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Home My WebLink About21534-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22642 Date OCTOBER 5~ 1993 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 1090 GOLD SPUR STREET CUTCHOGUE~ N.Y. House No. Street Hamlet County T~x Map No. 1000 Section 95 Block 4 Lot 18.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 18~ 1993 pursuant to which Building Permit No. 21534-Z dated JULY 14~ 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 FINISH SECOND FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to CHARLES F. & CONSTANCE M. KING (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PENDING - SEPTEMBER 23, 1993 Rev. 1/81 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) / 21534 Z Date....~'/,..Z,..~, ........................................... ated at /~ ~ ~ ' CounivTax Map No. 1000 Section/' .........~.~.... ..... Block .......... ~ ........Lot No..,~.,.~.'..~ ........ pursuant to application dated .......~..'...~../.,~'2,.. ....................................... 19.¢..-~... ....... and approved by the / Building Inspector. Fee s....7,~..~... Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT, '~ TOWN OF SOUTHOLD ' 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 I% 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. Be 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 - $i00.00 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 House No. Street Hamlet Onwer or Owners of Propert : ...... :. County Tax Map No 1000, Section.~.~...~lock. D~,.OO ....... Lot.~%,OI~ ........ Subdivision.. ~ ~ ........ ~...Filed Map...~t..Lot..l~ ...... Permit No ...Date Of ~ormS~ ............... ApplScant .................. Health Dept. Approval ....................... . .. Underwriters Approval ...................... . . . Planning Board. Approval ....................... . Request for: Temporary Certificate ........... Final Certicate..~. ....... Fee Submitted: $ .......................... '.. _ /.~ ~ j .. 0 "' ..... ............. ~OU~I D A TI 0.~! ( 1 S t ) 'OUNDATIO:! ( 2nd ) TOUGH FRAHE & -PLUMBING ~SULATIO:! PER N. STATE EJ_RGY CODE FI;IAL · II ADDITIO~IA'L COMME~TS: 1050 Yctr~S Ave., BO B~K 1210 Southold, New Yc~k 11971 765-6085 June 18, 1993 SOUTHOLD TOWN BUILDING DEPARTMENT Town Hall, 53095 Main Road Southold, NY 11971 Re: Application for Building Alteration Permit and Certificates of Occupancy Charles F. King - 1090 Gold Spur St., Cutchogue, NY Tax Map No. 1000-95-4-18.12 Gentlemen: I have enclosed an Application for Building Alteration Permit, along with Applications for Certificates of Occupancy for said alterations, as presently exist and for the existing in- ground swimming pool, which was built pursuant to Building Permit No. ~e~. I have also enclosed my clients check made payable to SouthoId-Town for these applications. To arrange an inspection of the premises, please contact Charles King at either 957-022 (wor~) or 924-3234 (home). My client advises me that the alterations to the second floor consisted of sheetrocking bedroom two on the attached sketch and adding electric and heat thereto from bedroom one. He also applied plywood to the existing studs of the storage closet. The bathroom remains unfinished and in the same condition as when he purchased the premises. If Encso you have any questions, Very please feel free / contact me. TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy No. Z. 7~.6~. ...... Date ........... Oct 18 7.? ................. , 19.. . TItlS CERTIFIES that the building located at . .O.q.l.d..S.p.u?..~...0.1.d...S.a.d.c!l..e Street Map No...0.r.e. gp.n..V..:j.q~lock No ........... Lot No..1.2. ..... C.u..t.c.h. qg.u.e ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... l~.r... ] 7..., 19.77. pursuant to which Building Permit No..~..O~.Z.. dated ........... M.ar... ~ 7...., 197.7.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .PrAv .a.t.e..q .n.e..f.a. nj.i.~.y...d.w.e.l.Z..~.ng. J.~.t.. f.Z. qo. F' .~i .o..n.e..B....~....~...ff.Z.~..: ..... The certificate is issued to . .Ch.~r.l.e~..~..C.o.r~85~.c.~..K.i. nj~....0F~e..r ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .0.c.t....~ .~..19?.?....by..R. :..V.i.~.l. 6 ..... UNDERWRITERS CERTIFICATE No.N~.~.8,1.6.~.,,..S.e.p.t..2.?...1.??? .................. HOUSE NUMBER ...... 1.090 .... Street ...Qold..~p~r, .~t ......................... ~I0~.~ ~, f~e. quSr.~, a~Lt,~ ~'~.tJ.~. p.~r~;:$.t..~ .¢/.0..to. ~.q~pl~.t~. 2nd, fl.o.o,r, r,c.~. ....... ..... .... Building Inspector { ]r65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~AL 765-'18~2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/~NAL~ 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]~SULATION FRAMING [ ,/]/FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.000~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 D~, OC~OBgR L~5,1993 ~r~.~io.~o.o. fi~~ 82~98693/9~ ~ THIS CE~IFIE5 THAT O~y t~ el~trical equipment ~ ~scrib~ be~w a~ intr~ue~ by t~ appl~ant ~med on the a~ve application nu tuber tn t~ prem~es of in the followlng h,catiofl; ~ Basemen~ ~ Ist FL ~ 2~ Ft. 0~'~ Sert;on ~l~k Lot t~s examined on and found to b~ in compliance *ith the N~'onal El~ct~cal Cod~. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS DIMMERS NO. OF FEET ~(B[LL ONLY) This ts not a Certificate, This is a Bill for 8ervice~ Rendered O~ly, E R V I C No.o E cosy, OF cc. coNY. NO, OF HI.LEG A. W, G NO OF NEUTRALS A, W. G, OF HI-LEG O~ NEUTRAL 7355 M/kIN ROAD GENERAL MANAGER NATTTTIIC'K, NY~ 11952 il "' 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 MUS'I:iNOT BE ALTERED IN ANY MANNER -? / / YOUNG & YOUNG 3~' ~V[Y FOR: C~ANLES ~ ~ING 8 CONST~NC[ ~. KING ~Or ~, 12 . BLDG. DEPT. , _ TOWN, SOU OLO ....... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765~1803 BOAgD OF HEALTH ....... 3 SETS OF PLANS SURVEY ................ CIIECK ................. SEPTIC FORH ........... CALL ................... HAIL TO: Disapproved a/c ' (B~ldin~ I~ector) APPLIcATIoN FoR BUILDING INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink affd 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 sffeets or areas, and giving a detailed description of layout of property mu~t 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 igsued 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 sh~Jll have been granted t~y the Building Inspector. , APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Bfiilding 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. - (Sh,nature of apphcant, or name, ~f a corporation) ' ~ .r (I~ ~ili~i~ Jiess o,f,/~91icant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, Zqectrician, plumber or builder. Name of owner of premises . .~....~k~...~. .~..~...'~. 'C(2~,~--~..~'..'...~J.~..~ (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 ......................... Electric an s L~cense No ....................... Other Trade's License No ...................... 1. Lo ca~ion of land on which proposed work will be done....~....(~....(~..g~'c~...~.. ?~..~... ~.'~....~.% ......... .... :.... .......... I Iouse Number ........ ~" Street County Tax Map No. ]000 Section . .(~...~..~.: .C~.~) ..... Block ....(?.¢?.(~ J... Lot..~'. ! .~.. ?.~J..~-... Subdivision .~ .~.t?v.~...~..~.. ?W-~..'~..~, ..... Filed Map No..~...~.{ ...... Lot.. 1..~. ........ '-~ --(Name) , 2:State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~..-~. '..o:.~.5~..M. b. Intended use and occupancy...'f~..~ .-7'...~CI?~. ~...~~ .C.~.w)x..~...~..~.C~..~-... ~ .~-..%.~-~. ~K~ · 3. Natur. e of work (check wh,ch apphcable) New Building ........ Addition .... .~>~;'.' ~1 t ti..~.; Repair .............. Removal .. . Demnlltlo. , ~'e'r (V~;~'-~ Ii 4. estimated Cost ............ 1 ~,~,, , , . ~},~cription) 5. If dwelling, number of dwellin~ units ~ xi..:.uA_ _.~ .... %. ~" ~ ~2 o ............... , ~umo~x ul aWeulng ~l~S o~ each Hoer ................ If garage, number of cars ............. 6. ~ ~usmess, com~nercml or m~x~d occupancy, specify nature and extent of.each type of use ...~]~... ~ .......... .... ..... ........ ......... ~a [ ............... ~um~erofStories .. ~ .................... imensions 9f shme structure ~ith alterations or additions: Front .. ~ . Rear ............... epth .................... ~.,. HeiSt ......... , .' ........ ,.. Number of Stories ........... :. ~ .... 8. imensions of entire new construction. Front · ~ .. ' Rear . . Depth ..... . j :.. Height ............... Number of Stories ................ ' ..... ~ j" ' . .. ' -..' ' ' 9. SizeofioLFmnt 1~ I.. Rear II-[ '~ ''' ''' '~' L"~'~"~'~'Of_ ~ ,~ · · · ~: 1 '~,1: .......... ~. }..~ ........... Depth ~.o~,..~.~ ..... ~.T~..~ 10. uate Ct eurchase ..... ~ I l~[.l~ ...... . ......... ~ame of Fo~er Owner ~~R~.~ 11. Zone or use district in which pr~mises are situated .~,~ .... ~. . ~"~:~'"~" 12. D~es proposed construction vic[late any zoning law, ordinance or regulation: . .~ ........................... 13. Will lot be regraded ...... u~. ................. Will excess fill.be removed from ~remises: ~ Yes 14. N~eofOwnerofpremises~~ Ad.~ ....~ ~~ .. ~t_~.~: ~ ........ ~1' · · u~ ~; ~.~'~O~O ~0 .~.~, ~0~ ' me of Arcintect ............... Address ~1~[O ~ Phnna Mn N~e of Contractor . . ~., .... ~X~ ~ ,. . _. ... · ... · r ......... ~uu~ .............. ~.1. rhone mo ................ 15. I.s tn~s properey w~th~n $00 feet of a ttdat wetland? ~Yes ........ No..~ ..... ~If yes, Southold ~own Trustees Permit may be required. · .-. i~ ' PLOT DIAG~ Locate clearly ~d distinctly ~i build,Es, Whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block number or description accordhg to deed, and show street nines and indicate whether ~tefior or corner lot. ' NollF~ __ FOLLOW NG tNsCECTIONS: - 1, ~OUNDA$~ON * ~NO REQUIRED FOR pOURED cONCRETE 2, ROUGH ' FRAMING ~ PLUMBING 3. INSU~$10N MUST 4. FINAL .' CONSTRUCTION BE coMPLETE FOR C.O, ALL CoNsTRUCTION SHALL THE R~QUiRE~ENTS OF THE N,Y, sTATE coNSTRUCTION & ENERGY cODES, N~ RESPONSiB~ FOR DESIGN OR CONSTRU~ION ERRORS STATE OF NEW/fORK, . S S COUNTy ',,' · ' (Name of individual signi ng c~'n~act) ..... being duly sworn, deposes and says that he is the applicant above named· He is the ' (Contractor, agent, corporate officer, ere.) of said owner or owners, and is dul~ authorized to perform or bare performed tho said work and to make and file this application; that all statements conta ned in this'application are true to the best of his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed therewith. Sworn to before me)13is ....... . ........ '"-,,,~