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Home My WebLink About20994-z • FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22591 Date SEPTEMBER 16, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 930 HOLDEN AVENUE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 5 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 28, 1992 pursuant to which Building Permit No. 20994-Z dated OCTOBER 1, 1992 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to RICHARD A. & PATRICIA J. NORRIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-285647 - AUG. 9, 1993 PLUMBERS CERTIFICATION DATED N/A ui1 ing Inspector Rev. 1/81 FORM N0. 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°- ° 20994Z Date ..0.A `U........). 19.2.~-- Permission is hereby granted to: J <.R.... A.:...... ........s...a $...nS., ,.tR.... MMA-;... ` ° %O:~ .~...-..(:.n................ at premises located at ....1. .....~....am...........S~R~. .!4th. . .....................p............... County Tax Map No. 1000 Section ~.l..p......... Block ......Q., Z Lot No.......~..R............ pursuant to application doted a.~........... 19.92; and approved by the Building Inspector. vvv t 4 t / i Fee . wilding Inspector Rev. 6/30/80 t \ Form No. 6 (f TOWN OF SOUTHOLD BUILDING DEPARTMENT SEP 1 4 a(: - ~765-1 02L i "APPLICATION APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF .3 r r 1;1;.,°8 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 "pte-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 $715.00 Date SE?~J~@~PtP„ 1......... few Construction..........~. Old Or Pre-existing Building ,ocation of Property 1 q,? C) ................!1.O House No. Street Hamlet nwer or Owners of Property../.rkG714Jl!~JI °C, . ( „t~ rGr~e 41 / ( r . , . , , . aunty Tax Map No 1000, Section..f........... Block. Lot... ubdivision ....................................Filed Map............ Lot...................... ermit No. Z.... Date Of Permit&~//Pf2N ,..Applicant.Ir~Y~?.lLGdr.qt.4l,~...!YpvA;S,- ealth Dept. Approval ..Underwriters Approval......................... Lanning Board Approval aquest for: Temporary Certificate............ Final Certicate.. to Submitted: Jr„ l» - Tom. f~ •./jAPPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 C94II4349a1Aa 11 2$5647 Date AUGUST Cg9, 1993 Application No. onfile THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named an the above application number in the premises of RICHARD NORRIS, 930r~ryHOLDEN AVROUE, CUTCHOGUE, N.Y. in thefollolcinq location; 11 Basement 2 1st Fl. El 2nd Fl. OUT Section Block Lot was examined on AUGUST 0 2 , 19 9 3 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.. AMT. K.W AMT. K.W. AA1i K W T. H.P 1 14 y i t 1.4 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W OIL H. P. GAS H P. AMT NO. A. W. G AMi. AMP. AMT. AMPS TRANS. AMT, H P NO. SYSTEMS FEET AMT. WATTS 1 6h9 SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TYPE METER 1 A' 2W 10 3W 3 R 3W 3,e' 4W NO. OF CC. COND A. W. 6. FOUIP. PER d OF CC. COND. NO OF HI LEG OF'M LEG NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: HOTORS:14 H.P. G.F.C,TL-I TRACK LIGHT114GI-16 PAUL R, BURNS LIC42326 27!i TOWN HARBOR LAW, SOUTHOLD, NY, 11971 GENERAL MANAGER 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 NOT BE ALTERED IN ANY MANNER. INSPECTORS ~~gUFFO(,~ Co (516) 765-1802 SCOTT L. HARRIS, Supervisor VICTOR LESSARD, Principal - CURTIS HORTON, Senior y x Southold Town Hall VINCENT R. WIECZOREK, Ordinance p P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire Southold, New York 11971 Building Inspectors Fax (516) 765-1823 Telephone (516) 765-1800 THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 9, 1993 The Rev. Richard A. Norris 930 Holden Avenue Cutchogue, N.Y. 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX 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 # 20994-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ l ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING INAL REMARKS: DATE IN8PECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [L, ~FRAMING [ FINAL REMARKS: DATE I L INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ j ROUGH PLBG. [ : ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL 'REMARKS: DATE INSPECTOR I~ ~a y DUNDATION (1st) N m I C, OUtlDATIOtJ (2nd) O OUCH FRAME & I PLUMBING r N a ` n a !JSULATZOt! PER N. Y. ' STATE ENERGY I CODE a FINAL ADDITIONAL COMMENTS: • f X M a o v i -v H " BOARD OF HEALTH ;,7 FORM NO.1 3 SETS OF,/PLAMS TOWN OF SOUTHOLD SURVEY J/. BUILDING DEPARTMENT CIIECKX. TOWN HALL SEPTIC FORM . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL Examined 19MAIL TO: Approved 0...~.. , 19q?~ Permit No.ao9 q?Q~y Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 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 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. 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 yinspections. l./re. Ml•.ktJ,.. ~.CNe . fJ.Q'LftQ . (Signature of applicant, or name, if a corporation) 430 /1/c4m. (Mailing address of applicant) //935- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. t~wn~r............ ...............................1..................................... . Name of owner of premises ".rldokd. PCLG~ , yA?/%S . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) cJer) y- h Cl A Builder's License No. ~Y ....Pl `il ~Ca h\5 19Dp9o Plumber's License No . Electrician's License No . Other Trade's License No . . 1. Location of land on which proposed work will be done . C 1- ....fl~/d~h.. 4!................. A „e..., ..!a'E~ f Fk House Number Street amlet County Tax Map No. 1000 Section , *~G Block ......as Lot ...Q~~.....:...... 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 4.::................ . b. Intended use and occupancy ....................................s' _'A 0V ( nil 3. Nature of work check which applicable): New Building Addition Alteration icy/Aft Aoc0 Repair Removal , , , . , . , Demolition Other Work (Description) 4. Estimated Cost ...f x'00, DA 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 . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each • ~ttlyyI'~~pe of use Y'I N i 7. Dimensions of existing structure , if any: Front ....Tai?.~ Rear if, Depth . AFT. .1/ , , . , Height Number of Stories !y.......... . Dimensions of same structure with alterations or additions: Front ....4AM Rear . , .S #~.r , . , • , • , , • Depth .........S4me...... IL . Height S!}y0........... Number of Stories ....Solna..... Height ction: Front Same Rear Amso...... Depth Aa• kt ° 8. Dimensions of entire new nrtbar of Stories w t n. . 9. Size of lot: Front . Yirk. , . , , , , , , , Rear ......J. ?!s............ Depth 10. Data of Purchase a...` .4 ~4 : . Name of Former Owner ~laeClah. , N ~ 1 11. Zone or use district in which premises are situated ....IA& . 12. Does proposed construction violate any zoning law, ordinance or regulation: .#0 13. Will lot be regraded . . Will excess fill be removed from premises: Yes No Name of Owner of premises Address Phone No................ Name of Architect 14. Name of Contractor • . 4i • Address Phone No............... . Address Phone 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. !y STATE OF NEW YORK, S;S COUNTY OF • ' ' ' ' • ' • • • being duly sworn, deposes and says that he is the applicant (Name individual signinlip contract) above named. Ile is the . (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 .F.. .......d,ayof 19.4a Notary Public, County JOYCE M. WLKINS \ G l `.Odic ems. . Notary Public, State of New York No. 4962248, SuHolkCouMY (Signature of applicant) Term Expires June 12, > 4D -10f-{ 01 0'09 C ' w P _ rn ~ N _ s 'V I f4y ~ 6~ ~ S ~ ~ ~ Horod ~ 3 r p 0I Ell K~ N o s° n N ~ n I ~ ~i e N ? J nl Q J z t9 = L~ ui F = UJ I a> N of~~" 05 M ,,.^O T G t.~ . , ~ ~Y. r I I. ' „ s~INbuw L ; ~ _ f' _ I+~DYms .~k7~' mj~i atAs"r I! 1 F I I J a ~ 35 ti45 I , _-l Ir LI=yJ T" 0h . Dgj, QYIU Ge 141N i~t.~y 4 2 v X ° 0.1lXiE leN r-j ~ - a fit)6E - 1 <fi5ia'c.c. I ! i.l~i i„r1 c.FEr. c,o. / IYkL 4'r9 $e kb Casit~'p 1 lr ,A ow, 41,e - ~ 2NV L3 „i J i ~1 a-NCiiE. Pnrrts r t I]e h'xen GAYWLi)F<AL ! .~"`~YSI :.TI~+I fr MM wh1~~.5 - Ezr;r Nfy+' 3 E FNhG 'pCe, P~Ai,~ SS ~ ~ .V~ ~ NoTC, f'ir-lt: r a -_'a cxt _ e ~ro - l~ { i L - TV,1~'cs.9... OCfUPAPPtCY OR UMMKMMMMM ~nn~s R!SF 6 QtiNWWFUR~ NORM WORM c.'9FNOUT CER TIFiCAFF APPROVED AS ESE 7rn OF OCCUPANCY INE9i AS NEAt'Cn DATE: i?j 1, tt B.F+p, i B.RA, ~a/0 9g4~1N0 FEE f"-' 6Y_L- - NOTIFY BUILDING OEPk.RTME !NG rrERrRTMENT AT NEID - 758-1502 a AM TO d PFA FO `Jy TO -4 PA FOR THE IMN EFORECOVS06 - FOLLOWM(' INSPc"CTiON C CT,oto i . Low - 7. FOUNDATION "N?(:) RE(,) FOR POURED CCNCRIFTE 'R!?ia REOUfREO J4MCONCRETE Nvie ~Q M . Z ROUCiH - FRAMING PI.UR 1h1ntC 'y Y!.UN7CdiYG fory ~ffl~Mr dlaViMR" - 3 iIVSUI'a?1011: Nq 4. FINAL ;p~A9y RUCTION l RIUCTIQN WST - OP~p"Ibo sin, POW BE COKiiPLETE FOR C.0. ALL CONSTRUCTION SHALL F FOR C.0 sf.riPMKaL - - b'[aili 1tliad - - - THE REQUIREMEN-rS OF TFIE fION SHALL WEY - ~ ~ Phone 477-040 TENTS OF THE N.Y. PLUMBER, CERTIFICATION - - STATE CONSTRUCTION & EM ucl-ION & ENERGY ON LEAD CONTENT BEFORE - - CODrS. NOT RESPONSIBLE GREENPORT. N,Y. 11944 - RESPONSIBLE FOR OESICN OR CONSTRUCTION, ERF sTRUCTION, ERRORS - CERTIFICATE Of OCCUPANCY - a=sy z. SOLDER USED /N WATER N 'a v'R'FY - i o ^ c 5! fY4-' SUPPLYSYSTEMCANNOT C ev flt~ur s, tir;rsrly EXCEED2/100f 19 L 6 EAD. uwc. FLQ`A r'F'r^> RQ- a eRW °ris PLAN NO. W.96 A ,SCALE H1:.}4G -