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Home My WebLink About24799-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25710 Date: 05/07/98 THIS CERTIFIES that the building ALTERATION & RENOVATION Location of Property: 95 MIDWOOD RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 3 Lot 32 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 19, 1998 pursuant to which Building Permit No. 24799-Z dated MARCH 25, 1998 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 NEW HEATING SYSTEM "AS INSTALLED" & BATHROOM RENOVATION & BEDROOM WINDOW ALTERATION "AS BUILT" AB APPLIED FOR. The certificate is issued to JOHN P HENRY of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-059283 03/26/98 PLUMBERS CERTIFICATION DATED 04/14/98 NORTH FORK PLUMBING Building ~lnspec~r Rev. 1/81 FORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24799 Z Date MARCH 25 98 Permission is hereby granted to: JOHN P HENRY 4831 EASTFIELD COURT NEW PORT RICHEY FL, 34655 for : INSTALL A NEW OIL BURNER AS APPLIED FOR "AS INSTALLED" at premises located at 95 County Tax Map No. 473889 Section 110 pursuant to application dated MARCH Building Inspector. MIDWOOD RD CUTCHOGUE Block 0003 Lot No. 032 19 98 and approved by the Fee $ 75.00 Building Inspecto~ ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 fr~, 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '3pre-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 appiicanto If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees, I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Ac6essory building $25.00, 'Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinK Buildins - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. ~ Midwood Road Cutcho~ue .. Location of Property ..................................................................... House No. Street Hamlet Onwer Owners of Property JOHN P ~ .... County Tax Map No i000, Section.. 110.00 ~ln~k 03.00 ...Lot.. Q3~:Q~O ..... Subdivision Filed Map Lot .......... Permit No.~?~........... ~ ..Date Of Permit ............... . Applicant ............................. Health Dept. Approval................ ....... . .. Underwriters Approval ......................... Planning Board Approval ..... Final Certicate. Request for: Temporary. Certificate .......... ~. · ......... Fee Submitted: $ .................... CO ,¢ 5 ?10 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: FINAL FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & ~?LUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: LAW OFFICES WICKHAM, WICKHAM 8: BRESSLER, 10315 MAIN ROAD, P,O. BOX 1424 MATTITUCK, LONG ISLAND WILLIAM WlCKHAM NEW YORK 11952 dANETGEASA '~ i BLDG. DEPT, TOWN OF SOU'Ii'HOLD February 20, 1998 MELVILLE OFFICE 275 BROAD HOLLOW ROAD SUITE III MELVILLE, NEW YORK 11747 516-249-9480 TELEFAX NO 516-249-9484 Town of Southold Building Department 53095 Main Road Post Office Box 1179 Scuthold, New York 11971 Re: Rev. John P. Henry to Kavanaugh Premises at 95 Midwood Road, Cutchogue, N.Y. $CTM #1000-110-3-32 Gentlemen: We would like to obtain a Certificate of Occupancy on Pre-Existing Building on the above premises which is owned by Rev. John P. Henry. We enclose the following: (1) Application for certificate of occupancy. (2) Consent to Inspection. (3) Check to your order for $100.00. (4) Survey of the property showing all property lines. Please contact Susan Pope at Abatelli Realty, 734-6000, for an inspection. The home is unoccupied. Please contact me if you require any further information. AAW:jm Enclosures Very truly yours, cc Abatelli Realty, Attn: Susan Pope THE NEW YORK BOARD OF FIRE UNDERWRITERS ,7(~323 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10036 Date I~I~CH 26,1998 Application No. onfile 15687598/98 H 059238 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the appllcant named on th~a~ove application number is itt the premises of JOHN HENRY, PEQUASH AVENUE, CUTCHOGUE, NY , in the following location; E~ Basement [] 1st FI. [] 2nd Fl. : . ~ Section Block Lot !vas examined on IJ~CH 19, ",998 and found to be in compliance witl~~ ~i,*e National Electrical Code. FIXTURES RANGES OVENS DISHWASHERS EXHAUST FANS FIXTURE RECEPTACLES OUTLETS FLUORESCENT OTHER DRYERS SYSTEMS NO, OF FEET S E R V I C PER ~ OF CC COND NO OF HI-LEG OF HJ-[EG NO. OF NEUIRAL$ OF NEUTRAL OTHER APPARATUS: INSTALL OIL FIRED FURNACg-1 BURT'S RELIABLE INC. 1515 YOUNGS AVENUE SOUTHOLD, NY, 11971 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN/SULATION [ ] FRAMING [/.~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS, DATE Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 May 5, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Abigai! Wickham P.O. Box 1424 Mattituck, New York 11952 RE: John Henry, 95 Mldwood Rd., 1000-110-3-32 Cutchogue To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT #24799-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 May 5, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Abigail Wickham P.O. Box 1424 Mattituck, New York 11952 RE: John Henry, 95 Midwood Rd., Cutchogue 1000-110-3-32 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT #24799-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Road 1179 Soulho~d, New York 33971 Fax (516) 765-18';'3 Telephone (516) 765-1602 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION . DATE: Building Permit No. Owner: ~'~k-"'¢-' //2'/<,'2fy'~ (please print0 (please print) I certify that the solder used ~n the watez contains less than 2/10 of 1% lead. supply system Sworn to before me thi,s FORH HO. I TO~/N OF SOUTIIOIoD BUILDING DE PARTt4EHT 'FO~tl IIALI, SOUTIIOLD, N.Y. 11971 TEl.: 765-1§02 BOARD OF HEALTH ............... 3 SETS OF PLANS ........ ~ ...... SURVEY ..................... % . CI1ECK ......................... SEPTIC FORH ................... NOTIFY: CALL .................. NAIl, TO: .................... 1)1 sapprov~l a/c .................................. r~ ~ APPLICATION FOR BDILI)ING PE I~I'r , ,,,; Date ................ , 19 .... ~ ~WN OF SOUTHO~O a. 'Hals n~li~ti~ ~t ~ ~]etely f{ll~ in by t~vri~er or 3 ~s of pl~, ac~rnte plot plnn ~o ~ale. F~ accord[n~ to h. Plo~ plan ~i~ l~ti~ of lo~ a~ of ~ildi,~s ~ ~i~s, ~la~ion~dp str~s or nreos, n~ ~ivt~ n ~n[l~l ~rip~ion of lny~}~ of pro~rty rids nppl icn~ion. c. 'lhe ~ ~r~ I~ rids n~lic~t{~ ~y ont I~ ~1 t~fore is~e of ~mildi~ Pemi~. d. U~ n~nl of ~is n~licntion, tl~ lkdldi~ lns~ctor will is~ a ~ildi~ Ve~i~ ~o the sppllcm~t. ~ch I~it ~mll ~.~pC ~ ~ ~i~s ~n/l~le for it,s~i~ tl~ t}~ ~rk. e. ~ ~ildi~ ~mll ~ ~p{~i or ~ in d~le or in ~rt for ~y ~atl h~e I~n ~ant~ by fl~ ~dldi~ lns~or. ~,l~'rl~ IS lg~ ~ to d~ l~dldi~ ~rt~o~ for the issue Ihildi~ ~ ~i~t~ o~ fl~ T~ of ~tl~ld, ~fffolk ~n~, ~ York, ~ o~l~r n~ticnble I~s, ~i~e~ or ~ ~la~i~s, for tl~ ~st~ci~ of hfildi~, ~iri~s or ~lrer~ri~s, or for ~! or ~ltri~, ns I~reln · ~scril~. ~l~ npplic~r ~s to c~ly with nil a~licnble l~s, ordt~ones, I~ildlng c~, ?~fl~i~s,~at~ ~o ~iC ~ri~ in--tots on pr~i~s n~ in ~ildi~ for ~ces~ insulins. (S~grmture o[ applicant, or name, ~[ a corporatmn) (Hai li,tg address of applicant) State ~bether applicant ts ore,er, lea,o~e~ architect, engit~er,' geteral contractor, electrician, I)h~ber or I~Hhle ............................. ..... ...... .......................... ........... 'if applicant is a corporation, signature of duly aut.l~)riwc~l oEficer. (Nam and tatle of corporate offmcer) UNDERWRITERS CERTIFICATE REQUIRED ............ '/~-1~1 O AB '10 4 Iq4 foil THE 1- ~ - ~ R~IRED ~ ~. ~ A ~BING 4. FINAL - CON~RU~ION ~UST ~ ~ ~R C.O. Electricians Licerme NO...~./.C>...,~..."5.-~../.C~.~-..- AU. ¢ON~'TIIUC?ION 'I4~LL MEET Otler Tra~e'. L{cen~ No ....... TI4iJ{iCtUiRfMiNTS OF THE N.Y. · ' ......... ''" / 4~-- STOIC &I~'~CTJ'~.~ & ~NERGY location of lar~l m ~,{d, propoaed ~x~rk will' be ,lone .... .~_.,.~..~.,(_.~(../f.?...~..~./x-- .... / .~.~.~.~,__~_..~,,~,~.e,~.~{'~2~''F'OR'''' ,.~.,./, fl /~E~GN/_ L {~O~STRUGTtON ERRORS ....................................................~"-~'~"~<.:<<'~..~..9~.~... .... &..~.~<~ ~qS.: ...................... StT/~L ~ivlsi~ Fi]~ ~p ~ l~t ... (~) State exlsti~ u~ a~ ~y o~ I~i~ ~a~/iote~ ~m~ ~ ~ of pro~ c~stn~tlon: ........ ....................... ' ............................... b. Inte~ o~ aM ~ .... '.;...~ .................................................................... '1. ,~, ~ltm'e oJ~ ~ark (cl~,ck ~hidl ~ l~llding .......... Nklicim~ .......... Alteration .......... ............ . ....... ~rip~i~) 4. E~i,~[~l ~8~...... .... . . '.. . .. f~ .............................................. (to ~ fid ~m filing this al~licaci~) If ~ar~ge~ ~l~r of care 6. If Ixmlt~as. ~nmrcial or mi~f'~qm~, e~ci~ ~Lure m~ ex~en~ o~ eacJ~ [YI~ of u~ ..................... Y. I)l.~mi~ o~ ~is~ing s~n~u~e~, {~ any: ~t ................ ~ar ............... ~p[h ................. I~i~[ ........................ ~. ~d~r o~ Stories ...................... 8. IJil,ensJom of eaCJre t~ ~mtrt~l:i~: I~{C ............ I~ar ['{.{J... ~ )th ...... . ' i ff ~ ' ' ' "h';" lO. Iki 'e of ~rl~ a~ ............ ~m of For er ~*~ J?qJO DO. B ' J II. ~m or u~ district in a{idt r~l~a a~ et~r~l .............................................................. 12. ~a prol~l mmc~tim violate any ~ing 1~, ordinate or regularly; ........................ 13. ~ltl IoL 1~ reBra~ ................... ~ilt ~eas fill I~ ~ ~ pr~i~a: ~ 14. ~;es of ~r of p~l~s ............................ Nklreea .............................. 1~ ~ ............... .............................. tess .............................. ~ ~ ............... · ~ of C~tr~tor ............ i ....................... N~lreas ............................... ~ ~ ............... 15. la tide p~[~y within ~ f~ ~.of a ti{kl x~rla~? s ~q .......... ~ .......... PI.OT DIAGRAH- I~a~e clearly a~ dla~i~ly ail ~ildi~a, ~l~r ~ia~in~ or pro~, ~ l~x{icaCe all ~-{~ di~nsions Fron Prol~rLy li~. Gi~ ~ ami' bl~k m~l~r or {~acrip~io{ acco~in8 ~o {~, a~ ~ s~ree~ ~a ar~{ I~lica~ t~[J~r Jll[erJor or Roar (C~tracto~'agen~orF~ra~e of~(:er, etc.) o~ aatd ~r or ~rs, a~gl la ~hHy ~[hort~ ~o l~rfon,~ or have ig~rfi)r,~l I.l~e ~id ~[k taxi Eo n~ke a,xl file t.hia aiR,lite, ion; [hel: ell a~ata~n~a c~m~h~l in Lids a ~HieaCi~m are ~n~ [o il~e I~aE of his k~t~ge lhn[ [1~ ~)rk will I~ ~rfon~l ittthe' .~m~r ~C forth in the appl4catton' ' fi]~ th '~[~. mt:ute of Applicant)