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Home My WebLink About15301-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18038 Date MAY 18~ 1989 THIS CERTIFIES that the building Location of Property 395 TRACK AVENIIE House No. County Tax Map No. 1000 Section 137 Stlbdivlslon DECK ADDITION CUTCHOGUE~ NE~YORK Street Hamlet Block 01 Lot 19 F~led Map No. Lot Ho. conforms substantlally to the Application for Building Perrazt heretofore filed in th~s office dated SEPTEMBER 10~ 1986 pursuant to which Building Permit No. 15301-Z dated SEPTEMBER 21~ 1986 was issued, and conforms to all of the requirements of the applicable provzszons of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DW~I,r,ING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICAT~NO. PLUMBERS CERTIFICATION DATED ALBERT W. & CAROL ALBERTSON N049743 - DECEMBER 13~ 1988 N/A Rev. 1/81 't~uz~l~Inspector FO~M NO. · TOV/H OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDiHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15301 Z County Tax Map No 1000 Section J -.~ .~ Block .... ...O.....L ....... Lot No ..... ~). ~ ..... pursuant ,o application dated ...~'....A_///////~. / ~) ...... , 19~...~, and approv~ by the Building Inspector Building Inspector Rev 6/30/B0 FORM NO 6 TOWN OF SOUTHOLD Bu dding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This apphcation must be filled ~n typewmter OR ink, and submitted i ~ to the Buddtng Inspec- tor with the foltowmg; for new buddmgs 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 approva~ of Health Dept. of water supply and sewerage d~sposa[-(S-9 form or equa(). 3. Approval of electmcal tnstallat~on from Board of F~re Underwmters. 4. Commercial buildmgs, Industrial buildings, Multiple Residences and mmilar buddings and installa- tions, a cert~hcate of Code compliance from the Architect or Engineer responmble for the buildmg. 5. Submit Planning Board approval of completed site plan requirements where apphcable B. For existing buddings (prior to April 1957), Non-conforming uses, or buddmgs and "pre-ex~sting" land uses: 1. Accurate survey of p~operty showmg all property lines, streets, buddings and unusual natural or topographic features. 2.Sworn statement of owner or prewous owner as to use, occupancy and condition of buildings. 3. Date of any houmng code or safety mspect~on of bu~ldmgs or premises, or other pertinent ~nforma- tlon required to prepare a certificate. C. Fees. Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Cert~ficateofoccupanc¥ New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ t~O~OO~ GO. 00 f 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 March 24, 1989 NewC°nstz"uctl°n ....... Old or Pre-existing Building X Vacant Land Location of Property 395 .T?ack Avenue, Cutchoque, NEW York House No Street Ham/et Owner or Owners of Property .....A~. ??c..s.o.~!...A~...~c...~.'.'..'?-5'..~.~.~...C~..o.~ ...................... CounW Tax Map No. 1000 Section ...1.377.00 ....... Block 01.00 Lot 019.000 Subd~ws~on ........................... Fded Map No ....... Lot No ............. ~ 1972 Perm,t No.1.5.3.0.1.-..L~.6.~.. Date of Permit .. ,1999 .... Applicant .~..cl..o?.ph..H....~.:~..e:., .E..s~:j... .......... Health Dept. Approval .................... Labor Dept Approval ...................... Underwr,ters Approval ...................... Planmng Board Approval ...................... Request for Temporary Certlhcate .................... Final Certificate X Fee Subm tted $ ~;~.~ .0~.. ................... Construction on above described bu ddmg,~/rm~t meets all applicable codes and regu lat~ons ~t~olph H.fBruer, Esq. lc, Rev. 10-10 7a TOWN OF SOUTHOLD OFFICH OF BUILDING INSPECTOR P O BOX'728 TOWN HALL SOUTIIOLD, N.Y. l I971 January l 1, 1989 TEL. 765-1802 Albert W. Albertson 395 Track Avenue Cutchogue, New York 11935 To Whom This May Concern, We are unable ~0 complete your Certificate of Occupancy because.of the following reasons. /~/ An applzcation for Certificate of Occupancy is not on file. (ENCLOSED) /~/ No Undcrwrzters Certificate on file. /X/ Thc check is(~/not on file.) $25.00 /5/ No Health Dept. Approval on fale. /Z/ No final xnspcction has been made. Thank you for your cooperation. Bui]dzng Permxt ~ I 5 3 0 Buzld~ng Dept. ***/~/ contact our office on this matter. I Z No Plumber Solder Cerkificate on file. ( all permlts involving plumbing being zssued afLer April 1,1984 ) OCCUPANCY OR USE IS UNLAWFUL WITHOUT A CERTIFICATE OF OCCUPANCY. CLEAR UP THIS MATTER AS SOON AS POSSIBLE SO THAT LEGAL ACTION DOES NOT HAYE TO BE TAKEN. Thank you. COMMENTS FIELD INSI~ECTION FOUNDATION (lst) FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: · -~-- ~-- {?~.~Z ......... ~- ~"~: ~'" / LOTZ~ ' ~' - : LOT ~0 . . _- .. --~- MAp OF LAND_ ,- ,,. ., j ~YED FOg 765-~,802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION FRAMING REMARKS: ZND £ ] INSULATION DATE: ~/'-~///~ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU Of: ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 O~C~:~B~:~ ~ ~ ~ ; C~g~ Application No. onfile ~ ~'I~ ~/gg ~ 0~ THIS CE~IFIES THAT in t~f~lowAg I~.tion; ~ B~nt ~ Ist FI. ~ 2d FI. OW~' }~(~;~ 0%, ]9~ ,~tlon Bilk ~ examin~ on andf~nd to be in compliance u, lth the r~ulrements of th~ ~rd. RXIU~ RXTURE$ RANGES OVENS EXHAUST FANS ~,m~ m~a MOTOES S~RVIC~ ut:K.~qtNECT S S R V I C h[~'~:~i~:~; ~ L '~,~q~,: Per i~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials; ~,Or~' FOI~ BI,RI. DING DEPARTMENT. TI'IlS COPY OF CERTIFICATE MUST HOT BE ALTERED IN MW M/44~ER. Approved' '9 .% Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 ,19gIo Permit No J-q I (Butldlng Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a Ttus application must be completely filled m by Wpewnter or tn ~nk and submitted to the Building Inspector, wttl sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showmg location of lot and of buildings on premases, relatmnshlp to adjoining premises or pubhc sire or areas, and giving a detmled descnptmn of layout of property must be drawn on the d~agmm which ts part of thru ap catmn. c. The work covered by tbs apphcatmn may not be commenced before ~ssu~ce of Building Permit d. Upon approv~ of t~s apphcahon, the Bmld~ng Inspector will ~ssued a Building Pem~t to the apphcant Such pen sh~ be kept on the premases available for mspechon ~rou~out the work. e. No burring shall be occupied or used m whole or ~n p~t for any purpose whatever untri a Ce~ificate of Occupm sh~l have been grated by ~e Building Inspector ~PLICATION IS HEREBY MADE to the Building Dep~ment for the [ss~ce of a Bmldmg Pem~t pu~uant to B~ld~ng Zone Ordmance of the Town of Southold, Suffolk County, New York, ~d other apphcable Laws, Ordm~ces Regulations, for the constmchon of buildings, add~bons or alteratmns, or for remov~ or demohtion, as hereto descnb ~e apphcant agrees to comply with all apphcable laws, ordinances, bu~dmg code, housing code, and~ulat~ps, and admit antho~ed mspectom on premises and m building for necessa~ mspections~~ ~. (Sl~ature of apphcant, or namexf ~t~on) ~ tmail~ng address of applicant) State whether apphcant is owner~ lessee, agent, ~ch~tect, enomeer, general contractor, electncmn, plumber or bmld (as~the tax roll or latest deed) ~ If appbcant is a corporahon, s~gnature of duly authorized officer Plumber's License No Electnclan's L~cense No (Name and title of corporate officer) Builder's License No . .~ ~ Other Trade's License No Location of land on which proposed work wdl_~one House Number Street County Tax Map No 1000 Section ,/~'~ Block Hamlet s .. Lot ,].~.' .. Subdivision Fried Map No Lot (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 ./. ,~'. L~.. .-.~z~. 3 Nature of work (check which apphcable)' New Building ..... Addition ....... Alteratlo~.-~ ..... Repmr . .. Removal .... Demohhon .......... Other Work.. J~,/~_~t-~. ~ (Description) 4. Estimated Cost ...... ~,,/-~,~ o Fee (to be paid on fihng this apphcahon) 5. If dwelhng, number of dwelhng units .......... Number of dwelhng units on each floor .......... If garage, number of cars ......................................... 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use .............. 7. Dimensions of exastmg structures, ff any Front ........ Rear ........ Depth ....... Height ....... Number of Stones ......................... Dunenmons of same structure w~th alterations or additions Front ....... Rear ............ Depth ........ Height ...... Number of Stories ................ 8. D~m~nmons of entire new construction Front ....... Rear ......... Depth Hmght ......... Number of Stones ................................... 9 S~ze of lot Front ........ Rear ............... Depth ................ 10. Date of Purchase ............... Name of Former Owner ................ 1 1 Zone or use dmtnct m which premises are situated ........ 12 Does proposed constructmn v~olate any zomng law, ordinance or regulation ........................ 13 Wall lot be regraded ................ Will excess fill be removed from premmes: Yes No 14 Name of Owner of premises ........ Address ............ Phone No ...... Name of Architect ................ Address .......... Phone No .............. Name of Contractor ................ Address .......... Phone No .... * Yes ..... No ..... 15. Is thzs property located withlnlO0 feet of a tidal wetland? * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all bufldmgs, whether ex~stlng or proposed, and indicate all set-back dnnens~ons from property hnes. Give street and block number or descnpt~on according to deed, and show street names and mdlcate whether interior or corner lot. ;TATE OF NEW YORK, S S 'OUNTY OF . .. (Name of individual signing contract) bore named being duly sworn, deposes and says that he is the apphcant m the ................... (Contractor, agent, corporate ofhcer, etc.) said owner or owners, and m duly authorized to perform or have performed the said work and to make and file ttus ~phcahon, that all statements contained m th~s apphcatmn are true to the best of his knowledge and behef, and that the ork wall be performed in the manner set forth m the apphcatlon filed therewith. worn to before me th~s ......... .... day of . otary Pubhc, ~ ..................... County