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Home My WebLink About16473-zFORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18752 Date JANUARY 30, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 325 OLD MENHADEN & 2090 WUNNEWETA RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 07 Lot 20 MAP OF SECTION D NASSAU subdivision PT. CLUB PROP. Filed Map No. 806 Lot No. 391 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 21, 1987 pursuant to which Building Permit No. 16473Z dated SEPT. 27~ 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 DWELLING, WITH DECKS. The certificate is issued to RICHARD T. WEISS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-169 NOV. 16, 1989 UNDERWRITERS CERTIFICATE NO. N057771 FEB. 9, 1989 PLUMBERS CERTIFICATION DATED STEPHEN O'CONNOR JAN. 21, 1990 Rev. 1/81 FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 16473 z Date ......... ~ ..................... Permission is hereby granted_to; ,-.r~ . , .... ............... at premises located at ~,~...d~...~'~°-~....~..,.~..~.....~.,.~c&-~.:.....~~, County Tax Mop No. 1000 Section ........ J,.I.L ......... Block ...... ,.~..,"1, ....... Lot No .....~,0, ........... pursuant to application dated ...... .~...~....,~. ,i ......... , 19.~.].., and appr~ by the Building Inspector. Fee $., ~. ,.~,,,!,,,~,.~,,,~. ·. Building Inspector Rev. 6/30/80 LDG. DEFY, ' , TOWN OF SOU~-IOLI~ ' TOWN OF SOUTHOLD TOWN HALL SOUTHOLD, NEW 765 -- 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ................. NEW CONSTRUCTION - w// -.OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ uous~ NO. ~0~ ~,, sTr~ ~ UA~LZT Owner or Owners of Property ...... , co~t7 Ta~ ~ap No. 1000 ~ec~o..f(~.. Blo~ ..?.... Lot'. ....... Subdivision ....................... Filed Map ........ Lot .......... Permit No ......... Date of Permit . -Applicant ...... Health Dept Approval ' ' ' ................ Underwriters Approval .............. Plannimg Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ .................... rev. FOl~.f NO. 6 TOWN OF SOUTIIOLD BIJILDING D E PAKTF,~NI' TO~[ I1ALL 76.5- 1~02 APPLICATION FOR CERTIFICATE OF OCCUPAN(~f INSTRUCTIONS This application must b~ filed ia typewriter OR ink and submitted to the Buildlag Inspector with the follpwing; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and nnusualioatura1 or topographic features. 2. Final approval of ~ealth Dept. of water supply and sewerage-dlsposal(S-9 form). 3. Approval of electrlc~l installation frem Board of Fire Underwriters. 4. Sworn statement fromI plumber certifying that solder used in system contains less' than 2/10 of 5. Co~merclal bu~ldxngs, industrial buildings, multiple residences and similar. buildings and xnstallatxous, a certificate of code compliance from the Architect or Engineer responsible for the hull'ding. 6. Submit Planning Boar~ Approval of completed site plan requirements. For existing buildings i(Prlor to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of plroperty showing all preperty lines, streets, buildings and unusual natural or tlopographic features. 2. A properly completed, application, a consent to inspect signed by the applicant and a certified abst;ract of title issued by a title company which shall show single and sepalrate ownership of the entire lot prior to April 9, 1957. · If a Certificate of.Occupancy is denied, the Building Inspector shall state the reasons therefor in iwriting to the applicant. 3. Date of any housinglcode or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certif£cate of Occupancy: I. An application for ~acant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership Of,the entire lbt prior to April 9, 1957 shall also accompany the application. I~ a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy om pre-existing dwelling - $I00.00. 3. Copy of Certlfacate of Occepancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Opdated Certmf~¢ate of Occepancy - $50.00 6. Temporary Certificate of Occupnncy -$]5.0,0 Residential Commercial er,. I0/;4/$$ FOUNDATION /(1st) FOUNDATION f2nd) ROUGH FRAME & PLUMBING IN$ULATION PER N. STATE ENERGY CODE FINAL TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765~1802 BLDG, DEPT. TOWN OF SOUTNOLD Date Building Permit NO. /~ ~7~ Owner ~19~ Plumber (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this ~ day of ~ , · Notary Public Notary Public, ~d- County 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ LATION FRAMING ~r,~ FINAL REMARKS: DATE r I N S PEcTOR,,,/~ ~--g~ 765-1802 BUILDING DEPT. INSPECTION INSPECTOR~ lg ?'/3 & 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST {- ] ROUGH PLBG. [ ] FOUNDATION ZND [ ~NSULATION [ ] FRAMING FINAL DATE I N S PECTO R/_///.~ (.~~ ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~'ROUGH PLBO. FOUNDATION ZND [ ] INSULATION [~/J"'FRAMING [ ] FINAL DATE, INSP£CTO./~]~ ~/~ 76S-1802 BUILDING DEPT. INSPECTION [V~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL 7ss.,8o2 BUILDING DEPT. INSPECTION [ F~OUNDATION 15T [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 T~IS CERTIfieS THAT in the following location; [] Basement [] 2nd FI, (;~ii/~'l"t~]C Section Block Lot and found to be in compliance u'ith the require~nen t,s *if this Board. FIXTURE FIXTURES RANGES OUTLETS SWITCHES OVENS DISH WASHERS EXHAUST DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO, OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R V I C ,,/il NO, OF NEUTRALS GENERAL This certificate must not be altered in an), manner; return to the office of the Board if incorrect. Inspectors may be identified by their TO' FN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR iLO. BOX 728 TOWN HALL SOU I'IIO!.D, N.Y. 11971 January 19, 1990 TEL. 765-1802 Mr. Richard Weiss' 86 Kingsbury Road Garden City, N.Y. 11530 To Whom This May Concern, We are unable to complete your Certificate of Occupancy becau~3e .of the following reasons. /'_~/ An application for Certificate of Occupancy is riot on fil~.. (ENCLOSED) /--/_~/ :1o Underwriters Certificate on file. /~// The check .[s~LlYd~[~d/not on file.) $25.00 / 1';o Ilealth Dept. Approval on zzle. /.--_/ r:(~ final inspection has been made. Please contact our office on this matter. Thank you for your cooperation.' Building Permit tl I 6 4 -7 3 Z Bui ldi~,~[[ Dept. *~*/_~ ~lo Plumber Solder Certificate on file. ( all perraits involving plumbing being isl;uod after April 1,1984 ) SUFFF SYSTEN~ CONFOPt SUFFOLi. SUFFOLL SERv¢¢ CONST~ DATE __ SINGLE E×PtRE$ TWO YEA~ DIST.. /, -,'," 1: DEED. L... TE'~T BOARD OF 3 SETS 'FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY $OUTHOLD, N.y. 11971 TEL.: 765-1802 CALL HEALTH · .~-. OF PLANS ....... FORM ./. ........... : .7. g ...... MAIL TO: Approve~. ~ i ~i i, 19iil Permit No. ).~..q.~..~..~.. ~ Disapproveda/c ........................ .............. [\1 I[~ IIIml ~11 II (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis application must be completely filled in by Wpewriter 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 oz 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 insp,*ctions. (Signature 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 builder. ..... ................................................................................ Name of owner of premises .... 'J.~/.~../?..~..~..~.....77.'....~...-~'~'./..~.'~. ....................................... (as on the tax roll or latest deed) If applicant is 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 ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done~ . .~..~.~.J~..../~..o~....r-....~.~.~.,.}.%~..~-~.../~....~. ~ ........ 345 .................... ..... ................ ..... ................. House Number Street Hamlet County Tax Map No. 1000 Section ...... /./../ ......... Block .... 7. ............. Lot....~r..~. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) State existing use arid occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .....~..... Addition .......... Alteration .......... Repair .............. Removal ........... Demolition .............. Other Work ............... (Description) 4. Estimated Cost . ]0~, 0~.~ ................... Fee ..................................... ' (to be paid on filing this application) 5. If dwelling, number of dwellin units....~.d~..~. ..... Number of dwelling units on each floor ................ Ifgarage, number of cars . , ........................................... .... ......... 6. If business, commerciaLot mix~d occupancy, specify ngture and extent of each type of use" ' ~ . ~ . i'. ..... ' ' Dimensions (~f"existin ~{ru'~'~ i~anv' Front ~/~/e~' p~ n~,,,~ " 7. g r~ , _. ........... ~ ............................... Height ............... Nur~ ir of Stories ...................................................... Dimensions'of~[s~ll[ ' tilterations or additions: Front ................. Rear .................. pth ' .~..'~. ~ ight De ........... e ...................... Number of Stories ...................... Dimensions of~ntire~ll0~.qg, ltl !;!on Front .... ?.~. f.. ..... Rear ....7. ~.: ....... Depth .. ~.. ~.. f ......... Her ht .. /,~ ',~.. ;~*Y2.'.t :r, of Storie~ g ~ ~.- ~ ........ ~.~:~ . - ..... /.. ~ ....... , .................... Size ofl6t: rto/~t .~:':~'~(~.~ . . 21. .... :. ~Rear .... ,~.*.~..., iii. iiiii. '~)~;[~' i ;i].g. :q. i ~.~'.tl ........ Date of Purchase .. ,~z?..,~./.&,i ~..; t~.' ...... wner ..... .~'~., .......~ ............ . Name of Former O 14/~ ;~' ~". Z~',~I'Z~ ' Zone or use district in which ~remises are situated ..................................................... Does proposed construction vi41ate any zoning law, ordinance or regulation: .. ~ ........................... ·. Will exces~s fill be removed from premises: ~'s ' No NameWill lot be regraded of Owner o f premises/.~(~.~...' "~r ..... ~ ............ Ad dress ~.~..~g .~..~'i~/.~_ .~.~. ~. · ' '7:' '~/" '~'/~' $" ' Address ~,~..R.~.~'~'2~'~';~ --.F~...t...~..~.~.' i Phone $Ophone No'. "~'/'~' '7' ~'~' 'r ~'~'~2//.t'~.q~?. ..... ~... !"T'&m.e ef a-~hltec~- . .' .................. ,h/amc ....... ,,~ r, ....... ,,~,~,~r .:..~ .... ,... . .............. Address .... : .............. Phone No ................ 15. Is this property located! within 300 feet of a tidal wetland? *Yes ..... No .¥~... · If yes, Southold Town Trustees Permit maybe r~uired. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and bloci: number or description according to deed, and show street names and indicate whether interior or corner lot. 9. 10. 11. 12. '13. 14. STATE OF NEW : , ,, . COUNTY OF.. ~~-~. .~../.~¥.rt//~ ?...Tff. f...~..~./.~. 5% --r~/#/_,/T~'/, .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He i th (Contractor, agent, ?orEorate officer etc.) of said owner or owners,~d is drily au~ho~ed t6 perfor~ o~' have performed the said wo}k a~d t6 ~m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfo~ed in the m~ner set forth in the application fileg therewith. Swom to before me this ............. .... aa, ..... .. $ota~eublic, ~~ ~~. County ~,. ..... . ~o.~$~ . / ' '.. , ~ (Signature ofapplican0 Oual~sd In S~o}k Cou~W Commission Expires D~mber 8, /// THE WATER SUPPLY AND SEWAGE DISPOSAL . :~ - t SYSTEMS FOR THIS RESIDENCE WILL ~' CONFORM TO THE STANDARDS OF THE ' ~/ SUFFOLK CO. DEPt. OF HEALTH SERVICES / SUFFOLK COUNTY DEPT. OF HEALTH ~ SERVICES FOR APPROVAL Of , z SINGLE FA ~ : , TWO Y / ,~ '~ SUFFOLK CO, TAX MAP DESIGNATION: ,, , TEST HOLE STAMP ~ =' /-~,~/Z(/M,~:,";~ Ma ~ z~ LICENSED LAND SURVEYORS // .L !988. OCT £7,1989 RODERI~K VAN TUYL, P.C. LICENSED LAND SURVEYORS GREEN~RT NEW YORK SUFFOLK CO. HEALTH DEPT. I~)UNTY DEPARffMENI SINGLE F,~IILY gV/ELLtt~3 ONLY ~nc~s and ;ound ia ~ ~tl~acbry. £NT SYSTEMS FOR THIS RE~IDEIqCE WI4. L CONFORM TO THE STANDARO~ OF SUFFOLK CO. DEPT. OF HEALTH (5) .~LICANT SUFFOLK COUNTY DEPT. OF SERVICES - FOR APPROVAL CONSTRUCT ION ONLY DATE:. APPI~OVED:H' S. R EF. ~ 87'. DO, 169 SUFFOLK CO TAX MAP DIST. SECT. laOCl( ow. Rs Aoo. : '"'-' DEED: L. SZ~4 P. ~ ~EST ~O~E S~AL 44' o" -r' 4" T I d · C...E,;4o, ] J I_ __t k _ _J L _ J SOLDER USED I ' f~' water distributing · Y~tem; piping "hall L ......... RS. 7'97-00 DATE t 2"To~ ~ x FINE ,.-'SECTI oM 1'2- II II lJ