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Home My WebLink About14949-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No... ~ J ,5.6. 7. 5 ........ Date .... 4 P .r.i.P...2.1 .,.. ! .9 .8.7 ............. THIS CERTIFIES that the building ..... A.d.d..5_ .t 3.qn. ................................. Location of Property , .3.2.1.5...L.I?.T.L..E..N.E.C. ,K..R.O..A? ....... CUTCHOGUE House No. StreW[ ....................... County Tax Map No. 1000 Section . . .1.0.3. ...... Block .. J 9 ........... Lot ..... 0.~ .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 22, 1986 pursuant to which Building Permit No. 14949.Z dated .J p.n.e...7 ~.. 1. 9. .8 .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 ......... to add a family room with deck as applied for. The certificate is issued to ....... L, ,U,K,E, . V..A.U.G.H.A..N ...................................... (owner, XeX~O~ Xg~O161tdX X X of the aforesaid building. Suffolk County Department of Health Approval ..... ~!./. 3- ................................. UNDERWRITERS CERTIFICATE NO .............. N. 7. .7 .3.9,5. 5...O.c.t.:..1.4. ,.. J .9.8.6. ........... PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 ~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~AIT (THIS ~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereb/granted to: .... ~~.~...~.:~.,..!..~..~..~..~ , .~~...,.....~....~~..,~ ............................... ,, ..................................... ot premises located at ..~i.~..~.....I~..~.....~.~..~,C.~...../~[ ........... ~.~..~.. County Tax Mop No. 1000 Section ..,,J....O.....~... ........ Block ....... ~/.'...~.. ........ Lot No......0....1'/. ............. pursuant ,o application doted ...... ~.~...?.......~... ........... , 19.~..~., and approved by the Building Inspector. Fee $..~.~..,.:. ~... Rev. 6/30/80 / / // THE NEW YORK BOARD OF FIRE UNDERWRITERS 100].()7]. BUREAU OF ELECTRICITY J~l B5 JOHN STREET. NEW YORK, NEW YORK 10038 ..t. October ~4,1986 /~ppU,~aao. No.o.~'u~ 43183Z/86 N773955 THI5 CERTIFIES THAT o~y the electrical fluJpment ~ ~scrlbed below and initiated by t~ applicant ~d on the a~ve application nu mb~r in the premises of Luke Vaughan~ 3Z15 Little Neck Rd., Cutchogue, N.Y. in thefollowlng locatlon; ~ Basement ~ Ist Fi. ~ 2nd ~. Section Block Lot ,¢~s ex~mi~d on Oc~ob ¢ ~ 6 s ~ ~ ~ 6 and found to be in contpllance with D~e requirements of tkls Board. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE SWITCHES 4 5 g DRYERS DIMMERS SYSTEMS C OTHER APPARATUS: G ~ S Electric Box 215 Southold, ~N.Y., 1197J lzc. #578 E GENERAL MANAGER Per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY/vJANNER. 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 property 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 · . /~ ~7 Date .~.~...:__./ ............ New Building ............. Old or Pre-existing Building .... '~ ...... Vacant Land ............. Location of Property .~..~/..~..~ ~ __~.- ~ "/~' ' Y.. House No, Street v Hamlet Owner or Owners of Property .~. ~.. ~ ......................... CountyTax Map No. 1000Section .... J..o..~. .. Block . ~( ........... Lot .... Subdivision .............. .-:. ................. Filed Map No...-: ....... Lot No. " Permit No/,~.?,~, .~, .ZDate of Permit ~ ~)/,~',~pplicant ~ ~, ,~, ,' ............. Health Dept, Approval .... ~.'.~,' ............... Labor Dept. Approval , ,19,'?,: .................. Underwriters Approval..I,~, T. ,-7, .7 .'~.~ ,<~..~, ......Planning Board Approval ~, .', ,r~, ................. Request for Temporary Certificate ..................... Final Certificate .(~q-, ,.- ............... Fee Submitted $, ~.~,. ~ Construction on above described building and permit meets a_ll al~plicable codes and regulations. Applicant, .~.~-~z.,,. ~ ......................... ..~. ~o-,o-Ta ~.~ 3 / ~/ FIEL~ I,N~?ECTION FOUNDATION FOUNDATION 2. (1st) / (2nd) ROUGH FRAME & FLUMBING COIdME~TS INSULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION ]FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [, ~$~LATION ] FRAMING ~'] FINAL DATE INSPECTO BUILDING DEPT. ~ INSPECTION ,~/~DATION 15T [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL Examined . . .~3't~.'!. .... Approved . . .~.~..~... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., ., 19 .~.~. Permit No. t.~..~.q.~..~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... , qo a. Ttds 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 Regulations, 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~s_.~..~. (Signature of applicant, or name, if a corporation) tmai±ing address or app±icant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. premises . ~..C).. '~n' ~h'e' ;a'x' ;o'li ;; ilt;}t' fi id') ......................... Name of owner of If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .~...~..~...~..~.~.: ........ Plumber s License No ......................... Electrician's License No...~..r~. ~..~..~ ......... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .... ......... ............. .......... House Number Street Hamlet -- County Tax Map No. 1000 Section ..... 1..~...~ ....... Block ....... I .~. ....... Lot ..... ~/. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: .o~.~o,....~y~..~ e.a.~' ':)~7~a Existing use and occupancy ~ ................ b Intended use and occupancy' '.~.~ ~d ....................................... 3. Nature ofwork (check which applicab!e): New Building ..... i .... Addition. ~.. ...... Alteration .......... Repair .............. Removal ............ Demolition .............. Other Work ............... ~*l .~.. i ,, .~. · (Description) 4. Estimated Cost ................................. Fee ....-~ .................................. (to b? paid on filing this application) 5.If dwelling, number of dwelling units .... . . .x'. ...... Number of dwelling urlits on each floor ..-. ............ . ' If garage, number of cars . .. ~ .................................. ... ..,~ ............................. 6. If business, commercial or mixed occupancy, ~pecify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front...6.7 ......... Rear ....fi.~/ ........ Depth:~.~ ........... Height Number of Stories Dimensions of same structure with,alterations or additions: Front .. (-..*/.......[ ...... Rear . g, ."~ ........... Depth .~ .~ .t Height I ~.. ~ ' ..................................... Number Of Stories. ~ ............... · . ~-I pth 8. Dimensions of entire new construction: Front ..... T ....... Rear ....... i ........ De .............. u · - Number of Stories...'7 ............. ..eight ............... , o-~ ' .......... !' ~) ........... ' ............... 9. Sizeoflot: Front . ./.t?~. ................. Rear ./. ................. epth [~/ ............. 10. Date of Purchase ...................... Name of Former Owner 1 I. Zone or use district in which premises are situated ./'~~. ~. ~...~. ........................ 12. Does proposed construc~tion violate any zoning law, ordinance or regulation: ..~¥.c'...-. .... ................. 13. W' - ' · : · ill lot be regraded ...~x-,.~..-.,q .................. Will excess fill be removed from premises: Yes 14. Name of Owner of premisesd~:~4L~.. O....~.~,~r?... Address .~,,.~.'.~.:. Phone No. ?~.h/.-: Name of Architect ...V ....... Address .................... Phone No ................ Name of Contractor C-(~.. (~,~..: ......... Address .~. i .h.'.W., Phone No '~.$~71~.~, ~.~. 15. Is this property located withinl.00 feet of a tidal wetland? ~ Y~s ..... No .~.. ~ If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM : Locate clearly and distinctly all buildings, whether existing or proposed, and. ihdicate 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. STATE OF NEW YORK, S.S COUNTY OF,~, ................ ....... ~.. (~'~. · · ~ .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .~,.~.~'A~..... ................................... (Contractor, agent, corporate officer, 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 all statements contained in this application are true to the best of h is knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ 0~ ~ ........ day of .... .'~l..tt~.. .......... , 19..t~.~ ~ / _ ,,-, /' ,.,.,I/l Notary Public, .... ~.. ~.~...~..4<..~.. g.t~. ..... Count ~ ~1m~8~,1~_~7 (Signature of applicant) i