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HomeMy WebLinkAbout18998-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219552 Date DEC. 3, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1215 CASES'S LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 109 Block OS Lot 14.42 Subdivision FAIRWAY FARMS Filed Map No. 6066 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 1990 pursuant to which Building Permit No. 189982 dated MAY 8, 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 EXISTING ONE FAMILY DWELLING. The certificate is issued to STELLA MEYER (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NJA UNDERWRITERS CERTIFICATE N0. N146415 AUGUST 29, 1990 PLUMBERS CERTIFICATION DATED N/A ~ Building Inspector Rev. 1/81 rosai xa s TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. 6UILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18998 N ~ Z Date g................., 19.~~ Permission is hereby granted to: ....J~.~.......s~.....~ 19,5?0,,, ..1~.H.1.. a.e... Q!.~..~A-:~:.... V ° ' at premises located of ../.,?.f.~....l.i~Si.4:~... Q'."'e .............`.:c!'S:~.... .....I..I.R=,.:.,......................... q,~......~.t.:~«-..fin...... County Tox Map No. 1000 Section ......J. B/lock ....0.~......... Lot No. pursuant to application doted ...°~,Gd~.h.a..1!......~..SN 19.q.~?., and approved by the Building Inspector. Fee . ~ -C !„fit. C... . Building Inspector Rev. 6/30/80 i Form No. 6 TOWN SOL'THOLD D L5 l7 15 u ll ~ D BUILD' r z~ARTMENT -a5-18C: APPLICATION FOR CERTIFICATE OF OCCUP CY TOWN OFSOU'rNOID 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 17 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. f B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and 'lpre-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,C/Commercial $15.00 Date ...~~.~,7, .1.~ New Construction ./fold Or Pren-existing Bu/~ilding y Location of Property.. l.~[-7........~~1.?,~`v-.... LJ.7.y~:~......~rU~G.~~•~+1/~...1.~/ House tQo. y~Street Hamlet Onwer or Owners of Property....... s L~...(:i~ County Tax Map No/J 10010y, Sectio,(n~.~.!J.,n~~.~.....Block... 0~[.......Lot....1..1.:.Y.~.... Subdivision. ~(~~14q4~.~.[..... ~Cl./.~.~:`:~.......Filed Map ~O~1.~...~.yLot Permit No../.~l.q~J~...Date Of Permit... ~ ...Applicant.~.'./t UnO'G jfQU~~(..~.9•C/P~~/~ ..CONS% . Health Dept. Approval ..........................Underwriters Approval.N..-..! ~ Planning Board Approval Request for: Temporary Certificate........... Final Certicate..~...... yy~~ Fee Submitted• ~ SG~Ob U/~-OUSE G,~~~r C'0/1lb ~i~~~ APPLICA~... r x/3/90 C' o ~ / 5 5 :TEED IhSPvC:IU;! ~~UATc { GOMMGNTS ,n, ro ~ y ~ t~~-- ~ ~ H .A - y oG FOUNDATION (1st) ti m FOUNDA~'IOid ( 2nd ) _ 2 . l CJ ~ z o u H ROUGH FRAME & ~ PLUMBING H 3. m y ~ I1dSULATIOPI PER N. Y. STATE ENERGY CODE ~ ,?J r 4. y~ FIidAL z z m ADDITIONAL COMMENTS: ? • x ro~ H ~ W y H O z 1 _ S A r~ y _ x v -v - H ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS }'AS>~~ i. '~i)l117.: /4.S BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date 31f7C.;ffS`P e. `~..Y~O(1 APPlicadan No. an file JC7i~~3 t~~{ff~f~ ILf 'f ~Cn4 ~.4t THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the applicant named on the above application number in the premises of hh,~rx~ rat+;v~'1f, ~.fs ~'~zH~r~.~Y I~t~~~r~. t'tt°t~t`tlc~~;l~~~, ~a,~~ in the following location; ? Basement © 1st F'!. ? 2nd F'l. .Section Block Lot was exmreined orz ~1ft'rT'I`~'~ S' .S ~ti i3 artd found to be in emnplianre with the requirements of this Board. HXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHEH PMT K W. AMi K.W AMT. K.W ~'NMT K W AMT H P d Li ) ~ rt i N DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gEll UNIT HEATERS MULTI.OUTLET DIMMERS AMi. K. W. Oll H. P GAS H. P AMi NO A W. G AMT. AMP AMT. AMPS TRANS. pMT H P SYSTEMS pMT. WAiiS NO. OF FEET 3 1~3 SERVICE DISCONNECT NO.OF 5 E R V I C E AML. AMP TYPE METER 1 q 2W 1 d 3W 3 H 3W 3,e 4W NO. OF CC COND A. W G. NO OF H4lEG A W G NO OF NEUTAAIS A W. G EOUIP. PER 9 OF CC. COND OF HbIEG O< NEUTRAL OTNER APPARATUS: 3{7CtJC~rd ~r~R t1#~Ii+; RE7C?A1 C•;X'F'~a'dS S't)t5°.I t is'i'ifj!)AfaF.i A+ld%~9'P,.Ct' 7,7 t'.(~"t'~`t~~ "f 3'""i!y hS~'TN Ril~~l 6ENERAI 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 EUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANh1ER. 1 , ass-isoa BUILDING DEPT. INSPECTION ' [ ]FOUNDATION 1ST [ ]ROUGH PLBG. C 1 FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ~'TNAL REMARKS: ~ C i i DATE ~ ~ ~ INSPECTOR ~J-~ Fl 1~~~~ 765-1802 BUILDING DEPT. [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F//OUNtfATION 2ND [ ]INSULATION [c.,]'FRAMtNG [ ]FINAL REMARKS: -f-~=`~ , o ~f c DATE o~~" INSPECTOR ~ ~ _ , 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] TROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ]FRAMING /7 [ ]FINAL REMARKS: 1~~~.~~,~s.~ c7~- ,~-d~_. DATE ~Q INSPECTOR ~ 765-1802 Y BUILDING DEPT. INSPECTION [ ~ NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL , REMARKS: i DATE ~ ~ INSPECTOR r. B0,\RD OF HEALTH 3 SETS OF PL.\NS FonrnNO.t SURVEY TOWN OFSOUTHOLO CIIECR BUILDING OF.PARTMENT SEPTIC i'0$PS . . ' TOWN HALL • $OUTIIOLD, N.Y. 11971 NO Y ~ l / TEL.: 7G5.1II02 CALL . J.,./. : ~ , , , Exatuincd wv~ l9 q0 T0: v~ pQ Approved 199a Pcrmi[No..~.~ J.t$.~ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERNIIT a7 Date .April . I5 ,9,0 INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Buiidisg 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 ar 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 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 Certifipte 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, Nevv York, and other applicable Laws, Ordinances or Re;ulatians, 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, ordinan ud ;code, housin; code, and rep lations, and to admit authorized inspectors on premises and in building for n ssary(' cttuio aSp OOLHOUSE. C 'I.K CONS`P . E W~,Y'c~a Yi.e ~o.L~arit~t, or name, if rporatwn) • P.O. Box 617; New Suffolk, NY..11956,. • - (Malting address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . General Contractor ........-SicLC ' Name oC owner of premises S...... Ne ye r . (as on the tax roll or latest deed) - ICapplicant is a corporation, signature of duly authorized officer. • ~ ~ ~ (Name and title of corporate officer) ' Builder's Liccnsc No. ,13060-HI,,,,,,,,,,,,,,, Plumber's Liccnsc No . . Electrician's License No . . Otlicr Trade's License No . 1. Location of land on which proposed work will be done; Case's_Lane,.Fairway, Fa~tps,,,,Cutcho~ue.,,.New. York,,,,........ (louse Num bcr • • Street Hatnlct ~ ~ ~ ~ ~ ' ' ' ' ' " County Tax ,,\fap No. 1000 Section ....1 ~9 Bl'uck °5 Lot . Subdivision . ,Fairway, Farms . . . . . . . filled Afap No. , 6066. , , , , Lot ' iNantc) , • State existing use and occupancy of premises and intended use and occupancy of proposed construction: - ` - a• Existinguscaad Single Family Residence occupancy ........................y b. Intended use and occupancy Same ~ -i ~ ~ ' 3. Nature of work (check which aPPlicable): New Ouilding Additicn ~ • • • • • rUterauon Swi:anin; ool.. Repair RPmoval Demolition P • • • • • - Tenn;is Court Accessory Buiiding..........Fence .......Other lJork............ ~4. Estimated Cost.....~'1~.r.QQ~:':QQ Fcc..................................... (to be paid on filing this application) S. IC dtvclling, number of dwelling units Number of dwelling units on each (loot . Ifgaragc.numbcrofcars 6. If business, commercial or mixed occupancy, spccif~y nature and extent of each type oC use 7, Dimensions of existing structures,,if any: Front "l,3' 11" .Rear Same Depth ...u'•~.'; • • • Height ....16:........NwnbcrofStorics. • Dimensions of sam structure with alteration or additions: Front dame , Rcar ..i$m? , . . Depth .....W'7:. Ileight ..dame ~ Num66ejj of Stories . . S. Dimensions of entire new constntction: Front . 2~ Rcar . 2b• .Depth ~Q Hci;ltt Same 5 Number of Stories • • 9. Size of lot: Front ,1 b Rcar .1~................ Depth .33.E ~,lh~4rru~;~ 2 . lo. Zone or use d strict in which premises are situated , ~~'s amc of Former Owner ..pr: ~)2~nau~Y' 1 pocs.proposed construction viola(c any zoning law, ordinance or regulation: . No , , , , , , , , , , , , , , , • , , , , , , , , , , , , , ! 3. Will lot be regiadcd Na, , ,1Vi11 excess fill be removed from premises: Yes . X . No . . 14. Name of Owner of premises ~anr3Ta :iKeyer _ . , AddressCas e' S Lane,,• CutC~yronc No . . Name of Architect Pennyy Lumber Address lvlat~ituek , , . ,Phone No.... . Name of Contractor~ctioolhotiae: ~•reek' C'otistAddress New: Nuffolk: ~ ,phone No..73!~j-:6133• ~ • • . IS.Is this property located within •100 feet of a tidal•wetland? *YES.X..NO.... *If yes, Southold Town,Trustees Permit may be required. PLOT DIAGRAh4 Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property )fines. Give street and block number or description according to deed, and show street names and indicate whether: interior or comer Iot. r STATE OF NE~V YORIC.LK S,S COUNTY OF . SUr~P~Q S11WAR~ ~K. • I-[OT,LANU bcingdttlysworn,deposcsandsaysthatheistheapplicant • (Name of individual signing contract) above named. He is the . •„General• Contractor (Schoolhouse Creek Constructions„., • • • • ` (Contractor, agent, corporate officer, etc.) of said oivncr or owners, and is duly authorized to perform or have performed the said work and to make and Gle this appljcation; that all statements contained in lltis application arc true to the best of his knowledge and belicC; and that the _ work will~bc perfornud in t)te manner3set forth in the application filed therewith. Sworn to,baiorc me this a.1.......day of . .Apxi,~ ]9 , 9.G ~'o~tiblic, ,Suffolk... Conn ~11o~.4T0 878 Su~ttolk N~~ yp~ • • TrKmExplrespAereh3lt,la,..F4 (Si;nature o applicant) now or for \ , y4 mer/y CobBron '~yg_- Y~ GO / - ProPBrYies. /nc. ` v O Q Oi , y ~ ~0 Q Q 4 , ,V t 7~ W ~ ry - ~'4Y `0~ ~ \ 1 \ ' J . ~ i 0 4 I! k h .3' , a o ~ o 0 c h ~ ~ now or r b Gi mer/y Estate of Fronk H Cose F h ~ r aA ? O ~ p~ 1 4jr ~ ~ aW f B'b>I" ~ Ft 4. Te' / T/Mou.'~ /o z I ~ ~ 329.57' ~ , Il r 1 ~w. ~ T /4L43~ I I ~ I ' /736' 0 I. / Q yO i ~ 274. i ?i c 4 / CCC9 V X73 1 , - M ~ ` `'M `t9• a~, ~ _ - y~ 3 O 1` _``T3.y~ I N yob q ~ Q 4 Q ~ ~ a ° /O I ~ h cr ~ iii' ys~ 44 Kv~ CA. MI I Q` f 1 ~ ~ O "y_ (1 S) /34.28' (2.9) ~ ,ty~ N. BS°5820"W _ ~ /5.90 ~ 60 yo o , D h ' Recreation Areo Subdivision - ~ioirwoy Forms ; ~ / - Suff Co, Fi/e Na 6066 V i - Q r ' - SURVEY FOR PHILIP H. OBENAUER & LAURA J. OBENAUER 'sEP" - SEP A7 CUTCNOGUE oarE duLY TOWN OF SOUTNOLD sCat.E~ I"=' SUFFOLK COUN7Y,NEW YORK No. e2- M UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANT6eD SURVEY K A VIOlAT10N OF SECTION 7209 OF THE ~~EQ /y~~ NEW YORK STATE EDUCATION LAW CHICAGO JtIA'E ~su gVay N COPIES OF THIS SURVEY NOT BEARWG THE LAND SS~~ NOT BEYOONS DERED TO BEA VA 80D TRUE COPY NA LL Z~~rRD W rC KGUARANTEES INDICATED NEREON SNAIL RUN ONLY ro -++~----~---......wd..nr TNF PERSON FOR WNOM THE SURVEY IS PREPARED