The URL can be used to link to this page

Home My WebLink About13723-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Z13910 Certificate O[ Occupancy Date October 8. ................................ 19 85 THIS CERTIFIES that the building One fa.m.i 1y .d.w.e..1.1.i.n.g. 3430 BRIDGE LA.NE CUTCHOGUE Locatiou of Property....-............. ..... ....................................... House No. Street Hamlet County Tax Map No. 1000 Sectio(~8.5 ........... Block ..... 2. ......... Lot ..... 2. ........... Subdivision..I.S.M..A..R..A. qR..E.S ...... ' ..... Filed Map No.5.8.7.2. .... Lot No.. ] .4 .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~.a.p. 9 [a. 5 ......... ,19 ~ 5. pursuant to which Building Permit No .... ! ~ .7.2.3. Z. ........... dated.............,..............March 5 198. .5. , was issued, and conforms to alt of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... 0fao .f.a.mfi. i.y duelling ................................................... The certificate is issued to DEBORAH & RAYMOND REILLY (owner, ~rpTOX TP~J of the aforesaid building. Suffolk County Department of Health Approval 85-S(~-11 Aug. 13, ~985 N710502 UNDERWRITERS CERTIFICATE NO. ................................................ . Plumbers Certificate ~0/7/85 Building Inspector Rev. 1/81 ~0~' NO. O 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) Ne 13723 Z Permission is hereby granted to: ~.......~....o...~...~..~.~ ............................. : .............. ...'~~~,....~...~.:..~Lt~ .... , ....... ......... ......... c~~..~.. ................. ! ........ D. .... -'~'F'?:'"i""g:'~'~'~;""~"~.T~':~'~' ~Z':" ...... ~.'T~":':";' ..... et prem ses ocare~ at' ...,~,~ ................... ,..,,~f..~ ........ ~,:~,a~..~.7:~...,.......-,.~-,.~c~...,~.~,...~,~........,,,-,-~.. .... County Tax Map No. 1000 Section ....................... Block ~ Lot No. ~ o~.~ .............................................. pu~suont tO o,pllcotion dated ...~.~....:~...1~ ............... , :9.~...~...~., and approved by the Building Inspector. Fee $ ....................... Building Inq~tor Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD 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 Illl~ to the Building Insp~c~ tar with the fo{~owing; 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 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre~existing" land uses: 1. Accurate survey of pZ~perty 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 occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ...l..O../. 3. I. ,~.-,~ ........ New Building .... ~ ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .,~ ,~..-.~.~,. ...'. House No. ' ' ' ~ ' ' ~ Street 't Owner or Owners of P r · · .................... County Tax Map No. 1000 Section.. ([~.~..~, ..... Block ..... C~ ....... Lot....o~ ......... Subdivision .--~..%.t?t. ,~L~.., ,~ ,C~,~,..-C, ~ ....... Filed Map No, ~,~)i'],,~-..Lot No .... I.,~ ....... Permit No. ~.~[7,~ ,L,,. Date of Permit .~, {.~l ~,$.Applican~:-,~Of,~5, ,\,~, ,'~,, ,-~. ~,~, ......... Health Dept. Approval . ~;L, .~. !~.~, .~',Cv; ......... Labor Dept. Approval ........................ Underwriters Approval ,,~../, ,(-~, ,~, ,O, .,~,, .........Planning Board Approval ...................... Request for_Temporary Certificate ..................... Final Certificate ...... ~ ............. Fee Submitted $ ............................. Construction on above described building an/a~perr;Dit meets~all applicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 0.~85 86 JOHN STREET, NEW YORK, NEW YORK 10038 only the electrical equipment as ~scribed bel~ a~d in~duced by t~ applicant named on the able application number in ~he premises of was exantined on [~I~Y' 21 ~ i~)~5 attd found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 4 DRYERS ~ECEPTACLES SWITCHES 2 FIXTURES RANGES ~OOKING DECKS : OVENS FLUORESCENT DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E R V I C O/: CC. COND, A, W.G. A, W. G NO. OF NEUTRALS A W, G PER ,e' OF CC COND OF HbLEG OF NEUTRAL ], 2/0 ~ 2/0 Daniel A. ~(~3az%y, Jro 1000 ~nd Ave~uue ~.~tt,L-~%~,,~ NaY. 11952 Lic. 771E GENEI~AL MANAGER Per / This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspector's may be identified by their credentials. COPY FOR ~UILD)NG DEPARTMENT. THI~ COPY OF CE.~TIF~T~T~T:I~E~I~TEREP ~N ANY MANNER. TO1VN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. 15 Owner~of ~4~ .%~ ~ ~-~ (please ~rint ) / Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s sign~ure) Sworn to before me this ? day of ~d~~ , 19 ~. Notary Public,~ ~ou~nty Notary Public HELEN K. ['E VOE Ne, ~707~7~ %ffoI~ Ooun~ FIELD'INSFECTION F 0 U__~ O ~T I_O_N (1st) FOUNDATION (2nd) COMi4ENTS ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE FINAL ADDI~[ONAL COMMENTS: Approved . · . .~~ ' FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19g.. . ., 19 .~.~. Permit No./. .~-'~?, .&. ~ ,.~' Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG, DEPT. TOWN OF SOUTHOL?,.,~.~ Received ........... ,t9... Date ................... 19... 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 neces~~ ~ . (Signature of applic~e, if a corporation) ........ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER ................................................................ Name of owner of premises P~ y i~OND. AN D · DEBOItAEI .. IR.I~tI .t.,X.'~ .......................................... (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 .......................... Plumber's LicenseNo ......................... Electrician's License No .... 72.1E .............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done...BI:IIDCzE .LANlg .................................. z) /. ..........caec t0au . .......................... House .................. Number ~ Street Hamlet County Tax Map No. 1000 Section . . .~ ........ Block ~'~ Lot.. .~. ·. Subdivision ..... I~AR .AOR~ ................... Filed Map No. ~4: 27. .... Lot ..... lg ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed const~ction: a. Existing use and occupancy . - - '" , ......................................... b. Intended use and occupancy ~. 3. Nature of~vork (check which a~plicable): New Building .... ~ .... 'Addition .......... Alteration : ..... *.'... Repair .............. R'emoval ............. Demolition .............. Other Work ............... C~J~i I ~ i -~ (Description) 4. Estimated Cost ": ' ....... Fee .. ........ 3~ '' ': ................... ~' .......................... (to be paid on filing this application) 5.~ If dwolhng, number of rlwelltng umts ............... Number of dwelling units on each floor ................ If garage, number of cars .... i. ................................................................... 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 ~ith alterations or additions: Front ................. Rear .................. Depth ................... i... Height ...................... Number of Stories ............ . ......... 8. Dimensions of entire new construction: Front .... 26 ......... Rear ....... 26 ...... Depth ...... Heighi ............... Number of Stories ........................................................ 9. Size of lot: Front ... 135.6~ ............ Rear ..... 122,,60 .......... Depth., ~,~.9, ............ 10, Date of Purchase .1/8/.8 ~.. ! ................... Name of Former Owner 'rS'rL]0HE. I~. ·. KH.U.~$KI ....... 11. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . RAI. DE~BIE. l~ILL~fldressl'l~I$1, ~I~.,, ~I~.~.~.U.O.i~hone No.29.~. 5~.0.2..qff.... Name of Architect ......... : .................. Address ................... Phone No .... .~.q..~?. ~. ~.~. Name of Contractor ........ i .................. Address ................... Phone No ................ : i 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 YORK, ~ S,S COUNTY OF ................. ........ .................... : ..................... being duly sworn, deposes and says that he is the applicant i (Name of individual sighing contract) above; named. He is the ..................... ~ .................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly' 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 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 ......... ~ ......... dayolf ..... c ........ ,1 .~..'- Notary Public .... ~ ..... ~. ~.~;~...~. .... Count. y.'....~..~ ~ ~ HELEN K. DE VOE ] ! .... NOTARY PUBLIC, Stake Of New fo}'~( · · · Yeral Expires March 30, Jg~,,~