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Home My WebLink About13898-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-]5954 Date July ]5, ]987 THIS CERTIFIES that the building ONE FAMILY DWELLING WITH ATTACHED DECK Location of pm__.,. ]]65 R.O.W. off Dean Dr. Cutchogue, New York House No. Street Hamlet County Tax Map No. ]000 Section ... J .1.6 ...... Block ...0.5 ........... Lot ... p/.o..1 ......... SubdJvislon ............................... F~led Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'ded in this office dated January 31, 1985 13898.Z ........................ pursuant to which Building Permit No ..................... dated....Ap.r.i.1..3.0:..1.9.8.5 ............ 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 ......... ONE FAMILY DWELLING WITH ATTACHED DECK, UNHEATED FOR OCCUPANCY BETWEEN JUNE ]st · &' SEPT'.']5~:h' ~[h' ~f~' ~-~ht'. ...................................................... The certificate is issued to DONALD & IRENE SUTER, JOHN & ANNE ZIMMER of the aforesaid building. Suffolk County Department of Health Approval 14-s0-217 UNDERWRITERS CERTIFICATE NO .......................................... N8. 05004 ....... PLUMBERS CERTIFICATION DATED: April 24, 1987 Rw.l~l FOBM NO. 1~ TOWN OF $OIJTHOI. D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 13898 Z Permission is hereby gronted to: ................ ..~z.Z/~,~.~./~....~./..~..../...,.~ .,~..~..~.~..~,~..~.......~z~......,~,~.~....~z.~...~.~.~....~.y.,e~...~.. ~ ot premises located at .../~,~....~........~.~...~.-:~.....~. ,~.~,--~..-....~..~?~-Z...~. ............................... ......................................................................................... [.~.- ~ Z-~. ~..t ..~.. :.. ~. ?/.-6.! oo / County Tax Map No. 1000 Section .... /.~,~ .......... Block .... ~,,...~.....~. ....... Lot No ................. pursuant to application dated ,.~..~/.~....~,.~$..~.....,.~,.~. .......... , 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 ~ ~ 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. 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 occupancy - BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of-occupancy on pre-e~xl'Ftll'~dwelling $ 50.00 3. Copy of certificate of occupancy $ 5/00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New Cons tz*uc b ion Old or Pre-existing Building Vacant Land Location of Property .............. . .~...O ........... House No. Street Hamlet Owner or Owners of Property ]~/~.0 .~ |~.~..~..~...Cji.. / o,JO.~...Z~./~N~.~ . .-¢:j.J~.. ~..~. County Tax Map No. 1000 Section ... Block . Lot.. ~./t~,J ..... Subdivision..d~ ./~. I~. S....(~. ~.~J ........... Fired Map No ........... Lot No .... ~ ........ Perm it N o. 'l..~.~.~..~. C ......... ~ c~(.)'..'r~...~. Date of Permit .Applicant. ~.~ ................... Health Dept. Approval..l .~J/.'..~.O, · .~. ~4J..~. .... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .X .................... Fee Submitted $., . .~..~.,,0..~. ................ .. Construction on above described building and permit meets~pplicable codes and regulations. App icant .. ../t~... ...................... / Rev. 10-10-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 TOWN OF 80UTHOLD ~ Date Building Permit No. Owner Joh~ (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this Notary Public, County Notary Public I/~ C. MOH ~mm~OO ~i~es janu ,z THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~1'*'~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ..t. *mL1 22, 1~87 .~pp,,~.,,o.,~o.o.~,,. ~2~2/~ N 805004 TNI$ ~E~IFIE5 THAT only ~he electrical ~u~pment ~ ~scrlbed be~w a~ .nt~duc~d by t~ apphcant ~med on ~he a~e application number in the premises of in the followlng location; ~ Basement ~ ,st FI. ~ 2nd FI. Section Bl~k Lot &p ~ ~ i6 ~ ~O and found to be in compliance u, ith the requiretnents qf this Board RXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES FtUORESCENT 46 53 45 46 DRYERS FURNACE h FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET EXHAUST FA,%'~, DIMMERS SERVICE DISCONNECT S E OTHER APPARATUS: *Special recep ~acle~ ~ 1-30ampa,, i-50amp a,, aocors ~ l-lip., Z-G,F.C.i. R V I C E OF CC CON~ NO OF HI LEG NO OF EUTRAt$ OF HI-LEG OF NEUTRAL 3/0 3t0 318 N. ~lm Avenue aeWgOWtL, PA 1~40 This certificate must not ~e altered in any manner; return to the office of the Board if incorrect. Inspectors may be FOR DEPA iNT. THIS 3PY OF CERTI BE,ALTEREDIN ANY MANNER. credentials. FIELD %NSPECTION 1. FOUNDATION [lst) COMMENTS FOUNDATION (2nd) OUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE ADDIT] COMMENTS: TOWN OF SOUTHOLD ~ ' : ' 'lc " 0 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because~,of the following reasons. /~/An application for Certificate of Occupancy is not on file. /--/ No Underwriters Certificate on file. /~' The check is(o~.~d/not on file.)~.d /5~/No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. -Building Permit # /~ ~ 9~ Z Building Dept. ***/5/ NO Plumber Solder Certificate on file. all permits involving plumbing being issued after. April 1,1984 ) Memorandum~rom'... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, BOX 728, $OUTHOLD, N.Y. 11971 765-1802 ~0: Bennett Orlowski, Jr., Chairman Report No. 1~32 Southold To%m Planning Board FHOM: John W. D~vis Date: Mar~h 13, 1985 RE: ACC~l~S ROAD TO LOT NO. 2 - S~DIVISION O? JAMES DEAN AT ~TTIq~*ICK CO~KN~: Access to the above lot h~s to begin at the ~ved and c~rbed turnaround at the end of Dean Drive. An e~sting house and attached garage at Lot No. 3 has a paved asphalt driveway fro~ *~he turnaround. Lot No. 3 bas lawn area throughout around the house. The map shows ~ 25 ft. width H.O.W. for 280 ft. (length of Lot No. 2) and a length of 220 ft. in Lot No. 3 for a total length of 500 ft. 1his length probably shoma for underground or overhead installation of tete~hone, electric and ~/ cables, some of which h~ve been installed~ ]here is an electric junction box in the ~I.O.W. 25 ft. so.~th of the north property line of Lot I'!o. 3 near ~he east side of ~he R.O.W. Reco~mnendati one: 1. A s~ll amount of cle0ring necessary in Lot No. 2o 2. ~cceSa road width l5 ft., centered in ~e R.O.W. 3. R6#~oVe topsoil, test holes show 8" to 10" of high loam toosoil. 4. Replace topsoil eXcaw~tionwith any grade of clean fill to re~n ~%e origin'~l O.S. elevations. ' '5. Place a 4" course of bankrun sand and gravel, on the replaced materiel. 6. ~q.ace a 2" top course of 3/4" stone blend on the bank r~n. 7. qbe length of the access road should be at least 150 ft. from the t~rnaro~u~d which would carry it 25 ft. into Lot No. 2. 8. Emergency vehicles can turn in the cul-de-sac at the end of Dean Drive which is a short distauce from Lob No. 2. 9. ]he access read contractor should be notified of the underground utility installa- tions in the R.O.W. D. Wo Surer 318 N. Elm Street Newtown, PA 18940 September 28~ 1986 Town of Southold Building Department Town Hall Southold, NY 11971 RE: Surer/Zimmer Dean Drive Building Permit #13898Z Dear Sir: We were issued Building Permit #13898Z on April 30, 1985. Since that time we have constructed the house; however, we have run into some problems getting the water filtered correctly., The well initially tested over the limit for temic and maganese. We added a filter, but the water still failed maganeSeo We are now in the process of retesting the well. Since we cannot yet pass the water test, we cannot apply for a Certificate of Occupancy. We would like an extension (for as long as possible) of the Building Permit to allow us to rectify the water situation (we have already been in contact with Union Carbide to see if the remic filter shonld affect maganese levels.) Thanks in advance for your understanding in this problem. Donald W, Suter D. W. Surer 318 N. Elm Street Newtown, PA 18940 September 28, 1986 Town of Southold Building Department Town Hall Southold, NY 11971 RE: Surer/Zimmer Dean Drive Building Permit #13898Z Dear Sir: We were issued Building Permit #13898Z on April 30, 1985. Since that time we have constructed the house; however, we have run into some problems getting the water filtered correctly. The well initially tested over the limit for remic and maganese. We added a filter, but the water still failed maganese. We are now in the process of retesting the well. Since we cannot yet pass the water test, we cannot apply for a Certificate of Occupancy. We would like an extension (for as long as possible) of the Building Permit to allow us to rectify the water situation (we have already been in contact with Union Carbide to see if the temic filter should affect maganese levels.) Thanks in advance for your understanding in this problem. Donald W. Suter TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OEFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ....................... , 19 .~..~. ~ ~...77. ..... l/ ~ ,.~ PLEASE TAKE NOTICE that your application daJ~d .~...?( ...... ~ ........ lO ~. County Tax ~ ~. 1~;; S~°:t'o,.../~.. Block ~7:t. ~.~ ..... is~ ' '~'~rctumc~"~ ffhem~th and disapproved2~~on tl~e following grounda . · ........ ' '~ ~Uilding rnspector RV 1/80 z6S.zsoz BUILDING DEPT. INSPECTION, FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [//~NAL DAT ...... :N PECTO ,, 765-~802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ~] ROUGH ~PLBG~' FOUNDATION 2ND ~] INsuLATIoN [ ] FRAMING [ ] FINAL 76S-1802 BUILDING DEPT. INSPECTION ]FOUNDATION :I,$T [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION [] FRAMING [~FINAL ~e.~/~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1803 ~ xamined ................ , 19... pproved ................. 19... Permit No../.~..~. ?..~..2--- )isapproved a/c ..................................... GLDG TOW~! Oi' SOU~'HOLD Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis application must be completely filled in 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- ation. 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 xall 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 ~all 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,~s herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housi~l}6de~tlFregulations, and to dmit authorized inspectors on premises and in build_ing for necessary !nspections. ~.. ~.~.... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) is owner, lessee, agent, {~hitect~en~neer, general contractor, electrician, plumber or builder. ;tare whether applicant Fame of owner of premises ~.. #)1~. ~.l~....~...b~..~....~...~b&J~...I~.~.{41~... ~l~}~. ~' ......... (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..~.~..~. ~....N~..~ Plumber's License No .............. J ........... Electrician's License No .......... '~I~ .......... Other Trade's License No ......... ~ ........... I . Location of land on which proposed work will be done..~.~..~.~'. ..... '~.~.1~.....~.~.{~d .......... ....................................... ................ House Number Street Hamlet County Tax Map No. 1000 Section ..... [I. ........ Block ............ Lot../?(CV.I .......... Subdivision V~II~...'.'4 .~t}~.~... ~. ...... .Filed Map No .......... ~ .... Lot~.. ~) ......... ~x · State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .~.~.~. ...................................................... ......... 3. N~ture of work (check which applicable): New Building .. ' ..... Addition .......... Alteration ........ ,.. Repair Removal Demolition Other Work (D ripti n) 4. Estimated Cos ................ Fee .................................... ~' (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits~ ............. Number of dwelling units on each floor ............... If garage, number of cars .. ~Q0.~..' ............................................................. 6. If business, commercial or mixed occupancy specify nature and extent of each type of use ..... . ....... 7 D~ensions of existing structure if any: Front ~ Rear Depth ~ Height ~ Number of Sto~es ~ ~ D~ensions of same structure with alterations or additions: Front ~ Rear -- Depth .......... ~ ....... ;.. Height ......... ~.., ........ Numberof S~gfies . .~ .......... I..., .... 8. D~enslon~of ept~r~,new const~ct~on. Front .. ~.O. ~ ..... Rear . ~.O. ~ ...... Depth . ~ ~ ...... 14. N~eofOwner of premises ~' ~(~. ~ddress~l~, PhoneNo~'~ Nme of Archatect . ~.. ~.. ~..,, .~ ..... Address ................... Phone No.~.~ ~.. ~ ~. P~T DIAG~ Locate ,cle~ly ~d dist~ctly ~1~ bufld~gs, whether existing or proposed, ~d, indicate ~1 set-back d~ensions from property ~nes. Give street ~d block >tion accord~ :to deed, ~d interior or corner lot. ~,,~ STATE OF NEW YORK~ j~, ~'16}1'~ (Name of individual sigfiing contract) above named. Heis the ................ /~'/~ ~..~. ........................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly a~lhorized 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 his 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 ............... i ................. County ! Cornmi~ ~n Explre~ March 30, RODERICK VAN TUYL, P.C, LAND SU ' E¥O S GREENPORT NEW YO~K SUFFOLK CO. HEALTH DEPT. APPRO~ 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 MAP DESIGNATION: DIST. SECT. BLOCK PCL OWNERS ADDRESS: DEED: L. 5 ~.2 P, ..... ~. ~ ~P.~;,~ TEST HOLE J STAMP -I SEAL SUFFOLK CO. HEALTH DEPT. APPROVAL H. NO. ' STATEMENT OF INTENT CONFORM TO THE STAHDARDS OF THE ~RVlCES. CONSTRUCTION ONLY _ r 0 ADDRE~: '_WNERS , = ANDY H. F. NO. /J/'~%-~17 \, DATE,Y<~' , ~'x II~l fA fO,q7 ':~. ' THE SEW~ DISPOSAL AN~ WATOR SU~REN FACIL T~ES FOR THIS LOCATION~AVE BEE~ INSPECTED BY' THIS DEPAR~ENT',AND Chief of ~'{~ter M~agement Section x , LICENSED LAND SU~EYORS SUFFOLK-CO. HEALTH DEPT. APP~vAL 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. {si APPLICANT SUFF,OLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S- REF. NO.: iq~'~';~]7-: - - APPROVED: "' SUFFol DIST. ~CT: O~NERS ADDRE~: m - o N'E' DEED:. L. G'(~_" "P':~':5 ~ ~'e~)' ' ST~P SEAL DATE LOCAT FOUND TO BE Chief of' I S. UPJ~'~Y FACILIT~S FOR,THIS INSPEO'i'EO.~ BY THIS DEPARTMENT' AND \ Section \ RODERICK VAN TUYL, P.C. LICEN~E.D LAND SUI~'EYORS GREENPORT NEW YO~K SUFFOLK CO. H~ALTH DEPT. AI~VAL H.S..o. STATEMENT OF INTEI~T THE WATER ~LY AND S~WAG~ DI~mOSAL SY STEIvl5 F~ THIS ~SlDENCE WILL CONFORM TO THE STANDA~ ~ THE SUFFOLK CO. DEPT. OF HEALTH ~ERVICES. A~ICANT SUFFOLK C~NTY D~T. OF HEALTH SERVICES -- FOR APPROVAL OF cONSTRUCT ION ONLY A~OVED: , · UFFOL. K CO. TAX MAP ~$1(~,NATION: DIST. ~CT. ~i.O~ ;~ ,~L. ~. ir~ 5 ~ :, '~0~ OWNERS A~: ' ~-~ ,/ ~ ¢~pper ~ubmg is u~ie~ , for water distributing ri '";L ~yS em~ p ping shall be of types K Or:Lon~Y : ~' SOLDER U,~D [N WATER~ SUPPLY SYSTEM CANNOT EXCEED 2/10 of l% LEAD:'~ ". ON LEAD CONTENT BEFORE ~ CERTIFICATE OF O~CUPANC~- 7 AS NOTED NOTIFY BUILDING , 765~1802 9 AM TO 4 FOR T~E" ,, FOLLOWING iNSPECTIONS: ~. FOUNDATION TWO REQUIRED FOP- POURED CONCRETE 2, ROUGH - FRAMING & pLUMBiNG 4, FINAL- C~)N'STRUCTION'MU~T BE COMP1 RTE FOE C, 0 ALL cONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & El 'CODES. NOT RESPONSIBLE FOR' ' DESIGN OR ~QNSTRUCTION ERRORS' · ,? 1 ,i %, 4-:0 ~ I%- A;u4-t 'i ii ~ U- T E R and S, U T E ARCHII'ECTS ' 51 Woodla~n Avenue ,East M0rich~s NewYork 11940 · (5i§) 878 ~ 460~2 ep. ,4,.; 4