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Home My WebLink About18609-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219386 Date SEPT. 25, 1990 THIS CERTIFIES that the building ADDITION Location of Property 30535 MAIN ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 02 Lot 21.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 25, 1989 pursuant to which Building Permit No. 186092 dated OCT. 30, 1989 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 REPLACE EXISTING 10' X 14' SHED ON UTILITY BUILDING. The certificate is issued to CUTCHOGUE CEMETERY ASSOCIATION INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N(A UNDERWRITERS CERTIFICATE N0. N137188 JUNE 21, 1990 PLUMBERS CERTIFICATION DATED NfA ~M fBuildin ~ns 4 P Rev. 1/81 Foau 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) N O 8 6 0 9 2 Date ..~.~...3.~ 19.~.L..~ Permission is hereby granted to: ......C~.....~1.~.'~~...-o .....~.~.,~i. ..~.~.....~~.......1.../..~.3. s- / . . ro ...lQ..........1....~ ........................u~~.......... ~ of premises located at ......~.G/....~~..~.~......... ,~~D....,<•.1 County Tox Map No. 1000 Section Block .....,~,........./~,Lo~jtJNo.......p~./t......! pursuant to opplicatlon dated .......~..,~,....5.-'......., 19.01..../and approved by the Building Inspector. < Fee ~p.4:~.1.1~.Y. Building Inspector Rev. 6/30/80 THE N~illl YORK BOARD OF FIRE UNDERWRITERS hACr 11?.51.165 BUREAU OF EiLECTRICITY CBS JOHN STREET. NEW YORK. NEW YORK 10038 Bate JUNE 21,1990 AppltrntiurtNo.onfile 691/9:19(1/90 N 1371 RA THIS CERtIFtE9 THAI only the etectrfco! egatpmeht da d¢acttbed helor6 and introduced by the applicant named on the ahoue application numher In the premises of CUlCH001JE CEMtiTL`ORY ASS(1., R'fE. 25, N.Y.1", 53G, Cl1TCHOGl1E, N. Y. in thefollotcing location; ? Bobement 0 tat Fl. ? 2nd F'1. OIIT .Section Blork Lot was examined urr JUNE 11,1990 andfouhd to he in cmnpltanre u•i/h the rrquirentenh of This Board. FIXTURE ECEPTACIE$ SWITCHES FIXTURES R NGES COOKING BECKS OVENS DISH WASHERS EXHAUST FANS OUTIEPS INCANOESCENt ftUORESCENi OTHEfl AMI. k. W. AMt K. W. AMi. K.W. MIT. K.W. AML H P. 'L 3 1 2 DkYERS FURNACE MGTORS FUTURE APPLIANCk FEEDERS SPECIAL kEC'PT TIME CIOCX$ EEEL UNIT HEATERS MUITI-OUTLET DIMMERS AMi. K. W Oll M. P. 4'Ae~ , H. P. AM/. NO. A. W. G, AMT. AMP. AMi. AMPS. TRANS. AMT. N P SYSTEMS AMi. WAitS NO.Ok FEET P SERVICE DISCONNECT NO.OF S E R V 1 C E AM! AMP. TYPE METER L A, tW L ~ tW ~ 6 ~W 3 ~,,W NO.OF CC COND. A W O. NO Of NbIFG A W G' NO. Of NEUTRALS A, W G EQUIP. PER A Of CC_COND. OF HbLEO OF NEUTRAL 1 1DU C,8 1 X 1 / 7. r, OTHER APPARATUS: = SHED WIRING ONLY-1 w G.1".C.I:-1 LAKE ELtCTRI(', LIC.t11845-E Z/~~~ 17 FOREST TRATl. RIDGE, NY, 11961 GE AL MANAGER Pe This cer4ilicate must not be alterAd in any manner; return to the ofiice of the Board if incorrect. Inspectors may identified by their credentials. 1 THE NEW YORK BOARD Of FIRE UNDERWRITERS PAGE 1 11'25(155 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 Data TUNE 21,1490 APPlicotionNo.onfile 691h9b9C1/4C1 N 13?1flA THIS CERTIFIES THAT only the afeetrlca! equipment as dascrihed 6eloro and introduced 6y the appllcarst named on the ohooe applicotton number Irs thepromteu of f,UTCHO(JUE GEMETEURY ASSC., RTt. 25, N.Y.T. 936, CUTCHUGUF:, N. Y. in thefollouinR loco(ion• ? Bals nt ~ let Fl. ? Ynd Fl. (1UT .Sertion Block Lot ,TUNS 14..,~i1e mos eromined an and found to 6e in romplianre with the reyuiremente of ehie Board. ' RXiUR! ( RXTURK RANGES COOKING DLCKS OVENS gSHW EXHAUST FANS OUTIETi At16 SWITCHES INUNalSGENT fIUGNlSClNT OTHER NAT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.I. 3 1 2 DRYHIS FURNACE h10TOK RJTURE AMLANp I~ERS S?KJAL RlCri TIMl CLOCKS pLL UNR NEATpS AW1140UT1RT DRIAMlK AMT. K. W. pl x. P. GAS x. P. AMT. Na. A. W. G. AMT. ANT. ANT. AMPS. TRANS. AMT. x. 1. SYSTR~ AMT. WA1T5 NO.OR RRB SERWCR MS~NFHCT tq.Ot S E R V 1 C E AMT. AM1. TTPE ~jn. I,I tW ~/SW ],r SW ]/A\V ~'~ER #COND. OF CC f:oND. NO. Of xFIEG ~~HI~~ NO.Of NEUnMt OF 'rEUfGIIAI 1 1q0 CH 1 X I h 1 h OTNFR AR'ARATUS: SHE"D HIRING ONt.Y-i f,,F.C.I:-1 rt LAKE ELECTRIC LIC.MiFt65-E 1T FOREST TRAIT. RTGGE, NY, 11961 OMlAIAIANAtEM 11 ,~y f= Psr Thit certificate must not be altered in any manner; return to the offiu of the Boa if incorrect. In n may-tie•idenntifisd by.... crodemiak. F BIHLDING DE A ? TE IN ANY '1:..~~ 1~..Ci•.. ~..~r.. li ~i IJf1~.. I 1. V:~J~IIr If I.. f' y~~` mQ~ I - ~ 4 _ ~ - ~~.4 'OlltJDATIO'.1 (1st) ~I ° N i N m t~ ?OUtJDATI0IJ (2nd) - ~ o~ ~OUGH FRAME & ~.,J PLUMBING 3, m n y~. IIISULATIOPI PER N. Y. STAT° EPIERGX CODE a FI;JAL I • ~ ~ O RDDITIOPIAL COMMEIITS: m v . x \ N 9 • O m y r ~ H b ' . m 'o H FORM N0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ? p~ TEL.: 765-1802 Examined~99~ 3. ~ 19 ~ / ff~~ Application No . ApprovedL/~~,!~J......., 19g.~Permit No..l'~/..~~, { Disapproved a/c . ..................................~~.~~~!..~~..e~~~ (Building Inspector) APPLICATION FOR BUILDING PERMIT f`~ Date ly"•~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the 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 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. I d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit i 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, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, 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 regulations, and to admit authorized inspectors on premises and in buildings for necesesar~y in-s-pect~ioJns. r, (Signature of applican , or name, if a corporation) / (L. ...1.~~:~J . Mailing address f applicant) State whether applicant is owner, lessee, agent, architect, engineer, generil contractor, electrician, plumber or builder. c7~?~1-'fo`•'0;~' ~~~2'} ..,ILA ~ ~ ~ ~ . Name of owner of premises ~Y' • " .i . (as oV~tax roll or latest deed) If applicant is a C oratio ,signature of duly authorized officer. fN.. .a~~-~:... . (Name and title of/corpo//date//office/r~) Builder's License No. V .Cl.~ .k . Plumber's License No . . Electrician's License No . . . . ~ Other Trade's Lige}~se No. , . 1. Location of land on,which proposed work will be done . . e .....3.~ s-.~.s--. House Number Street Hamlet County Tax Map No. 1000 Section ....l . Block ~ Lot ~ . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..........r~ . b. Intended use and occupancy ~..0_ . p Rem plicable): New Building Addition Alteration . 3 Re air of work (check which a oval 'Demolition ..............Other Work . (Description) 4. Estimated Cost {J.~ ~;`t~.. 0.'~ Fee v~-+.~'!. ~ . (to be paid on filing this application) 5. If dwelling, number of dwelling',units Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . Hei ht g.... Nums, if any: Front : : :Rear ; Depth . 7. D gensions of existin structur ber of Stories . Dimensions of same structure with alterations or additions: Front . Rear . et p ..Height Number of Stories . 8. Dimensions of entire new const'ruction: Front Rear ...............Depth . Height ...............NunlberofStories........................................................ 9. Size of lot: Front Rear Depth 10. Date of Purchase ..........:..................Name of Former Owner . 11. Zone or use district in which premises are situated . . 12. Does proposed construction vio at any zoning law, ordinance or regulation: 13. Will lot be regraded ~ ill excess fill be emoved from premises: Yes No ame of Owner of remises ..t~ ~1 p Tt= d.grnw. ~Y.M•e~2?~Add"ress' ...~.'t-t~.c.h a.5s•~'Q.... Phone No . Name of Contractor (tit ~ ~ • ' ~ ' ' ' ' • • • • • Address ....Phone No.......... . Name of Architect : ~.Ir ~eeb~ ~wr(~(•efS Address .~.~~c~.d. q.u::4,,.... Phone No. 73,c(;.~ dr~~, , , , PLOT DIAGRAM Locate clearly and distinctly ally buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block dumber or description according to deed, and show street names and indicate whether interior /o~r corner lot. ' I I /lP{'1?6U-2 1duI,L Sh~~ Qh~1 ~-"'C' /LtC~ ~ W / ~ a ~ S n P~ ~ 'G l® l~ h 1'yl 1 I L 0. raT ~Q~~S ~e pia c~ b~.-~•r ~~r h l 1~h Sams 1 oca~o CC ,QPP 0~ D~ NOTE~o~ NOTIFY B~DEP RT~~ " tl ~ C R ~CA 9 FOLLUW NG NSPE7 pry FOR THE T. FOUNDATION TWO REQUIRED " 2. ROUGHU FRAMING dI PPLUMBING 3. INSULATION STATE OF NEW YORK, A. FINAL - CON511RUCTION MUST COUNTY OF S'S BE COMPLETE FOR C.O. ALL CONSTRUCTION 8HALL MEET ~ beirill~iEulpEQWIREMEpIYBs 0Fd t~ tNa1G he is the applicant (Name of individual signipg contract) STATE CONBTRUCTION d ERGY above named. CODES. NOT RESPON$IBLB FOR DESIGN OR CONBTRUCflgN ERRORS He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are 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. Sworn to before me this .............°r~. ,...0~............, 19.~ Notary Public, day of I County "...1T5/ ; . . HELEN K. DE VOE ! , , , , , , P:OTARY PUBLIC, Stele of Nex~ York . Na 4707878, Suffolk fAUr~Y (Signature of applicant) Tarm Expires March 30,19