HomeMy WebLinkAbout23391-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24360
Date MAY 14, 1996
THIS CERTIFIES that the building
Location of Property 355 ~ES LANE
House No.
County Tax Map No. 1000 Section 109
Subdivision
RENOVATION
uuTCEOGUE~ NEW YORK
Street Hamlet
Block 6 Lot 2.1
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 24, 1996 pursuant to which
Building Permit No. 23391-Z dated i%PRIL 25, 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 RENOVATION TO HISTORIC BUILDING AS APPLIED FOR.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
INDENPENDENT CONGREGATION SOCIETY
N/a
N/A
Rev. 1/81
FORM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
N~
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLETION OF THE WORK AUTHORIZED)
...................... ..............
23391 Z
/
Permission Is hereby granted to:
................................. ~-~.~r 2~1
...... ;~ .................................. ,.~ ~ ~..,~,f, r.~.~_, ,,,c/',~.
...~.~..,.~ ........ ~,..~..:......:...:..~.:~. ................. ,{. /
to.....~,t..~m/.. ~'.~..: .,~x .~..'-=....... ,'./ ........ ~, ~.,.'..,.~,~..~ ..................... .j ......... ~" ...............................
Oo,n~,~ax Map No. ,000 Sectlon....Z..O...~ ........ ~loc~ ....... o~. ......... ~ot,~o.......2...,.../.. ............
19.....~..~.., and approved bythe
pursuant to application dated ........... . ..~..>~ .........................
Building Inspector.
~ee S.....,~...'..~ ......
"~ ' B~r~spector
Rev, 6/30/80
i. '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-disposai(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn snatemen~ from plumber certifying that the solder used in system.contains
less than 2/I0 of 1% lead.
5. Com~ercia! building, indus=rial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible' for =he building.
6. Submi= Planning Board Approval of completed sine plan requirements.
For existing buildings (prior to April 9~ 1957) non-conforming uses, or buildings and
"pre-existing" !and uses:
i. Accu=ate survey of property showing all proper=y~ 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 ~iuing to the applicant.
2. Fees
~. Ca ....... ~e of Occupancy - New dwelling $25.00, Additions co dwelling
A!taracions no 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 ?re-existin~ Bui!din~ - $100.00
3. Copy of Carrlficate of Occupancy - .25C
4. Updated Cer~ifica:e of Occupancy - ~50.00
5. Temporary Certificate of Occupancy - Residential Si5.00~ Commercial S!5.00
Bate .S.'/.% .~.e. .............................
~ew Construction ........... Old Or Pre-existing Building ..... .'~..'. ........
~ocanion of Property. Oi -~...~- · - · -~-..~':.~ ......... '~' ~ ~'
House No. Street
nwer or O=ers · · ........
:ounty T~, Map No i000, Section .... /~.~ ...... Block .... m.~ ........Lot .... O'.I .............
juoc~vlsion .................................... ~la~ Map ..... Loc ......................
~ermi: ~o..,g. ~q I.'Z.'..~a:~ Of ~ermi:. "-/J:~.~ .... Ao~iica=.~:U~-.~-?~'~''~' ''~--
-te~=.n Dept. Approval .......................... gnde~gri:e:s Approval .........................
'iannin~ Board Approval ........................
:eques~ for: Temporary Certificate ......... i. Fi_,;~ca~te.....~. .....
..................
~o ~ 51~ ~ / ii ...... ::~. :_' :~u ............. f~ ' · '
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 7, 1996
Environment East Inc.
Indian Neck Lane
Peconic, NY 11958
Re: Old House Society - SCTM#1000-109-6-2.1
Prem: 355 Cases Lane, 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 # 23391-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
INTERNAL R£VENUE BERUICE
DISTRICT DIRECTOR
B.P.1). BO:~ 1.6BO
BROOKLYN, HY 11.02
1997-
OLD HOUSE S[)CIETV INC
BOX 361 CUTCHOGU[". VILI.AGL GRN
CUTCHOGU[, NY 1:L935
DEPARTMENT OF TI4E TREA!)URY
Employer ]dent Ifica't~c,n Nurnl,er:
11-:3071713
Contact Person::
VINCEHT URCIUOLI
Contact Ieleph,'.)ne Number:
(71:~) 488-~223
Accountin.q Period E'nding:
December 31
F,:,undat~or, ~tat;ua Ctas;sif~c-atio'n:
509 (a) (1)
Adwance Ruling Period Begins:
August, 12, 1992
Ad~/ance Ruling Period E))ds::
{)eo~mber 3i,
Addendut~ App I
No
Dear Applicant:
Based on informabion you suppl~ed~ i~nd a-ssuming your op, eratio;~s ~4ill be as
stat~d in your application for recoil;~itic:'u of e):empticm~ )ae have determined
are exemp't from fedet'al income tax under section 501 (a) o'[ the I~tern.a] Revenue
Cc, d~ as a'n orga~izati,:m desc~'ibed i~ sectio~
BecauSe you are .~ nelqly crea'bed ,~rgauiza'tic,u~ ~ are nog moll mak i~] a
final det.,>rn~i~a~i,:m o'f your fouudat~,:m s~;atus under section 509(a) of the Code.
HoNever~ }~e have determined that you (ah reasonably ~)xpec'~ to be a publicly
supported or'gaui:catio'n clescr ibed iu sect ions 507(a) (1) and ~.70(b> (1)(A) (v~).
~c(:(:,Fdin~iy'~ durin~j au advam:e turin9 per~od you Hill be tr~ated al, a
publicly suppc, rt~d or'ganiza'Li°~ a]~[t noL as a p~'lvat~ fou'ndaticm.. Chis advance
Kuli~l9 period be~}ius .and ends c,~1 'th[~ dat~ ~h,:,Hn
N[Shiu 90 days a'fter th~ e~d ,:4 y,:,ul' adv.a~ce ruling per iod~ you }~ust
send us the information needed t,:, detcrm e iqhet;her ~/ou have met the requirc--
megt.~ of '~h6: applicable supp,')rt .~st. during ~hv advance ruling period. If
establish that y,:)u ha'ye be err a pul) liciy ~upported orqanizati,:m, ~v u i ti c las'sm-
~y you as a secfil,:m 509'a (~;, or tSOg'(a)(~) ,)rgahiza(i,)~ a'~ long its you
t', meet the r.equireme'nts of the al)pt icable SUl)l,,:,rt t~st. If you do ~*:,t itleet
the public suppoFt reqvifements during the ad.vance ruling period, ue
classify 'fou as a private foahdatier~ tor f~ture periods. Also~ if ~e classify
you as a private foum~atio~ ue ~4ill tre~tt you as a priva'te fo[~datio'~ from
your begi'n~i~g date for purposes of scctton 5OTLd) and
6ran'toT's a~d cc,~'tributoFs may rely (:,~ our deterr,~i~ation that you ar'e ~c,C a
private f,:,undatic, n un'bil 90 days aft.er the end of your ad'vaT, ce rtlling pc:rio, d..
~i you ~e'nd u~ ~he required information Hi~hi'n the 90 days~ grantors .and
coni;~-ibut,:,rs may cc, B~)~ue ~o re)y oT) ~))e aVva'~c(', de~()rmin.a~ic, u un,il t.m make
a final (le~ermin,')~ic, n of you~' fou'nda~icm
Letter 1045 (DO/CG)
FORM ND). I
TOWN OF SODITIIOD.D
IIUII,D] HG DEPARTMENT
TOWN
SOUTIIOLD, N.Y. 11971
TEl,: 765-1802
BO^IDI) (DF IIEALTll ...............
CUECK .........................
SEPTIC, FOEH ...................
HOT [ FY:
CMA ...................
HAll, 3'0: ....................
(Ik~{ Id ~6~/l~4l)ector )
APPI.ICA'J'ION FOlD BUII,D1NG PIr. IIHIT
Date ................ , 19 ....
I N,qTRUCT D ()tis
a. 'lhi. aiq)lieatio~ .~st 1~ cc~q)letely Filled in by tyl~.~rlter or ]u {sd~ m~l m~l~itt~{ to the ~ilding lns~cCor with
3 ~ts oF plons, ~waCe plot Idm~ to .cole. Fee occordi,~ to ~ch~lole.
b. PIoL plnn ~i~ l~oti~, ef lot ~s~ oF Ix~il~ling. ~ prc~nises, rel~rionship to ml.ioinlng praise, or iRd)lic
str~t9 or areas, m~l glvh~ a ~tnil~l ~kscripti~ at l~t: o[ prol~rty .~sC Im dr~
c. '11~ ~)rk c~r~l I~ this .l~dlcol. ilm ~.y ,g)t l~ cl~,~l Imfore ismu~e of lkfilding Pemit.
e. ~) txdhlitq~ ~mll I~ ~oq~i~l or u~l in ~ole or in l~rt for any ixtrl~se ~at~er .ntll a ~rtlflcate
(~¢x~Dq~y emit have I~n grant~l I~ IJ~ ~ilding lnSl~tor.
,~.,1(~11~ 19 I~I~.BY k~ll~ to tim I~lchn8 l~l~rt~,en~ for the ~s~m~e of a ~ldlng Penn~t ~rmmnt to the
lk~Hd~ig 7~e 0nli~mr~e of tim 'l'oa~ of ~tl~ld.. ~Efolk (~mty, ~ York, m~l other applicable l~s. O~i~es or
~gulati~s, ~or tim ~mtnetiu~ of lafilding8, mklltitam or alteratiims, or for ~al or d~lition, as I~rein
¢~scril~l. 'll~ applicant agr~s to co~ly with all al~llcable l~s, onllt~m~es, I~{lding c~e, I~slng c~10. a~l
re~laticm., m~ to ~lult m~tl~ri~l i,ml~ctord tm preanlses a~ in laJildin8 for ,ecessary
...... ..........
(Sig~ml.ure of appl leant', or mare. if a COrlx~ratia~)
..........
SLate wl~ether applicant is ¢s~r, ]emqee. agent, architect, engi,~oer, genre[ contractor, electrician, phx~i~r or Isdlder.
............. ~¢,s~ ..................................................................................................
~,~ of ~r or l,r~l~ ). ~ ............................................. '...~ .......................... ~.. (~9 ~ t}~ tax roll or Inle~t
It al]~IC~II[ 19 a corlx)ratl~l, ~xpffmtt,~ o[ d:Hy atithor:r~l or[leer.
(~e o:~ tltDe at corlerate o~flcer)
lk~ilders License I~) ..........................
Elecl:riei~ns Licen?,~ ~ ......................
otl.r ~,.~'s Licen. ~, ..................... ~. ~) , ~~.
I. l~aCim o~ la~ ~, ~,id, i~1~ ~rk will Im ~k,~e ...... .~.~.~.~ ~ ................
O~ /¢0~ C~ /~ ................ ~.~.~e ....
.................. ~... ~ ........ ~..~. ~ <?.~ .... ~Z~ ...........................
I~ R~l~r Strut IL~,fl et
~,,~m ~:,~. m, ~m~, .... /~.9 .... ...... o.k .... ,,,~ .~.,..l .......
~dxlivlsi~ ...................................... Fil~l F~I~ ~ ................ lot ...............
a. Exlsti,~Z ,,,~ aM ~c~,F,,~y ..... ~.J~.~{~.....~4...Y.~...~.~.~ ......................
II.
13.
I:tc,u proper!~ |h~.a. (~,ive st'i~eL taxi block i~4uI)er st- (l~crlpL|(.~ e(:c:onlln~ I'o (leed,i m~l ~o,~ sLreet: n(ir~g
N~h*~e uf ~.a)d.~,.-~:h¢:cl( ~Jdch ~q~91ie.hl~): f~n~ I~ihlinB .......... ~litio. ..... ; ..... AIt~r.tton ..........
I~l~lir ............ ~ I~1 ............. I~)ljLjon ............ Other ~)l~ ,~ ................................
i,,~,t~l (~,~l: ~.e, ~ r~ .................. ' ............
t~llrtil[e~ llllt~r il~ I:tllfl ......................................
I)i.~m~i(~s ()ff exist lng sts~.:tm(~s, if olay2 I~i-(~ll I~er I I~l)th
Ik~ll~lt ......................... ~,)lmr sE 8to~'ien .' .....................
.................... I~ll~lt .................... Bi,Imf of Bloriits ...... j
l,
o~ lot; I~zix~t .................... I~sr .................... l~l)th ...... J ..............
or use ,listrlcC J. xJsi(J, p~o. l sos .re sTtuoted ..... ~.~g~ ~1 ~.~ ...................................
l)rol~)scul (:(xml nx:LJ(a~ vlolme nszy ~(xlhsB h~, ()rdhmt~:e or rellulat. J(~l: ...i ...............
~o of (~,~r off pr~.i~o ....... . .................... ~Llr~.o .............................. ~s~ ~ ............
off ~z~ltr~ttor ................................... ~k]rtTos ............... ~ ............... l]~(}i~ ~) ............
~ILr Yi(~, t~XlllkXJ) 'iTA~ '11~t;11~I~ lq~[~ltT F~Y IH~
PLOT
Itx:ele clearly nl~l (llotis~lly nil I.ill(lil,sn, ~Jlelher exist'InB or prolx)St~(I, m~ll hvlle~ite nil ~et-lmck
.............. ~ .......................................... I~h~l~ duly ~}rn~ del~t~e.~m~l sn~s theft
Ihnl. lite ~)~1~ ,iii i~ I~rl:[~l,~l hi Ill~ i1~11 ig~[ oet~ follh in tho nppl iesl. loi) filed
l~)in to imft))'O ,v., thin /
........ ....
~)tsry Ihll)
C~IRE L. GLEW
~ No~w Public, State of Now York
No, 4879505
Qualified in Suffolk CounW
, ~mmi~ion Expires December
(~Jil),.ntme si~ ^ppi' ~sll )