Loading...
HomeMy WebLinkAbout14629-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall SouthoJd, N.Y. Certificate Of Occupancy No. Z-15795 Date Jun.e 2, 1987 THIS CERTIFIES that the building ONE FAMILY DWELL ING Location of Property 1425 Skunk Lane Cutchogue, New York County Tax Map No. 1000 Section 097 .Block 04 ..... Lot p/o 7 Subdivision ............................... Filed Map No ......... Lot No .............. conforms suCstantially to the Application for Building Permit heretofore filed in this office dated February 25, 1986 pursuant to which Building Permit No. 14629 z dated Ma r c h 8; I 986 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 FAMI~LY DWELLING AS APPLIED FOR STEPHEN & CAROL O'CONNOR The certificate is issued to ..................... [o~n'oJ','f~7o"ir~,~'Ic .................... of the aforesaid building. Suffolk County Department of Health Approval ..... 8.6.7.89.~2' 0. ............................ UNDERWRITERS CERTIFICATE NO ............ ~ .7.8.1.3.5..2 .............................. PLUMBERS CERTIFICATION DATED: May 26, 1987 Rev. 1/81 FOF, M NO. ~ TO~N OF $OUTHOI. D i~UILDING D£PARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 4629 Z Permission is hereby granted to: .o..'..~.~:.~...~~ ..... ~..~b....~.:~.: ...... L.f..~.~. ............. at premises located at ..~..~...~....~..~'.. .... ..~.....~..~..~ .... ~~iiiiiiii~~'~iiiiiiiii .... ~ .... ~..~..~~ ...... .o....~ ............................................................... ..~.~ ...................... ~ ~ pursuant to application dated · -.-.-.-,-......~ ......................... , 19.~..v., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS  BUREAU OF ELECTRICITY Nove~tber 26~, 198g$ JOHN STREET, NEW YORK, NEW YORK 10038 Date Application No. o. file 390165/86 THIS CERTIFIES THAT N 7 81. 3 5 2 on~?.~e,?ectri^c~equipment a~?escr, ibed below a.d introduced by the applicant named on the above apptication ~umber in the premises of o~£~Len ~ ~ol~er, e/s Skunk Lane, 1500' s/o Rte 25~ Cu~Ghog~e, in the following h,~q~{~i~O~ ~atsfm~9~)6 ~ Ist FI. [] 2nd FI. Section Block Lot was examined on and found to be in compliance tt'ith the req.ire.~ents ~f this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES NCANDE$CENT FLUORESCENT DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT Smoke Detector S E NO Oi~E~,EC ON D C A W, G, NO OF HI-LEG A W O OF CC CONO, OF HI-LEG 210 NO OF NEUTRALS A W G, OF NEUTRA 2/0 · Ruland EleOto Co, P. O. Box ~43 b~ttituck, N.¥11952 Li0#242~ GENERAL MANAGER / Per This ¢~rtifi¢ol~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT FIXATE MUsT;~T BE ALTERED N ANY ~NHER. TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner (0{~°N~O~ (please print) Plumber ~z2~ 0 ¢~Od (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this ~ day of Notary Public, County Notary Public COMMENTS ELD INS~ECT~ON FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE 4. FINAL TIONAL COMMENTS: 765-18~2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING i [ ] FINAL DATE ,g~/~/~I~! INSPECTOR ~ ~.,~ 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~ FOUNDATION 2ND [ ] INSULATION FRAMING £ J FINAL DATI~ ~INSPECl'OR ~ ~'/~. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [, ] ~.ATION [ ] FRAMING [/.--~F'INAL . REMARKS: ~ /__~'~ ~ DAT~ INSPECTOR~ 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS/JJt. ATION FRAMING ~INAL REMARKS: 7GS-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: INSPECTO,~ s SY ST E hx CONr O. SUFF©L SUFFOL DATE:_ H. £. REF AFP~OV SUFFC DIST. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y, 11971 TEL.: 765-1802 Disapproved a/c ............................ : ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT I~l FEB 2 5 1986 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 sched[de. b. Plot plasl 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/nspector. 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 removalor 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, or name, if a corporation) (Mailing address of applicant) State whether applic~mt is owner, lessee, agent, architect, engineer, general contractor, electrxcian, plumber or builder. ..: .... ....................................................... ' ' Name of owner of premises (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. ;Z4 Electrician's License No ........................ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. tqZ5 .~I~K L,q. ~~7~c~°6°~ House Number Street Hamlet County Tax Map No. 1000 Section .... ..~ .......... Block ..... .., ........... Lot ................... ........................... ..................... Subdivision, , .~1.1 [~?~..~l'~ Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: E isti d o V/4-c~ a. x ng use an ccupancy ..................................................................... b. Intended use and occupancy pR~vt~T-t. '~s ~h~ 6~ ~,~ ~,, ,,~..,v ................................. ?:',~ ~<~ ~ ~ ~,~ ~"~4 .................. 3. Nature of work (check whic~ applicable): New Building ...~..'...'.. Addition .......... Alteration ......... Repair .............. Rem0val.. .............. Demolition .............. Other Work .............. Estimated Cost 'k fo.-~ '; i, ~[$*0,w~t[li~.b~l~f'2~elt~g umt s ...t ............ Number o f dwelling units on each floor ............... If garage, number of cars .... ~ ................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ..... Height ............... Number of Stories ........................................................ Dimensions of same structure With aiterations or additions: Front ................. Rear .................. Depth .......... ~... Height Number of Stories 8. Dimensions of entire new construction' Front Zg ~ Rear , .,.~ ~ ............................... Depth . ~ ....... freight ..... t.r. ........ Nu~nber of Stories t .... -- ' ' ' 9. Size of lot: Front 17.,~ Rear 175~ .............. ~'~'.,'+,:. "'.~;~dt'-' ~[~?'~ .......... 10. Date of Purchase .... ~/.~..; ................... Name of Former Owner 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation. ~/.o 13. Will lot be ~egraded ~.O. ] . Will excess fill ' ' '" .......... , ...... ~ .......... De removect ~rom premises. 14. Name of Owner of premises .~7.~)//.e:..M...O...6~? .,~.,g.o(. Address . 61>. o~/~'4~.~ .A/.ear,~Phone No . -. , ............. .'~.vnonemo q77-ot/.oo ' PLOT DIAGRAM Locate cle~ly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. 'Give street and block number or description according to deed, and show street names and indicate whether oo STATE OF NEW YORK, COUNTY Ok . .......... .... .................. ' ..................... being duly sworn, deposes and says that he is the applicant of ndlv~dual slgmng contract) above named. , He is the .................... i .................................................................... ' (Contractor agent corporate officer ete) 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 cootained 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. Sworn to before me this ...................... day f ............... 19... Notary Public .............. tr. ........ County ' (Signature of applicant'~ RODERICK VAN T~k~YL. UC£NSED SuRfE¥0RS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL h.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE S,UFFOLK CO. DEPT. OF HEALTH SERVICES, {St APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- for APPROVAL 'Of CONSTRUCTION ONLY DATE: . H. S, REP. NO.: APPROVED: SUFFOLK CO_ TAX MAP DESIGNATION: DIST. SECT. blOCK PCL. OWNERS ADDRESS: DEED: L.7% i~' ~. TEST HOLE P-~*~ '~.~* -~;4 STAMP SEAL , t.,y / SUFFOLK CO. HEALTH DEPT. APPROVAL H.S, NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. Of HEALTH SERVICES. (si SUFFOLK COUNTY DEPT. OF HEALTH -SERVICES -- FOR APpROvAL OF CONSTRUCTIO DATE~ SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK f~L. OWNERS ADDRESS: DEED: L??., 85 TEST HOLE: ' It STAMP ' SEAL SUFFOLK COUNTY HEALTH DEPARTMEN'~ STATEMENT OF' IflT£NT THE WATER SUPPLY AN:D SEWAGE DISPOSAL SYSTEMS FOR TNIS RESIDENCE: WILL C;ONFO~M TO THE: STANDARDS OF' THE: )LK COUNTY DEPT, ~E~IIC[S -- FOR APPROVAL OF CONS r~UCTJON ONLY $11NGLE FAMILY DWELLINGONLY H.O. REF, NO._ ..,,~L-~d~_~_O -,- , H~Y 1 3 1987 ~,t[ ..... t - , ,,. . . ~[. ..~k .. .... - ..... ~-'-.:.._.. '~f ~W~stewater ~nageme ,. j Ol~[j SECT. BLOCK PCL GREENPORT Phone 477-04O0 GR££NPORT, NY. 11944 FA -F~O~ C H ~L -/'o" 7~'0" oN L ~ 6 '0 Phone 47%0400 'e Mai!, Roa¢ ;