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Home My WebLink About19420-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y~ CERTIFICATE OF OCCUPANCY' No Z-21036 Date SEPTEMBER 21~ 1992 THIS CERTIFIES that the building~ ADDITION Location of Property 1320 LITTLE PECONIC BAY ROAD House No. Street County Tax Map No. 1000 Section 111 Block 14 CUTCHOGUE, N.Y. Hamlet Lot i9 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 14~ 1990 pursuant to which Building Permit No. I9420-Z dated SEPTEMBER 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JEROME & MARCIA K. BROWN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO~ H-030982 - SEPTEMBER 14, 1992 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 II~OB.M NO. :8 TOWN OF Sou'rHOLD 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~- 1942~., Z Dote ........ ..~.~!...: ............................ , ~.~....~ pursuant to application dated ......... .~,.//~.//~ ............................. , , 9..~..4~., and approved by the Building InSpector. Rev. 6/30/80 TOWN OF SODTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Complianca 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 P'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, Swinging 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 ....... .~/.~./. ~. ~. ................... .. New Construction Old Or Pre-existing Building ~ Location of Property. 1~.~. ~.f'~ ~C~/O~C~ ~.~ .......... ~.~.~.q.l~.~. ~., ~_ House No. Street Hamlet Onwer or Owners of Property ..................................... County Tax Map No 1000, Section ..... ~f.~ ..... Block .... ~.~ ......... Lot...~.~ ................ Subdivisio~ .... ~.~.6~...?.~./~.~.. ....... .. . Piled Map ............ Lot ................... . .. Permit No.../.~..~.~ ~..Date Of Permit... ~/~.~.~..Applicant...7~ .'~.~ ~./~... Health Dept. Approval .......................... Underwriters Approval ...................... .. . Planning Board Approval . Request for: Temporary Certificate ........... Final Certicate..~.. ...... Fee Submitted' $ ................ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORk 10038 THIS. CERTIFIES THAT [~]R~' ~O, only the electrical equipment ~ ~scrib~ be~w a~ introduced by t~ applicant ~med on the a~ve application number in the premises of J~RO~ & HAR[~33 BRO~, ~320 L~'~'I,t~ P~l(~()~I(', B3, Y ROA~t C~TCI~O~II[I~ in the yotlowlng locatlon; ~ B~*ement ~ Ist FI. ~ 2nd Ft. 0{I~ DRYERS FURNACE MOTORS and found to be in compliance with the requirements ~f this Board RANGES COOKING DECKS OVENS EXHAUST FANS FUTURE APPLIANCE FEEOER~ TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO; OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R V NO. O~ERCC~COND A W O. OF CC. COND. I C E NO. OF HI-LEG OF NEUTRAL 1320 Lit [,/P~CO~IlC BAY RD GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspector~ may be identified by their credentials. ; COPY OF' IED I~ ANy ~NI, I, ER. , INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Sen/or Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wiecz0rek OMinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD AUGUST 10, 1992 ~ROI~ BROWIq & I'~1 1320 LITTLR PECON~C BAY ROAD CUTCHOGUg, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. .The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection, has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 19420-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ID~TE FOUNDATION (1st) FOUnDATIOn'; (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI:IAL DIT%O~AL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~i~SULATION [ ] FRAMING [ ] FINAL REMARKS: DATE ,, INSPECTOR 765-1802 BUILDING DEPT. INSPECTION INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [./]/FINAL DATE/ '~//-~;~/~'/~'"~ INSPECTOR~~/~/~ AP,,PROJ/ED AS NOTED DATE:~ B.P. # FEE: ~8Y: ,-~~. NOTIFY BUrLD,NG DEPARTS/1 · p 765-18~2 9 AM TO 4 M FOLLOWING INSPECTIONS; 1. FOUNDATION - 'rWOR FOR POURED CONCRETE 2. ROUGH - FRAMING & PU MBING 3. ~NSUL~TION 4. FINAL .- CONSTRUCTIO~ MUST BE COmpLETE FOR C.O. ALL CONSTRUCTION SHALI~ MEET THE REQUIREMENTS OF TIll N.Y. STATE CONSTP.UCTION & I qERGY CODES. NOT RESPONSIBL: FOR DESIGN OR CONSTRUCTION ~RORS OCCUPA~'~C¥ OR USE ¢S UNLAWFUL ~*¢ffHOUT CERTiFiCATE' r OCCUMNCY 4.0 · Disapproved a/c ..................................... (Buil~'fng Insp/tor) APPI..ICATIOI'4 FOR BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ........ ~ ............ CHgCK ...................... SEPTIC FORM ................ CALL . . ." ' MAIL TO: Date ................... 19 ... INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building l~spector, with $ z? of plans, accurate plot plan tO. cain. Fee according to schedule. b. Plot plan sho~ving location of lot and of buildings on premises, relationship to adjoining premises or public streets 'r .:teas, and giving a detailed description of l~yout of property must be drawn on the diagram which is part of this appH- 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 .':I be kept on the premises available for inspection throughout the work. c. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy .all have been granted by the Building Inspector. ' ,?PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the · :,::ns Zone Ordinance of the Town of S6uthold, Suffolk County, New York, and other applicable Laws, Ordinances or · .:at~ons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein desciibed. ,:?hcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ..:.: auihorized inspector~ on premises and in building for necessary inspections. '(~,gn~t~ie'o'~ applicant, ;; name, if a ......... (Mailing address gf " .hether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................. . . .. , of owner of premises . .] .... . ..~. . x 1 or .:~ar ix a corporation, signature of duly authorized officer. (Name and title of corporate officer) ' :;Ider's License NO...l.~. ..... · ' nbers License No :-;:ctriciau's License No, . . O~her Trade's License No ................... L ::atica of land on which proposed work will be done; ....... .... :{~mse Number Street, Hamlet I21 ' . County Tax Map No. lO00 Section ............. Block ...., ........... Lot ...... / ....... ""' Eabdivision ...................... Eiled Map o .............. Lot ............... Si~te existing nsc and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy .......... ,,,, .......................... B Intended and · use occupancy.......... .... ... ............ Estimated Cost ....... Fee ............. ~ .... , (to be paid on filing this application): ' ~ Nt b fd Iii Ifd Iii be fd Iii un' it h fl ' If garage number of cars '. If business, ~ommercial or mixed o~cupancy, specify nature and extent of each typc of us~ ...... ' Dimensions of existing structures if any: Front ~ - Rear Depth tl~i~ht Numbai of Stories ' ' ' Dimensions of same stm~turo with hlterations or additions: Front Rear D p~h }I 'ght N fSt ~ . Dhnensions ofentir~ new construction' Front r 'm' · · ' /.~r Numbe~ of'Stofi ..... car ........ e lIc ght , . ~ize of lot: Front ................. Rear Depth ....... · . D~te o~ Purchase ........................... Name o~ Foyer Owner ................... " " ' .... Zone or us~ district in whid~ prem SCS are situated ................................. . Does proposed ~o~struction violato~any zoning law, ordinan~ or regulation: .~ ~ ........................... ~ame of Owner of premises . ~ ~. ~.q Address .~:~ r~.~. Phone No. Z~% ~.~ ..... .~ame of Architect ....... i . ~ddre~ ~Ph~ ~ ,.I~ thts property [oa~ted within 300 feet of a tidal wetland, lgS.~.~O .... · rf yea, Southold Iown ~ruat~es Permit may be required. : PLOT DIAG~M Locate cle~Ig ~d dist~ctlg.~l b~fld~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from ':'~'rty Uncs. Give street ~d block number or description accord~g to deed, ~d show street n~es and ~dicat~ whether :: ::o r or comer lot. ' ' ' ' i';: OF NEW YORK ':; FY OF .................. .............................. : ................. being dtdy sworn, deposes ~d says that h~ is the applicant (Nam~ of individual signing ~ontrac0 , (Contractor, agent, ~orporat~ 9ffic~r, .;;d owner or owners, ~d is duly a~thorized to perform or 'rove performed tim said work and to m~e and fil~ this ',,,.anon; that all statements contained m tins apphcatmn are trtm to the best of his knowledg~ and brief; and that , · ~ 11 be perlommd n the m~ner se~ forth in tim application filed therewith. ~rn Io before m~ this ! HELEN ~. DE VOE NOTARY PUBLIC, State of Flew York . No. 4707878, Suffelk Ceunty~, ~,e~'m F. xpl~ tdan;h 30,19-..'~. ..... , gZa. (Signature of applicant) 'i