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HomeMy WebLinkAbout18925-z . FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19417 Date OCTOBER 4, 1990 THIS CERTIFIES that the building ADDITION Location of Property 2385 PINETREE ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 3 Lot Z Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 1990 pursuant to which Building Permit No. 18925-Z dated APRIL 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to FRANK & DOLORES DAVIES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-152058-SEPTEMBER 27, 1990 PLUMBERS CERTIFICATION DATED SEPT. 28, 1990-K&K PLUMBING & HEATING -~~l/ B ilding Inspector Rev. 1/81 r,f.,. rows xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Na x.8925 Z Date .......Q~ 19.~1'.Q. Permission is hereby gwnted to: y,,..... ~ . a ..Gin::::c.~'...rear.~.....~.~.~a.,.?'~....4-~,.....~t ,Il~::~r..,c~ ~ . at premises located at .a38~...~...a^^:4<..:~?~... ..............~!4.Ar~:~........................ .....................................................................L..r.................................................................................... County Tax Map No. 1000 Section ......1.~'.7...-..._.nBlock .....4...~....... Lot No.......~'....~......... pursuant to application doted 19.g.~?., and approved by the Building Inspector. Fee $..c~.T.7:.. Building Inspector Rev. 6/30/80 :v c. , 6 V FORM N0.6 ~ TOWN OFSOUTHOLD ~~~~~~-~~~~~~~~~~~~~~~'l~ ~ ~ a. Building Department ~k ~ i ; ; ; / s L~ ~ ~ ' Town Hall ~ ~4 Q~T - 19990 ~ ~~U' ~ Southold, N.Y. 11971 , t CJ` ~ 765 - 1802 _ _ " ' APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ Isiss~. r~~€~'r. TC1FR~IVC7E-~C3,1lTNOLst).~.,..,.,n, Instructions A. This application must be filled in typewriter OR ink, and submitted to the Building tn~ec- torwith the following; for new buildings 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 of Health Dept, of water supply and sewerage disposal-(S-9 form or equal}. 3. Approval of electrical installation from Board of Fire Underwriters. 4, Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pxbperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. ~ Additions $25.00 POOLS $25.00 ALTERATION $25.00 C. Fees: 1. Certificate of occupancy New Dwelling, $25.00, Accessory ]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 (~.3o I GO 5.Undated C.O. $ 50.00 Date 4 t 1 NewConstruction,~,,,OldorPre-existing6uilding Vacant Land Location of Property ~ tv£ L ~0 CC~TGl-~OCS'U ~ ~ Nouse No. Street , Hamlet Owner or Owners of Property ~.~~.r-( k:.. • ~ (;C}~~:5 f ~ County Tax Map No. 1000 Section U.1 , Block Lot ..~.2.:........ . Subdivision h l.V. ~~~-dYl ........Filed Map No. ~ a. 1 ...Lot No. , - . , . Date of Permit ~l(V144~.....Applicant . . Permit No. ) Health Dept. Approval . . . . . . . . ..Labor Dept. Approval . Underwriters Approval . . ..Planning Board Approval . Request for Temporary Certificate . ........Final Certificate , . Fee Submitted $ Construction on above described building nd rmit meets all p llicab~le.codes and regulations. Applican . , :...s~ . . Rev. 10-10-78 @nz11~1~7 ~ . i ~Qc~VF ~ ~~Ca/ TEL. 7G5-1802 ~,l < TO'4Y~N OF SO~ITHOb,D f a^ ~ y''c OFFICE OF DUILDIt~IG INSPECTOR s " c ~ P.O. flO:Y 728 ~ ` ,y q $ TOWN HALL C~~ SOUTHULD~N.Y.11971 ~Jt.;"-",-a ocr - 2 esso 1; ' C E R T I F I CAT I O N C~t.Dt3. Dot^# ~.~~L.?~ ; - YOWL CSF ~tJll7h;(3Ld?,~~'`. j ~12,~ Date I n,~ a ' a r, Building Permit No. >=x~;, • x, x Owner (please grint) Plucber ~ ~ ~w (Y`~~\ C\o~ Cad"~~ ~sti~f~©~ 1~~ ~ (please print) ~j ~ic_er~~- ~~5~ - :y. I certify that the solder used in the water supply system ,,.~s.;,i .contains less than 2/10 of 1~ lead. ,;r r? 5~,. ~yti_.,z r-. (plumber's signature) . ?:,tai Sw rc~ to before e this ~x'a; day of ~ 19 p ~i~~~y~~ , ~ /*'6 ~ l!/'~r~ ~Q~ Notary Public ttotar•;•[+ublic, U"1` County EMC Kpp~ OINMpay in SultoNc County 8+V+9ve January 3i 189! a . TEL. 7G5-f 8~' ~rJ ~c~~F~Of_,~{~Cl~ TOWN OF SOUTIIOI,i3 ;;~"r~"(,;;;y~y~,'), :~cS Ol~l']CE OF BUILDING INSC'F.CTOR u ''-4, P~t;~Yq ~ ['.O. BOX 1 1 7 9 . ~ ~ ~ TOWN IIALL ~ SOUT[IOLD, N.Y. i 4974 ~yo~ ~ ~~o SEPTEMBER 25, 1990 FRANK 6 DELORES DAVIES 2385 PINE TREE ROAD CUTCUOGUE, N.Y. 11935 'Po Plhom This May Concern, 47e arc unable to complete your Certificate of Occ pancy because .of the folloc•~ing reasons. 1r~.r'n application for Certificate of Occupancy S Slot nn file, (ENCLOSED) ~7o Undcrorriters Certificate on file. / / 1'he checl: .i:: (~[M3[K>set~xl{(not nn file.) $25.00 Dlo Itcal.th Uept. Approval on file. Na final inspcct:ion has been made. Pease contact: our office on this matter. ' Thank you for your cooperation. lhr.il<linq Perm.i,t i! 1 8 9 2 5 Z Duilc7in. Depl_•. `*'k/ / tlo Plumber Solder Cert.i.ficatc on file. ' ( al.l permit:; involving plumbing briny iasucd after ,1pri.1 1,19A4 ) r1ELD T;:SPwCTiU;7 ~~llAiE ~ ~ 7. T ` S - - FOUtJDATION (1st) Q N FOUNDATIOIJ (2nd) ~ 2. o N W P,OUGH FRAME & (r ) PLUMBING J 0 ~ 3. ~ IIJSULATION PER N. Y. y , STATE ENERGY CODE m 4 . ~ J it-~ y FINAL J O £ z ADDITIONAL COMMENTS: x _ - ca x h H ~ ^G ~ Y H o „p a I S R] 9 r H b '9 H 9 THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE .Iy + I1 /SItD3 •URlAU OF ELECTRICITY ~`~T 1'.~l B6 JOHN STREET. NEW YORK, NEW YORK 10098 Date SEPTEMFSER '17,1990 gppftretfonNo.onJik e8A90490/4(I N 75?058 THlfi CERTIFIES THAT only the-electrical puipmenc v dsecrihed 6elotp end inetodteced 6y ehs eppUosnt named on the shove eppUcetien wantber in thepremJwe q/ RANK & UOLORES UAVTF.S, ?385 PINf:TREE' RU, POLE NYT f9/l. (l. FvA, Ct/TCHOf,UF., N. Y, in the dlomin location; ®8aeement (+AR/(lllT f R ® IAt FI. ? Ynd FI. Sertiun Blak Lot moa examined on SEP TEMISER 17,1990 ondJoundtu 6e in wmpliance with the reyuirementA Uf thb Board. RXNR! RXTUR/S RANORf COOKISla tIfCKS OVRN.S RIfN RXNAUfT FANS a tfUTIRTf A~ fV/lTt:lllS INCANDESCENT FWpFSCENi OTHER AMT. K. W. AMT. K. W. NAT. R.W. AMT. K. W. AMT. N.I. s 39 1 41 iA t 1.5.8. 1 1.? F F DRYEK RMNACE MOTORS RITIME ANUANCR RRSIMS SFRgAI RRCIT TYAE tIOpIf Rp,t UNIT EIFA1RRf k~f DIAfIARRS AMT. N. W. pl N. I. GAS N. I. AMT. NO. A. W, 6. AMT. AAV. AMT. NAIS. TRMK. AMT. K I. ~l.Aa~I~ AMT. WATn 5 E 1 3i1 1 2 600 ~ fRRVKi ONCAMNlET ttO.OF f R R V. 1 t: AMT. AMr. T1TE R~. I q' Tv l / Tv t ~ tw c / ,w No. ~InCt rcoNO. a A. c~i+o. No. aF Nl.uc ~~w;~i NG. W NEUnAIS of NWEUnAI . 1 '1.00 CB 1 X ] !/0 I 10 ontw uMRATUC: MO TORS:1-:5/G H.P. PANE1.(30ARUS:1-15 CIR_ 1U0 SMOKE UF.TECTOK:-1 - - _l l O.C. E1.EC~TRIC TWf,. t.I~;.g382:SE C~G~~~~/~ P.0. fSUX 5] 8 LAl1RF.1.., NY, 11948 ~ ORNRwAtMAFMM - ! 1 C•i Per This nrNficaH mint not be a1Nnd in a roamer; return ro 1FIe offiw of the Boord if intKwnet,. rt M 1Afllf'pndK keM. _ l1N OF ; ..1..._.,..., ~ ' ~ T65-1862 BUILDING DEPT. INSPECT101~ [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: P INSPECTOR DATE ~ N"1 r ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T f l RO GH PLBG. [ ] FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: ld~' ~t~o DATE INSPECTOR V 765-18®2 BUILDING DEPT. INSPECTION [ ] FO ATION i5T [ ] ROUGH PLBG. [ ~ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ i DATE ~ O INSPECTOR. ' l~~z ~ T65-1802 BUILDING DEPT. INSPE~TI®N [ FOUNDATION iST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: / ~_p,. r" DATE ~ ~ INSPECTOR ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ROUGH PLBG. [ ] F/OUNDATION 2ND [ ]INSULATION [FRAMING [ ]FINAL REM: _ L~ DATE ~Il INSPECTOR F ~ _ ~ BOARD OF HEALTH 3 SETS 0~<1rIS FORPA N0.1 SURVEY . TOWN OF SOUTHOLO CNECK .?.~:a4~~........... . BUILDING DEPARTMENT SEPTIC Foarl TOWN HALL $QUTHOLD, N.Y. 11971 NOTIFY ; ~2t`._ ~ ~ . TEL.: 765.1802 CnLL ,•>~1 Z 1941a rtAIL T0: ~.t!+;~`:SP:~:.~:-4^.~:~r,. Examined..... O Approved . 1990. Permit No. I.~ 9 ~ S..~- . Disapprovedalc ..................................Q.R.v.'.~, (Building Inspector) APPLICATION FOR BUILDING PERPrIIT Date 3/~ 159 INSTRUCTIONS ~i a. Tlris application must be completely filled in by typewriter or jn ink and submitted to the Building Inspector, with ~ sets of pians,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 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 throu`Jtout the work. ' e. Ho 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 o•f buildings, additions or alterations, or for removal or demolition, as herein described. ~ The applicant agrees to comply with all applicable laws, ordinances, buildin; code, housing code, and regulations, and to i admit authorized inspectors on premises and in building for necessary inspections. (Si?na re of applicant, o ame, if a corporatwn) (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Fla rte' y~ ciV 1~ Name of owner of premises ........'.5..... ~.......5 (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co~porate/o~fficer) Builder's License No. { ~ / ~ y ~°...~.Z• • • . • • • . • Plumber's License No . . Electrician's License No . ' Other Trade's License No . , Location of land on which proposed work will bed re; " f[ouse Number Street Hamlet County Tax \tap No. 1000 Section Q•Y • • • • • • • • • Block Lot , . ' , , nn , ,~~,'C-r.. .Fired ~iap No. . • . , . Lot . Subdivision . l~lCtiG.tt~t~!+r- . (Name) ~ State esistin~ use and occupancy of premises and intended use and occupancy of proposed construction: ~ ' a a. Existing use and occupancy ..~:.~7or: ~ r.v z Gl l !~.J............n:...' ..,4,„•~.~:~~~~~a~:d~4Y!n<ub}......... . .tzY~• . b. Intende i ~u"+'' • =r. ;rfilitrsu~ d use and occupancy S`: ...fit' _ , ,a;.;.,;.G;:i €.,.yti~ cralr~s~•mu'"....... . C•.... 3. Nature of work (check which apple}cable): New Ouilding . • , Addition ~ . • • Alteration . Repair Removal Demolition ..........Swimming pool . Tennis Court Aqcessory Building..........Fehce .......OthertJork............ 4. Estimated Cost ~ t? Fee 5. If dweliin number of dwcllin un~ ¢o be paid on filing this application) g, g ',its Number o(dwclling units on each floor If garage.numbcrofcars . 6. If business, commercial or mixed Qccupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures,'iC any: Front . Rear Depth . . . Hci_ht Number of Stories . . Dimensions of same structure with alterations or additions: Front Rear . . Depth : Height ......................Number of Stories . 8. Dimensions of entire new constnrction: Front Rear Depth . Hci;;ltt .............:.Number of Storics . 9. Size of lot: Front Rear Depth I0. Date of Purchase , .....Name of Former Owner . . 'i' ' l 1. Zone or use district in which prcrrjises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation : 13. Will lot be regraded Nill excess fill be relnovcd from premises: .Yes , No . • 14. Name of Owner of pre ises>clu?''. ~ Y t'e•S • , . • • Address ;~TVee• I~~ • _ • , • • Phone No . . Name of Architect :`l ?^.~~~0.-Q;! ......Address ...................Phone No..... . Name of Contractor ..~:'.:~?:r', •SC~rrS:~r......Address . Phone No. ;J,~;x~ ;Sa/~•. IS.Is this property located within 100 feet of a tidal wetland? ^YES....NO.... *If yes, Southold TownlTrustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from , property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I III I STATE OF NE~V~YOI COUN Y OF . 1 Y . , , • 5.S v ~ ~ ....I~.. ~ being duly sworn, deposes and says that he is the applicant • (A'amc of individua s~gmi'ig contract) • above named. , He istJtc ontract ,agent, corporate officer, etc.) of said owner or owners, and is duly, auClto •zcd t crform or have performed the said work and to make and file this application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the work will be performed in the mannerl,sct forth in tltc application tiled therewith. Swam to before me tl 's • .day of . ~ 19 . ! ~ Notary Public, I.:•• County ~L' York } Nptitfy Mublk. 8tste of N'eW lru,•Cp SJ•-n.~ ' . 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