HomeMy WebLinkAbout21156-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22056 Date DECEMBER 23, 1992
THIS CERTIFIES that the building ADDITIONS
Location of Property 1845 BROADWATERS ROAD CUTCHOGUE N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 104 Block 11 Lot 1.7
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 9, 1992 pursuant to which
Building Permit No. 21156-Z dated DECEMBER 9 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 DECKS ADDITIONS ON EXISTING ONE FAMILY DWELLING AS BUILT
The certificate is issued to THE SUFFOLK COUNTY NATIONAL BANK
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
/'e4~
Building Inspector
Rev. 1/81
MUM 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)
WN° 2115OZ Date ..1dpl/.`kf 19.x'
Permission is hereby granted t .
r~ ...........rl9~r
to ..d ~u .......en.... ...GM%.`~ rs co o
at premises located at /ff1..I'. i ! .......k cn~.P1
.
County Tax Map No. 1000 Section ..../Cl.. Block Lot No........ Z .Z.....
pursuant to application dated ...z21-F 19.7..' and approved by the
Building Inspector.
Fee S......
r ding . ~ for
Rev. 6/30/80
TOWN OF SOUTIIOLD r Q BI/ Fd
i ~5 ~i ,'r LCa
• BUILDING DEPARTMENT I~ _
TOWN HALL
765-1802 DEC 1 1 10
APPLICATION FOR CERTIFICATE OF OCCUPANCY _°'w EP
5OVIrN OF SOO'~FiOLD
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 }ised in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences ancT 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
I. -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.
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 Gfln(3~-YZ i0 6t -2
onstruction........... Old Or Pre-existing Building ~ ye S
P
Ion of Property.. (p..L) . 3QVi+D IVI 77-- 2f lGCl140 .Evi.C_1*&a4~
House No. Street I"' ) .~E31J yn2l~
_ -Hamlet
or Owners of Property., T „Svc%`~/~ CfTc/r1 ~//~~Nt~G
Tax Map No 1000, Section... y;,~~,glock. Loc..
00/. 00 7
f} n~ e>v iD /kl~ A
'ision.. ./,Va5F,5 ....(90U •1..... P la ~?7g
...,Filed Map. ~/5•(p••.„Lot. „
$Ur v t
No ................Date Of Permit Applicant.
Dept, Approval
..Underwriters Approval....
19 board Approval........
for: Temporary Certificate ........,CAS
Final Certicate.......
emitted:
( f jam./......../I?' .
ICANT
1
II
itE , FINKELSTEIN, LUNDBERO, ISLER AND YAKABOSKI
~!E i I ATTORNEYS AND COUNSELORS AT LAW
a ~9. ®TM 456 GRIFFING AVENUE, CORNER OF LINCOLN STREET
ry~q~R DC;. IDF PT P. O. BOX 389
RIVERHEAD, N. Y. 11901
PIERRE G. LUNDBERG
FRANCIS J. YAEABOSKI
FRANK A. ISLER (SIG) 727-4100 REGINALD C. SMITH
1926-1903
SUSAN ROGERS GREW FAX (516) 727-4130
HAIR O. BETTS
DAWN C. THOMAS
DOUGLAS R. DSFEO
December 10, 1992
Town of Southold
Building Department
Town Hall
Southold, New York 11971
Re: 1845 Broadwaters Road, Cutchogue, New York
Dear Sir or Madam:
Enclosed please find the building permit
application and certificate of occupancy application
for issuance of a C.O. for the two decks which have
already been constructed at the property.
Further enclosed please find a current
survey, a copy of the 1983 C.O., and two of our firm
checks covering the fee for each application.
Thank you for your prompt attention to this
matter.
Very truly yours,
AA(, -
SUS11N ROGERS GR
SRG:dmg
Enclosures
r. FORM NO.4
w TOWN OF SOUTHOLD
BUILDING DEPAPTIVIENT
Office of the Building Inspector
Town Nall
Southold N.Y.
Certificate Of Occupancy
No..z120CC........ Date ......Octn>aer.2.4 ...............14 ,
THIS CERTIFIES that the building . , .ncw. ~we7 li n;
Location of Property 9845 3r0adw tens Road cutct_ogue..
HOUso No. Sweet Hamlat
County Tax Map No. 1000 Section p4....... Block ..11........... Lot ~ c P / 0 1 .4
Subdivision .Ha53374, FL, Club Prop. , ,Filed Map No. 15 Lot No.2816 ? . p./o-,285
Amended Map h
conforms substantially to the Application for Building Permit heretofore filed in this office dated
J.aplaary . , 10$ . pursuant to which Building Permit No, , ? 21 6 G 7
dated .February 24 83
• • • . • . - . , 19 ,was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for whidi this certificate is issued is .
a private ane family dwe]ling.
The certificate is issued to .....j0FN R. & DIANNE M. DEMPSEY
of the aforesaid building.
Suffolk County Department of Health Approval, ? ~,-a 0- 9 5 , 9 / 1 F /8 3 , A 0 b L , A . i i 17 a , F , E .
UNDERWR4 "R.S CERTIFICATE NO... _ N 613578
c4Z?4~...7z'
Building Inspector
Roo. Val
TOO IM SSZ.LF (10'I"I'A'S '-4'- - - - _ 6T:9T Z76/TT/OT
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] IN TION
[ ] FRAMING [ FINAL
REMARKS:
DATE Z,`- INSPECTOR 'J
FORM NO. 1 3 SETS OF PLANS S.. }
TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT CHECK .
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 ttOT i FY
CALL
amined ~Z, off 199 NAIL TO:
proved y. , 19 Permit No..~W/~.
;approved a/c
~1-e
d
mg Inspector)
DEC APPLICATION FOR BUILDING PERMIT
Date . j~ Z (3V?Y~ .~i 19`7: -
DEPT.
TKP,-.. ,)F dOtl'+.', _ INSTRUCTIONS
a. This application must be completely filled in by typewriter Orin ink and submitted to the Building Inspector, with 3
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
areas,`and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ion.
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
Il 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
11 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
(ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
,ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
iit authorized inspectors on premises and in building for necessa inspections.
Si to e ~~f ap c nt, o nan E~if rpoo atpo
1."~.... 1.. U ..f.......
(Maili adIsys oaf a plicant) /y
a general ral contractor, electric an, plum/ '[1ber or 'builder.
to whether applicant is owner, lessee agent, architect engineer, /v
S2St2'P.?.i~1~ ....c. ............t....i......../y:..............................
me of owner of premises
(as on the tax roll or latest deed)
app ant is a corp tion, signature f duly authorized officer.
.
(Name and title. f corporate officer:).
~~wv
Builder's License No .
Plumber's License No .
Electrician's License No .
Other Trade's License No .
Location of land on which proposed work will be done .
LS...i?a:...... 6V-1Z- o~~
House Number Street Hamlet
County Tax Map No. 1000 Section 1(9 D
Y P .....l........:.. Block .:.....t...7~ Lot...
Subdivision . .'AAOO /o
ht N Filed Map No. ~.5. t'...... Lot . ~,Z,~
(]"fame) U z0~. .
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
h Ck6 k-5 .
.•JFyn . .
____...o : LG4L1Vll
.
ePair Removal Demolition Other Work
;d
~ ~ (Descriplon)
3. Estimated Cost ...a..0 Fee
(to be paid on filing thinliplication)
i. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars .
i. If business, commercial or mixed occupancy, specify- nature and extent of each type of use . .
Dimensions f existing structures, if any: Front . Rear 5 Depth . a ~ . • • • • • •
Height t.?!. f. f&5Number of Stories 1.
Dimensions o same structure with alterations or ii ~d'tions: .r nt J J............ Rear ~ ,~7 .
Depth Heigh 1 t v .Number of Stories z
. ~
Dimensions of entire new construction: Front... Rear Depth . .
Height Number of Stories .
Size of lot: Front Rear ...7 (p, • , • • • • , , , Depths ; .
Date of Purchase
• •r/• • • • ~•97 • • • • • • . • .....Name of Former Owner :.TO ,0~ . L'= J1'1
H . .........s4.~:.:.:
Zone or use distri in which premises are situated .
Does proposed constructs n violate any zoning law, ordinance or regulation:
Will lot be regraded ..X , . , • • , , , • • • , • , Will elxces fill be {emovel from premises: Yes o~
Name of Owner of premises . e.So <q//~Cd~.l ~llu(v'~, ress~ .dp~~//l~(! 'T , , • Phone No..~.Z.7'.VI P
Name of Architect ~f} Address Phone No............... .
Name of Contractor . .....*a* Address Phone No.
Is this property wit in 300 feet of tidal wetland? *yeS; , , . • , , • No.~Q1- ~./1't
*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
>perty lines. Give street and block number or description according to deed, and show street names and indicate whether
erior or corner lot.
APP OV AS NOTED
DATE: A #
FEE:
IS BY:
NOTIFY AL DEPART T Al
765.1802 9 Pvf TO 4 PM FOR THE
FOLLOWING INSPECTIONS,
1, FfJl;n;ISAI'It~r•; uan PFOUIPP'D
FOH POUFU,0 i.'r":IJ{'}aE1
2 ROUGH - i-RAKNG & €'LOMRING
3 INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
TE OF NE Y K
INTY OF. ~u D P~..... Si S
being duly sworn, deposes and says that he is the applicant
(Name of in I idual signing contract)
e named.
the > ~.~~G...~U ...l v. G~ .J? I8at~
(Contractor, agent, corporate officer, etc.)
id owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
cation; that all statements contained in this application are true to the best of his knowledge and belief; and that the
will be performed in the manner set forth in the application filed therewith.
n to before me this
!........day of.
.e4e.- ? 19
ry Public . County
r~
Signat re of a ligant),
° BEARING SYSTEM IN KEEPING WITH FILED MAP OF
AMENDED MAP A OF NASSAU POINT", FILE 4? 156.
k
lsi~
APP VE AS NOTED
DATE. /-l , 4 9~B.P.. #
FEE: e
NOTIFY 8UIL G DEPAR NT AT
P 765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE
2 ROUGH - FRAMING & PLUMBING
& INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NX,,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS 94 llli Q PIPE FOUND - ^ o~
9~6.11D
S40-00, U Icy,
6 A~
O.H. UT. LINE
' TIMBER CURB PIPE FOUND `j 1\LOT 287
W STEPS ~I,ry i ~JU 361.48'
N 1 : ROOF O.K.-/ HED
0 I dPE FOUND
v1 142 STORY i
FR. OWL. ROOF O.H.
STEPS h
ra LOT 286 ~
~\rr 0 j /
4\;J AO
W W R , a... M1~. / STEPS 3 LOT 310
F c1 PIPUND-' . E 6
M. BAY- FO - - -
AREA OF PARCEL= 391030 Sq.Ft. a
lot 152 I sxowER AREA f a
Z 25'! o LOT 285 D h
L-- /.G?
PIPE FOUND
N 490 54'20"W 351.01 LOT 265 '
O
Al
O
'SURVEY NOTES 1, UNAL THOR12ED ALTERATION OR ADDITION TO THIS 6URVEY IS A VIOLATION OF SECTIO 7109OF THENEW YORK STATE IK STATF.
EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED OR EMBOSSED SEAL SHALL \ NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY To THE PERSON . ; AL SMALL E PERSON .
DRAWING ALTERATION FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND f AND JS ARE NOT i
IT El A YIOGTDN W LUR RUE ANY LENDING INSTITYTION LISTED HEREON, AND'TO THE ASSIGNEES OF THE LENDING INSTITUTION. CERTIFICATIONS ARE NOT PIDBON UNUMIS NU TNG UNDR THE , TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. THIS SURVEY WAS PREPARED IN ACCORDANCE mRDANOE
DO[CRON OF LICrJQi® ANCBITMT WITH THE CURRENT CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF 1 „ IIOREBOTGL OiDUari,LANwGR PROFESSIONAL LAND SURVEYORS. 1. IOF 1
AYCI .Olt LAND NINGINOA TO R THIS SURVEY I6 SUBJECT TO ANY "BEMENT OF RECORD AND OTHER PERTINENT FACTS WHICH A TITLE SEARCH MIGHT :X MIGHT
ALTII ANY G'SY ON T90 DOOBmYT DISCLOSE. Bi ANYWAY. E. OFFSETS SHOWN HEREON ARE FOR A SPECIFIC PURPOSE AND SHOULD NOT BE USED AS A BASIS FDA CONSfgUCI'ION OF RUCTION OP
ANY LIQNSYS WHO ALDUS THIS - FENCES OR OTHER STRUCTURES. DOCULRV'P S Epu® EY IAM TO - A. SUBSURFACE STRUCTURES AND/OR UTILITIES, IF ANY, NOT SHOWN,
NOTATION pE BtS 6ML A!ID TFO NwAN 'AUTISM) R' TTY.L011m R' 0. HEDGE AND FENCE OFFSETS SHOWN ARE TO CENTERLINE UNLESS OTHERWISE NOTED.
BO w Eml or TERIIE AND YgxNE DDICNPGGN or Txe ALTrxAnoNE -
TE 7 PROJECT ENGINEER/ARCHITECT DATE THE YXUJf.1. rR VpLbI IYV. '
6
5 PROJECT MANAGER DATE •'1';.f SEAR-BROW] TOWN NOONAN PROPERTY TOWN OF SOUTHOLD DRAWING NO.
4 DEPT./BRANCH/AFFILIATE/MANAGER DATE GROUP
SUFFOLK CO., NEW YORK
3 FORMERLY CHARLES E.WARD,IN E. WARD, INC.
2 DRAWN BY DATE DRAWN M 11-12-92 FULL-SERVICE DESIGN PROFESSIONAL PROFESSIONA19 TITLE OF DRAWING
I SCALE SURVEY DATE 2300 MARCUS AVENUE SURVEY OF PROPERTY
17X22 REVISIONS DATE BY 1°e 30. LAKE SUCCESS, N.Y. 11042 (516)356-7270 (516)356-7270
SBL-1
DIST.1000 SEC. 104 BLKo 11 LOT LOT 1.7 L'I 10 1 11 '/I q t~'j 'OIS 0001