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Home My WebLink About22404-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF O~UPANCY No Z-23437 Date J~a~NU~%RY 3, 1994 THIS CERTIFIES that the building Location of Property 2375 House No. County Tax Map No. 1000 Section 136 Subdivision ALTERATION & ADDITION Street Block 1 Filed Map No. Hamlet Lot 18 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5, 1994 pursuant to which Building Permit No. 22404-Z dated OCTOBER 25, 1994 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATION TO AN EXISTING GARAGE AND A DECK ADDITION TO A The certificate is issued to ONE FAMILY DWELLING AS APPLIED FOR. KARL & PAULAJOHNSON (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N335448 PLUMBERS CERTIFICATION DATED N/A DECEMBER 6, 1994 DECEMBER 23, 1994 JOHN W. RMICHERT Rev. 1/81 FOBM NO,$ 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) NB 22404 z Date ................. ./~....~.~..~.. ...................... 19..¢/ Permission is hereby granted to: , ~J~W~l,-, ~ ,~. ......................... ~,.~,~.,u'. ....... .~.~. ................ ~...~ ~ ....... ~z,.~.........L~ ..................................... ...~.~.,~,~. ........ ~y..:....../../..~.~.~ ....... to ...... ~.~...~ ........... ~ ........ ..~.'~~...'.~.~... ...... ~~. ........ ~ .............. ~.,,,,~,,~.~,~ ....... ,~ ...... ~,,~ ...... ~:~..~ .......... ,,/,,~, ........ ~ ...................... ..... ...... ......... ........................................................... ~.~..o,~.~ .......................................................................... at premises located at ............ .~..~..~.....'~... ......... ~~...~.~.~: ............................................ .................................................................. ~ ./'.,..~,~¢.. ............................................................. CountyJax Map No. 1000 Section ...../',~..~', ......... Block ....... ~.~, ............ Lot No ..... /Z ................ pursuant to application dated ....... . .~.....~..."~,,,,.,,.~ ....................... 19....~....~...... and approved bythe Building Inspector. Fee $ ...... .~.~. f~ .... Rev. 6/30/80 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 C]E R T T F 'r C A ~, T O N Building Permit No. ~ Owner: ~,~$ ~,~- (please print) Plumber: (please print) JAN 3 1995 8LDG, DEPT. TOWN OF'SOUTHOLD I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. /(Plumbers Signature) Sworn to before me this ~ ~ day of ~ ~C~¢ , 19~ ~ Notary Publ £c,,/'/~ -~~ County ot~ Public, Stat~' New Yo~ ~ / No. 5581910 ~./., ~ mml[~ion Expires June 30, 19~ FORM NO. 6 TOWN OF $OUTHOLD Building Departmen! Town Hal! $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted i mmaam=a to the Building Inspec- tor with the following; for new buildings or new use: 1. Final suwev of properW with accurate location of all buildings, property lines, streets, and unumal natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. b. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natura~ or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: l. Certificate of occupancy New l)welllng,$25.00, Accessory ,.$10.00 Business $50.00 2. Certificate of ,occupancy on pre-existing dwelling $ $ 0. go 3. Copy of certiflcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.uDdated C.O. $ 50.00 Date .......................... 6. )%iteration $25.00 NewCons tz*uc t, ion ...... Old or Pre-existing Building ............ Vacant Land ............. .... 70- . ~.ocat on or ~-roperty ................................ , ........... . ......... ,- · · · House No. Street Ham/et Owner or Owners of Property .../~..~.. ~ .~../~..../C~/,/~...'....~,/.0 ./~./k~...J'?. ~ ........ / Subdivision ................................. Filed Map No ........... Lot No ............. Permit No. . Date of Permit, :Applicant... ; . r ...... Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval Planning Board Approval · · Request for Temporary Certificate ..................... Final Certificate ..... ~ .......... Fee Submitted Sd~,~ .................... Construction on above described building and permi, t, rn,~e3s all appl/~able 9o~les and reg~ulations. n~v. 10-10.78 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 December 21, 1994 Mr. William J. Jacobs 550 Depot Lane Cutchogue, NY 11935 Re: Karl & Paula Johnson Prem: 2375 Harbor Lane, Cutchogue To Whom This May Concern: NY We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file.~ The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. / xx No Plumber Solder Certificate on file. ,/ (All permits involving plumbing being issued after April 1, 1984). Thank you for BUILDING PERMIT # 22404-Z Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. ~I,fDATIOII ' "' {'2~d ) .,. -~.. ,'.?.~. ?. ';, 'GH FRAHE &.. :. ;:~'~.'.~ ~.~'.PLUDIB~Nn -" ~"~ ' ULATION PER'N. STATE ENERGy CODE $OLDER~ , UNDERWRrlrERS CERTIFICATE 7,9 '77 07 58 50 '~,," , l/t; '"' I //~- IN (v,t£t ,..~ I THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 J. 185077 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oato DF~CEMBER O6,1994 Application No. o, fite 06693294/94 }I 335448 THIS CERTIFIES THAT only the electrical equipment a~ described below and introduced by the applicant n~ mad on the above application number in the premises of ~JOHN$ON, 2375 HARBOR IJkNE, CUTCHOGU~, N.Y. in the folfowlng location; [] Basement [] Ist FI. [] 2nd Fl. 0[~ Section Block Lot u~s examined on D~C~[~ 01,1994 and found to be in compliance with the National Electrical Code. FIXTURR FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT OTHER 4 4 DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: G,F.C.I,-1 SHOI~l DETECTOR: -1 S E R [[c# ^.w o. NOlO ~ COND' OF CC. COND. C NO, OF HI-LEG NO, OF NEUTRALS OF NEUTRAL ROSLAK ~LBCTRIC P.O.BOX 164 CUTCHOGUE, NY, 1.1935 LIC. #3677E GENERAL MANAGER Per , 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 DEPART~ES~T. TH~$ C©P¥ OF CE[~¥~F~CAT~ ~3S~ NOT BE ALTERED 15J ANY ~ASJNEfi. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTM, ENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 BL.DG. DEPT. TOWN O_E~ u.o..~J~P ~ O ,-/ Examin~W:7~~77':~7i'~ 7~ ...... ,, Disapproved a/c ..................................... BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CllECK .................... SEPTIC FORH .............. CALL ................ NAIL TO: . (J~ng Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set¢of plans, accurate plot plan to scale. Fee according to schedule. :b. Plot plan 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 Permil~. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shail be kept on the premises available for inspection throughout the work. e. No building shall he occupied or used in whole or in part for any purpose whatever until a Certificate of OccCpancy shall have been granted by the Building Inspector. 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 c_ode, and regulations, and to admit authorized inspectors on. premises and in building for necess dry ~sp/~,~/oflns,; ~N~ L~'J --. (~gna~r¢o f ap 'li~nt ~a~¢o;p oration ) .... q'~lailing address of applicant) State whether applicant is owner lessee agent, architect engineer, general' contractor, ~.l.e~e~i~i~,,;o~l~b? Or builder. .................... ............. ............ ..... '7::.'.:':?:::.:.: ....... : .... Name of owner of premises /~.~..~.~' /~..~ J O*~'/;/f' 4.~ .. A .~)I)ROV~),"NOTLrD ........ : ......... (a's 'o'n' ;n'e' ia'x' ;o'1i ;; iit;~'~'~;~ '~ If applicant is a corporation, signature of duly authorized officer. NOIllY' BUILDING OEPARTMENT 765-1802 9 AM TO 4 PM FOR THE .............................................. FOLLOWING INSPECTIONS: (Name and title of corporate officer)._ 1. FOUNDATION - TWO REQUIRED .~..~.~ .~..p'~..~.. FOR POURED CONCRETE Builder's License No../ ............. 2. ROL~H - FRAMING & PLUMBING 3, INSULATION Plumber's License No ........ : ................ 4. FINAL ~ CONSTRUCTION MUST~. SE COMPt~T{; ~OR C.O. · ' Electrician's License No ....................... ALL CONSTRUCTIO~I~L MEET THE REQUIREMENTS 01~,I THE N.Y. Other Trade's License No ...................... STATE CONSTRUCTION' & ENERGY CODES. NOT RESPONSISLE 'FOR, DESIGN OR 'CONSTRO't~TION ERROR~ I. Location of land on which proposed work will be done ......................................... ..................... .., ...... House Number Street' County Tax Map No. 1000 Section ..[.~..(O..~ ........ Block .... [ .............. Lot. / ~:~ Subdivision..~-.0.~ .-~.~ .~. l~. c.-! .~.T3: .................. Filed Map No. ~.~. ........... Lot .f( ~ .-'. /. I.~ ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use.and occupancy . /...1..'.~ ",-" % ~a "'~ ............ 3~'.~¢ ~.~t g*',' ',?: ~::~ '' ' ;O ~,'.,'- '~ ..... 3. Nature of work (check which applicable): New Building .......... Addition ..[~.t~.C.../~.. Alteration~ ..... ~ '~'~4~ Repair .............. RemOval .............. Demolition .............. Other Work ............... ~; ' ' ' (Description) 4. Estimated Cost ........ .. ..... Fee .............. : , (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ · If garage, number of cars ..... ! ................................................................... 6. If business, commercial or mixedI o. ccupancy, specify nature and extent of each type of use ...................... 7. Dimensions of ~xisting structurei, if any: Front. b.0 ,'7~. ........ Rear .~ .Q ~ .2-. ....... Depth .2.'7~ ~...~.~),~. ~ H.eight .. 1.7.. .......... Number of Stories ..................... ? ...................... , ............ · Dnnensions of same structure with alterations or additions Front . 7 q. · .' ......... Rear . .t~.5.,...~.... D.epth .-~,..~.,.~/7 .~ ...... i' Height .. (7. ................. Number of Stories .... ~ ....... /. 8. Dimensions of entire new construction: Front.. ~t .......... Rear . .%~, .......... Depth ..... Height .............. o o es ..................................... 9 Si flot: Front ~'~ O~.. i R ' Depth ( ..)~..,~. ........ · zeo ................ ear ............. . ........ 10. Date of Purchase . i Name of Fo me O 1 I. Zone or use district in which premises are situated ~ ~ 12. Does proposed construction violate.3-ny zoning law, ordinance or regulation: . ~ 13. Will lot be regraded ....... ...: .tf..~J .... j ... ........ Will excess fill be remgved from premises: Yes ~ 14. Name of Owner of premises /~fb~. ...... Address ~?..JY-~'~*,~ .... Phone No ................ Name of Architect ..... , .... ~i '~' ~ ........... Address ................... Phone No ........... Name of Contractor .~..t[/(~*~ ~....:....~.l;'FZ~.~. ..... ~Addres.s .157. t~-.~:r7..,~': :,~ .... Phone No..~.~: ' .~.%' .~../'-.~. 15, Is this property within ~u rear or a tide± wet±and? ~Yes ........ No ......... · If yes, Southold T~wn Trustees Permit may be required. "'. , PLOT DIAGRAM Locate Clearly and distinctly all buildings, whether existing.or proposed, and. indicate ail set-back dimensions from property lines. Give street and block n~mber or description according to deed, and show street names and indicate whether interior or corner lot. being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly abth. orized to perform or have performed the said work and to make and file this application; that all statements contain{d m this application are true, to the best of his knowledge and belief; and that the work will be performed in the manner se forth in the application filed therewith. Sworn to before me this( ,, Notary Publ ounty Ouallfled in surreal< CountY l C/~' ' ' ' ~ ~/' (Signatt~re of applicant) Co.minion Expires December 8, ll ~ d.,;. ]