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Home My WebLink About14731-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17409 Date OCTOBER 12~ 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property. 2230 CEDAR AVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 077 Block 02 Lot 19 Subdivision C~OOSE CREEK ESTATESFiled Map No. 1176 Lot No. 115-120 conforms substantially to the Application for Building Permit heretofore filed in this office dated JAM. 17~ 1986 pursuant to which Building Permit No. 14731Z dated APRIL 3~ 1986 . 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, COVERED PORCH AND GARAGE UNDER, The certificate is issued to IAN DAHID & ROSEMARY LOUISE HAIGH (owner, - of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 13-SO-119 SEPT. 20 UNDERWRITERS CERTIFICATE NO. N630254 JAN. 16, 1984 PLUMBERS CERTIFICATION DATED PECONIC PLUMBING & HEATING 7/29/88 B.P. #12488 expired 1988 Rev. 1/81 ~OR, I~ NO. I~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~,IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N': li731 Z .... .................................... . County Tax Map No. 1000 Section ..1~...'~....~. ........ Block ...~..~. .......Lot No....(~.~'...9.. .......... pursuont to appJicotion doted ........................................................ , 19 ........ , and approved by the Building Inspector. Rev. 6/30/80 OCT I 21988 i.i BLDG. DEPT. TOWN OF SOUTHOLD Al ~LICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 Instructions A. This application must be filled in Wpewriter OR ink, and submitted m ~m.amm~ 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: I. 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 S25.0OALTERATION $25.O0 1. Certificate of OCCupancy New Dwelling $25.00, Accessory ,$|0.00 Business $50.00 2. Certificate of occupancv on pre-existing dwelling $ 50.00 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 .'.~¥D. ~.<~.~?~. ~.~.~,-.~..~.d~./. New C on s 1; z~ u c t i o n ......Old or Pre-ex isting 8u ilding ............ Vacant Land ............. Location of Property .... ~' ~' ~ .~ ¢.~.~J¢,~'..) ~.. House No. Street f Ham/er Owner or Owners of Property .-~'~...'?.. b/~.~.,:~...~.CJ~.~.C4~-~4~. LO(~.,~.,~...~'.~ J~.~ ........ .7.7....... Block ....... County Tax Map No. 1000 Section . .,O. , ~ _ / ........ Subdivision~g)¢b34-.~. ,~.. ,~...~. ........ Filed Map No.. ll.7.6....Lot' No, Permit No.!,.,.,.~ J Date of Permit !.. ? .... .~'.Applicant , , Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate .................... F~Final Certificale-'~, ,'. .................... Fee Submitted $~,. ,~,/~, ..................... Construction on above described building and p, ermit meets all ap, olicable codes and regulations, ·, App can ................................ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. ~ ~ 7 Owner ~/1/ ~' 7-~>0 ~q~ ~ (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 ~/.day of ~ ~,~C~ , 19 ~ . Notary Pub~ic~F~C~ county BARBARA STEPNOWSKI N~ary Publ~, State of New York No. 4844762 'Qualified in Suffolk CounW Motors: l-F, 1-G.F.C.I.~ 2-Smoke Detector. . :'.i '~'~ Charles M. Hsll Electric '~ - '~" 780 Long Creek Drive ..... ,. , , i'h~s certificate must not be a~tered in any manne~ retbrn to the offic~ of the Bo~r~ i~ ~n~o~:e~ ~a¥ be ;d~htlfied by ~thelr credentials. FIELD INSPECTION DATE COMMENTS _FOU~NDATION (1st) ~_ F__OUNDATION (2nd! __ ROUGH FRAME & PLUMBING , INSULATION FERN. Y. STATE ENERGY ., QODE ~. ~"!~ ~ ~ ~'~' --'~- ADDITIONAL COMMENTS: FIELD ,~'~SFEC~ION'~ COMMENTS ~ ~'~ FOUNDATION (1st) FOUNDATION (2nd) o ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 Disapproved a/c ............ ~..~. · . - .'> ..........//7':"' ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. OEPT, TOWN OF $OUTHOLD Received ........... ,19... INSTRUCTIONS 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 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 inspections, .......... (Signature of applicant, o~a~'e} if a corporation) (Mailing address of applicant) ,qJ IIOO~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises :jZ'tq~ ~.~/q 614 ~ ~4~ (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. ~,~ ,O..~... (/.~../lb... ~.~..(~..~,,t) Plumber's License No. O~..~. ~ ?.....~...,~...~.~...fd~) Electrician's License No..~..~..~...~...~.. ~(.~.J.¢..V~. Other Trade's License No ...................... 1. Location of [and on which proposed work will be done .................................................. House Number Street Harri4bt. (p't.~4~tvc,~. County Tax Map No. I000Section 0.-7.7 ............ Block o9~ Lot i~'~":~h'd Subdivision .~.O.°. &~...~..~....~.~.T..~. T..gr.~. ........ Filed Map No.. ! .I..'7...~. ...... Lot..~: O'(Name) ' State existing use and occupancy of premises and intended use and o~cupancy of proposed construction: a. Existing use and occupancy .~..~.~'..~.' .... ~..~.£~,/~/';O17. .e.~r~... ~..~, .~(~..~...¥.~,.~.. ~ ./ b. Intended use and occupancy .pR ~ O9./9(4..~... ~.... ,,'~ .... ¢ ...................... .~f ................ 3. Nature of work (check which applicable): New Building. ~' ' Addition Alteration R pair R al D olition ~ Other Work e .............. emov ..... , ........ em ............ . ' ' ' ' , (Descrip~n) 4. Estimated Cost .... ~, '],O,~ ,,~., ........................ Fee.~ .;,~-, . ...... ;,...~./.~.~--?-~--~.~..~... ' ~ (to be 'paid ~-~ [ling tlgs appli~cafion) _ 5. If dwelling, number of dwelling units..~ ............ Nfimber of dwelling uniis on each floorf3t...~,:?'".'~?..~. If garage, number of cars .L. . . ~. . .~. . . . . ~. . [. . .~J:5~. . ......... '. .~. /. .1~, 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7'V ................... 7. Dimensions of existing struc'tures if any Front..~...~?~.. ........ Rear ....... i ....... Depth ............... Height Number of Stories Dimensions of stone structure with alterations or additions: Front ............ ] ..... Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front , .~.,! ~ Rear q-'Z- Depth ~ 2-- Height ,,~0 ......... Number of Stories /. ., ~,.~,~ ...... ~...~..iiiiiiiiiiiii ...... i.ii ', ii "' 9. Size of lot: Front . .I..gF?.../~.~..~. .......... Rear ..../.:~.../~'..~.... iDepth / ~-~ "' 10. Date of Purchase ..t~.'.tO~... I.'5~.{.~.gO. ..... N.ameofl~ormerOw~;/.~i ~.[i~i~'~'Wt 11. Zone or use distric(in which premises are situated ~.~ .......... i ...... ii. [. J.. iii[,, i[ 12. Does proposed construction violate any zoning law, ordinance or regulation: t~d. t).i ............................ 13. Will lot be regraded . .~..0., ......... . ............. Will excess fill be Itemoveld [~omvremises: Yes 14. Name of Owner of premises, .~.~.d.~).· ~/~.qPl .r ~i ~ Address t.g..~.c!'/]~ ~,.,~dT~dj.O.°P~one No (b.7¢? Name of Archatect ~T~rtl .~) ~..h..'~.~ ............. Address,~~..~. Phone No.7. ~,.~.-..~.~.'~-~..~. fC 0~. D.~... Add : Pho N Name o ontractor ................. reds ............... ..... ne o .............. ,. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, i~dicate all sot-back dimensions from property 1/nes. Give street and blocknumberkgr description according to deed, and show street names and indicate whether interior or corner lot.,, ,,. 5e~ /-4'TT~qC~CD orl orai~)o~2,,qj,~fa.il~cc~+t.o,.v' ~ STATE OF NEW YORK, COUNTY OF.. JkJ~g4d. .... S.S ....... ~? .............................. being duly sworn, deposes and (Name of individual signing contract) above named. Heisthe.......... C~) ~,~A/.~...... .......................................... (Contractor, agent, corporate officer, otc of said owner or owners, and is duly authorized to perform or have performed the application; that all statements contai~3ed in this application are true to the best of h work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notary Publi~..~ .~-~. --~. says that he is the applicant ;aid work and to make and file this s knowledge and belief; and that the County~ , - ~' ......................... Z/.L,?~. ~. ~. ~.~, ....... [~ignature of applicant) D:AL E -4o':: SUFFOLK COUNTY SERVICES -- FOR CONSTRUCTION ONL~ DATE: H. S. REF APPROVED: .~ SUFFOLK CO. TAX DIST, SECT. OWNERS ADDRESS: TEST HOLE SUFFOLK'CO. HEALTH DEPT. ~¥~-. '~ :} ' '",'."' -- ;.": ..... ". >,,*' ~. '" ' ~ . :', , ,, .>, , .:,. , .... ~ ,~ , ~' ,~. ' . ."'"'., ..... . , . SUFFOLK CO. HEALTH DEPT. ~ ..... ~ ~ ', H.S. NO. ,. ..... ' SYSTEf~ F~ THIS RE~DENEE ~- ~FO~M TO THE ST~ND~S ~UFFOLK CO. DEPT. OF ~m~ r~T ~ ~ haveb~ ~cted y ~ ~ , ; . : ....... = ....... :'= ..... ~ ~ HOLE" "' STA~' ' ' t~b~ ' IF copper trig is Use ! for water d~stnbuh g , oF WP~s K,orL ~ly ~ , E~LDE~SED CN WATER SUPPL Y ~YSTEM CANNOT ON LEAD CONTENT,~E.~F,O. RE ,CZJ~'I~tOA'~ ~? occo'? · OCCI]?/~HC¥ QR :USE [3 ~D~D:UL CDflfl~A, TE ~R ~URED 2, ROUGH - ~ING & 3, INSU~TION 4, FINAL - COH~EUCTtOH MUST BE COMPL~E FOR C, O. ALL CONSTRUCTION SHALl MEET THE REQUIREMENTS OF THE N, STATE CONSTRUCTION & ~N[~GY COD~S. NOT RESPONSIBLE DESIGN OR CONSTRUCTION .AP.,I~_VED AS NOTED NOTIFY Bb'fLDING DEPARTME~ 'AT 765-1802 9 AM TO 4 PM~OR THE FOLLOWING INSPECTIONS: 5. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 9. ROUGH - FRAMING & PLUMBING ~3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C. O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF Th~ N.Y. ~TATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, OCCUi HC¥ OR USE WIl'ti i C RTIFICUE OF OCCUPANCY If copper tubing is used I:or water distributing system; piping shall be of types K or L only ~oTED 1802 9 AM TO 4 pM FOP- THE 765- - NspECTIONS: 4 FINAL '~ ~ FOR C O. ALL CO~RUCTIU~ ~'"' THE REONIR~Mt',~TION & ENERG~ STATE CoN~RU~ CODES. NOT RESPONSIBLE FO~ DESIGN OR CoN.RUCTION ERRO~ 3 coPPer tul01ng is used ~or water distributing sys~.em} piping sha[~ be o~ types K or L only ,