HomeMy WebLinkAbout15747-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17116
Date JULY 26, 1988
THIS CERTIFIES that the building.
Location of Property 13420
House No.
County Tax Map No. 1000 Section
Minor
ONE-FAMILY DWELLING
OREGON ROAD
CUTCHOGUE
Street Hamlet
83 Block 3 Lot 7.2
Subdivision T. & K. UHLINGER Filed Map No. 182 Lot No. 2
conforms substantially to the Application for Building Permit heretofore
filed in this office dated 14ARCH 10, 1987 pursuant to which
Building Permit No. 15747Z dated MARCH 13, 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 W/ATTACHED GARAGE & WOOD DECK.
The certificate is issued to EDWARD F. HUGHES
(owner, X~)
86-SO-89 7/11/88
EDWARD HUGHES 7/26/88
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N855466
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)
N~ 15747' Z
Permission is hereby granted to:
.........
at premises located at .L...~...~....D...O. ........ ~...~:. .......... ~~ .......................
County Tax Map No. 1000 Section ...... ...O...~...~.. ..... Block ....... .?....~.. ....... Lot No....~..:..~.. ...........
pursuant to application dated ..... ~ ......................................... , 19..~. .']., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m~ 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 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 property showing all property lines, streets, buildings and unusual natural or
to po graph i c 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 $25.D0, Accessory ,$I0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0
3. Copy of certificate of occupancy $ 5.00 over 5 years
, $~0.00
4.Vacant Land C.O. $20.00 ,_~16~£ /'~'/~
5.Updated C.O. // $ 50.00 Date ....................... ,.I/..L~/.',~.
New Cons %puction ...... ~ 'O[d or Pre-existing Building ............ Vacant Land .............
Location of Property ./¢..~.."~'.,¢~,C? .... ~ ./~.~I~..G~..o~,.,. ~ ........ ,~, .~'..T..~., ~ ............
House No. Street Ham/et
Owner or Owners of Property . .~..~.(~..~.../~.~....~'/-//~'~//~'5' .....
County Tax Map No. 1000 Section .. ~ .~, ......... Block ,., .~. .......... Lot... ?'!..~,. ........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. /.~).~ ,~.7,~T, Date of Permit . .~, ,'~,..Applicant.. ~,~ .., ,~-,. , ~,, ,~. ,~,~,~,, ........
Health Dept, Approval , ~'~. , , Labor De roy ..............
.................... pt. App al ..........
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ..... ~ ...........
Fee Submitted $. ~.~.~.-~. ...................
Construction on above described building an,d-permit meets all applicab~coCes and regulations.
.... .........................
Rev, 10-10-78
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No.
Owner ~ C~V~ C~ ~C[
(please print)
Plu~er~~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of' 1% lead.
(plumber rs sign~ure)
Sworn to before me this
~ day of ~ ,
19 ff.
Notary Public, ~ County
Notary Public
NOTARy HE~.EN K- I)E VO~
PU~IL lC, State of New York
_ ~. 4707,878, ,~ffolk County~ ~,
Term Expires Mm. ch 30, l 9,,
THE NEW YORK BOARD OF FIRE UNDERWRITERS
]']'g~0C~9 BUREAU OF ELECTRICITY
THIS CERTIFIES THAT
in the fottowing location; ~ Basement ~ Ist FI. ~ 2nd Fl. Section Block Lot
tt~s examined on ]?e]~),~' tkq r~ ~gt ]. 98~J a~dfoundtobeinco~piia~cetrlththerequirementsqfthisBoard.
FIXTURE FIXTURES RANGES OVENS EXHAUST FANS:
57 42
DIMMERS
DRYERS SYSTEMS
NO. OF FEET
OTHER APPARATUS:
1--Smo~e D~tec~or
E R
4O
I C
NO. OF HI.LEG A W. G NO OF NEUTRALS A W G.
OF HI.LEG OF NEUTRAL
2/0
James P. Sage
519 Sterling PI. ace
Greenpo]yt, i~.¥. 11944 Lic. 3635E
This cert;ficefe must no1 be elfered in eny
COPY FOR ~UILDING DEPARTMENT~T NOT BE ALTERED IN ANy ~NNER
OUNDATION ~( ls t)
OUNDATION I2nd)
OUGH FRAME &
PLUMBING
~NSULATION PER N. Y.
STATE ENERGY
CODE
FI~;AL
, ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
REMARKS:
~/FINAL
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [~SULATION
[ ] FRAMING
FINAL
DATE
INSPECTOR
7.6~j.802
UILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU_G~H PLBG.
[ ] FOUNDATION 2ND [~LATION
FRAMING
FINAL.
DATE ~::~ INSPECTOR~//~
76S-1802
BUILDING DEPT.
~/~N~S PECTIO~ ~
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ' O~R~UGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
REMARKS:
iNSPECTOR * ~'-~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[~]'~OUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE~
765-t802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION 2ND []INSULATION
[~FRAMING []FINAL
INSPECTO~
765-1802
BUILDING DEPT.
INSPECTION~
FOUNDATION 15T [ ] ROUGH ~PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMI~NG~___~. ~ ~?'~ ~/.~/
~ 76S-1802
INSPECTION
FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION 2ND []INSULATION
FRAMING []FINAL
REMARKS:..,:-..~.
TOWN OF SOUTHOLD
OFIqCE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTttOLD, N.Y. 119'/1
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because ,of the following reasons.
/_-~/ Au application for Certificate of Occupancy
is not on file.
/-/_,/ No underwriters Certificate on file.
/--¢~,_,/ The c'heck is (outda~ed/_~l~t on _file: )~-~ (D~
/_~_/ No Iloalth Dept. Approval on file.
/-~/ No final ins,pection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
BuiJdJ. nq Permit # ~_ ~ 7 ~ 7 Z
Building Dept.
***/~No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
OCCUPANCY OR USE 1S UNLAWFUL WITHOUT A CERTIFICATE OF OCCUPANCY.
CLEAR UF THIS MATTER AS SOON AS POSSIBLE SO THAT LEGAL ACTION HOES NOT
HAVE TO BE TAKEN.
Thank you.
TOWN OF SOUTIIOLD
OFVICE OF BUILDING INSPECTOR
iLO. I3OX 728
TOWN IIA LL
SOUI'IIOLD, N.Y. 11971
TEL. 765-1802
To Whom This t4ay Concern,
We are unable to complete your Certificate
of Occupancy because .of tho fei,lowing reasons.
/--//An application for Certificate of Occupancy
. is not on file~.
/''~/ 2lo Underwriters ertlflcate on file.
/~/~/ The check is(outdated/n.o__~_t .on file.)9Y~O~~
/L~/ ~-;o !lealth Dept. Approval on file.
/,--_/ Ho final inspection has been made.
Please contact our office
Than'~ you for your cooperation.
Buildinq Permit
Buildin(r
on this matter.
Dep t.
Plumber Solder Certificate on file.
all permits invo!vinq plumbing being
issued after April !,1984 )
Southold, N.Y. 11971
(516) 765-1938
December 11, 1986
Mr. Ed Hughes
Main Road
Cutchogue, NY 11935
Re: Access Road to Lot No. 2 in the
subdivision of Karen and Tom Uhlinger
Dear Mr. Hughes:
The following action was taken by the Southold Town Planning
Board, Monday, December 8, 1986.
RESOLVED that the Southold Town Planning Board accept
and request compliance with Inspector John W. Davis' report
No. 554 with regard to the improvements to the access road
within the minor subdivision of Thomas and Karen Uhlinger
located at Oregon Road, Cutchogue.
Enclosed is a copy of the report for your review.
Please contact the Planning Board Office prior to beginnin~
work on the road~ and submit the profile as request in paragraph ~6.
If you have any questions, please don't hesitate to
contact our office.
Very truly yours,
BENNETT ORLOWSKI, JR. , CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Diane M. Schultze, Secretary
enc.
To: Bennett Orlowski, Jr., Chairman Report No. 554
Southold Town Planning Board
From: John W. Davis Date: November ]5, 1986
Re: Access Road for Thomas and Karen Uhlinger - two lot minor subdivision
Map dated amended January 8, 1980
Comments:
Inspected site on above date. Mrs. Uhlinger asked what kind of improvements
would be required for access to Lot No. 2. Advised her of normal access
road improvement construction which she did not want to do. Lot No. 2 has
been sold. Later (]~/~7/86) was informed by Mrs. Uhlinger that the present
o~er of Lot No. 2 in the sale contract was responsible for access to
Oregon Road and that road construction in the 25 ft. R.O.W. would conform
to Town standards.
Recommendations:
Remove trees i~ R,O.W. less th~n 3 ft. from sides of road.
2. Road width 16 ft.
3. Length of road - Plan shows ]50 ft. into Lot 2. Would make this length
30 ft.± for a total length of 278± ft. from Oregon Road.
Remove topsoil for ]2".
5, Road construction to consist of a 6" compacted course of bankrun con-
taining 15% or more of gravel, ]0% of loam and a top course of crowned
compacted 3/4" stone blend. The depth of the top course to be 3" L.M.
to obtain a 2" compacted depth. If additional material is required
to meet subgrade for the 6" base course after topsoil is stripped, a
good grade of compacted clean fill can be used.
A road profile to be submitted for approval showing elevations of the
existing surface. The sides of the road to be above the adjacent O.S.
(3"±) wherever possible.
7. See no drainage problem at this time unless a profile is submitted
showing a minus grade for the full length of the access into Ozegon Road.
If so, installation of L.B.'s at the entrance might be necessary.
t / J0h~ W. Davis
FORM NO. 1
TOWN OF SOUTHOLD
Examined..~.0,.4...c~...['~.., 19 .~.q.
Approved .N/~.~..I..~...., 19~.q.. Permit No. ! .~.
BOARD OF HEALTH ~
3 SETS OF PLANS .......
SURVEY ·
C ECK X
BUILDING DEPARTMENT SEPTIC FORM.r2~.. .... ..... :
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971 ~.
TEL.: 765-1802 CALL .......
Disapproved a/c .....................................
APPLICATION FOP, BUiLDiNG PERMIT
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, 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)
(Mailing address of applicant)
State whether applicant is ~essee, agent, architect, engineer, general contractor, electrician, plumber or builder.
(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 COUNTY LICENSED
Builder's License No ..........................
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 Street Hamlet
County Tax Map No. 1000 Section ..... .~..$ ........ Block...~. ............. Lot.. 7¢..~. ..........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... ~..//~..-~.-7~.....~_.../~?...~. .......................................
b. Intended use and occupancy ../.' ................~.../~7--~....~ ~.~...~.~....~..t..~ff.'~. ..................................
3. Nature of work (check whi~h'~apphcable): New Building .'... Addition Alteration
Repair ........... :/. Removal .............. Demolition ............ i ' Other Work ...............
) ~"/,~' ~ ~ ! (Description)
4. Estimated Cost I/..'~. ................................ Fee ........... ~ ..........................
? ' (to. be p~id on filing this application)
5. If dwelling, number of dwell units.. ~ ........... Number of dwelling units ~ n each floor ................
If garage,,,nmnber of cars .. ~ ........................................ ~ ..........................
6. If bus!hiSS, commercial or mixed occupancy, specify nature and extent of each typeiof use .....................
7. Dimensions of existing structures, if any: Front ............... Rear ........ ~ ..... Depth ...............
Height ............... Number of Stories ............................. i ..........................
Dimensions of same structure with alterations or additions: Front ............. i ·, · Rear ..................
Depth ...................... Height ...... ,.~.../ .......... Nu!l!ber/of Stories ............ ?, ........
8. Dimensionfi..~fpntire new constmcti0n: Front {~.O . Rear 2~..~. i .... Depth .,~ ..........
Height ./7/ ............ N, pmber of Stories112.iiiii))i~,~ .... i.ii.i.ii}i ........... ~, ............
9. Size of lot: Front /.~.,~ .............. Rear..~.~....~. ..... Devth ~,~... .
0. Date of Purchase .. 4:.. .............. Na e of i.
~ 1. Zone or use district in which remises are situated / '~,"~,' ~ ~'~
p ........... ..... ..........................
~2. Does proposed construction violate any zoning law, ordinance or regulation: ..'?.O.I ..........................
~3. W/Il lot be regraded .~'~t'~.. ...................... Will excess fill be.removed from premises: ,,,~c--Yes No
~[4. Name of Owner of premises~..O,{..//~.....,~-/. ~..g,,z,X~ Address . .~. 9'.'~-..~q~ .~. ?..(~.. Phone No. ~. ~.'~..~.~0
Nmne of Architect ........................ Address ............ ' .. .... i · · Phone No ........
Name ofContractor~-o~S~,.~... _~. ~j~ ..... Address. ~0.~..5~. 9..(-.~...... i · Phone No..7~.--~..21~.(~..~. '.'~.
115. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ~...
· If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indi
property lines. Give street and block number or description according to deed, and show
interior or corner lot.
:ate all set-back dimensions from
~treet names and indicate.whether
STATE OF NEW YORK, S.S
',r~T T~brTv .rhr~
................................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract) 1
~bove named. :
te is the i
(Contractor, agent, corporate officer, etc.) ~
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
~ork will be performed in the manner set forth in the application filed therewith.
;worn to before me this
.......... ~. ............ dayof ..... ,/fv.~. ~z~...C. ,{-/ ...... 19 ~.7
qotaryPublic, ~,~...~..~.d..~/f ~ .~'A~..f~..~.~fl'. County _ff~5~' ..~ . ~;
Oualifled ~ Suffolk Cou,~nn~/~ c ~
Commission Ex~lres M~rct~ ~0 ~ O..~/
~0
IIIIB I I