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HomeMy WebLinkAbout22102-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23066 Date JUNE 24, 1994 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2350 HAYWATERS ROAD CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 6 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 1994 pursuant to which Building Permit No. 22102-Z dated JUNE 2, 1994 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 A DECK ADDITION AND ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANNEMARIE ARRA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) p Date.. ~G' 19/.1.. N°- 22102 Z Permission Is hereby granted to: to 4 g .......~r . at premises located at..... o... ......R ,l County Tax Map No. 1000 Sectioonn........ r~ Block .....45 Lot No. . pursuant to application dated ..,;1. 19... j~..., and approved by the Building Inspector. ere Fee $...%ts. / Building TnspecTor Rev. 6/30/80 r l/ l~ ~ Irk it TOWN OF SOUTHOLD BUILDING DEPARTMENT - TOWN HALL i 765-1802 1 e . ~t APPLICATION FOR CERTIFICATE OF OCCUPANCY- 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 Ii 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction.......... Old Or Pre-existing Building Location of Property.. U ..............!~.4.1 t` C.t,Q1 Q. House'No. Street Hamlet Onwer or Owners of Property..q~').h.41, f J.Is!ti: County Tax Maps No 1000, S~e"c~tioon., Block <1 ........Lot....,.q Subdivision 1i~115+~( 1[~? .N.. . . Dat{(~te Uq Of Pe?¢unit . . . . ...//...Filed Map. Lot.... ~.3 Permit No. J. 4:6AAI......Apl,lican , ow./ejzS Health Dept. Approval./))/) .....................Underwriters Approval.. , Planning Board Approval.../ Request for: Temporary Certificate........... F' er t is ate..,,, Od -Fee Submitted: APPLICANT i :1 LO 21MLNT" m C~ H ~ FOUNDATION (1st) FOUITDATI011 (2nd) 2. z r~ ROUGH FRAME & 1C~ PLUMBING cn H 3. m m j II4SULATIOf1 PER M. Y. STATE ENERGY ryj CODE s r. 4. ~ 2 FINA1. ADDITIONAL COMMENTS: x / f H ~ V ~7 % ALL 22 aft r.~ .3 m -v H 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INS TION [ ] FRAMING INAL REMARKS: DATE INSPECTOR BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT C1IFCt : TOWN HALL SEPTIC CORN SOUTHOLD, N.Y. 11971 TEL.: 765.1802 t:OTIFY; a~ CALL I Examined , y • • • • • 19 !Mn I L 70 Approved . ~ , 19 !./Permit No. ~l-2-.~~. _ . Disapproved a/c , Spector (Bui I. . MAY ! 7 '0,qd APPLICATION FO,fR( BUILDING PERMIT J Date ...-~rl. (lo 19 INSTRUCTIONS a. This application must be completely 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 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 Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. U 1 /2G . J3 m I:;_ 1JT- L& Fa3 T t _±-h)................ (Signature of applicant, or name. if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. G :e CC, , . Name of owner of premises A.t~tJh1 hYt 1 p, ILA . (as on the tax roll or latest deed) If ap Ica gk P tipn signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ..1~.......... Plumber's License No . Electrician's License No . Other Trade's License No . Location of land on which proposed work will be done . .17.................:....RV:Ik1Wv9)R 0 L~~1G~_t.:.:............. House Number Street Hamlet County Tax Nlap No. 10000 Section I..... .(1 Block ~j rO...... j.......... Lot /3 SubdivisionOPs f~A C.\uh Filed Map No. . Fa Lot ...3.(o.) (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 0 )J.~. ,Feevn I b. Intended use and occupancy G ~ C ~ n, I • • . • • • • . • . - . • i I{ I N ~-7 ,59' E P9~' «y .F'eF.(+enfr o w•~ -e- e ait LP. ti O O , st.rende Gr0 Y ~ O S"!P 3v Z 9-; Z O 4 ~ Stied c ''a 3 _ o gSPho f/ ~i.vrwey G* n C Ir r Cy. 3 h a Cn `j rh. ,P O•.~ KPJ. . Zc. ` U) V) ? 4~ .QeTnrn/S e~ W.ie FFix'.~ N/° L.n~ r S e~° 59' w 28'7' 2 v OT e Lof 3(,05 1 Own I ` I o ti .4 n CARRINGTON ROAD 7" L1= 9 F. M 806 SURVEYED 7 SEPT.1990 FILED MAY 7,1926 SCALE I"=40' 1 TAX MAP NO 1000-111-06- 13 1 SURVEY OF LOT 367 IN MAP OF NASSAU POINT CLUB PROPERTIESIIINC, SITUATE NASSAU POINT 'CUTCHOGUE'SUFFOLK COUNTY- NEW YORK SURVEYED FOR ANNE MARIE ARRA C-arantees Indicated here on chap n only to the Peron for wham the tun is prepared, and alt hY b9half to the Nile cempany, CM•t entltt Agency, ie & MiMIF4 M feed hernM, on- GUARANTEED TO. to R19 9eeifrre" of It" 19n2ing ins:;' SURVEYED BY, . ANNEMARIE ARRA Geteren6ose 9ft nM tram r:FI STANLEY J. J AKSEN, LR. FIRST AMERICAN TITLE INSURANCE CO additional imtl9bone ar P.O. BOX 294 CENTERBANK MORTGAGE CO. £W SUF 'K, Y. 119 TOWN OF SOUTHOLD / C, P;25 Of this naul~- ltrmtian or addlfion tr Section 72^S h. $pr - - LICE E LAND SUR L N.Y. LIC. No. 4927 9 R442 L ' EL $ i vll: 11 G few; r yr ~ s r (OV1~ d cL9hA7tt I~ I it I I I I 18" MINIMUM I I,,, ~ I1 R o f E I C~ \ I,.I~ ! ~N cpTH uEIG F1T .ADO _WtSTH JI:sTuDS I AS V~IELL ljS.E 001.)r-LE 'I II I =Gress v~l;!, c~W~ ~ o r~I~~T tl i rz~ SCALE: I O APPROVED BY f- r,~JC DRAWN BY DATE: LJ~/r\-`4 Qn~~e ~4 DRAWING NUMBER K~ CNARRETTE PRO-FORM 92091 PRINTED ON 92^4 CNARPRINT VELLUM i X" Ofd ~o" DF~GKI NG ~i4"x4 otzlo" DEGKiNG ~ ~ 2-2x(e-B-IOG-ifZDE(LS ~ ~ = 4 SDLID $WGKIPI6 _5ErweEr} POSTS I e OL-TsD-- .a'1AILEA JotsTS 2x~- 8-~ c~_16°O.G, $OLTF-D tNPgILE x"- C-CA POST 2-2 ~ - IOz~$ C~RDE.IZ C~ CCR Fo-ES7 1 Q ~ Qt~~ DE, TAI LS Al 41 ego' 4 Vv u da 0 I Pc'S AXt_ C-A f5 CONCRc-) F F00T1ti V___3' PiE W GrZAQE i i 2X_ r r p\ LUr;:~~~ti~_~GR ~~R~E12 M1-7 ER C0R1 kS -i ~~2X_CCA ~UMa pox FOIST j i I ~ 1 c c' i :c j TY'~PICA ~C<- FRAMiINJcn J OK, (o° DECKI HO ~c~"X4„o1Zfo" DFLKIr4G 2- 2x(o -8 - t O GIRDERS i x4 SDLtD bLxx-Kttis _ _ BET we" POSTS I ~ - f`1A11_.B.P - JDIS-r5 2r#- S-o @_16`o.G, tAA1t.6 ! TEGo 4*4 C.CA POST 2-2x~-IDz~GIRDER - _ I ~rx4 CCA POST- r ~ ~ 1 U S J l tZDG;~ ~ T l.._ Z ~ r L ti Al N N ° ~ O J A ID DE,~TAi Ls Q-46 _ ' ' ' A Vo' : SCJtLE: c~ G ~/I CCA oiJ So~-t(J CCC CRC~t FOOTING 3 F~2i-OwCr~AQE 2X_ GL.~ wr l C,R S iRC E: f>, JUN 2 2 1994 MATER cc~t~E~S BLDG. DEPT. TOWN OF SOURLOLo J /~2X _ CAA UM ~Gk boy. : pl ST F • i o ~c TYPICAL FRA N, vJA Cry h~-P-