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Home My WebLink About14390-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate OF Occupancy THIS CERTIFIES that the building One family dwelling with deck LocationofProperty1905 Vanston Road Cutchogue, N.Y. . ~-I~$'e Ho: ..................... Street Hamlet County Tax Map No. 1000 Section .. JJ.1 ....... Block . 06 .Lot.. p/o 2 M/o Nassau Point Club Subdivision .... l~'fled Map No. 806 353 ................................... Lot No .............. conforms substantially to the Application for Building Permit heretofore fffled in this office dated .O.q ~. 9.b.e?...12., ........, 198..5. pursuant to which Building Permit No. 14390 Z dated .. 0. c.~o.ber 23 ........ 19.8..5,wasissued, andconformstoalloftherequirements of the applicable provisions of the law. The occupancy for which tiffs certificate is issued is ......... One famil/ dwelling with deck. The certificate is issued to Richard J. Flanagan (owner, i~.q~tle:~ix of the aforesaid building. Suffolk County Department of Health Approval 14 - $ 0- 5 7 UNDERWRITERS CERTIFICATE NO ............ N761834 Plumbers Certification dated September 10a 1986 ......... Rev. 1/81 FORM' ~TO, 9 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-° 14390 Z Permission is hereby granted to: ........ ......... rn.~.~..~.. ..................................................... ...~~.~....~..~.:...~.~C.. ...~..~...~:~..~,....~..~.~..~ ............. .C..i.'~ ...................................... County Tox Map No. 1000 Section ......... 1..(~ ......... Block ....... .0.~ ...... Lot No.....~/~......~... ..... pursuant to application dated ..... .O..~...../....~. .............. , 19.~.~..~, and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- i802 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 s~ilar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of compJeted site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survev of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu ms. 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 occupancv $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.U,dated C.O. *ZS.00 Date..O. New Building .... ~ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Prope~y .... - ......................... ~ ................ House No, SLeet Hamlet Owner or Owners of Property . . .R ~C.ga~?...¢.- ....................................... Tax MapNo. 1000 Section ...~]~..~ ...... Block .... ~ ......... Lot... County ~ermk ~o. [.~.~... Date of Pormit I~l~} t~.~Opl[cant...~.¢.~....~...~~... Health Bapt. Approval ........................ ~abor ~opt. 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/egulations. ,.v. ,0-,o-,s APplicant '~.~('~'' ' '~' ' ~~'~w/ .................... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000121 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW 'YORK, NEW YORK lO03B D.,e July 31, 1986 379721/86 .. N761834 THIS CERTIFIES THAT John Dempsey, ~ston Road, W~neweta & Ha~aters, .Nassau Po~t Cutchogue,N.Y in ,he following location~ ~ B~,ement ~ Is, FI. ~ 2nd ~. Section Bilk ~s exo~,,ined on Jul~ 28 ~ 1986 . and fouRd to br in ~ontplJance u'it h the retlt~ire,~,ents 9f this Board. OUTLETS 27 RANGES OVENS DISH WASHERS EXHAUST FANS 27 FURNACE MOTORS DRYERS TIME CLOCKS ~.ULTI.OUTL~T SYSTEMS SERVICE DISCONNECT S E R V I C E OTHER APPARATUS: Motors: l-lhp 3-G.F.C. I- 2-Smoke Detector Track Lighting 16'-0", 8 lites 2/0 ~JO OF HI-tEG 2/0 Pa~l Burns 275 Town Harbor Lane ,~ERAL MANAGER Southold,N.Y 11971 Lic#282E J Per t Th[s certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credenfiaJs. TO~gN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Builaing Permit NO. I[-~qO (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /J ~day of ~~L~, 19f~ · Notary Public, ~//~ County Notary Public J. DEMPSEY October 29, 1985 Soutbo]d ~'own ~di~- Department Mai~ ~oad ?outbo~d, ] .¥. 11971 Dear SJ ms, I recent]y submitted ah an~lica%Jou for a buJ]diu~ permi't ~k~r a home I App].jcation and su~'vey indicated that the ~om~~ i~ to be built om 1ot//353 o[' ~assau Point Club l:roperties. This is Jr~cor~ect. [-[ome is to be built on ]ot~352 of Nassau Point Club Properties. I have enclosed health de~artme~-t s~>pmoved survey for this lot. Please ma~e adjus2mcmts of tour records. FIELd, INSPECTION 1. FOUNDA_.TIO__N ,--. .(j S t__~) COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION FERN. STATE ENERGY CODE ADDITIONA MENTS: 765..1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [,'*~]: ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION i~v'j~ FRAMING [ ] FINAL REMARKS: ........... / 765-1802 BUILDING DEPT, INSPECTION ~ ,~ou.o^'r,o. ~ST ~ ,,ouo. ~,~. [ ] FRAMING [ ] FINAL REMARKS: ,-~-/-/~//~ h', DATE / 7GS-~.802 BUILDING DEPT. ~? INSPECTION FOUNDATION 'ST [] ROUGH PLBG. FOUNDATION :)ND [ ] IN/~LATION FRAMING ~/]/~INAL 7GS-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PL.BG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE' . ~.~-*-', INSPECTOR ...... 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 :xamined .~...~.~..., 19 .~.~./ ~ ,proved lOt .. Pen it No. 7,.$.?.0..%. )isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... a. This application must be completely filled ha by typewriter or in ink and submitted to the Building Inspector, with 3 ~'ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- a.tion. 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 mli 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 mil 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or .egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to/ dmit authorized inspectors on premises and in building for necessary inspections. ~ / John R. Dempse¥%.'--.~)~.~_X-') ~. 'x~o~-.nt~.] (S~gnature of apphcanl, o~~ po~a~;'n:)~''~j P.O Box 5, Cutcho~'ue, 5'Y 11935 (Mailing address of applicant) ¢tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~.ener~l ~o~traotor RSehard T ~.i'1 %me of owner of premises .......... ' ' · ...... ' · ................................... (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plmnber's License No....G.e.q .~( .e..1~.~ .~.r~.5.~ ??.... Electrician's License No. £au~ Burns Other Trade's License No ...................... ))d ¢ (/~ ' c~te c;c~ J Location ofland on which proposed work will be done. Vanston Eo.ad,. ?u%obopue ~000-1~1-6-2 House Num her Street Hamlet County Tax Map No. 1000 Section 1 1 1 Block 6 Lot ¢/o 2 Subdivisiou .Iv.a.~ .8.&.u. . .I'.o.~..C.~.u.~....~.~..o. ,'p?.r.~ .~ 77..' Filed Map No. 806 Lot 35~!, (Name) State existing use and occupancy of premises and intended use and occupancy of prop~o~ed constr~ction,: vacant ~and a. Existing use and occupancy ..................................................................... b Intended and occupancy fa~J ~¥ dwe] ~ i~ ' Additi 3. Nature of work (check which applicable): New Building . X ....... on .......... Alteration .......... Removal i Demolition Other Work Repair ............................ · ............................ ' ' ~ !~'~ ,, ;i .~.~. , (Description) · !1!9P. ' l 9 .i 4. EstmmtedCost..4 ,.O. 99 ....... 4 ................ Fee ..... : ............................ ; °" (to be paid ,on filing this application) of dwelling units each floor 5. If dwelling, number of dwelling unit,s ,......'1 ...... , Number on ..... ' ........ If gar ge number of e , 1 , . .................. 6. If business, commercial or mixed ocbupancy, specify nature and extent of each type of use .................. 7. D'inmnsions of existing structures, i~any: Front ............... Rear .......... .,. Depth ............ Numberl of Stories Height ............... · ...................................................... Dimensions of same structure with ~alterations or additions: Front ................. Rear ............... Depth ...................... Height ..................... Number of Stories ................... 8. Dimensions of entire new construction: Front .52. ..... Rear .~2 ,, Depth 4.~. ,. Height ... ¢ 5.' ......... Numbe~ of Stories,...1 ~ : 9. Sizeoflot: Front .. ~O6 ' i ....... ,Rear., ..................... DeVth ................... 0. Date of Purchase ...................... Nam~ ,4- ~,,,.,,~ .......... ....................... 1. Zone or use district in which premises are situated res ±o eryc ~_a± 2. Does proposed construction violate any zoning law, ordinance or regulation: .... n~ ......................... 3. Will lot be regraded ~o .......................... Will excess fill be removed frbm premises: x Yes No . ,] 529 E, 88 St, Phone No .............. 4. Name of Owner of premisesR,. 1~· a;0@,¢'B,rt ....... Address . .},}/,. '¢I?' ' 'l'00~'f~ ' ph~,,, k~,, ' Name of Architect ............ ~ .......... Address .......... , ........................... ..... Cuteho~ue, ~? ph~,.~,u~,73a-6058 Name of Contractor .J.:..D.e.rrjp..s.~ ,.[ ............. Address ................. PLOT DIAGRAM Locate clearly and distinctly all b~ildings, whether existing or proposed, and, indicate all set-back dimensions from ,roperty lines. Give street and block nember or description according to deed, and show s~reet names and indicate whether ~terior or corner lot. survey attached ;TATE OF NEW YORK, jS.S :OUNTY OF ................. ........... John..R...D. emos.ey .................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) : ,hove named. ¢ contractor te is the ..................... : .................... .............................................. (Contractor agent corporate officer etc) ff said owner or owners, and m d~ly autt?rized to perform or have 0erfom[d the ~aid work and to m~e and file this pplication; that all statements contained m this application are true to the b{~st of hi,s knowledge and belief; and that the york w~l be perfo~ed in the m~nbr, set forth in the application filed therewith. ;worn to before me this~ ~ARY~BUC,~o~N~ ' ' ' ~-"'~ ' q .... ~ )~, "__i - ~ Commlssl~ ii~lr~ March 30, 1987 iO SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. ...................... - hB d I STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DI~$AL SYSTEMS FOR THIS RESIDENCE WILL CONFORM ~O THE STANDARDS Of ~HE SUFFOLK CO. DEPT. Of HEALTH SERVICES. SUFFOLK COUNTY DEPT, OF HEALTH SERVICES -- FOR APPROVAL Of CONSTRUCTIO* ~;:;,'*~ :,*~'*'~ *: '- 7 SUEFOLK CO. TAX MAP DESIGNATION: / ,, r~ ,~ ~ -; <~; DIST. SECT. BLOCK PCL. OWNERS ADDRESS: DEED: L. P. SEAL RODER1CK VAN TUYL, P.C LAND SURVEYORS $REENPORT NEW YORK SUFFOLK COUNTY HEALTH DEPARTMENT., SlNG~LE FAMILY DWELLING ONLY H D REF NO / O^T THE SEWAGE DISPOSAL AND WATER SbPPLY FACILITJ~r~ FOR THIS LOCATION HAVE SEEN INSPECTED BY THIS DEPAIII~MENT AND FOUND TO BE SATI~FA~CTORY. :, . Chief o~astewater Mari'agement Seotlon ./ ROOERICK VAN' TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YO~K SUFFOLK CO. HEALTH ,DEPT. APPROVAL H.S NO. ~4-5o-57 STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WlEL CONFORM TO THE STANDARDS. OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (si APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO. 14- CO- 57 APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL ~ )::C ' I, G P/O 2 OWNERS ADDRESS: C29 IE._~ TH_: ~T~e%~:T AP"C :-A / DEED: L. TEST HOLE STAMP DATE FOUND TO It,- 5 ,f if =olx~r tubing II uNd for water dlltrilxltlng system; pl¢~ ~11 I~ of types K ~ L..~._~ SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. PLUMBER CERTIFICATION ON LEAD COIIITEIIri' BEFORE CERTIFICR TE OF OCCUP,4/VCy OCCUPANCy OR USE IS UNLAWFUL Wil'I-IOLIT CERTIFIOIITE oF OCCUmNCy II