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Home My WebLink About15285-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16389 Date.N.~ye~b.er.10.,. !98.~ ...... THIS CERTIFIES that the building A c c e s s ?F~ ...................... 3750 Srxllwater Ave. Cutchogue Location of Property ~3u~ ~o .... Stmet Ham/or County Tax Map No. 1000 Section 137 . .Block 0 1 ..... Lot I 2 Subdlvis~on .......... F~led Map No ....... Lot No ........ conforms substantially to the Apphcatton for Buridlng Permit heretofore fried ~n this office dated · S e p.t. 5 ,.. ! .9.86 pursuant to Much Braiding Permit No .15 .2.8.5 Z. ........... dated S~pt... 1~o..19~.6 was ~ssued, and conforms to all of the reqmrements of the apphcable provtsions of the law The occupancy for wluch tlus cert,ficate ts ,ssued ts Acces.sqry .g. arage a. nd work.shop. . .................... The cerUflcate ts tssued to . ARTHUR. . G. & of the aforesatd building. Suffolk County Department of Health Approval MADLYN A. URY (owne6 ~g~l~K ~ X N/A UNDERWRITERS CERTIFICATE NO. N835404 I0/I/87 PLUMBERS CERTIFICATION DATED: N/A Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERJ, AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15285 Z County Tax Map No 1000 Sect,on pursuant to apphcohon dated Budding Inspector Building Inspector Rev. 6/30./80 FORM NO. 6 TOWN OF SOUTHOLD Buildmg Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY |nstructlons This application must be filled in typewriter OR mk, and submitted m ~,.-,-~, to the Braiding Inspec- tor w~th the followmg, for new buildings or new use' I. F~nal survey of property w~th accurate location of all buddmgs, property lines, streets, and unusual natural or topographm features. 2. Fmai approval of Health Dept. of water supply and sewerage dmposal--(S~9 form or equal). 3. Approval of electrical mstallat~on from Board of F~re Underwriters. 4. Commermal buddmgs, Industrial buildings, Multiple Residences and similar buildmgs and installa- tions, a cert~fmate of Code comphance from the Architect or Engmeer responmbie for the buildm§. 5. Submit Planmng Board approval of completed rote plan reqmrements where applicable. B. For existmg buddings (prior to Aprd 1957), Non-conformmg uses, or buddings and "pre-exmting" land uses' 1. Accurate survey of p~operty showing all property hnes, streets, buddmgs and unusual natural or topographm features. 2.Sworn statement of owner or prewous owner as to use, occupancy and condition of buddmgs. 3. Date of any housmg code or safety mspect~on of bu ddmgs or premmes, or other pertment mforma~ Uon required to prepare a cert~fmate C. Fees: Additions $25.00 1. Ce~bhcate of occupancy New Dwellzng $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-exist~ng dwelhng $ 50.00 3. Copy of certif~cate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50 00 Date / / NewConstructzon ..... Old or Pre-ex~stmg Budding .......... Vacant [_and ............. location of Property...-~?. ,~, .0 ..... .~.."~?/~/..'-4,d CE ~ ./.~...~-¢: ....... ~,. House NO. ' ..... Street ...... Owner or Owners of ,'roperty 4 County Tax Map No lO00Section ...,/.~ 7 Block .... 9..,/ ..... Lot.., /,.-'~/. ..... Subdwm~on ........................ Fded Map No .......... Lot No .............. Permit No ........ Date of Permit ........ Applicant ................................ Health Dept Approval ................... Labor Dept Approval ........................ Underwmters Approval ........... · .Planmng Board Approval .................... Request for Temporary Certificate ............... Final Cert~hcate ..................... Fee Submitted $ ..................... Construction on above descmbed budding an~,~lt meets all apphcable codes and regulations. Applicant... ~ ./(...~~....~.-..%/..~'~.., ........... Rev 10 10-78 · -- ! P,~o Po s f... b APPROVED NOTIFY BUILDING OEP~RTMENT 766-1802 9 AM TO 4 PM FOR THE FOLLOWING INf~PECTION;' ;OUNOATION TWO ~kQU1RED ~ POURED CONCRE rE 2 ROUGH FRAMING & PLUMBING 3, INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS, 01= THE N.Y STATE C~~ & ENERGY m!S~GN ~n CO~S .TRt~nON ~RRO~S, OCCUPANCY OR USE iS UNLAWRJL WITHOUT CERTIFICATE OF OCCUPANCY ?tELD INSFF4CTIO]~ ~DATE COMdENTS FOUNDATION FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE '/ ' ' 0" FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT, INSPECTION O ~.$T ~ ~ ROUGH PLBG. 2ND ~ ~ INSULATION FRAMING [ ] FINAL FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1803 Approved'~.t'~.. Iq., 198~ Pemut No Disapproved a/c (Bmlding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlus application must be completely filled m by typewriter or in ink and submitted to the Building Inspector, with ~ets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan sliowmg location of lot and of braidings on premises, relationship to adjoining premises or public street or areas, and giving a detmled description of layout of property must be drown on the diagram whmh is pa~ of this apph cation c. The work covered by tins appllcahon may not be commenced before issuance of Bu~dmg Permit. d Upon approval of this apphcation, the Budding Inspector will issued a Building Pemit to the app~cant Such pem~ .&ali be kept ot~ the premises available for inspection throu~mut t~e work e No btuldmg shall be occupied or used m whole or ~n p~t for any purpose whatever until a Ce~xficate of Occupy% ~ hall liave been granted by tlie Bmldlng Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Dep~tment for the issuance of a B~l&ng Pem~t pursuant to th~ Braiding Zone Or&nance of the Town of Southold, Suffolk County, New York, ~d other appheable ~ws, Or&n~ces o, Regulaaons, for the constmcbon of bmld~gs, addltmns or alterations, or for removal or demolition, as hereto described Fhe apphcant agrees to comply wCh all apphcable laws, ordinances, bufld~g code, housing code, and regulations, and tc ad,mt authorized mspectom on premises ~d m braiding for necessa~ ~,., ~} ( ff~ ~ (Marling address of applicant) 1 19 3 5 State whetl~er apphcant is owner, lessee, agent, arclntect, engineer, general contractor, electrician, plumber or builder Qwn~r ...... , uu of otxt er of premises Arthur G. .U'.rZ,..J.p... and wltfe (as on the tax roil or latest deed) ,I [lI'}'{lt dPl I', ,, (otpOldtlOI1 qwnalure of duly authorized officer. (Name and htle of corporate officer) BuddcFs License No. .' T .... Pltmlb,er's L~cense No .. Other lmdc's Lmense No ........... Locatxon of land on which proposed work will be done .37.59 S.t.i.ll.w..atgr..A.v. qn.u.e~..C.u.t.c.h, qgue,..N:.'?~ ...... 3750 ...St.zl. lw.a.t.e.r .A.y.e.n,u.~; ................ .Cu.t,e. hggue,, .,N, .Y., .............. tlouse Number Street Hamlet /_~., County Tax Map No lOOO Section . 13.7. ....... Block . .1. ........... Lot .LRR. .... ....... Filed Map No ...... Lot .......... Subdivision (Name) ~ 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 ~e$~dcnc~ ......... Garage & Work Shop Nature of work (check which applicable). New Budd:ng .. .X .... Addttion A!teratlou Repair ........ Rmnoval ......... Demolition Other Work Estimated Cost .~5, 00.q..00 ................. Fee . 4 ' (to be pa~d on fi lng th ~ a 'i It, Mum ~ 5. lfdwelhng, numberofdwelhnguruts .. .7.7 ~.. . Number of dwelhng umts on each floor If garage, number of cars . .5}. e.a, Es. .............................. 6 If business, commercial or mixed occupancy,, specify nature and extent of each type of use . - - - 7 Dtmens~ons of existing structures, if any Front ...... Rear .... Depth lteight .......... Number of Stones ..... Dunens~ons of same structure with alterations or ad&t~ons Front Depth ............. Height ............ ,. 8. Dnnensions of entire new construction: Front 28 ... I0 11 12 13. 14 15. Is this property located within 300 feet of a tzdal wetland? *~f~x ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM ......... Rear . Number of Stones ..... Rear 28 Depth 24 Height ........... Number of Stones... 1;Wu. ........................... S~zeoflot. Front . lq0. ............. Rear..100. .......... Depth .180 Date of Purchase ....... 1.9..5.5 ............. Name of Fonner Owner .M....S..H.and ..... Zone or use &str, ct in which premmes are s~tuated ...~esi.d.e.n. tal .................... Does proposed constructlon violate any zomng law, ordinance or regulation .NO ................ Will lot be regraded ~ .n. 9¢e.s.s.a,v.y. ............ Will excess fill be removed from premises' ~ I' Name of Owner of premmes A...G...Ur.y., J..r.:.. .Address ..s.a.m..e ........... PhoneNo 73.4-5308. Name of Architect ...................... Address ................. Phone No ..... Name of Contractor .................. Address ............... Phone No No .~i .. Locate clearly and dist~nctly all bmldmgs, whether existing or proposed, and indicate all set-back dm~enslons fro property hne~ Give street and block number or description according to deed, and show street names and in&cate wheth interior or corner Iot. STATE OF NEW YORK~ £OUNTY OF...S.U..IT..i~Q.LK.,. S S ....... .A.P.t.h.u..I'..G.:..U.r,,..,l.v. ..................... being duly sworn, deposes and says that hc ~$ th.z apphca (Name of individual slgnmg contract) above named He ~s the . ...Qw. p.e.r. .................................... (Contractor, agent, corporate officer, etc.) of saki owner or owners, and is duly authorized to perform or have performed the smd work and to .,nuke mid hit. ti application, that all statements contained in this application am true to the best of hm knowledge and bchet, u~d that t work wdl be performed in the manner set forth m the application filed therewith Sworn to before me this