The URL can be used to link to this page

Home My WebLink About15619-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y. Certificate Of Occupancy No z-]662.1. Date January 28, 1988 THIS CERTIFIES that the bmldmg CONSTRUCT ONE FAMILY DWELLING ' 23105 Cox Lane Cutchogue, New York Location of Property ............................. House No Street Hamlet County Tax Map No 1000 Section 084 . .Block 4 .Lot 6. I Subd~vis~on .......... Flied Map No ..... Lot No ........... conforms substantially to the Apphcahon for Building Permit heretofore filed zn thts office dated January..6, 1987 pursuant to wtuch Bulldmg Permit No 15619 z dated J an u.a.r, y 1...2, 1987 was issued, and conforms to all of the requirements of the applicable provmons of the law The occupancy for which tlus cemficate m Issued is . .. ONE FAMILY DWELLING WITH ATTACHED WOOD PORCH AS APPLIED FOR The certificate is issued to STEVEN DUBNER ......... jo'w.'~cl~~x ............ of the aforesmd building Suffolk County Department of Health Approval 86-80-244 -..J.a.n... 15, 1988 UNDERWRITERS CERTIFICATE NO N838453 - O.c..t.o.b. er...1.9:. 19.87. ....... PLUMBERS CERTIFICATION DATED: Eddie's Plumbing - Jan. 25, 1988 Bulldt R~,~ 1/'81 FOl~g NO. ~ TO~fN OF $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL F:ULL COMPLETION OF THE WORK AUTHORIZED) No- 15619 Z Date .~,...,J ,...~=. ............ 19.~...~. Permission is hereby granted to: //~ . ,~ ..... .~~.~.~......~...~~,. ...~..~.~..~~...~.....~... ......... ~ ~- ~...~.;~....~..~..,....~..~.~.~.. · . ~ . .~ ...~.~ ............................................................................................... Co~,~ ~ M~ No. '~000 s,:t~o, ....... ~.~.~ ..... ,~ ...... .~.9 ........ ~t No....~'. ...... Building Inspector. Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Buildmg Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Thru application must be filled in typewriter OR mk, and submitted ~. ~ to the Building Inspec- tor with the followmg, for new buildings or new use: 1. Fmal survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2.Fmal approval of H~alth Dept of water supply and sewerage dmposal-(S-9 form or equal). 3Approval of electrical mstallat~on from Board of F~re Underwmters. 4 Commerma[ buddmgs, Industrial buddings, Mulup[e Remdences and similar buildmgs and insta{ia- t~ons, a certificate of Code compliance from the Architect or Engineer responsible for the build~ng, 5,Submit Planning Board approval of completed rote plan requirements where apphcabte. B For existing buildmgsi (prior to April 1957), Non-conforming uses, or buildmgs and "pre-existing" land uses 1. Accurate survey of p~operty showing all property hnes, streets, buddmgs and unusual natural or topographic feature~. 2Sworn statement of owner or previous owt~er as to use, occupancy and condition of buddmgs. 3. Date of any housmg code or safety mspect~on of buildings or premmes, or other pertment informa- tion required to prepare a certificate. C Fees' Additions $25.00 POOLS $25.00 ALTERATION $25 00 1. Certff~cateofoccupanc¥ New Dwelling $25.00, Accessory $10.00 Business $50.00 2. Certificate of occupancy on pre-ex~stmg dwelhng $ 50.00 3. Copy of cert~flcate of occupancy $ 5 00, over 5 years $10 00 4.Vacant Land C.O. $ 20 00 t/ /.~ 5.Updated C.O. $ 50.00 Date ... 2_.Z. ............. NewCons%puctzon ...... Old or Pre-ex~stmg Building ........... Vacant [.and ............. l.oration of Property ..... ........ ¢ ............... House No. Street NJ/n/er Owner or Owners of Property . 6.~.~'.O~. ,~.~) KLm.~. ............................... County Tax Map No lO00,Sectlon .. ~ ....... Block...~, .......... Lot..~, .'.t ......... Subd~wsion ... -~-. ........ Fded Map No. ~ .... LotN~ .......... Permit No.I~.(~J.~ ~.. Date of Permit .[/~/~.?. Applicant ............................. Health Dept. Approval .~.f..~?..2~.~.'~ :.. ~/~/~ .Labor Dept Approval ...................... Underwriters Approval . .~aZl/.~.. ~ ...~0/.~'~. 7..Planning Board Approval .................... Request for Temporary Certificate ............ Final Certificate ...................... Fee Submitted $ .............. Construction on above described budding and permit meets all apphcable codes and regulations Apphcant .~--:-~-.....~~ ....................... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 u~sexanttn~on ~ 1~ ~ andfoundtobetncontpllance~ththerequtrement~ofth~sBoard DRYERS FIXTURES T RANGES OVENS SYSTIE~S E R V I C I t 3/0 10 P~ch ~e L~. GENIAL MAJ~G~ Thru cerhf~cote must not be altered in any manner, return to the off~ce of the Bo~rd if incorrect Inspectors may be tdentrfmd by thesr credenhals COPY FOR BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTiIOLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner (pleaSe print) Plumber ~,~ (please prmnt) I cer%ify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 19-~'~. Notary Public, County (plumber' s si~ature) H£R'BERT W 80LK, JR. NOTARY PUBLIC, STATE OF NEW YORK OUNDATION ( 1 st) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N. STATE ENERGY CODE FINAL CC 7GS-'~80Z BUILDING DEPT. INSPECTION FOUNDATION :I, ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION ( ] FRAMING . , [~NAL REMARKS: ~ DATE ,/~-*//..~/~ I NSPECTOR-~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE ~ r/~r//~a/.. ? ,*SPECTOR-~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE INSPECTOR/~/~ FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL 2'65-1802 BUILDING DEPT. SPECTION FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. INSULATION [ ] FINAL REMARKS: c~.~ '~ ~ ~ ~ DATE 76S-:L802 BUILDING DEPT. NSPECTION ATION 1ST [ R~/GOUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION FRAMING FINAL 765-1802 BUILDING DEPT. ___INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND I- ]INSULATION FRAMING []FINAL · ~ ~ /' / , ,-- DATE 7' INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ]INSULATION FRAMING [ ]FINAL DATE * ~~~INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~FRAMING 1: :] FINAL REMARKS: DATE INSPECTOR/ TOWN OF SOUTLIOLD OFUICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 January ]5, ]988 Mr. Steven Dubner 690 Deer Park Ave. Dix Hlills, New York 11746 TEL, 765-1802 To Whom This May Concern, We are unable to complete your Ccrt£ficato of Occupancy because of the followin~ reasons. An application for Certificate of Occupancy · ' o ~'l ENCLOSED/ _~---~ls not n ~ e. , /~NO Underwriters Certiflcate on.file./ [/[/fl The check is(oYaY~/not on ~le.) $25.00 / No Health Dept. Approval on file. & SURVEY '/ /~/ NO final inspection has been made. OF ACCESS TO DWELLING Please contact our office on this matter. Thank you for your cooperation. Building Permit l~ ! 5 6 1 9 Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Cond~tlons not met. Yire apparatus and other 'emergency vehicles cannot safely and with reasonable certainly travel to and from dwelling. TOWN OF SOUTIIOLD OFI'ICL: OF BUILDING INSPECTOR P.O BOX 728 TOWN ItALL $OUq IIOLD, N.Y. ! 1971 Mr. Slteven Dubner 690 Deer Park Ave. Dix H;ills, New York January 15, 1988 11746 TEL" '~ ~ 65-180. 'Co of Whom This May Concern, W~ are unable re complete your Certlficate Occupancy because of the following reasons. An applicatzon for Certificate of Occupancy is not on fzle. ENCLOSED /5/ NO Underwriters Certificnte on file. /~/ The check is(~/not on file.) NO Health Dept. Approval on file. & /~/ No final $25.00 SURVEY ~nspection has been made. OF ACCESS TO DWELLING Please contact our office on this matter. Thank you for your cooperation. Building Permit t! I 5 6 1 9 Z Bum lding Dept. ***/~/ ~1¢) Plumber solder Certificate on file. all permits lnvolvinq plumbing being zssued after April 1,1984 Condztzons not met. F~re apparatus and other emergency vehzcles cannot safely and wzth reasonable certaznly travel to and from dwellzng. Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWNI OF SOUTHOLD TOWN H^LL, SOUT~OLD, N Y 11971 765-1802 TOWN OF SOUTLIOLD OFFICF, OF BUILDING INSPECTOR ILO. BOX 728 '1 OWN HALL SOUIIIOI.D, N.Y. 1197l TEL 765-1802 To WhomI This May Concern, V;e~are unable to complete your Certiflcate of Occupancy because of the following reasons. /_--_VAn application for Certificate of Occupancy ts ~not on fzle. -/2~° IUnderwriters Certificate on. file. /7'/' Thq ch(2ck is(au! ...... 1/not oi% file.) ~ /~'~ No .lIealth Dept. Approval on f~le. _~No final insj3cct lan bas been made. ~ ~ P]ea:~e contacL~'our office on this matter. Thank you for your cooperation. nuitding Permit ~f / ~-~ /~ ? Z Bulldlnq Dept'. ***/~'~bo Plumber solder Certificate on file. ( all permits ~nvolving plumbing being issued after April 1,1984 ) FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y 11971 TEL.: 765-1602 Examlned~0~.,~ ]" ,145'7 Approved x~0~ J:~, l~J PermltNo / ~'(~]~ ~:~ Disapproved a/c I .. (Building Inspector) APPLICATION FOR BUILDING PERMIT JAN 6 1987 Date lr/'l" , 19~.g IN STRUCTION S I t tb I ltl ~ ' a Ttus app ica ion taus e cgmp e e y nllea in by Wpewnter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to ,scale Fee according to schedule b Plot plan showing locat~ofi of lot and of buildings on premises, relationship to adjoining premises or public stree( or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this appl cation. c The work covered by tins application may not be commenced before issuance of Budding Permit d Upon approval of this apphcatlon, the Building Inspector w,ll issued a Building Permit to the apphcant Such perm~ shall be kept on the premises avadable for inspection throughout the work e No budding shall be occupied or used in whole or in part for any purpose whatever untl~a Certificate of Occupanc shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldlng Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construcnonI of buildings, additions or alterations, or for removal or demolition, as herein descnbec The applicant agrees to comply With all apphcable laws, ordinances, building code, housing code, and regulations, and t. admit authorized inspectors on premmes and in budding for necessary inspections (Signature of applicant, or name, if a corporation) . ff.c., ......... (raa~.Izng address of appl±canO lessee, agent, architect, engineer, general contractor, electrician, plumber or builder State whether applicant is owne{, Name of owner of premises .. (as on the tax roi1 or latest deed) If applicant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No Plumber's License N6 Electrician's License No Other Trade's License No Location of land on wluch proposed work wall be done. ftouse Number Street County Tax Map No 1000 Section Block Hamlet 4 .. Lot. 2 Subdiwston Filed Map No Lot (Name) State ex,sUng use and occupancy of premises and intended use and occupancy of proposed construction a Existmg use and occupancy . 4 -~'5~/ .Zg')," o6~tx/~/?- b Intended use and occupancy .,~'iw2>-~A~,'-/,'~,~. - / ,'-~"~/~1/--5'" ,~y &'~/4e-/~ 3. Nature of work (check which applicable) New Budding./... . Addition ..... . Alteration Repmr .. Removal ......... Demoht~on ........ Other Work ....... .~.' .~. ~ (Description) 4 Esthmated Cost ...... t~.'~-'.OFhQ .-.-~7~ ........ Fee ......................... (to be paid on fihng this apphcatmn) 5. If dwelling, number of dwelling units .. I ....... Number of dwelhng umts on each floor ......... If garage, number of cars ., ..-7 ............................................ 6 If business, commercial or mixed occupancy, spemfy nature and extent of each type of use ............... 7. Dimensions of emstmg structures, if any. Front .. . Rear ...... Depth ...... Height ........ Number of Stones ...................... Dunenmons of same structure with alterations or additions Front ........ Rear ............ Depth ............ Height ... Number of Stones .... 8 Dimensions of entire new consiructlon Front . .~e~.t ~./t , t, .... · . Rear ~. a~ ...... i l~e~th t2d~ r' ~r,' .... Height ...... Number of Stones ! ................................. 9. Size of lot Front .. I .... Rear .............. Depth ................. 10. Date of Purchase ...... Name of Former Owner ..................... 1 1 Zone or use dmtnct tn which premises are situated ........................................ 12 Does proposed construction violate any zoning law, ordinance or regulation ................... 13. Will lot be regraded .............. Will excess fill be removed from premises. Yes No 14. Name of Owner of premises ....... Address ..... Phone No ........ Name of Architect ....... Address ............ Phone No .......... Name of Contractor ................ Address ........... Phone No ........... 15. Is this property located withinl00 feet of a t~dal wetland~ * Yes ..... No ..... · I~ yes, $outhold Town Ttmstees Permi~raay be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. mdmate all set-back d~nenslons from property hnes Give street and block number or description according to deed, and show street nantes and indicate whether interior or corner lot / STATE OF~:'~ VO~, S S Cou rY OF., ' ' ' ' '~(~ of]hd~wdual mgnmg contract)' above named being duly sworn, deposes and says that he is the apphcant He is the ..................... of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ttus apphcahon, that all statements contmned m this application are true to the best of hm knowledge and behef, and that the work will be performed tn the manner set forth m the apphcahon filed therewith. Sworn to before me thru ......... ~ ...... day of ..~ ....... ,19 .~----~-.~'.. ~..2.~...~..... County /-~ ~l~l~,~t~ ~ ~ ..... 7[ ............... ' ........ ~ . ~Ta, ~o~ ~u~ ~ ~ ~ (S~gnature of app~c~t) MAP OF DESCRIBED PROPERTY ~T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y °% MAP OF DE$¢RIBEO PROPERTY AT CUTCHOGUE TOH/N OF ~OUTHOL~ SUFFOLK COUNTY, N Y MAP OF DESCRIBED PROt~RTY AT CUTCHOGUE TOWN OF $OUTHOLD SUFFOLK COUNTY, N Y SUFFOLK COUf,~rY DEPARTMEI~I' O~ I .~E~le.r~ SINGLE FAMILY DWELLING, The ~ew~£e d,spesat and wa~er supply f~e~Itles i location have been inspected b ether Chief Bureau o ' I ELEVATI O~N REAR ELEVATION 'I ,,, 7 ........ O~UF/-i~t.;f OR CERTIFICATE OF OCCUPANCY ELEVATION USE IS UHLAWFUL FRONT ELEVATI ON WITHOUT CERTIFICATE ..................................................... SUPI~Y ~Y~TEM ~OT OF OCCUPANCY il SET lNG. MAP OF DESCRIBED PROPERTY AT TOWN SUF CUTCHOGUE OF SOUTHOLD FOLK COUNTY, N. Y AREA = 2,542,556SQ FT 5.3. 7772 ACRES SCALE /'= I00' 9//4/85 N/¢ oF 'N. HO~AN C TEST HOLE 48 L E of A R \S E D CF\b60 0 CER T/F/ED CH/CA GO STEVEN TO TITLE INSURANCE COMPANY TITLE NO. 8.308-06044 DUBNER donack associates land surveyors and consulting engineers 513 west main street riverhead,new york (516) .369-1717 FEB. 14, 1984 1000-084-04- OS 1000-096-02- 12 dob No. 83-409 Scale, I"-I On'