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Home My WebLink About23164-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24190 Date MARCH 5, 1996 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 840 PINEWOOD ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 5 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 27, 1995 pursuant to which Building Permit No. 23164—Z dated DECEMBER 6, 1995 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 DECK ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CLAIRE CHAMBRUN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO.—N-378082 — FEBRUARY 16, 1996 PLUMBERS CERTIFICATION DATED N/A it ing Inspector Rev. 1/81 FORM NO.3 70 WOF 50WHOW BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) �y Q NG 23164 Z Date.................. .. .... ...... .. Permission Is hereby grantedt ' � � �% .................!;;'�;;�....... �. .!111.L '�✓X tlr. -,� �... G .............111.7.34 to ... .............. ...... ..... � �.,.. . . .. . ��... ........... ......... .. . .................. .. ..., ....�e . .......... ... .....? .. ..... ... .. . ...... y .....ltiG+®r..r:...�"�✓••• ..... .. ......./........ .............-..........................................................�. (/ . ... at premises located at.............G!...1..` ....... ..........�................... ................................. County Tax Map No. 1000 Section ........,1< .t .0...... Block.......� ............ Lot No. ... f.��............. pursuant to application dated ......................d.G. d �.,,/.......... 19...� and approved by the Building Inspector. Fee$.. �....... ..................... /........ ...... Building Inspec Rev. 6/30/80 --.f- Form No. 6 j- TOWN OF SOUTHOLD ;s'U uLS��-- _..r� .y BUILDING DEPARTMENT yB�� • TOWN HALL FEB b 7y 765-1802 $ 19996 f; �. u � ELOG.DF�r. APPLICATION FOR CERTIFICATE OF OCCUPANCY91OWryppgQt3rNOLf.) >...�.,,.w.�._Sb'.........._...o,.>.,, 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 19 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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date �zk ��, /r-OOK ,/ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . Y. . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . ... . . Location of Property. . . . `f0. . . . . . . . . . . . 1/.l.�?�WnP . . "W. . . . . . . . . . .Ci.U7?q4).tq, ./l/:`/.. .��39 House No. qq Street Hamlet ' Onwer or. Owners of Property. . . .`. .�� ! �Hslers�4e� A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s County Tax Map No 1000, Section. . .I�Yt?. . . . . . . .Block. . . . J`. . . . . . . . . . .Lot. . . .��f . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fileedd Map. . .: . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . l'�/�/�e2 . . . . Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .�. . . . Fee Submitted : $ . . . . .��J` . . . . . . . . . . . . . . . . ggam�.. f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Qe4.(, 5"bs1� APPLrCANT e0-?-Q41q 0 k3 F(hLD `Nsill"CrION REPOR'l' DA'I'S COMMENTS I II .d II II FO(INDA'I'[ON ( Ifi"I') -- ---11 --------------------------------------------------- FOUNDA'1'ION (2N1)) II M y ItOIICII I1(AMIi 6 ----{i` - IL PLUMBING ` II IT I l_ INSIILA'P ION YER N_ Y. I----------------------...------------ --------- M S"I'A"1'E ENERGY CODE, I ADDITIONAL COMMEN'rS--==----- t l ------------------------------- ------------------------------------------- ------- -------- - -... -- -- - ----- - - --- - ---- - ------- lK - ------ -- ---- --- -- - ------------- ------------- ------------- M H o��gUFF01.f O c� Gyp H x Town Hall, 53095 Main Road p • Fax(516)765-1823 gy�Q! �.�� Telephone(516) 765-1802 Southold, ew York11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 15, 1996 Ms . Claire A. Chambrun 840 Pinewood Road Cutchogue, NY 11935 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) / xx 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 # 23164-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. (�*-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION IST [ ] ROUGH PLBG. [ ] F DATION 2ND [ INSULATION [• FRAMING [ ] FINAL [ ) FIREPLACE & CHIMNEY REMARKS: � � DATE INSPECTOR ,tt� "1 DONALD G. FEILER • ARCHITECT 600 Ole Jule Lane • Mattituck, NY 11952 (516)298-5250 January 11, 1996 JAN 2 2 �9 VcSkl �.��_ Mr. deHn 8ocrfas, Building Inspector x� a az rrL��,rf ' Souithold Town Building Department Town Hall, Main Road, Southold, NY Re: Proposed Porch Renovations to the Chambrun Residence 840 Pinewood Road, Cutchogue, New York Dear delal:l: As per your request, I have investigated the header at the sliding door at the above mentioned project, and can verify that the 2 - 2x8 with 1/2" plywood both sides that is place is adequate for load-carrying capacity. Very truly yours, � '"�`°�63""""- Donald G. Feiler THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1085077 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW,YORK 10038 Date PEBRUARY 1.6,1996 Application No,on file 1084GOC35�� N ��®� THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant namedon the above application number in the premises of I r" CLAIRE CHAMf3RUN, 840 PINEWOOD ROAD, LTL#2, CVTCHOGUE, N.Y. in thefollowinR location L•, El Basement Basement LJ Ist Fl. El 2nd Fl. Section Block Lot was examined on FEBRUARY 13,1996 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES k,CANDESCENT1 FLUORESCENT I OTHER IAMi K W. AMT. I K.W I AMT, I K.W AMT K.W AMT. H.P. 4 1 1 1.2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECPT TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS T. K.W. OIL H.P. GAS H.P. AMT. NO A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT H.P SYSTEMS AMAMT WATi3 NO.ST FEET SERVICE DISCONNECT NO OF S -- - E R V 1 C - E AMT. AMP. TYPE METER 1.0 3W I,e 3W 3,a 3W 3,e 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W G NO.OF NEUTRALS A.W G EQUIP. PER.e OF CC COND. OF HIAEG OF NEUTRAL I OTHER APPARATUS: i PADDLE FAN-1 t MOTORS:1--V H.P. G.F.C.Is--1 f MICHAEL J. HURLEY LIC.#4221—E 9905 NASSAU PT. ROAD CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 I Per I This certificate must not be altered in any manner] return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT.BE ALTERED IN ANY MANNER. 3. Nature of work (check which applicable): New Building . . . . . . . Repair • • • Addition . . . . . . . . . . Alteration . X: . . . . . . • • • • • • • • • . . . . Removal . . . . . . . . . . . . . . Demolition • • • • • • • • . • • • . . OthcrlyorkN�:��, , , • 4. Estimated Cost . . : �?� ' (Description) . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S. If dwelling,number of dwelling units (to be paid on filing this application) If garage, . . . . . . . . . . . . . . .number of cars Number of dwelling units on each floor. . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . • 7. Dimensions ofexisting structures, if any: Front . . . 2.; , Rear . . . . . ' • . ' Height . . . . /.`7. . . . . . . . Number of Stories . . . ./. "' ' * * * * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,: Dimensions of same structurewith alterations or additions: Front . , , l4�' . . . . . ' ' '%. ' ' ' ' • • • • • Depth . . . . . . . . . . . . . . . . . . . . . . Height . . ./ 5%drlt Rear . . .`/Co . . .,. . . . . . . . . 8. Dimensions of entire new construction: Front , , , , , , , , , , , , , , , RearNumber of Stories . . . . . . . . . Height . ' . . Number of Stories . . . . . . . . . . . . . .. . . . . . . . . . . : . . . . . . . . Depth. . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . ./,�O, 10. Date of Purchase Rear . . : . . . . . ./. ,b, • • . , , , , , Depth . . .C. A� Name of Former wner 11. Zone or use district in which premises are situated . . . . . . • '• • ' ' ' ' ' ' ' • • • ' • • • • • • 12. Does proposed construction violate any zoning law, ordinance p rati . . . . .. 13. Will lot be regraded . . . . . .yo gam• • • , . . . . . . . . . . . . . . . . . . . . . 14, Name of Owner of prem' es . ill excess fill be removed from premises: Yes (� �e�� lG4�Address .��a �� • , phone No. 7. f-1 (4v Name of Architect . • tr�2e4! , % T4% . . . . . . . Phone No. � . . . Name of Contractor .�c2JhZ! G�, , " . . . . . . . . Address Address 15. Is this property within 300 feet of a tidal wetland? * • . . . . . • PhotleJlo. 7l(1J tjQO *If yes, Southold Town Trustees Permit may be required. No.. 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 whether interior or corner lot. STATE OF NEW OR , COUNTY OF —�C�, , , S.S � z �� G'flflti/ R/c'uRJ • . • ' ' ' ' ' ' ' ' ' ' ' ' ' ' • • • • • • • • • . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ibove named. le is the . . . . . . . . Ca.Ga%d,w. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) if said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this Pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the mrk will be performed in the manner set forth in the application filed therewith. worn to before me this 27 . . . . .day f. . ., 19 Q otary Public, . . . . . . �`4�\ _ > 99DD. ROBERT 1. SCOT .JR. NOTARY PUBLIC. ate of N.Y, " " . . . . . . . . . . . . • • • • • . . . . . . . . . . . No.4725089,SuBolk Co u (Signature of applicant) Term Expires May 311, I �U:. 60,180 OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PL.1t1S . . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT C11ECK . . . . . . _ . . . . . . . . . . . . -- TOWN HALL SEPTIC FORtt . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 7651802 COT 1 FY 7354-75V 6 Examined CALL T . -�. . . . .. 19!' �j / MAIL T0 : Approved . . . . . . ., 19/i, . Permit No. 6�0� . . . . . . . . . . . . . Disapproved a/c .'. . . . . . . . . . . . . . j . . . . . . . . . . . _ . . . . . . . . . . . . i (Building Inspector) P LICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. This application must be comletety filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot pian showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Sµch permit shall be kept on the premises available' for inspection throughout the work. e. No building shall be occupied, or used in whole or inart for an Building Inspector. P Y Purpose whatever until a Certificate of Occupancy shall have been granted by the APPLICATION IS HEREBY MADE to the Building Department 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 buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with! all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary yinspections. (Signature of applicant, or name, if a corporation) (Mailing address of appli ad nt) State whether applicant is owner„lel'ssee, agent, architect, engineer, general contractor, electrician, plumber or builder. !`. . . . . . . . . . . . . . Name of owner of premises 4,VrYJ (as on the tax roll or latest deed) If applicant is a corporation, signature;,of duly authorized officer. (Name and title of corporate officer) Builder's License No. . . , . Plumber's'License No. . . . . . . . Electrician's License No.... . . . . . . . . . . . . . . . . . . . . Other Trade's License No. re a• 1. Location of landlon which proposed work will be done. ! a ? �� . ° ,: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [louse Number . / . . . . . . .. Street Hamlet County Tax Map No. 1000 Section', . , .�(. Block . . . , , ' . . , , , . . . . Lot . . .a . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . , . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . g . . . N 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . !16 11k 9 175?'i" `t !''CtJ �Y.i+fftaamti ,.flltf`s fiB:«T&Yi . b. Intended use and occu y pant . . . . . N/F NUGENT 50 IIIAIp,p OF PROPEDRTY SURVEYED Fri Q- N-57 41110 E. 140,0 8 lcT Ln fl Z: "n i r -OWN OF SOUTHOLD 0 ;, < � i- I !ACP rn V Q40.28 -7 1 0 40 SCALE-20- 1 AQEt-,= 14,000 -Ql,F co 5. 7'42' ^"W.00.0 14 50' SOUTHERN CROSS 20? rJ AS GUQVEYEP AUG.9,t994 Ln cD lzaa EEN P�: Z7S �Y, SUFF. CO.TAY MAP DATA; 1000- 1 ',0,5 -25 � * o o'I E W r_ ,K 1 m l --- -_- �4 _4 L x (o . d, SRGKI N LDNN �Y PJ _7S If cOPPer tubing is used it -- -- - - _----- L] __ I FIEI.I - --- 14 �, II �_ for water distributin IW 19 - Bystgm; PiPing 9 41TG+Itt-j __ _ _ J III 4-x4o_.a Fns,'[!H P•R r shall be I' Cf types k or L ohly � uTl� . PLurwRnvc , I UlST6lu r0&-H-T0i cur, ALL PLUMBING WASTE &WATER---- - ER LINES NEED TESTING BEFORE COVERING EY-IS_T• GOt�IC �U�.�: � E�C.I L�T" j t GIQ,L..t,.l L bCr._- _U I or, Fen/ter (FwT7 GpJ' SLEtiI�-RG 1 Ln J �. PLUMBER CFRTIIIt ATIOd! - Y4 j P!LEAD CONTENT BEFORE t �' 3 0 ER SI OF OCCUPANCY - � -- —- °� � / - SOLDER USED Ill WATER --- �" SUPPLYSYSTEMCANNOT CC�i' � C� �� EY.I�jT, P.G. 1'n:�NO WbLL — u EXCEED 2iTo of 9�i LEAD. US'E r UNLtANNIFUL l."ViTHOUT CERTIFICATE 19 - -- 4S- LPis--45Lo --- - :i -_ --- -- I� — - --' (INOEIIWRKOUIREIIi1FIGiE BLk, OUNO, (X1d b -- I EQ - APP 0 jfjHt NOTED I,-v" DATE: G BY, 11'• 'f i ??? - II (t1 C I I, PEEN 9 '- II" (t) n -- f- NOTIFY BUILDING DEP 765-1802 9 AM 70 4 PM FOR THE I0 LLOWING INSPE tFOUNDATION TWO REQUIRED v-- _U_- LL.�- _ T 0 '—_. L.. _N_ _" FOR POURED CONCREE\ 2. ROUGH - FRAMING & PLUMBING—�A t' 3. INSULATION STRUCTION MUSI/4'• ILGI>`IG9 I;ql-1 Z "Tj��LE. 4. FINAL - CONT ,r, 1:E \✓� BE COMPLETE FOR C.O. IJ .- - — EN VEL4�f r. Ccx..l(. nNE.KIT R-REfl'D r ,, LAG ALL CONSTRUCTION SHALL MEET t7-Gc. h".�ti5 W TC ;tjF- Luli17 R„ whl_L R - 19 THE REQUIREMENTS OF THE N. r STATE CONSTRUCTION & ENERGR , hEW (�U* :GbP�71`a 01t�lEJ'1Sl�r{> �`n�E G�ILINGq R, - 19 ti' - 19 �y CODES. NOT RESPONSIBLE FOR 4-5° E;,y014 T, SLP7 Ri ' In R• - ID o J - DESIGN OR CONSTRUCTION ERRORS F-- Gt �. - I .7 R-3,5 —} W TDTHE tESTOF M4k1-ICY-II�XjF�E`�IJEF¢ ',BION>� G e�cra�, tE�7 �H L Ks c�E 1u4CXMpucAce wlTu s C«.�F_ G VENT i Tr �bCFI Ca li P_i r '�1=TSI �J I •�rnITIN.Vct7T -i h IT 5 pn /-1 - ' —.- -� - �6'• PLYN. E� L4wo UN! IC}MBJr i.''^ 4C, -----' -- -. / - I sHF�-'niw4 C'Yvac, ar.1G, YPPok. PCR.f.'�OZ e zx4-SSR`.-(p.cr) zR,•'11, v 'f2 p- .: "R-MGX'• F to `rk1�00 R'19N F— _._ _ _ 2vb FJ•1r;k I�2"� du:1uK M�7 G261E 6LVIE30 O f'' 9— TIA CL * - -r - - I _ 4- 4 / a NOVa 2 7 199 GJ D UT 9 L— LE4T ION L.1� .T f_ V 6 T I 0 t-4 Pw�ti� . �.b"G.6•FnuNO.w SGT 10 N taxlNc,