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Home My WebLink About19412-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21072 Date OCTOBER 8~ 1992 THIS CERTIFIES that the building Location of Property 280 STROHSON ROAD House No. County Tax Map No. 1000 Section 103 Subdivision ADDITION CUTCHOGUE, N.Y. Street Hamlet Block 10 Lot 18 Filed Map Nog Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7, 1990 pursuant to which Building Permit No. I9412-Z dated SEPTEMBER 24, 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 SECOND FLOOR DECK ADDITION OVER AN EXISTING PORC~ AS APPLIED FOR The certificate is issued %o CHRISTINE BRAUTIGAN HUNT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED v / B~ng.. in sp&c~o~r Rev. 1/81 FOBM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, Ho Y. No_ BUILDIHG PEIUvtlT (THIS P£RMiT MUST BE KEPT ON THE PR£MISES UNTIL FULL C~PLmON OF THE WORK XUTHO.~Z~m 9 4 1 L Z Date .....~.~. .................................. , 19~ Permission is hereby granted tg~ , ~ , . ...~.,...~......~.z~ .............................. _ · .................................. at premises lactated at' ....~......~.....~.~~~ ...... ~....~/... ............................................... County Tox Map No. 1000 Section ...... .~...~.....'~.. ..... Bilk .......... ~....~.. .... Lot No ......... ./...~... ..... pursuant to application dated ........... ~ ................................ , 19.~..~..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 used in system contains less than 2/10 of i% 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.y 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 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 New Construction. . O~d Or Pre-e~sting Building..~. ....... Location of Prope;g;[~[~h~.~.~ ........................ [[[] ~.~. ~ .~ ..... ~OMO~5~''- ., ~-- House No. Street Hamlet Onwer or Owners of Property..~A~. J~J.~j~-~.. ?.~.~..~.. ..... ~~ .... ~ ............... County Tax Map No 1000, Section..~. ....... Block...!.~ .......... Lot ..... ~. .............. Subdivision .................................... Filed Map ............ Lot ................... . . . I~.~. Date Of Permit.~t.~ Applica Permit No .............. nt ....... Health Dept. Approval ........................ Underwriters Approval .............. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate....~.. ..... Fee Submitted: $..d.~..~. APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~B~'~BBR 02~19~ AppllcationNo. onfile 7~r72~8~e/ge l~ ~48977 THIS CERTIFIES THAT only the electrical equipment ~ ~scribed below a~ int~ducM by t~ applicant ~med on the a~ve application number in the prem~es of g~R~'It~ HU~?, 280 8~ROIt~O~ RO~D, in the flollowlng location; ~ Basement a~sexaminedon &ll~ ~199~ Lot FIXTURE OUTLETS cm~VTACLES j~ITCHE$ DRYERS [] IstFl. [] 2nd FI. OUT Section Bloe~l and found to be in compliance with the requirements of this Board. FIXTURES RANGES OVENS DISH WASHER FLUORESCENT OTHER FUTURE APPLIANCE FEEDERS SPECIALREC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R NO, AWG. OF CC. COND C E jA. W G NO OF NEUTRALS A W.O. OF HI-LEG OF NEUTRAL GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR, BUILDING DEPARTMENT THIS COPY OF CERTIFICATE .... MUST.., NOT ~BE ALTERED. , , N ANY~MANHER.~. FIELD 1. FOUNDATION FOUNDATIOn4 ROUGH FRAME & .FLUHBING (1st) (2nd) II~SULATION PER N. Y. STATE ENERGY CODE FI;IAL ADDIT~ONA'L COMMENTS: BLDG· DEPT. TOWN OF SOUTHOLD FORrql NO. 1 TOWN OF ~;OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTIIOLD. N.Y. 11971 BOARD OF 3 sSTS or PLa:~S .~:K.. ...... SURVEY ..... ~' SEPTIC FORH . ..-~..... ~ TEL.; 7G5-1802 Examined . Disapproved ale ..................................... / ~,~numg inspector) NOT:FY: CALL ............... ..... ~ 32 ~ ........ ~ ~' ~A..;'~. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application mast be completely filled in by typewriter or in ink and submitted to the Building ImPeCtor, with 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 prcmise~ or public streets or areas, and giving a detailed description of l,~yout of property must be drawn on the diagram which i~lran of this applJ- cation. ¢. The work cOVered by this appllcntion may not be commenced before issuance of Buildm- Perm~ d. 'Upon approval of this application, the BuikHn,, ' ......... - - ' ' ~' 'L - ' ---= ~.upe~;~or WUl tssuca a L~uilding 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 nny purpose whatever until a Certificate of Occupancy shall have been granted by th~ Building Inspector. ' APPLICATION I~ HEREBy MADE to the Building Department for the issuance of a Building Permit lm~uant to the Building Zone Ordinance of the Town of Southoid, Suffolk County, New York, and other applicable I~. Ordinances or Re~uiatio~ns, for the construction of buildings, additions or alterations, or for removal or demolition, as he~in described. The applicant agrees to comply with all applicable laws. ordinances, buildin~ code, housing code, and rcgttLatlons, and to admit authorized inspector~ on premises and in building for necessa~,,l~st~pection~' _ , ] .(/~ (Signature of applicant, o~ n~n~e; (Madras address of apphcant) State whc'ther applicant is~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporation, signature of duly authorized offker. Plumber's License 1'4o ......................... Olhcr Tradc's Uccnsc No ' I. Location of land on whic~ proposed work will bc done: . J' ' ' . ' Ilouse Number ' . ......................... Street .. Hamlet ............. County Tax Map No. 1000 Section · · Block ... · ' · .... ~o~.../S ......... Subdivision .............................. ~ ...... Riled Map No. '* (Name) .............. Lot..' ...... Slate existing usc and occunancv of nrcmJscs and intended · , ~ ~ ~ ,- nsc and occnpa~cy o~ proposed construclio~ 5~- ~,'~ ~ b~ / .... · -. - . ........ ~ . 3. Nature of work (check which app lcabl¢): New Buildin~ 4. 5. .......... Addlti~n .......... Alleratzon ~ ....... Repair ............. R~moval ......... Demolition ... ...... Sw i mini nt~. ~,, .I~1~ ..... co . ....... ....... T ............ Estimated Cost ...... ' ........ i (to be ~aid on filing thisa~pfication} , If dwelling, number of dwelling u0its ........ ; .... Nnmber ~f dwelling units on each Hoot ............... Ifgara=e.. number of cars ...... i .............................................. ................. . }lm~t ...................... Number of Stones ....... 8.~imensions of entire new construction: Front...~ t Z ' ........ Rear ....... ~ ....... De~th Height ............... ~utnD~r of Stones ..... ~ ....... ; .................................. 9. Size oflot: Front ............ ~ .......... Rea." ...................... nepth .................... 10. Date of Purchase ............ i .............. Nage of Foyer Owner . ~.,. ~ll~ ............. ~. zo.~o~ ~= ai~t,i¢~ i, wni=h ,,Gi:=, =~ ~it=;~ia.. ~e;,Aea h;¢.t ................................. .. 12.Doe~r~posed ¢onstructioB violate any zoning law, ordinance or regu etlon: . ~ .......................... 13. WHI loDWe re-redea AIO i ' , ,, '~ = ......... ~. · · ................. Will excess fill be removed from premise~: Ye~ .... 14. ~eot Owner of pfi~mise~ ~t.~. ~Mq]~'... ~ Addresx ~_.~$.~... Phone No. m~e of Architect r~t& ~~ ....... Addr~= ~ ~ .~.~. ~%.. Vhon: No.~.~W~.~ ~ .. N~e of Contractor~ ........... i ........ A&rcss ................... Phone No ..... g'. ..... ~ .... 15.~ this property local[ed within I 00 fee~ of a .tidal ~etland? ~X~$ .... NO .... ~Ef yes, Southold ~o~n~ l~rua:ees Permit may be required, , PLOT DIAG~M Locate cle~ly =d dist~ctly fll bu~dMgs, whether existing or proposed, =d. indicate ri set-ba:k d~sions from propemy ~nes. Give street md bDek nhmber or description aceordMg to deed, =d show street nines and Ndi:te whether interior or comer lot.~ [.. 103 "lO -' 1 ~ STATE 0 F NEW YORK, S.S bTdL.~ ~0 / ' COUNTY OF I ...........................· · · , ................... being duly sworn, deposes and says that he L~ the applicant (Name of individual signifig contract) above nam'cd ' He is tile ' ' , (Contractor agent corporate officer otc ) or said owner or owners, and is duiylauthorizcd to pqrform or Ilavc performed tile said work and to ma/~e and file this application: that all statctnents contai0cd in this applic~,tion are trna to the best of his knoxvlcdge and belief; and that the Work will be perforated in tile manner set forth in tile application filed;therewith. ,,' Sworn to before mc this . ~' ................_ da? of .............. , 19 . ' ~.;470787~ ~lk~, THE 9 AM TO 4 PM ~ INSF FOUNDATION - IRED FOR POURED CONCRETE ROUGH ~ FRAMING ~NSULATION FINAL CONSTR~ MUST ,BE COMPLETE FOR C.Oo CONSTRUCTION MEE'~ REQUIREMENTS OF E N.Y CONSTRUCTION NOT RESPONSI,B[ 'E~IGN OR CONSTRUCTION ~AI L %o ~ ~ ~0 ~lold~ ~c~.L~ : =, I'-C~"