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Home My WebLink About14203-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z- 16470 Date December I ] , 1987 THIS CERTIFIES that the building CONSTRUCT ADDITION Location f-- ' 415 Glenwood Read Cutchogue, N.Y. O rroperzy ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section ] 3 7 .Block 05 ....... Lot 0 16 Subdivision M/o Ravitone Realty 5.3.9 16 ............................... Filed Map No ....... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'ded in this office dated July 29, 1985 14203 Z ........................ pursuant to which Building Permit No ...................... dated Au g u s t ] 4, ] 9 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING The certificate isissued to EDWIN & JOAN RUETTIGER ..................... .t lpg ld; fx .................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS'CERTIFICATE NO. N 7 4 6 6 6 8 N/A PLUMBERS CERTIFICATION DATED: ~OR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERAAIT CHIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 14203 Z Dote .... .~....~?.~.Z.~....../.~ ............... , ~9..~' Permission is hereby granted to: ~/~>v~ ....... ..... ~..~/.~.....~/~.~..~.~.~..../..~ ......... ....... ~.~.~..~.= ~.;.~. .............. :: ,o ........... ~:.~.~...~.~......~.~~ ........ ~....~...~.~.~..~ .................. ................ ~.~.~.x.~..c~ ............................................................................... ./... .................. et premises located at ........... · .~.~..././..~....~.,......~.,.~.~..~.~f~..~/..~.......,,~.~..~- .~...., .......... .!....- .................. ~ .~.~..~. ............ County Tax Mop No. 1000 Section ...Z..'~....~... ....... Block ..... ~ .............. Lot No. pursuant to application dated ....... ~..~...~.........~-.~.. .................... , 19~...~.Tand approved by the Building Inspector. Building Inspector Rev. 6/30/80 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 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 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 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. Fees: 1. Certificate of occupancv $5,00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.V~cant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date .... .~,/./?,/.~..~. ......... // New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~.~....~.b.,~...~/. .t~..e.e..~...~..~? ..~.. ?.~. ~..~. ?.~....~..~.~.~. ~..~'.0..~.C.~.o.~...~..~' House No. Street Ham/et Owner or Owners of Property .~..~./~.~ $ .... ~ ~.,~.. [.~.....1~.,..~..~. ~./.~'...~../~ .......... County Tax Map No. 1000 Section ..... /.~,.2 .... Block ............... Lot ................ Subdivision,..~..~.~,~.~.~,~.~....~f,~.~.~.~,...FiledMapNo..f,~,! .... LotNo, ..~.~. ....... Permit No. I.Y .~..0..3..Z-.Date of Permit .~'/'.~'/~, .~.Applicant.-~.'./~..L~.,/~/.. ~.'.. ~..~..~../~...~..~/~ 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 ~plica/~e codes and regulations. Rev. 10-10-78 g ') 5_5 THE NEW YORK BOARD OF FIRE UNDERWRITERS 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT FIXTURE ] FIXTURES RANGES COOKING DECKS OVENS DISH WASHER~ EXHAUST FANS VAPOR ~T K W AMT. K W. AMT. K. W AMT, H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS iPECIAL REC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ~T* K, W OIL --~H P, GAS H. P AMT, NO A, W.G. ~T, ~P, ~r AMps, TRANS. ~T. H. P, NO. OF FEET AMT, WATTS I SERVICE DISCONNECT NO. OF S E R V I C E METER ~T, ~P. TYPE EQUIP. 1~2W 1~3W 3~3w 3~4w NO, OF CC. COND A W.G. NO OF HI-LEG A,W,G NO OFNEUTRALS A W G, PER ~ OF CC. COND OF Hr-LEG OF NEUTRAL OTHER APPARATUS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1 $02 To Whom This May C~ncern, We are unable~to complete your Certificate of Occupancy because.of the following reasons. /~An application for Certificate of Occupancy /~. No Underwriters Certificate on ~---~~ ~s Out a~e not on f / / ~ H~alth Dept. ~pproval on file. /~/ No f~nal inspection has been made. \~~ Please contact our office on this matter. Thank you for your cooperation. Building Permit 9 ~ ~.,,, Building Dept. ~/~/ ~o ~lumber Solder Certif±ca~e on file. ( all permits involving plumbing being issued after April 1,1984 ) FIELD INSPECTIQN 1. COMMENTS FOU~DRTION (?st) FOUNDATION (2nd) }{OUGH VRAME & PLUMBING iNSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y, 11971 TEL.: 765-1802 xamine .../.~...., 19 / l~eceived...Z .~... , 1 9~.~- .pproneff~...(~., ...... 1 . . .Permit No ........... dsapproved a/ ..................... , ........ z4 ...... [~~. ,~ (Building Inspector) .. '~.. . , "' '~ ' U' .~' ' -- APPLICATION FOR BUILDING PERMIT s~ts of plans, accurate plot plan to scale. Fee according to schedule. b Plot nlan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ok ar~as, and'giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ¢. The work covered by this application ~ay not be commenced before issuance of Building Permit. d Upon approval of this application th~ Building'~n~l~,e~tq~' will issued a Building Permit to the applicant. Such permit ~ail be kept on the premises available .for mspee, tton t~mughgu{~t~e work. e. No building shall be occupied br iUS~ in w~o)~.'9,r,.iri part f6Fany purpose whatever until a Certificate of Occupancy s~all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to 'the Buddmg Department ~r the issuance of a Building Permit pursuant to the ~ilding Zone Ordinance of the Town of Southo~id, Suffolk County, New York, and other applicable Laws, Ordinances or ~ula~'~ons for the construction of buildings, additions or alterations; or for removal or demolition, as hereto described. ~ lic~t a tees to corn I with all applicable laws, ordinances, building code, housing code, and regulations, and to ~e app g P Y a~mit authorized inspectors on premises and in building for necessary !nspectio~ ] tare whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builder. lame of owner of premises ........ ".: ...... ·' '~ (as on' ~t~e .............. :" ...... ~f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) , Builder's License No .... .0..1~.../~..~.~. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... i. Location ofland on which proposed work will be aone. . .~. /.~. . ~&i~/~O~ ....... . .5-../,..Y..,?. o. ........... z. ,qn. House Number Street Hamlet County TaxMapNo. 1000 Section ...t..~..2 ........ Block .... ~ .......... Lot../.~. ............ ...... ......... Subdivision... t'Uame~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ..~. ?..~. ~ ..~. R ..... .~...~..~. .................................... .......7.~,~ Ro~.~.~. es~. ~ ' .... b. occupancy Inte__e_ ,~,. >, ~ ~ ., .... 3. Nature of work (check which applicable): New Building ..... ' ..... A, Repair .............. Removal ............ Demolition ... 4. Estimated Cost ......................... Fee . 5. If dwelling, number of dwellinglunits ............... Number of d If garage, number of cars .... ~ ............................... 6. If business, commercial or mixeid occupancy, specify natur~e and extent ¢ Dimensions of exis.ting structures, if any: Front .... .~. ~t. ....... Rear 7. Height .... '~..0 ........ ' Number of Stories ..... t .............. Dimensions of sarr~,~mcture With alterations or additio~as: Front .. '~x 8. Dimensions of entire new constrUction: Front . . .~..~..~ . *'Height .... ~,.~.t. ...... N~U,mber of Stories ................ :t' · ' 9. Size of lot: Front ..... ~..~..] .... L ...... Rear ....... .J~..~. .... 10. Date of Purchase ......... ~.['..7....~.~. ......... Name of Former 11. Zone or use district in which pr~mises are situated ................. 12. Does proposed construction violate any zoning law, ordinance or regulat [dition ......... Alteration .......... ........... Other Work ............... .~. ~ ~ (Description) (to be paid on filing this application) elling units on each floor ................ f each type of use ........... , ........ ....~. ~.~. ...... Depth..~ ~..~.~..~. ~... Y. .......... Rear. ~. .......... umber of Stories .......... i~[ / ...... .t. ..... ~. ........ Depth .. ~.~.. ~..,~.~.. · · Will lot be reg]/aded ........ L. ~t/.~ ..........,~ .... Will excess fill 1 e removed from ~remises: Yes ~ Name :of Owne~ of premises l~t[~.~"~i~gJ~.~. ~#~'/~'g~ddress~.~t~t~.~' ~,~ .~rg~.~..~one No ~.~.. ~.°. ~ .~. ~P..~ .... Name of Architect ~.~..~'/~. ~Wi~ ~.o..~.S.T'..~..~. ? .... Addresst~. ~.~ff.., ~.~. A:.t .Fy.. Phone No ................ Name of Contractor ........ i ................. Address ....... ~ ........... Phone No ................ .. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propo~qd, and~ indicate all set-back dimenslons from property lines. interior or comer lot. ~tion according to and show street names and indicate whether STATE OF NEW YORK, COUNTY OF ................ iS'S .... ~ being duly s'; (Name of individual sigging contract) above named. He is the , - . . ~ . "[Contractor, agent, corporate of of said owner or owners and is duiy authorized to perform or have perfor applicationi that all statements cont!ained in.~this application are true to the work will be performed in the mannor set forth in the application filed there~ Sworn to before me this ,om, deposes and says that he is the applicant 'ice~; etc.). ' '~ ~ ned the said work and to make and file this best of his knowledge and belief; and that the ith. ~APPROVEDi AS 'NOTED ~ NOTIFY ~-NG: DEPARTMEJKIT AT 765-1802 g AM TO 4 PM FOR THE FOIJ.OWING INSPECTIONS: 1, FOUN~A'FION ~ TWO REQUIRED FOR P"~LJR~D CONCRETE 2, R~LIGH · FRAMING & PLUMBING 4, YlN~ . ~-?--~,~RU~TION MUST STAT~ CONSTRUCTION & ~NERGY CODES, NOT R~PONS~LE FOR D~SI~N OR CONSTI ~UCTION ERRORS,