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Home My WebLink About18947-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219533 Date NOV. 26, 1990 THIS CERTIFIES that the building ADDITION TO ACCESSORY Location of Property 1615 MASON DRIVE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 006 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 1990 pursuant to which Building Permit No. 189472 dated APRIL 12, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is REMOVE EXISTING GREENHOUSE AND CONSTRUCT AN issued is ADDITION TO EXISTING ACCESSORY GARAGE. The certificate is issued to WILLIAM J. & EILEEN M. BREEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Bui ding Inspector Rev. 1/81 sosat xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N O ~ 8~ 4 7 Z Date .....T~~ 19.7.Q Permission is hereby granted to: .....t~ . ~.,~:~e........... _ ~ /~rI'3.5 to-~~x~l~'Jl~.l~'.~..4?.?.L. ...~"..`~.~'~.7.~rh.~.~/Ga.~... ~~GQI.r^~u.C~~.. zy~~i,Zo~l..... at premises located at ......~4/Zl~.~ls~l`/~..~...~...~.~f,G?:~~....~/.~~GG.!~1 County Tax Map No. 1000 Section ........~~..7:.. Block ............f~.....gLot No.. ~.s pursuant to application dated 19.`.0, and approved by the Building Inspector. O D Fee $ a h ~ Buil ' g Inspector 10 Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD D~ BUILDING DEPARTMENT i` TOWN HALL ~ ~ 765-1802 pip""'°r'°'~~'~~~ ~ DLUF ~5011~YHOLD 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. 2. Final Approval from Health Aept. 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. 3, 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. 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 /$1J5.00, Commercial $15.00 Date J.A~.~~..~ :ew Construction....... Old Or Pre-existing Buil ~ .ocation of Property... .~-B':v.~~:.....S~.U~~%TO. GGG=...... House No~.~J~~/ ,~raStreetf// Hamlet )nwer or Owners of Property..YY.I:'.. ~:Lf,,~~- ~.:1.... ~:Y~~~~.........f :aunty Tax Map No 1000~~,// Seyy~~ction.(.l.J.......Block...... .......Lot.. / ~ subdivision.....C~...c~...f~~t~............ ....Fil~ejdAMap........../././Lot 'ermit No..~.~/.1~ ..Date Of Permit. ~ .l. v..Applicant.GU/~..~.~:".~~~!.`1.... [ealth Dept. Approval ..........................Underwriters Approval „ Tanning Board Approval tequest for: Temporary Certificate........... Final Certicate.,Y:....... ~j ~ ~U 'ee Submitted: $.r...~:y~ . . rr~z~~ga ~ ~ APPLI ANT ~a z ~ ys3 3 - [9,J-~ DNS P~~otd _ ~W%#71 Co~c~I r, v'~S m ~ ` OUtIDATI0;1 (1st) T ~ - 'QU'IDATT0;1 (2nd) _ o TOUGH FRAdE & •PLUidBING m n ~ 3. ZIISULATTO;1 PER N. Y. STnTE Ei1ERGY CODE ~ c'~ FINAL ' m~ . ADOITIOMAL 00:4h1EFlTS: x ri • x H • ro\ ~ 4v A H 0 • y ___\J m } • s\ ' ~ m ^v a :CI tug'' - ,;~ars.wrlN ~ yr ~.'AN6EAfYR ~ - N/. ,•j • ~ A 1. A N0 01 ~ ~ ~;xr • ~ ~ ~ ~ W ti _w h ~ O p t x a 4 p ' ~a"a~ at.°' ~ ~ spy f~. ~ ~ ~ a ~0 0' ~S.!' ~ Z ~ "1 J6 d ~ _ ~ ' W ~ ~ o ~ o ~ ~ h o ~ c ~ ~ a a z w N e? { h , ti~ N VI ~ ~ 2 fnd ~ • 130.59' ` f~ ~poota roil /en. n~ASON DRIVE " 4 t TITLE INSt1RANCE. CO. D :savlNOS BANK I eREEN ~ ,SURVEY ~"QR ~ . • BOARD OF HEALTH 3 SETS OF PL.1N5 FORrA N0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL $OUTHOLD,N.Y.11971 NOTIFY; TEL.:7G5~1B02 CALL , ' MAIL T0: Examined 19 .1~.:f / . . APProvcd . ~j/./..........., 19~~Pcrmit No.l.~.~.~7~ . Disapproved a/c p ~ ~m ~ ~ I ~1 APPLICATION FOR BUILDING PERP~9IT Is^rS ~ Date 15~,~ BLDG. DEPT. • TOWN UP SOUTfinLt7 INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to fire Building 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 or public streets or areas, and giving a detailed description of Inyout of property must be drawn on the diagram which is pan of this appli- cation. e. 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 fox 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 constriction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, build' ~ code ousin~ cod and rc ttons, and to admit authorized inspectors on premises and in building for necessary ins c ' ~ • ~ ~ . S F (Sfignatu<re of ap~ljicant, dame, if a corporation) ~ • vfl,(i;~y.,,.E ~ ~ ~ ~ ,jL(Ma' ing ad~ ss of apphc t l/ / ~S : (BUJ C. /W,~. State wh~~et11hyye~~r/Iapp s''c~~arnt is owner, lessee, agent, architect, end neer, general contractor, ~electrt it er or builder. Name of owner f premises b<`:.~ u,. . • • • ~j • • • - •G•/'~ ~Y" • • ! ~~...~~~~..~.r~ : FY..... . , , (as on the tax roll or Satest deed) If applicant is a corporation, signature of duly authorized officer. ' y.i 1-~ • (Name and ~`it1G_of ~orporate•ofGcer) , Builder's License Nb. ..<~,.Gl!`7L~~ , . Plumber's License No . Electrician's License No . . OtlterTrade's License No . 1. Location otland~njwhich proposed work will be done; ~ - (louse Number / Street Hamict County TaxAlapNo.l000Section BI'ock Lot,.l..~....,, Subdivision . Fiicd ),lap No. Lot . .'(Name) . State exiuinR use and occupancy of premises a)nd intended use an cc~upanc/y~o,,f pro~pose~d ,c~on~str iction• a. Existing use and occupancy ~ v ~ •~/F,~ v~!`~ ~,k,,~~2r~:~ ::iG. ~ . ~~"~J'i!~l ~ lr~ b. Intended use and occupancy ~ r "'Y ° • ~ •~•d7.` , ff, . • ~3~L{'~i~YC~ o - . 3. Nature of work (check which applicable): New Ouilding • • • • • • • • • • Auld iticn .y~r/ • • • ~Uteration Repair R~movdl Demolition ..¢jl,Nl~+imnin; pool............ c Tennis Court ACcess~ ~ $uilding..........Fence ......Other IJork............ 4. Estimated Cost .~Ur. Q.::'::' Fee ....:331. (to be paid on filing this application) 5. if dwelling, nurnbcr oC dwelling units Number of dwelling units on each floor If garacc. nurnbcr of cars ' . 6. If business, commercial or mixed occupancy, specify natur ~rtd extent of each ty of use . 7• Dimension existing structures,'if any: Front Z Rear Depth r~r.~.~?-:~~. . . Height Numbfir of Stories . . . Dimensio f samF s ~ cJ.ure with alterations or additions: Front ....-~1~ ...`F Rear . ~.~~1.j . ,-~~.1~.. . . Depth .,l~f^,< l Height Number ot~Storics ....,1~..... . 8. Dimensions of ent' a new constnt~tion: Front ham. Rear ..,l,7,.:......... Depth • • Height • • N roof Stories . .,(.,y ~l . 9. Size of lot: Front .,l aSS Rear , . /..~G-!e .0~....... D~th .~,1~,,,~, ! i.~~ l0. Date of Purchase • ,r~>~~ • • , • Name of Former Owner . .y,</,tom-.A..:~~0.~~~ 11. Zone or use district in w tch preen ,p y ! 2• Does ro osed construction vt ~ses are situated . . P P any zoning law, ordinance or regulation: /7/• • • • • • • • - • • • • 13. \Vill lot be regraded ~;,~,~~`ll exc ss tll rcmo}~~r~ premises: Ycs l~Ne . . l4• Name of Owner of premises~~f,~j, .'K •'Sl~; •,~~~~oress !.QYS.~~.L-Cat/yilctl~J4~dre No. ,7~5-.~f.: Name of Architect ,Address .........Phone No . Name of Contractor . • •I~• • • • • • • • • • • • • • .Address ..Phone No.....;'.... 15.Is this property•locat'ed•within•100 feet of a tidal•wetland? *YGS....NO.~•:. • *If yes, Southold Town !,Trustees Permit may be required. PLOT DIAGRAh4 Locate clearly and distinctly all yuildings, 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 indic)at~e~whet~h'e-r interior or corner lot. V `^-'I APPROVED AS NOTED DATE:.____._•_,. B.P. # , FEE: BY: NOTIFY BUILDING DEPARTMENT AT 766.9802 9 AM TO 4 PM FOR THE ~ FOLLOWING INSPECTIONS; 9. FOUNDATION - 7W0 REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING 3. INSULATION FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF 7HE N,Y. STATE CONSTRUCTION 8 ENERGY CODES. NOT RESPONSIBLE FOR • I OFSit"vN AR CONSTRUCTION ERRORS STATE OF NE\V YORI.Q~ S.S COU/NT)Y OF . ,~.41P.F.. . . ...I.~! ~`.'.`.'!~:m. ~~~.'~F~ being duly sworn, deposes and says that he is the applicant (N'amC oC individual signing contract) above named. , Eicistltc (Contractor, agent, corporate officer, etc.) oC said owner or owners, and is dulyl, authorized to perform 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 manner!Isct forth in lire application filed tltcrowith. Sworn to bciorc me ¢his .........7• ....day oC .I 19 ~ ~ ` Notary Public, • County BARBARA 0. de 6YR j • . • , , , , Notary Publto, State of New ork No• SO.82S120t1 (Signature of applicanU tluelllled in Nassau rAU~ . Cemm. Qvrhr,~0, 1 L