The URL can be used to link to this page

Home My WebLink About16554-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18164 Date JULY 5~ 1989 THIS CERTIFIES that tile building ONE FAMILY DWELLING Location of Propert~ 345 WILD CHER~Y WAY SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 052 Block 03 Lot 32 MAP OF Subdivision SHORECREST Filed Map No. 5584 Lot No. 7 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 20! 1987 pursuant to which Building Permit No. 16554Z dated OCT. 22~ 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~ REAR DECK AND ATTACHED GARAGE. The certificate is issued to of the aforesaid building. UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN VITELIS (owner, ) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-177 JUNE 30~ 1989 N065965 APRIL log 1989 PECONIC PLUMBING & HEATING 3/14/89 Rev. 1/81 /uil~ing Inspector ~O~r NO. ~ TOVI'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne16554 z Permission is hereby gronted to: ..o.~......Q~..,.....~.~ .............. .o%.~._.~.:..'/..,...u.~...~..I ............ County Tax Map No. 1000 Section ..... ~)..~.~.. Block ....... .~..~ ..... Lot No.....~..~ .......... pursuant to application dated ...~...~..,.~ ...... .~..I. ........... , 19.~J...~., and approved by the Building Inspector, Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE .... NEW CONSTRUCTION -..~..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property .......... ~.~* .. HOUSE NO. STREET ~ HAMLET Owner or Owners of ProperCy co~.~y ~ ~p ~o. 1000 s~=~io. &f~. ~o=k .~ ~o~ ~. Subdivision .~}~j MOM0q ~ .......... ~ ........ ~i~,d ~a~ ~X~-Y..~o,...7 ...... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ..ff/~.//~ ..... Fee Submitted: $ .... ' ................ APPLICANT .... ~ .................... rev. 10/14/88 FOUNDATION (1st)/ FOUNDATION 2. ROUGH (2nd)~/ INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-;L802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] I~ULATION FRAMING DATE 7GS-'t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~NSULATION FRAMING [ ] FINAL REM_ARKS: BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :~ND [ ] INSULATION ~FRAMING [ ] FINAL REMARKS: ~ DATE · 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~RouGH PLBG. FOUNDATION ZND [ ] INSULATION / //~I~MING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE DAN & SON BACKHOE SERVICE, INC. CESSPOOL BUILDING BACKHOE SERVICE 727-6325 or 727-0553 126 ROYAL AVE. RIVERHEAD, N.Y. 11901 Health Department Ref. No. /77 C-- Name of Applicant, ~)0 S e f~ h /r~ ~ ~) ~ ['~ Phone (O~er or Builder) Property location (hmlude tie dist~ce to nearest cross street) ¢,-i/~p clYeh~,,y t/fAf Hamlet Township Subdivision Lot No. Type of system installed: Septic Tank Volume ~-~' -- Type ~ee~ equivalent, block) Leaching pools (A) Number & size of pools (B) Type (precast- block) I hereby CERTIFY that the private subsurface sewage disposal system described above has been installed according to current criteria of the Suffolk County Department of Health. Title BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL,: 765-1802 CALL ................ MAIL TO: Examined .O.°~t~..~.. ~.., 19 .~.q Approved O~t'~ 'aa' 19~'7 Permit No. ~.~..~..~.~..~. Disapproved a/c ..................................... (B~dl-din g Inspcctc, r) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in 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 public stree' or areas, and giving, a detailed description of layout of property must be drawn on the diagram which is part of this appI cation. c. The work covered by tiffs 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 penn shall be kept on the premisds available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until g Certificate of Occupanc 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 ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances t Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary,/.].e,d,p,/,~inspections.-,~.~/77 ~ · A (Signature of applicant, or name, if a co poration) . ~.,f .4'..A .o..~. ~.. 4.v.e.: .~.z'. T, .5..,:,.o..e. h .0.9.4... (Mailing address of applicant) State whether applicant is~ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde · ,~.et..L..~..e..~ ............................. ' .................................................... Name of owner of premises ...'-d~...O.. b. ~. .... .V..1.'.7/-]~ .~/..ff. ........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No... ~7..Q'.~ ................. ' Plumber's License No....~..Y..~/...~.. ........... Electrician's License No.. 2. ~..~.. ~ ........... Other Trade's License No ...................... ,3 t_/,5~- 1. Locationofland on which proposed work will be done] ~}//-, D .... .~.tz/.~./~.~..)(r....~t/f./ .............. .~. '....~.:..~ ........... ~. ........................... ~ ..... , ...... House Number Street Hamlet County Tax Map No. 1000 Section . .~'?· ............. Block . .~. .............. Lot .... .~...3.t ..... Subdivision ..................................... Filed Map No.. fi.ff, g.t~ ..... Lot .'. q~.'-.' .~ ..... (Name) - 2. State existing use and occupancy of p/emises and intended use and occupancy o[proposed construction: a. Existing use and occupancy . ..~/zlY~ ................................................... b. Intended use and occupancy ......................... .ff..e..~.. (.~..e. q5 ?:. i ...... .. .............. 3. Nature of work (check which gpplicable): New Building .~...' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ; (Descrip.tion) 4. Estimated Cost~..~..Of 00:o Fee i (to be paid on filing this application) 5. If dwelling, number of dwellinlg units .............. Number of dwelling units on each floor ................ If garage, number of cars ... i ....... ]'~-" ......................... ~ ................................. 6. If business, commercial or miXed occupancy, specify nature and extent qfJeach type of use ...... ~ ............... 7. Dimensions of existing structulres, if any: Front ............... Re/ .............. Depth ............... Height ................ Nqmber of Stories . .' ........ ~ ....... / .....'½ .......... 2 ..................... Dimensions'of same structure ~ith alterations or additions: Front . j...; ./: ......... Rear .................. Depth .................. i .... Height .................... /.. Nutaber of Stories ...................... Dimensions of entire new construction: Front .... ~..~./..' .... .~ear. J .~.g. ~ ......... Depth . .~/f .......... Height..~.O~ ........ Number of Stories /~' d/ . 10. Date of Purchase ..... ' .............. ] Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated.. /q ¢ ............................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will 10t be regraded ....... ; ..................... Will excess fill be removed from premises: Yes N~ Name of Owner of premises Name of Architect .~"d[ .kle.$. R ta./'l ........... Address '~..A. tY.t?. { .... .W?. {. ~.~Phone No ................ Name of Contractor ....... ' ................... Address .... : .............. Phone No ................ 15. Is this property locate~ within 300 feet of a tidal wetland? *Yes ..... No ~... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. IqC' STATE OF NEW YOR] COUNTY OF ................ ...... ~. .................... ~ ...................... being duly sworn, deposes and says that he is the applicant (Name of individual si~ning contract) above nmned. He is the .................... . ..................................................................... (Contractor, agent, corporate officer, etc.) of said owner, or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ail statements coCtained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manlner set forth in the application filed therewith. Sworn to before me this ............ d. ?. ....... dayiof ..... .0...C~.. .......... 19 .~..~ tary Public, .......... Count~ ItE[III(.O£VOI~ ~: (Signature of a~plicant) NOTARY PUgLIC, Sta~ of New ~ _ No. 4707878, Suffolk Ceuldy ~ r4 Term Expires March 30, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICrTY BE JOHN STREET, NEW YORK, NEW YORK 10038 APR~, L0, 1(),~C~ ~pplic~tionl~o. onfile 54}~(%62~/~ N 0~bg~, THIS CE~IFIES THAT SWITO'4S RXTUI~S RANGIS OVENS DI~,I WASHERS F. XHAU~T ~IIVI~I DISCO~N~'T S E R V I · C {'A{)i, R. BURNS 275 TOWN HARBOR LANE I~OIJTROI~D, NY, 1/971 This certificate must not be altmed in any manner; return to the offlc~ of the Board if incorrect, be identified ~ theh' TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~ ~I ~t13 (please print) (please print) ! I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 9 day of 19~ . Notary Public,~y ~/~ County ~ARBARA STEPNOWSKI Notary Public, State of New York No. 4844752 Qualified in Suff?k ~o,[l~ty ~.~ Commission EXpire~.,c r= ..... Notary P~blic · SINGLE ! Al lILY DWEL''"' - , ~ONY ~E D~I~ ~1 ~ ' p~~-~i~ / ~H~~ ~ TO T~ ~~ ~ T~ -. ' ~ SERVICES -- FOR A~ROVAL OF .~I ........... ~u B ~.,~ ///'' .......... ~ ~ .............. :_~--- ;--- "~ ~,~ ~ OF~ ~ ~, . .......... ~ ~" ~. _~_~ 14.0 ~,. ...... .~ ........... SUFFOLK CO. HEALTH DEPT. ~I~VAL x- H. s ~ ~ .... ~ I' ~ WATER ~Y A~ ~A~ DI~ SY~M ~ ~IS ~~ roLL ~' ' ~ANT ~ ~'.,~S ~.j , ,,', , ' SU~,*uL~uN~Y 0~P,~T~EN] 0FH~LTH~VI~ SERVICES -- FOR APPROVAL OF ~ ~ L ~CE ~ ' , ,, , ,. , S NSLE ~,MILY DWELLI~ ~L'i ~~ ~LY ~ I '~ -"' ~ ['~ S. ~{EF. ~. DATE: , '" % ~F~K ~. TAX ~ ~AT~: ,,. .-< .~ ~ . . __ /. : ;~ ~'=~,~ ~ ~ > =,c. ALE,~,I ~CA?4.y[i4~5 ' -' --', ,' ?"%- -=' 2---:.- .:-- "-':-'-:~: " ' 5) ~NDCWS - DOUBLE GLASS. 5) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE. /( OO 0.05' O.$~ o. qo o.o$ 0.0/~, TO THE BEST OF ME KNOWLEDGE, ~=I IEF, AND PROFESSIONAL ~UDGEMENT TSgSH PLA=NS ARE IN COMPLIANCE WITH THE CODE. 7 {.%" ~ c. ' 7 :1 If Copper tubing I~ used for w~ter d~stribuflng lYitent= Piping Ihal! be ~LUMBER CERT/FICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER US£D IN WATER SUPPLy SYSTEM CANNOT EXC£ED 2/10 of 1% LEAD. F~LO~NG INSPEC~ONS: FOUNDA'r~ON ~wO ~EQUI~D POURED CON(IRFfE ~UGB FRAMIPJG & PLUMBING OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY : i . ·: ....... L.Z'Z.ZZ ;:7ZL£ _..LLJiZ_i'~-Z/. LZ LiL!.___/---: ........ r -F