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Home My WebLink About16013-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCcupANCY No Z-25264 Date SEPTEMBER 11~ 1997 THIS CERTIFIES that the buxldin~ Location of Property 80 SAILORS LANE House No. County Tax Map No. 1000 Section 111 Subdivision AL'r]~aATION Street Block 14 Lot 8 F~led Map No. Lot No. CUTCHOGUE ~ N.Y. Hamlet conforms substantially to the Application for Building Permit heretofore filed in th~s office dated MAX 4~ 1987 pursuant to which Building Permit No. 16013-Z dated MAY 27, 1987 was lssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is ~ssued is ENCI~OSE PORCH AREAOF ~XISTINGONE FAMILY DW~.INGAS APPLIED The certificate is issued to of the aforesaid building. (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H-056819 - SEPTEHBER 5, 1997 N/A Bu~fld~ng InspeCtor Rev. 1/81 lrO~ NO. '~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) County Tax Map No 1000 Section ..... ./..././. pursuant to opplicat,on dated ..... .~....~..~. Building inspector. '~ Fee $..~.... ............... Building In.q:~ector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN FALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thzs applzcatzon must be fzlled zn by typewrzter OR znk and submztted to the buzldzng znspector wzth the following: for new buzldzng or new use: t. Fznai survey of property with accurate locatzon of ail buzldmngs, property lznes, streets, and unusual natural or to~ographzc features. 2. Fznal Approval from Health Dept. of water supply and sewerage-dzsposal(S-9 form). 3. Approval of etectrzcai znstailatzon from Board of Fzre Underwrzters. 4. Sworn statement from plumber certifyzng that the solder used mn system contazns less than 2/10 of I% lead. 5. Commerczal buzldlng, zndustrial buzldzng, multzple reszdences and s~mzlar bumldzngs and installatzons, a certifzcate of Code Complzance from archztect or engzneer responszble for the buildzng. 6. Submzt Plann=_ng Board Approval of completed site plan requirements. For existing buzldzngs (prior to Aprzl 9, 1957) non-conforming uses, or buzldings and "pre-exzstzng" land uses: i. Accurate survey of property showmng ail property lznes, streets, buzldzng and unusual natural or topographic features. 2. A properly completed applicatzon and a consent to inspect szgned by the applzcant. If a Certzfzcate of Occupancy ms denied, the Buildzng Inspector shall state the reasons therefor mn wrzting to the applzcant. C. Fees 1. Certzfzcate of Occupancy - New dwellzng $25.00, Addztzons to dwellzng $25.00, Alteratzons to dweilzng $25.00, Swzmmzng pool $25.00, Accessory building $25.00, · Addztmons to accessory buildzng $25.00. Businesses $50.00. 2. Certlflcate of Occupancy on Pre-e~istlng Bu~ldin~ - $I00.00 3. Copy of Certificate of Occupancy - .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of 0ccupancy - Resldentzai $15.00, Commercial $15.00 Date .... New Constructzom .... ~ .... Old Or Pre-exzsting Buzlding ................. Loca=on o~ Property~a.J~.~--/~Z~. 2.~'.~ e~ouse ~o. ..... ~=~C~7~'C'~ ............. o~w~ o~ O~r~ o~ ~=o~r~..~.~.~.~.~/~ .................................. Co=~ ~= ~ ~o ~000~ ~an../(K ....... ~o~ .... ~ ........ ~o~ ..... ~ ............. Subdzvision ........... ~ .............. .. ........ Filed ~p.. .......... Lot ................ ..... . ..... .................. ~ea~eh Bepr. Approval ....... ~.~ ............... ~nde~r~rars ~ppro~al ........ ~ann~ng Board ~ppro~al ........................ Reque~ ~or: Temporary Certificate ........... ~na~ Card.cato ........... Fee Submzt~ed: $ ......... ~ ................... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~c~. ~ ~_~ l~7 BUREAU OF ELECTRICITY --- 85 JOHN STREET, NEW YORK, NY 10038 THIS CE~IFIES THAT O~y ~ e~tr~ ~Ulp~eAt ~ ~ ~ O~ int~c~ by t~ ap~ant ~m~ on the a~ ~at~ numar ~n ~ p~m~s of ROBERT }~, 80 SAId'RS ~E, CI~CH~UE~ NY m thefollow,ng Iocat,on, ~ B~ement ~ I~t FI ~ 2~ ~t ~t,on Bilk ~ examined on ~UGIJ~9~ 2q ' 1Qc~ ] and found to be tn comphance with the N~onal Electnc~ Code. fiXTURE / I / RXTURES I RANGES ICOOKiNG DECKSI OVENS I DtSH WASHERS EXHAUST FANS O~JTLETS rEt'EPTA~[~S SWITC#E$ ~NCAND~SCE ,t%K1~ESCENT OTHER ST K W ~T K W AM! K W MT K W NK! . , (~,.H~. NY. 11935 ~~ GENERAL MANAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Mmn Road P O Box 1179 Southold, New Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 5, 1997 Robert & Muriel Heald 80 Sailors Lane Cutchogue, N.Y. 11935 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 is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 16013-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. OU~DATIO~ (1st) OUNDATIO:~ (2nd) OUGH FRAME & PLUMBING '~SULATION PER N. Y. STATE ENERGY CODE FI::AL ADDITIO~AL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~FINAL FIREPLACE & CHIMNEY DATE INSPECTOR Approved . Dmapproved a/c . . ~L~LO ~4a--! BOARD OF HEALTH .. ' h'9 .... ~ U3;c~- &]2~ 3 SETS OF PLANS ....... SO VE . · · TO~M OF SO~THOhD CHECK ...... B~ILDIN~ DEPAMTME~T SEPTIC FORM ............. : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 · 19'~ ? ,19'~.'/Permit No APPLICATION FOR BUILDING PERMIT NOTIFY CALL MAIL 7::'''~;0' ~'~ ~ Date .......... 19.. INSTRUCTIONS a. Tins application must be completely filled in by typewriter or ~n ink and submitted to the Budding Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showmg location of lot and of buddings on premises, relationship to adjoining premises or pubhc streets or areas· and giving a detailed description of layout of property must be drawn on the diagram which is part of this apph- caUon. c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector will issued a Bmldmg Permit to the applicant Such permit shall be kept on the premises available for mspechon throughout the work e. No bmldmg shall be occupied or used in whole or in part for any purpose whatever untd a Certificate of Occupancy shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Braiding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances m Regulations, for the construction of buddings, ad&tlons or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, budding code, housing code, and regulations, and tc admit authorized mspectors on premises and m building for necessary inspections. (Signature of applicant, or name, if a corporation) (Marling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · y-/..O e/'/ .................... (as on the t~x roll or latest deed) If apphcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUS,~ UF O K LICENSED Buflder's License No z ~-.7%/ ~t~..~ COIINT¥. Plumber's License No ........ Electrician's License No Other Trade's L,cense No -- 4 ./~.. :d.~.//>,~. 6/~d.4fA ', 5' Location ofland on wlnch proposed work will be done /l°w./// ~'/z~ ff~~z /'/'~. House Number Street County Tax Map No I000 Section /,// Block .. ,/.~. Lot ~ 2 Subdlwmon .. Filed Map No .. Lot (Na~ne) ' State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Exishng use and occupancy ~. ff/"~' .. b Intended use and occupancy . /;te/~.d~/4"~/ /i~.'.~ ........................... 3. Nature of work (check which applicable) New Budding .... Ad&t~on ...,g-'T.. .. Alteration ...~'"~. . Repair Removal .. Demolition ... .. Other Work ....... f/ .,~...(~..~,..~.~. (Description) 4 Estimated Cost '~ ~ ~ ~ Fee (to be paid on filing this application) 5 If dwelling, number of dwelling units....// ........ Number of dwelling units on each floor ......... If garage, number of cars ....... ~.. ...................................... 6 If business, commercial or mixed occupancy, specify nature/and extent of each type/of use . ... ~ .; ..... 7. Dimensions of ex,sting structures, if any Front.. ,~.,fT( ...... Rear ../. ~ .... Depth .. Height ~>- ' . .. Number of Stones .. /. ......................... Dnuenslons of same structure with alterations or additions Front . /; ./~"/ . . .. Rear ... ,-5?/ .~ Depth .. /.,~. ~..-v-. ~- f" .... Height ..... o~.. f. · ...... Number of Stones ..... ./. ....... Dimensions of entire new construction' Front ./'~ Rear ,~.'f~. f ...... Depth . ./..'-'.~ Height -~..{ .. Number of Stones / . 9. S~zeo£1ot Front ......... o Rear ................. Depth .. 10. Date of Purchase~F~- .. ~. fi>'.~ .... Name of Former Owner ........................ 11. Zone or use district m which premises are situated 12. Does proposed construction vlola,t.e any zoning law, o}~hnance'or r;~iat;o'n i"i~ iii ii'ii . i'ii. 13. Will lot be regraded ... .,.'4/4~. ....... o.,I. . Will excess f~tl be~'emoved from premises: Yes Address oc~d~ ,,~(Z?.P'~.,,/u~/,~Phone No. ,~.~.~. '~f ~>'~. 14 Name o f Owner o f premises 7~.~ ~/./~/2ffdgZ2/d/~.' '~ ~ '~ ~ ' / ->'' Name of Architect .............. ~ Address ............. Phone No ....... ,., . Name of Contractor ,~./~'~ d~.~..~/dC/~.~. Address,~.~]~/(,~./. -.. . Phone No ~. ?.~..'4'~~/.i' . 15. Is this property located within 300 ~eet of a tidal wetland? '~¥es ..... No .~... *If yes, Southold Town Trustees Permit maybe required. PLO~F DIAGRAM Locate clearly and distinctly all bufldmgs, whether existing or proposed, and indicate all set-back d~mens~ons fro, property hnes. Give street and block number or description according to deed, and show street names and indicate wheth. interior or corner lot. STATE OF NEW YORK, COUNTY OF SS (Name of individual signing contract) above named ·. being duly sworn, deposes and says that he is the apphcm He is the .................. (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th apphcation, that all statements contained m this application are true to the best of his knowledge and belief, and that tl work will be performed in the manner set forth m the application filed therewith Sworn to before me this ......... ~2~ day~,fof NotaryPubhc, .. .~.,-....~--'..- ..~'~T..... County kX)T~,y pUBLIC, StYe o~ New. ' ......... hlo. 4'7078/8, ~,ojk ,,~u. nt~ (Signature of apphcan ~,COUPANCY OR .USE IS UNLAWFUL ~o,~_'O/~THOUT CERTIFICATE ~"~ OCCUPANCY