The URL can be used to link to this page

Home My WebLink About23903-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24983 Date APRIL 11, 1997 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 5700 VANSTON RD. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 10 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 7, 1997 .pursuant to which Building Permit No. 23909-Z dated JANUARY 31, 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 FOUNDATION UNDER PART OF AN EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to CHRISTINE H~NT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H-054316 - MARCH 13, 1997 N/A Rev. 1/81 FORM NO. ! TOWN OF SOU'U3.1OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT II'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23903 Z Permission is hereby granted to: ..~...~.~:~ ............................... .................... .~./~..~. ......... ~ .......... ~ ......... /.. ...~.o.~..~.~..ff..::.../../..~.~ .... ,o ......... ~ ...................... ~.~. ................ ...~..-. ........ ~ .......................................... Ct premis~ocated at ........... · .~...?...~...~....7~.../~....¥......~........~.-.:...~..:../.. ................................ County Tax Map No. 1000 Section ....~././.. ............. Block ..... ./.~.. ......... Lot No ..... ./...~..¢../.. ...... pursuant to application dated ............. ~.,~.....~....~....~......?....~......., 19...?..,~Tand approved by the Building Inspector. Fee $...ff...~.'.. ........... ///~u~Jiflg I ns~:~ector Rev. 6/30/80 Form No. 6 TOWN HALL APPLICATION FOR CERTIFICATE OF OCCUP~NC~ "' BLDG. DE~Y. ........ 2 NOF SOU'r O o j This application must be filled in by typewriter OR ink and submitted to the bu~%-¢~g 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. 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 applicant. ~If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Feem 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 Buildinz - $100.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 ~ 5. Temporary Certificate of Occupancy - Residential $!5.00, Commercial $15.00 Date ......................................... New Construction ........... Old Or Pre~existing Building..~.. ........... Location of Property.....~. ............ ............ House No. Street Hamlet Onwer or Owners of Property '¢.~..~'~.. ~..~.....~....¢.,.~.'.~.'.~..~.~....~F~ I o .L. County Tax Map No 1000, Section..h~{ ......... Block ................ Lot .............. Subdivision . . . · Filed Map Lot .......... Permit No..~...~.f.g?~..~Date Of Permit ................ Applicant..~., ~.~..~..f ............... Health Dept. Approval................ ...... . . .. Underwriters Approval ......................... Planning Board Approval .. · Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $. . 2 ........................ oo IJ ~1.. .~,./_I~I~-, ,, ~ -~ ~,1 ......... Al)Ii 13' IOUAI. C(THHIt. N'I'.~J: BTEVEN BORN MASON OONTRAOTOR SOUTHOLD, NEW YORK 11971 51~ 765-3303 on 7~.2-3319 JAN - 7, PHONE JOB NAME $08 LOCATION We hereby submit speclbcatmns and estimates tor' Payment to be made as follows= ~P ~ropo~P hereby to furnish material and labor -- complete ~n accordance with above specifications, for the sum of: dollars ($ ~/(~00, ~ O ) · Un,er the Mechanics' Lien Law, any contractor, subcontractor, laborer, materialman Or Author*zed Note Thru proposal may be Atteptance of ~lropasal -the above prices, spec:t,cations and conditions are sabsfactory and a~e hereby accepted, YOU are authorized to do the work as specified. Payment wdl be made as outhned above Date of Acceptance: S~gnature 765-1802 BUILDING DEPT. /~ INSPECTION [~,,~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] I/NSULATION [ ] FRAMING [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION REMARKS: DATE INSPECTOR/*~~/~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~c~ :t s~7 aU.~AU O~ ~-~CTa,CITY ~[-7 85 JOHN STREET, NEW YORK, NY 10038 THI~ C~I~I~ THAT only t~ el~tr~al ~uipment ~ ~scri~ be~ a~ int~uc~ by t~ applicont ~d on ~he a~e ap~ication number tn t~ premises of C}tR]]S~N~ ~,~T ~ 5'70~ V~ST0~ ~ CUTCHOGU~ ~ ~, Y~ in ~h~ followln~ Iocation~ ~ a~se~t ~ Ist Fl, ~ 2nd Fi. Section Bilk Lot . , ~{~I'(C;'~ 07 ~ ~7 and found to be in compliance with the Na~on~ Elect~cal Code. FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET S E R ¥ I C A,W-G- NO. OF HI-[EC, A W,G, !NO, OFNEUTRAL~ A.W,G, OTHER APPARATUS: INSTAL[, WASHE~ C}tRIoT1NE BUNT P. O, BOX 376 CUI'CHOGUI/, ~ NH, 11935 GENERAL MAHAGEE Ibis c~ificote must not be altered in any manner; return to the office of the ~ard if incorrect. Inspectors may be identified by their credentials. FORH NO. TOWN OF SOUTIff)LN BUILI)INO DEP^RTHgNT TOW8 IIM.L SOUTIIOLD, N.Y. 11971 TEl.: 765-11102 DJ ,~ppr~ed a/c .................................. BOARI) OF IIRALTII ............... /~3~ SgT$ Off PLANg ............... URVg¥ ..... .. ~ ................. III~CK ....... ~ ................. /gEPTIC FORH ................... NOTIFY APPLICATION FOR llU]I,DING PF, RHTT INSTRUCTIONS 'Date ................ ,19 .... , 5. 'lhi,~ nplflieal:ion most b~ ec~npletely filled in by tyl~.mlter or in iok aM ~l~itt~ to the ~tlldi~ Ing~ctor with 3 ~ts of pl~s, ocmrate plot pl~ to scale. Fee acco~ing to b. l'lot plan ~i~ l<otim of lot ~ of l~dldltgn ~ w~i~u, ~lati~shlp to Mjoinlng p~ises or pobllc c. 'lhe ~rk ~red 1~ thio .l~lle~ti~m my ~t I~ cm~rt~l lmfore J~e off ~ildi~ Pe~it. d. Ulm a~al of this a~licatim, the i~Jitdi~ l,s~ctor will is~ a IMilding ~m{t to the ~licant. Such ~lt ~hall I~ kept ~ tl~ ~{~s ~ilable for in~cti~ th~i~t the e. ~ ~ildlng ~mll I~ <~mpied ~ u~ in ~le or in ~rt for ~ po~ ~mt~r t~tll a ~rtificate iff A~A(~'FI(~ IS IE~il~ ~ to tl~ l~ildlng l~l~rt~nt Ear the is~e o[ n ~ildlng P~it ~r~qnt to the ~ildi~ 7~ ~lit=~e of tl~ ~ o~ ~tl~ld, alfEolk ~nty, ~ York, m~l other n~lieable l~s, ~lln~e~ or ~scril~l. ~1~ applicant o~s to c~fly with all ~lleob'te l~s, o~llm~eg, lmilding ~, I~elug c~le, m~l regut,ti~, a~l to abi~ a~tl~ri~al iu~etors m l~ias m~l in I~fildlt~ for.~eesffa~ (Sr~mture of a~licant, or haW, if a corporation) (~1 ~ ~Iress State ~ether appl. lctmt is o~r, l~ssee, ag~ot, arvhltect, ei~gir~eer, ~ral cmtractor, electrician, ph~r or I~il(ler. ... o~ ,,, ~ ~,., C~./..~ ....... ~ ~ ~ 3. ....................................... (as ~ tl~ 6~ mil or latent ~eed) applicant in a corporatitm, slg~tu~ of duly m~thori~l officer. (Nar~ ned title, of corporate oEEicer) Builders License_ No .......................... I?lunbers l.icenee No .......................... FAectrici~s l,icen~ ~ ...................... Otl~r 'l'r~'n l,lc~ ~ .... ' ................. I. I~a~i~ oF lind ~ ~ich ~1 ~rk will 1~ ~ .............................................................. ...~.Ta .......... ~o. ~a.. ~d., ........... d~ ~ ~. ~ '~:~i;~ ........................... t~ ~r 5t~t ~,y 'r.~ ~p ~,. ,~ ~i~, ...... //2 ...... ~,~ .../0.~ ........ ~ · l~,./. ....... ~lZiviai(m ...................................... Filed ~p ~ ................ lot ............... (g~) 2. State exi~thg n~ a~ ~ off ~{~s aml inte~ n~ mgl ~mlm~ of ~1 camtmctim: a. gxintit~ uv~ a~ ~q~ ...~.~. .............................................................. b. In~ o~ atgl ~y ............................................................................. II. 12. iii. I~q~dr . ........... I~mal,..~ ..... '. .... I~,~HIl:lon ..... 0 erl~ ~ .~&..~.~O~ ....... I~1 i.~lted (~.l: , ~./.-~ .... '., .~ ......... f~ .............................................. i~ (to I~ I~hl o~, fit lng this ~lppl ~lllnl}, It;ll~i' ~ II~ll Jnl~ lliill'~ ............ iilll~r o1~ t~llihg liitJ[~ (~1 ~llch ~l{~)~ ................ ''" ''ik~ll~ill: ....................... ~ · ~,,t~ O~ ~i.ori~a ...................... ................. Ix!|iqj duly m~)lu, ilelx)~lell lll~J ~lilyll IJtlll: lie ill the nppJ it:mit ((~nd ~l:Lor, nBeld:,i (:°rlx~rllle of fleer, ele.) IH~pliun! iolH Ilml: nil sJ[lJ~i~lts c[~tai~,d in Ihis ~pplJ(ml ioil nJe In~ to Ihe I~ml: of hill k~x~ledl[e m~l I~l Jel j m~l Ih~H. Ihe ~nl( will J~ le[lk~u~ed Jn I[he ,vlnl~r ile~ forlh in Ihe lipid ic.~['io~l filed thetis[th. ~ln lu bufm(~ .e' Ihhl J .......... ~A~Y ~BLI~ State ~t T~m ~ Ma t 3i,