The URL can be used to link to this page

Home My WebLink About16641-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z- 16602 Date January 21, 1988 THIS CERTIFIES that the building CONSTRUCT TWO CAR ACCESSORY GARAGE Location of Property 630 Fleetwood Road Cutchogue, New York House NO. Street Hamlet County Tax Map No. 1000 Section 137 ...Block 05 .Lot 0 3 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 20, 1987 16641 Z ..................... pursuant to which Building Permit No ...................... dated .. N..oye..mb. qr.. 2. .0 ~. ! .98..7 ......... 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 ......... TWO CAR ACCESSORY GARAGE AS APPLIED FOR ELIZABETH LANGEANS & BARBARA J. CARTER The certificate is issued to ..................... [o~n.o;.,~g,~,~r~t~T~t~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ......... ~ /~ ............................. N849052 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Rev, 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted · ...1...~..'~. ......... Block .......... 0 ~'"' ......... Lot No....)...,~ ............. County Tax Map No. 1000 SectionI pursuant to application dated .../..~...~~...~..~. ........ , 19.~...~., and approved by the Building inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD Building Department Town Hall __ Southold, N.Y. 11971 BLDG. OEI~T. TOWN OF SOUT~OLO 765- 1802 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 topograph c features 2.Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3,Approval o[ 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, Accura[e 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. Cert{ficate of occupancy New Owelling $25.00, Accessory ,$10.00 Buszness $50.00 2. Certificate of occupancy on pre-existing dweUing $ 50.00 3. Copy of certificate of occupancv $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 //~ .//~.~./~. 5.Updated C.O. $ 50.00 Date ....~.. . ~. ........ NewCons truct i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ... 6~0 Fleetwood Road~ C%tl;cho&~tze, NY House No, Street Ham/et Owner or Owners of Property Elizabeth J. La~ghsats a~ Barbara J. County Tax Map No, 1000 Section . .~.~. .......... Block . 5 Lot, .~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 16.641, .... Date of Permit .11/.2.~ ./.8.~pplicant Elizabeth Health Dept. Approval ........................ Labor Dep,t, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building a.ff~Jermit meetslall ~lSplicable jzodes and regulations. ...................... Rev, 10,10-7~] FIELD -~ FOUNDATZON (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL &DDITIONAL COMMENTS: TOWN OF SOUTffOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. An application for Certificate of Occupancy is not on file. ~ /~ No Underwriters Certificate on file. /_~ The check is(outdated/not on file.) /~/ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. ~uilding Permit # j~.'_~. ~. ~ / Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ FOUNDATION ZND FRAMING [ ] FINAL ] ROUGH PLBG. ] INSULATION DATE ~'~ INSPECTO THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.00:~0'~:~ BUREAU OF ELECTRICITY ~:~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrlcal equipment as described bolero and introduced by the applicant named on the above application nu tuber in the prorates of ~lizabeth L~nqha.~ 6~0 F~.ee%Wood Rd.~ CU~:eho~ue, in the following location; [] Basement [] Ist FT. [] 2nd FI. ga:cage Seetlon Block Lot was examined on D(gC~t~t~J~C~' ~],~ ~'~7 andfoundtobelncomplianceteiththereq,frementsofthlsBoard., FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R NO OF CC. COND]~ A,W,G. V I C E NO, OF HI-L~G GENERAL MANAGER This certificate must ~ot be altered in any manner; return to the office of the Board if incorrect. Inspectors .may be identified by their credentials. ANY ,MANNER. COPY FgR BUILDING DEPARTMENT: T~IS , ,, Disapproved a/c ............................. tL~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SgPTIC TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL , "NOV 2 0 t98 'N BLDG, DEPT, lng Inspector) BOARD OF HEALTH FLANS SURVEY ............ FORM · APPLICATION FOR BUILDING PERMIT TO: 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, .o[ for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, J~ing code, housing.z'ode, agd regulations, and to admit authorized inspectors on premises and in building for necessary~nsp/ecti~ns~ f7 (Signature of at~01i.qcant, y~name, if a corporat'on) (Mailing address of'applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. .to. .................................................................................... Name of owner of premises ~../I~]~.~.'~.PJ'I..J,..Z~.~.c/l~.~..~. -'~..dl~...~"~P~'~"~'&'td"/'~l~' ...... (as off 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 COUNTY LICENSED Builder's License No. 7.~..~..~.'~..~./ .............. Plmnber'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.l 000 Section .../~..7 .......... Block... ~ ............ Lot... '~,,,.--- .~. ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of pretnises and intended use and occupancy of proposed construction: a. Existing use and ~ .... "]'-~ ' '~' ]/" l']/]~J'~' '~q' 'C~...~. ~.Z/.'~. ~/~,'~ ,~' .................... '. .................... b. Intended use and occupancy .t..IA-'.~) .... ..... 14r z-~..//'~.7. ~ ................................. It' 3. Nature of work (check which applicable): New Building ~ ' Addition i Alteration [ i~epair ............... Removal ...t,.~. .......... Demolition . ./'~..... ....I, ....Other Work ............... 4. Estimated Cost .~ .~,.~ ..................... Fee ........ ~ ............................. itc b? prod on fihng this application) 5. If dwelling, number o f dwell~units ............... Number of dwelling uhits on each floor ................ If garage, number of c~s .. 1. ~.~ .................................. ~ ............................. 6. If business, commercial or mixed occupancy, specify nature and extent of each t?pe of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ..... ~ ........ Depth ............... Height ............... Number of Stories .......................... ~ ............................. Dhnensions of same structure with alterations or additions: Front .......... [ ...... Rear .................. Depth ...................... HeiSt .............. ~ ....... Number 6f St~es .......... ~ .,.. ~.. ,~. · .~. ---8. Dimensioas~f entire new construction: Front.. ~A .~.~e.~ Rear..~[, [~.~ Depth .~l,..~ ~ Height ./~ ........... Number of Stories .... ~.M.~ ................ ~. ~ .................. ~. ..... 9. Size of lot: Front., ./~,./.~ ............ Rear...l~ .............. [~epth ~.~,. ~ ........... 10. Date of Purchase ~ ~.. ] ~ ............. Name o~ Fo~ Ow~ 1l.. ...... 11. Zone or use district in w~ich premises are situated ....................... [ ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded . ·. ~ ~ ..................... /Will excess fill be remoCed from.premises: ~ ~Y~ ~ N9 14. Nme of Owner of prq, ises E/) ~ .~g~ .... ~. ~/~.~one No.. Nme of Architect . .~1~ .~ .~ ~..~'~1.~./.~ ~dress ............. L ..... Phone No ................ Nmne of Contractor ... ~ ~ ~ ~ ............. Address .... : ........ L ..... Phone No ................ 15. Is th~s property located wSthSn 300 feet of a tSdal we~land? ~Yes ~. No ..... · If yes, Southold Town Trustees Permit maybe required. PLOW DIAG~M Locate clearly and dist~ctly ~1 bulldogs, whether existing or proposed, and. indicate ~1 set-back d~ensions from property ~nes. Give street and block number or description accord~g to deed, and s~ow street names and ~ndmate whether inte~or or corner lot. STATE OF NEW YORK, S.S COU~Y OF ................. ................................................. being duly sworn, de ,oses and says that he is the applicant (Name of individual signing contract) above nained. He is the ...................................................... ...'. ............................ ~ .... (Contractor, agent, corporate o[fic~r, et~c.) of said owner or owners, ~d is duly authorized to p~rfo~rhOFe ~'~rfo~ed th~ said work and to m~e and file this application; that all statements contained ~ this a~plication are true to the~b~est of his knowledge and belief; and that the work will be perfo~ed in the m~ner set forth in the:~ppli~ation filed,~therewi~h. Swom to before me this ' ' -' , .... ~' Note, P~U~, ..... ~ ........ County ~ ' ,: NOTARY PUBLIC, S~te o~ ~w ~ t, ,~ ~-~,~7870rSu~'~un~' ~ (Signature of applicant) /(DO.C) b