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Home My WebLink About21521-z A 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22820 Date DECEMBER 29, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 720 SILVER COLT ROAD CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 1993 pursuant to which Building Permit No. 21521-Z dated JULY 7, 1993 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 ONE FAMILY DWWELMG WITH ATTACHED GARAGE & WOOD DECK The certificate is issued to INLAND HOMES, INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 93-SO-53-DEC. 28, 1993 UNDERWRITERS CERTIFICATE NO. N-293742-10/26/1993 & H-38137-11/15/1993 PLUMBERS CERTIFICATION DATED DEC. 17, 1993 - GALE KASKE 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) . Date 19..l...~ . 21521 Z N°_ Permission Is hereby granted to, I ....:..Y.........1 ` to........... ..........•A...... Gir... i at premises located at........ . A..a..e. ..L - r• ......................••.......a............... ~.....100 ;.....~.UU................ I County Tax Map No. 1000 Section Block ~.f..~..... Lot No. ..l....gj,3 pursuant to application dated 3..c/.........., 19.?. and approved by the Building Inspector. Fee S,46.f.~••~.1..75 R Building Inspector Rev. 6/30/80 . Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 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 .......12/29/93 New Construction... Old Or Pre-existing Building Location of Property..., Silver Colt Rd. Cutchouge House No. Street Hamlet Onwer or Owners of Property... Luke & Cathy Clark County Tax Map No 1000, Section.... 95....... Block Lot...18;35............. Oregon Subdivision Vfiex ....................Filed Map............ Lot...................... Permit No..#2.~5?~-Z....Date Of Permit. .?~7~93....... Applicant land Homes Inc. Health Dept. Approval..?2 28 93 Underwriters Approval. #814681 93/93 Planning Board Approval Request for: Temporary Certificate........... Final Cer11ticatee.. Fee Submitted: $..A25-0.0 ..........................•~~X~-~:'~'~- APPLI ~o ~ aa~ o TEL. 765-1802 ~pc~~FF~LkCOG TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 u' Zs TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date 12/17/93 Building Permit No. 21521 Owner Luke and Cathy Clark (please print) Plumber Gale Kaske (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. `4 STATE OF NEW YORK, COUNTY OF SUFFOLK SS.: On the 29th day of December, 1993, before me personally came Robert Hiltz the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who being by me duly sworn, did depose and say that he resides at No. 214 Pipe Stave Hollow Road, Mt. Sinai, NY, that he knows Gale Kaske to be the individual described in and who executed the foregoing instrument; that he, said subscribing witness, was present and saw Gale Kaske execute the same; and that he, said witness, at the same time subscribed his name as witness thereto. Notary Public MARGARET C. AIJTK13rom Nobly publk We of New Vor y Qualified in Suffolk County commission EzpirosiwvE 3} ! 9Y5 „ r zv/d f o ~ I i CCA 3~k I 1 P ffl{ ~i"Z a I ~ INSPECTORS, Victor Lessard ~!JFF014, Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building InspectorA Th Southold Town Hall Thomas Fisher ^r Building Inspector P.O. Box 1179, 53095 Main Road Gary Fish Southold, New Fax (516) York 11971 Building Inspector Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD November 16, 1993 INLAND HOMES INC. P.O. Box 117 Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xgg An application for Certificate of Occupancy is not on file. (Enclosed) xgx No Underwriters Certificate on file. ql` xxx The check is (Eted/not on file.)$25.00 ggx No Health Department Approval on file. No final inspection has been made. xxx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # BP#21521Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. -IELD INSPECbIO,N ~IDATE 11 COMMENTS 3 HU` _ - - y M FOUNDATION (1st) o` C.~ (n. FOUNDATION (2nd) _ _ 2. t z 0 ROUGH FRAME & Q~ llllgfx~ PLUMBING 3. P7 ra INSULATION PER N. Y. STATE ENERGY CODE :~Zl t4~lx a 4. ~ - y FINAL o ADDITIONAL COMMENTS: x A rG°U IJ a • r~ x ~ d ra M-1802 ` BUILDING DEPT. INSPECTION [ 4/FVUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS C DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: e.~ DATE L INSPECTOR ~ 157-- t M-1882 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ INSULATION FRAMING ( ] FINAL REMARKS: P6M5-c u t u CitrGV•y DATE I (d INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ROUGH PLBG. FO NDATION 24D [ ) INSULATION [ FRAMING [ ) FINAL REMARKS: a C DATE O INSPECTOR M-1802 BUILDING DEPT. l INSPECTION [ ) HDATION 1ST [ ) ROUGH PLBG. [ FOUNDATION 2ND [ ) INSULATION [ ] FRAMING FINAL REMARKS: C, DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 D0444?.7 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date NOVEMBER 15,1991 Application No. onfile 05274893193 if 0331:57 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremises of INLAND HOMES, N.SIDE OF SILVER COLT ROAD, CUTCHOGUE, N.Y, in thefollowing locations asV-,1799 ? Ixt Fl. El 2nd Fl. OUT Seetion 95 Black4 Lot 18.35 was examined on N 0 V E M O RB`9 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K. W. AIAT K, W, AMT. K.W AMi K W AMT. H P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS NSYST P SYSTEMS FEET AM AMT WATTS T. K. W. OIL H P GAS H. P. AMT. NO. A. W. G AMT. AMP AMT. AMPS. TRANS. AMT. H. SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER 11,02W ; %3W ].9' 3W 3$ dW NO. OF CC COND A. W. G. NO. OF H4LEG A' W G NO. OF NEUTRALS A W. G. EEO IF. PER m OF CC COND. OF HIAEG OF NEVTRAI OTHER APPARATUS: SUBMERSIBLE WATER PUMP-1 PRESSURE SWITCHES-1 i f 61 GEOGMAN & SONS INC. 5 569 RT.25A MOUNT SINAI, NY, 11766 GENERAL MANAGER r~ 91 I Per }r This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ident~d by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS FAGS; 1 1195099 BUREAU OF ELECTRICITY F- 88 JOHN STREET, NEW YORK, NEW YORK 10038 8146$193/93 N 293'142 Date OCTOBER 26,2993 Application No. onfile THIS CERTIFIES THAT only the electrical equipment os described below and introduced by the applicant named on the above application number in the premises of INLAND HOMES, SILVER COLT ROAD, CIITCHOGUE, N.Y. in thefollowing location, ® Basement ® Ist Fl. ® 2nd pl. GAR/ATTIC/OUT .Seetion Block Lot 3b was examined on OCTOBER 21 , 19 9 3 and found to he in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. ' K W. AMT KW. T. K. W. AMT. IT P. 25 45 34 25 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS RELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. N. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT AMPS. TRANS. AMT H P SYSTEMS AMT. WATTS NO. OF FEET 2 F 3 1. 30 1 SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. 1YPE METER IA'tW 1,e'3W 3,R 3W 3,e4W NO. OF CC COND. A W G. NO. OF HI-LEG A NI-LE G NO. Of NEUTRALS A. W. G. EQUIP. PER % OF CC. COND. OF G Of NEUTRAL 1 1.00 CB 1 1 1 210 1 210 OTHER APPARATUS: SMOKE DETECTOR;-2 JIM "aAGN ELEC. INC. DIC43635-8 F. O.BOX 1768 GENERAL MANAGER SOUTHOILD , NY, 11921 11 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 DEPARTMENT. THIS COPY OF CERTIFICATE MUST;N.' BE ALTERED IN ANY MANNER. lop j A5 oor 31 77 3 a 7', i G E t I f FORMNO. BOARD OF HEALTH 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY _ _ . BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM _ _ . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY; . U .9 ~ Examined 19 CALL MAIL TO ApprovedG,).~..~I. , 19`f Permit No.,-/ S ~ • . . Disapproved. a/c ' . ~6~.. (BuildiJ.ng I< nspector) APPLICATION FOR BUILDING PERMIT Date 6/30/9.5 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 stieets 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. Inland Homes Inc. (Signature of applicant, or name, if a corporation) P 0 Box 117,Mattituck '11952 ..t.................... (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. ..........................General. Contractor....................... Name of owner of premises Inland Homes . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz Pres. (Name and title of corporate officer) Builder's License No . . Plumber's License No. 2451 P Electrician's License No. .3635 E Other Trade's License No . 1. Location of land on which proposed work will be done. , ."Oregon. View. Estates. . It. ^ . . . . . 7p?p Silver Colt Road,Cutchouge, N.Y. House Number • Street Hamlet County Tax Map No. 1000 Section 95 Block Dy . , . , , , • • ; • • , Lot ....!8' 35 Subdivision Oregon View. Estates.. • • • • Filed Map No. ..624 1 • • • , • • • Lot (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,One Family. Dwelling b. Intended use and occupancy . ~4.. .....t............... 3. Nature of work (check which applicable): New Building . i Addition Alteration . Repair Removal . Demolition Other Work , 4. Estimated Cost (Description) 314 Q.0,Q.QO,,,,,,,,,,,, Fee Gir 1 (to be paid on filing this application) 5. If dwelling, number of dwell Gµs If , , , , , , , , , , Number of dwelling units on each floor , , • . garage, number of cars , If business, commercial or mixed occupancy, specify nature and extent of•each type of use . 7. Dimensions of existing structures, if any: Front , , . ; ; . ' ' ' ' ` ' ' ' ' Height .Rear Depth • • • • • • Number of Stories . Dimensions of same structure with alterations or additions: Front . • • . Depth . e,.. ! Rear . 2nS ~ Height Nu er of Stories t 8. Dimensions new construction: . • • . • . • . . S ruction: Front Rear . ; 2.. Depth Height • • • Number of Stories . 2 9. Size of lot: Front $JAx.,.: Q...... Rear.......... 258... ...Depth . 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated , • . . ' 12. Does proposed construction olate any zoning law, ordinance or regulation: n0 13. Will tot be regraded ies Will excess fill be removed fro premises: 14. Name of Owner of premises , Y4Iand •HBtne£ Address PO 1~ MattItueli 298_ 6 No , • , hone No. . Name of Architect . George .Fisher.....: . ...Address ...................Phone No............•. Name of Contractor ontractor ..Inland; 1101409. 0 , , . Address Phone No................. 15. Is this property within 3T00 feet of a tidal 'wetland? Yes........ No..~f... I Yes, Southold Town Trustees Permit may be required. , PLOT DIAGRAM Locate clearly and distinctly all Ilbuildings, 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. See4ttaet'ed Survey STATE OF to I COUNTY O Lt 1 S IS Robert E. Hilt...... • . • , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the , General Contrapter-' (Contractor, agent, corporate officer; etc.) Of said owner or owners, and is duly !authorized to,perform or have performed the said work and to make and file this Ipplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manners i et forth in the application filed therewith. Sworn to before me this G!l, ...da l .......C Votary Publm , . • , , , County Cam, CLAIRE L CLEW Notary Public, State of New York ~ • .................~a? C~ .;n. et No. 4879505 (Si • ) Qualified In Suffolk County plicant Commission Expires December a 19 N o O o e / I ~F y N 14 (q 3C Q cNA/N 00m m y n, xo z - Cq o - 6lJ. i ~-O ^ a N~ r ~ N I a'~ _ pS I o m u O ~ G y o i'I ' ' 4 G Oil 20 9r~ge, w~ / O o 3 14 ° 08, DO lV dC ao p x --I o I I I$ tom j ~ I P I E zi ~ o W m? tD O i ; m m a AN rrww L o vJ new ~ ~Z c sT9 O m rn v ~y rr7 v II ~ m Q y rA ~ vy~ +u, a ~ZOrn S n pm 2 y t9 N O ~ a ~ n °p m Oeo o mN ~ N o rF s 131 I FA I ro A ~ 47 ~1 'mil Q r y~ c^ 41 ;!O CHA/N OOi, - OO 18 09, v y _ , h ,xo Z ,O cn - 6O~- ' g1' to Pk,, .,seD c7awe ~ 3n' ° ~ C6 ~ O v T ao 91 ..98, - 'Al 1~ 1 i S 14 ° 08, o 0 00" w a~ as 01 ~ , ~ yak z oil 411 m 00x -p 9- Z rn (n , [al "o'' r ~ ~ I I zx ° r 8 ~cyso p I A \ m a - 0 3y m V 1~ ~~4 <<a~ y o 0 0 ~ o, v O~ l ^"1 ~qq0 ~1~i yS a O a a3 a w pt Hit i O C y m t oakum * si 4 0~" C1 y 14 14 tp yk, 1%e m m D T O yCOm ~W tom ~p~ N ~ Zn0 - O i 111 N mo G F Pro C-° Oy v er VR * a 24m ~a~ . CO v `C m 2 A Al O C w ~ A n n °p m LAJ O 9d ~ M v LAJO U V y ~V 4 I -Ljj LJJ 'K ULL. , LAI M p e 1. W Q `eJ LAJ ) U. zi CL Q =02aQ t; ~~blJor O 1 W~U U1p~ LLJ EL Wa Q IQ 4, C p a • Il ^ rVAA Q. ~S 4 J ¢ o 0 0 o v 0 L~ v sa i= Q W yf O_ j J 3A y _ e 2 0~ Ida ~ cn LUZ~~ ~I 9 I~ I ~ 3 I u •C~~3 WH Q ~ t*P ~ 1A : 2 Q~ 4t M .,oo so o O o i r 3 o a+`r '~llb+ i 4 O ml J yi jai -s9 O.t ry ry O _ G ~ n n ° d1 ry N J,I/iYJ zL 1 ~ 2 p N/ ~'g~ pti~., ~ 3 0 O V ° 3e J y mN ~wz__ Y Q -ZJ 4. 9 ~ h Z q2~ ti / m ~ y 2 # 1~ m~a _ goo 'ep(ei N~ o V s 2 a o M~ gy i a noo O aa) oo u) a~ Em Z ~ ~ m y r ? O~j C aV V V 1 _ W o W a Y w e a C C5 ~ 1 g J O~ hM' W _ h 3 Z c $ d a J c o boo c3 o^ V m Boa*T, U- ~ c; , G hw O I f ? i -F - I -iI - _ O,VEp AS {VO DATE;iG B.P..q~~~~L. NOTIFY IIL0 G D /L~EPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POUhED CONCRETE 2. ROUGFR- FRAMING & PLUMBING r4° 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMftETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS qE now i CCU r - LEF7 4s T /9 ~~~F HEW yo ' S~'kNGE TLT 9f * 3a S y a f C r J W ~ 0~2P641 ~C! - - OpgOFESS10NPy~~~ ' A~f 474'3 ~'Nl:AN!?,,Hpn~t' ~LEVAT'Idhl= IQ. ~,p~: ` III N I N I 1 _'0 u~ N I k d V ~ J _~~KQOWPLL ON 9 IZ- ~jOVlgc 5 CELLAR l1~N DUW$ II w wl i o J . 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