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Home My WebLink About26563-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27558 Date: 02/16/0 THIS CERTIFIES that the building DECK ADDITION Location of Property: 3785 OREGON RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 94 Block 3 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10, 2000 pursuant to which Building Permit No. 26563-Z dated JUNE 9, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. , The certificate is issued to JORG MENGER & KATHLEEN SORRELLS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-069401 09/29/00 PLUMBERS CERTIFICATION DATED N/A 9 s ZC"-X hor'zed S 'gnature 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. 26563 Z Date JUNE 9 , 2000 Permission is hereby granted to: JORG MENGER CUTCHOGUE,NY 11935 for DECK ADDITION AS APPLIED FOR. at premises located at 3785 OREGON RD MATTITUCK County Tax Map No. 473889 Section 094 Block 0003 Lot No. 002 pursuant to application dated APRIL 10, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Autjmri&effl Signature CT ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD FEB 2 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 building inspector with the following: for new building 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 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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 and '.'pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C, Fees 1. Certificate of Occupancy - New dwelling $25.00-, Additions to 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 Building - $100.00 3. Copy of Certificate of Occupancy - .25q.. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 3 / . Date . . . . . i. C��. . . . . . . . . . . . . . . . . . . . . . . .. . . New Construction. .. . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . Location of Property-1, �s �5.`�c� . .GC4 C�. . . . . . . . . —1,..6 House No. Street Hamlet Cower or Owners of Property. . t� County Tax Map No 1000, Section. . .. ..Block.. . . .. .. . . .Lot. . . . . . . Subdivision (. . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . . ,,Lot, .. . . . . . . .1. . . . ..L.�. . . . . . . . Permit No. }4'. �? Date Of Permit. . fQl,OC1 . . . . .Applicant. .N. Ut �., Health Dept. Approval.��.� 4� .(. . . . . . . . . . . . . . . . .Underwriters Approval. . . t /� '�`. . . . . . . . . . . . . . . . Planning Board Approval. . . .�1t'.L . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . Final Gerticate. . . v. . . . . Gey CJ Fee Submitted: . . . . . . . . . . . . . . . . . . . . . . wee - S9 111 �`�S . . . . . . . . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ,:r�. 1 C'3"�521a BUREAU OF ELECTRICITY rL' F 40 FULTON STREET, NEW YORK, NY 10038 Date -EPTF,?LEER 29.2000 Application No. on file H 06'3401. THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of KATHLEEN Z. SOP LLS, 3785 OREGON ROAD, CUTCHOGLE. N4' in the following location; ❑ Basement Q 1st FL ❑ 2nd FJ. OUT Section Block Lot was examined on °EPTOMER 22,2000 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS I RECEPTACLES SWITCHES INCANDESCE FLUORESCENT OTHER AMT. K.W. AMT. K.W. I AMT. K.W. AMT. K.W. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT. TIME CLOCKS BELLSYST UNIT HEATERS MULTI-OUTLET DIMMERS EMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AM. AMP. AMT. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATLS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.MCC COND, A.W.G. A.W.G. A.W.G. AMT. AMB TYPE EQUIP. 1 0 IDN 1 0 JW J 0 JW J f 4W PER 0 OF CC.CONU. NO.OF 141-UG OF HIA NO.OF NEUTRALS OF NEURAL OTHER APPARATUS: "NO VISUr', DEFECTS "An electrical s,urT ey t>ac, been made of the exposed electrical e=iement in the prendsps indicated. " "No obvious unsati;>ia•_s my Conditicn was found. KATHLEEN I SORP.ELL5 l_ L 378,6 OREGON ROAD _[TLHOC3TJE, MY, 11935 GENERAL MANAGER is Per ^^ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credenflals. COPY FOR BUILDING DEPARTMENT THIS COPT' CF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. A24.. 7*2 11-2 .-7'10-.-y.-_-65 15'1 I 310 -6 .1 3'3 ---------- T 7 NTR'T T- 3'5 57 ;L 7 r. APROVED AS NOTED F FEE. -Plr�r�M ME * IT AT za NOTIFY BUILDING DE 0 785-1902 9 AM TO 4 PM FOR THE FO 'i" FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED cow ROUGH . FRAMING PWMBIN 3. INSULATION A � 4, FINAL '- COWPRUCTIONMUE 476 BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. OCCUPANCY OR STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR tY-✓E IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS ITHOUT CERTIFICATE OF OCCUPANCY MANG Wa 6rr Fag 2-2X10 CCA GMR ON 4 X 4 CGA P05f5 - 10 MA50W M6, a 3'0" MOW GiwA TW., "TRK" P M12 MCKING 2-2X10 CCA GIM x ON4X4CCAPO%5 fO MA5OW M5. a 3'0" MON TW T 29' ' 50ML5 M51MNa MCK PIAN WWNWW BAST INC. 3.22.00 i r � 1 m � P Q ' 0 a pdg� 7 i g r «rry. i r6a7.% i r f ui j 01 ; Q � I �n m , N I lore-Au twon. 1.105. to"s V H.rrp AL19Al10M d/ppnrwr � ��Ql�.,'. L..H<11G a u A w a r _i.b Fervto ra-F Abei*vc:�lnr V m xmt rn<a . sxt KWraw.ou unR Cxlarar twra,owis,uw. ! Chicago Ti-FG� (n�urarru Can�a'tc, --•--•—_..___.__. ...r wt r..«a ynvtwa s 5urvoyt �f;. 11 r 1'3$1 'K:10 LAl SMAY NOl M WIf10t O 7_.A run nut cd*. QOOEG21C1C VGS1J-l2JlZ. <}IMYn�s IrgCRiFO M.tOM SMA1l MII 765-1802 BUILDING DEPT. NS�ECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ` moi ) DATE �( � INSPECTOR 765-1802 - BUILDING DEPT. INSPECTION [ XFOUNTION 1ST [ ] ROUGHPLBG. TION 2ND [ ] INSULATION G [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r� DATE (90 INSPECTOR � Ce M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE A CHIMNEY REMARKS: �i_ �9 ,DATES INSPECTOR \ FIELD INSPECTION REPORT DATE _-COMMENTS---______________-- yV II II ~ FOUNDATION OST) FOUNDATION (2ND)__ --------------------- --- ------- I�I� C r ROUGH FRAME �I PLUMBING ii INSULATION PER N. Y. a II y j STATE ENERGY ri ii 7L CODE u ---------- — --- u II It Ald II ij .i FINAL I� u� n ADDITIONAL COMMENTS: ra cl z ° b H "• BOARD OF UBALI'll FORM NO. { /3 SETS OF PLANS TOWN OF SOUTUOLD SURVEY . . . . BUILDING DEPARTMENT CUECR . . . • . . • • . . • . • ' . . . . ' . . . ❑❑� 'TOWN ItAi,l. SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUT1101,D, N.Y. 11971 TET.: 765-1802 NOTIFY: / CALL . . . . . . . . . . . . . . . . . . Emmnined..... , 19.... 7(? 3 4!�- MAIC. TO: . . . . . . . . . . . . . . . . . No. ...�'....... ..............I................ Disapproved a/c .................................. ............... ............... . ....................................... . ............ (It<�ils lin8�nix:c:l'or) APPLICATION FOR Buil.DTNC PERMIT Date. ('�11kRC� 22 Iq� TNSTRUCTTONS n. 'Ibis sipplication mist Ire cangletely filled in by typewriter or in ink nixl submitted to Use Building Inspects 3 sets of plans, accurate plot plan to scale. Fee according to sdie<hile. b. Plot plan slaving location of lot and of buildings on premises, relationship to adjoining premises or ptdulie streeha or areas, and giving a detailed description of layout of property mist be drawn on Live diagran riiich in pert this npplicntiou. c. 'Ibe work covered by this application may not be cminenced before issuance of Building Permit. d'. Upon approval of this application, the Building TnspecLor will issue a building Permit to the applicant. 5 permit shall be kept on Use premises available for inspection througlaut the work. e. No building sluill be occupied or used in wlale or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by Use Building Inspector. APPf.1 Nn N IS HEREBY KM to the Building Department for the issuance of a Building Permit pursuant to die Iluilding Zane Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordirumces 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, dousing code, and regulations,,and to admit autboriaed inspectors on premises and in building for necessary inspections. ENV,IRQNf1ENT.EAST..INC...................... (Signature of applicant, or name, if a corporatic P.Ct...Box..19.0..BECONI.C..N.;Y.::............ (Mailing address of applicant) Slate whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, pluidner or lx. .GENERAL..CONTR�CTOR.............................................................................. Nano of owner of premises :TQ.6, m C? �........ l;t✓EN ,SZJ�'.�'�. 4 (.5 ......... ...... (as on tine tax roll or latest deed) I ' n o1' anC is a corporation, signature of duly auttxxized officer. Betes••S,••Stouteerrburgh, Pres. (Nam and title of corporate officer) Builders License 1-16. 5556-.IIS............... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. location of land an wluidu proposed work will be dand.........................'1.................................. .. F5....................Q It e.`JJ4."�... � !.!w 1�I r t tJz. ........................... ........................ douse Number Street ,�}}-- ��yy hamlet County Tax Map No. 1(X10 Section ...�?pp.T..... Block ....0.: ....... Lot ..�(2.2....... Subdivision ...................................... Filed Map No. ......... ..... int ............... (Nae) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constriction: a. Existing use and occupancy ......�.nn.f VN�/.1C?rr L,�;t=.....�f�CC�:�1�tt�� p•.. S.il�. �.:�:1 .G..�T--A- (Y- b. r h. Intended use aril occupancy .... LSl�i.l.\S� ......../......V. .4 .�t�............................... 1. f I(Wre of work (check widdh applicable): New Building ........,.. Addition Alteration ..........wt� Itepuir ............ Removal ............. bedmlitton ....... .... Other U)rk .................. ` ..... . ,. �1 (Ilescription) 4. Estihhhated Cost ...1t1...C3....... ........ fee .............................................. (to be Raid on filing this application) 5. if tlwelliag, n+hdx:r of ikaelling unit's t. :... ti.nimr of. rhaellIng units on each floor .... ............ dhIf gurage, nhaer of cars ....... :A7.... .........I......... n 6. If Ixhahuess, eancercial or mi>a^d`occupancy, specify nature and extent of each type of use... 3 -lo" 7. Uiut:ashos of existing structures, If any: Front......'..]...?... Rear .. ,2........., depth .:`. ..8.......... lleight Hacker of Stories ...44.1................. Uichennlahs of sme structure with alterations or uklitiona: Front ...�' - �.•,d. �Rear ...T.�..�. .. hepta ..., t�irY1�....... leighC ....,.S iFkrn�r.,.. N.adher of Stories ...,.c l4l�. .i5- po� �u S. Uiueasidx hs of entire new construction; PYahl' . ..�.-1... .� Rear ...�..1. ........ Dept-11 . ............. �a leig<u .................�.I....... Risher of Stories ...N.... ........... ,i 9. Size of lot: Pyrxht .,..?.d3:28.... Rear .....A.U"v�..:�' ... Ideprh ..T.1.�' : OS 10. ILr(e of Purdmse ..................... Mane of Forner Owner ................... ..................... II. Zone or use district In wihidh premises are situated .....A.C............................................. . 12. Ibex proposed construction violate any zoning last, ordinance or regulation: .....N.-G)............. G. NiII lot be. regraded ....,. Will excess fill be removed from premises; YES TO(RG m rE ah2 B�, R(vEto� b2 NYIe°zt qt7-5`(3 14. Nates of (timer of premises ...,14�?:ft . .....45....r �ldkiresa .� ........... Plane No. 1.,..... N:nhe of Architect .......... .h..................... Address .............................. Plane No. tldrhhe of Contractor Enbirorlm�stt.••Ees -I1°ie:••.. fxklreas .P...O,..J.9S1.I'.@f..Pl7kc,.,,..11ane No.734,-7474 15. Is this property within 300 feet.of a tidal wetland? * YIS ...... .. 1 1 9 5 8 *Ill YES. SCXIRKX11 7OIdi I%Wf123,9 PL1VIT MAY RE RECil11RM. Pl.o'1' nTAGRAH locate clearly arxl distinctly all buildings, whether existing or proposed, and Ialicate all set-back dimensions frau property linea. Give street ani block ntber or description according to deed, and slaw street runes and indicate wdhe0wr interior or corner lot. t SI'A'lli lHr h!•.lt Y(HtK, SS 11HINIY (me ........... $ever„S;,.Stoutenburc�h...............Ieini; duly sworn, delxhses and says that be is tins applicant. (N:ne of inlividual. signing contract) alxwe named, le is Like ..General..Cnl7.traCtox.......................... ............................................ (Contractor, agent,-corporate officer, etc.) of said uwrx:r or owners, and Is duly auldarized to lerfona or have lx:rfurueo Lhe said work and Lo nuke acxl file this upplicuLiou; that: all etaLeneuts cdotained in this appl icatldm are true to (lie Ihest of his khxnvledge and Ixil.ief; axl thaL Lhe work will be perforated in tike manner set forth in the application filed tlherewith. ,M)ni to before rhe his . ....... ......Jddayyof Notary Arbirc ..:.I.y4:1. r.'lrk�dL7J ......... .4.,. ....,..,. Y... ....... HELENE D.HORNS ksigliature of Appl iennl) Notary Public.State of New York No.4951364 Qualified in Suffolk Count, Commission Expires May 22, oC��