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Home My WebLink About16636-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N.Y. Certificate Of Occupancy No. Z16912 Date May 25, 1988 THIS CERTIFIES that the building alterat ion Location of Property 725 Strohson Road Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section ..... 1.0.3 .....Block 10 .Lot 11.2 Subdivision .......... .X. ................... Filed Map No... X .Lot No. x conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... No.v. er~b. er.. 1.7.,.. 1.9.8.7 pursuant to which Building Permit No. 16636z dated November 19, 1987 ............................ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfich this certificate is issued is ......... Alteration 'to an existing one-family dwelling. Tile certificate is issued to JAMES ItEFFRON & BARBARA MICHELSON ..................... ..................... of tile aforesaid building. ~ Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO .................. Iq/A ........... PLUMBERS CERTIFICATION DATED: Iq/A Rev. 1781 FORM NO. 0 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) 6636 z Permission is hereby granted to: ..~.?..x,.....L~.~. ........................................ ....~..~.....~:,~.,....u..~,~..~ .......... I'o ............. .~...Ow~... at premises located at ...~.~, ...... ...~.~.~e~..~2~......~....~. ........... ~~ ........... County Tax Map No. 1000 Section ...... t...O....~ ........ Block ........ ~...~. ....... Lot No ..... ~.~.:..~TT,. ......... pursuant to application dated .... ~..~.....~..'~. ............ , 19.~...~., and approved by the Building Inspector. u lng nspector Rev. 6/30/80 BLDG, I TOW~ OF $OUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 Instructions A. This application must be filled in typewriter OR ink, and submitted g ~..-...-~. 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 approvat 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 app!icebte. 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 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: Additions $25.00 POOLS $25.00 ALTERATION $25 .00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$i0.00 Business $50.00 2. Certificate of occupancy on pre-ex[sting 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 .......................... NewConstruction ...... Old or Pre-existing Building .~.~c%..~'~f..~Vacant Land ............. Location of Property .__ .'~. ............................... , ............. House No. Street Ham/et Owner or Owners of Property ..................................... .~.~ ~.y.~.~. ............ County Tax Map No 1000 Section I 05 - 1.0. ot ........... ~ ................ B,ock ............ L ...ti,__ .. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No../.~.~..,~.~... Date of Permit .......... Applicant.....?~. ~'~.~...~j¢¢~../'~.~./~S. ...... Health Dept. Approval ...... .~...~. ............. Labor Dept. Approval ........................ Underwriters Approval ..... Z'V'../~. .............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. c~,).~.-~...~..~...~ ~.~. ........ Construction on above described building and permit meets all applic,able codes and regulations. "~, JkO. ,~q~ ~q Applicant .... ~-.,~'j~...4"~. ~...~ .......................... Rev, 10-10-78 ~ TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN IIALL SOUTtlOLD, N.Y. ! 1971 TEL. 765-1802 Bob Grigonis Box 1232 Southold, New York 11971 Re: James Heffran To Whom This May Concern, Pie are unable to complete your Certificate of Occupancy because .of the following reasons. /x_-_/ An application for Certificate of Occupancy is not on file. '~ /__/ '~.Io Underwriters Certificate on file. /.~_/ Thc check is(~¥~ed/not ou file.) $25.00 /~/ No Health Dept. Approval on file. /_--/ No final inspection has been made. PJea~e contact our office on this matter. Thank you for your cooperation. Building Per,nit # ~ 6 6 3 6 Z Building Dept. ***/~/ No Plumber solder Certificate o~] file. ( all permits involving plumbing being issued after April 1,1984 ) 1. ~ FOUNDATION FOUNDATION ROUGH FRAME & (1st) (2nd) .PLUMBING e INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ,6"Co" 7'- ~' DROWNinG DWELLING - WELL Set N. OS°OS'20°E. Stk (107) ~ f~ Ndg in d~sr~pal? fd 39) 5.05 °05 '40' W. 0 H SO N (10.0) ,PROPOSED DVCELLING FEB. 4,1980 mud cr~e~ 13 138 (11 (10.7 116,40 R ~UFFOLK COUNTY DEPT. OF ~EALTH SERVICES FOR ~PPROVAL OF CONST. ONLY )ATE I.S. REF. NO.' [PPROVED BY THE WATER SUPPLY & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STAND- ARDS OF THE SUFFOLK COUNTY DEPT. OF HEALTH SERVICES. UARANTEED ONLY TO ENNETH H. P- GAL. EI'~L~., GARRY ~'° HICAGO TITLE INSURANCE' COMPANY UF'FoL.~ COI~IY'r'f' FEDER/~L ~.VING~ t ~ jl~. ROLD F. TRANCHON .Y. . NO. 048992 JR. PENN. LIC. NO. 21115.E LOT AREA 2gg65 S,'-.~, WATER MAIN IN EXCESS OF 500 FT TAX MAP DISTRICT 1005 SEC T;ON ~LOC K P/O LO T TEST ~ORING E~ IOC, (as p~r applicant)/ 20~--~ Ioam 10~-~ 5and wat¢c rd. mort. 0.7'E. 0 A D NAME ADDRESS TELEPHONE, JOB NO. 79- 425 FILE NO. 338 F SURVEYED FOR KENNETH H ~ C_>ALE L. ~ARRY SITUATED AT. CUTCHOGUE TOWN OF .-%OUTHOLD-SUFFOLK COUNTY N Y SCALE ,1" = 40' DATE ~' 25- 1~79 FILED M~P NO. DATE ,. BOOK NO. 84 PAGE '78 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR SUCESSOR TO WILLIAM G. MEIER NORTH COUNTRY ROAD - WADING RIVER NEW YORK 11792 (516) 929-4695 ALT. 473.3626 Examined .10.~. I .~., 19 .~?. Approved ~5.~.I.e~ ., 19~ .~. Permit No..1. ¥.% .~-h Disapproved a/c ...................... ,. ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...tx]]:lt.~ 3 SETS~ --OF'.PLANS FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEP?TC ]FORM ............. TOWN HALL NOTIFY $OUTHOLD, N,Y. 11971 TEL,: 765-1802 CALL ...... ~-~ MAIL TO: INSTRUCTIONS Date .... ///.0 .... 19 ~.7 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, inspecti~~.__ ----- '/'J '~ ., (Signature of applf?nt, or,~e, if a corporation) ...... f .... (Mailing address of applicant) K/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... Name of owner of premises . ,~", R0'1 .~.S ..... h].~..~..~..~. ~'.~.l ............................................ (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.~[IlINTY LICENSED Builder's License No ...... .tr(?..~...-7.~..(..,. 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 County Tax Map No. 1000 Section ... Street Hamlet ~.0...~. ....... Block .... ~..(~. ........... Lot....[ .[.,X ...... ' .... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use aud occupancy of proposed construction: a. Existing use and occupancy ..... '.~.~ .(.~. ~ .C. -e':W. ................................................. b. Intended use and occupancy ..... .g".C.. .... .f/.~..(<. ~.<~. .... ~ ............................... 3. Nature of work (check which applicable): New Building ..... · ..... Addition .i ...... Alteration .......... Repair .............. Removal .. ............ Demolition .......... ~ .... Other Work I.O.u.?A:4 .c. ,, .. ~c~zT.¥o ~.o *-'~ar~et4 (Description) o.? .... .. ' 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 ................ number of cars If garage ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent'of each type of use .... ' ' ' 7. Dimensions of existing structures, if any: Front _..~ Q..~- ..... Rear ... ~.O,..~-{--.~ ....Depth ~.c~¥:t.~. {:~.o~ .~. Height ."Y'..~..o. ~ .........Number of Stories . .r0~. ...................... i .......... Dimensions of same structure with alterations or ad, ditions: Front .~ .cvl/g~..'~ i.q .~ qr..~ R~ar .................. Dept ...................... Height ............ Number of Stones ...................... .... 8. Dimensions of entire new construction: Front. i~ii .... Rear ...... ~ ........ Depth ............... Height .......... f., ... Number of Stories .......................... i .................... 9. Sizeoflot: Front .../.(12..~¢ .~.,. ...... Rear...I.'~.[, .~.°b..¢~".. ! De ~ .............. 10. Date of Purchase ...~ [I.~[~ ................... Name of Former'6~v~'e;I. *a[r.r:.~i i ...... i ....... i .... 11. Zone or use district in which premises are situated ....................... : ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .V",D. ........................... 13. Will lot be regraded .... ~.o ..................... Will excess fill be renlo'ied from premises: Yes No 14. Name of Owner of premises ~.~.[.~D* .*../~. ~q~*.[~9 .~.. Address"[.~/-.~.f. tgkfi.,.~. I~. ih~.~.ep~hone No..'~..~.R. :-~..~. !~.... Name of Architect ........................... Address ......... _, ..... Phone No Name of Contracto ~ .d'.~..~#.c7/5 ~(tm~rZ~.>~.g~g?.5~,Z~,O~/~'~j/~, . ' ' 2:.~-:,:~ .... 15. Is this property located within 300 feet of a tidal wetland? *YesC~ ~... No ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property hnes. Give street and block number or description according to deed, and shbw street names and indicate 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, etcl.) of said owner or owners, and is duly authorized to perform or have performed theisaid work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to be, fore'me this ............ [.~. .... ;'....day of. ~ ., 19f. 7 J . : 't HELEN IL DE VOE .......... ...... ; " :ii:ti , ~, ', .~.Hb. 4707878,~'ffolk~o~ntYO~ ]gnature fa ' ~ : . ' , :; ' Tam F.x~i~ Ma~oh 30. lg..-A./ i