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Home My WebLink About15754-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15662 Date April 21, 1987 THIS CERTIFIES that the building ..... $ .c.c.e.s..s 9.r.x ................................ In~ntlr~nr~fPrr~n~rtv 7805 Bridge Lane Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section . . 0..8 .4 ....... Block 0 1 ..... Lot 6. 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. Ma r ¢ h.. I I ,..1.9. ~ 7.. pursuant to which Building Permit No. 1..57 .5.4. Z. .............. dated ....M.a.[ c..h..I.3. ,...1.9.8. 7. ........ 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 ......... ... ~.q ~ .e.s.s.q r. y..b.u..i .1.d.i.n.g..i.~..t .h.e..r.e..alr' .y..a.r.d.. ............................. ..... The certificate is issued to JOSEPH MC LAUGHLIN SR. & MARIE ZANONI MC LAUGHLIN (owner, of the aforesaid building. Suffolk County Department of Health Approval ...... .N./.A. ................................ UNDERWRITERS CERTIFICATE NO .............. 21./.4. PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 ~tOlll~ NO. J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_* 15754 Z Permission is hereby granted to: _ ~ /) , - t '"1 ...... .~. ............ 't ............. ,' -'"'" "r · ~,.~ ................. ..~~.:.~..;...: ......... ..:~ .................................. : .................................... premises located at ..~..~..~..~.....~.,9,..~.~ ........... .O-~.~4J~..~- ................ County Tax Map No. 1000 Section ..... ,-O,.~....k~ ....... Block .......~...J[ ......... Lot No .......~.:..1 ......... ............. pursuant to application dated ........ _ 19..~.. ,.'7. and approved by the Building Inspector. Fee $..~.f.~.~. ~.~.~, Building Inspector Rev. 6/30/80 ~LDG. DEPT. '~N OF SOUTH~ FORM NO. 6 TOWN OF $OUTHOLD ~ Building Department, ~ Town Hall ~ Southold, N.Y. 11971' 765- ].802 ppLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled iff typewriter OR ink, and submitted mm.,..,--,--- tothe Building Inspec- tor with the following; for new buildings or new use: i , 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 Cdde compliance fr~m 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. Accurat~ survey of property showing all property lines, streets, buildings and unusual natural or topographic features. I 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 $t0.00 4.Vacant Land C.O. $ 20.00 NewCons bruc tion. v/ Old or Pre-existing Building Vacant Land House No. Street Ham/et County Tax Map No. 1000 Section .............. Block . ........................... Subdivision ....... ~ ............... Filed Map No ....... Lot NO ...... ' PermitNo /~'7 DateofPermit .Applicant ,~'~o5'/£/// ~-/~/9/~2/C ~fO~--/'f&.t ~i, Health Dept. Approval ..... ./~'.~ .............. Labor Dept. Approval .... .,~..<9 ................ Underwriters Approval ..... .~'...,~ ............... Planning Board Approval ...Xf.~? ................ Request for Temporary Certificate ..................... Final Certificate ....)~... J ............... Fee Submitted $ -~ Rev, 10.10~78 I Construction on above described building and permit meets all applicable codes and regulations. I OUNDATION (1st) OUNDATION ( 2nd ) OUGH FRAME & PLUMBING [NSULATION PER N. Y. STATE ENERGY CODE FIPAL · ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] *ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~INAL REMARKS: DATE f~L~ OCCUPANCY OR ;':~ ~ USE IS UNLAWFUL '~° ~>flTHOUT CERllFICATE. Examined .~/~..¢'~....~ .~.., 19 Approved.. . . Permit Disapproved a/c ..................................... ................................ (Buil ~dTfi-g Inspector) BOARD OF HEALTH FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEI~TIC FORM ............. TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 CALL ................ MAIL T0: APPLICATION FOR BUILDING PERMIT i Date .. 4~t..~ .A.~.~...9 .... 19~.7 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 necessaryjnspections., ~ ft~, ~e'~ ~ j~ lilac or poration ) ?... y.. (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .O-.o.~.._/.~../~... ~ .'r...~..~..cf..f-7..~..~.a.',¥....~../~..O.'g..z:~/4Y... ~'a¢..~..o..~r.a.'. .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ........ .~..~:. ............. Plumber's License No. /~ Electrician's License No ...... .,~../9. ............. Other Trade's License No ..... .,(ff..~. ............. 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section .... .O*...~.at~. .......Block .... .~..f. .......... Lot....O..O..~. ~../. ....... Subdivisiou ~ Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing nsc and occupancy .... .~../~ .~.'/..~../~..~..~<. ~ ............................................. b. Intended use and occupancy .... '.~..o..o.~/~.~..v~. ?....,~.. p. ~ ¥~.,,~....._r~' .~-. ?:&..~..¢_.,t.~....X.'.~-f. ,,~'~ .D. ......... 3. Nature of work (check which applicable): New Building k// Addition i.. Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... ~ ~ (Description) 4. Estimated Cost ~ .OO ...... Fee ~"-~ .fi'-. ....... " (tq be p~id on filing this application) 5. If dwelling, number of dwelling units .... ~ .~.: .... Number of dwelling units !on each floor.. If garage number of cars .~.4~) 6. If business, commercial or mixed occupancy, specify nature and extent of each type,i of use ....,6~..~. ..... ,~ ........ 7. D~mens~ons of existing structures, ~f any: Front ..... .~. ? ....... Rear .... y'.o., i ......Depth ...~; .~.. ......... Hight ,~.o N b f St i ~.. e ............ um er o or es .......................... , .................... ....... Dimensions of same structure with alterations or additions: Front ... (~..~. ~ Rear Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .... /..~-:...~.~... Rear Z-a~.~.~... Depth ...~..~...7.. ...... -. t Jute of Purchase ..... ~./( ~',/(~ .~. ............. Name of Former Owner ,~..-q/../...~.,(~. ~ ~s ................ 11. Zone or use d~stnct ~n whmh premmes are s~tuated...~-(..T.. Pt P. ~...q ./.~ ....... [ .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ../Y~.~ .......................... 13. Will lot be regraded ........ ~ .~. ............... , Will excess fill be r,emoved from premises:, . Yes Name of Architect ......... .~..~ff.,Y..~..~-. ......... Address ................ ~.. Phone No ................ Name of Contractor ......... (~ .(q..~. ~ ........ Address .... : ........... i · · Phone~o ................ 15. Is this property located within 300 feet of a tidal wetland? *Yesi ..... fu~ ..... ·If yes, Southold Town Trustees Permit ma~ be required. PLOT DIAGRAM ; Locate clearly and distinctly all buildings, whether existing or proposed, and. mdWate all set-back dimensions from property lines. Give street and block number or description according to deed, and show ~treet names and indicate whether nterior or corner lot. ;TATE OF NEW YORK, :OUN rY ff .... S.S .~/q.t/~. t~./~-/. ............. being ................... duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. [e is the .......... ~ p..~...?~ .,q~ .r-.o../~..., .~. ?/(? ~.' .A: .................... ! .......................... (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 tiffs pplication; that all ~tatements contained in this application are true to the best of his knowledge and belief; and that the fork will be performed in the manner set forth in the application filed therewith. worn to before me this Iotary Pubhc, ~. .......... ~, .... ~ ............. County ~" ELIZABETH L. LANZARO ~r ..... NMMy Publio, stere of NewYMk No. ~816721 ~(kJet~KI in Nemu mion F. x4)~ Mly $1, / I d~ SUFFOLK COUNTY TAX map DIST //~71~(~ SECT,~ff blk. / LOt MAP NO, ~c?O DATE. LOTS / BLOCK ~oc~r~o~: ~~ ~ cERTIFIED TO: ¢6,~,,~/~iK~Tff ~M~