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Home My WebLink About15854-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N,Y. Certificate Of Occupancy bio. Z1745~ Date OCTOBER 25, 1988 THIS CERTIFIES that the building ...... ~. PP.?. ! 9.~. ................................ Location of Property 305 BIRCH LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 0.8.3. ........ Block . . .0. ! .......... Lot 29 Subdivision ...B.I..R.C.tt..H..I.L.L.8. ............... Filed Map No. ~.9.0..8...Lot No..1.4 ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated MAR. 23, 1987 pursuant to which Building Permit No. 15. 854 Z dated . . A..P.R.I.L...4., i . 1, 9. .8 .7 ........... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wttich this certificate is issued is ......... Deck & sunroom addition to an existing one family dwelling. The certificate is issued to CHRISTINE & TODD V. SCHROEDER ..................... b;f,,'o;, ' iir& ..................... of the aforesaid building. Suffolk County Department of Health Approva[ ....... Iq /A UNDERWRITERS CERTIFICATE NO. N020737 7/6/88 & 7/29/88 PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEFAltTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15854 Z Date ....~ .................................. , / Permission is hereby granted to: r'"""-') -~ .... ~]...~.~~ ...................... .................................. ~. ..... m:.~....~.~ .......... a ..................... ~o.~.~.....~.....~..~....~./~.....~....~...~..~ at premises located at ..~...O..~.......~....~..~....,.~~t-~m~ ........................... ..~..~..~.~..~....~.~.~.~ .................................................................... County Tax Map No. 1000 Section ......~:)'~.........~...... Block ........~....~ ......... Lot No....~..c[ ............. pursuant to application dated ,.,....,~,~,,,,.,,~.,..~ ................ , 19.?...~.,, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions BL£)G, D,2P'f. TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hall Receipt NO, 03601~ Southold, NewYork 11971 Date ....... /?./,~....5~./(...~....~. .................... Received of .......... z.~......~,..... · ........ · .......... ..................................................................................... ...... ..*.. .............................................. Fo~ ..... ~:.~:...~./....7.¢...~./. ............ ~ ........... T.~....~...~ .......................... Fee for Fee for ~-'-~ Yard Sale [] [] ......... ~...~.~ ..... Fee for Fee for r_],.Certificate [] HJ,C, L~ Building Permit I~1 of Occupancv [] Misc, Building Department Owner or Owners of County Tax Ma[No, 1000 Sect on~}~ ~ Block Subdivision... ~~ ~ ~,~ F ed Map No~.. ~ Lot No. ~.~ ........ Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. THE NEW YORK BOARD OF FIRE UNDERWRITERS 10(~tT?'~0 BUREAU OF ELECTRICITY I---' 85 JOHN STREET. NEW YORK, NEW YORK 1003B Date ,1U],Y 2~ ~ 'I 988 Application No. on file ~5~Tq988/R8 ~ 02':)77i7 THIS CEIl'rIFlES THAT Mdy th~ dectrtcd ~quipme~t as d~crlb~d ~ .nd introduced by tl~ ~oplicant n4M on th~ above application .umber in th~ premises of S~.H~AD~R, B~RCH L,RNg, CUTCHO,UE,..N.Y. ~ examin~ ~ J~ 0.~, ~ 9 ~ ~ andf~nd to be in complian~ with the ~qui~ments of th~ ~. FIXTURE RXTUIES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MC)TOG FUTUR~ AR~IANCI ~ TIMe CLOCKS ~ DI$CONNE~T S E R V I C E 6000 ~I~TT ~OTOR$: P.~NEI,BOA. ADS: 1-16 CIR. M .(.HARi, J. RgARDON P.O. BOX 404 S. HAMPTON , NY, ?~969 This certificate must not be altered in any manner; return to the office of the Board if incorrect. P,r be identified by fl~ir credentials. ~ F011 BUII.DMG DEPARTMENT. THIS COPY OF CERTIFiC&TE MUST NOT BE ALTIRID IN AHY MAJ4411L 6000 WATT STEAM {INIT-/ MOTORS:l-1 H.P. PAN~LBOARDS:I-]6 CIR. ]00 OU~~ ( 1 s t ) OUNDATION (2nd) OUGH FLUMBING 'NSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING REMARKS: ROUGH PLBG. INSULATION [/-~NAL DATE 7~54802 BUILDING DEPT. ~ INSPECTION /~~NDATION~ 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 76S-1802 BUILDING DEPT. INSPECTION ION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ,~,~ / ! FINAL 7GS-J.80;Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION [ ] FRAMING REMARKS: FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FO~UNDATION ZND [ ] INSULATION FRAMING [ ] FINAL TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .... , 19~. .~. Approved ~..~..., 19~..~. Permit No..1.~~. .~.~.'.~...~ Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 'FORM NO. 1 SURVEY TOWN OFSOUTHOLD CHECK''~<.''~--.'c~ BUILDING DEPARTMENT SEPTIC ?0RM ............. MAIL TO 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 necessary inspections. (Signature of applicant, or name, if a corporation) State whether applicant is_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ./ff. z? o .................................................................................... ~ame o~ owner oI premises ....................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ALL CONTRACTOR'S MUST BE SUFFOLK COUN~TY LICE4NSED ~ % Builder's License No~ .~.~7... ~ ...~yc4./~ ¢:~z~-~ ¢_.trqt-/ Plumber's License No..~..~.. ~./.?./.~..--~Y~. .......... Electrician's License No. ~,ygs~...C..'~..A). ........ Other Trade's License No..,q.~Y..~..z)X~. ·-~./4. ....... 1. Location of land on which proposed work will be done~ ................................................. County Tax Map No. 1000 Section . .8-~. ............ Block ..... t ............ Lot...~..~ ............. Subdivision..~.1. ~(l.~-.....~. I./.~.% ................ Filed Map No..L~.O.8 ....... Lot..l.~/ ........... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy..¢] [ ~ I~--~.. ]~.~..~, I)Z .t.~.. LaP. ~, !! iK]~..~ ............................. b. Intended use and occupancy . %~5~.. ~ ~ ....................... 3. Nature of work (check which applicable): New Building ' Addition ...... Alteration .......... Repair .............. Removal... ~. · ......... Demolition ............ ~. Other Work ............... ..~.g 7.t?.O.~ .c~..~. ' i (Description) 4. Estimated Cost .......... '. · Fee ..... ] .... (to be p~id on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units ion each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type!of use ..................... .. Depth .~/ ............ ..... /, .~../.- ....... 7. D~menstons of extst~ng structures, ~f any: Front..~. ~, ......... Rear . Height . . . .Z'. ?'. ~. ....... Number of Stories . ..c~. ........... Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth Height ' Number of S ~ories 8. Dimensions of entire new construction: Front ~' ~ .......... ' ..... Rear .... ~..t ....... Depth .../.~: ........ Height ............... Number of Stories ... ~...zCf~_. ............................................... 9. Size of lot: Front ...................... Rear ...................... Dbpth ...................... ]0 Date of Purchase Name of Former Owner" · ] 1. Zone or use district in which premises are situated ........................ i .......................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ~..~.I .......................... ]3. Will lot be regraded ...... .,44.~. .................. Will excess fill be removed from premises: Yes 14. Name of Owner of premises /FJ.~., ?../ff~... ¢¢.~.~¢rt~'~Address .~..,t4~?'.~.4;_O.~,.~.. i- r. Phone No ................ Name of Architect ~tP~7'~)'O~7/~:i?.?.o. rt~tS~.. Address .,/~A~....7'~.~/~... i" Phone No. c2¢.~:-.¥¢/.F;... Name of Contractor ./~ r.~. ~. ~5:.//~r°,r~ ...... Address ~.~.~./..~ ?.~/~4~. ~,.. Phone No. ?q;~.~.c>~ 25. Is this property located within 300 feet of a tidal wetland? *Yes] ..... (~ .... · If yes, Southold Town Trustees Permit may_ be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indi¢ate ail set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show ~treet names and indicate whether nterior or corner lot, 3TATE OF NEW YORK, S.S ~OUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) : ~bove named. te is the ............................................................... : ........................... (Contractor, agent, corporate officer, etc.) i ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ihis :pplication; that all statements contained, in this application arC, true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ;worn to before me this (Signature of applic~,nt) ' ' PLUMB _,,,,,.r,.:NT BEFORE. ~ ~.~ ~ ~ mr ER cERTIFICATION WITHOUT CERT]FICATE i / /