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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-22351 Date MAY 21, 1993
THIS CERTIFIES that the building ACCESSORY
Location of Property 610 TUTHILL ROAD EXTENSION SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 6 Lot 15.22
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 12, 1993 pursuant to which
Building Permit No. 21275-Z dated MARCH 18, 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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to RICHARD & JENNIFER QUARTY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ui1 ing Inspector
Rev. 181
roses NO. s
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)
N°-111'° 21275 Z Date ...1~ 19.93
Permission is hereb ran to:
to
a Zmises located of . `7
...7.........................................................................
County Tax Map No. 1000 Section Block C~ Lot No.../
pursuant to application dated 192 , and approved by the
Building Inspector.
Fee $..v.Q...!
it ing Inspector
Rev. 6/30/80
INSPECTORS
Victor Lessard i?I
Principal Building Inspector
Curtis Horton SCOTT L. HARRIS Supervisor
Senior Building Inspector
Southold Town Hall
Thomas Fisher P.O. Box 1179, 53095 Main Road
Building Inspector _es
Gary Fish ='n ''may ar Southold, New York 11971
Building Inspector Fax (516) 765-1823
Vincent R. Wieczorek Telephone (516) 765-1800
Ordinance Inspector
Robert Fisher .
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 7654802 TOWN OF SOUTHOLD
MAY 17, 1993
RICHARD QUARTY & AND
610 TUTHILL ROAS EXT.
SOUTHOLD, NY 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XXX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XXX The check is /not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 21275-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
>s,
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ( ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ,p [ ] FINAL
REMARKS:
DATE INSPECTOR
1ELD i _ i~a ;:.-fLXL ur- 9J.
.77
a
OU11D 0*! (1st) ~V ~1
OUNDATION (2nd)
C
OUCH FRAME &
.PLUMBING I y
y
H ~
m
:11SULATION PER N. Y. I y
STATE ENERGY
CODE I
Wrq,
FIaAL
ADDITIONAL COMMENTS:
a
M
• r
H
z
.a
H
3. Nature of work (check which applicable): New Building Addition Alteration
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 ..o? ~14Z
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front Rear Depth
Height , , Number of Stories . .
Dimensions of same structure with alterations or additions: Front . . Rear .
Depth ......i............ Height ......7:71 Number of Stories
Dimensions of entire new construction: Front o?Y. , Rear . , Y......... Depth ca. , , , ,
Height Number of Stories -2 .
9. Size of lot: Front Rear Depth
10. Date of Purchase l99P . . . . . . . . Name of Former Owner ell
11. Zone or use district in which premises are situated ..~C'cs Y!d~+ ri q/ .
12. Does proposed construction violate any zoning law, ordinance or regulation: ..??,a .
13. Will lot be regraded .../.d4/. ~ . Will excess fill be removed from premises: Yes
14. Name of Owner of premises 0rIYARL. ~~/d y'~cc Address .:e}ox z6f%.cfW~i?Y!~? Phone No..76J .-4rQ4 , ,
Name of Architect -......q-~4f?7( Address Phone No................ ,
Name of Contractor Address one No.
15. Is this property within 300 feet of a tidal wetland? *Yes....... No
*If yes, Southold Town Trustees Permit may be required. ;
PLOT DIAGRAM
Locate clearly and distinctly all buildings, 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.
STATE OF N R S.S
COUNTY OF tom.
• • • • • •~•l•~G4/~C+. • • Rtr • being duly sworn, deposes and says that he is the applicant
(Name of individual signin contract
above named.
He is the .................."(A N
(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
application; 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 set forth in the application filed therewith.
Sworn to before me this
t6-.~
.dayof... 19r~3
Notary Publ C.
Co
unty
CLAIRE L GLEW
Notary Public, State offNowYork • • . • • • • ~1.........
No.48795o
Qualified in Suffolk County (Signature of applicant) \
Commission Expires December 8,18,
t.
i
BOARD OF HEALTH
FORM NO. I .
,~-3 SETS OF PLANS
TOWN OFSOUTHOLD /SURVEY
MAR 1 21993 BUILDING DEPARTMENT CHECK
?ilk' TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
rya wo>QK
TEL. 765.1802 MOTiFY'
s
CALL 7 p?~v
Examined. MAIL TO:
.
Approved ..:<~.../,t~ 1 4 NlIermit No. . . . . . . . .
Disapproved a c
(Build' g In c or !
APPLICATION FOR BUILDING PERMIT
Date ' 19
i
INSTRUCTIONS
~ I
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 applicattion, 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.
(Signature f plicant, or name, if a corporation)
dXo?l~.auiHa.<y?.ll~ /~i1?...........
(Mailing address of a licant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
-°!!?i2........
Name of owner of premises Z! h*q, ~f NN f8K
..Wm ~g ~r0
(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 . .
Electrician's License No.
Other Trade's License No. .,...I . . . . . . . . .
1.. Location of land on which proposed work will be done . ......r.............................. .
6 !o H. l.c7l!! No~!a .
House Number Street Hamlet
r
County Tax Map No. 1000 Section Block kz Lot. .
. ~ . ~~%•.v~rv~ .
Subdivision .................I............... 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 i....~
b. Intended use and occupancy 9~~GL .
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UNDERWRITERS CERTIFICATE
REQUIRED D
OR~~1
0c~7rya
a~
SURVEY FOR
SUFFOLK COUNTY DEPARTMENT Or HEALTII SERVCESCS RICHARD QUARTY S JENNIFER QUARTY
SIN"BOLE FAMILY DWELLING ONLY DEC 13,1990
LOT NO.19, "HIGHPOINT MEADOWS, SECTION TWO OCT. 10, 1990
DATU 2-n 1990H.S. REF. NO. ~o=so ~~7 AT SOUTHOLD DATE AUG. 15,1990
The sewage disposal and water supply facilities for th!s TOWN OF SOUTHOLD SCALE' I 40'
focationhue heeninspected by this 11oprtllentand/or SUFFOLK COUNTY, NEW YORK NO 90-0609
other and f d t atls '
, i
t~, , •y
Icl R UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED T01
Chief f Bureau of Wastewater Mana ement SURVEY 4 A VIOLATION OF SECTION 7209 OF THE RICHARD OUARTY
g MEW rORK STATE IDUCATtOM LAW dE NNIFER
W COP I ES OF THIS SURVEY NOT [FARING THE LAND
SUAVEYOAS INKED SEAL OR EMBOSSED SEAL SHALL SUFFO N OTO L RANK
NOT GE CONSIDERED TO BE A VALID TRUE COPY TICO TI E OMPANY
¦GUARANTEES INDICATED HEREON SHALL RUN ONLY TO
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED (TI E 1
AND ON HIS BEHALF TO THE TITLE COMO-MY, GOVERN- D tyYl A OG
M NEAREST WATEA WA1N._11111, ! MSOURCE OF WATER PRIWTE_PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED si
M OFF CO. TAX MAP COST 1000 SECTION SDBLOCK GLOT D/° 15.1 HEREON, AND TO THE ASSIGNEES OF THE LENDING
*THEME ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
M THE WATER SUPPLY AND SEWAGE D42PMAL SYSTEM FOR THIS FIES IDENCC OWNERS
WILL CONFORM TO THE STANDARDS OF THE 3LHTOLN COUNTY DEPARTMENT MDISTANCES SHOWN HEREON FROM PROPERTY LIMOS
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
DP HEALTH fUVICLG.
APPLICANT- PURPOSE AND ARE NOT TO BE USED TO ESTABLISH 45
PROPERTY LINES OR FOR THE ERECTION Of FENCES Hf
ADDRESS Fp NAND S IN 0
7<L YOUNG a YOUNG RIVERHEAD, NEW YORK
NOTE =STAKE O= PIPE ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAR.19, 1990 AS FILE NO. 8911. AND LAND SURVEYOR N YS LICENSE NO 1283
'B HOWARD W YOUNG, LAND SURVEYOR
o MTHE LOCArmof WELL(W),SE?TIC TANK(ST)BCESS?OoL.3IDP) MOWN HEREON
m Ak PROM FIELD OGSERMATI OR DATA OBTAINED FROM OTHER! N Y S. LICENSE NO GS891
e
BRANDIS A SONS INC.
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MAR 993
TO
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SURVEY FOR
S~NGLE FAMILY DWELLING ONLY RICHARD QUARTY 9 JENNIFER QUARTY
LOT NO.19, °HIGHPOINT MEADOWS, SECTION TWO DEC. 13,1990
DAT ~99~1LS. REF. NO. 2Q =la-_W7 AT SOUTHOLD DATE AUG 151990
OCT The sewage disposal and wat:',r s.irp'y facilities for this : AUG. 1,199o
location have been inspected h> ibis Cepartmm and/or TOWN OF SOUTHOLD SCALE I"= 40'
L other ens and~pund/jo e sa actory. SUFFOLK COUNTY, NEW YORK No. 90-0609
UU r ~ •UNEUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO%
Chi f of Bureau of Wastewater Management SURVEY M A VIOLATION Of ![CTION 7200 OF THE RICHARD O
.y NEW YORK STATE EDUCATION LAW
*COPIES OF THIS SURVEY NOT MEANING THE LAND JENNIF*FR~ NF
SURVEIOR•S INKED SEAL OR EMBOSSED SEAL SMALL SUFF KA+~ I BANK
NOT N CONSIDERED TO ME A VALID TRUE COPY TIC TI ANN PANY
RGYARANTEIS INDICATED HEREON SMALL RUN ONLY TO
HEALTH DEPARTMENT-DATA FOR APPROVAL d0 CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED (TI E 1290 -1(
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- D Nr OlI PA
• NEAREST ISO GAIN EMI • NSOURCE of WATER MuMTE - PUBLIC - MENTAL AGENCY AND LEMONS OISTITUTRON LISTED
R MVf CO. TAK MA? OMTIMSiCTlglyy_BLOCK 9 LOTR4LID.1 HEREON, AMID TO THE ASSIGN E[S OF THE LENDING y
R THIN ARE NO DWELLINGS WITHIN MOO FEET Of TABS MOP[RTI INSTITUTION GUARANTEES ARC MOT TRAMSFERA BLE
OTHER THAN THOSE SHOWN HEIEEON. TO AOa TIOMAL INSTITUTHRNS ON 3UMB[WEMT
M THE SISTER SUPPLY AND 691IMEp AL SYSTEM Pon THIS no I of OWNERS
WILL CONFORM To THE fTAMOMpS'eF SUFFOLK COUNTY OE?ARTI R 019TAMC[3 SHOWN MERLON FROM PRO?tRTY LIN[f NO
OF HEALTH SDVIC[!. TO EXISTING STRUCTURES ANC F011 A SPECIFIC
APPLICANT, PURPOSE AND ARE NOT TO ME USED TO ESTABLISH
4 PROPERTY LINES 00 FOR THE ERECTION OF FENCES TED LAND
ADORES!
YOUNG YOUNG *10(STRANDER AVENUE
RIVERHEAD, NEW YORK
NOTE ; o = STAKE O= PIPE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 8911. AND LAND SURVEYOR N.Y.S. LICENSE NO. 12945
HOWARD W. YOUNG, LAND SURVEYOR
°W MTWLOCATMWVML(W),MMCTANK(V"MC[pPOCL24W)a101[NMMIGN N.Y. S. LICENSE PIO.45893
+ AM PROM FIELD ONUMTH)MS YID ON DATA OBTAINED FWa1 OTHERS
2.G.
BRANDI9 A SONS INC.
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
REMARKS:
DATE ,5 INSPECTOR
TOPOF RIDGE
1,7 -
it
ao
tOPOF PLATE -
~Sry
S
- o
p A
TOP OW K
rIJ
I I I I I I ° I
TOPor FoorIU& I r-L W~~
II.\ I 11~~TI I ~I 4 II,\ I
FAST ELEVATIOH uo~
SCALE g"=1'-0"
SL41LE - I 0
rr~
4r I
F - I.
f I R I, "2, Lyu u~a°u r
ASPI ~A[-T SI ~IIJ~~ES
z"PLYWOOD SI FE 7L41fJG r~ Js r. vv Ss`vvl jFu
RAFTER - ro
n
22 ~ TN
Ixb" FASLI~ /
-A No~sF C)
-o - ~ VENTED \
o~ ( ( a VIAIYL SOFFIT
n I` -5"CONCRETE SLrkg~ N vIUYL SIDIM&
SI-FEATUWI~ ' -0475 SF N GkRpU6~
pP RO ED 1 AP RO ED AS NOT 68 `
Z' EXPANSIOf j ; 01VF DATE~`S-p ~3 E
~`9' 16"[7t'+. 5"LONG. SLAB FEE: F b BY GG ~!.FV BUILDING DEPARTM
~1 NOTIFY BUILDING I I~"GcNLL10~ 801.T w~'~/,F C'Gy f1« 765-1802 9 AM TO T ~Ip? UI 1802 9 AM M M TO n PM FOR 7HE
cq GRADE FOLLOWING INSPEC OWING INSPECTIONS.
'Ijo .x 1 FOUNDATION )UNOATION TWO REQUIRED
FOR POURED COP )R POURED CONCRETE rt7.Y"
1= ' • e 2. ROUGH - FRAMIP 0 8"GONG. = 1111=1111=IIII 1 INSULATION )UGH - FRAMING & PLUMBING SULATION
UAL - CONSTRUCTION MUST ,
n Ib"M24"(pNC,FTG-fill " II =IIII 4 FINAL - CONS' a. -IIII= BE COMPLETE FO E COMPLETE FOR C.O.
ALL CONSTRUCTIOP OVER ~rorZS -1 TI '',da I= THE REQUIREMENT: CONSTRUCTION SHALL MEET ~jI q Ir
REQUIREMENTS OF THE N.Y. ~LO~ V I / 1 III~~~A
STATE CONSTRUCTI CODES. NOT RES! E CONSTRUCTION & ENERGY Q S. NOT RESPONSIBLE 1 4~3"FOINT N1Elk~WS LOT N0. 19 'X
~ I I 1 ~ 6 .Q ~ ~ p VCpIV1V VX liV1YJIml 0 n~. vn WINb I nuc uvrv ennUns SALE I"'40'
I,_~„ GL~~I~GE P~G~fJ FOR RILI-IttRP n7EIJfJIFE
7' D" 7' D" 3' 1" SCALE Z I' 01, ~~ED "rreovo"v:
DAM: DI1111N
LOT Wo.19 416W OUT KAAPOWS