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HomeMy WebLinkAbout16021-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17414 Date OCTOBER 14r 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Propert~ 985 CARRINGTON ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 11 Lot 1.2 Subdivision Filed Map No. Lot No. conforms substantIally to the Applicatlon for Building Permit heretofore filed in this office dated MAY 5r 1987 pursuant to which Building Permit No. 16021Z dated MAY 28, 1987 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 ONE FAMILY DWT~,LING, ATTACHED GARAGEr REAR DECK. The certificate is ~ssued to JOHN F. & EILEEN EICH (owner, of the aforesaId building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-42 UNDERWRITERS CERTIFICATE NO. N008792 4/6/88 PLUMBERS CERTIFICATION DATED 1o/s/88 PERFECTION PLUMBING & HEATING 10/14/88 - / / Bu~l~ing Inspector Rev. 1/81 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) N~_ 16021 Z Permission is hereby granted to: ,ic ' ...~.z...~..~.....~..., ...................... ' ao. U.L.!. IIg',~ I . o~ ~,~,o~o~ o~...~..~.~.~~,.~.~.~.~ ........ .~-.~.~ ............ County Tax Mop No. 1000 Section ...... .]../../. ........ Block Building Inspector. ......... , 19~..~.., and approved by the Rev. 6/30/80 TOWN OF SOUTHOLD OCT t 1 t98 Budding DepartmentTown Hall ~.~_ ~ Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Thru application must be filled ~n typewmter OR mk, and submitted ~, ~ to the Building Inspec- tor with the foJlowmg; for new bullrings or new use' 1. Fmal survey of property w~th accurate Iocauon of all buddmgs, property hnes, streets, and unusual natural or topographic features. 2.Fmal approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3.Approval of electrical installation from Board of F~re Underwmters. 4 Commercial buildings, Industrial buddmgs, Multiple Remdences and simdar buddings and installa- tions, a certificate of Code compliance from the Architect or Engineer responmble for the buildmg. 5.Submit Plannmg Board approval of completed site plan requirements where applicable. B For existing buddmgs (proof to April 1957), Non-conforming uses, or buddmgs and "pre~existing" land uses: 1. Accurate survey of p~operty showing all property hnes, streets, budd,ngs and unusual natural or topographic features. 2Sworn statement of owner or previous owner as to use, occupancy and condition of buddmgs. 3 Date of any housmg code or safety mspect~on of buddings or premmes, or other pertment ~nforma- uon required to prepare a cert~hcate. C. Fees' Additions $25 00 POOLS $25.00 ALTERATION $25.00 1. Certffieateofoccupancv New Dwelling $25.00, Accessory ,$]0.00 Buszness $50.00 2. Certd~cate of occupancy on pre-exmtmg dwelhng $ I00.00 3 Copy of certfffcate of occupancy $ 5.00, over 5 years $ ]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ......................... NewC°nstvuctzon ...... Old or Pre-existing Buddmg ........... Vacant Land ............. Location of Property .... I . ~.. : ........................... .,. House No Street Ham/et Owner or Owners of Property ...~t~[ . .~. ~J.C.H. 3..E.~.L.%.F..~..~./.~..~ ............................. County Tax Map No. 1000 Section 11 ~ Block . II ....... Lot J[',~ .... Subd~vlmon ............................ Fded Map No .......... Lot No ............. Perm,t No. I ~..1~[ ~-._,Date of Perm,t .5~. ~i 77.,~, .Apphcent . . . .~...q~ . .~...'.....~. ........ Underwriters Approval .5.O. .............. Planmng Board Approval ..................... Request for Temporary Certificate .................. Final Certificate ...................... Fee Submitted $ ......................... Construction on above described buddmg and p~/~t meets allc~?cabie codes and regulations Rev 10 10 78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. (please print) P]umber ~~3 //~//;~/%~/~2~ (please print)J I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (p~umber's signature) Sworn to before me this ; G day of d~- Notary Public, County Notary Public Fax gove eet Gary F~%h boutholdTowe BuddmglL)epartment Mam Road, gauthold, NY 765-1523 Dear Mr Ft~h, As per our conversation of diis af~moon, I have scat thc memo ofzale from the property m question. A~ I mentionS, i ~ mtelested m getting ~c ~rtificale of occupancy m addition to getting a copy of~lte most recent ~urvcy t l possible I he SuffoJk Coun~ ~ m~ number ~ I O00-11 I- 11 - 1.2. Thank you For your t~mc and help ,.,AN 0 ~JanI29-97 04:22P Russ L'Ho,,.,,eDleu PT P.02 SELLER, REPUBLIC BANK Nome, FORECLOSURE Addte-a~Dne Hanson Place Brooklyn, NY Phone N~...[~718-488-4477 Fax NO. Z-7~8-488r4570 BUYER~ Name, ~US$ & ~DNNZ~R Address, 45125 Main Road Southold, NY 11951 REALTY CUTCHOGUE, N Y. 11935-1343 ($16) '.'3~-5657 FAX(SlS]?~-7~S DA l[. Januar}, 7 3[ [,L[II5 ' A I' TORNEY ~ REPUBLIC BANK Name: FORECLOSURE D~T. Add[ess, One ~anmon Place 1997 Brooklyn, NY 11243 Pl,~r~ No~-718-488-4477 Fax No. 1-718-488-4570 BUYER~' ATTORNEYx Nome: WILLIAM D. MOORE, ESQ. Address~ 315 Westphalia Ro~d ....... Mmt~ituck, NY 11952 MARION K1NG LJc ReaJ Estate Bmk~ Phone No. 765-9389 Fax No. 765-9369 LOCA;ION OF PROPERTYt 9~5 Phone No. 516-29B-9~7~ Fax No. 515-298-5664 Carri~g~9~ Road, Cutcho~ue~.N¥ 11935 SFLL[NG PRICL~ $225,000 UA~E OF CUNIRAETtTo Be Decided RFMARKS, 5.C,H. No. 1000-111-11-1.2 AMOIJNI 0~' BINDER~ - OATE QF C[0SINC-: To Be Decided Barr~NovicK HAR [[JN R. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE /~/~//~ ~*/~' INSPECTOR~~ 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL I' ] FOUNDATION [ ] FRAMING REMARKS: ~**~-~~ O/~*"~-~~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [v]~NSULATION [ ] FRAMING FINAL DATE /F/~///,~ 7 INSPECTOR .~/ ~ 765-/.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [']INSULATION FRAMING [ ]FINAL DATE~/Z~/~/~? INSPECTOR~ 76S-1802 BUILDING DEPT. INSPECTION OUNDATIO:; OUNDATION (2nd) OUGH FRAME & PLUMBING :ISULATION PER N. STATE ENERGY CODE FIL~A~ ADDITIONAL COMMENTS: -~/~ 31£/ ~/~c~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION /ND [ ] I~iSULATION / FRAMING E/J/FINAL REMARKS: DATE INSPECTOR .~'~, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION / FRAMING [~/FINAL DATE -~t,:...,L L , ; DEPT. OF,. HF. ALTH SEltVtCE~ Examined Approved . Disapproved a/c BOARD OF HEALTH ... S TS TOWN OF SOUTHOLD CHECK . -~-~-'/~- - - BUILDING DEPARTMENT SEPTIC FORM ..O.'J~. . TOWN HALL NOTIFY MAIL TO: APPLICATION FOR BUILDING PERMIT Date ?4/....vT.. INSTRUCTIONS a. Tbas application must be completely filled m by typewriter or m ink and submitted to the Budding Inspector, wit 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 adjommg premises or pubhc sir. or areas, and giving a detaled descnptlon of layout of property must be drawn on the diagram which is part of this ap cation c. The work covered by ttus application may not be commenced before issuance of Budding Permit. d. Upon approval of this apphcation, the Building Inspector will issued a Bmldmg Permit to the apphcant. Such pet, shall be kept on the premises avadable for inspection throughout the work. e No bmldmg shall be occupied or used in whole or m part for any purpose whatever untd a Certificate of Occupm shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmldlng Permit pursuant to, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulatmns, for the construction of buddings, additions or alterations, or for removal or demolition, as hereto descnb. The apphcant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and admit authorized mspectors on premises and m bulldmg for necessary lys~% ~.. (Sen~ure of applicant, or name, if a corporation) (Mailing address of applicant) //~'¢/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmld~ ..... O.q.O. ................................. Name of owner of prem,ses dO -~ F~') K ~/C-/'f ...... (as on the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ..... Plumber's License No .. Electnclan's License No Other Trade's License No .. Location of land on which proposed work wdl be done, lIouse Nulnber County Tax Map No 1000 Section //~ . Block Subd:vmlon (Name) Filed Map No Hamlet Lot Lot State existing use and occupancy of premmes and intended use and occupancy of proposed construction a. Existing use and occupancy k'/~'~'#':/? , ........ b Intended use and occupancy P~./c~6t.7~. qS./"UGZ.''~. /~"~'/gy -ePtq-Z~..ZZ('~.Fe- ............ 6 7. 9. 10. ----11 12 ~--13 14 Nature of work (check which applicable) New Building ~ Repmr . Removal .. Demolition Estimated Cost ...~.,.~/ ~..~ O ....... If dwelling, number of dwelling units .. / ...... Addition .... Alteration .. ....... Other Work ........... (Descnphon) (to be paid on filing this application) Number of dwelling units on each floor . .. If garage, number of cars ...... ~ .................................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ~,4 Dimensions of existing structures, if any Front ,,q/dC-. .. Rear ........... Depth .......... Height ....... Number of Stones .. D~mensions of same structure with alterations or additions Front ..... Rear ............. Depth . .: ..... Height.. Dimensions of entire new construction' Front Height gl. ~. t.... Number of Stones Size of lot Front /~O ~ . . Date of Purchase · . ~,. . . Number of Stones. I .u.. · 7. 2' P'2- '' Rear· 7~' ....... De';t{t' i~.~.~. ~'.. Rear i'~..~iO.? .:; :' il.'be~th'.=~'~../, i ']i.'iii'i Name of Former Owner ~7~ ~/-/~.(- ./[J, . wq' d.~ ~'.~ Zone or use district in which premises are situated Does proposed constructior~ vlolate any zoning law, ordlnanc;'orregUlatlon'''--- . ''ii.i' .i.ii i. .'' ''"'".J7~.~ WdI lot be regraded ,,~'.~--~ ...... . Will excess fill be removed from premises' ~ N~ Name of Owner of premises .~/. oFn,). ?7..~'(c,~.. . Address,~¢7. d~TH4m .Mo.~,o.. Phone No.5-/~ Name of Architect ...................... Address ............... Phone No ............ Name of Contractor ,5 ~..t_.~/ .... Address ........... Phone No 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ...~.. *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all bu,ldmgs, whether existing or proposed, and indicate all set-back d~rnenmons fro~ property hnes Give street and block number or description accordmg to deed, and show street names and indicate whethe lntenororcornerlot ~"a°~'l'~-Z~..lq,~t~/g~a~ ,r~. f? l'*~'t~~E' ~,~o..t~a.'ro~l STATE OF NEW YORK, COUNTY OF.. SSL (Name of individual mgnlng contract) above named ·. being duly sworn, deposes and sa that he is the apphcan 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 application, that all statements contained m this application are true to the best oflus knowledge and belief, and that th work will be performed in the manner set forth in the application filed therewith Sworn to before me this .. fi'-- . .. day of ..... ~..o~ ...... 19U N otaryPubhc, ~.t~' .~...,~..~.~. County5 ¢~_~ ~. ~.~., ~ ~IISU~. St~..~.~. ( Signature of apphcan ~ 4~787~ ~ C~NiGU£d5 ie[:FL~.,.'~g ML~14 C, LA -75 ~ I~T. HEALTH hlAP OF !--~4(%-EFH'Y / PLEASE NOTE L]' h'i 0 f-J,-~ ,'Vl L: It is the apph,cant's responslbihty to maintain adequate sanitary distance between all water supply and sew(-.ge disposal facdittes. i~l · -- i iii izI RODERICK VAN TUYL, P.C ,~. v'..-,._ -r"-~< LICENSED LAND SURVEYORS GREENPORT NEW YORK H S NO STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS for THiS RESIDENCE W,LL CONFORM TO THE STANDARDS OF THE SUFFOLK CC~DE~T OF .~AL~'H SERVICES SUFFOLK COUNTY DEPT Of HEALTH SERVICES - FOR APPROVAL Of CONSTRUCTION ONLY DATE , '~-~-~6 /', , H S REt NO APPROVED SUFFOLKCO TAX MAP DESIGNATION DIST SECT BLUE ~L OWNERS ADDRESS _ DEED L TEST HOLE ,I id STAMP SEAL - dTR .Z;kitQ~i~.ff, ~:'LFL~ ~rD i~l:.AN OLA LE~L:L. ,/ Iii, MQf',~UM [ I-,IT T'ITLP2 NO, STATEMENT OF INTENT THE WATER SUPffl..Y AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES APPLICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE , ,~, , s REF. NO ^~'.OVED .... - SUFFOLK CO TAX MAP DESIGNATION DIST. SECT BLOCK PCL {,~Z:)O ! I i I I 1,2 OWNERs ADDR[SS DEED L. P. I~l~l~ I~lC~I ., Ii ......., ~ANP~ G F~A,VE: L