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Home My WebLink About18730-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20339 Date NOVEMBER 12, 1991 THIS CERTIFIES that the building ADDITION Location of Property 7645 BRIDGE LANE COTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 1 Lot 6.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 8, 1990 pursuant to which Building Permit No. 18730-Z dated JANUARY 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 issued is DECK ADDITION fi FIREPLACE ADDITION TO E82STING ONE FAMII,Y DiPSLLING AS APPLIED FOR. The certificate is issued to RAYMOND ~ DIANE RRUR (owners) of the a€oresaid building. SUFFOLK COIINTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 n~osai 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) No ~ 8730 Z Date ...~~Z.... Permission is hereby granted to: ...76.~ss....,~~°~...~~.......... _ to l3~l~G/.. .. ~ 19.1 ~~ at premises located at ...............................................ww~r~.:a-yr....r. ~..n-............................................................................ County Tax Map No. 1000 Section ..........c.~T... Block ............~....... Lot NO. ......fit./.. z:.... pursuant to opplicotion doted ......../p ...................................... 19~~., and approved by the Building Inspector. 00 Fee $..~~ .. .. ............ ...... .. ...... . h Bu ing I for Rev. 6/30/80 Form No. 6 ..; ~~ ,t~~<Jl~' '~~ ~~I~ ,~~' S,_. i ~-~ TOWN OF SOUTIIOLD t ,d ~'- "~ - e",~ BUILDING DEPARTMENT -',,' TowN I1nLL '~~'~`e', NOV 121991 ~~;, 76s-laoz ~ ;~°,~ _ ~"~ j : a~S~.6 i6,t~ ~!'}:1. _.. ..:_ _... ... APPLICATION FOR CERTIFICATE OP OCCUPANCY~~~~=-~~~x°•`-'"" "'~ '.. This application must be filled in by typewriter OP, 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-O. form). 3. Approval of electrical installation from L'oard of Fire Underwriters. 4. Sworn statement from plumber certifying that Che 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. :i. Far 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 $ "0; accessory bulIding-$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 ~.~v~. ~J./~(~~~ ........................ :cw Construction........... Old Or Pre-existing Building.....'Y........ . !.ocation of Property..: ~ ~O ys..... E~'r ~ c~~e `- tLh e ............... ~;,v~C..~"~,o~ W e............. House No. \ Street Hamlet _;nwec or Owners of Property...~Ct.,,+VVi,'`D>v_cL.~ ~.~Ct.v~~ 1°~~c'i.~.:~ ........................... ~:uunty Tax Map No 1000, Section..1...o.y .....B1ock.....I.........,Lot.. ~,::~ :............. ';ut~dlvisiuttQ ................................/...Fil/ed M:ip.........../J.Lot.....-. ..p.............. 'ermit \o.Ig~!<3 D........Date Of Permit.../. ~2'/.~~,.Applicant../~.~5'Y:.,~,~`~d„~;,~,l,C~y":~~~iV(A,~ 'icallh Dcpt. Approval....... ...................Underwriters Approval........................, 'Luu~in}; ISoard Approval ........................ Suqucst for: Temporary Certificate........... Final Certicate... V...... '~ee Submitted: $,.,aS;~I~„ .. mac, ya43) .. APPLICANT . ~ . ~: ~~~.- coan339 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 ^L~~~°~U~id3(;~ ~ E r, 1 ' 1 ~ f"`!:A Win" . ~' OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD NOVEMBER 8, 1991 RAYMOND RRUK 7645 BRIDGE LANE CUTCflOGUE, NY ]1935 To Whom This May Concern: SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 We are unable to complete your Certificate of Occupancy because of the following reasons: Xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. / xRX The check is ( /not on file. )$25.00 / No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18730-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r'iELD I;:S:'EC;iU+ ~~ llA1E ~ %OMMENTS ~ ~O ` ., a G 1. . _ H FOUJJDATIO'rJ (1st) . ~+ FOUNDATION (2nd) - ~ r 2. z 0 f P,OUGH FRAME & PLUMBING ti H b 3 . ~' c~ I2JSULATIOPJ PER N. Y. •• ~ STATE ENERGY CODE 4. ~Ce~*J'J ~ .--- a~ I~ FIidAL ~~ ` o ~ z ADDITIONAL COMMENTS: m • .. ~v H d • ~~ H H O ~ z 1 • x m • ~ . r C •~ . - ~ ~ d m ro H ~ ~ ~ co~ ~`~~ so f ~e~ ~ ~~ r aS n ~ ~~`~ t'~° N _~ O ~!!t$~`~ ~NS ~U~ t ~~ ~ ~ _ ~,~ ~~ ~ ..~ l ~"`~ ~~~ ~ ,~~ ~~ ~" ~""~ ~ ~ ~~ C~'"~a. ; ~ ~ (~'~ ~6 `~ . ~u~ .. ~' ~j ~ y,~r A~~~4~R~ a F ~° ~. +~ , kut.u t< ?G~fS g2~DG,~ C.IA, CU i G 6MC,,u~- tip. ~, tpp0-$~-nl~(o~~ I 765-1802 BUILDING DEPT. NSPECTION ( ] `~OUNDATJON 1ST ( ] (] Fd~N'[)ATION 2ND ( ] FINAL REMARKS: ~..i91.1,,.~ L[tQE~, (P ~1~,1A.C. L i LyL~ i~ ~' 1~F1~2 a ~; DATE ~/y~f ~~ INSPECTOR~~ 1-~, .. .., _.. ~ c L, e. ~ ~~~ ~ gee j~~;~:: ~~ D~f 41 ~ q ( t f,.i p ~'a '4~~~ x G b6 ~ .:a' 1' .. ! t 6,"~ fi 1 ~~ +' ~~ .. i. ~~xA` ~'\n6\1 I V' ' i ~ ~i _,,._._ °j a ~ ~ r "fi ,~ ~ ;~. (ty~0^F ~. ~~~r~,. ,~M.,~. _,~._ a ;Pf~ ~ ' .. ... .. ~ Y~ _. ~. ~~ w p1y~~~} l S` ~4~ ~. l1v`n' V .. ~ .~ , r ._~ ~.,, __. ,~m~.~-t~. ~.. ~ .~.~..,u.., . v ~'e 4 ~~ i` r' ¢Y ~~ . gr tip ~~~ X ~ p 1 ~::;~ FORM NO. 1 TOWN OF SOUTHOLD 6UILDlNG DF-PARTMENT TOWN HALL SOUTHDLD, N.Y. 11971 TEL.: 7G 5-1802 Examined . ~~Y......., 19gD Approved ... ~~.~.:.... „ 19~~.DPennit No. ~/,~ 73~, r' Disapproved a/c .................................... . BOARD OF HEALTH ~ yy~~ ..... 3 SETS OF PLAYS .I.C.......... SURVEY ............. cltECr :/..aqQ............ SEPTIC FORM ................ NOTIFY; CALL ..................... P1AIL TO' ..C~:~:~,Q: ads-~....... . Q~~w~ ~ ~, I (Bui ino In ector) k' APPLICATION FOR BUILD}IVG PERhill?' ~~ h'...~ rnu B~r0ic'cnEPnani n ~ - INSTRUCTIONS Date ....... Y~~ .~_......., 151. rt 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 streets or areas, and riving a detailed description of layout of property must be drawn on the dia;ram 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, Suffo]k County, New York, and other applicable Laws, Ordinances or Re;ulations, 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 renulations, and to admit authorized inspectors ontYpreminses and in building far necessary insgec ' ns. ro'r '~ .m ~^'~ S5 ~t?37 ' . t ~ ~~~~ ,,,,,,,, .„„_,,.,.,, k Cl.'' .,... ._.... ~( tgn ~ re of"applicant, o/r~name, if a corporation) • {~ -- .. ............... ....y :... . - pl: ~• -. A ~, , . (Mailing address of applicant) State whether applicant, is Qw~ner, lessee, .agent, azchitect, engineer, general contractor, electrician, plumber or builder. ..............a,.t:., ,.. ........:.................... ........................................ .,. ~/ . a-r` Name of owner of premises , ~/. ~~.'!~: ~ .¢. ~~~ `~ ~nLK' (as on the tax roll or latest deed) ICapplicant is a cottp~Orat~io`r~=,`si~nature pf duly,a,pthorized officer. ~.7~a ~~~i ~E;,: ... . (Name~fid~tltle~o~-c`ot~orateofficer) ' .. Builder's License No. ..~ ~~ ~~~ Plumber's License No . ....................... . Electrician's License No . ..................... . Outer Trade's License No . .................... . I. Location of land on which proposed work tvill be done; - House Number Street ~ • • " •' • • •' Hamlet County Tax Map No. 1000 Section .... ~ ~I...:..... Block ..... , , ~..... , .. , . Lot .... Kt.a .~... '' , , Subdivision .............. .............. Filed slap No. .............. Lot ........... . ..(Name) .. . ~. State existing use and occupancy of premise and intended use and occupancy of proposed construction: 0 a. Existing u ~ ¢~~! ~ D~~~ "J' stand occupancy - ••••••••• ,,,,•,,,,,,•••.•• b. Intended use and occupancy ~~~ ~• /~ • • ~' •~~~~ •~• • ~~K . ~• . , , 3. Nature of work (check which applic;able): New Building • ......... Addition ..~..... Alteration ~ .... . Repair ....... Rpmoval~........ Demolition ..............Swimming pool............ Tennis Court ...... Acetessory Building.,........Fence ......,Other Work:. 4. Estimated Cost .. ~.~~. O O . ~ ...................... Fee ................................ .... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ . Tfgarage,numbcrofcars ...... .............................................................. . 6. Tf business, commercial or mixed occupancy, specify nature and extent o(each type of use ...... , ,y..... . 7, Dimensions of existing structures, if any: Front . !~O~s~' .Rear .~7r.~...°~........ Depth .a', ~ , ~, , , , , , , , Height .1~............ Numbe; of Stories ... f ...?.~.`... .,.. ?r' ............~a ~..~'rr ....... . . Dimensions of same structure with alterations or additions: Front ,~ .. /a......... Rear ....... , Depth ..~... ~/ .:............IlTcight .. l~ `..... , .......... Number of Stories .... l.. ~~ •. ... 8. Dimensions of entire new constnicTion: Front . ~y,.,_.~_Rear_~... /.~:........ Depth .~: ~?:.. ~. ~K Hci;ht --:'-"--... Numbei of Stories ........ ................... ............... . 9. Size of tot: Front ... ~:r.~.... ........ Rear ...~.`f~ .............. Depth .`~,gl ..... .":tl;::.:... l0. Date of Purchase , . , : , , , , .~ , , , Na of Former ner ............... . 1 1,. ,i.one or use district in which rem • . ~ ' " .. ~ .. ~ ~ . ~ . . , • ~ ~ . ~ , iscs arc situatcct ...... ~~! ......:..`..P.. S........ ..... ' ........ . . t'~. Does proposed construction vi~lat~r_any zoning law, ordinance or regulation : . ............ •... 13. 1Vi11 lot be regraded .....!:~~ .....1Vill exc ss fill be remo}}~c~d from premtses: Ye's a ~ ; .•' Nc t 14. Name of Owner of premises !`r.~: ~~~K. , ` .....Address ~.P/byy,P G!r.':~::':?`:'rT.`~hone No~i'~:: ~~c~l: . . Name of Architect ......... , I ..............Address ................... rhone No....... ... . . ~ Name of Contractor .......... ' ..Address .. .... ..Phone No.. IS.Is this property located within 100 feet of a tidal wetland? *YCS.. N *If yes, Southold Town (Trustees Permit may he required. ~.•, ~ PLOT DIAGRAM Locate clearly and distinctly all li'uildings, 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 comer lot. •n '~ APPR ED AS NOTE~D~ ~ ~~ DATE: ~ ~ ~~ B.RM-.c,.:.:..:~~ e •~ NOTIFY BtIIL ING DEPARTM T A7 766-1802 9 AM TO 4 PM FOR THE FOLLOWING, INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE j 2. ROUGH -FRAMING & PLUMBING 3. INSULATION 4. FINAL _ CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION ENERGY CODES. NOT RESPONSt~?LE FOR i)ESIGN OR CONSTRUCTION ERRORS STATE OP NE1V YORE, 'S.S COUNT P .. .......... SC. /< . .... ~... , ./)... ~......~ .;. ............ . ..... . being duly sworn, deposes and says that Ile is the applicant • /(Name oC individual si nind contract) ., above named, (Contractor, agent, corporate officer, etc.) oC said owner or owners, and is duly authorized to perform or have performed the said work and to make and Gte this application; that all statements contpincd in this application arc true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. i Swom to before me this , ..~. N~ojtary Public . ............~~r7' ""' County9 . l LINDA J. CDOPER Notary Public, State of Newyork ~ ~ {Si;namre of applicant) ~b. 4$22663, Suffolk County ~~roiras December 31,18 '