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Home My WebLink About14601-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z J-.43 $7 .......... Date ...... ~...ay..iff. .................... 19.8..6 THIS CERTIFIES that the building .... R. 9.b.u.~.%d...d.w.~..1.1.i.n.q[ ......................... Location of Property ... ~[ J-.2. O. I3.r.J,d.g¢..Iq.~..n.o ............... C..u~?.h.o. Ct.u?. ............... House No. Streer Hamlet County Tax Map No. 1000 Section ... ~ ~5 ....... Block ... 2. ........... Lot ..... .6 ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. Mar...3 ........... ,19.86 pursuant to which Building Permit No...1.4.6.0.1..g ............. dated ....M.a.r.....3 .................. 19 .8.6., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which fids certificate is issued is ......... ·.. ~obu~.l.d. clw. e ~ ~ £r~c~. qt~.a.g .a.d..b. 7' 7.~.r.e... ..................................... The certificate is issued to WILBUR AND MARIAN COOK ..................... ...................... of the aforesaid building· Suffolk County Department of Health Approval ..... .N./.~. ................................. UNDERWRITERS CERTIFICATE NO ............ ~.N. 7 .~.1.1.8. 3. ......................... Building Inspector Rev, 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT [THIS PEPdV~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTFIORIZED) 14601 Z Permission is hereby gronted to: ...~..~..~.~.~~.....~~ ............ ..~..~.?...~........~. _ . ,o ..... ~...~ ........ ~.~... .............. ~~~..~ ............ o, ,,,,,,, ,~,, o,/....~....~.~.....~..~.....~?~ ............................................ ................................. ................................................. County Tax Map No. 1000 Section .~'...~.... ........... Block ....... ¢:~ ....... Lot No .......~. .............. pursuant to application dated ..~....~/ ......... .~. ...................... , 19.~...L~, and approved by the E~uildi~/71nspect°r'JL Rev. 6/30/80 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all propertv 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date ...~,..~. ~-..~.E,/~.. ,~/,~. ....... New Building ............. Old or Pre-existing Building ... ~ ...... Vacant Land ............. Location of Property .../../.~.o. ........ '/~'~' '/~ '~' '~. - · ./~ ..... ~" .~'.~¢~'~"~" '~' · 7. '~/' '~-' ....... House No. Street Ham/et Owner or Owners of Property ...J~.~..~..'~./-¢~.~... ~..~. ~...~.'¢~ ./~..'~....(-~.~ .~. ................. County Tax Map No. 1000 Section . ~..t~.~ ........ Block .... 4~ ....... Lot .... ~. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. t. ¢.~Z~.~./~F~ate of Pe~mit313/~.~'.Applicant ~~. Health Dept Approval / Labor Dept Approval Request for Temporary Certificate ..................... Final Certificate ....... ~ ......... Fee Submitted '.$'~.~.~J~..~. .................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ......................... Rev. 10-10-78 ' O~i~TIFICATE .: .~U.PANCY · 1035040 THE NEW YORK BOARD OF FIRE UNDERWRITERS ELECTRICITY ,,,,.E^U ' /~ ~"~TC~'t ~,.'[ ~.'[~)~6e5 JOHN STREET, NEW ~.,~* ~w~.,o.~o.o.~,,~ N 741183 THIS C~R~I~E~ THAT .Ibuz L~ ,..oak, 11/,0 Bzid~e Linde, Cutchogue, New York in the /ollowing location; ~ Basement ~ 1st FI. FIXTURE OUTLETS 4 RECEPTACLES SWITCHES 10 4 DRYERS FURNACE [] 2nd Fl. Section Block and found to be in compliance with the requirements of this Board. FIXTURES RANGES FLUORESCENT Lot FUTURE APPLIANCE FEEDERS TIME CLOCKS OVENS EXHAUST FANS MULTI-OUTLE SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 2-Thermostats F,~ec. Room He. ate'rs-l~4~0K.W.~ S E R NO OF CC, COND J A.W.G. pER ,l~ ) OF CC. COND ~, 3/0 V I C E NO, OF HI-LEG AW, G OF HI-LEG NO. O~NEUTRAI OF NEUTRAL 51o 5~]-, OK.W. F Truman H. Cool~ Box 44 Champtm Placo Greenport, N.Y.~ 11.944 lic. GENEI~AL MANAGER 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. ILDING DE ~"[ .~'5:~,~Ccm~ FORM NO, 1 ,~.,~,'~., ~,~ ~;~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Ap p roved . .~'~.~. · 3. ..... 19 g~.. me rmit No.. J../'¢. ~. ¢~. / ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF SOUTHOLD Received ........... ,19... INSTRUCTIONS 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 f°r necessary'tins~~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · Dwnsr .......................................................................................... Name of owner of premises .. Cook,. Wilbur. &. ~ariaa ................................................... (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..#53 ..................... Plmnber's License No ......................... Electrician's License No.. ?.~. ¢Of.,~. ~ .......... Other Trade's License No ...................... 1. Location of land oo which proposed work will be done ................................................. 1120 Bridge Lane Cutchogue} NY Itonse Number Street llamlet County Tax Map No. 1000 Section . 08fi .............. Block .. 2 ............... Lot.. 6 ................ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and.occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... 0wne= .Occupied .residence ........................................ Same b. Intended use and occupancy .................................................................... 3. Nature of work (check which applicable): New Building Addition ........ Alteration . i' Repair .X.× ........... Removal .............. Demolition ..... : ?'. .... Other Work ....... ' ........ ' ' ,¢',~/ , (Description) 2 ,ooo.oo. 4. Estimated Cost ..................................... ~, ~.//(. O. Z. ¢~/'i ........................... ~ (to be paid on filing this application) 5 / If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ................ If garage number of cars 6,/ If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7/ Dimensions of existing structures, if any: Front ............... Rear ....... i ...... Depth ....... ........ Height ............... Number of Stories ............................ i ........................... i Rear Dimensions of same structure with alterations or additions: Front ............ t ...................... Depth ...................... lteight ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .. ~[... i' i'" Rear . .S.a.m.e... i ...... Depth ?PS? ........... Height 5.a.m.e ............ Number of Stories .......................... 2 .......................... 9. Size of lot: Front . 22~,13 ................ Rear. 224.2 Depth .$... 316.62 N.319,20 10. Date of Purchase ... ~/.82 ...................... Name of Former Owner .K~.n.~e.'c.h..&..B.a.r.b.a.r.a..H.a.n.c. qc.k.. 11. Zone or use district in which premises are situated ..... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..N.q~ ................... ....... 13. Will lot be regraded ....5.a.m.e ..................... Will excess fill be removed from premises: Yes Sa eNo 14. Name of Owner of premises ~.~l.b.u.r..L..C.~.o.k. ...... Address ttaCl .~ta~,cl~,..U.a.n....C.u.~lbrlt~Ul%. 7.3.4.-.7. S. 2.6. ....... Name of Architect . .~ona ..................... Address .......... ...... '... Phon~y~..o ........... Name of Contractor . .b/~.~.l.£am .J .VolJ. naki ...... Address 5. h.f.R~a.r.d..~: .E.: .N.a.r.J:.~bn~ No. PLOT DIAGRAM ~ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nfimber or description according to deed, and show street names and indicate whether interior or corner lot. 5ee_e~%ached survey STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ............. . ................................................. ........................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa)d 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 set forth in the application filed therewith. gworn to before me this Notary Public ...... ~,~... ~. County,., ' ~ "/fl i..:,-.5,~¢ , l~l~om.~l~hS~,~,~ , (Signature of hpplicant)