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Home My WebLink About15917-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16255 Date October 6, 1987 THIS CERTIFIES that the bmldmg . . . Afl.t, e..r afi. i. o .n ...................... Locatlon of Property 1280 Bayberry Road Cutchogue hi, us~ ~io ............ 'st;~ ................. tq~,i County Tax Map No, 1000 Section . I 18 .Block 02 , .Lot 10 SubdlvmionMa. p ..B S.e.c..B .N,a. ss.au..Pt.. .... FfledMapNo 789 LotNo 119 conforms substantmlly to the Application for Bmldlng Permit heretofore filed m this office dated · Ag~l .[3,.,1987 dated ,A.p.r.il.. 1.7., . 1987 pursuant to winch Braiding Permit No ,. 1.5p I. 7. .Z ........ was issued, and conforms to all of the reqmrements of the apphcable provm~ons of the law, The occupancy for wluch tins certificate is issued is ...... · ~qgv.er,~ ~%~gg .a.ccessp.ry. ,g,ar, ag9 .~.n.t9 .n. or}.v!~.ab.z.t.a,b.l.e' st.u.d.z.o. ,. The certificate reissued to .IdlLLI.AM of the aforesaid bmlding Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO ..... · g/A ........................ N83483 I 9/29/87 PLUMBERS CERTIFICATION DATED: N/A Buddmg Inspector Rev 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. N_O (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COJVIPLETION OF THE WORK AUTHORIZED) Z ~te ..~~.. ...... L..'?. ................... , 5 7 Permission ~s hereby granted to: ~-~~ .~.~..~.....L!.!..) ........................................... ...~~....~.....~ ...... .u.~..~...~ .... . ..~..~..-.~.~....~.~.~....~....~~.....'-~_ ................................. .,~....~ ............ ~. ............................... ~ ........................................................................................ Court,,, T,,x Mo,~ ~o. lO00 Sec~.?,~.....' _-. --,.... 8,o,:k ...... ..0....~ ........ ~t ~o ..... ~..~ ........... ~u~uont to o~,,~ot,o" ~ot,~ .~......~ .~. .................. . ,~]... on~ o~ ~ ,~, Budding Inspector. Building Inspector Rev. 6/30/80 FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG DEPT TOWN OF SOUTHOLO APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A Thru application must be filled in typewmter OR ink, and submitted ~ ~ to the Budding Inspec- tor w~th the following; for new buddings or new use. 1. Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Fma~ approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of elect[~cal installation from Board of Fire Underwmters. 4 Commercial buddings, Industrml buddings, 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 rote plan requirements where applmable. B. For existing buddings (prior to Aprd 1957), Non-conforming uses, or buddings and "pre-exmting" land uses' 1. Accurate survey Of p~operty showing all property hnes, streets, buddings and unusual natural or topograph ~c features. 2Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent ~nforma- t~on required to p~epare a cert~fmate. C. Fees: Additions $25.00 1. Certlflcate of occupancy New Dwelling $25.00, Accessory ,$I0.00 Business $50.00 2. Certificate of occupancv on pre-existing dwelhng $ 50.00 3 Copy of cert~flcate of occupancy $ 5.00. over 5 years $]0 00 4.Vacant Land 'C.O. $ 20.00 'J[~-' { .~.7. 5.Updated C.O.. $ 50.00 Date ...................... NewConstruct~on.~ .... Old orPre-exmtmgBuddlng . ~' Vacant Land ' C Location of Property , t o -,~ ~ -r C ~ ~ ~. House No Street t~arn/et Owner or Owners of Property .................................................... County Tax Map No. 1000 Section I I ~' Block '[" Lot. I ~ Perm~tNo. l.~. ~.l.~ ~" Date of Perm,tz['[''~l ~''~ Apphcant ~. ~.t*.~.,, Health Dept Approval Labor Dept Approval Underwriters Approval .................... P lanmng Board Approval ................... Request for Temporary C~rt,f,cate. ~ .............. Final Cert,f,cate ...'(.t-'.~. .............. Fee Submitted $. "7- ~'~ ~ Construction on above described budding and perm,t meets all/appJ~c/able codes and regulations ' Appl,oan ... .... ........................ ~OOD~n THE [~eptember 29,10~7 THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS DUREAU OF ELECTRICITY .,,,,,,...,.o.~o...~,,~ N 8:54831 only the e~ctrwa! equipment a~ described below and mtroduc.e~, by the apphcant r~med on the ~{~ve ap.~4wat~on number in the prern~es of ~111a~ T Fle~ng W/S B~yberry ~o~d,500 $/0 Bridge Lane Cu~chogne,N.Y. ~n the following Iocatlo~, ~ f~e~t. ~ 1st FI ~ 2nd ~7 ~t~on 81~k Lot DRYERS FURNACE NK)TORS SERVICE O~SCONNECT DIMMERS ~OBox 'lAB MattILuek New York 1~95? Th~s certd~cote must not be altered ~n any manner, return to the off~ce of the Board ~f re. correct [nspectors moy be their credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY h%6.NNER ~ OU~DATION ( 1 st) OUNDATION (2nd) OUGH FRAME6~/ PLUMBING NSULATION PER N. STATE ENERGY CODE FI~!~A L ADDITIO~AL CO~UMENT$: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION ZND [~INSULATION FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: [ ],~UNDATION 2ND [ ] INSULATION / FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND £ ] INSULATION FRAMING [~NAL REMARKS: DATE ,.Se~CTOR ~ ~ /- Examined .. ~ . l ~ Approved ...(~. ~ ! ? Disapproved a/c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 , ., 19 ?.7 Permit No. ] APPLICATION FOR BUILDING PERMIT Apphcahon No INSTRUCTIONS a This application must be completely filled in by typewriter or in mk and submitted in tnphcate to the Bulldn Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showing location of lot and of buddings on premises, relationsh,p to adjoining premises or public stree or areas, and g~vmg a detaded description of layout of property must be drawn on the diagram which is part of th~s appl carton c The work covered by this application may not be commenced before issuance of Braiding Permit d. Upon approval of this application, the Building Inspector will issue a Building Permit to the apphcant Such perm shall be kept on the premises available for ~nspectlon throughout the work. e. No building shall be occupied or used m whole or m part for any purpose whatever untd a Certificate of Occupanc shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Budding Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the constructionI of buildings, additions or alterations, or for removal or demoh~B~n, as herren descnbec The applicant agrees to comply with all applicable laws, ordinances, building code, housm, l~-~d~and regulations, and t. admit authorized inspectors on premises and in buildings for necessary inspections (Signature of applicant, or name, if a corporation) .,,.,, ,o.-C . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmlde~ Name of owner of premises . .~.~3.i.L.. 3_, A..~a' .TI..~,~,4 ! o.q .......... (as on the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No. ~'Z-q'"].~ ~ ~ Plumber's License No 'Z.'b ,~.t. (~ Electrlcmn's License No ...... Other Trade's License No Location of land on which proposed work will be done .......... House Number Stree~ Hamlet 2 County Tax Map No 1000 SecUon . ~. ] c( . Block . 0~ .. Lot 1 Subd~vlslong4.~rf~.~.~%'~...7.,~q'~. ~P,4~.a-o ~W FiledMapNo -I~,~. .. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy . I ~,~r b. Intended use and occupancy .... ! ....T'~-~./.~.~- .... ~ . Nature of work (check which applicable) New Building Repmr .. Removal .. Demolition 4. Estunated Cost If dwelling, number of dwelling units If garage, number of cars ....... Addition Alteration ........ Other Work (Description) ......... C0.O. ....... (to be prod on fihng this application) Number of dwelling units on each floor ~ ... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dm~o~,sl6ns of existing structures, if any. Front Rear . . Depth Helgt~t ..... Number, of Stones ............. Dunelasmrll~'n~ s~ture w~th alterations or additions Front .. . Rear .. Depth . ~l~,*,~ y ........ Height .... Number of Stones 8 Dlm, e~nslons of entire new co~struchon Front .. Rear ...... Depth Height ........... Number of Stones ......... 9. Slzeoflot Front ~°i-° .... Rear t°'i-."~."i. 10. Date of Purchase t ....... Name of Former Owner . 1 1 Zone or use district ~n which premises are situated .................... 12 Does proposed construction violate any zoning law, ordinance or regulatmn' . ............ 13 Will lot be regraded . , ~. o~_.~ . . . Will excess fill be removed from premises Yes 14. Name of Owner of premises t~,'n. 'r-.-.tz-,~, o a, Address'7>a~ e,c~,-r-~X ~. ~ 0. ~' . Phone No "t.~..~. - ~l.~. I, . Name of Architect -- . .... Address ....... Phone No ....... Same of Contractor 4'1 [~'~o'..~'~.~--o .... Address'-6o~-u~,~q~,?~.. PhoneNo'i[c.~'.'z-*-%'~'.. PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether existing or proposed, and indicate all set-back du'nenmons frox property hnes Give street and bldck number or descnphon according to deed, and show street names and indicate wheth( interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF rE7 .. · tt~) ~ .~'l(° ~'~ ~-~ .... being duly sworn, deposes and says that he is the apphcr (Name of individualI signing contract) above named. He is the ('"~ .~.~. ~ -r~, .-7'~. ...... (Contractor, agent, corporate officer, etc.) of smd owner or owners, and l~ duly authorized to perform or have performed the sa~d work and to make and file t apphcat~on, that all statements contained m this application are true to the best of h~s knowledge and belief; and that work will be performed ~n the manner set forth m the apphcatlon f~ed therewith. Sworn to before me this .. //.~..'~.. ...... d~y of ~~ ....... Notary Pubhc, State of New York / ( S~gnature of applic_a No 4822563, Suffolk County,~/ T -** rvmr~s Decemb~r3'}, NOTIFY L # OCCUPANCY OR USE IS UNLAWFUL,: WITHOUT CERTIFICATE OF OCCUPANCY