Loading...
HomeMy WebLinkAbout14732-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildi.g Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15342 Date .M.~r..c.h..l$,. 19.87 THIS CERTIFIES that the building . O..n.e. f am i 1 y d w e 1 1 i n g. Location of Property 1105 CARRINGTON ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section .. l .I .l ....... Block . .1.1 ............ Lot . .1...5. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated H...a.r. qh...3.l.,. 1986 pursuant to which Building Permit No. 14732Z dated ..... A. p .r 3.t...3 ~.. 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 ......... One family dwelling, with deck, and attached garage. The certificate is issued to THOMAS HIGGINS ..................... io¥.'o;, ...................... of the aforesaid building. Suffolk County Department of Health Approval .... .8.6.-: ~ 0.-.~. 3. ............................ N777998 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: 9/24/86 Building Inspector Rev. 1/81 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) ~.~7~2 Z Date ................................... , 19..~...~ County Tax Mop No. I000 Section I/[ Block I / Lot No ..... ]..:...~ ........... pursuant to application dated ......~....~.......~../. .................... , 19.~.~., and approved by the Building Inspector. Rev. 6/30/80 PECTION COMMENTS FOUNDATION ~ (1st} FOUNDA'TION (2nd) · ROUGH FRAME PLUMBING INSULATION PER-N. STATE ENERGY ~ODE Yt / / ADDITIONAL COMMENTS: / FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted .. ,.--.----- 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Adcurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 OC~.~.~.j.~., (!J( 5.Updated C.O. $15.00 Date ............... I..{.~.~.'~. Newconstruction ...... Old or Pre-existing Building ...1 ......... Vacant Land ........... Location of Property . [./...0... ,~,~. (~/. (~IF..'~.~.. 'L' ). l ~ . ..~ ................. House No. Utreet U Ham/et Owner or Owners of Property ...~;~O. ~/~-.-~...~;.~..t,.C~. ~.l.~.~ ............................. County Tax Map No. 1000 Section ..... /.~, 1 ....... Block ..... L/ ......... Lot...k '. ,~, ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1. ' -~. Date of Permit .~. .~ .Applicant (~ J .'~..r~:~..~. ?. ~.~'~..; ' b.~.~.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................ Construction on above described building and p~rr~t meets all applicable codes and regulations. App cant . ~ ~. '~'~--~¢-~_~) ,..,0.,0.,, THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000378 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ..,e ~OV~= 7. 1986 App,,~.,,o. No.o.S.e ,~:~SO29/Se N 777998 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed belo~ and intmduced by the applicant ~med on the a~ve application number in the premises of John Eich, Carr~gton R~d, V~ston & Haywaters, N.Y. ~tchogue inthefollowlnghkcarion; ~ B~,e~.ent ~ IstFI. ~2nd FL Section Blm~k Lot oCtober 30, 1~86 FIXTUEE OU~1LElr$ SWITCHES FIXTURES FLUORESCENT cOOKING DECKS OVENS DISH WASHERS ~r A T S NO OF FEET _ RANGES__ I C E 61 55 37 il DRYERS FURNACE MOTORS APPLIANCE FEEDERS SERVICE DISCONNECT S 1-STon AC Unit 3 G.F..CX 2 Smo~e Detector& A,W G NO O~ HI-CFC A.W~G OF CC COND OF HI-LEG EXHAUST FANS DIMMERS 1/0 Stevens Elect. Inc. P. Oo ~ 1268 Southold, N.Y 11971 L£¢#3494E GENERAL MANAGER Per 11 This certificate must notbe altered in any manner; return to the office of the Board if incorrect, inspectors moy be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ~,,UST NOT BE ALTERED IN ANY MANNER, TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner (please print) '(please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. {p~mb~r' s signature) Sworn to before me this ~ day of.~, Public, County Notary ~ / N~tary Public 7GS-1LS0~' BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~-FINAL REMARKS: DATE ,47 oO f'30 705-180Z BUILDING DEPT. L INSPECTION ~.~FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION 2ND [ ] INSULATION DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS. C~/ DATE / 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ]~ROUGH PLBG. [ ] FOUNDATION 2ND [~INSULATION [~FRAMING [ ] FINAL REMARKS: DATE ~//-~/~ ,NSpEc'ro. ,/¢~/~ 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~~ROUGH PLBQ. FOUNDATION 2ND [ ] INSULATION c]'~FRAMING [ ] FINAL REMARKS: ~£/-/ BUILDIN~ DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [. ] INSULATION [ ] FRAMING _ [ ] FINAL REMARKS. ~ DATE INSPECTOR 'FORM NO. 1 TOWN'OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 ~ TEL.: 765-1802 Examined .~...~. .... , 19 ~..(~ Approved~ . .~ ..... 19~...~. Permit No..) .~.7.~..~...~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Bi DG OI-PV~'-'~ TOWN 0~' S( ':,' ', ,, ,', Received ........... ,19... Date. /~c~U ~,L ~. 19g~. INSTRUCTIONS a. Tkis application must be completely ~led 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 inspectionz~// (Signature of applicant, or name, if ~-e'ort~d'ration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ... [.~. ~. ?..~..~ .... ~.l .¢r¢-. I .~..~. ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Bnilder's License No ...... . .l~u:'...~tfX~.. ............. Plumber's License No. , Electrician s License No.- ...................... 7 Other Trade's License No.' ..................... 1. Location of land on which proposed w(~rk will be doqe .................................................. ............. u.ox ....... ............................ House Number Street Hamlet County Tax Map No. 1000 Section ... ](4 ............ Block . ./( ............... Lot ................... Subdivision . ..0 .~.~.. ~? ! .i9 ........................ Filed Map No ............... Lot ..~.. ~ ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construcfion: a. Existing use and occupancy ...~.~ ./}.C..fl..N:F ......................................................... b. Intended use and occupancy ... p.l.q .ff..: 5(! ?. ~.~.~].. :? ?.~..l".v7 ! ¢,~ .................................... 3. Nature ofwork (check which appilicable): New Building / Addition Alteration Repair ..............RemoVal .............. Demolition ......... Other Work ............... '~ ~.~, t~q ~. (Description) 4. Estimated Cost .................... Fee . i ' (to be paid on filing this application) 5. If dwelling, number of dwelling umts .... t. Number of dwelling units on each floor ................ If garage, number of cars .. ~ .i .................................................................. 6. If business, commercial or mixed ioceupancy, specify nature and extent of each type of use . ~ O ................. 7 Dimensions of existing structures~ if any: Fronf~. ~. ~ Rear Depth Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or--Front ................. Rear .................. Depth ..................... i. Height ~ ............ ~ ....... Number of Stories ...................... 81 Dimensions of entire new constru,'ction: Front ..... (o.[.'5~C... '". Rear ~--O.--f~' . De-th Height .../~.14:~C ...... Number of Stones ] g ........................ 9. Size of lot: Front .... 10. ~..~. 3~ .~. ,~.... Rear ..... [ 9.O.: .~. 7..~. ..... Depth . ,~ ~.q21..~r~., ........... 10. Date of Purchase . .~'~..~.0..i.i[ 9.~;~ ............ Name of Former Owner ~4Aqt~ .a.t~ ~ ~ .e.~gt~figf~. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation ...[~.~. ....................... 13. Will lot be regraded . .kJ.~..~.q...! ...... ~ ............ Will excess fill be removed from premises' (fY~s~ No 14. Name of Owner of premises ~f'[4 ~ ~1~.~ .-~.Ctq'/~ ..... Address ti .~.~,W4 * t>q(..4~c[i.~,.~, Phone No. ~.t~.~ .~.~. ~.. [.. Name of Architect ........... ~. · ;. ·., .......... Address ............. Phone No ................ Name of Contractor' .q~f(O ~.c... i .[~q.,.~.~ ...... Address.td~.~ & ~,~.Cw..CePhone No..q't~.~, 15. Is this property located ~ithin 1.00 feet of a tidal wetland? * Yes ..... No · If yes, Southold Town Trusltees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all l~uildings, whether existing or proposed, and. indicate ail 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 (~O UiNFI'Y OF ................. ...... ...... , ................... (Name of ifi~tividual sigm~g contract) above named. being duly sworn, deposes and says that he is the applicant He is the ............................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyl 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 his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this 3 ] ....... day of.i'. .... 19 Xlotary Public ......... ..., .. Signature of applicant) Term Expires March '~' ~,._ ~,~ ! SyFFOLK COUNTY HEALTH DEPARTMENT ..'.:<.~.. ,.! S,C &~i:'t OF ~-. SINGLE FAMILY DWELLING ONLY DATE;]~ ~ ~U~ TITLE I'-dO.- ~-5 '0~0 HAp AMENDED SIATEM£NI OF INIENI THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO, DEPT. OF HEALTH SERVICES. (s) APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOr APPROVAL OF CONSTRUCTION ONLY DATE. APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. 13(X~- !t i t I OWNERS ADDRESS. 48 : E, '",,'--~:~';~-' ~,"" AU ~ N ..... 4--,~ ¢.-A~2Ok2xJ CITY, N.~ > ~5~O DEED: L. TEST HOLE STAMP SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT ............... . . ,,F ~ :,. /~ ¢% (.,~. ; [ , 2 ~ ~ , THE WATER S~LY AND SEWAGE DISPOSAL ~,~k~,~ ~ ~ k4 j SY~EMS FOR THIS RESIDENCE WILL ; CONFORM TO THE STANDARDS OF THE ~ ' A~LICANT ~O~, SUFFOLK COUNTY DEPT. Of HEALTH ii SERVICES -- FOR APPROVAL OF ~ / CONSTRUCT tON ONLY DATE' /" DIST. SECT. BLOCK PCL. '// OWNERS ADDRE~: :/ / , ', ,'' }, /" // DEED: L: . . P. FEB ~ S.C, DEPT. 0F LICEN~D LAND SURVEYORS HEALTH S~VI6[S GREEN~RT NEW YORK Mf W~TER IllllM APPROVED A8 NOTED NOTIFY BUILDING DEP~RTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH FRAMING & PLUMBING F J q k_,c~x~ w/ia"