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Home My WebLink About23304-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24527 Date JULY 26, 1996 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 1100 ~AYWATERS ROAD CUTCHO~CE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 3 Lot E Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22, 1996 ~ursuant to which Building Permit No. 23304-Z dated MARCH 15, 1996 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED Rev. 1/81 AARON & T~LMA NOVICK N/A #11494 - JULY 3, 1996 JULY 25, 1996-MATTITUCK PLUMBING & HEAT. FORM NO.$ 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) Date .......... ~~......./..~ ............... ~9.~.... N~ 23304 Z Permission Is hereby granted to: .... ~..~,~....,~.~..~. ~. ..................................... ........ ~:.;~....,::~ ........................................... ............. ~.~......~.....~.S.~..,.~..,...~...../~ ,o .............. ......... ~,,,,,i~,,,,,,.,~..~.,~/..~.~,....~,.~....= ........................................................ CounlyTox Mop No. lO00 Section ........ .~../.../.. ...... Block ...... .'~-.,. ............... Lot No. ...~,,. ...................... pursuant to application dated ............. ~-f.~.,..~...(..~ ......... 19...~....~.. ..... and approved bythe Building Inspector. ~ee~...Z..,C....~ Rev. 6/30/80 Building In,~Sector rO~.~ OF SOL~:{OLD BUILD T_,_NG D EP ~/tTN~_- NY,_ TO~-N 5ALL 765-i802 ..... C ..... N FOR CER~T--~iCAT- BLDG. DEP'E TOWN OF SOUTHOL~,~D ~ ....... ~ This application mus~ be f±%iee mn by :l~e'~-ri~sr OR ink and submln:ed :o the building i~.spect~r w!:h the follcwln~: for ne-w building or new usa: Final su~ey of proper:y ~izh aacnra=m location of ail bui!din~s, properzy !i~nes, 2. FLnal ipprova! from Heal ch Dept. of wa=ar supply and sewerage-disposal(S-9 fo.--m). Approval of electrical :nsza!!a~ion from Board of Fire Unde~-~i:ers. i. Sworn s~aEamenn from plumber cer~Lfy~--~.g ~han the solder used ~ sys~ con~ains !ess ~han 2/i0 of L% icad. 5. Co~erci~ bu~d~ ~duscri~ bu~d~, muir!pla r~s%dencas ana.sf~flar bui!d~s and ~s:al!a~ions, a car:iflcaz~ of Code Compii~ca from arakizac5 or ang~eer responsible for ~ke budding. 6. Sub~ Plann~g Board Approv~ of co~labad size plan requir~en~s. For ~-s:ing buildings (prior co Apr~-l 9, !957) non-ccnformAng usas~ or build.nas and "pre-~--~is~!ng'' land uses: [. iccura~a su~zey of proper~ sho~n~ reasons :nerafor i~ ~%:in~ ~o the !. Car~&fica~a of Occupancy - New d~"eil~g S25.00, A~arz~ions zo dwe!i~.g S25.00, iddi:ions co acaesso~z bu!!di~ S25.00. B~si~esses S50.00. 2. Cer~ificats of Ocaup~c7 on Pre-~is~Z Buii~m - S100.00 3. Copy of Car~ificg~a of Oca~apancy - 4. Updated Car~ificate of Occupancy - 5. Tamporar% CaT,if!cmos of Occupanc?- Rasidanti~ SiJ.O0, Co~rcLa! S15.00 Data ............................ Ronse ~o. $t~ee: ~ ~?~]e~ abd~v~s~on .................... ~ .... ~ ......... ~55ed ~p ............ L~e .............. ~ ........ ~e~ Depe. ~ppr~7~5 .......................... ~nde~.~5:ars ~pprov~ ......................... Town Hall. 530~5 Main Road P. O. 6ox 1179 6outhold, New York 11971 Fax (516) 765-1823 Telephone (5~6) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. ~ Owner: .~.~. ~ H N O%J~C K (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( Pl~bers Signature) Sworn to before me this Notary. Public, ~U/~/rD Z/~ County DATE: ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PA'~ UHOGUE, NEW YORK 11772 (516) 286-6642 7/3/96 11494 APPIffCATIONNo. ON FILE VILlA(E: ADDREg$: ISSUED TO. CUTCHOGUE TOW~: SOUTHOLD q~TRODUCED BY: LADEMANN ELEfTRlq INC, L1C No: 4141-E was examined on , 7,3.96 and found to be in comptiance wlth the Nattonal Electrical Code ~ I LOCATION: Base,. XX 1st 2nd Srd Attic Der. Garag~ Hot Tub Pool SI~qTCHES I RECF~OTACLE$ FI, YTtfRES HF. ATERX FAN~ G.EL AIR. COND, 11I 16 12 l ~UST l DI~WASH~ ..... DR~ C~HE~ WASH. G~. D1SP. ~ ~GE O~N ~O~ D~EC~R 1 ~A~ O~ OAS CIR. MO~ B~ T~. S~CE DISCO~ECT OTHER EQUIPMENT 1 FAN 2 DIMMERS BASEMENT RENOVATION BUILDINGPERMH'No,~ 3304~ Z, BLUE ORIGINAL YELLOW COPY PINK COP~ OFFICE PRF~ID~ 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTION [ R//~OUGH PLBG. [ ] INSULATION [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [/-~NSULATION [ ~RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR~~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL~.~T. ION [ ] FRAMING [,~I=INAL [ ] FIREPLACE & CHIMNEY // DATE ~//~~/ INSPECT~ FORM NO, 1 ' 3 SETS TOWN OF SOUTHOLD .~. SURVEY BUILDING DEPARTMENT '~ ¢IIECK TOWN HALL SEPTIC SOUTHOLD, N.Y. 11971 TEL,~ 76B-180:Z TO: Disapproved a/c ..................................... ffLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ............ a. 'Tiffs application must be completely filled iii by typewriter or lit ink and submitted to the Building Inspector, with 3 S~ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildh~gs on premises, relationship to adjoining premises or public streets pr areas, and giving a detailed description of layout of property must be drawn on tim diagram which Is part of this appli- cation. c. The work covered by thi~ application may not be cmnmenced before issuance of puBding Permit. d. Upon approval of this application, the Building Inspector will issued a Budding Permit to fl~e applicant. Such permit shall be kept ou the premises available for inspection throughout the work, e. No buildiug ~hall, ~e occupied ,or used in wh°le °r in P~t f°r any purp°so whatever until a Certificate °f Occupm~cY shall have beau grante~ b'~the BfiCllBmg lusp'~ctor. AP?LICATION.!8 HEREBY MADE to the Building Department lot the issuance of a Building Permit pursuaut to the Bullding Zone Ordinance of the Town el Southold, Suffolk Couuty, New York, ~d other applicable Laws, Ordinmmes or Re~uhti0ns, lot tim construction el buildings, additions or alterafious, or for removal or demolRion, as herein described. The 8ppl.jqaut. agrees to cmngly with all applicable laws, ordinances, building code, housing code, and regulatlous, and to admit-atKhorized inspectors on premises and in buildh~g for neces~spection~' . ' (S~gnatum of apphcant, or name, ff a cmporatm0) D ..... "' (Mading address of applicant~ //~ ~ State whether applicant is owuer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' ........ ......... N~ne of owner of pre mses . .~.g. Old....O.~a. .~. ~0../ ..... .......... (as on the tax ~oll or latest deed) I[ applicm~t is a corporation, signature el duly authorized officer. (Name aud title of corporate officer) Builder's Lieeuse No .......................... Plumber's License No ......................... Electric a I s License No ....................... Ilouse Nun~er Street / Hamlet / ' ' (Name) 2. State ex~stmg use a ~d eCCUl ancy of premises a ~d i ~te ~ded use and occupancy of proposed construction: 10 Date of Purchase i Name of Fenner Owner I I. Zone or nsc district in which premis=es are situated .............. 12. D°es proposed constnlctJon violate ,any zoning law, ord!.nance or regulation: 13. wi, lot be egraded ............ . ........... ,.. Wi, e,eess fi, be rd,'o;;d 'd&; ;;r;;;i;;s; 14. Name of Owner of premises ...... i ............ Address ................... Phone No. Name of Architect ........... , ,! ............ Address ................... Phone No. Name of Contractor ............ i ............ Address ..... , ............. Phone No. 3. Natnre of work (oheck which appll'cable): New Building .......... Repair .~ .... ' ......... Removei ..... ,, .... ~ ,. Demolition . ....... Addition/. .......... .... Other WorkAlterati°nE~,(4~'C~' '~/°~r''/~ ............ Estimat~Co-' ~'~o ~o /~TH~OO~ ............. : (to be paid on filin~ thi~ application) 5. I~ dwelling, number of dwelltng units .......... Number of dwelling unil~ on each floor ......... ...... . If garage, number of car~ ....... ............................ , .......................... 6. If business, commercial or mixed occupancy, ~pecify natnr0 and extent of each type of uso ................... 7 Bi nendon~ o~ existing ~tmetures ii any: Front R~ar Depth lteigbt Numbo~ of Storie~ ' ........ Dimm~lons of ~amo ~tnmtUro wlth alterat on~ or additlon~: Front .................. Rear ........ , ......... Depth ...................... Height ...................... Number of Stofie~ ...................... 8~ Dimensions'of entire new construction: Front Rear .............................. Depth .............. 1 leigh t Number[ of Stories Size of lot: Front ' Roar ...................... , .................... D~pth .................... Yes No 15, Is tbts property wtth~n 300[feet of a Ctdat wetland? ~Yes ........ No, ~If yas, Southold Tow~ Truateea Permit may be required, ' '' ...... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether extsting or proposed, and. indicate all set-back dimensions from property lines. Give street and block nsmber or dascrlptlo~ according to deed, and show street names and indicato whether interior or corner lot. UNDERWRITERS CERTtFI~T[ REQU1R~D 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: fl ~'~%~a,~4. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION If copper tub/no ig us~J for woter distributing system; pipj%l shall be of tV es~-- P 5_9Z ~'-' 'PLUMBING ALL'PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING ;TATE OF NEW YO.)-RKn~ ,_ ;OUNTY OF ..... %. '.q .~.[.':rw. ..... S.S 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALl. MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ............. A A-:~'-o~4...~. ~.~ .x .c~...., ............... being duly sworn, deposes and says tMt lie is the appli6ant (Name of iodiviflual signing cogtract) bore Ilflmed. ; is the ........................... ~., ........................................................ i (Contractor, ageut, corporate officer, etc.) said owner or owners, and la duly auth&ized to perform or have performed the said work and to make and file this pplication; that all statements contained Iff this application are tree to the best of bis knowledge and belief; and that the /ork will be performed m t o manner set forth in the application filed therewith, ;worn to before me this//_ ..... ..... , ~ota~ I nblic, County , v ~o.a*tsosg. sufolg~v .................. ~ .......... ................. Term ~ires May ~, 19~ (Signature of applicanl)