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Home My WebLink About19171-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19421 Date OCTOBER 4~ 1990 THIS CERTIFIES that the building DiLTERATION Location of Property i405 WUNNEWETA ROAD CUTCHOGUE~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section ii1 Block · Lot 29 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 27, 1990 pursuant to which Building Permit No. i9171-Z dated JULY 2, 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 NEW GRIDER & BOW WINDOW ADDITION & ALTF~R EXISTING LAUNDRY ROOM TO INCLUDE BATHROOM AS APPLIED FOR. The certificate is issued to GRACE GOLDEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-150335 - SEPTEMBER 20, 1990 PLUMBERS CERTIFICATION DATED SEPT. 6, 1990 -MATTITUCK PLUMBING & HEATING Rev. 1/81 ~ . //' Bu/ilding-Inspect°r TQWN OF SOUTHOLD BUILDIHG DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BF.. KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: .~..~...~...--~'/:. ........ ~..~.~..~.. ...,..~..~.....~.,,:~.....c~,~ .............. .~~..~....~..:~..,......u.~.~..~ ...... , ,o ...~~.....~.~......~.~....~...~...~~...,r.~- ........ at premises I~ated at ..~:.~.~.~.....~.~~~., ........ ~~.~, ..... '~/~"'"x ................... ~"-~ ................................................................................................... ......... l.~.....:~.~ ........... ~ ................................................................................................... c...w T.. M., No. ~000 S.~,o. ......... LLI ......... ,~k ...... g..,~ ...... Lo~ No....a.~ .............. pu~uant to application dat~ ...... ~,.~...~: .................... , 19.~.~., and approv~ by Ih, / Building Inspector. Fee $...~..~....,..~ Building Inspector Rev. 6/30/80 Form No. 6 TOWN O? SOUTHOLD BUILD]~;G DEPARTMENT ~?~ ~i~LL '$5-18C~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ~LOG. OEPT. 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 Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prier to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. % 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 Date New Construction ........... Old Or Pre-existing Building ................. Location of Property..[~..~.~. ........... . .~.L~.~ .~ .~.tg.~.~.~.~...~..~. .......... ~..~ .~J..~.~.t~.J~. ........ . House No. Street Hamlet Onwer or Owners of Property..~.~.~% ............................................... ~ [~k~ County Tax Map No 1000, Section .... Xl.~ ....... Block....~..~-- ......... Lot .... ~ ............... Subdivision .................................... Filed Map ............ Lot ..................... . Permit No..J..~ ~ .~.], ....... Date Of Permit...~..I .~. 1 ?.f~. ..... Applicant~ .~..~J.~.~ .~. ~.~.~?..~.~.¥~ .~-~ Health Dept. Approval .......................... Underwriters Approval ...................... . . . Planning Board .,kpgrova.L ........................ Fee Subm±tted. $.. . ........................ o't. ff .i TOWN OF $OUTHOLD OFFICE OF BUILDI~;G INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION /9° / / Building Permit No. Owner__ ~<D/gf.g~'' (please print) (please print) ~ rf I certify that the solder used in the contains less than 2/1.0 of 1% lead. water supply system (p~um~e~ n to before ~e this .. · /1., :~Otar~, Public ,.~County THE NEW YORK BOARD OF FIRE UNDERWRITERS I Ot)'l 0!)~ BUREAU OF ELECTRICITY aB JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT ~ o~y the electrical equipment ~ ~scribed below and introduced by t~ applicant ~med on the abbve application nu tuber in the premises of FIXTURE OUTLETS 12 2nd FL Og~i* Section Block Lot attd found to be in con pliance ~t' th the requiretnents of this Board. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET COND. PER ,~ c NO, OF Hr-LEG A W G NO OF NEUTRALS A, W G, OF HI-LEG OF NEUTRAL OTHER APPARATUS: d,~RY DOROaR I. GENERAL MANAGER This certificate must nor be altered'in any manner; return to the office of fhe Board if incorrect. Inspectors may be id~ntlfled by their credentials. COPY FOR BUILDING DEPARTMENt. THIS COPY OF CERTIFIC.~TE MUST NOT BE ALTERED IN ANY MANNER. IIDATE · i=LD I:~S'JECTiON FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME / .PLUMBING/ INSULATION FERN. Y. STATE ENERGY CODE FINAL /?7/ 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [~']'~UGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [,~'~OUGH PLBG. FOUNDATION 2ND [ ] INSULATION [/~RAMING ~r ] FINAL MI ?1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ .] FOUNDATION 2ND [ :,'~SU~TION FRAMING ~r ] FINAL DAT£ INSPECTOR >~ ~ Environment East, Inc. R. R. No. 3 - 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tlALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy b~cause.of the following reasons. /_~ An application for Certificate of Occupancy · t; not on file. ~ /? No Underwriters Certificate on file. /_~/ The check is(e~tdaL~d/not on file.) ~- /5/ No lIealLh Dept. Approval on file. /~/ No final ins,pection has been made. Please contact our office on this matter. Thank you for your cooperation. Dui]ding Permit Building Dept. ***/~ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,19B4 ) Environment East, Inc. R. R. No. 3 - 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 BLDG. DEPT. TEL.: 765.1803 ,,, TOWN OFSOUTHOI.D ' .... .19 .o , . 19 Pe, i, No. D. is~pp eyed a/~ ' . (Building Inspector) ~PPLIGATION FO~ BUILDIN~ P~RMIT FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y. 11971 INSTRUCTIONS a. Tiffs application must be Completely filled in by typewriter or in ink and submitted to th~ Building ets of plans, accurat~ plot plan to scale, Fc~ according to schedule. b. Plot pl~ showing location of lot and of buildings on premises, relationship to adjoining premises or pubffc street: )r areas, and giving a d~t~led description of layout of property must be drawn on thc diagram which ts c. The work covered by t~s application may not be commenced before issuance of Budding Pe~it. d. Upon approval of this application, the Building Inspector wffl i~ued a Bulldog Pc~i[ to the app~c~t. ~JJ be k~pt On [he premises available for ~spection throu~out the work. e. No bulldog shall be occupied or ~ed in whole or in pa~t for any purpose whatever until a Ce~ificate of ~ll have been ~ted by ~e Bulldog Inspector., ' APPLICATION IS HEREBY MADE to the Building D~p~ment ~o~ the issuance of a B~lding Pe~it pu~uant to the ~ild?~ Zen[ Ordinance of the Town of Southold, Suffolk County/N~;~k.~d other ao~licable ~ws nc appucnnt agrees to comply with ali applicable laws, ordi~~~g code, ~nd ~cgul~0~s, fSi~nat~an(.; ' ' ........... ~ , t~%~ag~, or name, ~ga cprpora~on) . , : :j~,, (Mailing address of applic~t) ' ~ ,t-,V~ ~ ;-t,.z $4('~t~2)U)~?,,%%}f} 3AA (as on the tax roll or latest deed) Plumbev'~ License No ~lcctrician'~ Liccnee NO .......... ,t~ .. .......... Other T~adc'~ License No .... . ................. ' Hamlet ' House Numar ~ Strcet~ , Courtly T~x Mop No. 1000 ~cclioo ................ ' ck .................. Lot.. 5ubdivisioo ..................................... F~lcd Mop No ............... Lot ........ , ...... State exislin~ use and occupancy of premises and intended use and occu a c · · ~ . __ ~ ~ p n y of proposed constnseuon. J~ Nature of work (check which apiphcabie): New Uuiiding ........... Addition...,. ! .... -~'.Mierafion ,,..~'... ... ~ r . "~ ..... ,,t~,. ....... . .... tee ........... ..... ,..~..y.~ ir~ , arage, number of cars .....~ .............. ....... ............... -' "~ ',~...... ~ ~i~ension~ofo~i~tingst~cturo~,ifnny., / , Front..~. ~.~. ...... Roar ..... . ~.. . D=ph.t ..,.,..,..~...~/""" H~ght ...... ~ ...... NumberofStones . . ~. . . ., . ............... ................ D~mensmns of sa~e~t~ cture with alteraaons or add. itions: Front ............. ~-/'. Rear ...... '0~. ,~'~'~'", ....... Dupth ........ ~/~ ........ .. tloi~t .... I ~ ~ ........ , .' .... Number of Sto~es .... imensions of entire now const~ction: Front ............... Rear .,., ..........., D~pth ......... ,.,.., Height ... ............. ~umbor of StO~s ............. ~ .... Size of lot. Front.. ' ' ,. L(~' °'7,, .,.......... Roar ......... :t ~:~. .~.. . ~epth ,. '. ........... .S.O,~,,~.,,, ~'" '"" Date of Purchase ......... , - .- ..... ' ' i .................. ~omo ~ ro~o~ uwne~, . .. .......................... ~one or use d~?nct m wl~sch ~remises are situnted..., ..... ~/~~.. .................... ,... ~ proposeo construction violet9 ~y zoning law, ordinance or regulation: .......... ~.~, ~ ...... ~vBs lot be regraded ....... ~. : . , · , ' '" '" /~ ~./,~ ......... W~ll cxccss~ll bo r~movud from premises, -Yes .... ...... .... ..... . ..... · If yes, Sou~hold Town[ Truscee~ Permi~ may be ~eq~ed, ... [ PLOT DIAG~ Locate cle~ly ~d dist~ctly al ~bu~d~gs. whether existing or'proposed. ~d. indicate al set-back d~cnsions from openy hnes. Give street ~d block 6umb~r or desc~ption according to d0ed. ~d show sgrcei n~s and adic~c wb~thcr ccgor or ~omcr IOL ' '~ ~~~,,._ APPROVED AS ,~ ~ . ~/ ' '? NOTIFY BUILDING DEPARTMENT AT '~ 765-1802 9 AM TO ~ PM FOR THE ATE OF NEW YORK, ...... :,' ',:::' v FOLLOWING INSPECTIONS. I. FOUNDATION TWO REQUIi~ED FOR POURED CONCRETE 2. BOUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O AIJ, CONSTRUCTION StHALL MEET THE REQUIREMENT8 OF, THE N.Y. ~TATE CONSTRUCTION & ENERGY. CODE$. NOT RE$1K)N~IBLE FOR DF.81GN OR CONSTRUCTION ERROR8 ;.S contract) being duly sworn, deposes and says that he is thc applicant is the ................. I ' .......... ~~gent,,~orporato~ ....................................... officer, crc.) ' ...... ,aid owner or owners, and is duly! authorized to perform oral,ave performed the said work and to m~kc and file this lication; that all statements contai!ned in this appli~tion are true to thc best of his know cdgc and belief; and that thc k w~l be pcrl'om~cd in thc m~ncr[sct fo~[ i in thc application Olcd therewith. )m to before mc this I ~&~ ~ ~(~ ~- ~'Signature ofapplic~t)