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HomeMy WebLinkAbout14075-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-23853 Date SEPTEMBER 5, 1995 THIS CERTIFIES that the building DWELLING Location of Property 1230 HORSE SHOE DR. & 635 SPUR DR. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 1985 ~ursuant to which Building Permit No. 14075-Z dated JULY 10, 1985 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 ORS FAMILY DWELLING WITH ATTACHED GARAGE, DEG'K & OPEN PORCH * The certificate is issued to MARIE A. DeLAT.T.A (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-SO--107-JAN. 6, UNDERWRITERS CERTIFICATE NO. N-727936-DECEMBER 26, 1985 PLUMBERS CERTIFICATION DATED DEC. 18, 1985-JOHN E. WALTERS 1986 *THIS UPDATES CO Z-14143 DATED JAN. 10, 1986. ~ilding ~nsp~ctor Rev. 1/81 ~OR,~ NO. Il TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14075 Z Permission is hereby granted to: ....... .'-L~..~._.~.~L~ ................. ............ ~,4 ....... I...9. ........... County Tax Map No. 1000 Section ........ .-~..,...~...... Block ............ ..! ....... Lot No. pursuant to application dated .... ....~..~.....~....~.. ..................... , 19.~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14143 Date January 10 ............................ .- ..................... 19 THIS CERTIFIES that the building ...... .N. 9.~:~ ~D.w..e .1.1.i.n. g ........................... Location of Prox~ertv 1230 Horse Shoe Dr. & 635 Spur Dr. Cutchogue ' -/-13~s'e ~o: ........................................................ Street Hamlet County Tax Map No. 1000 Section .... 0.9..5 ..... Block....,,......,.04 .Lot .0 .~.8... 0. .1.6 ......... Subdivision .O..r.o.cf.o.n.. y.~o.w...E.s.~.a..~?.s. ....... Filed Map No. 6 2 41 .Lot No. 16 conforms substantially to the Application for Building PemHt heretofore filed in this office dated ·..ff..u..n.~ .... .2.0 ......... 19 .8.5. pursuant to which Building Permit No ..... .1.4.0.7.5..g .......... dated ...... q.u.~.jff...1.0. ............ 19..8 .5, 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 ......... .... 777.-.-.77.-..N..e.w..P.r..iy.a.t.e.. 9.n.e...P.a.m.i..ly. Dwelling~ ....... ThecertificateisissuedtoDeLALLA, DONALD C. & MARIE (was Sunrise East Ent. ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval 8 5- SO- 10 7 UNDERWRITERS CERTIFICATE NO. N7 2 7 9 3 6 Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 · APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ia ~ 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. Su bm it Planning Board approval of comp teted site p lan 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 property 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: 1. Certificate of occupancv $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.C. $5.00 Date .,~.~..~.L). ~.~..~..~. ,../..~.~..~. ..... New Building ~, Old or Pre-existing Building Vacant Land Location of Property /.~..~.~..'~.~.~..~%~..~. h .~.(~,..~.~'.~.~.~..+.~..~. CJ??.~. './~..~.~.~......~.~...~..~./'~..~....9..~. House No. Street ~/am/er Owner or Owners of Property .~.~..~..~..(-.~....~.: '.~. ~ .?..d~..~../ .................................... County Tax Map No. 1000 Section . .(?.(~.~. ....... Block . .~..~. .......... Lot.../..(-~. .......... Permit No./..v.o. 7.5., .z. Date of Permit?//0/ ..... .~-.~...Applicant . ./~.0.0. Health Dept. Approval c~ -~>C)- %~. ¢.1 ..... ~abor Dept. Approval .......... Underwriters Approval ............ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate · X ................... Fee Submitted $,, ~ Construction on above described building anc~ t meets a applicable codes and regulations. ~ ~O~,g Applicant ./~?'..,¢'~ .... ,¢'.~./'~'~'. ~-~C..) ....................... Rev. 10-10-78 ~ ~ Form ~o. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-t802 A?PLICATION FOIl CERTIFICATE OF OCCUPANCY Au This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-? form). 3. Approval of electrical installation from Board of Firs Underwritsrs. 4o Sworn statsment from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and %nstallations, a certificate°of Code Compliance from architect or engineer. responsible for the building. .' 6. Submit Planning Board Approval of complsted sits plan requirements. For existing buildings (prior to April 9~ 1957) non-conforming uses, or buildings and "pre-sxisting" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual naturai or topographic features. 2. A propsrly complsted application and a consent to inspsct signed by the applicant. If a Certificate of Occupaucy is denisd, the Building Imspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Csrtificats of Occupancy - New d~eiiing $25.00, Additions to dwelling $25.00, Altsrations to dwelling $25.00, Swimmi,g pool $25.00, Accsssory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Csrtificats of Occupancy on Pre-existinz Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.OO 5. Temporary Csrtificats of Occupancy - Residential $15.00., Commercial $15.00 Date .... ............................. ~ouse No. Street Hamlet Onwer or Owners of Property,.. ~-~,~';/~,.../~/'... ~.~_-,_~/.~./~.W~. ................................ :aunty Ta× t000. Seotion.. .?.a7 ...... ......... .......... Permit No ................ Date Of Permit ................ Applicnnt ............................. Dept. Approval .......................... Underwriters Approval ......................... 'ianning Board Approv~ll ........................ :{equest for: Temporary Certificate ........... Finni CerticaCe...~/'J~'~/--~."C~7-~ ~ I~[W Y The water system for tills form to the s TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 BLDG, DEPT, TOWN OF $OUTHOLD, CERTIFICATION Date I'Z-)~'' Building Permit No.~O~ 0wner~c~%C~'~-~De?kClLLCk-- (please print) (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 ~/~ot~ , 19 Notary Public,~ County Notary Pu~l' LINDA J. COOPER NOTARY PUBLIC, State of New York No. 4822563, Suffolk Cour,ty/Q/ Term Expires March 30, IO00~2:L THE NEW YORK BOARD OF FIRE UNDERWRITERS /-~ BUREAU OF ELECTRICITy ]" 85 JOHN STREET, NEW YORK, NEW YORK 10058 .at,, ~e~ember ~,l~ ~..~...~o.o.~.~ ~s~l~/~ N727936 THIS CERTIFIES THAT only the el~trical equipment ~ described belo~ and introduced by t~ applicant named on the able application number in4 the premises of Donald DeLalla~ Horee~hoa Dr. ~ Gol~ Spur & Cr~ 4~ Cut:chogua~ in the following location; ~ Basement ~ 1st Ft. ~ 2nd FI. Section Block Lot ~as examined on DeCal, eT 1 ~ ~ ~,,9 ~ ~ and fou~td to be in compliance with the requirements of this Board. RANGES SPECIAL REC'PT R V FIXTURE OUTLETS FIXTURES .uo~scm: FUTURE APPLIANCE FEEDERS 34 33 OF CC. COND, 2/0 S NO OF CC. COND, PER ff 1 OTHER APPARATUS: Special Rec~pt.-- 1-30am~p~,l~.~0amp. ~: 1-4 Ton-A.C~ Unit G,F.C.I.~'3, Smoke Detector-,. 1 EXHAUST FANS DIMMERS E NO. OF "~UTRA S oFA N~/O TGi~A L i 2/0 27~ Town ~rbor Lan(~ So~ltho!d,N.¥.,l1971 GBNEI~AL MANAGER rhis ce.;ficate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ILDING '. THI: ~ COPY OF ' MANNER. ~,~EL~ INSPECTION FOUNDATION ( ~ st) FOUNDATION (2nd) 2o ROUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY C,ODE FINAL COMMENTS ADDITIONAL COMMENTS: 765-1802 BUILDINO DEPT. INSPECTION [ ] FOUNDATION ~ST [ ] ROUGH PLBG. [ ] FOUNDATION, 2ND ~INSULATioN [ ] FRAMING, [ ] FINAL /~ ..... 'FORM NO. 1 TOWN OF $OUTHOLD ~UILDING DEPARTMENT TOWN HALL · ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 / Examined '/'.~.~. ..'~. .I..0 .... ,19 .~.~. Approved ... t 9..., 19'~. Permit No../..~..~.7..'~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. TOWN OF $OUTNOLD 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 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 necessmj~ inspections. · Koo...nn..o.~.~. ~.z.o...~.a.-2 L.dx.r,..~.o.c..... (Signature of applicant, or name, if a corporation) · .~..,9..5...,7...<,:o.;.c. ~....L/?. ~,..,5.o. ~..+b...o. ~.d (Mailing address of applicant) State whether applicant is owner, lessee, agent, a~chitect, engineer, general contractor, electrician, plumber or builder· ... ~.o~ c...o4_... C~x~..~cm.+.o ~ ....................................................... Name of owner of premises . .~...LI= .~..~.} .~...~<...~.(~.~..~....~..Y?I..~.~.?. p .lT.[ .~..~..~. ......... (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....~(z?.~ ................. Plumber's License No. '-] ~ I /9 Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done....~...~..~7....~. ?. !4....~...0~.~..'~. ................. ..... /..a .~. ~. ....... .~1.o?.~ ~.~ .~.o.e.. ~ vi.'-)..~ ......... . .C~.. ~ .e.h%o.~. ............. House Number Street Hamlet County Tax Map No. 1000 Section .... .C)..~ .......... Block ... ~ ............ Lot]?.: }.(g:?. ............ Subdivision..OC. ~-,-(~O.~..~. I.~-~' .O0..-- .~..'-~..~-~'~-.~... Filed Map No..~..~. 9.[ ...... Lot., [ .~. .......... '--J (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 . .C)ITt.~-.. 2"~..rf*~. 7 .L..[~....d L,O.~..~..L..O.5 ......................... 3. Nature of work (check which applicable): New Building . ~'-' 'Addition. 'i Alteration ....... Repair .............. Removal .............. Demolition ........... :... Other Work ............... (Description) 4 Estimated Cost...z..,.;x Fee '~ (to be ipaid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uni[s 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 entire new construction: Front ............... Rear ........ ....... Depth ............... Height ............... Number of Stories ............................ . ............................ 9. Size of lot: Front ...................... Rear ...................... iDepth ...................... 10. Date of Purchase ............................. Name of Former Owner .i ............................ 11. Zone or use district in which premises are situated ......................... ! ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ! ............................ 13. Will lot be regraded ...... : ..... : · .~. ............ Will excess fill be remove,d from premises: Yes No 14. Name of Owner of premisea,D~u~r.~.~ ?..O:.fi~..~C):~,. Address(~ .q~ .~..~.r.©!~-,~ .((Z~, . . Phone No.'7~.'-.~.~?. ~-... Name of Architect ........................... Address ............... ' .... Phone No ................ Name of Contractor ~.OEx. ITf)C).~.~.ZT-~ .[~xA~l~ddress~.~O ~.~%. · .[¢3~Phone No..-7..(o~7 .~.. ?. ?...~.. 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. STATE OF NEW ~0R,K, /, S S being duly (Name of indivi(}~ 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 Said work and to make and file this application; that all statements contained in this application are true to the best of hi! 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 .... ~Q. "~ da of Notary Pu~blic, . .... ~ ....~ .................. County ~d. ~n .... ~Y ~BUC, $ta~ ~ New No, M22~63, Suffolk Term Expires Marc~ 30, 1 ~ sworn, deposes and says that he is the applicant f~' ~6~ignature of apolicant) FOllOWING 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & pLUMBING 3. INSULATION ~. FINAL - CON'£TRUCTION MUST BE CraMPLETE FOR C. O. ALL CONSTR~ICTION SHALL MEET THE REOI"Rr~AENT$ OF THE N.Y. STATE CONqTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. pLf/MBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY If copper lubi~g is used for water distributing sys em; piping shall be of types K or L only OCCIJ?/TNCY OR U~£ I$ UNLAWFUL Vi~IIB]iJT CERTIFICATE OF OCCUPANCY I©