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Home My WebLink About16512-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy N°''.Z'=).6.8.9.6 ....... Date May 23, 1988 THIS CERTIFIES that the building ONE FAMILY DWELL ING Location of Property 375 Wunneweta Road Cutchogue, New York h3 sb hid ....................... 's't/e i ............................ Hamlet County Tax Map No. 1000 Section . ...I 9.4 ...... Block 12 .Lot 03 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 5, 1987 16512 g ..................... pursuant to which Building Permit No ...................... dated October '11, 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 AS APPLIED FOR The certificate is issued toJOSEPH FLEMING ..................... ?oW.b), x .................... of the aforesaid building. Suffolk County Department of Health Approval 87- $ O- 91 - 5 / 12 / 88 UNDERWRITERS CERTIFICATE NO PE ND I NG 5 / 23 / 88 PLUMBERS CERTIFICATION DATED: May 4, 1988 - Robert Kowalski Building Inspector Rev. 1/81 FOB~ NO. B TO~N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 16512 z Permission is hereby granted to: ~' ............... 'flu .......... '-'-1 ............. ~ .......................... ~ ' / ~ocoted at ~ ......... ..~...'/~ ................... .....~.. ~:~..~., ..... ....... ~~ premises County Tax Map No. 1000 Section ..... .~...0....~. ........ Block ........ ).....~.... ..... Lot No.....~...~ ............. pursuant to application dated ...~...~....~.....~. ..................... , 19.~...'].., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted Immmmma to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual nam ral or topographic featu res. 2.Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ ]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.vaoant o.o. 20.oo ..... NewCons truction ...... Old or Pre-existing Building ............ Vacant land ............. Location of Property .~. ~.5. ............ .~..L;/..1~..~. f.~.(~..~./.~.~.,, .~../~. .... House No. ~ ~- Street Ham/et Owner or Owners of Property ............................. I. ~ .~ ......................... County Tax Map No. 1000 Section /~f Block J~' Lot Subdivision ........... M ...... < .~../.¥ ....... Filed Map No ........... Lot No, Permit No ........... Date of Permit .......... Applicant ...' : ................ Health Dept. Apprbval ......... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ..%~ ~. ................ Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~,,~.,,f-~) ..................... Construction on above described building and,~/~z_ets all~p,~pzticable codes and regulations. App'cant (~/. f~..~..'~..~ .~ Rev, I0-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. (please print) Plumber ~ ~ ~ ~\~\~c~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swo~to be fo~m~e.~ ~is ,~ ~day of/ /F~/// ,. (plumber's signature) Notary Public 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] FOUNDATION ZND [ ] FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL DATE INSPECTOR ~ ~'~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION [~*'~INAL INSPECTOR BUILDING DEPT. INSPECTION FOUNDATION /ST [ ] ROUGH PLBG. FOUNDATION 2ND [Z.~SULATION FRAMING FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION I$T [ ] ~UGN PLBG. FOUNDATION 2ND [~ INSULATION FRAMING FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND -~NSU~TION [ ] FRAMING REMARKS: ~) [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T /ROUGH PLBG. FOUNDATION 2ND ~ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST r ] ROUGH PLBG. ION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ~~ ~~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ~ION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL DATE~~ INSPECTO~'~/ FOUN~_.TION st) FOUNDATION (2nd) 2. ROUGH FRAME / .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: Bt. DC, DE?T. TOWN OF SOUTHOLD ; 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ~'tN/" OF FLANS K,k:;. CHECK ] . s pnc FO M O.K ........... NOTIFY .. !} %. flgl.)... MAIL TO: Approve(~(7..%~....~......1{.., 19~,D.. Permit No, ./..~.$2 }..~-...~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Oataher 5, 1987 INSTRUCTIONS 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 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 or Regul~tions, 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 ins~ctions. (Signatnre of applic,~nY, or name, if a corporation) (Mailing address of applicant) State whetber applicant is_owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Ge~ern~ CO~q~ r'n o f,, OIL" Jose-oh P, Name of owner of premises .......................................................................... (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 C'OUNTY LICENSED Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No.. ·: .................. ~ . 1. Location of land on which proposed work will be done. ~lum~e ~e~3n R .~ · x~ssnu points Cubohogue .... : ............. House Number Street Hamlet County Tax Map No. 1000 Section 10~ Block 12 Lot Subdivision ...... ~*.~ ~P2{. ~9:~.~: ................. Filed Map No .... }.5~ ....... Lot ..... ~Q ~ ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ~xisting use ~nd occupancy ..................................................................... ~esfide~tinl b. Intended use and occupancM .................................................................... 3.. Nature of work (check which applicable): New Building X ' Addition ..... · Alteration Repair Removal ' Demolition Other Work · ~ . . ,' (Description) 4. Estimated Cost ........ ~ 80,000.00. Fee .~..O.~ (to be pa!d on filing this application) 5. If dwelling, number of dwelling units ...... .1 ........ Number of dwelling units on each floor ................ If garage, number of cars 1 . 6. If business, commercial or mixed occupancy, specify nature and extent of each type .bf use 7. Dimens{ons of existing structures, if any: Front ............... Rear .............. Depth ............... Height Number of Stories ' Dimensions'of same structure with alterations or additions: Front ....... .. : Rear Depth ...................... Height .................. Number 9~;~[ories .......... ; ......... 8. Dimensions of entire new construction: Front .... ~'61'i.i ..... Rear ...... 3..~..i .... Depth .. 'g ..: ............ Number, of Stories ................. i ...... He, ht 20' :L~9 Rear ...... '~'J¢' i ' ' i ...... ~.~0~' i ' i ........... 9. Size of lot: Front ........ 1'9'86 ...................... Depth ............. · 0 Date of Purchase ~q,,a,~led~f Eonn~r Owner ' · . ". .... . ........ ...... ~ ........ ~tesx ~;~'c~ ............................. · 1 Zone~or use~trstr~t4n--which-pren~s~s aremtua~6u. ' ~ro' · 2. Does proposed construction violate any zoning law, ordinance or regulation: ...... , ................... - ....... · ~. Will lot be regraded ... gro . Will exbess fill be removed from premises: YesX No Name of Architect ........................... Address., ................ '.. Phone No .... Pirm Tree Cutobph--~x,^ '.75/~:-'~5~'['' Name of Contractor . . rg.eZ .. Address ..... .: ............. u,, 25. Is this property located within 300 feet of a tidal wetland? *Yes! ..... No .X.X... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indibate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether _nterior or corner lot. S.TATE OF NEW YORK, ~OUNTY OF ............ ..... S.S (Name of individual signing contract) ~bove named. being duly sworn, deposes and says that he is the applicant -Ie is the .......................................................................................... (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly autho6zed to perform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. worn to before me this ' .. ~ fl. .... day of .... ~5 ~ 19 , .............. %,..,, ........... , ~otaryPublic, . ..~r::'?.?<.. .. .~. .' ..... County H[LEN g. DE ~ . ' ' ' NOTARY PL flL C, S~ ~ ~ Term [x~i~ts ~cfl ~, 1~ P1AP I $tN~LE FAMILY DWELLING ONI.~', - ,., ~,, sewage d~tposa! a?a ~,'~er ~upply fmli~ for ~i NAY $ ~JS~ DEPT. OF HFJ,.LIR S[I!VICE$ 5IJFI~OLK CO. ~I~ALTH DEPT. AI~OVAL ' ~i. S. NO. -~.1~ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIOEHCE WILL CONFOIIIM TO THE gTANDARDS OF T~ ~FF~ CO. DEPT. ~ HEALTH ~RVICES. ~IC~T ~LIFFOLK COUNTY O~PT. OF HEALTH SERVICES -- FOR APPROVAL oF C~TRUCT ION ONLY DATE!. AIq~IOVED:. ~r~.K CO. TAX MAP ~SIGNATION: I3J~T. ~CT. BLOCK · LCII:~O lO J,. 12 SUFFOLK CO. HEALTH DEPT. APPROVAL ,'~ H.S. NO. ' ~ ~ ~} ," / ~ *'n~ ~' ~ . a~t"~ THE WATER suPPLY AND SEWAGE DISPOSAL , / o~ ~ ' ~[~ SYSTEMS FOR THIS RESIDENCE WILL ~O .... ~ .... CU~__ ~ ___ SUFFOLK C~EP~E ~EALTH SERVICES. 7%0, , ~ ~ ' ~'~ ,~ ~. ::.~ ~ ,~ ~ , . ~ ...... I~ ._ SUFFOLK COUNTY DEPT. OF HEALTH ~ . ~,:..~-~ ~r ~-/~ : ' ' ~' %'~' ~ '~-~-~ APPROVED:- ' - '. ~ ~ _ '~ t~, ~ , ~ ~ ~ i~rr~c,~ kiA~ ~ ~'~' k~V ~ ~ , VA. ..C. J LtCE~D LA~ SURLYO~ ~7' GREEH~RT ~W Y~K !1 ,I ,~ OCCUPANCY OR -:..,~.,~,.% USE IS UNLAWFUL ~ WITHOUT CERTIFICATE suP~F.. :,,oo,,~~'~ OF OCCUPANCY If eoppe,~ tubing fro' wa" m' d~str'but'ng mhall 766-1B02 9 AR* TO $ ~'~a FOR THE FOLLOW~NC~ INRi~CTIONS: FOUNDATION TWO ~EQUIRED ~N~tJLATIO~ L i~. 'ii