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Home My WebLink About26911-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27398 Date: 11/13/00 THIS CERTIFIES that the building ALTERATION Location of Property: 1360 BROADWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 9 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 9, 2000 pursuant to which Building Permit No. 26911-Z dated NOVEMBER 13, 2000 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 RENOVATION OF BATHROOM AND KITCHEN DUE TO FIRE DAMAGE "AS BUILT. " The certificate is issued to TILLIE VANDOVER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 10/30/00 PLUMBERS CERTIFICATION DATED N/A �J ut orized Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26911 Z Date NOVEMBER 13 , 2000 Permission is hereby granted to: TILLIE VANDOVER 1360 BROADWATERS RD CUTCHOGUE,NY 11935 for RENOVATION OF BATHROOM AND KITCHEN DUE TO FIRE DAMAGE "AS BUILT. " at premises located at 1360 BROADWATERS RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0009 Lot No. 005 pursuant to application dated NOVEMBER 9, 2000 and approved by the Building Inspector. Fee $ 75 . 00 A o ized Signature ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir. inspector with the following: for new building or new use: 1. Final survey of -property with accurate location of all buildings, property lineE streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of l% lead. 5. Commercial building, industrial building, multiple residences and similar buildi and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings '•'pre-existing" land uses: 1. Accurate survey of property showing all property linesCs„�bu l.ding and unusual natural or topographic features. _� 2. A properly completed application and a consent to inspe t,'sgned by the applicar. If a Certificate of Occupancy is denied, the Building I s'pect ,�;,p, .1120ate the reasons therefor in writing to the applicant. NU C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additi -dwelling $25.00”, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy,- .25v,-. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .� 9./.�, . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . .l.-�. �. . .��. �d Dw :T I�r?. . . .�.. C'UTC, OGcJ�. . . _ , . . . . House No. . • . • Street • • Hamlet Onwer or Owners of Property.. . . .? i�-L.l6r . . . . A.1-J . 1)OVC . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .l.G .. . . . . .Block. . . !. . . . . . . . . . . .Lot. .J. . . . . . . . . . . . . . 'tq t" D,,V.A. . G//AD s"77A-P T _// Subdivision. l.`: .�� 0f . /�! v. . . . . . . . . . . . . .Filed Map. Lo t. �I` J(P . . . . . . . . . Permit No. , p !.(. :. .Date Of Permit. .`. �5 . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval.:5. 0 4f??! Tl_p.�• - Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . s 14 Aj 1> 6IgT/+ 12 c/vo Vw r/vim Fee Submitted: $. .aC .d 5!. . . . . . . . . . . . . . . . . j The New York Board of Fire Underwriters is in the process of issuing a certificate of 5 compliance for the electrical installation l as covered in an app ion noted below. The certificate will provide de of the items inspected on _IG and certified to be in com liance with the National Electric I Code as of that date. Application Number) C �1� ' _ n r (inspector) IBD(Rev.01/96) r BEA HUNTINGTON,CRS,G.R.I. Associate Broker • • 4 1 63� -6000 BU —X SINESS 1 V (631 734-4227 RESIDENCE CELIC BEAHUNT@�FAX AOL.COM E-MAIL MAIN ROAD C PO BOX 786 ELIC CENTER MATTITUCK.NY 11952 • Eary aMkb la".V. r'"y�—A.0,..,.,. PROFESSIONAL ENGINEER HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 PHONE 631—765-2954 FAX 631—614-3516 Date: October 30, 2000 Reference: Van Dover Residence Gary Fish Southold Building Department Main Road Southold,NY 11971 + Dear Mr. Fish, I inspected the premises at 1360 Broadwaters Road, in Cutchogue on 10/27/00 to ascertain the extent of the renovations to the kitchen and the adjoining bath as a result of a fire in 1988. This letter is to be used as documentation in issuing a building permit for that renovation work. In reviewing the exterior,the basement and the interior of the home,the only structural work done during the renovation was the addition of two (2) skylights to the kitchen and one skylight in the bath. All other work has been cosmetic in nature. In viewing the piping from the bath, the same numbers of fixtures were reinstalled, with minimum change in the resulting piping. While I am not able to view the structural changes as a result of the installation of the skylights, The work was done in a workmanlike manner an since the 12 years since the installation there is no evidence of movement to the roof stnlcture. There was new electrical work done in both the kitchen and the bath, but it is my understanding that an Underwriters Certificate will be supplied for that work. of NEW y Q'rflsChF�'O�� VFischetti, 0 p �F 052ON (`� PE ES, 70V11N OF SOUTHOLD sul(vLl . . . . . . . . . . . . . . BUILDING DPPAi1TMPNT CIICCK . . . . . . . . . . . . . . . TOWN IIALL SEPTIC ' rul((i . . . . . . . . . SOUITIOLD, N.Y. 11971 'I•EI_.: 705•10U2 110-r 1 rY ; CALI. 1:xluninctl . . . . . . . . . . . . . . . .. ly . . . HA It. TO - • . . . . . , 1p 1 Approved . . . . . . . . . . . . . . . 19 . . . Permit Nu � . . . . . . . . . . . . . . Disupproved n/c . . . . . . _ . . . . . . . (1)ull(ling Inspector) r, r� APPLICATION x011 BUILDING PE13MIT NOV 9 20W Do( /A A . . . . . .. __._ iNSTRUCTfONS }ett( Of�-ttt"tt-be-eoillpletely filled in by typewriter or in Ink nnJ snbmllleJ to lila tlufltifng inspector, sets of plans, accurn(e plot plan to scale. Fee according to schedule. b. Plot pian showing loco'loll of lot and of budfdlugs on premises, relationship (v adjoining premises or public or areas, nlld giving n detailed description Of Inyollt Of property Illuat be (Irnwll oil (fie tllagrom which is par( of 11111 cnilon. c. The work covered by this a)iplicnlion may not be eonullenceJ before Issuance of Buildhlg 1'etmll d. Upon approval of(1118 applicallon, (lie Building Inspector will issued n Building Permit to (he 111)1' nt. Such shall be kept on lite premises avallable for hlspeclfau Ihroughotll the work. e. No building shell be occupled or Used It, whole or 1n part for any purpose whn(ever until a Certificate of Occt Shull have been grnn(ed by the 1)Ullding Inspector. APPLICATION IS 11131I1i113Y MAUI: to the Building Uepni-himit for the issuance of a Btilhling permit pursuant I)ulldiug Zone Ordhlnuce of Ilse Town of Southold, Suffolk County, New York, and olitet appiicnble Laws,Ordinnl Regulatiolls, for the c011strllclioll of bulldhlgs, additions or al(erntlotls, or for removal or demolltlon, as herein tion 11 applicant agrees 10 comply with all opplicnble l " aws, ordlnnilces, bulldhlg code, housing code, mid tegttiena (io , 1 ndlnit authorized inspectors on premises and in building for necessary hispecllona. (Slgnnitire of nppilcnnt, or n ale, if,a corpointon 0UCf2 fil, -TT11 T V GK (Halling address of appltennl)' Stale whether applicant Is owner, lessee, ngent, architect ol�l� ei epi re o� NT '� � �� CN� . 6 �conlrn or, a ec rlc nn, m i for or In . . . . . . . . . . . . . . . � !�.� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . Name of owner of premises . . ZX 1.05. . .VA!,J. . D4 V� (ns on (he lox roll or latest (feed) If applicant is n corpornlian,8lgnalure of duly nulllorized officer. , (Nome find title of corporate officer) Uullder's Heense No. I'lumber's License No. . . . . . . . . . . . ... . . . . . . . . . . . Iilech lcinn's License Nu. Other'Trade's License No, , , , , , , , , , , , , , , , , , , , , , 1. Locn(loll finnnd un whlcll proposed teat k will be done. WA 7-6 tZ louse Nuull q7 . . . . . . . . . . . . � r Street . : . , . . . . . . . . . 1 amiet County "'nx Map No. 1000 Seddon . . D . . . . . . �, Block Lot . : . . .Subdivision .fin! N,l?(p '*'4?A. 1\1.455g u !NT, . riled A4np u. . f.��o„ -7 . (Nnnre) N . . . . . Lo( .05 `?•�r . . . .. 2. Sinle existing Ilse and occupnllcy of premises null Intended use told occupancy of proposed con$truction: n. Isxlsling llsa nnJ occupdncy . .�-l!.?Cjll'A/V T�� b. Inlended use and occnpnncy j. Nume work (check which applicable): Now Building . . . . . . . . . �wv o.-j-T. /+5 . Acldillon . . . . . . :. . Alleratidif Itellltir • . .. . . Removal . . . . . . . . . . . . . Detnollllon . . . . . . . . . . . . . . 011ier Work . . . . . . . . . . . . . . . (Descriptlon) 1. 1?slinmled Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be. paid on filing this application) i. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of(lweliing units on each floor . . . . . . . . . . . . . . . . Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i, If businoss;commerclal or mixed occupancy,specify,nait,ra and axlonl of each type of use . . . . . . . . . . . . . . . . . . . . . I. DlIlleiailons of exisling slnlctures, if any: Front . . . . . . . . . . . . . . . hear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . 11610111 . . . . :. . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of sanlesllucture Willi allcrallons or addillons: Front . . . . . . . . . . . . . . . . . Rear . ... . . . . . . . . . . . . . . . Delllll . .... . . . . . . . . . . . ... . . . . . . I1611111 . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 1. .Dimensions of e11IIre Ilew constrllctioll: Proof . . . . . . . . . . . . ... . Rear . . . . . '. . . . . . . . . Depth . . . . . . . . . . . . . . . 11610111 . .. . . . . . . . . . . . . . Nlunber of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ►. Slza of,lot: Prol►l . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Deplil . . . . . . . . . . . . . . . . . . . . . . 1. Dale of Parchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nume of Dormer Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Zona or Ilse district Ill which promises are silllbled . . . . . . . . . . . . . . . . Does proposed coastr►lction vlolato any coning Inw, ordinance or regulation. . ... . . . . . . . . . . . . . . . . • . . . . . . . . . . . . WIII lot be regraded : . . .. . . . . ... .... . . . . . . . . . . . . . . . WIII excess fill be removed from premises: Yes No Nlmm of Owlner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Numa of Arcllllect . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . Name of Conlrnclor . . . . . . �. . . . . . . Address . . . . . . . . . . . . ('hone No. . . . . . . . . . . . . . . In tills property within 306 feat of n tidal wetland? . „*yes . . . . . No. . . . . . . .,: *If yes, Southold Town Traatees Perullt may be requlred. PLOT DIAGRAM Locule clearly And disltnelly all blilldIngs, wholhor oxisllllg or proposed, and.lndicale all setback dimensions from )party lines. Olvo street and block numbor or description accordhig to (lead, and show street names and lndieato whalher arior or cornar lot. SC-7 1�9-T'T. GP6 TTE/Z DF .Se5C-10H ,17'15C1-1677-7-1 PE', i tD,47-4!�P oC 0 13CA—` jl'I?0 t: N I:Sc1`rct�o.L:� . . S.S • N'I'Y OF . . . . NrF/"&7-0IV , • , . . . • , . . , bei) ilul sworn deposes and says lint he Is Ilia a i 1116))! . .l� . .IV 0 Y 1 Y 1I (Name of individual signing conlracl) a named. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Conlrnclor, n0cnl, corporate officer, etc.) old owner or owners, 4111I•I8 (filly alnlhorized to perform or have perforll'led Intl said work and to make and file this calion; flint till stalaulenIs eo1 led In tills Application uro Irua to IIle best of his knowledge am.1 belief-,and that Ilia Will,ba parforulecl in!Iho til nllf sal forth hl II►o atppllonom, fund therewith. ,it to 11a1'01,11 Ilia I1114 . • . . . . . f ry Vublic.. . . . . . . County ol . . . . . . . . . . . . . . . . . . . GARY FLANNER OLSEN (SlFnnitire of npplicnnll Notary Public 0L2959600 w York • Qualified m s ar h 30, �omm�s��cn�-x,3=res March