HomeMy WebLinkAbout21804-z
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24233 Date MARCH 25, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 1000 BRIDGE LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Block 1 Lot 18.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 15, 1993 pursuant to which
Building Permit No. 21804-Z dated NOVEMBER 30, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ALICE FIFE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-306158 - MARCH 3, 1994
PLUMBERS CERTIFICATION DATED MARCH 13, 1996-HATTITUCK PLUMBING & BEAT.
~u
ui ding 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) QQ1
Date.................. 19../. 1....
N® 21804 Z
Permission Is hereby granted to:
i 1G........ 67r.~
to C~!isruc ~.:........!•r/ l~ ~.~/G.~-
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j ................f
at premises located at ......................./...f7/.......... le. !V4..........,.........................
k County Tax Map No. 1000 Section I:JQ........... Block X......... Lot No. /43..........
pursuant to application dated ........~~/~J` 19.... 9..,., and approved by the
Building Inspector,
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Fee S• .~S•
f/....
I
( B/ulidfng inspector
F
Rev. 6/30/80
f
s TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
MAR 8 1996,
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 1o'catiou.,of.all_buljdinga,.property Iines,,
streets, and unusual natural orEOjo,gtaphia'festure§.'
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 $15.00.
Date ....r
New Construction........... Old Or Pre-existing Building...... .
Location of Property..L~.~ .n,` k.. .ll;t;Ir~......... ; ( .~Pd
House No. Street Hamlett
Onwer or Owners of Property ....~:C C./.i%.e
County Tax Map No 1000, Section../.4e........ Block 9.~......... Lot.... ,3
Subdivision n....a ............................./...Piled Map............, L/ot................ '
Permit No. Date Of Permit.. ~~l 3093 Applicant.N+lIlZ4vm d
Health Dept. Approval ..........................Underwriters Approval....
Planning Board Approval
Request for: Temporary Certificate.......... F' a r 'care.......... _
i Fee Submitted: ay ,
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APPLICANT '
~co z `1x33
From MATTITUCK PLUMBING H2961130 P01
Town Hldi, 530A5 Main timid Fax (510) 7AS-1823
P. a. Box 1170
Rnldho(tl. New York 11971 ' Telephono (516) 765.1602
OFFICE OF THE BUILDING INSPECTOR TOWN OF St7OTHOLD \ a_
4
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DATE
Huild.ing hermit. No. i$OLi
Owner:
171easc }yr.lnt)
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Plumber: 4pg jvj b;., a...j
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p,lnnse print}
1 Certify that the solder u::Kei•ill the water Supply system
Contains Inss than 2/10 of 1% lead.
(MUM era
Sworn to beiorn me Lhis
9)4J 4_d..e day of.
Notary Pltbi.)c, corin!:y
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REMITTANCE ADVICE 50-791/214
Environment East Inc. 22447
® - Quality Contracting - -
_ INDIAN NECK LANE 734-7474
PECONIC, N.V. 11958
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PA DOLLARS
TIME GATE TO THE ORDER OF GROSS NET
AMOUNT I AMOUNT
WK'D /
ry
DESCRIPTION
NORTH FORII$ NK CUTCHOGUE,
NV 11935 VAG&
11"02244711• 120 2 140 79 1 21:112 i 1 2 41110 0 5 2 L 411
Town Hall, 53095 Main noad Fax (516) 765-1823
P. 0. Box 1179 r
Southold, New York 11971 , , }cJ Telephone (516) 765.1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C R R T I F I C A T I O YET
DATE « 3 ej ['d
Building Permit No. 20 L4,7-
Owner: (please print.)
Plumber: ~L Y 6 ~'nr 4- 1
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers z e)
a
Sworn to before me this
day of
Notary Public,
t County
EDITH F. JACK
Nokrfy fib.4M5$ Now York
OAMW b ft"
Tmm Evfts 16, 10 6°
o~ogUPFO(Ire
Gym
co
Go a
Town Hall, 53095 Main Road p • All
Fax (516) 765-1823
P. 0. Box 11 Southold, New York 911971 Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 5, 1996
Ms. Alice Fife
1000 Bridge Lane
Cutchogue, NY 11935
Re: Building Permit #21804-Z
Premises: 1000 Bridge Lane, Cutchogue
Suff. Co. Tax Map #1000-118-1-18.3
During a review of our files it was noted that the above
building permit has expired, and a Certificate of occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Print Key Output Page 1
5738SS1 V2R3M0 931217 SOUTHOLD 01/05/96 09:52:42
Display Device . . . . . : X5
User . . . . . . . . . . : CLAIRET
NYSRPS ASSESSMENT INQUIRY DATE 1/05/96
473889 SOUTHOLD SCHOOL MATTITUCK SCHOOL ROLL SEC TAXABLE
PRCLS 1 FAMILY RES TOTAL RES SITE
118.-1-18.3 TOTAL COM SITE
1000 BRIDGE LA ACCT NO 13
OWNER & MAILING INFO ===1=MISC ASSESSMENT DATA
FIFE ALICE S !RS-SS ! **CURRENT** RES PERCENT
1000 BRIDGE LANE ! 1 !LAND 2,500 **TAXABLE**
CUTCHOGUE NY 11935 ! BANK !TOTAL 13,600 COUNTY 13,600
**PRIOR** TOWN 13,600
! !LAND 2,500 SCHOOL 13,600
! !TOTAL 13,600
==DIMENSIONS SALES INFORMATION
ACRES 1.71 !BOOK 11326 SALE DATE 08/20/91 SALE PRICE 650,000
!PAGE 289 PR OWNER FIFE JOHN D & ALICE S
__=====TOTAL EXEMPTIONS 0 TOTAL SPECIAL DISTRICTS 4
CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE
!FD029
!PK090
!WW020
!Swoll
F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC
75.10- 03-013 F6=G0 TO INVENTORY F9=G0 TO XREF F10=G0 TO MENU
76S-1802
BUILDING DEPT.
INSPECTION
[ J FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSUL TION
[ ] FRAMING { INAL
{ ] FIREPLACES CHIMNEY
REMARKS:
P
DATE ~ & INSPECTOR
I t - , 4~
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND;><tNSULATION
FRAMING [ ] FINAL
REMARKS:
e~
DATE INSPECTOR
77-
G
M-1802
BUILDING DEPT.
INSPECTION
DATION 1ST [ ] ROUGH PLBG.
[ FOUNDATIQN 2ND [)INSULATION
FRAMING [ ] FINAL
REMARKS:
DATE 2 INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ F UNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
REMARKS: L _n/l en
DATE /1 J INSPECTOR
} r ) ~ p7 ,~j y
~ C3'p x~ r _,y5.y I c:>k n u~r N:. Sy~j diyt,5v"'~j~~~r x r~'a`t?S Vw;N-M$*c•x1~rJ,~ H.s
OUt7DATIDy '(1st) ~ , 4j -
.QS a a k r g - le f ~a.
OUNDATIOII (2nd) % CA ;OUGH FRAME
diy * . 3, ! rb ~'r 5
-PLUMBING
to PER N. Y. ~ y
STATE ENERGY II w~~.;
CODE
VII
FINAL
ADDITIONAL COMMENTS:
51
~ ~ff~~~ /A/`J".JG7+'P~If..J~ /I°('~/' SS%IJ~iYf'c.• i'.:.
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Environment East, Inc.
R. R. No. 3 - 3075 Indian Neck Lane
Peconie, New York 11958
516-734-7474
- - - ooppoo~/
December 7, 1993
Southold ;'own Building Dept.
Town 11-91.1
Main Road
Southold, NY 11971
Re. Permit 121804Z, Fife Residencc,1000 Bridge Lane, Cutchogue
Dear Sirs,
At the owners request we would like to amend the above permit as
shown on the attached plans. These changes include enlarging the
addition by 3' and making minor window changes.
If there are any questions or additional fees, please let me
know.
sincerely,
Peter R. Stoutenbur.gh
President
Environment East. Inc.
1'ncl.
PRS:3m
-w'f
c r ~i++t
Yb1AfN N'kPT
S0 ffi9ow a~.M~
BOARD OF HEALTH
, FORM NO. I .
3 SETS OF PL.XNS
TOWN OFSOUTHOLD SURVEY
t' I BUILDING DEPARTMENT CIIccr . .
(n~ 5 TOWN HALL SEPTIC rORH
SOUTHOLD, N.Y. 11971
f „
t TEL.: 765-1802 ttOTIFYI .75 .
G .
Exatmined.,',~.~,. CALL 19g3. MAIL TO:
Approved .......1010 , 19 P 3. Permit No. a . .
_ .
.Disapproved a/c . . . .
ngin P )
APPLICATION FOR BUILDING PERMIT
Date .1/ b?. 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.
cb. 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 065u-pancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Budding 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.
(Signature of applicant, or name, if a corporation)
?Co .c..~y..~!9.~~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
G.,;-" P
C 6,/
.........n
Name of owner of premises
(as on the tax roll or latest deed)
If applic t i ft sign ture of duly authorized officer.
le of co orate officer)
Builder's License No. a (o..
Plumber's License No. ~ .
i
Electrician's License No .
Other Trade's License No .
1. Location of land on which proposed work will be done .
..........................Q X014 .1 kr................Cec e hc?~..e..............
House Number Street Hamlet
County Tax Map No. 1000 Section fl .y Block a............ Lot.
Subdivision ......................................Filed Map No. Lot...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy ..tn , J~44 (,l!r!Cf , ,tomc7//fy .
'
3. Nature of work applicable): New Building Addition Alteration
Repair . . . .
on (check which h a Removal Demolition Other Work
(Description)
4. Estimated Cost C% ,h Q. Fee......................................
I (to be paid on filing this application)
5. If dwellindg . number of dwelling units Number of dwelling units on each floor
If garage, number of cars , , . ,
6
7. Dimensions . If business, commercial or mixed occupancy, specify nature and extent of each type of use
, • • Lure s, if any: Front Ve........ Rear
Height of existing
.K Depth
berofStories ....a
Dimensions of same fracture with alterations or additions: Front Rear
Depth Height , . t Number of Stories .
q.~........ .
8. Dimensions of entire new construction: Front , Rear ....15.1 . f .Depth
Height Num er of Stories . . .
9. Size of lot: Front • r2.7 , , , • • , Rear Ja:Q. r Depth
11. 0. Date
Zone or use district .in. . . .which . ' • ' ' • , • Name of Former Owner . .
1
..premises are situated ..114 . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: lJV . . . . . . .
13. Will lot be re,raded (h? P Will exc&s fill be rmov d from premises: Yes
14. Name of Owner of premises ~ghJJ?h!ip4t? t=JF.t• Address ut.i . Phone No. ?Y..6~F. .
Name of Architect Address Phone No.............;.. .
Name of Contractorj5lVVf(1q)~n p 3rk J , , • AddressA,')A V /A).~S41? :4 ./;Rhone No.
15. Is this property within
If yes, Southold .200 Feet of a tidal wetland? *yes........ No.........
* own Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all Ibuildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block; umber or description according to deed, and show street names and indicate whether
interior or corner lot.
I
STATE OF NEW O
COU Y OF , , S S
G
v..,
%0 s~
(Name of individual lignin • • • • • • being duly sworn, deposes and says that he is the applicant
contract)
lbove named.
He is the
(Contractor ent, corporate officer, etc.)
A said owner or owners, and is duly out rized 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
work will be performed in the manner stet forth in the application filed therewith.
;worn to before ~~me~L this n'
........day of.
r
Jot~ty p eu lie, P. i~ou ty
ELIZABETH ANN EVIL LE . • • . • . • . • • • . .
Notary Public, State of Ng ' Y k (S nature of applicant)
No. 52-8125850, Suffolk ounty
Term Expires October 31, 19'
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