County Tax Map No. 1000 Secti0h ~ ! 0 Block 3 ! 8
Subdivision ................................. Filed Map No ........... Lot No ..............
..[..6 .... ./.1.6./..8.~ ~ Stanley Parkin
PermitNo. 6 34Z. Date of Permit....]l pplicant .... ' .............................
Dept Approval Labor Dept Approval '
Health .............................................. ... .
.................. Planning Board Approval ......................
Underwriters Approval . .~. 0..09867.
Request for Temporary Certificate ..................... Final Certificate ....................
Fee Submitted $ ..... 25.00
Construction on above described building and permit meets all applicable codes and regulations.
Rev. 10-10-78
Applicant ... ' ............................
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
,PLUMBING
INSULATION ?ER N.
STATE ENERGY
CODE
FI'NA~
ADDITIONAL COMMENTS:
~O~D
h,4 t [~w/ °' ° °
Lo'l'
A/
A/lAP OF'
' '~L.E. gT',S
Su~y~ ~'o~,
DOUGLAS W. McGAHAN DAVID W. McGAHAN
P.O. BOX 602
CUTCHOGUE, NEW YORK 11935
(516) 734-6270
RESIDENTIAL DESrGN CONTRUCT~ON
AND CUSTOM RENOVATIONS
l
J
O
B
PROPOSAL NO.: DATE:
CONTACT:
SYSTEM
CONTRACT
BARE COSTS
TOTAL
SUBJECT TO STANDARD TERMS & CONDITIONS
ACCEPTED BY:
DATE: _
THiS PROPOSAL iS GOOD FOR 30 DAYS ONLY AND IS SUBJECT TO
CORRECTIONS FOR OMISSIONS AND/OR ERRORS.
TOTAI~ Z.J,
20/0 PER MONTH AFTER 30 DAYS
(Building Inspector) u,~,- ~ ,u-~ ~ ,, / i t,l,~ /
APPLICATION FOR BUILDING PERMIT
tO~ [o~ }~-/ Date ................... 19...
I hq~"~'t. INSTRUCTIONS b~ ~
etely filled in by typewriter orin ink and submitted to the Building Inspector, with 3
ts of lans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location 0f lot and of buildings on premises, relationship to adjoining premises or public streets
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
tion.
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 BuildLng Permit to the applicant. Such permit
all 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 urftil ~t Certificate of Occupancy
all 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
filding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
-,gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
~e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
tmit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~_ ./,~,~. !..~ ........................................
..~-~.~.d. ...... ~.~..;>..ff~.. ~ ,~
~e o~owne~ of ~emise~....~:~?.. '~--- ".r.,./.~.*~....:.....:.?.. ~'~ ............................
"~/~ //) ~;[~ '/D (as on the tax roll or latest deed)
a~(~ticapt [s f ~/~'_ or~on,,~fl)dure of duly authorized officer.
(Name a ' , rp j ·
ALL CONTRACTOR'S 14UST BE ~UFEOI~K COUNTY LICEi~ISED
Builder's License No... d'.~t~. ~ ~.,,~.,.~Z. ........
Plumber's License No ........................
Electrician's License No ......................
Other Trade's License No ......................
/. Location of land on which proposed work will be done'. ...................... ; ..........................
· ~(:X~,¢. ¢.,:c.... ~,,~.,-~z~.. .... ~: ............ d'.~ ?(~.~..~.~..,~....~.~....,~.."¢. ,.~.
House Number Street Hamlet
County Tax Map No. 1000 SeCtion ..... ///~. ~..~. ..... Block ... 1~).~:?..d?.':.... Lot...(~./..~"~-.~?..O. ....
Subdivision ~.~..~. ~ ......... Filed Map No...~..~..~.... Lot .?.. ~..' ........
· .. ~ ~-)
o~. State existing use and occupancy of premises and intende~ use and occupancy o,f proposed construction:
.... .............................
b. Intended use and occupancy ....... :,f-~,t~ ~. ......................... ..-? ........................
765.11802
BUILDING DEPT,
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND ~INSULATION
~]/FRAMING [ ] FINAL
REMARKS:
INSPECTOR ~~ ~'~
PECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
]/~UNDATION 2ND [ ] INSULATION
FRAMING /C'/c~ ,r. ] FINAL
.EMBARKS: ~~~ ~~~
DATE
,N,PECTO..~ 74
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION ;ZND
FRAMING
REMARKS:
ROUGH PLBG.
I~IL~TION
[/~INAL
DATE
~/~//~1NSPECTOR ,~~~ ~//~'/
765-1802
BUILDING DEPT.
INSPECTION
[ ] FD~t~NIST ~ ]
t~ //,.,~
[ ] F~HJNDATION 2ND [
FRAMING
ROUGH PLRG.
] INSULATION
~r ] FINAL
REMARKS:
INSPECTOR ,-~~ /
1x~o:7 ~THE NEW YORK BOARD OF FIRE UNDERWRITERS
............. 2,19 8
THI~ CE~I~IE~ THAT
THOMAS CORWIN, 195 EASTW')OD DRIVE, CUTCHOGUE, N.Y.
RXTURE I~(TUI~S OVENS FANS
9 12 7 9
IIYIRS FUENALE MOTORS FUTU~IE AI~qJANCE ~ gMEC:tOCKS ~ H~ATHS MIJt'rl,,O~d~tlT DIMML~RS
R ¥ ! C
CC. ¢OND.
ROSLAC ELECTRIC
P.O.BOX 165
CATCHOQUE, NY, 11935
This certificate must not be altered in any manner; return to the office of the Board if incorrect, by ~neir credeMiais.
NOTIFY li~dILD~¢': '~ ~TME~rI' AT
781-1802 ¢~ ~,*, -,~ ~ THE
~ REQUIP~MEN~5 ~ ;~: N,Y
~A~ CO~~ ~
j
>
_¥
3. Nature of work (check which applicable): New Building ' Addition....~-~-..... Alteration ........
Repair .............. Removal .............. Demolition .............. Other Work .............
' .~./t:954::i~ (Dcscfiplion)
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....ff. .........
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 ......................................................
Dimensigns of same structure with alterations or additions: Front ...... ~: ........... Rear .............. "..
Depth ...................... Height ......... ~ ' T 'it' ...... Number of/gto~es ......... ] · .r~ .~...~. ·
Dimensions 9f entire n~w construction Front '/.~-~? ~ Rear 9~9 ~ ~ r~,~th c~ Qf
Height ...f.. '~../f~P/<~...NumberofStoriesilll.iiiiiiill ..... i iiii..~'iiiiiii[.~.~.~'i'.iiiiiiiljiii[
9 Size of lot: Front Rear Depth ........
10. Date of Purchase ............................. Name of Former Owner .............................
11. Zone or use district in which premises are situated ........... ' ..............
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... /'~ ........................
13. Will lot be regraded ...... .~, ~; ....... ,.. Will excess fill b~ removed ,from 'premises: Yes
14. Name of Owner of premises ....~J..~J~ddress ..~..~ .... Phone No..~..~.. ~.~.
Name of Architect ........................... Address ................... Phone No ................
· Name. o.f Contractor .c~.'fS~..~P~(~. ~.t~,.. Address ~O.~3-~. ff-~~-Phone No. '.'7.~...~...~..o-.~719.
15. ~s this property located within 300 feet of a tidal wetland? *Yes ..... No .~
· If yes, Southold Town Trustees Permit maybe required.
PLOT DiAGRA~
Locate clearly and distinctly ail 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.
STATE OF NEW YORK,~, , ~,
?OUNTY OF....~.Z/..'f¢./~.... S.S
.... ~?~. ZT~' · · ~.'..,t'~-~, c f~z~./~. ............... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
~bove named.
~te is the ............ d,.p..~..'/-Z~....~1-.~7/7p.~_~ ...................................................... , ....
(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 contained in this application are true to the best of his knowledge and belief; and that the
~,ork will be performed in the manner set forth in the application filed therewith.
~worn to before me this
............. /.~'. ........ day of ..... .~.~...~. .......... 194'. Y
qotary Public ........ tlTl. EN K. t)E V0E ~ .~. ~. ~.~...~..P~'~'-..... Coun~~,:~..~_~ .
~. 4707878, S~k ~g
T~ ~res M,fch ~, 1~
APPROVED A~
NOTI~ ~ILOING DEPARTM~
7~5-1~2 9 A~ TO 4 ~ ~ THE
FOLLO~NG
~OUNDATION ~0 REQUIRED
~R POURED
~UGH FRAMING &
3, INSU~TIO~]
4r FINAL CO~ST~IJCT~L~ ~U~
6E COMPL~ FOR C.O.
ALL CON~TflUCTION SHA~
T~ REQUIR~ENT50~
~A~ CONSTRUC~ A EN~
~- NOT ~t~E
~ ~ COHST~O~
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
I_1
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