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HomeMy WebLinkAbout18661-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 8-24756 Date NOVEMBER 20, 1996 THIS CERTIFIES that the building ADDITION Location of Property 385 HAYWATERS DRIVE CUTCHOGLIE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 5 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVSlD3ER 2, 1989 pursuant to which Building Permit No. 18661-8 dated NOVSlIDER 21, 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 FRONT DECR ADDITION TO E%ISTING ONS FANILY DWELLING AS APPLIED FOR. The certificate ie issued to JAMBS E. FIT8GERALD, JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 Foam 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 6 Z Date ...1./.,12/ 19...1.. Permission is hereby granted to: s ~ nJ 1....::.... to ...>±.~~f..~~lj~.. . ~ ~ ~~......~4~t~'~r~...~r.~........ Wit. ~~ff 'I/ _ , at premises located o ....~.Gl..~ .......,~/.~.Q~..r~...llLli!~ .~~Z j County Tox Map No. 1000 Section ....../a..~........ Block .........~.r..~...... Lot No.......~~..~.. pursuant to application dated 19..~ond approved by the Building Inspector. Fee $.c.%.!!~~, r B ing I for Rev. 6/30/80 Form No. 6 TOWN OF SOL'THO~ BUILDING DEP9P.T:'FNT ` TOWN F_9LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, ink and submitted to the building inspector with *_he following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, scree*_s, and unusual natural or topographic features. 2. Final Approval from Health Dent. of water supply and sewerage-disposal(S-4 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. B. For existing buildings (prior to April 9, 1°57) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property snowing 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 3uildine Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling 525.00, Additions to dwelling 525.00, Alterations to dwelling 525.00, Swimming pool 525.00, Accessory building 525.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Buildin¢ - 5100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - 550.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial 515.00 Date ..Nov 15 ~ 1996 Vew Construction......X.... Old Or Pre-existing Building location of Property...585• •Ida;~~u3tara• •Drixe.~ . CLt~ttS~tOgate . Rouse No. Street Hamlet Onwer or Owners of Property.,.Jame9 l;. Fitz~eT31d~. JY'.,.,••,,,,,,,,.••,.._•.,,•,.,.,..,.. ~ounty Tax Kap No 1000, Section.... 104......Block... 5...........Lot..2.9 Subdivision ....................................Filed lap............Lot................... ~e:-mit No.. 18661 Z , , , , , .Date Of Permit..1.~ ~~~~$9.....Annllcant.~~Pl~B . F....k'i1;zgeT211.d~ • J~'. 3ealth Dept. Aoproval........N~/A ..............Underwri*_ers Approval..... N.~A................ " ann;ng Board Approval......Nf!1 2eavest for: Temporary Certificate...,....... Final Certicate ' 'ee submitted: 5... 25.00 _ ~.e,. saa~ ~ . co -~ay~sc~ APP _ A~~T 1::LD IGS:'ECTIUN ~~DATE ~ COMMENT° -o ~ m 1. 3 ~ H _ _ y FOUIIDATION (1st) ~y d c ti FOUNDATIOtJ (2nd) ~ 2. z ~,1e o W ROUGH FRAME & PLUMBING y H 3. x m m H IIJSULATION PER N. Y, STATE ENERGY CODE m 4 . ~ ~ © • y - FIidAL ~y O z ADDITIONAL COMMENTS: t~ x~ ro H 71 9\ H H z~ I [*1 A\ x ~ d R] ro H l 765-1802 BUILDING DEPT. 1 NSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS CATION [ ]FRAMING [ FINAL [ ]FIREPLACE & CHIMNEY ,~r~ REMARKS: ~ ~ ~ ~ DATE ~ ~ INSPECTOR BOARD OF HEALTH - 3 SETS OF PLANS FORM N0. 1 SURVEY . ' TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL MAIL T0: Examined 19 . . Approved 19r7J. Permit No. /Q!r!~~~ Disapproved a/c . ( ildi Inspecto) APPLICA ION OR BUILDING PERMIT Date November . 2- , , , , „ 19$9 - INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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. 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 B ' 'ng Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and e p icable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, o i•emov de olition, as ere described. The applicant agrees to comply with all applicable laws, ordinances, uil a 'n o ,and egul ins, and to admit authorized inspectors on premises and in building for necessary inspe ' awes E. Fi e,a d,.J s , . ( ature of applica name, if a corporation) PO Box 79 ........Cutchogue.,..>uY..1.19~5•••••••••••••••. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Applicant is the owner Name of owner of premises , , See above (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .~~g (Name and title of corporate officer) Builder's License No . ~r Plumber's License No. Electrician's License No . ~ ~ Other Trade's License No. . ~ 3o55HI . , , . , , . , 1. Location of land on which proposed work will be done. 385 . Haywat'ers ,Drive', Cti}i;~hogue, , House Number Street Hamlet County Tax Map No. 1000 Section ......10,4.. , , . , . , : Block .....5........... , Lot 25 . Subdivision Filed lvlap No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...Single-family, ,x@8zdeLtee, , , , , , , b. Intended use and occupancy ..Same 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Removal , . , Demolition , , Other Work . , Deck, , , , , , (Description) 4. Estimated Cost.......~2000'i Fee...................,.................. ' (to be paid on filing this application) 5. If dwelling, number of dwelling µnits . . Number of dwelling units on each floor , . If garage, number of cars 6. If business, commercial or mixed occupancy, specify netu;e and extent of each type of use . 7. Dimensions of existing structures, if any: Front , Rear . Depth , . Height Number of Stories , . Dimensions of same structure with alterations or additions: Front Rear . Depth . .'..Height , .....Number of Stories . " 8. Dimensions of entire new construction: Front Rear , , .Depth . Height Number of Stories 9. Size of lot: Front 180' 34~'~ ~ ~ ~ ~ ~ ~ b 1''' 'var ' D t ............Rear:,..... 10. Date of Purchase ~ X81. . Name of Former Owner ~c ulthei's's ~ ' p miser are situated . , R~q.0 . . 12. Does pro osed constru thon violate any zoning law, ordinance or regulation: AI4 . 13. Will lot be regraded N4 ~ Will excess fill be removed from premises: ,Yes No 14. Name of Owner of premises ..$~B. r~$QYS........ Address ...................Phone No............ , . , . Name of Architect . , .Address ....Phone No. . Name of Contractor .Plantings, by .the .Sea ,Address , Cutcfiogue. ,phone No. 74'6'755: 15.Is this property located within 100 feet of a tidal wetland? *YSS....NO.g.. *If yes, Southold Town, Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all ~ buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. See attached survey, plot plan, and construction description. I APP OV AS NOTE~Df~~ DATE: B.P, M.11L.=.=~ i ~ gTIFY D NG DEPART AT 765-7802 S AM TO 4 PM F R THE ' FOLLOWING INSPECTIONS: 7. FOUNDATION - TWU REQUIRED ~I FOR POURED CONCRETE 2. ROUGH • FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBL'"~ FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW ~ S.S COUNTY OF ,e ........,lamas . F.it2gexalLle. ,Jr.•, , , , , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the.,.......owner...... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Nb p~ .day of .q?fi!?'LV!L_......, 19 ~f ~ Notary Public, .°E~ ,Gz' , . County l.~ t9ukary pul,!irs, i•:.,+3 ?:~wi'. . lia. ~~967~$ Qoalifled Iii vul,utri ~un3y (Signature applicant) . Commko!on Fasplrss ffsy 26,12`,$J i a 7 cn ti r~-1 F'~ ~v 1 Q [r+ r`, z qq~~ 4 N N O ~ ~ \ W t mid Qq ~ ~ i t ~ " Wa N ~ ~ S,,,J- 1 ~~WU ~ ~ ~ ~ o _ V ~ ~ ~ ~ ~ t_ ~ 4 i.~cf~ •1 ~ ? i \ ~ ~ ~ ~ 1 ~ y11~~. 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