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HomeMy WebLinkAbout24215-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25282 Date SEPTEMBER 24, 1997 THIS CERTIFIES that the building ADDITION Location of Property 8175 SKUNK LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 4 Lot 22.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1997 pursuant to which Building Permit No. 24215-Z dated JUNE 24, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RONALD R. CASKRAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-432231 - SEPT. 22, 1997 PLUMBERS CERTIFICATION DATED N/A Q� 7/V Building Inspecto Rev. 1/81 Form NO. 1 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) O Date ! 198 1/ N. 24215 Z ...........lr? ..�....... Permission is hereby granted. dyr .... .5 ................ �.. e to .aJ/..7?�il.�l ... ....i%'�/ f ............/..V.......�%�.... rK ....r................................. ......................... ................................................................. ............................................................................. . . ...................................... ....... at premises located at ........ ..... 1... 4�.......... ,L�{rrf/flf ... .1. ................ .ly. Tf...:...... County Tax Map No. 1000 Section . ....... Block .. ...... of No. ..... ° .: . pursuant to application doted ................... ... �................., 19.,`,�.. , and approved by the Building Inspector. Fee $....��..�........ o�.. .. ................ �. n9..4ector Rev. 6/30/80 rurm Liu. o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i 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. 0 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 - .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .?� l/c,�7 . . . . . . . . . . . . . . . New Construction. . . . . . .... . . . Old Or Pre-existing Buil ingg. . . . . . . . . . . . . . Location of Property. !/. .��5 .. . . . . .... . .. . . . . . . . . ` . . .. . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . ::: .4.. .`r .. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .' . . . ... .Block. . .� l. . . . . . . . . .Lot. . .e7F: :-�. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. .Filed 7 Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit Nocl�,7l.�E. . . . . . . .Date Of Permit. .� . 2�1 J. . . .Applicant . .� v�l`'•`� • Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . .:/ . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . Fee Submitted: $. . . T'r . . . . . . . . . . . . . . . . . . . . . C.�.J�_;S 3�3 � . . . . . . . . . . . .APPLICANT . . . . . . . . . . . . . . . . . . . . . . . Co��?saga2 I n I n n I n I I fill V I I 1111 n 1 1 U l l i% 'I 1111111 IIU . J Sy 1111( ._.-.___._ _.._.__.–.-....–_--_—...__.___. ........ .......................... 1.••_—.•___ ��YY�� fir^ V o- r — r_ ......._�_..r........n..n..r. �_...... •....-..-.'..•._..-.. -�.. _ _ AMI I 1011T1, Q(/1 R 111111 !II i. ---------------------- ------- --- ------- --- ------------ --- -_- ---- - - --- -- - --- --- ------ - L- t;l .............. I b.:. , N '777"' ' Y R X µ F R " Lot 46 tb), 45 Lot 44 �o 200.00' i lOd.bO' Yp..K a. 'uSdtl/ NJIG J t � ig r....,.-•.:..,..•-.. 4 A 0 C Lo! 5 Lot 4 n ' P4�1• � � W1i.5� .- 1 ` Jill ' �O• IA �. f � �> Y CONC.BGOCB WALL /0000' ' ? A`" /rigdd Poo 00, I;HibNCOr'[ft����NSUiiANG�`aoMrhNV�,", � ,t=s 5i6� i21.44b5 -------------------------- x ' y �+ �^ Nlr SURVEY FORNR ROBERT N. MADDAMSx i' LOTS 4 8 5 "NASSAU FARMS" AT PECONIC DATE . 6ECS,t§i� rza f+=' TOWN OF SOUTHOLD SCALE I"� 4D WEI U'FFOLK COUNTYyAUNAOlkOki U6 ACItbS /+ x q O�i�o ru rnie GUABANY,'t0 T�!'"�;r Y�''.x�' S .«�+/"hi:-n£_ a+�en 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA KS: ---� DATE � �� q � INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL ( ] FIREPLACE & CHIMNEY REMARKS: _ zl DATE 1 INSPECTO i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �v� er.J CGCG DATE 101,7107 INSPECTOR /t.� M-1802 BUILDING DEPT. INSPECTI®N [ F NDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM A�� DATE INSPECT THE NEW YORK BOARD OF FIRE UNDERWRITERS ma 1 y0z"Z�' BUREAU OF ELECTRICITY , F." 88 JOHN STREET, NEW YORK, NY 10038 Bate SEPTEMER :2 P 199'7 Application No.on file 14518097/97 N 432231 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 RONALD C&SKRAN1 8175 SKUNK LANE, CUTCHOGUE`, NY in thefollowing location; 11 Basement La Ist Fl. ❑ 2nd Fl. Section Block Lot waa examined on SEPTEMBER 16r 197 and found to be in compliance with the National Electrical Code, T OULETS ECEPTACLES SWITCHES FIXTUR S RANGES COOKING bFCKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT K W. AMT. K W. AMT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RFC'►T TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS OIL M.r. GAS M.P AMT NO. A.W G AMT AMP AMT AMPS. TRANS. AMT. H P. SYSTEMS AMi. WAIT$ N FEET SERVICE DISCONNECT 140.OF METER S E R V I C E AMI. AMP. TYPE EQUIP, I p TVI I 10 3W 3 A'3W 3,e AW NO OF CC COND. A.W G NO OF HbIEG A.W'G NO OF NEUTRALS A.W G. PER b FCC.GOND OF HI LEG OF NEUTRAL OTHER APPARATUS: PADDL FANS-2 MOTORS:2-F it,P. 1 PAUL R. BURNS LTC.#3847rxw� � � LPO BOX 1061 SOUTHOLTJ, NY, 11971-0932 NERAL MANAGER 1 certificate ,If not be altered in any manner; return to the office of the Board if incorract. Inspectos may be identified by their credenNah. COPY FOR BUILpIN6, DEPARTMENT. ,THIS COpY OF. CERTIFICATE,MUST"Not BE ALTERED IN 'ANY MANNER. rip ? w HOARD OF HEALTHi�,�t{ �{ •` �5 �� '� FORM NO. 1 3 SETTS OF PLANS . . . . . . . . . . . . . . . f� I TOWN OF SOUTIIOLD SURVEY . . . . . . . . .. . . . . . . . . . . . . . . `-I 4 'JUN - 41997 �� �� BUILDING DFIPARTMI:NT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . ..... .`. . . _ . _ _ . _ !' SOUTHOLD, N.Y. 11971 BLDG. TEL: 765- 1802 NOTIFY: '76tr-?L/y 7t)WfV OF S� SOif�r of ' r� CALL (�{N, , .kcl . . . Exanined.....� to)-r., 19.9/ / MAIL TO: Pr�DOf? �Y4.1/.& Approved..... 19.17 PermNo. ... / j Disapproved a/c .................................. ..........k4 ! N.......... ......................................... ..... .. . .. e ct0r) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. 'Iris application must be cargrleLely frilled in by typewriter or in ink and suhnitted to the Ikuilding Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. PIoL plan showing location of lot and of buildings on preud ses, relationship to adjoining pretnises or public streets or areas, and giving a detailed description of layout of: property must be drawn on the diagram which is part of alis application. c. ' Slue work covered Iry this app]ieatiou my not be camrnced before ismmuce of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on 13re premises available for inspection throughout the work. C. kNa building shall be occupied or used in whole or in part for any purpose whatever until a Certificate or Occupancy shall have been granted by the Building Inspector. APPLICA'I'I(IN IS ID-WHY MADE to the Building DelxurUmnt for rhe issuance of: a Building Pennit purmrant to the Building Zone Ordinance of. the Tomr of Southold, ,euffolk County, New York, and other applicable laws, Ordinances or Regulations, for Lbe construction of buildings, additions or alterations, or for rommal or demolition, as herein described. 'The applicant agrees to crngrly with all applicable laws, ordiunnces, Wilding code, housing code, and rep,ulatiors, aol to admit authorized inspectors on premises and in Wilding for uece sary in.pections. Signature oC app1icer or n;rrr xrr11ion) P C,�. e- a4�1......... ( rl ing nldress of applicant) State wire lhexr adgrlicnnC is owner, lessee, ngenl_, arc•hilecr., engineer, general (,outrnctor, electrician, plmixr or Imilder. ...... .7cL.LAS-.•G.. ..../................................../,..........(/........•..j................................................ Imre of: varier of premises Y.1 o.4.... ..J.I•1.Qt.1 Qpt�` ...1.,11.t,C. ..1........................................ (as our the lax roll or latest deed) if applicant is a corporation, sip �nature of drily authorized officer_ ......................................................... (Nano and title of corporateofficer) T I(Builders License No. ....... Pludmrs License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Icucalioi of land on which proposed work will be doux...............................................•............... ...................�- kN ..................... ............... House Nuaber . St//reeC-Le/ n Ikarrlet County Tax Kip No. 1000 Section J.0 7......... Block ... A�.......... Int .-3 ...... Su]xlivisicn ...................................... Filcvl Map No. ............,.. Lot ............... (Meme) 2. State existing use and occuparxy of. premisesggand intended use aril occuparxy of proposed construction, n. Rxi sl.i ng u:,e and occulnuxy ... Q....................................................... b. Inl emled Ame aux] ocagnoy ...reLst.G.fe- C-t......................... .............,......._.. "J, I. Nltwa ol' cxxk (dtxdc lilic•11 Ijlgll ie:able): Mw iklilding ... .. ... . . ftklit inn .. ......'. f At lull . .. ... MIwil' Ittalrrval Dowlit.ion ......... ... Other Wnalc ' .. .... .... p� (Deacripl-ion) 4. Hsi illiteil (A)sI: .���dzf ,i........... fee ..... .... ............ ..................... .... (it) Ln lurid on filing this application) :i, 1f thiollinl;, lxuixtr of Aielliry; units . ....,.�... . tknlxr of; chacllinl; Imus ext each floor ... .. ... ..... . . . Ifgarage, Ixnller of earn .......... ......... .......... .... .. .. . G. If Ixtaitlesa, cxllanerclal or mixed exavqunx:y, Slx:cily ualure alul exlt:nC of: each t.ylle of use......�./.. ... ...... .. .. 1. Dinx:nsiols of existing slnunhuren, if any:, Irrcml ` - �•.^l. ... Rear 4.,a.1, ,.... DLpI-II !6. ...... . Ik >lh""'....23. •......... . ... Mnimr of Stories . �i. . .... ......... •� 1 ns of San ...'„ with alteralit ill or exklilions: hronC":,JLr?. hear ^,.t:.t...... Dinieuatols of stm• al`s lure ... wi,411 `"'.1'.d.�........... Uxifwr of Sl'nrien ..�:........... / 90 / Iki . Ill // 9tnu:ficxl: plots- . ...l,Y........ ititar . .IQ,. ........ Depth �?.......... . (,1 // .............. ... Mulx:r of Sl'orien .. .. ...... 13. Uinr�nalemn of enure rxaa ccxl� c, 9. Size of lot.: Frrxll: 4, ...Id ..(lee, Rear . .. Depth .... .... Sf S I(1. Ik11'e of Hlrcham: ......... II ......... Ntnx: of l�orllr.r (/alxtr d„D.4Pr+4..'�.. . Ma. d o(?w ............... It. 7Bxle or use dial.ricC in l.dlicll prcmnises etre niuultett „SG•G 5���"U•G.r-]-_. .•. ... ...... .... .... . ... .. 12. Ikx:s pt'ollosed clxlSCrcx:Liorl vjolare Bary ztxllag lira, ordinance or regulal.iun: tp............ ....... 11. will of lie repr 1[Ualaen •.••�y.�..•.. Will excess fill Ix: 170110vrxl (roll preniseat YES tJD" I'). Will lot. lie re�rark�d v-�-(?. wr I (�•JJ11 I 1. Address��' `•1 •. 1'1101x: 140m::40, Nate, of Arcllilect: �'``��..V.l'.'[`7' 4J . tBlreas (�l - l4 ' ' TI : Ny?66� ..... . .bJ�•^ .Nnxo(' lkxCractor !/ .yWreCvre. I11one MI y �. . . . .... .. h. la This prolxerly within 3(M) (eet of a Cidal tenrlaltl? i YIL1 ..t/. .... IQ) ........ .. Air Yles, S(MfI11D11) •Itxm 'IldwI1KSS PI-Qui-I' my 1113 RI?(XIllam. ISI PLOT DIAGRAM IBx:ale clearly next dinhinc,fly all IxtildioLfl, Idlether existing or propostxl, anti ilxlieale all rel.--hack diux:nsions flcal p oilelty lines. Give screct }11x11)Ifx:k Itrllx:r or deacrihlion accoldinp co deed, and filvm street Mann's ilial Ilxlicate Idx:iher interior or coiner lot.. SI'Alli IMI Ms 9 . ' ..',V.....1.. .. �5 .. . ... ........ .Ix:iuf; duly stixml, delx)ses aol snyl: that he in the applicant � e (Nott: of ilxlivictual sigoing collIxact.) alxrve lurlrsl, Ik: is the 'ilgen................ .................. .......... ............ ............ ....... ((:outrscU , .Igen(:, conlxsa(e_ officer, etc.) ul` said canner or exnx:re, a1xl is duly aulporiu)tl to Ix)rfona or have Ix:rPunlx:d the said wr)rk aixl to uudce 10x1 file thin appl icatiuu; (hal. all sLatunt:nl.n c)ncailwd in Ihis application amm re Io to IIIe Ixt tit. his klxxaledl;e allel belief; aixl that. the work will be lierfonlled in, the tmuxxr set Borth in the application filed Lhelewilh. tkaca❑ to Ix:f nn this ...�ff . ..... .... /``\.day o 1�J..Ii. . 19... c (:igoal re of AI I 'c•Bul1) JU J[L- I - - - - I j H LIS l — i - =-� = ,,�,._�-�., 'may,•-f_o L• I . p{Y14W►K#:CDNM'f'IIktC1�'1IDl1110'F!i ' ' �'' ' , QINSR•AI.�yy.yy,. �re+,!RNeMT11 ` ` AI'.dRIN ..�^^'dMR �'•�1M1Rµy�yy�i MNi .A,�!Plry i. i2, uwl m`4-drTM�d le. 1111 x MIrM MIY /M 'T`d�+ p ►. n M Aa IM�pMi1N �MNi N�DENgt CaMaWeM,on C�pd. s1NMllf.nu �4 MAIk�l1i+ $.%$Mu RmIf. z alwal .lrtAoa ruNaM,wlwrakuaM►s r� .r".. .,. � � r .Iuaaor +nlgM.w+awwanwN'rvwwIN«+MM.i+,aFMw - a. - ar,+yiti►,IwtiiwlNluil' apY+�pl1f, + MM' q'►' NbYYI►pup�AY��• PROVIDE OPENINGS FOR n. Inw14MrldubaanWiN4no rnlnwMalneoa.l EMERGENCY ESCAPE AS a NI"" °r"' a"'il°+ '"'"u' yn" a. aeNhwydMrNu }IwI�MI9wtrmw� YFpYrrwhM�i'+Wynr x'MOMhkMWy aMr,wbn a aM'.Ka.±11�N�+le'r,NWol44"aMir.+h��+Uawa REQUIRED BY PART.714 OF au pJaw"oMr�Mk� alororr�4ohaovin�4RfapbanrlMRY'WpW� 4• ,tll�nwa.,d,.na. bwrAn,n►NWw.hx ylrw�. N.Y. STATE BUILDING CODE. a,iay,yl�„k,,ln',R�w,ap000, AN4WO mp r.a�nly,,, :w " -, x»MNaYl+cd!IlNlriniflX.hmnr- CA!{ET&YTI4Y - 41 IFughr�rraetnupgngeMWrMwuipMNwtiaoo,oAlrgygllbR. 'QMIAItN �'• FmdnY.DnlyM�f�,11Tm4MNp - '. <rAnEMFYo��IFNIF/W�4IIIRMp11Y a11tl'imAi�MG14,b4kM oelYMhlgR'dI Y.. SIM P�MM'Y.48141►�id4,T�411MMfYf1�'l�AIr�GNM1 FIM'MIRIMr' ' UIDE1111SRERS � r444aaMn �roMwrnwn�pwlwa+kM>mrWr�p�•+ gwrlWnpgr 4pWM41. a nommdo"taRlfaii� IwfM( +►MMwinriluwpMalwlaxuiihu.a . . _ a. aaRa1�.I4dMr4+p4. wW+ilnaarwarr4ul+pwllN„!W�"kiiWrw� 9IMMEF . 0. TIM MINRMM 'a'tiYp4Miph'aftll4 cWNYN'atihi4l,hMM7(IA WU1t FM 4. MrpMlFtig44MM•tlgdR.�A4W MSE n@ M'Mdn4pmwwf&vw g14W&, • nMMla4r - e+wMp4d'�+ 5'M+'d�ainw4lMMnnR�l lMfa, 'I�,, 1er'w� d•' RMII�'M�4{,!4MM'+S�MMp'ildlWl OCCUPANCY OR' a. .rill�ao^Dw^ Iw.ra+a .�uw "� Oo,�pa�iaw4Sra ,wwa USE IS UNLAWFUL ' in tlMi4'tlr�rlklp�. ' T,' ryyp #iFMNPgI,dto41FSIRIh a1h,4I,IMI�4R41,yiita . WITHOUT CERTIFICATE T. **I mm.Np Ilbiwo +TS4d4,NNrrp4 OF OCCUPANCY COMM" .: r .a,, amarirww�r ,m Mr*lwmww•M&,NYRCOd4. ,.: aaa � wrRbiaFabNir,dR4pw R� yr<" +44lMppYIM�F�dY�,NM�M4MM11YRM41MMMba�4A� ni"moa wM IM 4. +rrPootor ww+ raLO�, . or HMPOti 2. ROU FRwrM°°N°r @UAW= • - ` 9. INSUUaION _ 4 FINAL - CONSTRUCTION MUST - SE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET "'• _ TNF REOUIREMENTS OF THE N.Y. " " • aw $IgIE CONSTRUCTION & ENERGY - " CnPFS NOT RESPONSIRLE FOR `Y[ f RL JN �O NSTRUCTION ER80°'S 'j'! - yl{xa�-p' -ems ,^ REW IS ED ' ��IlnwRd+E,(�• ,'' �' 1AD .. D4rt AlYrdp'vdp dv D AwIND rvuMeed I I� MI,D[IN D v w ' /IIICMIT[CTf'[TNNo.pD FD6M r Y .1 • - - 1. 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