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Home My WebLink About16003-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18032 Date MAY 16~ 1989 THIS CERTIFIES that the buildln~ Location of Propert~ 490 SADDLE ROAD House No. County Tax Map No. 1000 Section 095 Subdivision OREGON VIEW EST. ONE FAMILY DWELLING Street Hamlet Block 04 Lot 18.9 Flied Map No. 6241 Lot No. 9 conforms substantially to the Application for Bulldlng Permit heretofore filed in th~s office dated OCT. 15~ 1984 pursuant to which ORIGINAL BUILDING PERMIT NO. 13546Z Building Permit No. 16003Z dated MAY 21, 1987 was issued, and conforms to ali of the requirements of the applzcable provzszons of the law. The occupancy for which this cert~fzcate is · ssued ~s ONE FAMILY DWELLING. The certificate is issued to PETER & JUDITH VICTORIA (owner, Y~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUFaBERS CERTIFICATION DATED Rev. 1/81 14-SO-182 MAY I0r 1989 N039918 OCT. 14t 1988 PERFECTION PLUMBING & HEATING 4/24/89 Bu~l~nspector ~O~W HO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ...... '~ ..~.......~......iit.~.~ ...................................... ....e~T.~.~......~..:~.,....u..~..~:. .~ ot premises located ~ ...... .~. .............. ~....~.~ ............ .O.d~~ ...................... "?':""-:'" ~-~ "%5.~i'.4.1i;.i~'i'iii177171 ............................................................ County Tax Map No. 1000 Sect,on ..... ..~..?J. :~ ..... Block ......... .~...~ ...... Lot No....I..~.'.~ ..... pursuant to application dated .... ~ %....)..~ .......... , 19..~.~...., and approved by the Bmlding Inspectar. Building Inspector Rev. 6/30/80 FOltM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER, AlT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13546 Z Permission is hereby granted to: ~ __ ........ ~~.....~,..../,4.~ ............ ........... ...... .....~.~.~.~..;...~....~......z~z£¥ ,o ........ ....,:;~.~.~. ~ .c'Z....... ~ .~..... z-~.~...,,,~, z ~.... _~.~../~...~..~_... ............ ........................................................................................... :: .............................. :: ............... ::. ot premsses located at ........................................ .~.~..~. ..... ~,u..~.z~.~?.......~Z.m' .. ............................................... .................. County Tax Mop No i000 Section ~ ...... Block ...~....~... ........ Lot No. ~./..~...~.. .... Building Inspector. Building Inspector Rev 6/30/80 BLDG. DEPT. TOWN OF TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 I1971 APPLICATION FOR CERTIFICATE OF OCCDPANCY NEN CONSTRUCTION ...~....OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ~JI~ ...... ~ HOUSE NO. STREET ~ ~..q-~,.~..- ~,~.~, O 0 f P t~ co..~y Tax .ap No. ,0O0 Sectio...~25. Block ...~.~.. Lot Subdivision. ~'~.. }.c~O.~ ....... Filed Map ..... Loc .......... ~ ~o. 1¢~o.~...~ o~ ~.~21.~3.~~ ................... ~ealth Dept. ~pproval .................. ~nderwrlrer~ ~pCroval .............. Planniag Board Approval Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ .................... 'eVe 10/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY (~(:'!'O~;~ 14 i.,~B5~:~ JOHN STREET, NEW YORK. NEW YORK 10038 THIS CE~IFIES THAT o~y t~ ~t~ ~uipmeat ~ ~ ~ ~ int~u~ by t~ ~ont M~ on the a~ ~t~ numar ~ t~ p~s of Bilk ~s examifl~ on and found to be in com~ance u, lth the r~ui~ments of th~ ~rd. RXTURE OUTLETS SWITCHES HXTUIIES RANGES OVENS ~S~WASHERS EXHAUST FANS DRYERS FURNACE MOTORS Iq)TUll AEqiUANCE NIMRS TMMCLOCKS OF CC. CC)ND. I C E rhis certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR EIJILDII, r., DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MAI~ER. TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date I certxfy that the solder used in the water supply contains less than 2/10 of 1% lead. system (plumber's signature) Sworn to before me th~s Notary Public, ~k-- County Notary Publzc HELEN lC DE ItOTARY PUSLfC, State of New ¥o,-k No 4707878 Suffolk,County Term IExp res Malrch FIELD INSPECTION ~ DATE COMMENTS 1. FOUNDATION { 1st) ROUGH FRANE ~ ,, PLUMBING c~ ~ ,~,,i~,' ~ '"~ 8q~7-~ INSULATION ~ER N.Y. ~~ STATE ENERGY ~ODE , ~ ~ . ~~~, 765.1.802 BUILDING DEPT. INSPECTION FOUNDATION 1.ST FOUNDATION FRAMING REMARKS: [ ] ROUGH PLBG. ZND [ ] INSULATION DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ]/ROUGH PLBG. FOUNDATION 2ND / ] INSULATION [ ~FRAMING [ ] FINAL REMARKS: DATE TOWN OF SOUTHOLD OI:F[CE OF BUILDING INSPECTOR P.O BOX 728 TO~,V N tlALL SOUTHOLD, N.Y. 1197I 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 Certificate of Occupancy~/~,j, is not on £11e. /~/ No Underwriters Certificate on file. /--~ No IIealth Dopt. Approval on file. /5/ No f~nal inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Bu~]d~nq Permit I~ ~ ~ ~ ~ ~ Z Bu%ldlng Dept. ***/~/No Plumber Solder Certificate on file. ( all permits ~nvolv!ng plumblng beinq %ssued after April 1,1984 ) TOWN OF SOUTHOLD O[:[,ICE OF I~UILDING INSPECTOR ILO. BOX 728 TOWN IIALL $OUTtIOLD, N.Y. 11971 TEL. 765-18~2 ThJa i~ Lo advise you that the job under buildin~ perml ~ no. 13546Z issued ~o James Lane on _11/_1_9~_8 4__ _. for New Dwelling is completed and ,~ f~nal ~n,.i,e~'~ion ha,, ( ) has not ( X ) been dose. An Underwriters Certificate is needed 1. ord~,r to comple[e this file. it i~ necessary that ,, qcrtlfica[c of 0~cup.~ncy be issued. Please fill oat the encloqed form, ret.rs same to the above office wigh a check for $25.00 p.~yahl~, ~o tho Town of SouChold. Please {ndlca~e ~o Whom the C(,ctif~cate of Occupancy is ~o be mailed, and arrange with chis of[ico [or an inspection date Occup,~ncy or u..e 1.7 unlawful without a Certificate of Occupnncy. Ptease he~p .s to clear np this matter so that legal action does not have to b~, taken. Thank you for yo.r prompt attention. Very truly /~, VicCor Lessard Exccut ire Administrator VL:gar er]c] . TO~/N OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N Y 11971 TEL 765-1802 May 11, 1987 James Lane 6 Reunrte Road Baywood Estates E. Setauket, N.Y. 11733 Dear Mr. Lane: I had Mr. Lessard review order to determrne the amount Permrt. your applrcation due for a new Borlding Based on the rates now zn effect the amount due rs $i25.00. Please make the check payable to the TOWN OF SOUTHOLD. I wzll mazl the new Burlding Per- mit to you. Thank you. Yours truly, Secretary Examined ~.o'7,/' .~ .~. Approved /~/~'~.. /. f Disapproved a/c FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL 765-1802 (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No ............. INSTRUCTIONS a. Tins application must be completely filled in by typewriter or ~n ink and submitted to the Buildmg Inspector, with sets of plans, accurate plot plan to scale Fee accordmg to schedule. b Plot plan showing locabon of lot and of buddings on premises, relatmnship to adjo~mng premises or public street or areas, and g~vmg a detailed descnptmn of layout of property must be drawn on the dmgmm which is part of this appll cation c. The work covered by this apphcatlon may not be commenced before issuance of Budding Permit. d Upon approval of flus apphcatmn, the Building Inspector will ~ssued a Budding Permit to the apphcant Such perm~ shall be kept on the premises available for mspectmn throughout the work. e. No budding shall be occupied or used In whole or m part for any purpose whatever until a Certificate of Occupanc, shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the ~ssuance of a Bmlding Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulatmns, for the constructton of buildings, add~bons or alteratmns, or for removal or demolition, as hereto described The applicant agrees to comply w~th all apphcable laws, ordinances, bufldmg code, housing code and regulations, and t( adm,.t aut.hor~zed inspectors on premises and m budding for necessary ~nspec~ns. 4. ........ (S~g~aj~ure of applicant, or name, ~f a corporatmn) (Marling address of apphcant) State whether applicant is owner, lessee, agent, arcintect, engineer, general contractor, electncmn, plumber or bmlder .... / . ............ Name of owner of premlses ~-'<~ ~-~ - J'~ . .. (as on the tax roll or latest deed) If apphcant is a corporation, stgnature of duly authorized officer (Name and t~tle of corporate officer) Builder's License No .. Plumber's L~cense No"'~ .~.~. Electrician's License No d/ Other Trade's L~cense No 1. Location of land on which proposed work will be done House Number Street County Tax Map No I000 Section . ~)fi;~,0~ . (Name) ~ 2 Hamlet Block .... '~7' .. Lot ' '/'~' °7 Fded Map No Lot ~ State existing use and occupancy of premises and intended use and occupancy of proposed construction a Exlstlng use and occupancy ~-~,~--~'~ ~-~.~,'.,'~ -~g'~?.~?~/t~/~- ..~..~.~-.... b Intended use and occupancy ~./~w. ~'~9/~t~:~//~2~r' "''~ .... ...... . '. 'e ~ ,'~;: 'r~ '~?~,~.i' *ir~:~ .... R a~r ~ .... _~. Removal ~i'm-$e~r-'~f dwellin~umts . :~gT. work (check which apphcable) New Budding g Addition Alteration ....... Demohtlon ......... Other Work ......... · (Descnptmn) ~ .~.O c~(~ Fee ............................. (to be paid on filmg this application) · J ...... Number of dwelhng units on each floor...[ ......... If garage, number of caxs .......... t~) .............................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...['~(l.,:qr"/g~.c~. ....... 7. Dm~ens~ons of ex~stmg structures, if any Front ...... Rear ......... Depth ......... Height ......... Number of Stones .................................... Dn-nens~ons of same structure with alterations or additions' Front ............. Rear ........ Depth ..................... Height ............. l ........ Number of Stones ............ ~ ........ 8 Dimensions of entire new construction Front . . ~ .~ .... Rear .. ~5'.~--'~ .... Depth ...~ ....... Height l~. I ........ Number of Stones . . .~ izeoflot Front l~,BO ~ ... ' ' ' ' ' ...... ' ''' 9. S' . ............. ~ear....~.~. ...... De;th {.~'¥.'.~>..~.~l~ /10. Date of Purchase . .~..A~.. t.C ?.~. ,/~.~'i'~ ......... Name of Former Owner ~ .~_7~..~..A~..u//...~. ) ~.S~ v-! 1 Zone or use d~stnct in which premises are s~tuated ................................. 12. Does proposed construction violate any zomng law, ordinance or regulation .M.'9. ...................... 13 Will lot be regraded . . .~t~,~,~%,~ : ,...,:~ ..... Will excess f'fll be removed f~rr~,,remlses Yes 14 Name of Owner of premises q .~ .~-:~..1~4977 . . Address .~...~.~ ~-~...~2,.*~ne No..r~'-?. l.~'... Name of Architect .... .t5" .~'~-~..I~...l.~* ~* ...... Address l.~.'l.~ .~.~. ?.~.~hone No '~.~.1-l'l~ . .. Name of Contractor .................... Address ................. Phone No ........... PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, whether exlstmg or proposed, and. indicate all set-back dmaensions fron- property lines Give street and block number or description according to deed, and show street names and indicate whethe, mtenor or corner lot. STATE OF NEW Y/0 .R~ ,~' ./' ,, o COUNTY OF ~. .. ~o C/ cxr~~'~"°(Name of ~ndw~dual s~gnmg contract) above named ...... .................... (Contractor, agent, corporate officer, etc ) of smd owner or owners, ~d ~s duly authomed to perform or have perfo~ed the smd work and to m~e and file ~s apphcatmn, that all statements contmned m tins apphcat~on are true to the best of his ~owledge and behef, ~d that the work will be perfomed ~n the m~ner set forth m the apphcatmn filed therewith. Sworn to before me thts Not~ mubhg~~.'~~w' :. County ~D~ T. ~RR ~ ~ ~ ~- -~ ~ .... //, ~ ~' ('~ .... : ......... ~ ~ ~ ~q // (Signature of apphc~t] L/ "it should be noted that slnce thls property is located in en agricultural ~rea, the exists thor the water supply contain trace amounts of pesticides Special analy SINGLE FAMILY DWELLING JFFOLK COIJNTY ~LPAqlMENT OF HEALTH SERVtCF FOR APPROVAL OF CONSTRIJCTION ONLY PROVED ~ tcPARTM£NT-DAT~ FOR APPROVAL. TO CONSTRUCT . SURVEY FOR JAM~S £ANE LOT NO 9 ~ "OREGON VIEW ESTATES" AT CUTCHOGUE TOV~N Of' SOUTNOLD SUFFOLK COUNTY, NEW YORK DATE SCALE NO CE FI~O ~rT PENNY LUMBER ~ I.~. /co, HEALTH DEPARTMENT-D'~-TA FOR APPROYN- TO CC~NSTRUC T .~ISDIYI$10N MAP F/LEO IA( THE OFF/CE OF TIlE CLEBK OF' S~FFOLK COUNTY ONAPR, 4~19~ AS hTLE NO 6~41 # r~ LOCa*tl~ ~e' WELL(W), S~PTIC 'rA#Kl$'r)& CESSPOOLS(O,) SURVEY FOR P;7'~B ,/. I/I~TORIA ~1 JUDITH ,4. I/I~TO~?I.4 LOT NO 9 , "OREGON V/EW ESTATES" AT CUTCHOGUE DATE ~O~N OF SOUTHOLD SCALE SUFFOLK COUNTY, NEW YORK NO JULY I~ 88-0808 YOUNG s YOUNG ALDEN W, YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S UCENSE NO 12845 HOWARO WYOUNG~ LAND SURVEYOR NY~ LICENSE NO 45895 400 OSTRANDER AVENUE RIVERHEAD~ NEW YORK "it should be hated that since this property is located in an agricultural ' area, the possibi~ty exists that the ~ water supply ma~-.~contain trace t amounts of pesticide's anODe qitrates. ,~, Special analysis "7"~'~1/~, i'ec~ire~. ,e~ ~ ~/ ,~ ~.. I~ I X ._,, X ./. / ~ . / .~ - ~.~. ~'/~ ~ / / 8INGLE FAMILY DWELLING~NLY ,~ su~v Fo~ SUFFOLK COUNTY DEPAqTMENT OF HEALTH SERVice5 J~LANE ~0~ NO ~ ~ 'O~EGO~ ~/~ ~STAT~S " FOR APPROVAL Ok CONSTRUCTIOn4 ONly ~T CU~C~ D~T~ DATE ~ H5 REF. NO ¢ SUFFO~ COUNTY, NEW ~RK No 8~- 8~1 HEAL~ DEPARTMENT-DATA F~ APPR~ ~ C~STRUCT ~,~/,z~ ~%?~- ;,~/ ~ YOUNG & YOUNG ~.o~..~..,v..~o,... ~o.. ~BDIF/~ION MAP F/LED IN THE ~FICE OF THE C&~ff ~ ALDEN W ~UNG, PROFE~IONAL ENGINEER ~FFOL~ ~NTY ONAP~ 4~19~ ~ NLE WO ~1~ ANO ~ND SURVEYOR N Y.S UCENSE NO 12845 HOWARD W YOUNG, LAND SURVEYOR · " I~ copper lubing is used system; piping shall be of types K or L only ' I NOTIFY BUILDING DEPAK~M~I(iT AT 765-1802 9 AM TO 4 [~M FOR THE FOLLOWING INSPECTIONS: L FOUNDATION _ TWO REQUIRED FOR POURED CONCI~ETE 2. ROUGH . FRAMING 8, PLUMBING 3. INSULATION 4. F/HAL - CONSTRUCTi'~N MUST BE COMPLETE FOR O 0 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF ~HE N.Y. ~ATE CONSTRUCTION~ ~ ENE~Gv CODES. NOT RESPONSIBLE F~q DESIGN OR CONSTRUCT/ON ERRgRS' I L .1 rr