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Town of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 19959 Date:
THIS CERTIFIES that the building DECK
Location of'Property: 705 HIGHLAND ROAD,
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 102.-8-1
Filed Map No.
1/14/2015
6/7/1991
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/1/1900 pursuant to which Building Permit No. 19820 dated 4/26/1991
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:
deck addition to existing one family dwelling as applied for.
Corrected 1/14/2015 for lot number only (lot 4 changed to lot 1)
The certificate is issued to LONG, GARY & LINDA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ve
Aut d Si ature
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
OF OCCUPANCY
No Z-19959 Date JUNE 7, 1991
THIS CERTIFIES that the building ADDITION
Location of Property 705 HIGHLAND ROAD CUTCHOGUE N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 102 Block 8 Lot 4
Subdivision
Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25, 1991 pursuant to which
Building Permit No. 19820-Z dated APRIL 26, 1991
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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to GARY & LINDA LONG
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
CLt _
Building Inspector
Rev. 1/81
FORM NO. f
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)
' q
N C 19820 Z Date ......... .... ..... .SFl.............. 19..11
..............................................................................................................................................
County Tax Map No. 1000 Section .... P.? -m...... Block ...2 .............. Lot No ........................
pursuant to application dated ....... .....f .w�............... 19.4...1..., and approved by the
Building Inspector.
FeeS..l�.:............
............
. .....�..
. . . ...........
Building
Rev. 6/30/80
INSPECTORS
(516) 765-1802 O G
VICTOR LESSARD, Principal
CURTIS HORTON, Senior W a
VINCENT R. WIECZOREK, Ordinance
W
ROBERT FISHER, Assistant Fire o'y�%• _.QOM
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
STOP WORK ORDER
TO: GARY LONG
Cutchogue, N.Y. 11935
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
705 HIGHLAND ROAD CUTCHOGUE N.Y.
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
TAX MAP NUMBER -1000-102-08-01
Pursuant to section 100 of the Code of the Town of Southold,
New York, you are notified to immediately suspend all work and
building activities until this order has been rescinded.
BASIS OF STOP WORK ORDER:
BY THE BUILDING INSPECTOP
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:WHEN A BUILDING
PERMIT HAS BEEN ISSUED.
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
DATED: APRIL 23 1991 0/' l� /r , w
VINCENT R. WIECZORE ,
CODE ENFORCEMENT OFFICER
r
Form No. 6
�t1 TOWN OF SOUTHOLD
JUN _ 61991 BUILDING DEPARTMENT
TOWN BALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OF, 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 archi_ect or engineer
responsible for the building.
6. Submif Planning Board Approval of completed site plan requirements.
3. 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.
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.. 0, C dmmmercial $15.00
VDate .....`/........................
ew Construction........ -y ��O--1--d Or Pre-existin .Building
ocation of Property .....................
House No...... ....
Street 5/ Hamle
nwer or Owners of Property...,/(/.GG...�:.........../...............
)unty Tax Map No 1000, Section.., �Q Block.......Lot.....,�/ ..........
ibdivision..... ............... .File Map ............ Lot ......................
>rmit No..�/,... ,,,,,Date Of Permit..1!„���,Applicant. ,�✓����,
!alth Dept. Approval........ ,..,,,,,,, r Z/J✓C/
.....Underwriters Approval .........................
anning Board Approval.....
quest for: Temporary Certifficate...........
e Submitted: $... 95•[ 6!/6
Q.ee, y
I � 7
Final Certicate...........
.......................
A ICA.
GARY & LINDA LONG
705 HIGHLAND ROAD
CUTCHOGUE, N.Y. 11935
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
May 31, 1991
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
TEL.,.765-180:
/K / "An application for Certificate of Occupancy
is not on file. (ENCLOSED)
J�J%No Underwriters Certificate on file.
/v1 The check is not on file.) $25.00
/yJ No 11calth Dept. Approval on file.
No final inspecLi.on has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit 4
1luildi.nq Dept.
1 9 8 2 0 z
No Plumber Solder Certificate on file
( all permits invDlving plumbing being
ir,sucd after April 1,1984 )
a
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
REMARKS: Q
DATE � Ld-1-L-!J--INSPECTOR
=1ELD I;:S:'EC:I1;J
liUATE
COMMGNT�:
ep
FOUNDATION _ (1st)
C
FOUNDATION (2nd)
c
m
_
2.
z
0 j
ROUGH FRAME &
PLUMBING
VJ r
3.
H
x
m
m
INSULATION PER N. Y.
STATE ENERGY
CODE
4.
5
s d CiCec_ • __I
r
m
H
J
' a
FINAL
ADDITIONAL COMMENTS:
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In
TOWN Or SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NEW YORK
STOP WORK ORDER
TO: CaAILY lOal.C�
Owner, Owner's Agent or Pe son Pertorming
7 0 5- H 142 i4 L
caress
person)
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT.
(FLE,M� r4 0.12a �ptQ t7' Cu 1 G E(pC u
ess where work is to be st000ea)
TAX MAP NUMBER /000 - /D ;L —6 1? _ D
Pursuant to
section /00 of the
Code of the
Town of Southold, New York you
are notified
to immediately suspend all work
and building
activities until this order has been
rescinded.
to l2 A
D (-LFC Ap1Pt i
10 t-1
BASIS OF STOP WORK
ORDER: /i
13u t l D l) C.f, Ptz-4 u.c- 17- 144 y
keo 9 r4,-/
BE RESUMED: LV N ir;A-( /Q 6(d I G b t u e,
Pr
1 S 5 u 0, R Y
T H (=
; u. I L 1) 1 ct(, 1 5 o ✓L_
to l2 A
D (-LFC Ap1Pt i
10 t-1
CONDITIONS
UNDER
WHICH
WORK MAY
BE RESUMED: LV N ir;A-( /Q 6(d I G b t u e,
Pr
ter KA (, ., u
A e)
R i-4� 0—.
► 5 S u F-1>,
Failure to remedy the c6nditions aforesaid and to comply with the applicable provisions of
law may constitute an offense punishable by fine or imprisonment or bath.
DATED: 3 d
1 NP94-rnu t CODE ENFORCEMENT OFFICER
V✓U)
APR 2 51991
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL • 765-1802
Examined .Qt2LJ a.`Q.. 194..
Approved - „ 199. Permit No. ...... .
Disapproved a/c.....................................
...................................
(Building Inspector)
BOARD OF HEALTH �,,,,,,
3 SETS OF PLANS .........
SURVEY ...................
CIIECK ?)..30 .............
SEPTIC PORN
NOT
CALL t .� �i.y : 7l�3..2 ..... .
MAIL TO:
APPLICATION FOR BUILDING PERMIT //
Date ... /h. ....... 19.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
2ts 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
r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
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
call 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
call have been granted by the Building Inspector.
t
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
unit authorized inspectors on premises and in building for necessary inspectio .
r -e -D
(Sign ure applica t, name, if a corporation)
(Mailing address of applicant)
tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
'ame of owner of premises ......... e- C 1A,-fq F L o A16
.
y .........................................................
(as on the tat roll or latest deed)
applicant is a corporation, signature of duly authorized officer.
.......................................
(Name and title of corr1porate officer)
Builder's License No. ...V(.,,
Plumber's License No . ......................
Electrician's License No . ........ . ............ .
Other Trade's License No . .....................
Location of land on which proposed work will be done. .................................................
.....? v=...............�... ......... car o V �
.........9 ....:..................
House Number Street Hamlet
It
County Tax Map No. 1000 Section ............ I ..... 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
b. Intended use and occupancy
.......................................... ,,. ...1�,.a..•.........
............. ,,t. S>.0 ; ' a '�s0!► . at.ls
3. Nature of workcheck which
a
( • • • . , . Re applicable): New Building .......... Addition ........... Alteration
Repair ' ' ' ' ' ' • • �val ............. • Demolition .............. Other SVoi " ,
a(Description)
y (N•
4. Estimated Cost ........... ..',......................... Fee ....... .
.............................
(to be paid on filing this application)
nuit
S. If dwelling ns , , , • , , , , , , , , Number of dwelling units on each floor . ; , , , , , , , , ,
d, number of dwellig
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. . .. . ........ . . .... . .
Height g Nu(n�, if any: Front ........ . ...... Rear .............. Depth .... i ..........
Dimensions of same structure with
of Stories , , ... tions: , . , , , , , , , , ,
Dimensions of existing structure h alterations or additions: Front , , , , , , , , , , , , , , , , , Rear .
Depth .................... : . Height ......................Number of Stories ..................... .
8. Dimensions of entire new constrt'ction: Front .... .
Height ... .... Rear ............... Depth .............
g • • • • ........... Number of Stories , ,
9. Size of lot: Front .......... .:.......... Rear......:....,.......... Depth.......................
10.
.....................
1 1. ZDate Of one or usechase district in which pre ' ' ' • • Name of Former Owner
misesaresituated12. ....................... .............................
..............................
premises . • to any zoning law, ordinance or regulation:
........................ .
Does proposed construction viola
13. Will lot be regraOwner
f .. Will excess fill be removed from premises: Yes No
14. Name of Owner of ........ 4 ....... Address . ................. .
Phone No ................
property within 30 .. • Address ................... Phone No.
Name of Architect I
Name of Contractor .. , ..... ........... • •
If yes, Southold T " •Address • ....... • ..........Phone No.
L5. Is this 0 feet of a tidal wetland? � " " " " " " '••
9 Own Trustees Permit may be required. '• No.........
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.
eek
Z. �U
6d ^ I
T _
<—
'ATE or
LINTY OFEW.Y.S"11�.... S.S
�...�oNrz...l
G • • • • • • • • • • ... , . , . being duly sworn, deposes and says that he is the applicant
(Name of individual signingcontract)
ove named.
is the......... . .............. pk "`,aC•% y
(Contracto agent, corporate officer, etc.)
said owner or owners, and is duly authorize--toperformor have perfonned the said work and to make and file this
plication; that all statements containe(� in this application are true to the best of his knowledge and belief; and that the
rk will be performed in the manner set forth in the application filed therewith.
On, to before me this
ary Public,
.'A.... 19 q.I
Sto41L-_
•••••. County
ROM 1.SCOTT,JR. �6Ja // G (Si nature . ...
NOTARY PUBLIC, State of N.Y. g of applicant}
p� 4725089, Suffolk Coue
Tarin Expires May 31,19
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STei'S wI.KALLS To T.;`elq Tvi -
FCR
APPR VED AS NOTED _
DATE: B.P. #
FEE: By • �. �. OCCUPANCY OR
NOTIFY BUILDING DEPARTMENT AT USE IS UNLAWFUL
765-1802 8 AM TO 4 PM FOR THE WITHOUT CERTIFICATE
FOLLOWING INSPECTIONS
1. FOUNDATION . TWO REQUIRED OF OCCUPANCY
FOR POURED CONCRETE
2. ROUGH • FRAMING R PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.V.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS _ ��
0
y l
STei'S wI.KALLS To T.;`elq Tvi -
FCR
APPR VED AS NOTED _
DATE: B.P. #
FEE: By • �. �. OCCUPANCY OR
NOTIFY BUILDING DEPARTMENT AT USE IS UNLAWFUL
765-1802 8 AM TO 4 PM FOR THE WITHOUT CERTIFICATE
FOLLOWING INSPECTIONS
1. FOUNDATION . TWO REQUIRED OF OCCUPANCY
FOR POURED CONCRETE
2. ROUGH • FRAMING R PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.V.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS _ ��