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Home My WebLink About23510-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25366 Date: 11/12/97 THIS CERTIFIES that the building ADDITION Location of Property: 1335 NEW SUFFOLK ROAD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 7 L~t 9.2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 1996 pursuant to which Building Permit NO. 23510-Z dated JUNE 17, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. WILLIAM M. BEEBE (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N420199 05/16/97 PLUMBERS CERTIFICATION DATED 11/01/97 J.S. ZULTOWSKI, JR. Rev. 1/81 FORM NO.$ 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.~.. Building Inspector?/¢2 Rev. 6/30/80 Building Inspector / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 ~eaith 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 chat 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 c6mpleted site plan requirements. For existing buildings (prior to -April 9, 1957) non-conforming~uses,, or bui~ldingsan~.~ "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 0ccupancy - 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00~ Commercial $i5.00 Date ..... ~'~' ~'-' ' ~'~l~~ ............. New Construction ........... 01~0r Pre-existing Buildin~ ..... .~.. , ~ Location of P~operty.../~$A...~.W.~.~.~S;..~.-..~-a. ...... ~.-~-. .... ¢- ..... ~-- ~, · House No. Street Hamlet r v or Pro e ..... ; -; ................................. County T~ ~p ~o 1000, Section .... /0'? ..... Bloe~ ...... f ........ ~ot .... ........... Subdivision .................................... Filed Map ............ Lot ...................... Health Dept. Approval ......................... ~Underwriters Approval'....~ .......... Planning Board Approval ........................ Request for: Temporary Certificatm ........... Final Certicate...~ ...... .... ............ i ..... .......... APPLICANT Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERT I ~ I CAT I ON Building Permit No. ~--/~ ~-~ [p±ease print) (plea~se print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /2- ~ day of Notary Public, z9 ? ~C63~~' ~-~' County THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG. i 1~314 BUREAU OF ELECTRICITY ~'-- 85 JOHN STREET, NEW YORK, NY 10038 Der,. MAY 16,1997 ~ppllceflonNo. Mi~l, 12323496/96 N 42~199 THIS CE~FIES ~AT B~B~B, ~ S~O~ ~, C~C~, N.Y. It V I C MT* .. P. 2/0 1 2/0 G.F.C.I:-I SMOKE DETECTOR.' -3 B.J.ELEC. CO. LIC. #2670P. BOX 16 ,STILLWATER AVE. CUTCHOGUE, NY, 11935 ~ [] This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified ,~' .......... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS/ULATION [~J~INAL []FIREPLACE&CHIMNEY REMARKS: ~//'~~ DATE , INSPECTOR 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ //]' FINAL FIREPLACE & CHIMNEY RE~/IARKS: ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]/~0UNDATION 2ND [ ~'] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE ~/~'~ ~J/ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] ROUGH PLBG. [ I~~NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~-/~J~-~/~ FORM NO. 3 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL~ County Tax ~ap No. lO00 SecHon ...... ~.Z .... Block ~ .. ~o~ .. ~ ~. .... Subdivision ................. ~Jle(I ~ap No ................. Lot No .................. is rets.ed h~rewith and disapproved on the .llowing grounds. Rv Examined . ~ Approved I)isapp ..... BOARD OF HEALTH ./... " ~' ~3 SETS OF PLANS ....... OF SOUTHOLD CHECK' ~:-' ~ . DEPARTMENT SEPTI/~' FOHa ..,.. ....... ).'~.; TOWN HALL N T FY MA~L TOt , , , / (Building Inspector) ;CATION FOR BUILDING PERMIT' ,' :'' , ;' , INSTRUCTIONS Date a, This application must be completely filled in. by typewriter or in ink and submitted to the Buliding Inspector, w/th 3 sets of plans, accurate plot i~lan to scale. Fee according to schedule. ' ' ' ' ":'. ' ' ~ '" ' b. Plot plan showing location ofllot and Of buildings on premises, relationship to adjoining premises or public streets or areas, and givhig a detailed.descrip%ion of layout of property must be drawn on the diagram which is part of this appli- cation , , ,, ~ . . , · '~ ', : ~ c. The work covered by this appllcation may not be commenced before issuance of Building Permit. d. Upon approval of this applicaiion,.the Bu!lding Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises avaliabl~ for inspection throughout the work. e. No building shall be occu.p, ie4 or used in whole or in part for any purpose whatever.until .a Certificate of Occupancy ~hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building D~partment 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[buddings, additions or alterations, or for removal or demolition, as herein described· I he applicant agrees to comply wlt.h ali app. licab!e laws, ordinances, building code, housing code, and regulations, and t : t nit aut mrized inspectors on premises and m building for necessary inspectiq99. /..q .~ . ! . (Signature of applicant, or name, if a corporation) St, te whether applicant is owner, l~ssee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~. · ............................................... (as on the tax roll or latest deed) I£ applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Plumbers License No i Electrician's License No. ~0./~ ~ ~T.. ~ {~', ./~.'~.~ ~ Other Trade's License No" Location of land on winch proposed work will be done ............... . .:. .... '.... llouseNumber ~ ,.. ~i,..~!,i:,.,,..Street:~ .~..~ · ., ,,:: .Hanflet..o,~ q. !.,! .,~'tL/ '.. County Tax Map No. 1000 SectiOn : 'Block .... '... Lot 'iF Filed Map No Lot SubdivisioI1 ( 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: I. a. Existing use and occupancy .l ................................................................ b Intended use and occupancy ] - 3. Nature of work (check which applicable): New Building .... ' Addition..~..., .. Alteration Repair .............. Removal ...... ~... e .... D mohtwll ,~.~.,..~ ....... , O.the~rWork ................ ~ : ' ' ' ' "~?~ Y ' ~,,~,~; (Description) 4. Estimated Cost ........ '~zL~g~aj-''~'~' '~ , f( ~ h , ' ................. ,.:.., ........... , ."' - ". ................. · · · · ~ ~ ~;;~ itc be paid on~ filing this application) 5. Ifdwelling, numberofdwellinguni;s. /.,i.~..' Number,~fdwql~n~unitson~ ~,, / ~ ~--/'z'~'~'-,. , .~ , -~, '~_' · · . ,~,~, ~, ~ ~ ach Hoer. ,t.,g,/,--c~2~:t~,~... ugarage numoerofcars .... /.I(.O. IMI.~ ..... c., ~' ~. '.... ..... 6. If business, comlnerclal or mixed occupancy, specify nature and~ox~te~,'6T~a~ch tybe of use. /3tO¢~/~l .&2.¢ . 7. Dimensions of existing structures, if any: Front ..... ~./ ..... Rear , .,~.d~..2 ....... De-pth...~ ./.' Height .. lo~.. [ ......... Num. ber of Stories ... ,/ ........................ ~ ........................ - Dimensions'of sate, s~ructure with alterations or additions Front .. ~. ~ ./. ,... Rear .. ~d:2 · mptl ....... ............ ............... Number of. Stories .... / ....... .., .. 8. Dimensions of entire new construction. Front., . ~ (. ~,___ ,4 × / .... ~,/-- / ,, . ,,, [ · · ~','~-~ ....... ~,~ar ...~ c-... , ..... Ioepm , .,3.0..: .... neigut .../d'7 ......... Number of Stories .... /. ............................................. 9. Size of lot: Front ... ,~.07~./. ...... Rear . ././t'~7). '( '. 'De,~th aL~-,--n ? 10. ate of Purchase ........ ./.~.y .0Q~. ............. Name of Former Owner ./c.J~/?.P'J.e.ntL. 1I. Zoue or use district in which ~9remises are situated ....... i*'i'~'.'.':.~?.:~ ........~ 12. ocs proposed construction violat~ any zoning law, ordinance or regulation: .... .fi~..~ ....... ~ .............. 13. Will lot be regraded ...... ,/lC'. ~) ................. Will excess fill be remoyed from premises. Yes l,l. Name of Owner of premises ./~F~.~. ~ .,. ~.~o e-~ .'~. Address.~O~ .¢.g{. ~5'..~qff.. Phone No..~..~ff..~.Dz~ 7.. Name of Architect ............. ~ ...... ........ Address ................... Phone No..; ........... N=ne of Contractor~.g../r.;f.~ 0../'JP.~¢4. [.~. ¢4~.. Address. Af.8:'.-b. P~t ~'t4 ~. .... Phone No.a,'~ ~-...~ ~.'. ~5. Is this property located within 300 feet of a tidal wetland? *Yes ..... .. No~.. · If yes, Southold Town Trustees Permit maybe required. ,.: .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing Or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whethei interior or corner lot. ' ' ~. ' ~ ' ~O,--t~$ ~/~O,,k ' SI'ATE OF NEW YORK, S.S .: , , ........... · ..... S ./~tt Z.',z-~.~w. t . ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) · lbove named. ' i · Ifc is the , (Contractor, agent, corporate officer, etc.) ,>f said owner or owners, ~d is duly authorized to perform or have perfomed the said Work and to m~e ~d file this application; that all statements contained N this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application.filed therewith. Sworn to before me this ~ ~ ....... ~.~ .~... ~day of..~.~.'..' ...... ,19 ~¢ No, 49~ ~ a~4 (Signatur~ of applicant) 2 2 ',,3 (~ COUNTY OF SUFFOLK ;'ro~eFSOUTHOLD ReaJ Property Tax Service Agency County Center logo 109 PROPERTY NOTE= L Il = MONUMENT 2, AREA'- 19~996 3, STIFF C'?..TA% MAP: DIST, I 000 walter IV. 81'11'00"£' $.81 pOINT O,r cURVE SECT. 8LK. LOT 109 0'7 Esther Teresko pROR ADDITION 200.0~ William M. 200.00' SURVEY FOR WILLIAM M. BEEBE AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK NUNAUTHORIZED ALTERATION OR ADDITION TO THIS GURVEY IS A VIOLATION OF SECTION 7209 OFTHE NEW YORK STATE EDUCATION LAW. ~ COPIES OF THIS SURVEY NOT BEARING THE LAND DATE JAN. 4~I985 I" 50' SCALEr = NO. = 82-T65-A YOUNG e JI~I~,.?~;~I}i~.I~V~EREIEAD NEW YORK ALDEN W. YOUNG~PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S.LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N,Y:S. LICENSE NO. 45893 CODE CALCULATIONS (For Non-Electric IleaL) SUBSYSTEM ]xt0rior Walls (Opaque} 2eiling/Itoof (Opaque) Skylights % Iou~ datLo Walls Slab Insulation "- 8 TOTAL ,32. -31 REMARKS Building Envelope Systems to meet requirements of 7815.2 IIVAC Equlpement to meet requirements o£ 7815.11 HVAC Syntems Lo meet requirements of 7~15.12 Duct Systems to meet requirements of 7815.13 Ventilatious Systems 'co meet requirements of 7815.14 Insulation of piping Systems to nleet requirements Of 7015.15 Service Water fleeting Systems & Equ~piel t to meet requirements of of Electrical & Lighting Systems & Equipment to meet requirements 7~15.21 7815.31 To the best of my knowledge, belt. e£, & professional judgement, these plans are in compliance witil the code. SK~( LI ~HT -j ~ ~ ¢ ~ulw~ CER~IFICA~IO~ ON LEAD CONTENT BEFORE piping shall ~' oU~LF SYSTEM C .... ~ ~/o &~U. ~( / ! ~.' '. ,.~LLOWING INSPE¢IONS: .,// '~UNDATION - ~O REQUIRED PLUMBING ' ~URED CONCR~E A~P~MBING~ /~nl I~R~I~V ~O 3. INSU~T~__ &WATER LINES NEED ~gggUrBl~gl g~ 4. FINAL - C~RU~IONMUST -~' IISi IT ETATE ~N~U~O & ~ER~ , WITHOUT, CE