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Home My WebLink About21350-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22847 Date JANUARY 21~ 1994 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 85 SILVER COLT ROAD CUTCHOGUE~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 1993 pursuant to which Building Permit No. 21350-Z dated APRIL 20~ 1993 was issued, and conf. orms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATION TO ENCLOSE & ROOF ALCOVE ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & BERNADETT~ PETERSEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-297975 - DECEMBER 6~ 1993 Rev. 1/81 Lv~UM' NO. 0 TOWN OF SOU'~'fOLD 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~N? 21350Z Date .................... ~ ..........., $ 9.~...~, Permission is hereby granted to: .... .e.~....~.~....~.:..~:....~..u..~.~.~. ....... ~-I ,o.....~~...~..£.~..~. ....... ~ ~....~......~...~..~.....~..~ ~.~,......~,.....~. ,~. ~ .~ ................................................... ..'. ................. ~ ......... , at premises located at ..... ~.~ ....... ~.....~......~.......~.. .....................~.~,..~ ............ Co~.tv To× Map No. ~000 See. on ...... .m...~..GT.. ...... mock ....... ~.5 ........ Lot No ...... L~..,..~ ........ pursuant to application dated ........ (~......./...~..~ ................... , ~9.~.,~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTNOLD BUILDING DEPARTMENT ~CA~O~ ~0~ C~C&~ O~ 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. p. 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 ~oard Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural o~ 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 ~riting 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 ..../~.. f.~.'~..~...~. ........................ New Construction ........... Old Or Pre-existing Building .... ~ ...... ~ Location of Property .............. f I/'"xe'/'' ~__xa~:.~Z ! ~ ('.~fi ZC/~.(~[/X ouse No. ~tr.e_et Hamleg/ ~ Onwer or Owners of Pronert,, ./d)~-~P~ ~ ~'~ ~ ~ AJ~. ~ J ........... t ......... 7' ............... ~''" ''~"''~'''~'";'"'''" ' ?.~''~'~ County Tax Map No 1000, Section...~..~-. ...... Block ...... .~. ........ Lot ...... /.~.:./. ........ Subdivision ................ ~ ................... Filed Map ............ Lot ...................... Permit No. ~.,/. ~..~.~.. [ .~.Date Of Permit.'~ .~..~.2%-..~..] ~.~.Applicant ............................. Health Dept. Approval .......................... Underwriters Approval.././.k..~.ff?.~.. ........ Planning Board Approval ........................ FeeRequeStsubmitted:f°r: Temporary%, ..................... ~---'Certificate .... ii[ iiiiI Final. . ~...'/~~~Certicate' ......~/~-~-~ ff, c.c/7 iO ....... ........... ............ .... ' .... THE NEW YORK BOARD OF FIRE UNDERWRITERS [ ]. 6 ~ ~ 9/~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date D~]~[~[~ 0~[99~ ~pplicatlonNo. onfile 8178~293/9~ 1~ 2~7975 THIS CE~IFIES THAT o~y the electrical equipment ~ ~scrJbed below a~ int~uc~ by t~ applicant ~med on the a~ve application number in the prem~es of in thefotlow~n~ location; ~ Basement ~ Ist Fl. ~ 2nd FI. O[IT Section Bilk Lot ~sexamlnedon I) l~ C ~ ~{8 ~] ~. <~3, t993 and found to be in compliance with the Na~onal Elect~cal Code. FIXTURR FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 4 2 DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: ftO~IO~ IIF4~C~OIb. 1. E R V I C NO, OF CC. COND, A W G NO OF HI,LEG A W G NO OF NEUTRALS A, W C- PER ~/ OF CC. COND OF HI-LEO OF NEUI~AL GINIRAL MANAGIR 1.1 This certificate must not be altered in any manner; return to the office of the Board if'incorrect. Inspectors may be identified ~ ~heir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 7GS-X80d/ BUILDING DEPT. INSPECTION FIELD t,,S,=~,~ON '- _ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'T THE NEW YORK BOARD OF FIRE UNDERWRITERS Pa~ ~ 1~ ~ s~ ~ ~ SU.EAU OF ELECT.,C,TY ~- 85 JOHN STREET, NEW YORK. NEW YORK 10030 1)ate DgCg~(I~gR 06,1993 JppllcationNo. onfile 81785293/93 N 297975 THIS CERTIFIES THAT o~y the electrical equipment ~ ~scrlbed be~w a~ intr~uc~ by t~ applicant ~med on the a~ve application number in the presses of in thefollowing location; ~ Basement ~ 1st Fl. ~ 2nd ~. O U ~ Section Bilk Lot ~sexamlnedon D~CE~BER ~3 t ].99,3 and f°und to be in compliance with the Na~onal Elect~cal Code. $35,,00 85 $ILVP~ COLT RD, CU?CHO~UE, NY, 11935 UNIT HEATERS MULTI-OUTLE SYSTEMS ' ' NO. OF FEET c E EXHAUST FANS DIMMERS NEUTRAL AA~OUNT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PL.BG. [ J FOUNDATION 2ND [ ] INSULATION ~~MING [ ] FINAL FORM NO, 1 TOWN OF SOUTHOLD ~-G-U I LDING DEPARTMENT . .. i TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . 0%0., 199 ~, Approved . . .~...., 19 ~.~ Permit No.~/..~.~...~..'~.. Disapproved' a/c ................................ 2 .... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF SURV£Y CIIECK .......... , , Z.ZZ:Z.:..::. H~L ~0: 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 stYeets · 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 tiffs 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 de~n, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing/code, }nd regulations, and to admit authorized inspectors on premises and in building for necessary inspect· -- ' (Signat r.e~,applicant, or name, if a corporation) /Q, (~ailing address of_appliqan, t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricia/n, plumber or builder. N~ne of owner of premises ~ t4 4 (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 ......................... E ectric an's License No ..... //. ..... Other Trade's License No ...................... I. Location of land on which proposed work will be done. House Hum bet Street Hamlet Cotmty Tax Map No.1000 Section .. ~ .?.~..-~...~. ..... Block .... .~-..~?..~?..' Lot.../..~..-..~..~. ~. .... Subdivision ~F' . ;/../q ........................ Filed Map No. ........ "' (Name) , Lot 2: Stat~ existing use and occupancy of premises and intended use and occupancy of proposed constructioni a. Existing use and occupancy...~....¢.~1.¢. A~(~ .... ~-;./~, .... )~..~-. ~'.":'. d.: .".: :" :"' ..... b. Intended use and occupancy ..................... . ................. ·. · 3.Nature of work (check which a~Pplicable): New Building . ~ ....... Addition ..... Alteration .......... pai ° ' Re r .............. RemovaI .............. Demolition ..... : ......... Other Work ............... .~...O co (Description) 4. Estimated Cost ........ ~';' ..................... Fee be paid on filing this application) $. If dwelling, number of dwellin; Units ................ Nurnber of dwelli(nt;units on 'If garage number of cars ! ' each floor ................ 6 If business co,mmercial or mixdd occupancy specify nature and extent of · ' ' , ,each type of use 7. Dimensions ct exmt~ng structurbs if any: Front .... ~ ....... Rear ............... ' ..... Height Numt~er of Stories .... · · . · Depth D~mensinns of shine structure v~ith alterations or additions: Front ................. R Nh b f St ' ' 8 Di i f ' tim' e ................... :.. m ere cries .......... ti · · mens OhS o en re new cons ction: Front .............. :. Rear ....... Depth ..... H ight N mb f St ......... , e ............... u er o odes .......... , .......... 9. Size of lot: Fr0'ht : ' ......... ,~ ......... ~.. Rear ...................... Depth ................... 10. Date of Purchase ' Name of Former Owner ... hp ................. 11. Zone or use district in whic remises are situated ..... ' . '. ....... t or re u ' : .... · . t ' .12. Does proposed construction vic ate any zoning law, ordina 13. Wall lot be reeraded. . ...... g lat 14. N ...... ~ ~ ' .' ' ' ' ,~)L' ;~.' 'LLL ........... wni excess fill D,e remov~.d from premises: Yes o mn~ m uwner oIprem~ses . ./:-.T..~'~2C..,~.e'~ ....... Address ~..'-,%~ t ~,[/...~:~..c.c. · .~. Phone No. 7~...~/. :~"'~/.5. Name of Architect ........ I · · · .~ ................. Address ................... Phone No. · . . Name of Contractor .... · .......... : .... ....... ~ .............. Address ............. . ...... Phone No ............... 15.' 1.s this property within ~00 fee~ of a tidal wetland? *Yes ........ No....-F .... · If yes, Southold Iown 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 Hnes. Give street and bock number or description according to deed, and show street names and indicate whether interior or corner lot. gTATEOFNEWovO'p,K, ~ ///I ' ' ' ' .[../L s'is ' (Name 6f individual signin¢ contract) being duly sworn, deposes ~d says that he is the applicant bove named. is the . ...~... ............. ~.~. . ' , ontractor, agent, corporate officer, etc ) said owner or owners, ~d is duly ~uthofized to perfo~ or have perfo~ed the said work and to m~e and file this ~plication; that all statements contained ~ thisnpplication are frue to the best of his knowledge and belief; and that the ork will be perfomed in the manner s~t forth in the application filed thereMth. wom to before me. thi~y ~ ..~( [ . ........... . ota~Public . . County ~ · C~ RELG~ ~ '. Nom~ Publlo, State of Ne YO~ . ~ . ~ J ' · ' ~U~Y FOR: dOSEPH PETEES~N AT CUTCHOGUE O~T[= ~oR '"r~'OVAL OF CONSr~[~C~--~. x,~[y ~N ~ SOUTHOLD SCALE= ~UFFOLK CO~NTY~ NEW ~RK ~0. e4-~27~ ,~A ~ ........... I';S ~?F~ ~'~O,~ ........ ~UTH~IZED ~CTERATION O~ ADDITION m ~IS GUARANTEED T~, SURVEY m AVI[*TION ~ SECTION 720~ ~ THE METROPOEITA~ ~U~E~NTY CO. ...... WCOPtES ~ ~1S S~VEY NOT ~AR~G-THE LAND SOUTHOLO.SA~t OTHER THAN THOSE SHO~N HEREON, OWNERS * ~3 ~- YOUNG YOUNG NOTES: ~= STAKE ~ ALDEN W. YOUNG~ PROFE~IONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W, YOUNG, LAND SURVEYOR g ~ L~ ~ ~L(W),~IC TANKIIT)a CE~OLI(~) ~N ~E~ N.Y, S. U CEN S E NO. 4589~