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Home My WebLink About16426-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17457 Date OCTOBER 28f 1988 THIS CERTIFIES that the building. ONE FANILY DWELLING Location of Property 2880 LINDEN AVE. (MOORE'S LANE) CUTCHOGUE House NO. Street Hamlet County Tax Map No. 1000 Section 116 Block 01 Lot 8.2 Subdivision WINDS WAY Faled Map No. Lot No. 02 conforms substantaall¥ to the Applacataon for Buald~ng Permit heretofore faled an this offace dated SEPT, 1, 1987 pursuant to which Building Permit No. 16426Z dated SEPT. 4f 1987 was issued, and conforms to all of the requlrements of the applicable provisions of the law. The occupancy for which thas certificate is issued is ONE FAMILY DW~LT.ING~ ATTACHED GARAGE AND SECOND FLOOR SUNDECK. The certaflcate as issued to WINDS WAY BUILDING CORP. (owner, xx~ccax~zccccccix) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVkL 87-SO-157 JUNE 9~ 1988 UNDERWEITERS CERTIFICATE NO. N040185 OCT. 17~ 1988 PLUMBERS CERTIFICATION DATED STEPHEN O'CONNOR OCT. 20~ 1988 Building In~pect~ Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT Cf'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne-16425 Z Perm~ss{on is hereby granted to: ...t .......... '"~'~ ......... ~ .......... ~'~'~'~ ........... *~'-';'-: .... ~ ........ 7 ...................... ;~'""? ......... *.'"*~ ..... County Tox Map No 1000 Section ....... LI.A .. , ,,~k ..... ..~.! .......... L., No .~ ..~ ~ pursuant to apphcation dated .... ..~.~...~... ! ............. , 19~..., and app~v~ by the Building In~ector. 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 A. This applicatmn must be filled in typewmter OR ~nk, and subm,tted ~ ===.=.-=- to the Buildmg Inspec- tar w~th the followmg; for new buddmgs or new use. I. Final survey of properW with accurate location of all buildmgs, property lines, streets, and unusual natural or topographic features. 2. F~nal approval of Health Dept of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical instailatton from Board of F~re Underwriters. 4. Commercml buddings, Industmal buddings, Multiple Residences and similar buildmgs and installa- tions, a certificate of Code compliance from the Architect or Engineer responmble for the buddmg. 5. Submit Planning Board approval of completed rote plan requirements where apphcable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" [and uses: I. Accurate survey of pZOperty showing all property hnes, streets, bullrings and unusual natural or topographm features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housmg code or safety inspection of buildmgs or premises, or other pertment informa- lion required to prepare a certificate. C. Fees' Addlt zons $25.00 1.Cert~ficateofoccupancy New Dwelling $25.Q0, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existmg dwelhng $ 50.00 3 Copy of certlhcate of occupancy $ 5.00, over 5 years $]0.00 5.Updated C.O. $ 50.00 Date .............. NewCons truc tzon. '~ .... Old or Pre-ex~stmg 8uddmg ............ Vacant Land Locat,on of Property ...~... ................... ~_F.z: ........... . .......... ~ .... House No. ~ / z Street ,~ / /-/am/et f . OwnerorOwneso .rope y ........... .......................... County TaxMapNo 1000Sect,on ../.J..(' ........ Block... (p.......... j Lot.........~ ...... Subd~wsron ................... Fded Map No ........... Lot No ............. Permit No .......... Date of Permit ........ Apphcant .................................. Health Dept Approval .................... Labor Dept. Approval ....................... Underwmters Approval .................... Plannmg Board Approval ...................... Request for Temporary Certificate ............... Final Certihcate ....................... Fee Submitted $ ..................... Rev 10 10-78 :~ELD iLS~ ~CTiON ,IIDATE ~t COff~£NTE FOUNDATION ( FOUNDATION ~( 2nd ) 2. ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL COMMENTS TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 1197l TEL 765-1802 CERTIFICATION Date Bullding PTrmit No. Owner (please ~r~nt) ! / (please prznt) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's szgnature) Sworn to before me this [ day of ~x~ , Notary Public, ~/~ County Public HE/-EN K, DE VOE NOTARY PUSI.IC, State of New .. ~,_470787~, Saffolk Cok~My~" [~m txpJ~-e~ Match ~0,19 .- ~- 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ i ROUGH PLBG. / FOUNDATION 2ND [~]/~NSULATION FRAMING FINAL DATE 765-1802 BUILDING DEPT. INSPECTION ] FQ~DATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ]FINAL , / INSPECTO~~ 765-1802 ~"~UILDING DEPT. INSPECTION FOUNDATION 1ST I~OUGH PLBG. FOUNDATION ZND ~. ~ INSULATION FRAMING [ ] FINAL DATE/~~ INSPECTOR ~~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ],ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL j/ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~UGH PLBG. ~ ~ FOUNDATION 2ND [ ] INSULATION [ ~F~MING [ ] FINAL REMARKS: ~ ~ ~ . ~ 765-1802 BUILDING DEPT. INSPECTION / [if]FOUNDATION 1ST [ ] [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. INSULATION FINAL DATE / ~ INSPECTOR ~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 7.000] ~') BUREAU C~ ELECTRICITY OCTOB~'.R ]'~, ~ 98~I~5 JOHN STREET. NEW YORK. NEW YORK 10038 52345087/87 ~ppl~.~ion No. on ~il~ WAY BIJ~I,D[~G CORP., ~)R~S LANE, CUTCHO(;UE, RXTURE RXTURIS ~ OVENS D~YBIS Ft~NA¢I! MOTOW{ RJTUR~ AIW, LIAN(~ ~ TIM~ CIOO~S UNiT HIATUS {~JLTt. OOT~T SlRVIC! D6CONNICT S i: ! V I C i 4 TON {k/C UNITS-% 2 7/2 TON A.C UNITS-] AIR HANDI,ERS-3 MOTOI~S: 2-~ H.P. SMOKE D~TECTOR: -2 t/0 2 /0 PAUl, R. BUI~NS 275 TOWN I'{ARBOR LANE SOUTHOI,D, NY, This certificate must not be alter~:l in any monet; return to th~ office of the Board if incorrect, may be their COi~Y FOl~ BUI~ DEPARTMBqT. THIS ~ OF CERT!FICATE MUST,.H~_,.,BE~ALT~iIM ~ ~_ .~_ ~_ Approve~r~', b-,+ q Dmapproved a/c . . BOARD OF HEALTH ...... 3 SETS OF PLANS .-~- .... FoRr~ No , SURVEY .,,.. ,~ · TOWN OF SOUTHOLD CHECK.~/.':,-.w. 16.(~'.'~.,/' BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL $OUTHOLD, N Yo 11971 TEL.. 765-1802 ,19~'7 PenmtNo/~l~.~ (Building Inspector) APPLICATION FOR BUILDING PERMIT NOTIFY CALL -/'- -7-~'~ '~/~ ~ ..... Mo~L TO: - · ~ C~ [. ~,,,>',.:, , INSTRUCTIONS Date ...... a. Ttus apphcat~on must be completely filled in by typewriter or m ink and submitted to the Building Inspector, with .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 pubhc street or areas, and glvmg a detmled description of layout of property must be drawn on the diagram which m part of th~s appl catmn. c. The work covered by fins apphcatlon may not be commenced before issuance of Buddmg Permit d. Upon approval of this apphcahon, the Bufl&ng Inspector will issued a Budding Permit to the applicant Such perm~ shall be kept on the premises available for mspechon throughout the work e. No bmldmg shall be occupied or used ~n whole or in part for any purpose whatever uiml a Certificate of Occupanc shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmldmg Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of bufldmgs, ad&tlons or alterations, or for removal or demohtmn, as hereto describe, The applicant agrees to comply with all applicable laws, ordinances, bud&ng~ode, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspe,etiohs ! ~ , ~,~ ·. .... (Signature of apphcartg, or name, if a corporffhon) ,v,' (Marling address of applicant) r State whether applicant is owner, lessee, agen~ architect, engineer, general contractor, electrician, plumber or buflde~ ......................"' ............................... Name of owner of premmes ~'~"~c/'~.~ ~. ~-~1~ the.~tax ' (as on roll or latest deed) If apphcant ~s a co~.n~tya'e~, d.y,b~ autho~nzed (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 Lzcense No County Tax Map No 1000 Section Subdtvis~on J~£ktff Jl /6~ Location of land on which proposed work will be done House Number Street (Name) Bloc .. I .... ot../. Filed Map No - .. Lot 2 State e\lStlng use and occup,mcy of premises and intended use and occupancy of proposed constructloll a Existing use and occupancy b Intended use and occupancy ,. Nature of work (check which applicable). New Budding Repair ........ Removal ..... Estimated Cost , 2[ o.o.,, o. .o'aT~. . . i. If dwelling, number of dwelling units . . If garage, nuInber of cars . ~ .. Addition ....... Alteration Demolition ....... Other Work ....... (Description) · (to be paid on filing this apphcat~on) Number of dwelling units on each floor .......... ,. If business, commercial or mixed occupancy, speckfy nature and extent of each type of use ................ '. Dimensions of existing strUctures, If any Front .. . Rear ...... Depth .. Height .... Number of Stories . ............... D~nenslons of same structure yath alterations or additions Front ...... Rear ......... Depth ......... N,¢~:. ~ '~. dl~.~. Height ...... ~ ..... Number of Stones ......... ~ , . ~ ~ . . I. Dm~enslons of entire new construction Front . /.2 l. 6 . .. Rear ..../~-. I ... 6.t'. ... Depth ....~.I; ;6 ....... Height .... 02 0: ~ ..... Nm}jber of Storms ....... l {.6~ ........................ Size eliot Front · .,~¥,.~.~o~.~.r,. ,... . Rear .............. Depth ............. ~. ..... I Date of Purchase .... /),,1~°¢, ......... Name of Fenner Owner ~(-/~..-- .~'~0~ = .... Zone or use district m which premises are situated ', Does proposed construction violate any zoning law, ordinance or regulation' /~..o ........................ ', Will lot be regraded .... ./q//~ ........... Will excess fill be removed from premises Yes Name of Owner of premises . ~. ~M'~'o'd~//~ ~' .~Address/),,~l ~/'~,-..~//r~ ...... Phone No Pt,.~.:./.2~.~5'7... Name of Architect ................. f. Address ..... ~f~..~./.~ . Phone No ........... Name of Contractor .... ~.,.,-4._~ ........ Address .............. Phgne No ........... ~. Is thzs property located within 300 feet of a tzdal wetland? *Yes ..... ~'~ No ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and indicate all set-back &menslons from operty lines Give street and block number or descnptlon according to deed, and show street names and indicate whether tenor or corner lot. · RK 'ATE OF NEW Ye , S S )UNTY OF...~. ....... -~ (Name of mdn'ldual signing contract) ore named. · being duly sworn, deposes and says that he is the applicant is the .................... (Conira;idr, ;g;~t, 'c;r~ora't~ 'o'rfi;;r,'e'tc ') .......................... said owner or owners, and is duly authorized to perform or have performed the said work and to make and flit tins phcatlon, that all statements contmned m this application are true to the best of Ins knowledge and behef, and that the )rk wdl be performed in the manner set forth m the application filed therewith. .'om to before me this .............. day of .................... 19 .. ,tary Public.. ....................... County (Signature of applicant) I SUFFOLK CO. HEAJ~'[-.~ DEPT. AI~ROVAL N,V.CONFORI J~SY~EMS FOR T~THISsT ~,D~RESIDENCE~EWILL [ SUFFOLK CO. TAX MAP DESIGNATION: FIN~ ~AL LAND SURVEYORS G~EEN~T NEW YOEK ----: ! SUFFOLK CO. HEALTH DEPT..~"~U:)'VAL i~' w:,:,. ~-cm~ '-: ":'Y !dAP OF' Pt~OPE[2T'~,' ..s .o.~-~o,a~'7 " "~-,w~'~.' ~.~,.._'Wll!i):~ ,,,,,'AY BUILDING COr2P. ,z...:~: '". "' ~, - [& ~ *, ~ ~ ~S~ ~ ~ ' '*;' ':'~' * · ~E~ FOR T~S R~ WILL · ~OLK CO. D~T. O~ <~LTH ~V~C~. ~ , '~ . , ~t . .~t~, . , ,~, .~ ~ -~ ~/ - ~,,.: ...... ~ ~[ .~- .'~ ~ ~ e~- ~,,--~ ~ ...... ~ t · .~ .; ..... O ~'; ~. _~: , .~ ,.~-~' . ~~z - ..... ~ ~i ~,~ / - · y ' ~ '-~ N.a~' 19'~"~. r 9e~.o~ ./,,.~ / . : ~OLK. CO. T~X ~ ~~: ~ ~ / - . , ~./ ~ . ~, ~ , 1 ,. '~ [ ' ',.-,:/.,'~ (~) a/'~ ,.' , , .., ~ ~ t'.'..- ,.,.' ~'.'~,,~ ~ . ~ / i/ I- --~ ......... ~ ,eT~5.' ~, ~· .... . ........ 2:q:?:t:." '_'~'. ...... ,.~~' ~z~ ~.~.,:~.~. C~,'DCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF, OCCUPANCY