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Home My WebLink About14197-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. zlZ~721 Date July 29, .,19.8.6. THIS CERTIFIES that the building . .0.n.e...f.a.m.L. J:..y..?. e. ~.l.i.n.g. ........................ 3675 Nassau Point Rd., Cutchogue, New York Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 1 1 1 .Block 9 .Lot 6 Subdivision ~I./.c?. ~q.a.~ ~p..~.c~$.n.~..C..1.u.b. PP. ??Filed Map No. 1.5.6 ..... Lot No ..... 1.9. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..J.u.l.y....2., ............ 19 8~ pursuant to which Building Permit No. 1 6 1 9 7 z dated . ~..u.~.u.s.t...~.2,...........8 5 ...... 19 .. . , 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 William J. & Lueille V. Schneider The certificate is issued to ..................... /oWn'e;,'tiE~'i~'a'~'i .................... of the aforesaid building. Suffolk County Department of Health Approval 8 5 - 5 0 - 1 0 9 UNDERWRITERS CERTIFICATE NO. N 7 5 6 9 8 5 Plumbers Certification dated July 28, 1986 Building Inspector Rw. 1/81 · 0~ NO. ~ 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) N~ ~4197 Z Permission is hereby granted to: ,.~ .,~ ...... ..~....~.~.....~:~....~, ........ .... t ...... .¢~.~..ZZ~ .~. L..~ ~,- o ....~ .... ~ ~_~. ....... ~.......~ ...... .~ ....................... ......... ~.,...z:.....~ .......... ~.//,...,~........~,~--,.~..~..¢.~ .h....~, .~ / ...................... ,t premises located at ....~,~?~.J ........ N.~.~)-Z~.~..-~,~'~....~:~./....>T,~,........ ...................... ........ : ................ ~ ................................. ...Xz,~.../..~ ................. .-z-z.z..~ .......................................... ~ .z..~.z...~. ................................ County Tax Mop No. 1000 Section ........ Z~Z/. ........ Block ...(~,,~,, ........... Lot No..~..(2.~,,"~2~ ..... pursuant ,o application dated ........ .~.~..~.. ........ 5: ................... , 19~..~.., and approved by the Building Inspector. Fee $...~..~..Z....O.> Building In.~ector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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 approva~ of Heatth 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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. Dante 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 $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ......................... New Building Y/ Old,or Pre-exi~t ng Bud ng Vacant Land ............. Location of Property ............................................ ..... ,' · ','.-: ~ House No. /,,, , /~ Street /'Hamlet O ner o, Owners of ,roperty .......................... County Tax Map No. 1000 Section /// Block ,~, Lot Subdivision ./~...~./~'~../P~...~..~.~.~..~.~-~.' ..... Filed Map No../..5;.~. .... Lot No..//.Z ......... ,/2,<? ./~Applicant. ,/.~ ~ ,,~'~/ Permit No.., ,/,~/.~').. Date of Permit ,.~..? ....... 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 permj~-m~j~ts all applicable c0de~nd regulations. Applicant...,Z~...~ .... ' .~..~.~.Z~.,. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000771 BUREAU OF ELECTRICITY ~1 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~a,,~ July 1,1986 ~pvfi~.tlo.~o.o.;.,. S81980/86 THIS CERTIFIES THAT N 7 §B 95 5 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of William ochne~.der, e/s Nassau Point Rd., opp. Old Manhaden Rd.,Cutchogue,N.y in the following location; [] Basement ~ l st FI. ~sexaminedon Jllne ~6 , ~[ 986 FIXTURE OUTLETS I~ECEPTACLE~ SWITCHES 78 72 95 DRYERS FURNACE MOTORS ] 2nd FL Section Block and found to ~e in compliance oqth the r~q~ire:ne~ts Qf this Board. Lot FIXTURES OVENS EXHAUST FANS FLUORESCENT VAPOR FUTURE APPLIANCE TIME CLOCK~ MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 1-200amp. trans£er switch G,F.C.I.-2, Smoke Detectors-S Track Lighting,~24-0', 4-lites S E R V I C ) O~E CONO. OF ~C COND NO. OF HI-LEG · ~/o i 2/0 Ruland ~lec. P. ,O. Box ],43 HaCtituck, N.Y. 11952 lic. #242E GENEEAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect· Inspectors may be identified by their credentials. COPy FOR BUI'LDING DEF COPY OF CERT 'rE J~ ~ERE~ IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECrOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /¢/ ~ Owner Plumber (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plu~mber' s signature) Sworn to before me this ~O~Z&day of ~6cc./~ , Notary Public, ~~_~County Notary Publ '/~ UNDA d. COOPER NomW ~bllc, Sm ~ New v~ ~rea ~ ?OUHDATIOH 2. (2nd) :OtJGH ~AME & C OMMI,N J. ,, INSULATION PER N, STATE ENERGY G,ODE FINAL ADDITIONAL COMMENTS: i BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PI. BG. FOUNDATION 2ND [~]~INSULATION [ ] FRAMING [ ] FINAL BUILDING DEPT. INSPECTION FOUNDATION "ST [ '1 ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION 76S-180Z BUILDING DEPT, INSPECTION FOUNDATION 1ST[] ROUGH PLBG. ,.o,,.,,^~,o. ~.D[~ ,.s,,~',o. FRAMING []FINAL DATE , INSPECTOR , r: an 300' Pco~ e~e than 100' iU to __ pro~eCl: II:e be; O~ PETER PAULMULLER ARCHITECT, P.C. 72 Meeting House Lane SOUTHAMPTON, NEW YORK 11968 TO (516) 283.3465 Town of Southold Building Dept. Town Hall gon~hold: N.Y. 1197]_ July 26. ]985 Schneider WE ARE SENDING YOU E~ Attached [] Under separate cover via the following items: I~ Shop drawings [] Prints 5] Plans [] Samples [] Specifications [] Copy of letter [] Change order [] COPIES OAT~ NO. DESCRI~ION 1 7/12/85 'Ko Permit Required" Letter of N.y.s. Dept. of Environmental Censer 1 7/25/85 tealthDepartr~ntApproval ~atio THESE ARE TRANSMITTED as checked below: [] For approval ~] For your use [] As re~luested [] For review and comment [] FOR BIDS DUE ~ Approved as submitted [~ Approved as noted [] Returned for corrections [] Resubmit copies for approval [] Submit . copies for distribution [] Return corrected prints 19 [] PRINTS RETURNED AFTER LOAN TO US REMARKS tCOPY TO. TO PETER PAUL MULLER ARCHITECT, P.C. 72 Meeting House Lane SOUTHAMPTON, NEW YORK 11968 (516) 283-3465 Town of Southold Building Department Town Hall Southold: N.Y. 11971 July 3. 1985 RE Schneider Residence Nassau Point Road Soutllold WE ARE SENDING YOU E~ Attached [] Under separate cover via .the following items: [] Shop'drawings [~ Prints ~ Plans [] Samples [] Specifications [] Copy of letter E] Change order [] COPIES DATE NO. DESCRIPTION 1 set 7/2/85 Workin~ Drawings THESE ARE TRANSMITTED as checked below: , [] For approval [] For ydur use C~ As requested [] For reView and comment [] FOR ~IDS DUE [] Approved as submitted [] Approved as noted [] Returned for corrections [] 19 [] Resubmit.__ [] Submit [] Re~urn copies for approval copies for distribution corrected prints [] PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ~. Disapproved a/c ........................... r")' ........ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS . Received ........... ,19.. · 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 IBuilding Zone Ordinance of the Town of Southold, Suffolk County, New York, m~d other applicable Laws, Ordinances or iRegulations, 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 inspections. · Peter. Pau 1.Sul ler,. Architect,. P. C ............ (Signature of applicant, or name, if a corporation) 72 Meeting House Lane, Southampton, N.Y. 11968 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect., engineer, general contractor, electrician, plumber or builder. Name of owner of premises .Ma;, .aBd .ivlrs, .¢Jill$or~ .$~t:aaei0er ........................................... (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 ................. F~ ....... Plmnber s License No.. ~.<~... ,/.~.~...,~./.d. Electrician's License No. ? ..................... Other Trade's License No ........... t. Location of land'on which proposed work will be done .................................................. ,. ................ .................. Itouse Number Street Hamlet~4, County Tax Map No. 1000 Section 111 ,-. - 9 - .~~ .................. DIOCK .................. LOt ................... Subdivision ~'ob(5~,~.~\~doQvr~tp. Filed Map No...~..'~ ........ Lot .d.~ (Name) 2i State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy vacant land b. Intet~ded use and occupancy 9xxe. £omi:t7. re~i0e~ce ................................................ .Nature of work (check which applicable): New Building .... X'i .... Rep~_.. ~. ....... Removal .............. Demolition Estimated Cost $250,000 i Fee 'Ad dition ......... Alteration . . ......... Other Work ............... (Description) '.." i *" (to be paid on filing this application) 5: Ifdwe!ling, · ~ ' .. number of dwelhng !umts .one ......... Number of dw ling units on each floor ................ If garage, number of cars .~ icara ........................... 6. If business commercial or mixed occupancy, specify nature and extent c f each type of use .................... 7. Dimensions of existing structures if any Front Rear Depth . . ~Ie~ght ............... Number of Stories ...................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .............. Depth'. .................. i.. Height ...................... N amber of Stories ..................... 8. D~mensmns of entire new construction Front Heaght . .33t .......... Number of Stories ~ ....... 10. Date of Purchase · ·' ' Name nc Fnrm~, c~, ..... George ¢~se 11. Zone or use district in which premises are situated .R.e..~.J:.d?.n.~.~.a.~ .A .... 12. Does proposed construction vie}ate any zoning law, ordinance or regulat on: ..... . ......... ."i ............... 13. Will lot be regraded ...Y?.s...i; ................... Wille~s~,fillj~e~2~{~[e0~f. rlq~gprem~ses' Yes No 14. Name of Owner of premises blri. & .Ivlr~..~.. schnei0l~:tress ~i~~ x,~ 20~-664-4130 .... Name'of Contractor .' Address Phone No PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or propel :1, and, indicate all set-back dimensions from property lines. Give street and bloc~ number or description according to deed and show street names and indicate whether interior or corner lot. Se~ Attached Surveys STATE OF NEW YORK, S.S COUNTY OF ................. .... ~.~ .~'..~/~/'~O'~.~...~T ................... being duly s ~orn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~~ (Contractor;agent, corporate o :ricer, etc.) of said owner or owners, and ~s dtaly authorized to perform or have perfo 'med the said work and to make and file this application; that all statements contained in this application are true to th best of his knowledge and belief; and that the work will be performed in the manfler set forth in the application filed there with. Sworn to before me this ........... · ~.../~. ....... day Of ..... H£L~N I(jDE VOE ' ~ ,~ ~B'~ARY PUBLIC, ~tate of New~YorR ~a ~'10787& S~RotR Co~,t},~ (Signature of applicant) ] , l~,m ['~res ~arch 30, 19o~/ STATEMENT OF IN] THE WATER ~Y AND .GEM SY ST ENIS FOR THIS RES CONFORM TO THE STAN~, SUFFOLK CO. (si SUFFOLK COUNTY DEF'T. SERVICES -- FOR AP[ CONSTRUCTION ONLY DATE: H. S. REF. NO.: APPROVED: SUFFOLK CO. TAX MAP DE DIST. SECT. BLO . ?~dC) ~i . - - g OWNERS ADDRESS: DEED: L. TEST HOLE SAgO k,78 ~6 50 E. SUFFOLK CO. HEALTH DE:PT. APPRO'VA,L H.S. NO. .... STATEMENT OF IN~NT THE WATER ~UPPLY AND SEWAGE DIS~SAL SYSTEMS FOR THIS RESIDENCE WILL 45 SUFFO SERVICES -- FOR APPRO,VAL OF ~ ~ ~ CONSTRUCT ION ONLY ~['- 8INGLE FAMILY DW;I I ~. v ROD~ICK JAN TUY~ P.C.~ LICENSED LAND SURVE~RS GREE~RT NEW YORK Chief ~ W~$tewater Management ~ctton - ~~-'- ~.:'~_~.2. x,.,~ ~ ' ~:'Z:' ~ ~ :. ROa~ICS~AN T~ P.C.~ LICENSED LAND GREEN~RT NEW YORK SUFFOLK CO. HEALIT~ [:;EPT. 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. APPLICANT SUFFOLK COUNTY DEPT, OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE: h. S. REF. NO.. APPROVED: SUFFOLK CO. TAX MAI5 DESIGNATION: DIST. SECT BLOCK PCL. OWNERS ADDRESS: DEED: L. P. TEST HOLE STAMP SEAL I I (1 APPROVED AS NOTED 765-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS: ~1. FOUNDATION - TWO REQUIRBD FOR 'POURED CONCRETE 2. ROUGH - FRAMING & pLUMBING 8. INSULATION 4. FINAL - CON'STRUCTION MUST BE COMPLETE FOR C O. ~,LL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR ~ OR, CONSTR,gCTION ERRORS. i I 1- I L. 4--.J ,) ,} 1 1 II ¸:1 7 N t,4 ~ If copper lubing ,s used for water distributing · sys,em; piping shall be O~ 17pes K or I~ Onl~Y ~ PLUMBER CERTIF]rCATIOi~ ,~ ON LEAD CONTENT EEFORE ~,ERT]FICATE OF OCCUPANCY soLDER USED IN WATER $ UPPL Y S YS~TEM CANNOT ~XCEED £/!0 of 1% LEAD. ,,~ ~.,, ,