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Home My WebLink About16442-zFO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18419 Date SEPTEMBER 26e 1989 Locatlon of Property 23900 MAIN ROAD House No. County Tax Map No. 1000 Section 109 Block 03 Subdivision Filed Map No. THIS CERTIFIES that the building ALTERATION~ RENOVATION & ADDITION CUTCHOGUE~ N.Y. Street Hamlet Lot 01 Lot No. conforms substantially to the Application for Building Permit heretofore filed in thms off~ce dated SEPTEMBER 8, 1987 pursuant to which Building Permit No. 16442-Z dated SEPTEmbER 9, 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ls issued is ALTE~ATIONf RENOVATION & DECK ADDITION TO EXISTING ONE FAMILY DWEIff,INGASAPPLIED FOR. The certificate ls issued to WILLIAM & SHERYL J~ (owners) of the aforesaid bumld~ng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-092247-SEPTEMBER 18~ 1989 H/a - /~ Building Inspector TO%VN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERAAJT MUST BE KEPT ON THE PREMISES UNTIL FULL COAAPLETION OF THE WORK AUTHORIZED) N_o 16z142 Z Permission is hereby granted to* .~..~..~...~.....~,..,...~~ ....~.:..~.,....r~.,.~...~ ....................... ..~.~~.__~.. :.~,.....u~.~ ................ . -~.- · -~.,~..~.~.,...~...~~....~ ......... : .......... : ........................ ~. ..................................... at premises located at ..'.c~...~...6~.......~.....o,:~.....j~.., ........... ~~~ .................... ..... . ..... ........ ~,oc~ ......... %...~..{ pursuant to applicatior~ dated ..... .~..~..~....~.. ....... , 19...~..~., and approved by the Budding Inspector. Rev. 6/30/80 TOWN OF SOUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. NEW YORK 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUFANCY DATE ............. NEW CONSTKUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property ......... ...................... HOUSE NO. STREET co~t~ T~= ,~p No. ,ooo s~t~o..Z~.. B~oe~ ...~... Lot . ! Subdivision ....................... Filed Map ........ Lot .......... Permi~ No. ~.~.~...Date of Permit .~J~/¢?...Applicant Health Deps. Approval .................. Underwriters Approval Plauaing Board Approval Request for Temporary Gertificate ....... Final Curtilicate ................ Fee Submitted: $ .................... rev. IgJl~J88 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWPl OF $OUTtIOI,D OFFICI~ OV BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL $OUTIIOLD. N.Y. 11971 AUGUST 31, 1989 TEL. 765-1802 WILLIAM & SHERYL JIMENEZ P.O. BOX 420 CUTCHOGUE, N.Y. 11935 TO Whom This May Concern, We are unable to complete your Cert~fzcate of Occupancy because of the followzng reasons. /5/ An application for Certificate of Occupancy ~//Ms not on file. /_ o Underwriters Certificate on file. /~/ The check [t,(outdated/not on file.) /-/ No 1lea]th Dept. Approval on ~ile. /--/ No final insDectzon h~s bee~ made. Please contact our office on this matter. Thank you for yot~r cooperatzon. ih~lldin<3 Permit ~ I 6 4 4 2 Z Dul ld inq Dept. *~*/~/ tfo Plumber solder Certificate on file. ( all permits xn~olv]ng plumbing being issued after Aprzl 1,1984 ) ~Y WILLIE J'S HOME IMPROVEMENTS 519 Main Street Box 578 Greenport,N.Y. 11944 (516)477-0369 WILLIE J'S HOME IMPROVEMENTS 519 Main Street Box 578 Greenport,N.Y. 11944 (516)477-0369 N,'IA ~ N ' t /"4 C.:UTCHOGUE .~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING INSPECTOR FORM NO 1 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SE?TIC TOWN HALL $OUTHOLD, N.Y. 11971 NOTTF¥ TEL.' 765-1802 CALL MAIL BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... FORM TO: Examined ~~ (~ App roved~.X{.~ ~ Disapproved a/c ,19~q , 19fI1 Permit No ) ~.L{ (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. Ttus application must be completely filled m by typewriter or in ink and submitted to the Bmldmg Inspector, wi sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showmg location of lot and of buddings on premises, relatlonsh~p to adjoining premises or pubhc sh · or areas, and gxvmg a detailed description of layout of property must be drawn on the diagram which is part of th~s a cation. c The work covered by ttus apphcatlon may not be commenced before issuance of Budding Permit d. Up~nappr~va~fthisapphcati~n~theBu~dingInspect~rw~issuedaBu~dmgPermitt~theapphcant Suchpe shall be kept on the premises avadable for mspectlon throughout the work e. No bufldmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occup. shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Braiding Department for the issuance of a Bmldlng Penmt pursuant tc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordmanc. Regulations, for the constructmn of buddings, addmons or alterations, or for removal or demolition, as herem descn The applicant agrees to comply with all apphcable laws, ordinances, budding code, housmg code, and regulations, an admit authorized mspectors on premises and m budding for necessary inspections. (Signature of applicant, or name, if a corporation) (Malhng address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or buff (as on the tax roll or latest deed) If apphcant ~s a corporatmn, s~gnature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR*S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .... ],q/0,.~..~ -14~ , Plumber's License No ~,~,/~t2 Ot~/4~. Electncmn's License No Other Trade's License No .... Location of land on which proposed work will be done House Number Street County Tax Map No 1000 Section Hamlet Block .. s-~ .. Lot Subdtv~s~on Fded Map No Lot ...... (Name) State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction a Existing use and occupancy b Intended useandoccupancy ~5'/d~/7'/Tdl~/ "' .f~ ~ ~w'~'~' ''~'~'~'~ 3 4 5. -8. 10, 11 12 13. 14 Nature of work (check which applicable) New Budding ...... Addmon . , Repar ......... Removal ....... Demolition ........... Other Work, Estimated Cost. . ./ .... - ,~, .. . If dwelling, number of dwelhng units .. . If garage, number of cars .~... 15. Is this property located withmn 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permit may be required. PLOW DIAGRAM If business, commercial or mixed occupancy, specify nature and extent of each type of use Dnnensions of e.x~stmg structures, if any Front ,, ...... ,,. Rear ............. Depth ............ Height ............. Number of Stones .... ], ,t/,Z 3'~.~ .~ ................... Danenmons of same structure with alterations or additions Front ........ Rear Depth .......... Hel~t ........... N~mber of Stones. . ~//~ ,S~} ~ ~ ~ D~mens~ons of entire new construction Front ,. ~ Rear ............ Depth ........ Height ......... Number of Stones .. ]~ ~z. ~'~X~. ...................... S~ze of lot Front ~vDv ~ .... Rear ............ Depth ,, .~ ......... Date of Purchase ~fi~fi~7 ...... N~e of Fo~er Owner . Zone or use &strict m which premises are s~tuated ........................ Does proposed construcnon violate any zomng law, ordinance or regulatmn ..... ~O. Will lot be regraded .............. W~ll excess fill be rebuff from premises Yes N or Owner of premises Aaaress Wone No.. N~e of Arctutect ........ t , - ........ Address ........... P~one No Nme of Contractor. ~ ~~ .... Address ~.~ ~ Phone ~ ~q¢~ff Locate clearly and distinctly all bmldmgs, whether exlstmg or proposed, and indicate all set-back dimensions fro~ property hnes Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. COUNTY OF, ~ ~./~/ . "" '- b 0~t [ [ { ~ ~-, ~ ~Q ~ ~- - being duly sworn, deposes and says that he is the apphcan: (Name of mdlv~dual signing contract) above named . ' ,e~sthe , . .~47~, ~ ..... (Contractor, agent, corOor~te officer, etc ) of smd owner or owners, ~d ~s duly authorized to perfom~ or have performed the sa~d work and to m~e and file tN: apphcat~on; that all statements contmned m th~s apphcat~on are true to the best of h~s ~owledge and behef, and that work will be perfo~ed m the m~ner set forth m the apphcat~on filed therewith. Sworn to before me th~s ~ ~ s~t Cou2tv~ · ~~lr~ember '~ ~ o