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Home My WebLink About14504-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15190 January 9, 1987 No .................. Date .................................... STUDIO & STORAGE BUILDING FROM EXISTING THIS CERTIFIES that the budding ................................................ BARN Locatinn of Property 310 Duck Pond Road Cutchogue, New York - - hi~ ~i,~ ....................... 's~;;i ....................... h~f. iai County Tax Map No. 1000 Section . .0. 8..3 ....... Block . ..0..2 .......... Lot .. ! 9.: .I.I .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'ded in this office dated December 6, 1985 14504Z ......................... . pursuant to which Building Permit No ...................... dated J an u a r y 1 3, 1 9 8 6 , 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 ......... CONSTRUCT A STUDIO & STORAGE BUILDING FROM EXISTING BARN AS APPLIED FOR The certificate is issued to PHILIPPE MAUCOTEL ..................... /o'.;.~,'~;~al;~;ra~xxrxx ............... of the aforesaid building. 85-SO- 166 Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ........... N 7792 10 Sept. 19, 1986 PLUHBERS CERTIFICATION DATED: Rw. 1/81 lPO~u' NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ............ ,-, ,., .,, ~ . ot premises located at ~,~.J..~.......,.'~..~.~.~,,~...~,.~., ........... pursuant to application dated ~..~ ........... , 19.~..~,, and approved by the Building Inspector. Building Insl~ctor Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Depal ~,~ent Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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 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 requiremegts where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZOper~ 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 building[ 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 $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 .......................~ [ I.~. [ ~, . New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ... ,"~10 ' "'~0~.~. ~e~ 1'7.~ .......... Owner or Ownem of Prope~ .............................. ~ .............. "'- Coun~ Tax Map No. 1000 Section ............... Block . % Lot.. ~) Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.t .... .o.~. ?,.. Date of Permit I'~- ~' ·Applicant .i.e...H~. Health Dept· Approval l~,-'% Labor Dept· Approval --' Underwriters Approval ~J ~ Plannin oard roval ~ ....... ....................... g B App ............. Request for Temporary Certificate ..................... Final Certificate ...... ~. .. Fee Submitted $ ........................... on above described building and permit meets a~/apj~/~cable codas and regulations· Construction App cant . . .~ ...... ~ ............................ Rev. 10-10-78 CO JSIfO THE NEW YORK BOARD OF FIRE uNDERwRITERS BUREAU OF ELECTI~CITY ~000~'~'~' 85 JOHN STREET. NEW YORK, NEW YORK '10038 ~,... ~,~,.,,0.~o.o./,,. N 779210 THIS CER'TIIJ~I~ 14, 1986 355~14/85 ~ exami~ ~ ~ 6 ~ 1~ ~dfound to ~ in ~nt~ian~ with the requi~ments of th~ ~. RANGES OVENS EXHAUST FAN~ S~RVICI DISCONNECT S E R 3. 2- G.f.C.h CC, COND, a/o 2/0 37S Toun Uarbo]r Lane SoUthold, li.Yl1971 L:L~#282B tn or~ manner; return to the office of the Board if incorrect. Per -- THIS COPY OF CERTIFICATE TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date ~//~/~ ~ Building Permit No. ]~OCl'~ Iplease print) Plumber ' / (Please.print) I certify that the solder used in the water suPply system contains less than 2/10 of 1% lead. Sworn to before me this J~ day of t9~'. Notary Public, (plumber' s signal) County Notary Public [] JJ~JJJJJ~! INSPECTION [ ~ FOUNDATION ~,ST [ '1 ROUGH Pt, Be. FOUNDATION ~ND [ ] INSULATION DA'rE //~]/f/O/OL'''O/ I NSPEOTOR ~~ I' I ~'TION ZND I' 1 I~ULATIO# [ BUILDING DEPT. INSPECTION FOUNDATION IST [ IROUGH Pi,Be. FOUNDATION 2ND []INSULATION []FINAL FIELD ~NSI'ECTION COMMENTS FOUNDATION (1st) ~ ~l~ FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y. 11971 TEL.: 766-1802 Examined .~ ._~. ~.., 19~.~. Approved .~glv~,~e~ .~., 19~.~. Permit No.. Disapproved a/c ..................................... BLDG. DEPT. TOWN OF SOUTHOLD Received ........... ,19.. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date I"Z~ I. 19 ~' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app cation. e. 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 perm shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in wlxole or in part for any purpose whatever until a Certificate of Occupam 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 ti Building Zone Ordinance of the Town of Southold,~uffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction .o,f buildings, additions or alterations, or for removal or de,~on, as herein describe The applicant agrees t6 comply with all applicable laws, ordinances, building code, housin~ cod~, and regulations, and admit auth°rized inspectors °n premises and in building f°r necessary insp~cti°ns' .~.....1-.~. ~ (Signature of applicant, or name, if a corporation) ! ..... (Mailing address,of applicant) State whether applicant is owner, ~?'See, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises ~14~ ~- t ~.~ (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 ......... I.%.~ .............. Plumber's License No ...... .~??..~..~'..' .......... Electrician s License No ....................... Other Trade's License No. 1. Location of land on which proposed work will be done ................................................. ...... .............................. House Number Street Hamlet County Tax Map No. 1000 Section ~ Block ~' Lot Subdivision . .~..~. c.' .~.C~.~_?('.. 5..-~..~r).~.C. ............... Filed Map No. ~'b..~.'x..q~...~...~. Lot...r'~...~ ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................................... . · · l~flilfitended use and occupancy. ........ .~. ~,~ I~' '~4'i ~ ., ..... 3; N~re of work (check which applicable): New Building Addition .......... AlteratiOn.....~ ..... Repair .............. Removal .............. Demolition .............. Other Work ............... -'~ (Description) 4. Estimated Cost ~ o'".-~o '~'~ ...................................... Fee. . : (to be paid on filing this application) 5. If dwelling, number of dwelling units .............. : Number of dwelling units on each floor .... .'7 .......... If garage, number of cars ; ............. .---. ........................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of ea.c~h type of use ...... .--7 ............. 7. Dimensions of existing stmctures if any Front ~a.~.~"~. Rear Height .... ~.~..'~..~. .... Number of Stories. ii .' .~.~. i .'i i i i i il...~.. Dimensions of same structure with alterations or additions: Front . .~.%.?..~. ..... ;.. Rear .~.~...~.'~ ......... Depth. 'i'1.~, -¥ Height...t~..'~...~.. .. Num~.~f.f~Stories ... 8. Dimensions of entire new construction: Front .... '~.~.-.~..~.... Rear...............~ Depth .......'1 "l,~ .~. ..... ' Height .... t ~..~..'~,.... Number of Stories ..... 1 ..... 10. Date of Purchase ...q[ ................. Name of Former Owner ................ 1 1. Zone or use district in which premises are situated ..................................................... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ...~.? ........................... 13. Will lot be regraded ..... .*.~ .o ........: ........... Will e_xcess~qll be remove41 from premises: _ Yes (~ 14. Name of Owner of premisesV~4.~.~ J* R~r.o'l~.c.~..'C.~,,Address? !~..~.~.,.~. ?..~..~..~. 7.. Phone No.'J..~.t..'~.~.~. 7.~.~'.~.~ Name of Architect ...... i~.' ~ .............. Address ................... Phone No ................ Name of Contractor . ..~..- .~..~ ........... Address .~. ~. ! 1. ~.~. .......... Phone No.*{ .~.~ :'.~.(".'1..~... PLOT DIAGRAM Locate clearly and distinctly ail 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. STATE OF NEW YORK, g . COUNTYOF.....~<(._~.,.~C~.~._:..~..~.. S.S ~:};'[,~.~¢~,~,.a ~ ................... q..<z).~c) ................... being duly sworn, deposes ~d ~ys that he is the applicant (Name of individual signing contract) above named. .~ ~ ~ 5' , . ..................... He is the .......-~.. } ............ : ........................................... (Contractor, agent, co,orate officer, etc.) of said owner or owners, ~d is duly authorized to perfom or have perfomed ~e ~id work and to m~e and file ~is application; that all statements contained ~ this application are tree to the best of his ~owledge and belief; ~d that the work will be perfomed in the m~ner set forth in the application filed ~erewith. Sworn to before me this ...... ~]~ ........... day of. ~,~. ~.~ .(5{ :7;., 19 .~ Nota~ Public .............. ~q '~/~ ~:.... County N~y ~, 8~ ~ N~ Y~ . ~, Term Ex~ires M$lch ~, 19~ ~ SUIWE~ FOI~ JuFr-OM( COUNTY DEPARTt~ENT OF HEALTH SERVlCE~ PlflLLIPE IIf~I. Ii~TEL FO2 APPROVAL OF CONSTRUCTION .ONLY ATC/.,//'~/'/O~'/..~' D&TE: JULY I0, 1985 o o ~ .¢ ~WN ~ ~UT~ sc~g: I ": ~0 ' I ~ ~ ~ ~ ~ ~. 85-619 ONLY . u~ m~e B ~E~ ~ '~E FAMILY DWELLING h~m~'~. YOUNG SC D~T. OF Chief of ~;;;t~ Management ~ctlon su~ FOR ~UFFO~ C~NTY, NEW ~K NO. ~VER~AO~ NEW ~RK ~STA~ ~DEN W.~NG, P~FE~AL ENGINEER ~HD ~O SURVEYOR N.Y.S. UCENSE NO. 1~5 HOWARO W. YOuNG, LAND SURVEYOR APPROVED AS NOTED