The URL can be used to link to this page

Home My WebLink About24481-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25376 Date: 11/21/97 THIS CERTIFIES that the building ACCESSORY Location of Property: 9775 NASSAU POINT RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 119 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 1997 pursuant to which Building Permit No. 24481-Z dated NOVEMBER 12, 1997 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 ACCESSORY DECK "AS BUILT 1975" IN THE REAR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JANET BUSCHMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building fnepect Rev. 1/81 i FORM N0.3 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) Date.....NOVEMBER.....1. ........................... 19..97 24481 .... Permission Is hereby granted to: JANET BUSCHMAN ................................................................................. 40 EAST 88TH STREET # 8A . ............................I........................I....................... NEW YORK,NY 10128 ................................................................................ to.....CONSTRUCT AN ACCESSORY DECK (AS BUILT 1975) IN THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED FOR .................................................................................................................................................................. .................................................................................................................................................................. ..................................... . ..................................•............................. ......................................................... .....I............... . ......................I............................ .. ............................................................................... 9 at premises located at......... ........775 NASSAU POINT RD CUTCHOGUE .................................... . ........................................................ . ......... .............................................................................................................................:...........I...................... County Tax Map No. .,,,473889...... Section 119_ Block .....0001..,.. Lot N 005„ 0 0. pursuant to application dated ...00TOBER 31 19 9 ..... and approved by the Building Inspector. Fee$........35.00..... .... ........: '....................... Building In• actor Rev. 6/30!80 Form No. 6 RR TOWN OF SOUTHOLD Q L5 BUILDING DEPARTMENT TOWN HALL 0� 3:1 I 765-1802 BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OFSOUTHOLD 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,k, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $ V.06. 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 $15.0/0, Commercial $15.00 Date . . . 7 . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . .c. . Old Or Pre-existing Build'ng. . . Jt� �� Location of Property. . . . .`. ��. . . . . . . . .. . . . . t.'_ .1 . . . . . . . . . . . . . House No. Street amlet Onwer or Owners of � County Tax Map No 1000, Section. . . ll./ . . . . . . .Block. . . . . .. . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .Subdivision. . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map.. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Permit No��. .M74 . . . .Date Of Permit. .l� .,C 1. - .Applicant. . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . ... . . .'. . . . . . . . . . .Underwriters Approval. . Ali. . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . � -. . . . .. . . . . Request for: Temporary Certificate. . ��. Final Certicate. .�. . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . ��iC • W S 1 6X&U IPLICANT. ...... .. " 'A 6 .5 THE NEW YORK 'BOARD, OF FIRE UNDERWRITERS Pxca; i. 68965 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date DEC'E ER (32,1997 Application No.on file }.5tr}rts7897P97 11 057979 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of PENEI SPE BU CHMAN, NASSAU Py ROAD CUTC MUE, NY in thefollowin�T'location; El Basement Py Fl. 0 2nd Fl. GAR Sertionl@0*loc14j9 Lot 5 & F, was examined on NOVEf1BER 4-4,1997 and found to be in compliance with the National Electrical Code. FIXTUREXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES 'SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL R!C'PT TIME CLOCKS NIL UNIT HEATERS STI-OUTLET DIMMERS AMT. K.W. Olt H.P. GAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AM►S. TRANS. AAT, M P SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E It V 1 C E — METER AMT. AMP. TYPE Raw. T A'2W 1,63W 3/3W 3,I IW NO.OFC.COND. A. OF W.G.COND. Np,OF MbtEG OA.W. G NO.OF NEUTRALS OF NEU0. PERTRAL OTHER APPARATUS: ADDITION TO GARAGE-1 *NO VISUAL UE I?WTS. "Ari e 2ectrical.` survey has been made of the ex osea electrical equipment in the premises indicated. " "No obvious unsatisfactory condition was found. I L L ALIANO REAL ESTATE MAIN ROAD/PEQUASH AVE. GENERAL MANAGER CUTCHOGUTEa, NY, 11935 a0 Per it 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. T V I' 111.11 �IL'il'I�Iy'I Itlll Ill'I'lllll Il�ll: , �\ ,. — .,., .;,�,..�.. _,._.,_:_., .,_,___.—,.--•,. .._.. . „ ____.__.,•__ _,1•Ulllll�lll�i^�«« rte'__ .__._____ 1�I �1 F11111MAT 1(111 n 1`UMIDATIU11 (2111)) �J Illllllai ItIIAIII: d x� C7 1'1,111111 I fill — \\ STA'I'It K111[III:Y (:11111( .•......... - ------ ..r-...,-- n..«..«... .,.. -----...............«....-- -.....,....--....«.........-------------------- V1 .«......«w.w.n.«..n.....,.......«..I'1 I l n l. -11111'1'1(111-1.------------------------------------------------------ - _^w`_«_«w..«_^T_n--------- �1 1 1 o � 1.. 1, BOARDOF HEALTH . . . . . . . . . . . . . . . 8 lJ t5 FORM NO. 1 3 SETS OF PLANS . . . . . . . . ... . . . . . TOWN OF SOUTHOLD SURVEY .. .. . . . . . . . . . . . . . . . . . . . . OCT 3 , BUILDING DEPARTMENT CHECK . .: . .. . . . . . . . . . . . .. . . TOWN HALL SEPTIC FORM . . . . SOUTHOLD, N.Y. 11971 BLDG.DEPT. TEL: 765-1802 NOTIFY: MM OF SO TH CALL . . . .. . . . . . . . . . . . . n Examined....../7` ., 19.7:5 ,l/ �T / MAIL T0: . . . . . . . . . . . . . . . . . . . . Approved.....�[.71. ., 19 7 . coot No. ..:............. ........................ Disapproved a/c .................................. .................................... ........................................... ........... ilding Inspector) AP CATION FOR BUILDING PERMIT 'Date. . . ./QO. Z" . . . , 19 INSTRUCTIONS a. 'This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. 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 issue a Building Permit to the applicant. Such permit shall be.kcept on the premises available for inspection thra4mt the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY RME to the Building Department for the issuance of a Building'Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signa applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elect 'cian, plumber or builder. ...... ... . . ............ X.............. ... .................... . ........................ Name of owner of premises t1 r:'I!Y.�n.�.r.�..:............ .............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. I.,ocation of lard onwhich proposed work will be done.. ............................ e.-t 7........... ............ ..��,..f... ..-............ ... .. .:?�= ��.. C.... House Number Street •Hamlet County Tax Map No. 1000 . Section ...l�.�....... Block ... Lot Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and ocpancy of proposed construction: a. Existing use and occupancy ..11f!� ... ............ ..:...................:................../ b. Intended use and occupancy ..� C�........ ............0... .,,1..... 3. filature of work (check whidi applicable):• New Building .......... Addition t1f, �tel<ation Repair ............ Removal ............. Demolition ............ Other Work sc"oh�)c T1jj +u!p ! 4. Estimated Cost�/.SGd................. fee ..�l:?: ............. .. ............ i (to be paid on filing t 5. TE ckaelling, number of dwelling units ............ Nuhber of dwelling emits one - ..........�T: Ifgarage, mmber of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height .......................... Nudher of Stories ...................... Dimensions of sere structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Number of Stories ............... 8. Dimensions of entire new construction: Front A xl ....... Rear ............... Depth .............. Ileigjht ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase .......... ........... Name of Former Owner ........................................ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate arty zoning law, ordinance or regulation: .7�:ti.................. 1.1i13. Will lot be regraded . ........... Will excess fill be removed from premises: YES h Q ,D ofz�-1�� 14. Nares of Owner of premises ��•��... nese .... °. �.:r.r.. �4!�,�'�- Phone NO. .............. Name of Architect .................... Address .......... Phone No. ............ 4 1v Name of Contractor A-AJL�' .......... Acldresa ..... .. .... ... .......... Pthone No.7.. ....... 15. Is this property within 300 feet of a tidal wetland? * YES .......... ND ........ *IF YES, SULM ID TOWN IMM109 PF.RNIIT MAY 1E fRPRID. PLOT DIAGRAM Locate clearly and distinctly all buildings, wlhether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block mmber or description according to deed, and show street names and indicate whether interior or corner lot. V SrtiT Or. N1J Y(m, 00mlY or ...,, ... ... .. ... ................being duly sworn, deposes and says that the is the applicant (Name of indisigning contract) above named, lieis tihe ... .C .................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this pp ...r ?�a........day of Notary Publi ........op ..,.. ....... . . . ................... ELIZABE-6 ANN.NWILLE (Signature of pplicant) Notary Pubiha,Staid of h:,w,York Nn 52-8125850,.Suffotk Coyyrtty Tyr F:,n;rns October 31, 19Q& pAY PECONIc LITTLE 2U1.4Z' IUd.21' - S, 9.42'00' ' ,.": 10I.Ls , - 93.21" y�— ... � . -•oa a 01 F. �. e. �) 59? 40 E' 1 43. w y,2y, c 0 Cis•.) -� ��,y N 't`. CD r- t,; t, let 0P �� c9 �, �• 7rr O � � Q -yV ,aCP �P PRt�P(�E> 1.c►t t int'e9,� �' OCT 3 I mv SLOG. DEPT N OF 0 TH