Loading...
HomeMy WebLinkAbout19534-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219656 Date SANUARY 15, 1491 THIS CERTIFIES that the building ADDITION Location of Property 3600 LITTLE NECK ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 09 Lot I3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 20, 1990 pursuant to which Building Permit No. I9534Z dated NOV. 26, 1990 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 SHED ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to DORIS FOSTER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 tuxes xo. a 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° 19534 Z Date .....n?.~:K:.....~:.~......., 19.~.U ' Permission is hereby granted to: r' .U A.;!`h/n!h :?9:::4..2... ~d!:.:~.....~A'rr.:.:....... ' to Q:!.'.?.. a: C C.....aN'.S::~L ...rbi4,aK.d~.~.rSr.ScP.:ra.....1.. ~2.....f)^^1.... of premises located at .....a~.~A.S?.:{~.....~4.6K`..x.........rQ:S.I~....A~,..S`1 .......................S.lF"r~~:-... .....1..~...~..~'::~°...~:~°:''~::~ County Tox Map No. 1000 Section ~..~i~........ Block .....8...1......... Lot No.....~..~v pursuant to application doted ~r~s...'2:.°..........., 19.9 and approved by the Building Inspector. Fee 5..~ Building Inspector Rev. 6/30/80 corm No. 6 TOWN OF SOUTHOLD (J ` BUILDING DEPARTMENT ~ ? (g91 ' TOWN HALL 765-1802 BLDG. DEPT. TOlNN OF SOUTiHOLD APPLICATION FOR CERTIFICATE OE OCCUPANCY A. This, application must be filled in.by-typewriter OR. ink, and submitted, to the building inspector with the following: '~fos new building or,'~new use: 1. Final survey of property with accurate locafion.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 2110 of 17 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 "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. Lf 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 huilding $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 $f15.00, Commercial $15.06 Date New Construction........... Old Or Pre-existing Building . Location of Property. ~~.1'.U .............~,.i.~.~;~ , ~t~c~C Q ~:~t:::l~ ~l:e:...... House No, .Street Ham1e.C Onwer or Owners of Property.:. ~.~:L'~~:..,.~c~~S~'Pn . County Tax Map No 1000, Section.,.~~.~......Block....~ ~.........I.ot.....~~......_........ Subdivision ....................................Filed Map............Lot.............:........ Permit No.. ~.?'J~.s:...~.-..Date Of Permit... ~~:I......A licant...~~ ~'Q +2O ts~ N 23""-' Health Dept. Approval...:V~ ..................Underwriters Approval...:l~•~~..............: \ " , l~ i Planning Board Approval.. Request for: Temporary Certificate........... Fina Certief ~ a ~ /J/ ~ ~ Fee Submitted: s~.~~? . f.~ w.. i ~ , ~ Ca ~ i 9~ S"t 'r1cLD I1:S:'EC:I027 I,Uni ~ %OMMENT° ~ m ~ jr ~ 1, ~ ~ ~ ~ - - y .L FOUttDATION i 1st ) (T7~ FOUNDATIOtd (2nd) - , 2. ~ z o s P.OUGH FRAME & -PLUMBING ti H 3 . ran ItdSULATIOM PER N. Y. STATE ENERGY CODE ~ r C.~~-..~ FIidAL ' ~ z_~,J ADDITIOttAL COMMENTS: 'x~-~ x •o H ~ 9 H f H O ~ z N x • ~ ~ . x 0 m •v H I`~~3`~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ING [ ]FINAL REMARKS: ~ --=~~C f __1e' I i ` E t If 1 f ~ DATE ~ ~ INSPECTOR d W ttt 7 ~ Z ' d'' z a a o f ~ ~ ^ d'M1 Y'.a~ Q '~~y ~ VJ ~ pp 7y, h°° > t?1 CL ` ~ ltd o ~ ~ p ~ pd- a ~ 1' ~ ' a ~ ~ 1X ~ , ~ y ~ .ter - ....q ~D 6 Q ti ~ w a a ~p ~ ~ cz C7 L} G c1: ~ 441 @ i{~ ~ . ~ ~ ~ ~ ts~ ~ ~v~ L' pug ~ ~y ~ t,~ ry' yy F'^ 4 V- ~ .n U> y c~ tya tl~ C2 i t ~ _ " ~ CJ U , U: ! t.y Cat (as `5 p„ ~ ':~f ~ ~ J ~ . ~/jr''Du__ J_ °n Ci ~ ~ ~ r.. Yry f~`l W1 / 1 - f~ ` 1 ~ y 2 n + . n +35 - P C) fl~~ ~ 'i'A o i rrt ,t ,~S ~ ~ ~ ? L r v ~p `yf` L, "~'t a. x r J ll~ 1 ~J _ .f,t ,h ~~i h U5 7:~' t ~ _ $ iii _i~ ~t~ (:y w'. V C7 ~'-.~y Sta t i C] tp, 4-i G"? U) :gin ^.i ~ "C,:4 its in C'.] „ ~ ~ 4 y =tt ~ i[t 1.1 b ~ ~ ~ a r.? ~,1: fib ~.fh :";7 t.f _ i~ ~ [R- iii {li y ~j c 1y{ s a ` 4'~ O m ~ ~ ~ ~ ~ ~ w ~y V v ~ ' j °r Xi j i o ~ ~ ~ ,i ~ ~ ~ ~ ~ ~ «Zcn ~ ~ M . j ~ ~ ~x Spa t~ ~~r b .y r! 9 Y D „ ,'nVs4'i] ter, , z ~K t sT: Ate ~ ~ C L a4 W ~ ~ ~ m r 11UARU UP HE<\L'Cti 3 SLTS OF PL.\NS .Q•u:....... fORMN0.1 SURVEY ~1 70WN OF SOUTHOLD CBLCK .:~.r.bt~: . 20~ BUILDIOWNEHARLMENT SHPTIC FORM SOUTFIOLD,N.Y.11971 NOTIFY .PEPS. ~ TEL.: 7051802 CALL . ~ eys MAIL TO : ~ ntc~ ~!/f-~ :amines I) t~ ~provcd ..N°'.".".^:^:`^.'~. r~~? 19~v. Pcnnit No..~Q :53:~.ZZ. ' a~pproveda/c . !C~-F.Q-s.... : . (Building lnspecto#) APPLICATION FOR BUILDING PERMIT, 1 Dale . !v.aV.:.?'.~......, 15 ~ , INSTRUCTIONS ~i a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s of plans; accurate plot plan to scale. Fce according to sdredule. b. Plot plan showing location of lot and of buildings on premises, rclationsltip 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 no[ be commenced b•~fnre issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue!.1 a Building Permit to the applicant. Such permit dl 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 ill 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 ilding Zone Ordinance of the Town of Southold, Suffolk County, New YtRrk, and other applicable Laws, Ordinances or culations, Cor the construction of buildings, additions or alterations, or f ~ removal or demolition, as herein described. e applicant agrees to comply with all applicable laws, ordinances, buifdin~g,code, housinaS code, and regulations, and to nit authorized inspectors on premises and in building for necessarry inspect}R(ts. . CJY1U.1 C 9C1xY1?-tom:. East n C • . . (Signature of applicant, or name, if a corpota[ron)~ .'34Z S.. 4nG~la-gyn. (~?-~S :RCJI ; Qr,er?n(C.. tl `.t.0`"~. . • (Mailing address of applicant) rte/w1 hether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. me of owner of premises ....~O:f:l ~ ~ 5~~. l :e<~ . (as on the tax roll or latest deed) tpp ' an is c ~ ure of duly authorized officer. Y.?std4;r.~.:.. `'(Name and tiW o rate officer) Builder's License No. Sl~s,p• Plwnber's License No . . Electrician's License No . . . Outer Trade's License No . . Location of land on which proposed work will be done. a.~.~?n ,i~ ~ ~ ~,4' ~G~ , House Number ....Strcet\ ......................Hamiet~c~........... 1 County Tax htap No. f 000 $eCtlOn ~ .b • • • • • • BIYck La[ ~ . ~s :3..... . Subdivision . Faded l.fap No. Lot . (Name) Y State existing use and occupancy of premises and intended use an~~d~~ ~~o~~cc~~upppancy of proposed construction: a. Existing use and occupancy ~h.-Q- . • • •4~._.r~ . Qvi~., , ..G~fu.~?~t: • a ~{atc%PdC, S~cev~..... . b. Intended use and occupancy • • • • • • • • . ,n ~ ~ r' - Q 3. Nature oCwork (check which applicable): New lluilding Additio ` Alteration . Repair Removal , Demolition ~N~~ tion) 5' Tor p a.;'g Fee "'..,,;,y...... 4. Estimated Cost . ~ l~C......... y, o . , .n; . (to`bc paid on 5. If dwelling, number of dwelling units ~ Number of dwelling units ou each floor . . Ifgara~c,nun[bcrofcars 6. If business, conunercial oemixed occupancy, specify nature and extent of each type of use . 7. Dimensions oC existing structures, i(any: Front Rear , , Depth , . , , , , , , , . , , . Huigltt Number of Stories , , , . . Dimensions oC soma structure with alterations or additions: Front , , , , , , , , , , • • • , Rear , , , , , , , , , , r , , , , , , , bOptlt }~eigltt Nuntbcr of Stories t..... ~ 8. Dirensions of entire new construction: Front 12........ Rear Depth ~.?r.:....... . Height ~P Number of Storks . 9. Size of lot: Front ......'l'.~.i.•.57......... Rear 41 0 Depth S).Q•f1'vS i 0. Date of Purchase ~Name oC Forntcr Owner , , . 1. Zone or use district in whit![ premises are situated IGeSS ta`.A::...... . Does proposed construction viol tc any zoning law, ordinance or regulation: ~ . 3. Will lot be regraded ......1Vill excess fill be rel[tovcd Crortt premises: Yes ~ No . d. Name of Owner of premises .'R4YsS. ~St~'.... AJJress 36QQ..G:~~4-!~S~ ~`I~[onc No. 7.3:f:-¢6 , , Name of Arct[itec[ ......Address C'r^'.l.. ~ .Phone No.. Name of ContractorFif1:/I!4^!^?^:'f .'~?r''f. ~4~.•... Address.~47.s1!~: ~!:":'~'hone No. 73.'f 4'.ZQ".: . IS.Is Chis property located vithin300 fee[ of a ti a1 vetlaod7 *YES....NO.... *IF yes„ Southold Towo Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether rterior or comer lot. ~e e G~,c~tzoL ~ Cs2-~-t..a ,C.c~tu~e-~ . 1TL• OF tiG1V YORK, S.S UNTY OF . being duly sworn, deposes and says that lte is the applicant (Name of individual signing contract) ,vc named. istl[e (Contractor, a ent, corporate officer, ett.) aid owner or owners, and is duly au orm or have performed the said work and to make and file this iication; [hat all statements contained in this application arc true to [he best of his knowledge and belief; and that the k wdl be performed in the manner sM forth in [hc application filed therewith. m [o before me this ~ry Public, .7~ ; ~,e , County / v r Signa[ure.of applicant) NE[EN K DE VOE NQtARY PUBLIG She d NeM Yak Na 4701878, Sul[u1N Counh.~~ lam Eaares March 30, to a~;~~;y ~ u~u~rrvaE~ a_v ' I I ~~als ~r~lce t~i~~~~.ie~z ~~d5r~ix MAF OF 1`'I' hid C~"? ~i~i ~3 V i i ~ i C, f`J l - L1'('TL~~hc~{.;. 7 AI ~ r" i ~ ~ Jet :rlt.~;. r ' ~ W ~ ~ ~ IB ~I, b±~V~~L. LL i N s 'r'C74J9V GAF St'~UTMIDt17 N. ; L_ _J t~l..~-~ ~e~ar.._.vc. - ~ ~ q hM ` ,P(411~'N~`. s', SEPTIC ~ ~ ! I 7 1I~ J [1.. I ~ ~ I c~ Y' {~~S ~IjV0L0 G W I 1B$A ~ .r V i ; c ~ 81 03 ~ 1 i 1~1 _G7 ~ l ED- ¢'~`r I'75 ~ \t ~`s~ ~q~ ~"r S>aeos ~ ~ ,i`5~~_ r. O ~ "a'. _ Q~ . ~ 1 G~ t i O ~ tel: r_r.l t"~t._ 7sEV_ MhV-: wE>_~-.~C xo i 'I C. - - -N i ~ y. WhRI~ ul ~ di ~ L<~l7l. r_ I , _ I I V r. I ~ ~1~ ; a~~ EL. r i {~14d6 I I t-". ~ gs=o3 ~p'v7~ 1~ EN`FFi_o4~ - Jn ~ . ye; ~ i"if k ~ 5 ,i.o ".Ec E ~'J~ _ --~_1-"_ iYYlCAL iF.YOUT t" / i ry § .tart-' LFt` 2.a ~S9.s b~ ~''W t ~ ~ 5.61"tidp'GQ'~nl. `^j.~ . ~;~.b - 1~ ~ ~ L W I 1 A ,i I ~~~~r ~ _ _ . i J 'O'ff '~•,r, _ , j ~ -°r,,~: ~ ra , c~ . ~ ~ L!n,,~. ~~ln• M i 1 ~ ~ - ~`'C _ - a ' ~ 0 9, I,Ui i i~ ~ ' I~~ _ ' i Pln_c-~ss nonvrre ~ F! oR2 ~ ~ T~~ST '.iU(_E I ~ ~ SANDY ~ I I~ ~ ~,~1 `i ~ EG.4'MI runTh ._.__It9AM ~8ir4 4,., ,-q~%t1.S„NIC ~ ~ ~10~ I A.r~.ls~ ::aWN - ~ 1.-,_.~_ _g ~ ~ ~ IJAMV I • ~ " SANC I ~ it i.l ?IC~h~>',,i L.I t.l iT. I I , -~Z,q i-- - - I 1 -f- ~ FINe ro ( :nARSE'SN•10~ i ~ .=PIPE li _ ~ I Z~, , ~ ~ 4~6' COARSE ~AnID, 1 ~ , _ `Y"e~CAL ti G_.i., / 4' r'IJI° {~:4,-... I IOgo5P1.YEl jb - b. (J,E~I.ARA-t`IdJ~ Gfi~CGY'F NAB dl'c f-~1J.F - resT ~ I I S' GgA25E I c.~~`"FIICT'+~bJ,S vJI~G.F~~,FF~ w7,L?Tr ih~~ ~ ~~ts ~ ~i,~~UI11: v~:h('NY., ~ <3FND i ' ~3'~ r~4C 7iC.OhJ' I-tPy-~7J"r~ta Y- L_~J 4w_i ~ ~ 1~LAL-. I ~ ~ -_J 7~3 - ~ i`I>~SUP~f~~E~c~1Cl._f$~5t.7r~.1C~, t~F.. 19 E~.t.?a:wp ~ WATE¢IN uf'~Cr~ 16a~, PY~~ ?,QI: _ - ~-i- ~ [~Cc~a;v~ Cra; l o~w ~ , ~.,tr'~ciF ~ i~;C "f- y ' - - - RNI~§~rE.L Geµ t'~ L_~ I Iv't<4,~1 I. F I.F. -S t.. ~ 'JI I I ~.t HI 1 _ IM1I•J."3 - _ WGI ~-~`.--~J'~F.ri~i~ ra t ,.c.r,-, ~ r hl.u4 ~ - ~ 3i,.r~J ~5v;.i'T't:t'T t4 . A I ~..r ~ i. ~ J -.k,i f• _ _ I r ~ - r'I,1 r ~ ~ _ J ~.:.jy ' -r-1- STAMP"~ WE~ Nc^EB•/ CC2T~F0 TK>1_T N_ Q L~~ ~_Jr~ li-ilk, I ~n $t ~ 6µ i,r I : W~. _ ! ~r I- ~ ~ ~r u.Y r-,?I~-~. i I MAY' ,d'a` L.>',Q?7HA,hJ ^ f' I _J..._ V 1 V ~ l ~ Zt,a orl dFfc AhI~:U I,~~;fi~F I", ?^~~~'.I ~ ~ r'F' C~4_i I (tiJ Ft ~ I Ig ~ 1"Mk7 ~}`FI i'` MJBI~ We+" +"0t'"~r C'~Y IJ3 FC-dfl F`+1 dG~ ~ '0 ~ f ~~dt- jf.~l L F'1l/ II I13i HV-L4 MA2.29~~ k f V, I - i I A' GT7 ~F ~ ° ...fLE1 s. I'/-OI+'~I"'1~N1 Yfm I"_ v `-I ~ ~''i ~ M~Fl=`..I'rrl Qlvt{OL LPI;t~ `''r 1 41 ~ ~ ~ ~ ~ r n t r r I J 1 ~ i~ ~ ~ c` 3 J ~ fTl_,~1:'F•.` .r Ar ~'~I vT-r ~ti4'd.J`.J Tra :lr.'.W {Jtri AT L'~Cf~rG ~ ~Jrir .u ~ - 1 -r ' i ~ t 1 M1 O - t^ 4 J Y©_ ~,1{~` ~ - ~ ~ ~ I ~(Z9i)6~1..)C wAh3, {vY PC I~° ~ ~~~,i ~F"A$S~ ~ ~ 1 ~ r ~ it i` is ~ -t LOT I S,.ov~J 'SU ~_1", ~ T":.I 5 S ~ i _ t - , , 0..: ~4'j Ov I~ ~T. {~;,J L~~ i ~ t I i d~~ Arvu- ~~;I i " LCaT ~ +a :'_,UY.ae.~ kry Fr.1 1 I ..1 - GF;Eyh,F {ir - t1E`A/ YOrza;.~. .1 . 1 i