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Home My WebLink About13786-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy · No .... ~.1.4~4~ ....... Date June 23 ........ 19 .8.6 Location of~ .... ~. 85 Silver Colt Road Cutchogue ' House No. Street Hamlet County Tax Map No. 1000 Section 095 ·Block 04 .Lot 018.1 · Subdivision... 9.r.e.~°..n. .V.i.e.w...E.s.t. .......... Filed Map No ......... Lot No. 1 conforms substantially to the Application for Building Permit heretofore Fried in this office dated March 15 19 8..5pursuant to which Building Permit No. 13786Z dated ...M.a.r..c.h..2. ~. ................ 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 ......... One family dwelling. The certificate is issued to ....J. qs..ep.h, and Bernadette Petersen of the aforesaid building. Suffolk County Department of Health Approval 8 5-SO-2 9 UNDERWRITERS CERTIFICATE NO. N7 3 9 4 0 9 PLUMBERS CERTIFI CATE 3 / 21 / 86 Rev. 1/81 FI)BM NO. S 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) NO 13786 Z Permission is hereby granted to: .............................. co~ 'ro~ Mpp ~o. looo s,~,on ...... ~..S.~ ..... mo~ ...... O...q. ........ m ~o ..... m.l.~..:..l... pursuant to application dated ..... ..¥~.~...[..~. ................... , 19~.'*~/, ond approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUI'HOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No.~~~. Owner (please print) ~se print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~/ (plumber's signature) Sworn ~! day of Notary Public, to before me this County Notary Public FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: BUILDING DEPT. INSPECTION [ ] FOUNDATION ~.ST [ ] ROUGH PLBG. I' ] FOUNDATION 2ND [~'1 IN/SUL.A. TION~ [ ] FRAMING [//~rFINAL REMARKS: · March 6,1986 was examined on and found to be m comphance with the requirements of th~s Board. FIXTURE OUTLETS SWITCHES 36 50 40 DRYERS FURNACE MOTORS SERVICE DISCONNECT OTHER APPARATUS: Motors- 1-1 H.P. G.F.C.I.- ~ FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ~w.cENTI ~- i~.l ~.~,. i ~.1~.,~.[~.1 ~.~. i~.1~.~. ~, ~.~. Smoke Detectors- 2 Anthony Harris Twoney Aven~e Calverton, N.Y., 11933 ~ ', !1 This ce~ificate must not be a~tered in any manner; return to the office of the ~ard if incorrect. Insp~tors may be identified by their credenhals. COPY FOR BUILDING DEPARTMENT: THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined....x~.°&..~.~g ., 19.~.~.~ Approved....~.'.o~..~...~..~., 19~..~. Permit No.l .~..-'/..~.~..~.... Disapproved a/c ..................................... ................................ ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT TOWN OF SOUTHOLD Received ........... ,19.. · INSTRUCTIONS a. Tins 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 tins 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 auth°rized inspect°rs °n premises and in building f°r necesi~?.i::~/~.~...~/]. ,~:r,,,t,~ .~L_o?...,...' ............. (Signature of applicant, or name, if a corporation) ...... (Mailing address of applicant) (Name and title of corporate officer) Builder's License No ..... 1~..~.. 7.ff..~ ......... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. If Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~.. 0.../... ~).~.~.~..0../q...bf. tt./~../~...~/~.-.~..P.~..p.~.... ........ ..... ,,,q ........ C_,..u'..,t G.. .,,--_ ................ House Number Street Hamlet County Tax Map No. 1000 Section ....~.q...~.. ....... Block ...... .~...tT{ ....... Lot...~.~.~....\ ......... Subdivision .(~. .~q..~ .~x~)~. ~ .. ........ Filed Map No ............... Lot ...[ ............ 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 . .-f.J. t~/~. ~..~.. ~.~. M.I~. [-..~.../~..k~...ff.../-.. ~../..~..~.. .................... 3. Nature of work (check which applicable): New Building ...~'. .... Addition .......... Alteration ...... .'... Repair .............. Removal .............. Demolition .............. Other Work ............... ~'~--~ ~ (Description) Estimated Cost ........................... Fee ...................................... (to be paid on f'fling this application) 5. If dwelling, number of dwelling units ..... ........ Number o f dweJling units on ead~fl~:mL~ ~.~ ............. If garage, number of cars .................................. -:. :'~ - -- .................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensionsofexistingstmctures, ifany: Front ............... Rear .......... :... Depth ............... Height ............... Number of Stories ........................................ ~ ............... Dimensions of same structure with alterations or additions: Front ................ : R~ar .................. Depth ...................... Height ............... ,; ..... :. NUmber .o,f Stpries ............ ~., ;,. ..... Dimensions of entire new construction: Front ..... ~. 07..6: .... Rear .... .7.~...~ ...... Depth . .3./.. ?. ....... Height ..... ,/,e..* ......Numbe~ of Stories ..... _ ~' ' ]/~' 3 ~'.' ~..' 9. Size of lot: Front ....... ~.. ~..~ .......... Rearl ,~/.' ?i i i i i i i i '~);~;1~' i i ~ ~}i.~.'~ i i i i i i i i i i i 10. Date of Purchase ....... ~-~- ~. -~. .............. ~a'n~/'e of l~ormer Owner ............................. 11. Zone or use district in which premises am situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regnlation: .... ~.~ ........................ 13. Will lot be regraded ......... ~/0 ................ Will excess fill be removed from premises: I~) No 14. Name of Owner ofpremises,~£~-~./& ,~'P, J'.~£~Address ................... Phone No ................ Name of Architect · · -- ................. Address ................... Phone No ................ Name of Contractor . (2 ~. &~.r~¢~ ,KA~t. Ot--..~. Address/.~..3.1.,q~.4~.~1c~..~.. Phone No..2.*q.t~.-..~.?.~. (.. PLOT DIAGRAM Locate cleaxly 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 comer lot. I 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, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and ~e 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 ................... , ..... day Of ..... .'.~ ....... , 19 .~.. Notary Public, ~--~'~ ~ ~).& U~--- County f) ~/ . / ........... ,,;.;;'i ;i,;; ............. NOTARY PLI,~LIC, Sta!e 0I Nov~ York ' ' [ ;.~-~ ........... ~'~ "*' ~";~: .......... : .... Na .1707878. Su[f01k gaunt' (Signature of apphcant) ::,0. ~JN~ FA~LY DWELLING ONLY SU~Y F~: JOSEPH PETERSON ' ~2:::i COUNTY DEPA~T~ENT OF H~L~ $ER~C"~ LOT I, OREGON VIEW ESTATES FC:~ AFP~OVA[ OP CONST~,UC~ O~Y AT CUTCHOGUE OATE~ JAN 7,1985 / ~N ~ SOUTHOLD SCJC[: F'=50' ._...._,.o.__ __...., _,_.......o..._. , ~ YOUNG YOUNG ~R~AD, N~. ~RK NOTES:~= ~AKE ~DEN W.~NG, P~FE~I~AL ENGINEER ANO ~NO SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SU~VEYO~ . ~ ~ ~ ~L(WI,~C V~(~t ~) mN ~E~ N.~ S. LICENSE N0.4589 3 / InspeCt.ted by ~_,i~ ~c~'t~nt ~dd found / SU~Y FOR; SUFFOLK COUNTY DEPARTMENT OF H~LTH SERVICE~ ,, AUG. 7,1985 LOT I, OREGON VIeW ESTATES MAY 9,1985 FOR APPROVAL OF CONSTRUCTION ONLY AT CUTCHOGUE DATE: JAN 7,1985 ~WN ~ SOUTHOLD SCALE: 1":50' DATE , H5 REF. NO.. SUFFOLK COUNTY, NEW ~RK ~0. 84-1275 sunv[~ aa viewtron ~secr~o~ 7zo. ~ r.E METROPOLiT~NTY CO. HE~ OEPARTMENT'-DATI F~ APPR~ TO C~STRUCT mt ~ ~o~ w.o.r.[ SU~EY ,S ~. ~ ~ ~ ~R A~E NOTES: ~: ~AKE ALDEN W.Y~NG, PROFE~IONAL ENGINEER &NO LAND SURVEYOR N.Y.S UCENSE NO. 12845 HOWARD W. YOUNG, LANO SURVEYOR ~ L~ ~L~I,~C ta~¢~l CE~(~) M~ ~ N.Y.S. LICENSE N0.45893 'CI Lq copper tubing is used Jor water distributing sys~em~ piping shall he oJ types K or L onl~ 765 18n2 9 AM TO 4 PM FOR THE SOLDER USED IN WATER SUPPLY SYSTEM CANNOT F2,~CEED 2/10 of 1% LEAD. PLUMBER CERTI'FICATIOiV ON LEAD CO)~TENT BEFORE CERTIFICATE OF OCCUPANC~ OCCU?A~CY OR li:~ h~L~HLA~FUL ~Ci;:.~,~,;[ CELT[FiCAIE OF riP. C,~;~A~CY I I XO' O' -I APPROVSD AS NOTED FEE: ~ BY: ~. ~,&- NOTIFY BUILDING ~EPARTMENT A~ 765-1802 9 AM TO 4 PM FOR THE FOLLO~¢q NG ~_: ~CTIO~S: 1. FOUNDATION - TWO REQUIRED FO2 POUR[~D CON~R,.T_ ~. ROUGH - FRAMIF~G & PLUM~ING 3. INSULA~,mN 4. FIhML - C ?'; '~- ~T,F~ MUST ALL CO~ ~ ~ :,,~tL M~ET erie RF~ ..... :"~ '-:$ qF ~[ h,. qTA~: C _ .... ~. , ,. ES]GN 02 CONSTRUCTION ERRORS.