HomeMy WebLinkAbout16078-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17657
Date JAN. 6, 1989
THIS CERTIFIES that the buildin~
Location of Property 2135 BEEBE DRIVE
House No.
County Tax Map No. 1000 Section 103
Subdivision MOOSE COVE
ADDITION
Block 04
Filed Map No. 3230
CUTCHOGUE
Street Hamlet
Lot 24
Lot No. 46
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 27, 1987 pursuant to which
Building Permit No. 16078Z dated JUNE 15, 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 ADDITON TO AN EXISTING ONE FAMILY DWELLING.
The certificate is issued to MARYANN E. FERRERI (owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N839082 OCT. 21t 1987
PLUMBERS CERTIFICATION DATED ROGER MC CARVILL JULY 22, 1988
Rev. 1/81
-- Building ~spector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, H. Yo
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NE i6078 Z
Dote ....... .../. ......................... ,
Permission is hereby granted to:
...... g..~....~...~.~.~ ........................
...~.~ .................................................
....~.~....~.~....~.:~: ........................... ,
· .......................................................................................
at premises located ot ....;~;~..~....~..~.~....~.....~.....~..: ........ ~~...~5~.. .....................
.... ~"'"~"~'~'""7'~ ............ ; .....................................................................................
...... ..~. ..... '~""--T' ....... ~ ........... ~ ...................................................................................
County Tox Mop No. 1000 Section ..... .~...~....~ ........ Block ....... .~...~. ....... Lot No ......~..~ .............
pursuant to opplicotion dated ..... ~......~.~...~ ....................., 19.~.~.., and approved by the
Building Inspector.
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ ~/ ~/Q~
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Location of Pr
HOUSE
Owner or Owners of Property ..................
County Tax Hap No. 1000 Section /~ Block L. Lot
Subdivision. ~.o.~ .C/'_;~£ Filed Hap ~2~ Lot d~
Permit No. .. rm.. .. .... nt ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $.. ~
,l ht
rev. 10/14/88
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000343
BUREAU OF ELECTRICITY
THIS CERTIFIES THAT
Maryamt Ferer~ Baebe Drive, Moose & Fawn~ Cutchogue= ~I,Y
in the following location; ~ B..sement [] Ist FL .[~ 2nd FI. Section Block Lot
~sexaminedon OC~O~e~ 5~ ~-98~ andfoundtobeinconplianceu, iththereqttlrementsqfthisBoard.
FIXTURE FIXTURES RANGES OVENS DiSH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
8
OTHER APPARATUS:
1~,,2~ Toa A/C ~ni~
3~Go F.CoI. 1.-Smoke De~etor
S E R I C
NO OF CC COND,I A,W,G
PER '~ / OF CC COND
z ~/o
7355 Main Road
Matti~u~.k N.Y. tl, 956 L~c. 783E GENERAL MANAGER
This certificote must not be altered in ant monn~r; re,urn ~o ~h~ o~ice of the 8oard i} incorrecL Mspeetors may be identified by *h~ir credentials,
COPY FOR BUILDING D~PARTMeNT. THIS COPY O~ C~RTIFI~T~ Must NOT BE ALTERED IN ANY ~NNER.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 15T [ ] ROUGH PLBG.
FOUNDATION 2ND[ ] INSULATION
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
765-~802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
~UNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
REMARKS:
DATE
//~ O ~ ~ BUILDING DEPT.
INSPECTION
[~FOUNDATION 1ST [ ] ROUGH pLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
REMARKS:
FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
DATE
/~ · , /q
INSPECTOR (_//c,~.,, ~/c~
,J
I1"'1
;~' O0' ~. - , 227.0
, L (~T · 45 -'.
P.O. BOX 325, MATTITUCK, N.Y. 11952 / 734-7171
Southold Town Building Dept.
Main Road
Southold, New York 11971
August 1, 1988
t TO BLDG. DEPT,
WN OF SOUTHOLD
To Whom It may Concern:
RE:
Building Permit No. 16078
Mary Ann Ferreri Residence
Beebe Drive
Cutchogu~
Our company insulated the above premises with
R-30 in the ceilings, and R-19 in the walls.
Very truly yours,
Irene M. Wells
Secretary
/~-CISLAU$ WINIARZ.
Notary Public State of N~.. ~
No, 52~9703725 ~ffolk COulll}'.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date
Building Permit No.
Owner
(please print)
(please print)
I certify that the solder used in th~wa~er supply system
contains less than 2/10 of 1% le
~ ~r '(plUmber s s~gnatu~e)
Sworn to before me this
~ day of ~/ ,
Notary Public, ~ County
OUNDATION
~(1st)
OUNDATION ( 2nd )
OUGH FRAME &
?LUMBING
'NSULATION FERN. Y.
STATE ENERGY
CODE
F I:,~AL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
· ?,°OUTHOLD, N.Y. 11971
.TEL.: 765-1803
.l~..~...I.~.., 19~.? ...Permit No. l~ 9.? ~..~..
Approved..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received ........... ,19...
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 ~ 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, ordinance~mg code, housing code, and regulations, and to ·
admit authorized inspectors on premises and in building for nec .~__ ~~
......
(Signature of applicant, or name, if a corl~r~rt-ion)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or 1 .
.................. ..........................................
Name of owner of premises . (fi']/~)./~./J R.~.~/YA/... E,..t~'-,ff~'.~qE',~./. ................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No....~.'~....O..~..~?....~. .........
Plumber's LicenseNo .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done.
....... ........ .................. ......................
House Number Street -~ / Hamle~
County Tax Map No. 1000 Section ..... ~Q~. ........ Block . ./. .............. Lot.... .............
Subdivision . ~q~
(Name)
2. State existing use and occupancy of premises and intended use~nd occupancy of proposed construction:
a. Existing use and occupancy . ~ ~.. ~...$t~W~ ......................... ~ ................
b. Intended use and occupancy ~.
3. Nature of work (check which ~pplicable): New Building ..... Addition .......... Alteration
Repair .............. Removal .............. Demolition .............. O~he{ Work ...............
~ (Description)
4. Estimated Cost ..... --~'~'t '~'q 'Q ...................... 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 relied occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, ifany: Front...~.2, ......... Rear . ..~,~ ......... Depth . ..~} ..........
Height . .k~.r. ......... NUmber of Stories ... I ....................................................
Dimensions of same structure with alterations or additions: Front .~ .~ ............. Rear .D. ~ ..............
Depth ... ~.[ ............. i Height .... ~.~../· >, ........... Number of Stories... I ....... ..: ...........
8. Dimensionsqf entire new construction: Front .. a~cl,. ~ ........ Rear . ~.~: 6,,7 ....... Depth . .c~-.{ ...........
Height . .~ ..~ ........... Nt, pber of Stories ... [ ...........................................
9. Size of lot Front a~.~.' Rear c~.~ .' .............. Depth . .I.~..~ ..h~(~ ...........
10. Date of Purchase ......... ; ................... Name of Former Owner .............................
1 1. Zon0 or use district in which ~remises are situated .... ~'¢~ .~ ...........................................
12. Does proposed construction v[olate any zoning law, ordinance or regulation: ...~.-~. .........................
13. Will tot be regraded .. ~..../04. ~. ........... .... Will excess fill be removed from premises: ~ No
14. Name of Owner of premises . i.~]X~t~r~a.[-bv~.-~g,£C°iO,[. Address .... f~..e.~a e .~ .... Phone No ................
Name of Architect . ~e~to~ .%.':.~/~a[, ......... Address D.o.~m~ ..tCtt~b~td .... Phone No. ~ .-/.~t .c?..~. ~....
Name of Contractor. ~.¢.~;b~b...-'~71 .~'~-~- ~t~.~r./,Address ................... Phone)~..~..~. ,-~q .~. ....
15. Is this property locate~ withinl:00 feet of a tidal wetland? * Yes ..... _k~_~ ....
· If yes, South~ Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW)~D~Ir-/, . /., i S S
/../...c~..~,._.-~.._~...~.. r.~ ,~/~..~rx..~x.. ....... being duly sworn, deposes and says that he is the applicant
f(,(Name of individual signing contract)
above named. /3 ~1 i
,s ....... .........................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is dhly authorized to perform or have perfo~ed the said work and to m~e and file this
application; that all statements cohtained ~ this application are true to the best of his knowledge and belief; and that the
work will be perfomed in the m~fler set forth in the application filed therewith.
Sworn to bef¢re me this ~
........ ~ ..... ~.day ?f .../ ...... , ...
Nota~ Pubhc, ~. ~.
~', ~ommisston EXpires 12-31[-88 !'