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Home My WebLink About18112-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18225 Date JULY 28, 1989 THIS CERTIFIES that the building ALTERATIONS Location of Property 7045 OREGON ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map Nc. 1000 Section 95 Block 1 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 1989 pursuant to which Building Permit No. 18112-Z dated MAY 11, 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 ALTERATIONS TO EXISTING PORCHES AS APPLIED FOR. The certificate is issued to VAL STYPE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A N~'~~-- Buildinq Inspector Rev. 1/B1 Fosa>< xa 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 ~ .L 8 1 J. ~ Z Date 191. Permission is hereby gr me to: ~.~C~ ..........................................~~4.~~...... to ......~.~.~.~s .acs at premises located of ~ . , Qy' County Tox Mop No. 1000 Section .........9~.. Block ......1............ Lot No.......,r .a-- pursuant to application dated .............'.I`~........................................., 19........, and approved by the Building Inspector. Fee . . uildin nspector Rev. 6/30/80 ~F. ~ FORM NO. 6 TOWN OF SOUTHOLD " BIIILDING DEPARTMENT ~ ~ mrair TOWN HALL i~ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A_ 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with 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 eater supply and sewerage-disposal(S-9 form). 3. Approval of electrical ins[allation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar . buildings and installations, a certificate of code compliance from the 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, 1957 non-conforming uses, or buildings and pre-existing land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commmercial APPLICATION ON BACK rev. 10/14 /S8 D TOWN OF SOUTIIOLD 'ly~ti,o /ta' ~y ~ r~ ~ BUILDING DEPART?LENT ~p~(~ AA~~ ~~77 TOWN HALL L:;' ' FJLDG gfii>T>T SOUTHOLD, NEW YORK 11971 rc~yu~ or c,v. ~.~r~, ~ ~ , ...~r__...._... ' 765 - 1802 i APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE NEW CONSTRUCTION ~ .OLD OR PRE-E%ISTING BUILDING...... VACANT LAND........ ' Location of Property..7Q~5,_,,,;,,,.....~`~~60~...~~.....C~-Ti~,.H'.. HOUSE NOQ._{~ STREET HAMLET 'T Owner or Owners of Prop~rty,~C~.x.~,ro a-:5.~,~.,L County Tas Map No. IOOOI,Section Block Lot Subdivision........... Filed Map ........Lot.......... ~ ..r---_ 1 Da _ Permit No. ...~.LL~~ to of Permit .~/~,~.,,.Applicant .L}i.~G~.. """I" Health Dept. Approval I Underwriters Approval.............. Planning Board Approval'',, Re uest for Tem orar Ce• ? 4 p y rtificate Final Certificate Fee Submitted: ~i APPLICANT...4:~~:Y:"~%.~ ,i~F~ _ , ' - rev. t~ /14/88 Chat. 3~SK e o t~ a~s ~ ~ ill v rs5-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [a~FINAL REMARKS: DATE ~ INSPECTOR J"~" " L 7'65-1802 (BUILDING DEPT. INSPECT~® [ ] FOUNDATION 1ST ( ] !ROUGH PLRGe [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL G,6 . c,~al REMARKS: !~~Q~-- ' ~ _ L l// DATE ~l~ 6 INSPECTOR ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL REMARKS: ~-~Q~ t DATE ~ INSPECTOR 765-1802 ~UILDING DEPT. [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION ~RAMING [ ]FINAL REMARKS: c ~o . r z DATE ~ ~ ~ 1 INSPECTOR ~ y ~ ~ 765-1802 BUILDING DEPT. [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: .~l ~ p~ DATE U INSPECTOR'" ~~LD I~:S! EC:iut. ~~UniE CUaYMENTS ' m i . - ~ 4~~ ± H 1V ~OUtJDATION (1st) c 'OUNDATIOIJ ( 2nd ) ci - - o Q~ TOUGH FRAME & PLUMBING H 3. ~ m ra CJJSULATIOfI PER N. Y. y STATE ENERGY CODE x ,e+ a 3 . ? H !/tN FINAL - ' d _ ADDITIOfIAL C ENTS: x CO d . 'mil r~ ro 1-i 9 ~ H H O `m A ~ \ . - H S ~ , . ~ ~'~V,` m b H ~ BOAKD OF HEALTH - c: - °''~a'v*~.- ~ 3 SETS OF PLANS • ~ ~.;e.f ~ ~ = 'FORM NO. 1 SURVEY........... TOWN OFSOUTHOLD''`CHECK°°'••-••••••- BUILDING DEPARTMENT SEPTIC FORM TOWN HALL $OUTHOLD, N.Y. 11971 NOCALL ~41t' .QI )•(os; ~7E{(p TEL.: 765-1802 MAIL T0: Examined 19+C?~ Approved~~~~........~~°°PermitN~CaJ.~~..~ ~ Disapproved a/c ~ ~ . C° . ~ TOWN~SOU HOLD ' tia.' , r,ispectcr) APPLICATION FOR BUILDING PERMIT Date ..PJ qu usiKy, , , (3, , 19 ~g 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 approvai of this application, the Building Inspector will issued a Building Permit to the applicant. Such'pe{mit 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. it 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 building for necessary inspections. . P a.... (Signature of applicant, or name, if a corporation) SOUTH N?IQBD2,...(t'.o.~wD.. Sq~~1s+P1~ . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......Q.CJ N FtQ` Name of owner of premises ryH~'~5`~"oPHciQ,,,P,'!',?!lF,Q~,$'/9,,,,,fj,,,,~,qpP~',,,,,,,,,,,,,,,,,,,,,,,,,,, (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED ' Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No. .oZ..~,.~.,3. H.~....... . Location of land on which proposed work will be done. ~A'f .~a~ ............QRS... S~'R~'~T uTCNOG u E...N, .Y......11 q 3~........ . House Number Street Hamlet County Tax Map No. 1000 Section (fl........... Block Lot ...1'~:,.~ 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 ....17?Y....~dC'S.1.E2~'NC~ . b. Intended use and occupancy ...my....a€S(DF'NC,E'..,~y~.~. , ,,Y-a~y,r.~,c~ , ,~,~„~~y~, , , , , , , , , , , , . A ition . of work (check which a licable :New Building . 3. Nature'I ' • • • • . Removal . , . • • • • • . • • • • I' ' ' • • • Alteration . Repairi Other Work ...X.......... . Demolition RFmou£ 5oic PRom UNDER FRonl'7" bF •~'Hf Flou.SL ~ ~<NISy ,gRSmENT WAt;LS (DescripSion) 4. Estimated Cost . '~,,QRR.4.4 . Fee 3rn?GcF ~ t`to be paid on filing this application) 5. If dwelling, number of dwelling units RFSiaEUfiE....... Number of dwelling units on each floor . If garage, number of cazs ..NPAl6 . 6. If business, commercial or mixed occupancy, specify nature 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 :5~4`. +9~+"+4TCH~A.~ar . Depth ......................Height Number of Stories . 8. Dimensions of entire new construction: Front r.... Rear .......,........Depth . Height Number of Stories . 9. Size of lot: Front . SE£...Arsri7Cl+.E11 .p~fG~ Rear Depth . 10. Date of Purchase / v-4,1a~.9. ~ fir/ Name of Former Owner L1•S.~a~4 a o?'>o, • p~C~.. , , . 11. Zone or use district in which premises are situated . SCHPA4 . J~IST6(GY. "..`.x.7.3',80.9 . 12. Does proposed construction violate any zoning law, ordinance or regulation: .t~f~ . 13. Will lot be regraded .:y~S. Will excess fill be removed from premises: ~ No 14. Name of Owner of remises THRFR s~~R p z~~p£ Address :SOU7K . Mr4RBo',RR.A9UPhone No..7G~~".~ /~'~.~0... . P A••,LxIPP~ Name of Architect ...........................Address ..............'.....Phone No............... . Name of Contractor ..........................Address ....:.........!.....Phone No............... . 15. Is this property located within 300 feet of a t__gidal wetland? *Yes . X No *If yes, Southold Tawn Trustees PermitPLO~ DIAGKAMed. ~h all buildings, whether existing or proposed, and, indicate all set-back dimensions from pro r i ~eL an block number or description_according to deed, and show street names and indicate whether inte~oIUNLAV~FUL ; ~ ~J 9THOUT CERTIFICATE ~ 0`F OCCUPANCY ~ sT ~ ~ 'I i"RJ?mE DWELL ~v~'a wFu.~ •re~6s ~ ~ ~/wr.e. oaJf ply' Ou.7~ Soil, 1R~ i=Roni`r ~ 3~,6' ~F---- w~LC rwo puT F•oaTIr1G HtJ'a Cd'MEn/T SLOCd; WYaL13 ~}Rou~Ifl>' T'NREE SaDBS - SEf gTt~TCyED ~`~1GE of TroE House' Au7~ CfMEUf h"coon PE~IMCI' !No"LUbES A~I~WiC?VAL 10>~ Ai ~T~ 'Pty ~ZM()VE EXa~E v !LL .ATE:3~~ ~ B.P ~~4I ~~QVE r~FiE~'II~~S t3Y r~~ o ° RE6R/40BNG i.0'I F•EA:./,,~~~BY: + NOTfFY, BUILDING DEPART AT L1RlVEVJA@" CONSTRUCTION 'l3,16~18!D2 R AM TO 4 PM FOR TMIE CESSPOOL. CONSTRUCTION FOCL.OYWNG INSPECTIONS: - FOUNOAi'ION TWO REQUff1EO CELLAR CONSTRUCTION POR POURED CONCRETE i t+TwE~ iiDU(~N FgAMING ~ PLUMBING iNSULAT(ON q. FIN~,1. CONSTRUCTION MUST i" G?MIpLETII FOR C.O. STATE OF NEW R ALL t".ONSTRUCTION SHAIU_ MEET COUNTY OF~s~ ..D.. ~ S.S I • • CIUIRL"MENT~ qF TWE N: ~ T~Ri f1.r. ~ 4---~i.~~ C~ bein dul sw b~ ii applicant g Y T (Name of indi idua signing co t act) ~ above named. ~if~d 063 G±,,~TtON 'E~iROFt'.s. L_.. He is the • • • • • • ~ntractor a ent cor orate officer, et g p of said owner or owners, and is duly authorized to perform or have performed the,, said work and to make and file t1t~s application; that all statements contained in this application are true to the best Hof hiS knowledge and beligf; and that they work will be performed in the manner set forth in the application filed therewith. Sworn to before me th• ~ ~ .Y.~.....day of . G~. V~ ;~4~ 19 No ~'`t~P~ublig . . County Notary Publio, Stet of NewYor (S~gnature of applicant) ' No. 6ry-8126860, 8 olk Term Expires 1,1