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Home My WebLink About15086-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... ~: .~ 55.6. l ....... Date .... D.c.c..e.m.b.e..p..2., ................. 198..6. Bedroom & Bath Addition THIS CERTIFIES that the building ................................................ Locatio~ofPro-err 1600 Pine Tree Road Cutchogue, New York --~ v Y h3d~X/o: ....................... 's'de3i ....................... h~d,t'oi 0q9 County Tax Map No. 1000 Section 098 .Block O1 .Lot .......... =.. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Jul.y 11 15086Z ............... , 10.8. 6. pursuant to which Building Permit No ...................... dated ....~.u. 1. ¥..1.1 ............... 19.8.6., 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 ......... Bedroom & Bath addition to existing one family dwelling The certificate is issued to ...... WILLIAM PETERS ............... io¥,'o;,'t~g ar~8;~'~X ~ ~ ................... of the aforesaid building. Suffolk County Department of Health Approval .......... .iq/fi: ............................ UNDERWRITERS CERTIFICATE NO ......... N 77 $ 005 Plumbers Certification dated October 21, 1986 Rev. 1/81 ~OEM NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15086 Z Permission is hereby granted to: ....... LV..d..u~.~..~~ .............. ...... f.~.o.~.~.~.~-...~.~...,.L~. ...... ...... .~.~.~,L.C~,~.r.....~..,:..~ ........ ,o ......... .~a~.~...-c.~..~.~....~.~.~..~....~.~k-~.....~..,~.~.~ · .~.....~..~'~..~.~.......~.~......~.~.~...~.~..~..~....~ ......... o, premises ,ocoted O' ..... L.~.~.....~..l~....~...~~..~. ..................... '~ ....... ........................................................................................... ~;.....,.T..~....~..~.~,~.t...,~... .................. County Tox Map No. lO00 Section ...<~..~...~. ....... Block .... ...(~...J, .......... Lot No..~.L..(~ ......... pursuant to application dated ...,_~.~...C~....~... .......... .J,.X .................. , 19.....~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 --=--' t~ F~ BUREAU OF ELECTRICITY FIXTURE tSWITCHES INCANDESCENT FLUORESCENT OUTLETS IECEPTACLES VA~OR 25 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SERVICE DISCONNECT S OTHER APPARATUS: NO, OF RANGES SPECIAL REC'F V Three "C" Electric Inc. POute #1~ Box 45M Sound Avenue River }lead, N.Y. 11901 COOKING DECKS OVENS DISH WASHERS IMT K. W TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET EXHAUST FANS DIMMERS C E GENERAL MANAGER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date 0'"~. ¢~-3 ~qeC Building Permit Owner%~A~%~(~ (please print) (please p~int) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. · -- (plu~be~ s signatu'~e) Sworn to before me this .~ day Notary Publ is L_/f~f/~7~'L NotaW Public, $t~t® of New York No. 62-4013660 Notary Public / County Lo'r 27' ~IA~ AH~ND£D ~OCT, I0,198~ . 7GS-'"802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS :,, FINAL INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~/~-~ ~ .. .INSPECTOR 76.5-3,802 BUILDING DEPT, INSPECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBe. [ ] FRAMING REMARKS: FOUNDATION 2ND [ ] INSULATION [ ] FINAL DATE ~//~0/(~~/' INSPECTOR ~-~c~ ~/ FIELD INSPECTION FOUNDKTION 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: Extension: 24'x20' '~ ~ Overhangs and sliding to match existing house~overhangs sidings. 3. Full basement under extensien. Basement is to be bottom of floor joists. g£~D~. Passageway to existing cellar. to 4. Floor in extension to be level with floor of original 5. Termite proof supports on new construction and all newly exposed portions of original ho~se. 6· Plastic sheeting vapor barrier in floor, walls, and ceiling. ?. 6" insulation in ceiling, 4" insulation in walls, and 2" insulation in floors. 8. Cement block or poured concrete foundation. New foundation is to be tied to present cement block foundation. 9. Oak flooring to match existing oak flooring. 10. Ail plumbing fixtures will be supplied by the owner and will be available on site at a time specified by the contractor. 11. Heating ducts and vents are not included. 12. Payment of 95% of job will be as mutually agreed upon, with the remaining 5~ due within 5 days after delivery of Certificate of Occupancy. 13. Entire roof (existing as well as new) to be reshingled. All old shingles are to be removed. Existing roof is two inch thick homosote type material requiring longer than normal roofing nails. 14. Existing fuse box has spare circuit breaker. 15. Water line from well is located in area of new foundation and basement. Provision for restoration of water in a timely manner to be negotiated and agreed upon at time of contract signing. (Well itself is clear and presents no problem.) 16. Will present chimney be high enough? Addition of flashing? 17. All painting and staining will be done by owner. CERTIFICATION / ~PPROVED :AS NOTED...~. FEE: ~'~c;:)/~..BY i _ 765-1802 9 AM TO 4 PM FOR THfi FOLLOWING INSPECTIONS: 1. FOUHDATION - TWO REQUIRED FOR POURED CONCRETE ~. ROUGH - ~RA~ING &pLUMBING g. INSULATIOH ~. FINAL CONSTRUCTION MV$T BE CO,PI FTE FOR C.O. ALL CoNSTCUCTION SHALL THE ¢EQUIRt~NT$ OF THE STAT~ CoHSTR~TION & ~O~t$. NOT ~$PON$1$L[ FOR ~$1G~ OR CONSTRH~TION ERRORS, 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ..7/.4.~..~...~. ., Perm [.~O ·.. it No ...... Received ........... ~19... e-g- Disapproved a/ .... ' ....'d ' ,~-~7... ....... .~ ......... 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 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 auth°rized inspect°rs °n premises and in building f°r necessary i~7~°n~'~ j?,/~,,' (Signature of applicant, or name, if a corporation) · i~,Iailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... t' 4Z .................... (as on the tax roll or latest deed) 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 ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done; ....... ~ ........ ..F~. ..................... ........................................ House Number Street Hamlet County Tax Map No. 1000 Section ...... ~../5". ........ 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 .... . .~.g ~. 'I~ '.~. '.~..~ ~.~..~. b. lntended use and occupancy ........ / ~.~V..Q~: ~::: ) [.. W, ~}., ~':.: ............... Locate clearly and distinctly all property lines. Give street and block interior or corner lot. 3. Nature of work (check which apphcable): New Building .......... Addition .......... Alteration .......... Repair ...... ·. ~,..... Rem?al .............. Demolition .............. Other Work ............... ~ ~ (Description) 4. Estimated Cost ...................... Fee ...................................... ~' '~ (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ...... 2' ........ Number of dwelling units on each floor .... ~. ........ If garage number of cars i & If bus~ ess, commercial or m~xe,d occupancy, specify nature)nd extent of each t~y~e~f use .... ~ .............. 7. Dimensions of.e~isting structures if anv. Front .~-~ .... .. ............... R ....... ~ ~. Depth· · I - , · " ........ Height .... ~ .......... Number of Stones J. ~. .. Dtmens~ons'of samer structure with alterahons or additlons~ Front · · · · · · · · · ·.......ff-~ Rear ..... ~.....~.' . Dept ..... ~t.4~. ........... i" Height ...... ~t.~. ............. Number of Stones ......... ./ .... ~--8. Dimensions of entire new construction: Front ..... .Z-. ~... Rear ...g~ Denth . ]~?ght .... ],6f. ....... Numb~er of Stories . ;].iiii . .' i" ....... '-.' ...... i ...... 9. Size of lot' Frt~nt /0;~ . Rear 9~~ .......... ~.' ' ;.' ..... 4'~24 't ........... ..... ' . " ";h';~:l ............... t ............... %~prn,, .... r..~e.t~ ...... r~ ..... 10.J. Jare oi. vurcnase ...... l ~1~.~5~' .................. Name of Former Owner ...~..ffdT'~.~/~/z~.~.'/~29~ff~} 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction¥igtate any zoning law, ordinance or regulation: .... ~/.~2 ............ ~ ...... 13. Will lot be regraded ..... fi~.~ ....... ;. ........... Will exc.es~ fill lac removed fr~om premises: /Yes~ ) No 14. Name ofOwnerofpre~nises ~/3 ~..t~-72~; Address //(~.~.~././~.fT'~.~,~ ..... · · ~ .......... t. -~-a.,. -~./~t2. rnone r~o.-7~Z.. ~'~<N/~w6'..C,~,... Name of Architect i Address (~. 6~//5q~...//(~.bf~2..TM-- ~' Name of Contractor ~[$.t..) ! C__~tt4,._q./-t~. ...... Address .............. PhoneNo ................ 15. Ils this property located ;within 300 feet of a tidal wetland? *Yes ..... No ...~" · If yes, Southold Town Tru~stees Permit may be reouired. PLOT DIAGRAM ... buildings, whether existing or proposed, and~ indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY OF ................. S.S ................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signi!ng, contract) above named, i He is tile I . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized io 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 his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed therewith Sworn to before me this ............ ff. ~ ..... day of[ ..... .. 9..~.~ . II~,EN ILIIEVOE (Signature of applicant) i Ne. 470~; mlflolk Term Expires M~roh ,30,1L