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HomeMy WebLinkAbout15718-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15726 Date May 5, 1987 THIS CERTIFIES that the building . .C.o.n.v.e..ry..t.o...y.e.a.r...r.o.u.n..d..o.n.e.. f.a.m..~ .t.y..d..w.e.l.l.~.ng 1020 Rueh Lane Southold, New York Location of Property ............................................................... House No. Street Hem/et County Tax Map No. 1000 Section 052 . .Block 02 .Lot 33 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated February 23, 1987 pursuant to which Building Permit No. 15718 z dated ............................ F e b r u a r y 28, 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 ......... CONVERT TO YEAR ROUND ONE FAHILY DWELLING AS APPLIED FOR ED BOUTIS The certificate is issued to ..................... io~,n.~.r..l~s~,~.~r,v.~:,~X .................... of the aforesaid building. Suffolk County Department of Health Approval N/A N806917 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: · ....... Building Inspector Rev. 1/81 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) 15718 Z Permission is hereby gronted to: ...... ~.~...Z~i~..~ .................... ~..~ ~o~- :-~ ~.. ..... ~...~ ...... .~:.~.:......!~.e.L!.: ............... , .............. County Tox Mop No. 1000 Section ..... ,(~,.,'~....,.:~.. ..... Block ...... ..C~,,.,..3:., ...... Lot No .......~...~ ......... Building Inspector. and approved by the Building Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE -UNDERWRITERS ~)oo1~ mar .UREAU 85 JOHN STRB[T. NEW YORK. NEW .YORK 10038 ,,,,, o~, .87 Ap,~,~,,~~o.o.,~,. 46~/,7 N 806917 THIS CERTIFIES THAT ~ ~, 1020 ~ ~, ~, ~.Y. ~examl~ ~t 1~7 a~oundtobeincomplian~wlththe~qui~nlsofth~d. DIIYIIIS FURNACE MOTORS PUTUR! TLMIcLOCICS UNITN~ATIIS MU~TI~UTLIT DIMMERS SYSIIMS NO. OF lilt SIRVIC! ~ S E R v ! ¢ E hu]. BLm~ 275 TCXm Hezimr r~. Souldm~, N.Y. 11971 2/0 ! 2/0 This cettiflcate must not be altered in any manner; return to the office of the Board if incorrect, ~: ~~.~b,/~ Cfe_dentiais. :K COPY FOR THIS COPY Of: 7G5-~.802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FRAMING [ ] FINAL REMARKS. I N SPECTOR ~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /'~7/~ Owner ~7 gO ~'~ % (please print) Plumber f~ f~-~-~' pA~z~/~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ,?? . Notary Public, ~u~L~'-~L- County Notary Public UNDA K. DAWSON Notary Public, State of N~ No. 46~4688 Qualified i~1 Suffolk Courtty. Term Expires March 30, 19 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 ILI L ! 8LD J. DEPT. ~ TOWN OF SOU~OLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 properW with accurate location of all buildings, property lines, streets, and v,nusual 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 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. Accurate survey of pzoperty 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 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 SI0.00 4.Vacant Land C.O. $ 20.00 ~ 5.Updated C.O. $ 50.00 Date .. o~/~l\~ New C ohs t ruc t, i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................. ~..uc?~ ~_, ;~:~-v-~o~l House No. Street /-/am/et Owner or O;;'.,"cr: of Property I~ ~:)~ ~J-(- [ .~ County Tax Map No. 1000 Section ,~'J-- Block 7..- Lot ~"5 · Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. 15"/1['~-- Date of Permit ~-I~-e~[%1 .Applicant ~ ~oUTiS Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...~.~...-- ...................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ...~----~ ........................................ Rev. 10-10-78 (:: c, Z Ls9.-2~ . OUNDATIO.~; ( 1 s t) OUGH FRAI4E & FLU~'IBING i~';SULATIO~; FERN. Y. STATE ENERGY CODE FI:.~AL ADDITIOI.;AL CO!-~I.~EI'JTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approve~~ 19~ 71. Permit No. l ~ '] l '~ .~. Disapproved a/c ..................................... (Building Inspector) ,-.PPL .,A ION FOR BU!LDING PERMIT INSTRUCTIONS (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. ~"~o zp ~ Electrician's License No....Z.. ~.p.....-~. ............ 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 inspections. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ¢_.~ ~,o ~'T \ h> (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· ) Other Trade's License No ...................... 1. Location of land on which proposed work will be done k{.~4-, ~tx~o~¢ geo,,-, e~,x~ ~¢ ~,4<_ *,~x ~-'~c$~de_ . · ........................ t3..,¢ ....................... ........... [louse Number Street Hamlet County 'Fax Map No. 1000 Sectiou ~'-2.- Block ~ Lot ~ SubdMsion ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use attd occupancy of proposed construction: a. Existing use and occupancy ~ o .,ox ,,,x~4-- u .~e.. o~xkq b. Intended use and occupancy ....... .~. ~ y..v?.~. ~x.g...~ ~ .?..%. ~.~....¢~. '~"t ............ 3. Nature of work (ct~ck which applicable): New Building .......... Addition .......... Altemtio, n .......... Repair....~..- . . '.~. .... Removal .............. Demohtion .............. Other Work..~...0~..L .e~..~. 15o,q> ?O2~ g~.u~a*-a ¢~c~-~-ik-~--~-~ ~-~'~-ti od-~-~ k~-~,,.4a, r. ke~'~,~-fjp-,,,,, (Description) 4. ~stunated Cost... !~,.~.o..o. ......................... Fee.. !.S ................................. (to be paid on filing this application) 5. lfdwelling, number of dwelling units .... .c.~..%. ....... Number of dwelling units on each floor ................ If garage, number of cars .... ~..~.e, ................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .... .-w ............... 7. Dimensions of existing structures, if any: Front....~.]: ! .~C: .... Rear . ¢7.'. ~..kX..: .... Depth . }.q .~7.: ........ Height . ! .X~..~ ........ Number of Stories . .. i .................................................... Dimensions of same structure with alterations or additions: Front . }.~!,..e-..,t>...,~...o~.~. Rear . >..~'~'~-....':~...0?.'..-2%=.. Depth . .~...a?':~k....a,.s,...,O?. o.~.*--. ..... Height . -.~2~...e: .~,i..a~. ? .,~,. ....... Number of Stories :~..m':Le'... ~5...m?..,,2,~. ....... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height .............. Number of Stories ........................................................ 9. Size of lot: Front .... '/ ...... '~.o. ................ Depth I' 7G, ~ t 10. Date o~'Pur0hase . .~[9: ?, ................... Name of Fo~mer Owner . .~.? 11. Zone or use district in which premises are situated ....~5~. i .o..~.T.t..tt~. ............. ..m ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~.9 ..................... ~... 13. Will lot be regraded . .7.~5 .............. . ......... Will excess fill be removed from premises: Yes ' No 14. Name of Owner of premises . ..~D....~. 9.~.T37. ..... Address .~3.~ .uP..e~.?..~\ .~.?... Phone No. ~-.!%..'k.~..~:..~..~q9 Name of Architect ........................... Address ................... Phone No ............... Nmne of Contractor .......................... Address ................... PhoJ~e No ................ 15, Is this property located withinl.00 feet of a tidal wetland? * Yes ...~.. No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all 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. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED ~ MOTED ]g7 _ F~~~v' ~- ~-~ NOTI~ 8UILOINO L*~F~MENT ~r FO~ ~OUP?L .?O~Cb;' ' ~ B~ C0~4 e~h ~oR C 0 ~ATE CONST~L:~ & ~N~.RGY CO~ ~OT ~NS~ ~ ~N O~ CC ~ETKOC~'~:~ STATE OF NE~,¥ YORg,. _ It o o ..... ~.~...'~.~I~I~.T~ .~ ........................ being duly sworn, deposes and says that he is the applicant (Name of individmd signing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ali statements contained in this application are true to the best of his knowledge and belief; and that the work wdl be performed in the manner set forth in the application filed therewith. Sworn to before me this ~- Notary Public, ~ .~. .~, . . .V ...... County Q,~:r<' ;~ ~.~ :,. ,.. ,. (Signature of applicant) I~pamd in ac~orclance ~vith the minimum ~tandardt for title sun, eys as establi~ed b) the L L ~ ~ S. and approved and ad.p~e +\ SURVEy OF PROPERTY ,AT ARSHA MAMOQUE TOWN OF SOUTHoLD SUFFOLK COUNTy I000 N.Y. SCALE I .= ..7,0 NOV. 20, CERTIFIED TO AMERICAN TITLE INSURANCE CO R~ ED. I~OUTIs P O. BOX 909 MAIN ROAD SOUTHoLD ,N.y. 11971 ' '~ F~b 16, 1987 Gentlemen: On December 16, 1986, I purchased a waterside cottage built on oak posts on Ruch Lane (fourth house from the end of block) in So~thold. The Northfolk Bank and Trust Corp. gave me a constru~on loan which will convert to a regular home mortgage when certain condition~ are met. I must winterize the cottage by putting a full'basement un- der t~e existing cottage. I must put in an oil-fired hot water heating system. I also must upgrade the elec~ical system which currently brings in only 60 amps. Many other tlomeowners on Ruch Lane have full-basements. The next-door neighbors, Mr. & ~rs. Brown have a full- basement and they are the same distance from the high water mark-about 66 feet. I am acting as my own conSractor. ~lr. Gene Mazzafero will do the mason work on the basement. Mickey Dawson will be the plumber and Paul Burns will do the electrical WORK. I am anxious to have the work begin as soon as possible, so my family and I can use the home. I am also operating under~ a time constraint from the bank. I would like the building loan to convert to a regular mortgage soon, to take advantage of the current favorable interest rate. I am asking Southold Town Trustees for a waiver approval, since the work will be under and inside of the existing cottage. Thank you, Ed Bbutis