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Home My WebLink About15210-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-17688 Date January 30, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Propertv 1720 LITTLE NECK ROAD CUTCHOGUE, NEW YORK County Tax Map No. 1000 Section ...1.0.3. ...... Block 4 .Lot 17 Subdivision MOOSE COVE ...Filed Map No. 3230 .Lot No. 17 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 1986 15210Z ..................... pursuant to wtfich Building Permit No ...................... dated..............AUGU S T 29, .... 198......6 .... 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 ATTACHED DECK AS APPLIED FOR JOHN C. COOKE The certificate is issued to ..................... of the aforesaid building. Suffolk County Department of Health Approval 86-S0- 128- SEPT. 2, 1988 UNDERWRITERS CERTIFICATE NO. N 039481 - OCTOBER 13, 1988 PLUMBERS CERTIFICATION DATED: AUG. 24, 1988-TUSA MIGLIANO PLUMBING & HEATING Rev. 1/81 Z~O~x~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. Nq BUILDit4G PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15210 Z Oo,e ..~~.~....~.~ .............. , ~.2..~. ond opproved by the Building Inspector, Fee $..~....~.,~,'...~ Building Inspector Rev. 0/30/80 BLDG. DEPT TOWN OF SOU'I:t:IOLO FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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 natural or topographic features. 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~;$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50 00 Date ................ Newc°ns t~ucti°n ...... O .... . ........... Vac~.",t 'end ......... .... , ,oc0t,on of Proper~ .../. z z o..~.'/~.'//~../~f,.. C~~. ~,./~F..... Ho,,~ No. -- _ Owner or Owners of Pr6 petty . . . .~(.~...</.,. ~... ............................... County Tax Map No. 1000 Section ... ~.~?~. ....... Block .... ~. ......... Lot.. ZZ. .......... Subdivision ................. Filed Map No. Lot No ..... Z ~, ,~//~.App licant Permit No /, .~,,~/0 .. Date of Permit Health Dept. Approval ....................... · Labor Dept, Approval ........................ Underwriters Approval ...................... · . Planning Board Approval ...................... Request for Temporary Cer~:ificate .....................Final Certificate ....................... Fee Subm,tted $'.'i ~..~. ........ Construction on above described building and Rev. 10-10-78 Applicant ........................................ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL 765-1802 CERTIFICATION · Building Permit No. I,,~",~'lO Z.- Owner '(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 ,=.2~P' ...day of Notary Public, %~ (p~umber's signature) Notary Pub i ic_~--~ County CHRISTINA M. PEREZ N~tary Public, State of New Yore N,o. 48264~6 Qualified i. Suffotk CoaotY Commission Expires Januau 81, 1989 FOUNDATION ~(lst) 2. ROUGH FRAME~'''~ .PLUMBIN~"~ INSULATION PER STATE ENERGY CODE ADDITIONAL COMMENTS: 'to,p~t)s'~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~l;,'~ BUREAU OF ELECTRICITY ~-- OC'?OB(,:},' '~ '~, ~ ~, JOHN STREET, NEW YORK, ~ ~QRK .o~o3e THIS CERTIFIES THAT o~ly the electrlcal equlpment ~ ~scribed be~w and introduc~ by t~ eppli~n t ~med on the e~ eppli~at~n number in the prem, ises of in thefotlowlng loca.[~)4,~,fq~, ~as~e~[8 Ist Fl. ~ 2nd FL Section Bilk Lot was exatttined on and found to be in compllattce u'ith the req~tiretnents ~f this Board. DRYERS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO, OF FEET E OTHER APPARATUE: E R V I C NO OF CC COND. PER ,~ OF CC. CON{) NO OF HI-LEG A W, O, ~0 OF NEUTRALS iA W G. OF HI-LEG OF NEUTRAL }~ Th~cat~ust not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified b~their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 76548O2 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR BUILDING DEPT. INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] RO~H PLBG. FOUNDATION ZND [/]' INSULATION FRAMING FINAL REMARKS: DATE 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [/~INAL ,.. DATE ~./~£/ ~ d/ ,NSPE~roR 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION ZST [ I ROUGH PLBG. [ J FOUNDATION ZND [ ] INSULATION [ ] FRAMING . ~,/'~FINAL REMARKS: ~~ Examin~ .~,.~7 ..~.~ Approve~ ~4-~'...~.~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 ., .¢. ., 19~.~. Permit No. l .~7.&. ! 9..~.. Disapproved a/c ..................................... (Building Inspector) ,,. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS , Date: ........... ~.~. ./. J. .... , 19~... 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 tlds 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 {~ 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 Regulations, for the construction of buildings, additions or alterations, or f,.r~-'l~al or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buil~l'jsa~ code, hOusing co~ and,ragBlat)Ons, and to admit auth°rized inspect°rs °n premises and in building f°r necessary in~(~;2fi~',,Z (,//. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... .... ........................................... Name of owner of premises ...... ~ .N~.. ·..~..'. · .~. ' · ............. (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. ........ (Name and title of c;~;r;te officer') - Builder's License No....~..~...~.'~......~. · .'~. ...... Plumber's License No ......................... Electrician's License No ....................... 1. Location of land on which proposed work will bedone:..~..~....,~..,~:~.....~..~.~...~.....'~.~.'. ............ ..... t~o~e ~u~r ' " Street Hamlet 00~eJ~ County Tax Map No. 1000 Section .. Z~..~.. .......... Block .................. Lot ............... Subdivision,...'~./~..~.{~.... &.~-~. ............... Filed Map No .... .~.~. ~. ~. .... Lot (Name) 2. _ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......................................... b. Intended use and occupancy ....... ~L~.~. ..................................... 3. Nature of work (check which applic,~ble): New Building ......... Addition .......... Alteration . .,,. ~ ...:.. Repair .............. Removall .............. Demolition .............. Other Work ............... ~ ?j~l~,,90,,,.)i ~ (Description) 4. Estimated Cost . .-r..,~ .,.<.,,<. ~.~ ..................... Fee ...................................... O ~'.~ I ,. ~ [ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, mnnber of cars ..... .Z~/,f.,ftP. ............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, i~ any: Front ............... Rear ....... . ....... Depth ............... Height ............... Number[ of Stories ........................................................ Dimensions'of same structure with ~lterations or additions: Front ................. Rear .................. ..................... . ............. ' 10. Date of Purchase ... ~./~.q/d~,~:. ............. Name of Former Owner . .',-~,4~,~r,f.~.',~ .~.. ~.~'.' 11, Zone or use district in ~vhich 16remi~es are situated ..................................................... 12. Does proposed constructig.rt, violate any zonin~lag,,;, ordinance or regulation:/ ..ff..~. .......................... 13. Will lot be regraded ....J~.eP4~'. e..'g~..~.~?..~.~..t~. .....Will excess fill be removed fr~.~..,~/~?es: Yes No//' 14. Name of O~rem~ises, .~/r/~. ~t~ d~:;~/~.. Address .~..~..-~..,~...~...,~.~/-~l~/o~cl'~No. ~./~. '' ~lt',~/O,~'/.~..Cr. *. L~'C:lS>,~tt,~, ....Address ................... Phone No ................ Nme of Contractor . ,~o"/-~..~.~t:2,t~. ....... Address . ~ :~ ...... Phone No. ~ .d~ .... 15. Is thSs proper~y located w~ehSn 300 feet of a tSdal wetland~ ~Yes ..... No ..... ~If yes, 8outhold Tom Trust~es PermSt maybe requSred. j PLOW DIAG~M Locate clearly and distinctly ~I buildings, whether existing or proposed, and. indicate fll set-back d~ensions from property fines. Give street and block nut ~ber or description according to deed, and show street names and indicate whether inte~or or corner lot. ~T~ATE OF NE~ YO)I~K~ It' S S .OUNTY OF .9. q f. .e Iq. ....... ' (Name of individual signing ,contract) .bore named. being duly sworn, deposes and says that he is the applicant te is the ......... O..~..b.~.f'.."7 .CC ' (Contractor agent corporate officer etc ) }f said owner or owners, and is duly a~thorized to perform or have performed the said work and to make and file this pplication; 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 se forth in the application filed therewith. worn to before me this .dayof. ....... Public, ............................... County No. 52 - 6918075 Suffolk Counb/..t Commission ExDJre~ SUFFOLK ~0. HEALTH DEPT, APPROVAL ~AP~ OF~ r:. ., ?-, r~ E '-:'- ', . , H.S..o. , ! P,,.,_.: SU~VEYED FO./.. , A~' , ~ STATEMENT OF INTENT 8 ~}C~OC~E ' ~ THE WATER SUPPLY AND SEWAGE . -- -- ~ .... ' ~ CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH ~RVICES. , . (S) = ?~%,~ . APPLICANT ~ ~ ~ %.. SUFFOLK COUNTY DEPT. OF ,;HEALTH ' ' H.S. REF. NO.:~ ' t, , , ..... ~O ~ , , SUFFOLK CO. TAX MAP ~S~NATION: . .... : .... ~ i.OWNERS ADDRE~: ¢ 0 ..... .-, , .,,.,.,:- ...... ~ ,,_ ~.~__ ~' - GR~RT NEW Y~E , Jr ~1 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I~ LF. AD. PLUMBER CERTIFICATION ONLEADCONTEIlT~JrORE CERTIFICATE OF OCCUPANCY APPROVED AS NOTED NOTIFY SUILDIN6 DEPARTMENT AT 786-'1~ 9 AM TO · ~ FOR FOLLOWING INSPECTIONS: FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH FRAMING & PLUMSING '~. INSULATION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS 01' THE N.Y ,~I'A'~ CONSTRUCTION & ENERGY I T 1 F/~ i---I i L_ y FI--I, q Ii'Z