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Home My WebLink About25804-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27362 Date: 10/23/00 THIS CERTIFIES that the building ADDITION Location of Property: 90 HAYWATERS RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 111 Block 2 Lot 4 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 20, 1999 pursuant to which Building Permit No_ 25804-Z dated JUNE 16, 1999 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHNNY & DORIS SOTO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 10/19/00 PLUMBERS CERTIFICATION DATED N/A thor' zed SigInature 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. 25804 Z Date JUNE 16, 1999 Permission is hereby granted to: JOHNNY & DORIS SOTO 90 HAYWATERS RD CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ADDITION AS APPLIED FOR. MAINTAIN EXISTING SETBACK. at premises located at 90 HAYWATERS RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0002 Lot No. 004 pursuant to application dated APRIL 20 1999 and approved by the Building Inspector. Fee $ 75 .00 Authorizbd SignatlTre ORIGINAL Rev. 2/19/98 Form No. 6 // _ •, �� r TOWN OF SOUTHOLD 1 9 7C1110 i' BUILDING DEPARTMENT TOWN HALL 4i . 1 i4 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 - .25V) 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date to//f �Zuu� New Construction. . Old Or Pre-ex//Listing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . .. . . . . . . . . . .. ./7.�r. .. . i. . . . . . . . . . . . . . . . . . . . uTc1. . . . v .. . . . . . . House No. � Street Hamlet Onwer or Owners of Property.. . . Y.�f . . . .tll4lR . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . .Block. . . .'? . . . . . . .Lot. . .�/ . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . a Permit No. .°2 ��. . . . . .Date Of Permit. . !¢ pLApplicant. .td��tn /?cullJ 4__� Health Dept. Approval. . . . . . . .' — . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. ._ . . .7 �j:✓ Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( Rc • 5s6�f . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT Z i i o I i I I { nn E i V a` G A i c` G v fiG � i 7"-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ IINNAL [ ] FIREPLACE & CHIMNEY A REMARKS: ELL-" , r DATE /l ��INSPECTOR -� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ✓jJ ROUGH PLBG. [ ] FOUNDATION 2ND [ �-j INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACQE �& CHIMNEY REMARKS: DATE ( INSPECTOR i I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION FRAMING [ j FINAL [ ] FIREPLACE A CHIMNEY REMARKS: OIL- i DATE �7/ INSPECTOR 765_1802 BUILDING DEPT. INSPECTION [ FO NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ' a ,e ¢— 4e� � r-/ a;�-, DATE l INSPECTOR A4 i M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING FINAL [ ] FIREPLACE A CHIMNE REMA n. ,DATE INSPECTO Soro- ms 5� l7Ef�r h 'E -_- _- . -_____ _�ccfo6u�, 1�y• cyrzrtvycl 4y► moi. tr93s G"o C ktjS7 r�`�`j r 00 • c c,ac M164Cs �cc�r, �xB�CrG�- �'�N` f�ktc� sft�s rs � Fr "o•G 770 V % 4 •D 7 � 63 L)f/e 7?Y-Srl cT -- vt�M29� � THE NEVA YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 24,2000 Application No. on file 18726'799/99 N 540.487 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 JOHN SOTO, 90 HAYWATERS ROAD, POLE NYT 14, CUTCHOGUE, NY L in the following location; El Basement ® 1st Fl. ❑ 2nd Fl. OUT Section Block Lot P was examined on OCTOBER 19,x7000 and found to be in compliance with the National Electrical Code.- pR G FIXTURE RECEPTACLES SWITCHES FIXTURES I RANGES I COOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS OUTLETS I I IfICANDESCENTJ FLUORESCENT I OTHER AMT. N.W. AMi, N.W, AMT, N.W. AMT, N.W. AMT, H.I. F y i 1 8 1 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS v BELL v AMT. N.W. OIL H.P. GAS H.1'. AMT. NO. A.W.G. AMT, AMP, AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS 4 2 _ e r SERVICE DISCONNECT NO.OF S E - R V I C E E METER NO. F CC COND. A.W.G. A.W.G. A.W.G. E AMP. TYPE EQUIP. 1 0 RW If 3W 3 0 SW 3 0 4W PER 0 OF CC.GOND. NO.OF HI-LEG OF HI- NO.OF NEUTRALS lEG OF NENRAI p L 1 200 CB 1 X i 2/0 1 3J0 L OTHER APPARATUS: f L' PADDLE FAN F-1 r ROFLAK ELECTRIC LIC.#3677 ELau..,..... 1... L P,Ci.BOX 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER 11 EPer This certificate must not be offered to any manner;return to the office of the Board if incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DfEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTEREU IN ANY MANNER. LLsA --- --ON =REPORT---- —DATE — �_____ =------_ _ _ TuUNDATION ( IST) .y. - - X— M � Ad ; I l:,MATIONA 03 ------ ------- n a z £aUGH FRAME hTo y r n PLUMBING I� X I M p INSULATION PER N. T. y H STATE ENERGY n p CODE u_ qX I� II u u d n H ,— u n FINAL ADDITIONAL COMMENTS: ` ec H H H O x ca n + !1 BOARD OF ii nI:rN �i. APR E 0 M In[Yf U PORK NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . i.- TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CIIECR . . . . . . . . . . . . . . . . . . . . . . . . . BLDG.DEPr TOWN IIALL SEPTIC CORM TOWN OF " " " " " " " " ' - ' tee•- - ' SOI1TIlO1.D, N.Y. 11971 7/` 9 TEL: 765-1902 NOTIFY: ... 19.J. MATI TO:�_ / � CALL . . . . . . . . . . . . . . . . . . Cxarnnined. .. ]1 . . . . . . . . . . . . . . . . . ' 19.L.g Permit No. .X.�4 r-' ` �.. .................................... Ap}brw .. ......! , _.... ..... Disappruved a/c .................. ................ ............. ....................... ...................................................... ...... ...... .... (fuilding inspector) APPLICATION FOR RUTLDING PERMIT ///jjj��L��A 6 Date INSTRUCTIONS U a. 'Itnis application mLsL be cergrletely filled in by typewriter or in ink and mbhnitted to the Tkrilding Inspector wi- 3 sets of plans, accurate plot plan to scale. Fee according to sche ole. b. Plot plan sluowing location of lot arxl of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property most be drawn on the diagram whidn is part of this application. c. The work covered by this application my not be cornenced 1aefore issuance of Wilding Permit. d. Upon approval of this application, the lkbilding inspector will issue a Building Permit to the a6licant. Such permit shall he kept on the premises available for inspection t.hrouglxxbt the work. e. No Wilding slkrll be occupied or nsed in wfrole or in part for any Purpose whatever until a Certificate of Occupancy shall have been granted by the Iluilding Inspector. APPLICATION IS IIERERY MALE to the Wilding Department for the issuance of a Building Permit prrrmwnt to the building Zone Ordinance of Ube Toren of SouWOld, Suffolk County, New York, and other applicable laws, Ordinancesor Regulations, for the constnneLion of buildings, mlditious or alterations, Or for re oval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, Ixliildiug code, housing code, aril regulations, aril to aoivil authorized inspectors on premises and in lmilding for necessary inspections. ... ......../' ........ PLUMBING (Signature of abut, o if a corporation) ALL PLUMBING WASTE I UNDERWRITERS CERTIFICATE .�z I- &WATER LINES NEED REQUIRED ..r c�?rY� ... �.re TESTING BEPORE COVERING (Mailing mkress of applicant) j IC, Stale whether applicant is owner, lessee, agent, general contractor, electrician, plmiber or milder ... ............... . .f.� �/... .. .... ..............................."PROVED AS'NOTED....... h 'V S� tea..:.......................... 6 /G 9 B.p n. 5 � None of owner of premises ....... (a ........La .roll . r. (as on llbe tax roll or latest deed) FEE: rfh•LR7 BY: ` If applicant is a corporation, signature of duly mnthorixed officer. NOTIFY BUILDING DEPARVWENVAI 786-1802 9 AM TO 4 PM FOR THE ......................................................... FOLLOWING INSPECTIONS: (Nate and title of corporate officer) OCCUPANCY OR 1 FOUNDATION - TWO REQUIRED V V /, FOR POURED CONCRETE Iinilders license No. .!a:(.�.s-�..«: 1SE IS UNLAWFUL ; INSULATION I�UUGN FRAMING a PLUMBING ..:_:.__....WITHOUT CERTIFICiiTE 4. FINAL OMPLETEFORCCO!ON MUST Pltnlbers license t1o. ........ (n�C Electricimns License tlo. OCCUPANCY ALL CONSTRUCTION SHALL MEET """""•-"•"OF. THE REQUIREMENTS OF THE NY OUner Trade's License No. .................... STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FO° 1, location of land on whidn prr>F»secl work will berkxw............................DESIGN.OR.CONSTR.UCTIONFRRQl. (.{{_(n/.................� W9;TG'J (.. �.. ......................5� . '7 da House Neriner Street ,,EFpaulet ComLy Tax Kap No. IWO Section ...�Jt......... Block .....;......... hot .T............. Subdivision ...................................... Piled Map Nb. ............... hot ............... (Name) 2. State existing nse and occnp>ancy of premises rami interxled r se aril r7pancy of proposed construction: a. Existing nse am] occugnrxy _..... `� 1 M r �c� �wF �r .. .� ... rr.......... ................ ............................... 1). hU erxleol use aril occr rtxnrxy ..... ................................... _7..r........ /.:._....._..... I. Kitote of wtlik (dret:k vAlid% al,lllicable): ".n,k IAtilding ..... ... .. laklition .. Itelzlir ..... ....... Ituivwal . ......... ... "oWlition ... ......... Other "a k ...... ... ........ ... .... ... .. ..... it". :r i pt iax.l)-..-:---- zr: A. EsLiumlevl (bsfQD�O Q ....... ....... ... ... . fee ... . ... ... .... .... (to Ile paid exl filing this algllication) 5. If tAx!Iliu+;, til Klixnr of tkxlliog units . ...... ..... tAuiler of chs lling units cm each floor .. ... ..... . ... .. ifgarage, unixer of caia ....... . ... ... . .... . . ... . .... . ... . ... . G. If lousiness, oinneicial or niimetl rx:culmtx:y, specify turturu still extent- of each lylve of use...... .... ....... .... . , 7. Ilitiven4ions of existing s(rotAkres, if airy: Ficxd . . .. ... ... . . .... Rear .. .. .. .... .... . ❑eplh . ... .. ... . . ... ... Deiglll ... ... ................... "Miller of stories .. ....... ... .... .... .. Dimensions of sam slriwtore with alterati(xls or ekklil.ions: Frout: .. .. .. ....... .. hear ............... I)LIAll ... .. . .............. llcil;)1t ... ... . ...... . . . ... . "ni,er of Stories . . . . . .......... r r Ii. hitt easicxts of entire tiew con5triwi tool: Fllxll . . .. .... ... ... . Ite:ar .�. . .. . .... ... Depth .1 �. ........ / qI' Ikitjlt . .t./........ ...... . ..... "Kdxer of Sloriet; ..�. ... . ... ... . ... .. /' 9. Size of lot: Picini- ..�.�.�. ... . Rear ..(Y Ole.Ys . ... ... .. Deptll3•S lA--e43X .. ... . ....... .... .. . 11. Date of hachwkee ............ .... .... .. Mille of Fouix!r 111:+f.r .. .^. ... .. ........ ............... ... ... I. 7xioe or use district- in ulrich premises are situated .144r.46,- 12. J.`.-54r.46,.l. (.'C�....... ...�.�. .. ... .............. . .. .... 12. Ikxes prollnats] tzm v11l nils itxr�Viiolate any uxlhng law, ordirsax:e or regulation: . ..../.Y.F!.. ....... ..... 1.1. Will lot lIe legrexled ....J.. /'..[...... .... Will excess fill Ile rellk( ved fran frtynises: .r�YE''S NU Ill. Mines of (.Miller of frene iss �lSt7K.SQ l" .... ... ..... All,ess P //67 u`t 4. � No. .. . ...... Milk! of Architect .... Aekh ess . . . .. .... ... . ... llione "). .. . .. .. . . tl:ne If Faxrl rant Mir ...... .... hJ{f' luklrrs .. . .�.. ..........��!�ikY�ilanve tkl>�y.. . I'i. Is this prolx!rLy within 3(x) feel of a tidal txtaaidT * YES . ..... .... NO . ........ . *IF YIF9, txltflIIII) 'I1A,M 'IIa ISIF];S 11?Id•1t'1' 11AY IE Iilq IJIIUUI. PLOT DIAGRAM 14x:ate clearly awl distinctly all Ixtildings, whelher existing or prolvosed, 1110 irxlical.e all set-lack diem isions fiun piolleily litre:.. Give street aril block lxidler or clescripticsl ac:conliag to deed( aril slsxv street calves and intlicat cdlelher interior or cortrer lot. R 4 PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CER71FICATE OF OCCUPANCY SOLDER USED /N WATER SUPPLY SYSTEM CANNOT EXCEED .2/10 of 1% LEAD. 7 �. f,4 ,.ate d. i86P.,gpr rPr!i_1) all ' .". .�:K.". .. . . . ...... .-1,,ity, duly rroxtnl, delxtses nixl says that he is the applicant Q4nKe of ltxllV ltlikil-Stl l] `eWT) rllmNe IAMiK81, 9 '"11r Ileis the ... .... ..... .... 6!(... .. . . . . ... ... ....... ... ... ... . ... ... . ... ... .. .. ... ... ....... ...... ... •I Milli Tactor, agent, corlxnale (if ficel-, el e.) of ^aid coaxer Mir c�x!rs, mill is duly aulhorizeki to lterfonn Mir have Ix!rlirnmd the said rook aixl to Mike atxl file this app] icaLiou; that. all stalemnl.s ccmlaiued in this nigh ieal ioo are Lilo. to the liew of his kno,Fleclge aux] bel ief; Film] lhoL the wtnlc will Ile ferfooaetl ill the tlFooer set forth ill the applicnlAoO fileki llierewiLh. `1.xlnr lu before; nr this / .. . .. .... . . . ... ....day of 19.1r.,(... . "clary Public ..✓.`.`'.^�`��'GC rC-Y.c. .�^`'.t!.`:� A66 Ai� . ... ....... . ... .... . ..1.:. ....... ... HELENED.HORNE (Sit;ualuie of Atl :1111 Notary Public•State of New Yo* No.4951364 Qualified in Suffolk County nD Commission Expires May 22, 19-4-d- Application Name: Architect/Engineer: SCTM #: District: 1,000 Section: Block: �Z- Lot: Subdivision Name: Req. Q Ba(� Q Q Req Zoning District:�� [lot siu: _/ Proposed: V 0� �Y (Lot coverage Proposed: o Req / Req �� Rey (Front Yard Proposed: j (Side Yard T_ Proposed: j [Rear Yard SO Proposed: J Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW / NO YES Number y Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? /6y� Flood Zone: ! / Notes: 7X ,o6AD ONE 45 WI06N4Q 1930 ■ 'r/y w-- gar 271 i ( iCWY .I 1 / v �J r �.. rig Ir b tt Of Y*, a ><CQT � 11 V IMVE •;,.R ;� • �; "P@C9Nt+� BAY Pg9P6KT1E5r- L I _ +. 175 UI','": i \T ' „ ' L,.'' �I 31 h�-In 1 r I1aY1 ATERS DAD CFeiVArE) ` 1 M UAT&F FOP- JOHN :OTO �c��a��Kv9Y\ri ziUc. 12, 1996 :Jrt=41L1: _: fA'{ "IA; '_F,- 1