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HomeMy WebLinkAbout15887-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16777 Date April 7, i988 THIS CERTIFIES that the building ONE FAMILY DWELL ING Location of Property ....6.7.0.. ?.o.l.d.. Spur Cutchogue, New York IVo , e No. ' ............... ....................... /l ie; County Tax Map No. 1000 Section 095 ...Block 04 i.-- I 8 I 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...A.p.r.t..t..8. :..1.9.8. 7.... pursuant to which Building Permit No. 15887 z dated April 12,' 1987 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 ......... ONE FAMILY DWELLING WITH ATTACHED WOOD DECKS & ATTACHED GARAGE The certificate is issued to ... BLAIR & LORRAINE DIBBLE .................. /oV, ..................... of the aforesaid building. Suffolk County Department of Health Approval 8 7- S 0- 6 6 - 3 / 7 / 8 8 UNDERWRITERS CERTIFICATE NO. N 839085 - l 0 / 2 I / 1987 April 4, 1988 - BIair Dibble (Owner) PLUMBERS CERTIFICATION DATED: Building lnsp~c't~; ............. 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) N~ 15887 Z is hereby granted to: P...,.,on .~....~..*..~.....~..b..~ ........ ' '~.~....~.~ ./.~.....C~......: ...................... ................................... ~...~ .......... ..%..1 ...... at premises located at~ ....................... (~. ....... ~ ............... ~~ ................... County Tax Map No. 11000 Section ..... .q~..~...~./. .... Block ...... ..~.....~.. ...... Lot No. ~.~.:.L..~-- ..... Building Inspector. Fee $ .............. ; ......... and approved by the Building Inspector Rev 6/30/80 OUNDATION /~(1st) OUNDATION (2nd) OUGH FRAME & ?LU~BING NSULATION ?ER N. STATE ENERGY CODE FINA/ £TIONAL COMMENTS: TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Buzldzng Permmt No, /~-~ ~7 Owner lc ~ (please print ) Plumber ~f (please prlnt) I certzfy tha~ the solder used in the water supply system contains less than 2/10 of 1% lead. S~to before/~e~ day of ~/L{~C , p!umber's signature) Notary Publlc THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000121 BUREAU OF ELECTRICITY JOHN STREET..EW YORK, .EW THIS CE~IFIES THAT o~ly t~ e~tr~c~l ~ulpment ~ ~cri~ ~w a~ int~uc~ by t~ apphcant ~m~ on the a~e ~plw.t~on number ~ the p~m~s of Blair J. Dibbi~, G~ld Spur S~ree~:, Lo~ ~5, ~rne~ ~as exam~ned on October 5, 1987 and found to be :n comphenee ult h the req~,trenwnt~ of th~s Board 38 42 ] 1 OTHER APPARATUS !-lO0 Amp Trax~fer ~ttch 4-G.F.C.I~ 2-S;aoke Detector UNIT HEATERS MULTI-OUT[ET SYSTEMS NO OF FEET DIMMERS 410 NO OF HILEG C E AW G ~NN~ OF NEUTRALS Pane]boards: 1-7cir. lOOamps Sekected Load Panel Paul t~ -~..s 275 Town Harbor La~e Southold, N,Y. 11971 Lic 252E Per~ · ' f +i - This cerhficate must not be altered {n any manner, return to the off~ce of the Board d mcorred Inspectors may be {denhfied by their 'credenhals COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST OU PLBG. FOUNDATION 2ND [ ] INSULATION ]'~FRAMING FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ,]~FO~ATION 1ST [ ] ROUGH PLBG. [~"FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE ~/~/'~/ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION ] F~iDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING £ ] FINAL REMARKS: DATE /' f · INSPECTOR~~_ 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] FOUNDATION FRAMING ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL DATE _ INSPECTO . 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND [ ] FRAMING REMARKS: ROUGH PLBG. IN~SULATION [~FINAL DATE INSPECTOR~._~J/~'/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND I. ] I~SULATiON FRAMING [//~'FINAL - / 7G5-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/,,,]'/FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION :)ND [ ] INSULATION I- ] FRAMING [~]' FINAL REMARKS"-CJg~,~ DATE //z 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] F~IDAT!ON 2ND [ ] INSULATION *3~FRAMING [ ] FINAL REMARKS: DATE INSPECTOR / / / / xammed ~ tpproved ~ hsapproved a/c BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY ...~],.[x~.. TOWN DF SOUTHOLD CHECK ..... ~q ]. BUILDING DEPARTMENT SEPTIC FORM . ~.../~: TOWN HALL NOTIFY $OUTHOLD, NY 11971 CALL ................ TEL.. 765-1802 MAIL TO: (Bmlding Inspector) APPLICATION FOR BUILDING PERMIT Date . . INSTRUCTIONS a Tlus apphcation must be completely filled m by typewriter or m ink and submitted to the Building Inspector, with 3 ts of plans, accurate plot plan to Jcale. Fee according to schedule b Plot plan showmg location icl lot and of buddmgs on premmes, relatmnsh,p to adjommg premises or public street- r areas, and g~ving a detailed description of layout of property ~nust be drawn on the dmgram which :s part of this apph ~tlon c. The work covered by ti'us apphcahon may not be commenced before ~ssuance of Bulldmg Permit d Upon approval of th~s apphcahon, the Bmldmg Inspector w~il issued a Bmldmg Permit to the apphcant Such permB tall be kept on the premises available for mspection throughout the work e No bmlding shall be occupied or used in whole or in part for any purpose whatever untd a Certificate of Occupanc~ ~all have been granted by the Bml~mg Inspector. APPLICATION iS HEREBY MADE to the Building Departmant for the ~ssuance of a Building PermK pursuant to thc mldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, OrdNances m egulatmns, for the construction 6f buddmgs, additions or alterattons, or for removal or demohtmn, as herein described ~e apphcant agrees to comply wtth all apphcable laws ordinances, bufldmg code, housing code, and regulations, and to llnlt authorized respecters on premises and in braiding for necessary lnspe~tl,orrs, -- t ,~o'~///-'9 (S~gn.a'tCre eT apphcant, or name, if a corporahon) /--- (Malhng address of apphcant) tare whether apphcant is owner,I lessee, agent, architect, engmeer, general contractor, electric,an, plumber or builder. ~alne of owner of premises . ~.. ~ q Y (as on the tax roll or latest deed) I apphcant m a co~oratmn, s~gnatgre of duly authorized officer (Name and tttle of corporate officer) ALL CONTRACTOR'S MUS~.i}E_$I~FJ~LK COUNTY LICENSED Braider's L,cense No ................... Ptmnber's License No .................. Electrician's License No .................... Other Trade's License No ........... Location of land on which proposed work will be done ..... Ilouse Num her Street County Tax Map No 1000 Section . (~"~... ... . . Block ....~.5l Subdlvmion ¢.r'K?o.%..~.l,e.~....... . S.. .. Filed Map No .(Name) Hamlet ' .. Lot. ] ............. .. Lot State existing use and occupancy of premmes and ~ntended use and occnpancy of proposed construct,on a. Exmtmg use and occupancy ...... ¢ .... b Intended use and occt,, .. b/ ..................... 3 Nature of work (check which apphcable) New Building . Repmr Removal . . 4 Estmlated Cost dP/ ..... 5 If dwclhng, number of dwelling units ....... If garage, nmnber of cars .... ... Addlt~ou . ·., A/teration · Demolition ........... Other Work ............. (Description) ... Fee ................................ ' (to be prod on filing this apphcation) Number of dwelling units on each floor .............. 6 If business, cominercial or mixcd occupancy, specify nature and extent of each type of use ........... 7 Dimensions of existing structures, if any Front Rear .......... Depth ....... Height .. Nmnber of Stories ........................ Dunensions of same structure with alterations or add~tions Front ......... Rear ........ Depth Ilmght '' ,''c, ''' ' .... Nu mpy,~foSt ones '..'~. ~0.a... 8. Dimensions of entire new construction Front . ~..8~ .0 .... Rear . .,q. ~ .......... Depth Height .... C./~%mber of Stories ........................ ..~. ..... 9. Size of lot Front !-~.~-'>O~ ... Rear . 1 )~-.--q- ....... Depih ,~.6,-~ .... ,- .... 10.11 Date of Purchase.,(,,.l//3/~'~ . . ' : ..ciaNaa~eh°LF°~'er Owner~. . .~t Zone or use ,~lstrlct m wh,cL ).rcm,scs arc sm,areal . ..... ,., ............. 12 Does proposed' construction._ violate any zoning law, ordinance or regulation .. tt7.O. ........... 13. Will lot be regraded .~e...q . · ~ ., . . . Will excess fill.be renloved from premises' 14. Name of Owner of premi~es ~5[at.t ~9,~}~- .Address 7~9. ?~. 5,,yv,C'~../~g~Phone No .'7...~f~.s.O.6ff''~. . . Name of Arclntect ..-{'~"e~ .~v..]'/,I, }J 4." Address .~ . . ,, ...... Phone No. Name ofCoutractor..~a~ r. ~,[~;~.~ ~,o, .git% Address 7o~..,%,~.~.C?.. ~7.~hone No. [5. Is thxs property located w~thin 300 feet of a tidal wetland? *Yes ...... *If yes, Southold Town Trustees Permit maybe required. PLeat DIAG ILAM Locate clearly and d~stmctly alt' buildings, whether existing or proposed, and ~ndicate all set-back dm~ens~ons from ~roperty lines G~ve street and block .number or description according to deed, and show street names and indicate whether ntenor or corner tot )TATE OF NEW YORK, 20UNTY OF SS (Name of md~wdual s~gnmg contract) ,bove nanled. being duly sworn, deposes and says that he is the apphcant te is the .... , .................................................... (Contractor, agent, corporate officer, etc.) ff said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ppbcation, that all statements contained m this application are true to the best of his knowledge and belief, and that the york writ be performed in the manner set forth in the application filed therewRh; ~worn to before me this .... 19[? (S~gnature of applicant) ;', ]' OF HEALTH SERVICE~ ~.1 DATt- OF APPROVAL SURVEY FOR BLAIR J DIBBLE 8, LORRAINE R DIBBLE LOT NO 5,' OREGON VIEW ESTATES" AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE OCT 16, 1984 SCALE I" = 50' NO 84 - 1004 SUfi:OI.K COUNTY OEPART~E~T OF ~L'f~ $[R'VICE~ FOR APPROVAL OF CONSTRUCTION OF | Single. Faintly [XPIRES ]WO YEARS FROM DATE OF APPROVal . suer co r~x~P m~-~oo SECT;O. 9~ ~.ocx 4/,,; N~ ffi = MONUMENT & = STAKE SUBDIVIS~ MAP RL/D IN ~E O~ CE OF ~E C~RK OF SU~COUN~ APR 4~1975AS FILENO 6241 SURVEY FOR BLAIR J DIBBLE ~ LORRAINE R DIBBLE LOT NO 15 ,"OREGON VIEW ESTATES AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE OCT 16, 1984- SCALE I ' = 50' NO 84 - 1004 usu~ '~"(F ~"~"Y o~ ..Y YOUNG e, YOUNG ALOEN W YGUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S. UCENSE NO. 12845 HOWARD W YOUNG, I.~ND SURVEYOR -,. NYS LICENSE NO 45895 400 OSTRANDER AVENUE RIVERHEAD~ NEW YORK .., ,,. , SURVEY FOR SUFFOLKCOtjN'I'YDEP~I~..N.111~ BLAIR J DIBBLE 8~ LORRAINE R DIBBLE ,~INGLEFNVIILYDI/f~LING'ON[~ LOT NO 15 "OREGON VIEW ESTATES" FEB II, 1988 ~A~~7 ~ ' dULY ~5, ~987 OAT --- -~HS REF ~ ~ AT CUTCHOGUE DATE OCT 16, 1984 The ~wage d~spasaJ and wa~r supply fa~ ~ ~ ~WN ~ SOUTHOLD SCALE I = 50' location have been ms~cted by this ~part~nt ~/~ SUFFOLK COUNTY ~ NEW ~RK No 84 - Ioo4 R U~UTH~IZEO ALTE~TION OR ADDtTION ~ ~llS GUA HEAL~ DEPARTMENT-DATA F~ APPRO~ ~ C~STRUCT aND ~ His ~H&LF ~ THE ~TLE C~Y, GOVt,,- YOUNG YOUNG SUBDIVISION MAP RLED IN ~EOFRCEOFTHE C~RK OF AND ~ND SURVEYOR N Y.S UCENSE NO IEB45 SU~ COUN~ ~ APR 4 ,t975 AS FiLE NO 6241 HOWARD W YOUNG~ LAND ~URVEYOR NYS LICENSE NO 45893 ~AR ~8~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ~PPROVED AS NOTED NOTIFY ~II.[~N~ ~JEPARTM~T AT 1802 ~ ~ t(~ ~ PM FOR THE SOLDER uSED IN wATER e,~ePI_¥ SYSTEM CANNOT cERTIF~C~ " ~ PLUMBER "' ' ON LEAD cONTENT BEt rjr,: CERTIFICATE OF OCCUPANCY If mlaper tubing Is usad fei' wat~ dl~tributln~ Watem; Idplng ihlll be J_ _ LLh