The URL can be used to link to this page

Home My WebLink About19535-z 9 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23540 Date MARCH 13, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 7125 NASSAU POINT ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 15 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 21, 1990 pursuant to which Building Permit No. 19535-Z dated NOVE!ffiSR 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 TO ENCLOSE AN EXISTING PORCH AS APPLIED FOR. The certificate ie issued to RENNSTH COLLINS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N213539 NOVEMBER 18, 1991 PLUMBERS CERTIFICATION DATED N/A Building Ins ctor Rev. 1/81 f'OSf[ N0. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N~ 1 9535 Z Date .....tv.~"~:^:~:5:.......a~......., 1990 Permission is hereby granted .~>0.~.. n- cif:4?!~-^Kc~;.~.jV.:.`~..:....~.~.~.~~ .............-n.- n r --TT at premises located at 1..a~ ~'.'.~.Lti!,4. ~ 4.•...... L:~t.! c.~.wlT{!L19:-,... . . . . . . c.~ . . . . . . . . . . . . . . . . n. . ~ . 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Mop No. 1000 Section BI«k ~ Lot No..... ~ ~ pursuant to opplication dated .....~~^.^.^`~K~....~,~..........., 19.4..°..., and approved by the Building Inspector. Fee S...id~..:. Building Inspector Rev. 6/30/80 ~ Form No. 6 _ / 1~~~` (n/-yJ + TOWN OF SOUTHOLD ~Orn'~J A ' `C BUILDING DEPARTMENT n.v ~~X TOWN HALL l 765-1802 ~U~~~~~ 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 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. If 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 building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date M'::~a. ~....lqg.~ New Construction........... Old Or Pre-existing Building... Location of Property....7~Z1 ~Yti`;Sv...~~:'.~-t.. Lz?:`~:.......... ~::`~:~:9~4~.......... House No. Street Hamlet Onwer or Owners of Property.....? h , C:(~tv.S County Tax Map No 1000, Section..<<<.........Block...~'...........Lot...l.~ Subdivision ....................................Filed riap............Lot...................... Permit No.~9~35 II'2.L f 9J 1~~ 13~....LIQ.,~r .........Date Of Permit....... ......Applicant. .,...nud Health Dept. Approval........: .................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..~ _ Fee Submitted: Z C~~ ~j ~j'-~ ~ APPLICANT I THE NEW YORK BOARD OF FIRE UNDERWRITERS aAGr: 1 10U7.O77 BUREAU OF ELECTRICITY 63 JOHN STREET. NEW YORK, NEW YORK 10038 _ Dote NOVF.?18F.R 1$,7997 APPlicationNo.onJile 726$')297/97 N 2,1a5i9 THIS CERTIFIES THAT only the ekxtrleo! puipment v descrilNNl 6efots and introduced by the oppficont Homed on the abode applicetton number in the premises of &1sNN6TH COJ,LSNS, NASSAU PT. RUAiI, CUTCHOGUE, N.Y. in thefollolcinA location; ? Basement ~ Iu FI. ? Ynd Fl. Section Block Lot uvu examined on NOVEHBRR 7.2,1997 endfoundto be in compliance with the reyuirementx of this Buord. RXiURE At:IK SYYITCII[5 RXTURES RANGES cOOKINGaKKS OVLNS qSN WASNERS EXNAUST FANS OUTLETS INUNDESGENT RUORESCEHT OTHEfl AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.W. AMi. H.P. x 5 5 5 i DRYlRS 1VRNAC! MOTORS NTURE AKIIANCE FlEREK SMEgAIRK'K TIME ClOCXS eBl UNR HEATERS MIILR-OUTIET gMMERS AMT. K. W. pl H. P. GAS H. I. AMT. NO. A. W. G. AMT. AMI. AMi. AMPS. TRANS. AMT. H. I. ~ ~ RAT AMT. WARE SRRVICE DISCONNKT NO.OF 5 E R V I C E AMi. AMP. TYPE ~ I / IW 1 / ]'A' ] H ]W ]JAW Of CC. COND. A. W. G. NO. OF HLLEG A. W. G. NO.Of NEUTRALS A. W. G. PERe Of CC.COND. Of HIifG OP NEUIMI Oi/1ER AP?ARATUS: G h S CON'Px.ArTOR GTC.i~578B BOX 215 c SOUTHOJ,D; NY, L1.977. ORNBAL MANAONI I1 ~s'~ Per ~ V - This certificaN must tlo6 bs alHrsd in any manner; return to tM office of the Board if illcorred. Inspectors may be identified by their credentials. COP1f FOR BUILDMIG DEPARTIdENT. TNK COPY OF CERTIFICATE A~IST NOT BE ALTERED IN AIFY AWMMIER. suu.D~Na oErr. [ l ROUNDATION isT ( ) ROUQN PL®fi, f° FOUNDATION 2ND INSUiAT10N FRAMINQ ~ (vj FIMAL RE11ItA#lKlrz {MTE ~ l tMi~ED7Dlt t~:s~ 7ss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 15T [ ] ROU H PLBG. [ ]FOUNDATION 2ND [ SULATION [ ]FRAMING [ ]FINAL REMARKS: ti~~ ~ - i DATE l INSPECTOR k~ ~ - _ _ _ ~ ° ~ asS-ts~z ~ ~ BtllLDlNG DEPT.1 INSPECTI®N [ ]FOUNDATION iST ( ] 120UGH PLt~G. [ ~ FouNDATOON zND [ ] lNSULATioN [ ]FRAMING ~ ]FINAL ~ REMARKS: ~s%'~.~:-e ~ ~ : ~ ~ > ~ ~ ~~-(N3PECTOR'~~` ~ r DATE ~ 1 ~r- " ~ - ~ ~ 3~ v_a..~~ _ ~E c1c:LD I::S:i°~.;iO:I ~~lln:e. {I CCMMENTS ~ ` m .0 3 ~1 H W y FOUNDATION (1st) ~ ~ ~qt FOUNDATIOIJ (2nd) 2, z o v U P.OUGH FRAME ~ ~ PLUMBING gZ i y H 3. m ItJSULATION PER N. Y. io STATE ENERGY CODE x a 3 .-.I H 4. r FINAL IF o z m~ ADDITIONAL COMMENTS: ~ x ' M . A 9 ' C w o ,p z r m H . - x 0 • ~ ~o H . $ 1 F~ ,c, ca eo {ry c~a ~ fyE ' t b p~%t2~ p 7:CJ'~~,uy~:. N ~ -nS 4tS 4Y5 7! CJ' O .ab h~ ~ 4"~ ~ ~ ° ~ Cs ,r ~ , . ~+fS ,.rS 1 , y~wYi x'^`a'a C3 L c') ~ rr; ~_t CiY ?,l~ r, ~ i .Q.~g ~ f7 ~ ~ ~ ~a b ,L as ~ c,, u L F, ~ t ~ a`~ t,~ a~ , , ~ ~'~L ~ ~Rb ,G: r , ~i` ~ ri` ~ ~i4 b ` ~ y ~ ~ ~ i c, ~ s.~.~ ~ Xl 1 t~ it ~ ~ J~ ~ D EZ' Z ~ ~i - f~~ d3 ~ wJ ~ Y,t ar ~ ~51~1 [1~ 1{{y~~i.. tf5 '~tt n h Ci ~ ~ ~ ~ ~ N ~ii V ` i ~ ~7 _ V t ~ ~i ~t ~ V . ~ f' - lam, ti v, (~t ` -t ~ f„ 6 f L ~ BOARD OF HEALTH (~(~~Jf ~ , LSC~ ~U ~°/,I,''? ~~y}~ 3 SETS OF• PLANS U: .K: ~ i~~, FORM NO. 1 SURVEY 2 ~ ~ r TOWN OF 50UTH0LD CHECK • • - • • -'~~~3 BUILDING DEPARTMENT SEPTIC FORM , . H..W~ TOWN HALL RLd~G.CaI-.`v'1~. NOTIFY TQtNNt)F 5+,,>iTtNCil.?"~ SOUTHOLD, N.Y. 11971 CALL (•1° S• - ~S - '"/p"~"` TEL.: 765.1802 MAIL T0: Examined . ~ d~. 19 Approved ,+1+.~^"`'~?~M. ~V., 19 9'b. Permit No. ~.9 5, ~ s.L, Disapproved a/c (Building Inspector) ' APPLICATION FOR BUILDING PERPAIT p Date ...~.1.~?'.°........., 19.1 ~ ~ ~ . 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 this application may not be commenced before issuance of Building Permit. d. Upon approvai 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 inspe;/~ons. (Signature ofLapplicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is own~elr, lessee, agent, arch/it~ect, engineer, general contractor, electrician, plumber or builder. ~-'1 = .-.f is iZ, /~-C. l: b •"r 2 /-1:- C 072. ...L,a aLL ~a S Name of owner of premises - (as on the tax roll or latest deed) If applicant is a corpora on 7gnature ofs}uly authorized officer. ......../.'lam.:..... . (Name and title of corporate officer) ALL CONTRACTOR'S~UST BE ,~UFFOLK COUNTY LICENSED Builder's License Noa `.-.~•4=:'~-•~ .l Plumber's License No. . Electrician's License No. T . C,` j' Other Trade's License No . . ] . Location of land o~7 which proposed work~ll be done. ' l . House Number Street Hamlet County Tax Map No. 1000 Section ~ Block 5' Lot . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended u~ pnd occupancy of proposed construction: r_ r/ l a. Existing use and occupancy ~ y~ ~ ~ ° t" ~ ~-5 \ ...................................~-~..R ~ b. Intended use and occupancy 4 ..F... ~7 .`t..... ~e~~.?-:.. lam'?-°-??!°-~... . ~ ~ i . 3. Nature of work (check which appl',icable): New Building Addition Alteration . Repair . Removal , Demolition ..............Other Work . d;'9 ~D~s :ion) 4. Estimated Cost.........~?f~?f? P Fee...................................... ` (to be paid on filing this application) 5. If dwelling, number of dwelling urjits ~ Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed Qccupancy, specify nature and extent of each type of use" . 7. Dimensions of existing structures, iif any: Front Rear Depth , . Height ...............NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front . Rear . Depth :Height , Number of Stories . 8. Dimensions of entire new construction: Front Rear . , .............Depth . Height Number of Stories . Rear::........:.'.......... Depth 10. Date of Pur hrasa f Name of Former Owner . 1 1. Zone or use district in which premises era situated , . l2. Does proposed construction violate any zoning law, ordinance or regulation: PC . l3. Will lot be re raded . g K _ ..............Will excess fill bee ved from premises: Yes No l4. Name of Owner of premises 4= ~0.~-~r S , Address r~/k SSA;? (.y, f ~?.....Phone No.'1.31i~:."'>.'~~ t Name of Architect : ...............Address Phone No............... . Name of ContractorK-nrr.~:c.~uly~ crtc;r, l..> 4, Address,~.t.r.r!.l{~,~Y!~^~+... Phone No.7 4~. "?'~~.`s'.. 15. Is this property located within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit ma be required. PLO 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 nterior or corner lot. ~I iTATE OF NEW YORK, S.S ~OUNTY OF . J, being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. I 3e is the I (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner s'et forth in the application filed therewith. iworn to before me this i ..............a`(. l......~~jjda,,,y of . YI P??!-/........., 19 Qotary Public, /°r?-K~~tr:' 1~r. v~.° . County ff~~~~~~ HELEN H. DE VOE (Signature of applicant) NOtARY PUOUC, Stet@ of New York ' No. 4707$78, Suffulk County erm xpues orch' 0,19