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Home My WebLink About16504-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20832 Date JUNE 29~ 1992 THIS CERTIFIES that the building ADDITION Location of Property 1980 NEW SUFFOLK ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 5 Lot lB Subdivision Filed Map No. LOt No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8~ 1987 pursuant to which Building Permit No. 16504~Z dated OCTOBER 8~ 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 TWO BRICK & SAND PATIO ADDITIONS AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARR~MENT OF HEALTH APPROVkL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN J. MIII.RR~ JR. & MICHAEL P. POWELL N/A ~ildi~ Inspector Rev, 1/81 FO~ NO. ~ ?OWN O~ $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: , , /~ ../.~...~,--' ..~~...~; ~..~.../../ ~.~~..?~ ~......~.~ ro ................. ..z~..°~...-~... ~. ......... .~/---~ ............... ~ ...................................... ~r:'" .'.' ......... ~ ~,.~ ,o~o~ o~ '"~'¢~e'~~'~x~'""' ....... 7"Xi ........ .................................... z..~...~..~.~ ............................................... ................................... ........ .......... County Tax Map No. 1000 Section ..,L.'.~.....~.: ...... Block ....... ~. ........... Lot No....e~......J .......... pursuant to application dated .... ..~....~...~ .................. , l,.~...Tand approved by the Building Inspector. Fee $...~.....~..,~. ~.. ,~ Building Inspector [,\ R.v. 6/so/8o Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN UALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This,application must be filled in by typewriter OR ink and submitted to the building inspector with the following: ~ for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. · 6.Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9 1957) non-conforming uses, or buildings and pre-existing land uses: 1. Accurate survey of property shewing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C.' Fees , I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy of Certificate of Occupancy ~ $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......... ..... ~;ew Construction ........... Old O~ Prc-ex~sting Building .... .~. ...... Location of Property . I ~gO -. .......... House No. __ Street J ~' '~' ~ -~ M Hamlet,-. :~ouety Tax Map No 1000, Section .... ~..f ..... Block .... .~. ......... Lot...~,d. .............. ;ubdivision ......... .... .................. Filed Nap Lot 'erm£t NoD~.~ % Date Of Permlt ...... ' ....... Applicant ............................. !ealO: Dept. Approval ...................... · '' · Underwriters Approval ...................... 'fanning Board APproval .................... eq.est for: Temporary Certificate ........... Final Certicate ........... 'i'" INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 17, 1992 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 John J. Miller, Jr. & Michael P. Powell 43 West 61 Street New York, N.Y. 10019 Re: Premises @ 1980 New Suffolk Rd., Cutchogue, N.Y, BP 916504-Z (ADD) BP 920210-Z (ALT) 20442 (ADD) Surf. Co. Tax Map 91000-109-05-18 Dear Mr. Miller & Mr. Powell: On February 21, 1992 you applied for a Building Permit for a Solid Fuel Burning Appliance in the non-habitable accessory building. You also left us your check 9376 in the amount of $100.00 for the fee for the permit and for the fees for the Certificate of Occupancies. A Certificate of Occupancy for Building Permit ~20210-Z for the alteration to the non-habitable accessory garage cannot be issued because we still need the Underwriters Certificate for electrical work that was done. Please send us a separate check in the amount of $25.00 for the CO along with the Underwriters Certificate. We are returning herewith your check in the amount of $100.00. Please send us a new check in the amount of $75.00 so that we may issue the Building Permit and CO for the fuel burning appliance. Also we will be able to issue the CO for Building Permit 916504-Z for the brick patio. This building permit has expired. If you have any questions, please do hesitate to call this office. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard, Principal Building Inspector FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING 3. INSULATION (2nd) FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: L r--..I ., 19 .. ? ., 19 .t.~..TPermit No. I.E.: .~..~/. Y,~ FORM NO. I TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY ,°,OUTHOLD, N.Y. 11971 TEL,; 765-1802 CALL MAIL BOARD o~2 u~ALTH ...... 3 SETS of PLANS ....... SURVEY FORM ............. TO: Disapproved a/c ..................................... (Bnilding InspeBtor) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl 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 stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl 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 peri shall be kept on the premises available for inspection throughout the work. e. No buikling shall be occupied or used in whole or in par{ for any purpose whatever until a Certificate of Occupar shall have been granted by the Building Inspector. APPLICATION IS HEP, EBY MADE to the Building Department for the issuance of a Building Permit pursuant to ~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ, The applicant agrees to comply with ~a, ll applicable laws, ordin~}g c/~e~h.~in~'~k~ regulations, and adi~it authorized inspectors on premises and in building for nee~'b~kl~~ ~J-: · ."%-~'~- · · · - ~. · · M. · '/ ~ of ap~' qn-~, or nam77, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Nameofownerofpremises ..7!*..~i,.5!'...~.'~..~.., ,~..'.~...d?~....?-.e.oe~..~.~ .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly anthorized officer. (Name and title of corporate officer) ALL cowritACTOR'S.,,~C SUmtOLK COlIN'fY LICEUSglI Builder's License No. .. ................. Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... Location of land ()ii which proposed work will be done ................................................ /.7£¢. ......... ?.0.o. c, o. I louse Nu nl her Street [-Iamlet County Tax MapNo. 1000Section t~.f .............. Block ...... T. ......... Lot ....... /.t~. ........ Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ g~5~*td 6 . b. Intended usc a,ld occtlpancy N~'~ -, 3. Nature of/work (check,which applicable): New Building ..... ' ..... Addition .......... Alteration '....,... Repair .~..q~...b..~-~, ~ .'-al, Removal .............. Demolition ......... ~ .....Other Work ............ 4. Estimated Cost ~ ~ Q t*o .Z~. G~.~.~ ~ ~ (Description) ., ,.~. ,i,~(7..Z ....................... Fee ..................... · (to be paid on filing this application) 5. If dwelling, nnmber of dwelling units .............. Number of dwelling uBits on each floor .............. If garage number of cars ~ 6. If business, commercml or mixed occnpancy, specify natnre and extent of ~ach iy. pe of use' ~.. ................ 7. Dimensions of existing structures, if any: Front ............... Rear ....2. ~.~. ....... Depth-./.~. ......... itl '-~ ' ' ' Ite ~t .........ca .. .... Nmnber of Stories ,, : Dimensions of same structure with alterations or additions: Front .......... ! ....... Rear ................ Depth .......... i ........... Height ...................... Numberer Stories ..................... - 8. Dimensions of entire new construction: Front .......... '.., Rear ... '.~-~.. Depth ...t..~.. ..... Height Number of Stories 'i , I 9. Sizeoflot: Front ...... i.~.~ .......... Rear .... . ................. "Det~th '~'o'"'fi../~T' .~. ............... 10. Date of Purchase ........ ~. · .: .................. Name of Former Owneri ......................... 1 1. Zone or use district in which prmnises are situated ....................... ! ............................ 1 2. Does proposed construction violate any zoning law, ordinance or regulation: .., ............................. 13. Will lot be regraded .................. .......... Will excess fill be removed from premises: Yes N 14. Name of Owner of premises .................... Address .. Phone No ............... Name of Arci~itect ........................ '... Address ............. ~ ..... Phone No ............... Nmne of Contractor .......................... Address .... ; ........ ; ..... Phone No ............... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit may_ be required. ~ PLOT DIAGRAM Locate clearly and distinctly ~1 buildings, whether existing or proposed, and~indicate all set-back dhnensions fro~ property lines. (live street and block number or description aLcording to deed, and shlow street names and indicate wheth¢ interior m' corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S .................................................. being duly sworn; deposes and says that he is the applicant (Name of individual signing contract) above named. lte is the (Contractor, agent, corporate officer, etd.) of saki owner or owners, and is duly authorized to perform or'have performed the!'said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; aifd that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 7. ......... day of... ~).~. ............ , 19~. ~o, 4707878, S~o k ~o Term ExPires ~rch H ~GH ~ M/A. L L_ cEDARS PE CON I C'"~"g~E Y OR$ (51G) 765 - 5020 P0. BOX 909 MAIN ROAD $OUTHOLD , N.Y. RoAD ENGINEERS, P. C. Prepared in accordance with the minimum standards for title surveys as established by the L.I.A.L.S. and approved and adapted for ~uch u*e by The New York State Land Title A~eciation · 19208 0 SURVEY FOR ,JOHN MILLER AT CUTCHOGUE TOWN OF SOU THOLD SUFFOLK COUNTY , I000 - 109 - 5 - SCALE f"' $0' NOV. 15 , f985 N.Y 8 5 - 388