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Home My WebLink About14477-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z17443 Date October 21~ 1988 THIS CERTIFIES that the building AD D I T I 0 N 950 LITTLE PECONIC BAY RD CUTCHOGUE Location of Property ............................... · ........................... House No. ' Street Ham/er County Tax/vlap No. 1000 Section .. I 1 ....... Block .... !4. ......... Lot ...1.5. ............ Subdivision ............................... Flied Map No ......... Lot No .............. conforms substantially to the Application for Building Pennit heretofore filed in this office dated NOV. 20, 1985 pursuant to which Building Permit No. 14477 Z dated DE C. '17, t 985 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 ......... SECOND FT'.OOR BEDROOM & BATH ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to HENRY ARBEENY ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval N /A UNDERWRITERS CERTIFICATE NO. N750919 May 22, 1986 PLUMBERS CERTIFICATION DATED: GEORGE BERRY Rev. 1/81 FOBM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 14477 Z Permission is hereby granted to: .... ~.~.~ .~ ~...~..~.~@ ............ ...... ~.~./_~,~..$~...../..._.x,..~=.. ........ ...... ~.U..T..~..U.~.q.~.~...r..~.......~..: ........... ~o ....... .C~..~.~...-C~.~..c..1E. ....... ..~...~cc~......~C,~:..~........~..D,~g.~......~ ..... .l~.e,,T..~......~,,~.~..~..~.~.~..~ ...... .LT.-o..~..~.!~,~ie~ /--~re~~. ............. ot ~re~,e, k~oted *~ ....~..~ ....... ~.d..t~.~.~.~ ~..~....~..~ ........ ...................................................................................................... ........... Co,~w T~x Mop No. ~000 Section ..... ~..~..! ............ B~k .... L.~ .......... ~ot No....~..~ ........... Building Inspector. Fee $ ........ ~ .......... Building Inspector Rev. 6/30/80 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner /7~//~e/ ~ (plgase ~rifft) (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 Notary Public, % v ~ v County v// VN~ot a~~ pU~][f~~ ~ BARBARA STEPNOWSK; No, 48~752 Qualifi~ in S~olk Cou~y ~ 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 I~ 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 featu res. 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. B. 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 property lines, streets, buildings and unusual natural or topographic features. 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: ~-/Additions $25.00 ?OOLS $25.00 ALTERATION $25.00 1. Ce~ificate of occupancy ~e~ Dwe[~[~ ~25.Q0, Accesso~ .~]0.00 ~us~ness ~50.00 2. Ce~ificate of occupancy on pre-existing dwelling 8100.00 3. Copy of certificate of occupancy $ 5.00, ove~ 5 ~ea~s ~]0.00 5.Updated C.C. $ 50.00 Date...~: ..................... New Cons t r uc % i on ...... Old or Pre~ex[sting Building ............ Vacant rand ............. Location of Property ~ ~W~<~Z~ ~ ~/~:<~/~' O n. .......... ................................ 11/ County Tax Map No. 1000 Section ............... Block ........... Lot ............. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No/..L~/~.' ff Perm it ~2 -/~-,~..~.App licant ·. Date of ............................................ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .. ~ ................ Fee Submitted $ ...... ~..~..%..~...~..~.~. ~ .1~.... Construction on above described building and p~//~rn~ets,~p~c/a~b~l~;odes and regulations· · Applicant .... Z~ ~z.~ :~ ........................... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001093 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ ~scribed below and intr~uced by the applicant ~med on the ab~ application number in the premises of ~r. ~b~eny, L~.ttle P~oonio ~ay Road ~950 in the following location; ~ Basement ~ lst Fl. ~ 2n~ FI. Section Block Lot . Hay 19, ~s examlne~ on a~d found to be in compliaace witb the requiretnents of this Board. 34 ,i5 36 32 Ii RANGES DRYERS [ FURNACE MOTORS FUTURE APPLIANCE FEEDERS ~T. K. W, ~L H ~ GAS H.P. ~T, NO, A, W. O SPECIAL REC'PT AMT A~Ap SERVICE DISCONNECT ] NO. OF j S R AMT METER ~P, tYPE EQUIP, I.~2w 1.ff3w 3.ff3w 3~'4w NO-O~E~COND, OFA,WG :L 200 CB X 1 2/0 OTHER APPARATUS: Moto~a; 2-3/4(~acuzzi l-/~oke Det~tor Ton AC Unit~ 1-4t, 1-2] JCOOKING DECKS [ OVENS J DISH WASHERS EXHAUST FANS DIMMERS COMMENTS FOUNDATION (1st) FOUNDATION (2nd) STATE ENERGY q~DE FINAL - ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 BLDG. DEPT. TOWN OF SOUTHOLD Examined'~7.'~:;.,.. ,/. ,~. ..... 19 Approvedt?.~Cw.....Z.~. ...... lcd..*~. Permit No..g'.<(..~'..7.7. ·.~ Disapproved a/c .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter orin 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 insns~c~,.e~ ~ ~'~ctions. ~,-~.,~'~'~-~,[,--~b (Signature of ffpplicant, or name, if a o p ' ) .... N.', ,.Y-, ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ ~,'L ~l"e..,.. .......................................................... 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....~.. ?..°.'C~..~...I2 ?..~.~.~.. Electrician's License No..~..°5..'ff.J..~.a. ~.o.~..~... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~ ~'-~j ~ P~'~--. · .~..~ ~ House Number Street Hamlet , County Tax Map No. 1000 Section ...... ~..[[/.. Block .... ,~i..~. ..... '... Lot.,.~..~... ....... 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 ... ~, / b. Intended use and occupancy ....... ~ .~--..~..'I. ~ .~..~17.ct.~.m. .. ~ .................... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition... I..~ ..... Alteration .......... Repair .............. Removal .............. Demolition ............ I. · Other Work ........ ....... .~.~ .o~.~.. (Description) 4 Estimated Cost ......... /~l .~! .~ t~ ~, Fee .. . . ' (to be p~id on filing this application) 5. If dwelling, number of dwelling units ........ I ...... Number of dwelling unitsl on each fioor . . . /. ........... If garage, number of cars ............................................. ; ........................... 6. If business, commercial or mixed occupancy, specffy, natur, e and extent of each ty~ of use .............. , ...... 7. Dimensions of existing structures, if any Front .~ ~ .... Rear '~0 i D~n*h ~'~ t~ ! Helgh .... /~. ....... Number of Stones ...... ~. .............. ~,...: ..................... Dimensions of same structure with alterations or additions: Front ~7 ~. ~,~,. '~ .L:J ~' Depth ...... ~.~. . Height .'~ ~. ..... i~u~ber of Stories . ~[ . 8. Dimensions of entire new constrgction: Front ...... .~.~ ..... Rear .. ~. ~... ..... Depth . .~,~ ......... Height ... ~..~r. 7~...~..~4. }~[~'of Stories...,~ ................ i .............. 9. Size of lot Front J 6.'17 ..... Rear //~ ~ ' han*h ,~ ,-, ,~ ............ 10. ~ate mvurcnase · 't.~.~'~. .................... Name of Former Owner ~4.~..~Pfio.~'.o~ ~.~..~,, ......... 11. Zone or use district in which premises are situated ~ (5. .......... ~ ............. 12. 13. 14. Does proposed construction violate any zoning law, ordinance or regulation: ..... .......... Will lot be regraded ........ /}x~. ..... ~., .; ....... Wall exce~s fill be removed from premises: - Yes . No Name of Owner of premises ./~,~'~..~'t .]~'f-~,ddress ..~ ~,.~.O~.~?w... Phone No. Name of Architect ..................... ; .... Address ............. >.~..... Phone No ............ . .... Name of Contractor ~,~,.~',,~,~ .... .~O'*t"7':~,%... Address. ~ ~,~.~..~o~/~.e~....P~P~h~one No. y,,~,~ ~-. >ff./fi..Y.. PLOT DIAGRAM ~ Locate clearly and distinctly all buildings, whether existing or proposed, and. imitate all set-back dimensicms-,,from property lines. Give street and block number or description according to deed, and show street names and indicate w~ether interior or corner lot. I qotary Public, .. 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, co;porai; 'o'fh~;;,'e~ ') of said owner or owners, and is duly authorized to perform or have performed the iaid work and to make and file, this application; that all statements contained in this application are true to the best ofh{s 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 .......... ~6d ........... day of ..... ~/~0...~. .......... , 19..~-'~. ........ _ ~ · ~ ~0~ '- i _(Signature ol~ applicant) ..i rt 765-1802 9 AM TO 4 PM FOR THE FOLLOWING IN'DECT1ONS: 1, FOUNnATION - TWO REQUIP-E[~ FOR POURED CONCRETE 2. ROUGH FRAMING & PLUMBING 3. INSULAT!ON 4. FINAL - CONSTRUCt-ION MUST BE Cm'~'tm CTE FOR C.O. ALL CONSTRUCTION SHALL MEE-F THE RE0[HREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONb I RUCTION ERRORS. ii ¢op~er ~ubi.g is u~a for water distributing 'sys ~m; ~p~g sh~ll be OE ~pes K er L only SOLDER USEi) II, WATER SUPPLY SYSTE~/i CANNOT ' EXCEED 2/10 o/~l~ !.~l~. ' '~.ERTIFICATE OF OCCUPANCY,~ '. l MJ¸