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Home My WebLink About19468-z FORM NO. 4 TOWN OF 50UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219804 Date MARCH 19, 1991 THIS CERTIFIES that the building ADDITION Location of Property 350 VANSTON RD & 75 BROADWATER RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 12 Lot 8.2 MAP A Subdivision NASSAU POINT Filed Map No. 156 Lot No. 193 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 12, 1990 pursuant to which Building Permit No. 194682 dated OCTOBER 17, 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ROBERT & LINDA GALLAGHER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Buii di~pector Rev. 1/81 1 rosait xa. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILbING PERMIT (THIS PERMIT MUST BE KEPT ON 7HE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) / N° 1 945n Z Dare ~!.d.~ i9l..fJ.. ' Permission is hereby grouted to~ o . .~,~z.~... ~ y~ ,~i~ at premises locl~t ....cl~.....(~ ....~4.~............ ~L~~?~~r ` l ~ County Tox Map No. 1000 Section Block Lot No.....,..a~.t... pursuant to, application da,~t/ed i9~D..., and approved by the Build~ing~In~spector. '!.G(i ,/yi'/ 7~ Fee 5~..:.1.•c:..~.~.j P.:L- .r~r~. 8uil g ! `tor Rev. 6/30/80 .~,...a..m~._.; • Form No. 6 9"~ ~W TOWN OF SOUTHOLD L 1.~u~~`` BUILDING DEPARTMENT 911 TOWN HALL 765-1802 BLDG. DEPT. TOWN OF SOUTi~OLD 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. j 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 Eor 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 Euilding - $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 o£ Occupancy - Residential $1p5r.000, Commercial $15.00 Date ~ll/ New Construction........... Old Or Pre-existin{g~ Building.....d~ ..........1 Location of Property... ~ ...................U r~~YY;•;~c::............~:IG~Qe~,~2............ House NQpo.Il ,__jj,, S(t~reet Hamlet Onwer or Owners of Property..llahe.?'!. Ga{~yqq~;~r ,~4~~~ .Ya.I~tig~ek" County Tax Map No 1000, Section...~~.J.......Block...~..~.0.f~........Lot.... ~ : Subdivision..q.4./.~ ............................/...Fjiled Map............Lot.I.,: Permit No..Lf.{.t7~.......Date Of Permit.. ~b.`.lI(.Y~....Applicant..~P~...Ra~+Pr....~.+:~pC4~4h~zn~is Health Dept. Approval ..........................Underwriters Approval.................,....... Planning Board Approval Request for: Temporary Certificate..... Final Certicate..U Fee Submitted: g ~ i\ ~otn{.. SnT~rbtr.~f~Ch~f . ~APPLZCa~ ~ ~ . ~ . a•.a.l:.,.. e ...w ti-. v~axM.~.i+a'w awl h-dcet.'Yt~ x .uraisw.,+?e.~. 5~'F.u~. ~f~~`'l~, TEL. ,"t,5-18(?~ ~p5,;< ~O~ T0~'1V OIL SOUTIIOLI3 ~ ',~y ..c OPE-ICH OF IIUILDING INST'F.CTOR ~ I'.O. BO}C 1 1 7 9 U' ~ '~"'r ~ TOWN I TALL 1`y~ QP f SOtl'I7IOI.D, N.Y. 1 1971 ~~y ~,~o March ]5, 199] J R Home Improvements P.O. Box 314 Greenport, N.Y. 11944 RE: ROBERT !i LINDA GALLAGHER 'i'o P7hom This M,ay Concern, 47e are unable to complete your Certificate of Occupancy because of the folloc•~ing reasons. /~i// ;ln application for Certificate of Occupancy is not on file. <ENCLOSED) !o [Jndcrc~~riters Certificate on file. 't'he cheek .i:; (oi%t71~ICQtdk%/not on file.) $25.00 No IL:a].th Dept. Approval on file. i t4o final insl~~ect:iwl hay 'been made. Pease contact: our office on this matter. - Tbank you for your cooperation. ' Ikiil<ling Perm i. t: 0 1 9 4 6 8 }3uildinq Dupt•. tk~k/-/ t,lo Plumber ;;older. Certificate on file. ' ( al.l permits invalvi_ng plumbiny beiny ia5ued after ~1pri.1 1,1984 ) c~:K~~i:Nr~ L'cL~7 I;:S:`~ .LJ;i IIJ;,:.. it -n ~ - II y ~Ut7DATI0N (1st1 ~Y1` 1I OUNDATIOPd (2nd1 - • ~ o ~ vl ,OUCH FRAi3E & ~ p~ •PLUMBING H n H 3. INSULATIDPI PER N. Y. STATE EP7ERGY CODE ~ T . c^~ 4. 4 FZ>IAL _ o ADDITIONAL COPSMEPSTS: x~p ro . x 'v . ~ a H fi °N x • m a • r~ H _ T • O, • m ' -a H a s 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T [ ] ROUGN PLBG. [)FOUNDATION 2ND [)INSULATION [ ]FRAMING [ FINAL REMARKS: ~ _ DATE INSPECTOR 7ss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: ~i~-,~~ Cr''/rc......- ~=-t~~..~..~J DATE 3n l0 INSPECTOR - . BOe1RD OF HEALTH , , , , , , 3 SETS O~PLANS FORM N0.1 SURVEY ~y ~ I • , . TOWN OF SOUTHOLD CHECK • , , , , BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11tJ71 NOT I r• Y ; TEL.: 7G5-1B02 CALL ~.7.7.-17.7~......... MAIL T 0 R. HOME IMPROVEMEMII Examined lrl~.. 99 SOUTH ST.P.0.80X811 ~y / /d • 6REENPORT, NY 11'944' ' APProvcd . l~~.l........, 1 . Pcnni[ No. ? y6 . Disapproved a/c D ~ C~aMC~>~I~ e. i? Q(',T' ~ 21990 f uildi Ins ec[ r) APPLICATION OR 6UILDING PERMIT [3LDia - TL1\r;tR l ~i' S-'.' ' ~aDate~.._~~~~-.~........., 1590. INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 premises or public streers 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 approval 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 far necessa insp ctio'n~14s. ~ (Si,nature Ot' appl'cant, or name, if a corporation) J. R. HOME IMPROVLME14Ta 9680UTH•ST: P.t~, ~x . • aRE~ppp~ ~ ress of applicant) Sta//t~~e whether applicant is owner, lessee, agent, arc3~itect, engineer, general contractor, electrician, plumber or builder. . ~?e1~Qr~4I...Cor,~r~rG~Q7pp-..ff...........................tt....... VV................................... Name of owner of premises . 1laber:~:...3...~a.~l~ a9~G?-..AhJI... i-: !hG?a-...~.. G~..~'ayd~t' . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~.1-.003 N . Plumber's License No . . Electrician's License No . . Otter Trade's License No . . 1. Location of land on w7hich proposeod worlk will be donp/{~e~;1~1 ~)~~1~-~;,, • yo. . ! ~ U.1~~, 0., W0.~,G,+"f ..'.r•° ~L 1(104 V . house Number Street Hamlet gip. e~~ County Tax plap No. 1000 Section ..I,~,~ BI'ock , , , , , , , , , Lo[ ' Subdivision F.ilcd t,lap No. Lot . (None) State existing use and occupancy of premisesDand inltended use and occupancy of proposed construction: A. iixisting use and occupancy...1Q,IC,~;+.c!1~r+i~y0.•~ L B. Intended use and occupancy..l.l2.~i~1~h1a` 3. Nature of work (check which a Micable): New Ouilding Addition .~o.rc,h ~+dd11F teration • PPI + Repair R~mov,al Demolition wimning pool..........:. . Tennis Court Accessory Suilding..........Fence .......Other Work:. • 4. Estimated Cost ..9j.QoP.:4a Fee , (to be paid on tiling this application] 5. If welling, numb~r_o(dwclling units N , , Number of dwelling units on each floor , , , , , , gage, numbc;:af cyrs •N'•~` • • 6. ~ iPeB~{p4mmerni'al or mixedloccupancy, specify nat~fre and extent of each type of use • •N•A. D ~ . , , , , , , 7. Dimensions of existing structures, if any: Front S8......... Rear ..•~d Depth . , , , , , , , , , , , , , Height ..LFi.~.......... Numlbcr of Stories . a 3$,..... , . . DimensionOs of psame structure wikh alterations or additions: Front ~8 Rear . Depth..,gQ;Y .............~.Height...IG. ..;.........NumberofyStories...l.... H. Dimensions of~ntire new constn ction: Front : !4....... Rear a 4.:14....... Depth ..jQ ; E , , , , , , , , Hci~ltt ~F..... . Number of Stories . , I ~ : . 9. Size of lot: Front ~ lQ~4J Rear ...~.ia Depth a~9:E.C1. . . 10. Date of Purchase ..Mwy.. l7.~. J Q9p . . . . ............Name of Former Owner . R~~:~: ~ W~+~+~' : ,T•/~, , • , , , 1 I. Zone or use district in which premises are situated . I2. Does proposed construction violate any zoning law, ordinance or regulation: . N4 13. Will lot be regraded N.4 Nill excess Gll b removed f~TO remises: Yes , No 14. Name of Owner of premises RQ~er~ S. Ga.i(ety~~~• .Address 137..M~~~cevkl~ ~t~^s~^ ]'stone No. T~~:>?PJ9..... , . Name of Architect .4a~ ~a~c~.'I+;ae ......Address .Phone No. . Name of Contractor 7,R. ~}aMe.~ay+ra~~ms-t~~J .....Address .P,o ~ak3lg .G :e.~p.^~"1 N~Phone No..`d7. (?~i3 > • • . • 15.Is this property located within 300 feet of a tidal we~~yland? *YL~S....N0.1l.. *If yes, Southold Town Trustees PLOTbIAGRAM a required. Locate cleazly and distinctly all li buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block jtumber or description according to deed, and show street names and indicate whether interior or corner lot. p 6he u~wa~G r,r ~ ..._...1 , t f Propesea F F F ' f~d1i', is ^ . $0 Sao, STATL OF NEw Y~ORfjo COUNTY OF . ,S...... ,'i S.S of ~c (:f.umv~d l-l~.t~!, . being duly sworn, deposes and says that he is the applicant ~ ni~ contract) above named. Ek is the. C on.~rap,~or...... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dilly authorized to perform or have performed the said work and to make and Glc thi=_ application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the work will be perfomtcd in the manner set forth in the application filed therewith. Sworn to before me this .....day pf ~.~r:~.. , 19 Notary Public, , , , , ,Sv FF~ L~; • • • • • County ~ . I • •An070ND0 ~ - iy Pu ic, estate of New Yorki ($jgnatllIe of applicant o. MI4761 G89 i1u Ifle m SuFfotk U my ~ YYY Pat-» Ertl Ib -xpires L!/3d~pL . I