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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