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HomeMy WebLinkAbout14688-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15261 Date February 9, 1987 Tl4TR(~PTT~T~q~h~++h~h.;1A;~ One Family dwelling with attached roofed breezeway, garage & frame buz2d~ng ...... 275 Private Road # 9 (Anderson Rd ) Southold, N Y Location olYroper[y ....... · · · House NO. ' ..... 'S't/e~i ........... Ifljr~/el County Tax Map No. 1000 Section 50 ...Block I .Lot 18.7 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 20, 1986 14688 Z ..................... , .~. pursuant to which Building Permit No ...................... dated March 2 I 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 WITH ATTACHED ROOFED BREEZEWAY, GARAGE & FRAME BUILDING The certificate is issued to DONALD L. CURRIE & DANIEL GLADSTONE ..................... 'liY.4 k k' X ................. of the aforesaid building. Suffolk County Department of Health Approval 86 - S O- I 2 UNDERWRITERS CERTIFICATE NO... N 787232 PLUMBERS CERTIFICATION DATED: January 29, 1987 Rev. 1/81 FOEM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14688 Z Permission is herebt granted to: - ........... .~.2.~....~.~.t......~...4...~.: ......................... · .~.;~...~.:.....~....~.~.....~..~.~..~. _ ot premises I~ted ~t ~.~...~;....9. .... ~ ....... ~ ........ County Tax Map No. 1000 Section ....... ,0...'~... ....... Block ...... .(~...[ ......... Lot No ..... l..~..:...~ .......... pursuant to application dated .....~.~..~...~ ..................... , 19.~..(R.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 WiCKHAM, WICKHAM ~ BRESSLER, p.c. MAIN ROAD. P.O, BOX 14~4 MATTITUCK LONG ISLAND NEW YORK 11952 51~-298-8353 February i9, 1987 TOWN OF SOUTHO[D Angelo Accardo, Building Inspector Town of Southold Main Road Southold, NY 11971 Re: Certificate of Occupancy #Z-15261 Donald L. Currie and Daniel Gladstone Dear Mr. Accardo: In accordance with our conversation, we are enclosing original certificate of occupancy #Z-1526I and would appreciate your issuing the certificate of occupancy to specify that it includes th~ attached roofed breezeway, garage, and frame building as shown on the survey. We enclose a copy of the final survey for your convenience. I am sorry to trouble you with this clarification, but we are finding that an increasing number of mortgage lenders require a specific listing of the structures exactly as they are shown on the survey, even though they are attached to the main residence. For your convenience in forwarding the revised certificate to us, we also enclose herewith a self-addressed, stamped envelope. Thank you for your prompt reply. AAW:jnm Eric. Very truly yours, ( ' Abigail A. Wickham 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. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of property 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 New Dwelling $25.Q0, 'Accessory ;$10.00 Business $50.00 2. Certificate of occupancy 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 .......................... NewC OhS truction ...... OJd or Pre-existing Building ............ Vacant Land ............. Owner or Owners of Property ~..~.~.~...~...~..~... CountyTax Map No. 1000 Section ..... ~..P ....... Block ....J ........... Lot .... /~*.: ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ......... Date of Permit .......... Applicant .......... 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 permit meets all applicable codes and regulations. . Rev. 10-10-78 FIELD INSPECTION COMMENTS FouNDATION ( 1st} FOUNDATION ROUGH FRAME & FLUMBING INSULATION FER N. Y. STATE ENERGY CODE ,q-f.; ~r,o FINAL DDITIONAL THE NEW YORK BOARD OF FIRE UNDERWRITERS 100]~07] BUREAU OF ELECTRICITY ~1 85 JOHN STREET. NEW YORK. NEW YORK 10038 THI~ CERTIFIES THAT D~nald Cuttle, Hyatt Rd. the followlng Iocat~on; ~ Basement ~ Ist ~7. ~ 2nd ~. S~ction Bilk Lot examined on December 2 2 ~ ]. 9 ~ ~ attdfound to be in compl ance u' th the req~tiret~tents qf this Board. DRYERS ~ mRN~TORS ~ FUTURE APPLIANCE FEEDERS RANGES ECIAL REC'PT COOKING DECKS ~OVENS- DISH WASHERS K W. A~T K W ~T K W TIME CLOCKS BELL UNIT HEATERS MULTI~OEt~i[LRT SERVICE DISCONNECT [ NO. OF I S I C E EXHAUST FANS DIMMERS NO OF HI-LEG OF HI-LEG OF NEUTRAL 3moke Detector-? E].ec. Water G & S Electric !ic,~678,-E~~/~ Bo~ 215 GENERAL MANAGER Southol~ N,Y., 11971 cer~k~. ~ust not be oJtered in a,y man.er; returo ,o the off,ce of the ,oard ,f iocorrec,. Iospectors may b~d b~e,t,~s. COPY FOR 5U}LDtHG DEPAET~EHT. THiS CO~ OF CERTIFICATE MUST HOT BE/ALTERED iH ANY ~HHER. TOWBI OF SOUTHOLD OFFICE OF BUILDING IN,SPECTeR P.O. BOX 728 TOWN HALL ' SOUTHOLD, N.Y. ! 1971 ~C E R T I F I C A:T'T O N TEL.'765-1802 Building Permit, NO. :Owner ' ' (plea e prink):: , Plu~er ~ ~ ~ { I certify tha~ :the, so[der, usaa in the water supply system contains less than 2~10 of "l% :,leadl ,-':" .: : '(plumber's signature) Sworn to before , ~ ~-/ day of ' 7GS-J,8Q2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS ._~Z~_~ '~/~/~ __ AT , ~ ,INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [/] FINAL REMARKS: ~/ 765-1802 BUILDING DEPT. INSPECTION ~// [] /~OUNDATION ~,ST ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] I~INAL REMARKS.-~ BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] I~OUGH PLBG, [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ] FINAL REMARKS, ~-~/~/~~//~-~ DATE INSPECTOR 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ~SPECTOR ~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... 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 shatl 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 necesi~ .w.i~~ ~.~ ............ (Signature of applicant, or name, if a corporation) t.oe ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~..O~....J~J~.....~.'..~. ~.~.~./.~. ....'~... I~.A~.. I..g~....~..6.~.IQ~. ................... (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 o~land on which proposed work will be done ..... ~.. T. 0.~).t.~.. ?.~...~T'.I. .~...g~.~ ..~.g ....... s o.. o..vi ttouse Num bet Street Hamlet County Tax Map No. 1000 Section ... ~.O.~ .O.O. ........ Block .... [,.O..O. ........ Lot...O. ! .~.*..O.O. I ....... 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 . .~J~/. ~{~" .......................................................... b. Intended use and occupancy . .~.~..Ult..~..P~.[ .~...[~.. , .~..I..1~.. .................................... 3. Nature of work (check which applicable): New Building . .~)~.' ..... Addition ..: ........ Alteration Repair . ............. Removal ........ : ..... Demolition ........... ... Other Work ....... i ........ (Description) 4 Estimated Cost * [[0~ 0.O.¢. : .............................. Fee .......... ; ............................ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units .... I ........... Number of dwelling units on each floor ............... If garage number of cars [ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... : ....... Depth ............... Height ............... Number of Stories ........................... Dimensions of same structure with alterations or additions: Front .................. Rear .................. " Depth ...................... Height ...... Number of :Stories ..... 8. Dimensions of nfire new construction' Front .~O''~O~ Re O'-2~" ...... ~o'o'-~d ...... ,~, Cn , ............... ar ...'} .... ~ ....... Depth ............... Height .. ~"t :'7.O. ..... ¢ Number of Stories .... .~. ...... , ........ ........................ 9. Size oflot Front .. ].~.O~.O~.I ......... Rear I~,~-0" h~,,,h .~ ~oit 10. Date of Purchase I ~.rl~.l., o Name of Former Owna~ ROSilY' ~ [Oiot~O-~qOD~O 1 I. Zone or use dist~ctin which premises are situated .............. ...........i ....... ............ : .... ;. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...[4P. .......................... 13. Will lot be regraded ... Nfl. ...................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises DO~JI~..1< .~.~tt}&~ .... Address 6~')~..~(~..~q.~../~.0b/¥.c,. Phone No .%.1.~. ~.6,,1:. ~.O.~1~ Name of Architect .P~....b.. ~...t,U.~..~.1.~ .... Address/t?q .q~..~.' i~.~ 'Phone Nol ."/4.~. $.0,.~..pq~.6... Name of Contractor .......................... Address ............ i Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~TATE OF NEW YORK, S S ' ,' ' .... ~...~..f~......~.,.I..~.~..~.!~. ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. p. He is the .............................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge art~t belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ......... , . ....... /' ' NO. S1,2403425 ................. Quallf ed in New YorR Cou,lt'~' ~ Co. mission ~:xplres March ~ 1~9 ~-/ (Signature of app :.2 STATEMENT OF THE WATER suPPLY AND SEWAGt SYSTEMS FOR THIS' RESIDE~ EO~FORM TO THE S]~ANDARD: SUFFOLK Cgtq DEpt. % ~-~s~'PL'~^~T ~ fi /',~'~ SUFFOLK COUNTY DEPT. CO~ST~UC~ ~ON ONLY DATE: ~ APPROVED: JSIN~-LE FA~Ly DW~L.~d.~ ~UFFOLK CO. TAX: MAP DESIG~I DIST. SECT. BLOCK DDrESS- DEED. TEST HOLE A;2 L'A- S ,'T ~_?4 'Z F DONALD L CLJ~:2[~! ~ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SUFFOLK COUNTY DEPT OF HEALTH S[R¥ICE$ -- FOR APPROVAL OF CONSTRUCTION ONLY DATE APPROVED: AVE. STAMP _ Dc~T ~F' ~ Y *~ : hEALTH RIVER4~/ L ~,¥. 1] 901 7, SUFFOLK COUNTY HEALTH DEPARTMENT SINGLE FAMILY DWELLING ONLY DATE, JAN ~. THE SEWAGE DISt"')$AL AND WATER SUPPLY FACILITIES FOR THIS LOCAT,ON HAVE "EEr' FOUN TO Chip of Wastewater Management Section RODERICK VAN ~UYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO HEALTH DEPT APPROVAL H S NO 8~ ~/ 12 STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL coNFoRM TO THE STANDARDS Of THE SUFFOLK CO DEPT OF HEALTH SERVICES. (Si APPLICANT SUFFOLK COUNTY OEPT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE H. S. REF. NO ~,"~0-I~ APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT BLOCK PCL. OWNERS ADDRESS: DEED: TEST HOLE 7;;',N L 'r P. ii.~ ( ',~t: ~ / STAMP 50' I I SUFFOLK CO. HEALTH DEPT. APPROVAL ..... '~---. / t T.E WATE. su~.LV A.O S~WA~ o,..O~AL ~,' '"'""-' I I c~M ~ THE STA~RDS ~ THE APPLICANT SUFFOLK CouNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: ~ H. S. RF.F. NO.: AP~ROVEI ~1NQ~..E FAMI ~JFFO4.K CO. TAX MAP DI~T. SI~CT. llLOCK I~CI.. ~OO 50 -] r~, I ~NT~UF~$ ~-m~0 ~ ICl( YAN~YL, P.C. ~REENPORT N~W YORK ;I~AL SUFFOLK COUNTY HEALTH DEPARTMENT SINGLE FAMILY DWELLING ONLY HD~ REF~ NO,_ DATE _ THE SEWAGE DISPOSAL AND b/ATER SUPPLY ~ ~-OUN~ TO 8~ T~ · · na~eme~'t S~c~on ¢ ~'0 PLAIN ~ I USE IS UNLAWRJL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED A81 NOTED noti~-~ulumn~ DEPaR~EnT at 765-1~2 9 AM TO 4 PM ~b ~E FOLLOWING iNS~CTIONS: 1 FOUNDATION ~0 REQUIRED FOR POURED CON~ETE 2 ROUGH FRAMING & PLUMBING 3, INSULATION 4, FINAL CONSTRUCTION M~T r, B; COMPLETE ~RrC.O. - A~ CONSTRUCTION SHA~ ME~ TH; REQUIREMENTS OF THE N.Y STATE CONST~CTION & ENER~ ~ODEs, NOT RE~NSIBLE ~R ~"'ESIGN OR CONSTRUCT ON ERROR~, +--- ~ I II.UMBER ClRTIRCATION -~ ~' '¢~ j ON LEAD CONTENT ~EFORE ~ _., I CERTIFICATE OF OCCUPANCY FOUNDATION ~PL AN WALL' SECTION $OI.D~I USED IN WATER SUPPLYSY$TEMCANNO~ GS, LOCATION EXCEED 2/~0 of I~ LEAD I"= SITE _.~,-~ CO TAGE AT HORION'S POINT ~~ ', DONALD LOUIS CURRIE AIA 1 NORTH ELEVATION !' 6, SOUTH: IELEV,~ON po WEST ELEVATION EAST ELEVATION ii ;I II SECTION SECTION I SECTION SECTION 1 I SECTION'S' ~1 ' I COT IAGE' AT HORTON'S POINT DONALD LOUIS CURRIE AIA 2 ~,7~;~ '~/¢0'1'~C~ AV~iqLi{'. ~q~vJ l'~t:-F~ ,l'q¥ i~;~,,~2~ ),1'~ 5(,,~ ~t:./..~,, FtNISH SCHEDULE, II II II II # ii IL II II d Ii It 'SPECIFICATIONS' 1, general Cor~itio~s~Pt~ amd ~pec~fic~tions a~e cooperative, All labor and mate~l to earcy out fully the ~ntent~ems of the plans a~l spee~fi~t~ms'~re part of the eont~aot, MAIN HOUSE' WALL: SECTION/: WALL SE,OTION / SCREEN PORCH',/' SHED: ' :.. i , i} %: ~ fi ~ ~'~," ~( INII~ ]. Distribution: Circuit b~ ~ ~ D ~ ap~ ,~ml, ~II ~i~. ~ ~ ~ .I-. : ~:~:~' -. ~ e- ff '~~ l'~j[:.;i DONALD LOUIS CURRiEl AiA ~ irI ' "WALL;'~CTI'ON~ / GARAGE' :! BEDROOM r FH ELEVATION" ,E IpLAN' '4%11-~,'' EAST` ELEVATION 14% I~'~'~ EAST ELEVATION