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Home My WebLink About15756-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZI5416 Date March 23, 1987 THIS CERTIFIES that the building . .4.d ,d.i.t. i 9 P Location of Property 875. Eastwood. Dr. & 1'50 South Cross Rd. Cutch6gue House No. Street Ham/et County Tax Map No. 1000 Section .... 1.1.0. ..... Block 03 .Lot 23 Subdivision.~.a.s.t.w. qg.d.?.s..t.a.t.e,s. ........... Filed Map No. 3683 .LotNo...1.4 conforms substantially to the Application for Building Permit heretofore filed in this office dated March 10, 1987 ' .. pursuant to which Building Permit No. 15756Z dated ...M.a. r..e .h.. 1. 5. ~..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 ......... ...... p.e. qk., .a.d.d..i.t.i.o.n...t.o..a..n..e.x.i..s.l:.i.n.g.. one family dwelling. The certificate is issued to EL IZABETH HOEY (owner, of the aforesaid building. Suffolk County Department of Health Approval N/.A. .... N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FO~:a~ NO. ~ 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) NO 15756 Z Permission is hereby granted to: ................... ~~ .......... ~ ...... Lm..~... ................. '...... ........... ,,t p,em~ses ~ocated at .~.7~...~~..~..'t,.~....~.~.~...~..~...~..~4:......O,,~.~,',(~,- County Ta× Map No. lO00 Section ....... [.l.~. ....... B~o~k ...... .~...~ ..... Lot No.....~..~ ........... pursuant to application dated ..... ..~.,Q.~......~,,,....,~...~.. ............... , 19.~...~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 '[OWN OF SOUTI~OLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN of SOUTHOLD OFFICE OF BUiLDiNG INSPECTOR ~ece~pt No. 515 2 2 Southold, New York 11971 / / lng. .................. ~-"'~-"~ ...... '~7' '~'": ............... ~V ............................................................................... ~' ~'~""~',"~'~-'~' '" ........ ~. ..................................................... /~00 ~1 or ~o~... ~.~ g.z .~ZA. Foo for rrna- Fee for Foa for Fee for ~ficate ~ Yard Sale ~ ~ ~ H.I.C. D Building Permit m of Occupancy ~ Misc. w nstruction ...... OId or Pre-existing Building ...' ......... Vacant Land ............. ' - ,C?, ?s..~t.~.¢ ~c ~... Hou~ No. Street Ham/et .~. ~ ........ Owner or Owners of Property ..... l,~g ~,~.~ 1~ .......................... Countg lax Map ~o. 1000 Section .... [~ .0 ....... 8lock .... ¢ ......... kot ................ Sabdiv~sion ... ~2Z~co~..~O:..*~ ...... m~ed map ~o. ~ ~ & X..Cot mo../¢ ........ Permit No.' ./.*:Zr~.. Date of Permit. ?/<*/~Z.Applicant... ~, .4~q ~,e...5/F.~ frs ..... 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 ail applicable codes and regulations. Rev, 10-10-78 OUNDATION (1st) OUNDATION 12nd) OUGH FRAME & PLUMBING iNSULATION FER N. Y. STATE ENERGY CODE FI:~AL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because~of the following reasons. /_--/~ An application for Certifio~te of Occupancy is not on ~ile.(~c./o~Sc~/ /ZL No Underwriters Certificate on file. /Z~'~The check is (on3&~*~/not on file.)~ /~/ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. -Building Permit # _~ .~"" ~ .§--'~ Z Building Dept. ***/Z/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) xamined..~T~. ! .~'.., 19'~.'7 pproved...~.04h, e~..I.~,~. ., 19~..'/. Permit No. l h' 2~ .~...% isapproved a/c .... BOARD OF HEALTH AL.PC.. 3 SETS OF PLANS .o;t24..... 'FORM NO. I SURVEY ....... TOWN OF SOUTHOLD CHECK .... BUILDINGDEPARTMENT SEPTIC FORM .... /?[.~ ...... : TOWN HALL $OUTHOLD, N,Y. 11971 NOTIFY .~23 .~.6:?~. TEL.: 765-180:3 CALL ............ MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 5/l o 19 .?.~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ts 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appll- tion. 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 all be kept on the premises available for inspection tltroughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy all 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 ~filding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ae applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to !mit authorized inspectors on premises and in building for necessary inspectio~fl~ . )/'~.:~_ ............ (Signatur~Jof applicant, or name, if a corporation) (Mailing address of applicant) rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. amc of owner of premises ....... /. ~.~ff~.~.Ttq.... ~ ................................................. /(as on the tax roll or latest deed) 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 .... ~ py.'~:~ .... I'~ ....... Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work wilJ be done~ ... X "~b ......................................... : R0 ....... ....... .. Street Hamlet County Tax Map No. 1000 Section .... ]/.O .......... Block ~ ' Lot ~ ~ ................. ~ ~ '3663 (~ Subdivision ~T~ooD .~.~'T~T~: .......... Filed Map No ............... Lot ............ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. ~.~' .... '~ ~ ~.~ .... ~.~.&]. ~ ~ ......................... b. In~ended use an~ o~up~ncy .............................................................. Nature of work (check which applicable): New Building ..... ' ..... Ad~,tion ...... Alteration .......... Repair ........ ~ ..... Removal ~ ............. Demolition ......... I Other Work ............... i (Description) Estimated Cost ~ .~...~.o..0 ~. Fee ' " (to be phid on filing this application) If dwelilng, number of dwelling units ............... Number of dwelling unitsl on each floor. ............... If garage, number of cars ............................................. ' ...................... ..... If business, commercial or mixed occupancy, specify nature and extent of each typ~ of, use ................ ;r .... Dimensions of existing structures, if any: Front ............................ ~ ...... v .... tteight ............... Number of Stories ............................. ! ........................... .... : Rear D~mens]ons of same structure w~th alterations or ad&tJons Front ................................... Depth ...................... Height ...................... Number of Stories ...................... 17 .B. ..... / Dimensions of entire new construction: Front .......... ' ..... Rear ....~.o.. ' Depth ... Z. 7 ........ lleight Number of Stories ' ' Size of lot: Front Rear ' Depth Date of Purchase Name of Fenner Owner Zone or use district in which premises are situated Does proposed construction violate any zoning law, ordinance or regulation: ... '~'i ? .......................... Will lot be regraded ............................ Will exc. ess fill be removedl from premises: Y.~s. .N.o. Name of Owner of premises ........ Address . cm:o~;. ~..I .. Phone No .......... Name of Architect ................ ': .......... Address ............... i .. Phone No ................ Name of Contractor .. ,~'P.~4..~..q/g.d. ............ Address . .6..a$:r. I'qe.~.t~d...!... Phone~ No.3.2..~.'~ .~.~..7.6 .... Is this property located within 300 feet of a tidal wetland? ~¢Ye~ ..... No .V~... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fi:om perty lines. Give street and block number or description according to deed, and show, street names and re&cate whether ~'rior or corner lot. ! 'ATE OF NEW YORK, ' UNTY OF ........... S.S (Name of individual signing contract) ~ve named. being duly sworn, deposes and says that he is the applicant taw Public, . is the ...... ; ................. . (Contractor, agent, corporate officer, etc.) i said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this. ,lication; that all statements contained in this application are true to the best of his iknowledge and ;belief; and that the rk will be performed in the manner set forth in the application filed therewith. - om to before me this ............... ! [ ..... day of ..... .., ~.~:v~.....~:., ./Q.~./.~.. .... County I1~.;( ~ 0i''i ItELENK. O£VOE ........ NOTARY PUOLIC. State of New York No. 4707878 Suffolk County? Term Exp res March 30, 19.~..Ir-/ (Signature of applicant)