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Home My WebLink About20412-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21134 Date NOVEMBER 6~ 1992 THIS CERTIFIES that the buildin~ Location of Property 1495 HIGHLAND ROAD House No. County Tax Map No. 1000 section 102 Subdivision ADDITION CUTCHOGUE~ NEW YORK Street Hamlet Block 8 Lot 5 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28~ 1992 pursuant to which Building Permit No. 20412-Z dated JANUARY 29, 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 ROOF OVER EXISTING DECK ADDITION OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD J. & FLORENCE McKENNA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-238080 - JUNE 9~ 1992 / ~'ldfng Inspector Rev. 1/81 TOWN OF $0UTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20412 N~ Z Permission is hereby granted to: ~/// _ :..~....:......~~...~..:.~~ ~,n'~ ~ / / .~.~....~.....:..~.~ ....................... · -.5..,~-/..',- · ~ .. .... ~ ......... , ,o~~~.....~....,~L~.~..~~.....~.. .~~.~ ....... ~ ....... ~~~ .............. ~ ................ .:. .............................. at premises located at ..../......~..~....~.:.......~.~ ~~....~....~..~.. ................................................. Counb/ Tax Mop No. 1000 Section .... /~....~. Block .......... ~ ....... Lot No. ~ Building Inspector. 19 ........ , and approved by the Rev. 6130/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 A~PLICATION FOR CERTIFICATE OF OCCUPANCY 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 frdm architect or engineer responsible for the betiding. 6. Submit Planning Board Approval of completed site plan requirements. 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 i. 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 - $I0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 I~ Date ...................................... New Construction .... ~ ..... Old Or Pre-e 'stin Bui-din ................ Location of Property../~..~.~.~. ....... ~.~r.~.~.u~..~.~. ....... .~. ~L~.~.~ .~..~..... House No.~ -- Street H~{gt .... Onwer or Owners of Property. : County Tax Map No 1000, Section.../..~..~. f ..... Block ..... ~. ....... Lot ..... .~...~... Subdivision .................................... Filed Map ............ Lot ...................... NO~.~ .~.~ ~ ~/' '~' y~.'- · .~-'~-. · App 1 i Permit ..... Date Of Permit. cant. ............... . -'7' Health Dept. Approval .......... App ~'~ ................ Underwriters roval .............. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ...... Z.. ,, e,q Ofl " P IC, T THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~S t 1125~65 BUREAU OF ELECTRICITY ~--~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 /).re JUNE 09,1992 ,~plm,,.~io.a,o.o.fle 76610992/92 N 238ese THIS CERTIFIES THAT ED ~CKE~NA, 1495 HIGHLAND ROAD, CUTCHOGUE, N.Y. in the following location; ~ Basement ~ Ist ~7. ~ 2nd FI. OUT Section Bilk Lot tt~sexami~*edo~* ~A~ 28,~992 ~ 2 ~OTOR~2-~ 17 ~OREST TRAIL Per11 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD HARCH 6, 1992 S & Z BUILDERS P. O. BOX 722 CUTCHOGUE, NY 11935 RE: ED~4A~D MC KENNA & WF 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. The check is ~x~not on fileo)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT 9 2o4i2-z Please contact our office on this matter. cooperation. CC: Thank you for SOUTHOLD TOWN BUILDING DEPT. EDWA/~DMCKENNA &WF ~OUNDATION (~st) ~OUND ATIO~U ( 2nd ) ',OUGH FRAME & .PLUMBING :NSULATION PER N. Y. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS: 7G5.'1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~DATION ZND [ ] INSULATION [~]/F~MING [ ] FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS ].[~06~-i BUREAU OF ELECTRICITY ~- B5 JOHN STREET, NEW YORK, NEW YORK 10038 Date THIS CERTIFIE~ THAT only She electrical equipment ~* ~scrlbed below a~ int~duced by tim applicant ~med on the above application number in the premises of in the following location~ ~ Basement ~ Ist ~. ~ 2nd ~. O~T Section Blm~k Lot was exatnined on [~ ~ 2 ~ ~ [ 9 9 ~ andfour~d ~ be in compliance with the regulremenis qf this Board. FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS FIXTURE ! 2 DRYERS MULTI-OUTLET SYSTEMS NO, OF EEET OTHER APPARATUS: 5 E A W.G. NO OF HI-LEG C E A W O Thio OF NEU'/RA[$ A W O. OF HI.LEGi O~ NEUTRAL 11961 GEN/~EAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, I~spectors may be identified by their credentials. COPY FOR BUILDlliG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NO-~ ALTERED IH ANY MANLIER° SURVEY FOR EDWARD McK~NNA ~ FLOHENC£ Mc~NNA £OT NO. B, ' HIGH£~ND ESTATES " AT CUTCHOGU~ TOWN OF $OUTHOI D SUFFOLK COUNTY, NEW YORK YOUNG 8, YOUNG .,vE..~^O. NEW YOR. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH su vr.¥ .............. c,r.c:-: ............ .............. · ~,,; SOUTHOLD, N.Y. 11971 !:, i : TEL.: 765-1803 Examined . Approved ............... 19~7~z~ Permit No. ~ .... Disapproved a/c ..................................... . (Bu~din, l~si~ector) 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. c. The work covered by ttris 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 inspections. ('g pp' , ,' p ' ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~..~..Z~../'/.~.~..d...~.X~.¢/f~4~... ~C..,~. a/~..,p{.~.. .............................. (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.. [)~.. ~Z/( Z~/(.ff Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .................... ............ ................ House Number County Tax Map No. 1000 Section .... ,/..O..c~ ........ Block ...... ~. .......... Lot .... .~.. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.../g../.~.~/.'~/~. '.~/.~./. ....................... ~: ..... ..?.. ,~ :! .............. b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ..... Addition .......... Alteration ........... Repmr .............. Removal ............ Demolition .............. Other Work .~"C~t/~,~... ~f~/~.q~ i (De.~.~ption) 4 Estimated Cost ' ~ ii .... . ~ ...................... Fee ..................... (to be paid on filing this application) 5. If dwelling, number of dwellinglunits Number of dwelling units each floor If ga be of . - rage, num r cars . ~ ..................................................... . .... 6. If business, commercial ' or mzxed 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 ' ' Height ·-Number of Stories 8. Dimensions of entire new constructmn: Front ............... Rear ............... Depth .............. Height Number of Stories 9 Si f 1 F .............. · zee ct: rent .......... ...i ...... ... Rear ........ .. ..... Depth 10. Date of Purchase i ............................ ........... i ......... ' ......... Name of Former Owner .......................... 11 Zone or use district in which premises are situated ' ' 12. Does proposed construction viotate any zoning law, ordinance or regulation: 13. Will lot be regraded ......... ! ................... Will excess fill be removed from premises: Yes No fp ' 14. Name of Owner o remises ..; ................. Address . Phone No. Name of Architect .......... i ................. Address ................... Phone No ................ Name of Contractor i.. Address Phone No 15. Is this property within $00 feet of a tidal wetland? *Yes ..... ~.. No ......... *If yes, Southold Town Trustees Permit may be required. .! PLOT DIAGRAM Locate clearly and distinctly allI buildings, 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. STATE OF NEW YORK, $.S COUN[FY 0F ................. " .... ~" '~'~' ( .................... being duly sworn, deposes and says that he is the applicant (Name of individual signi lg contract) above named· He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul authorized to perform or have performed the said work and to make and file this application; that all statements cents ned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manneriset forth in the application filed therewith. Sworn to before me t ........................ day offf . .o?...~., 19 .~...~__ Notary Public, · '~ ' /'' xg~/~'g'°unty 7/'// _ HELENE D. HORNtq l NObly Pu~b. lk~, State of New York ........ '; .................. ~o. 4951364 I (Signature of applicant) Qu-Ilfi~ In Suffolk County Commi~lon Explre~ May