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Home My WebLink About18155-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219068 Date MAY 22, 1990 THIS CERTIFIES that the building REPAIRS Location of Property 205 WEST RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 007 Lot 012 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 1989 pursuant to which Building Permit No. I8155Z dated MAY 31, 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 TO CONDUCT REPAIRS TO EXISTING BUILDING AS APPLIED FOR. The certificate is issued to PEQUASH RECREATEON CLUB INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N{A PLUMBERS CERTIFICATION DATED NSA C , Building Inspect Rev. 1/81 FOIBM N0. 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 ~ ~ $ ~ J~J Z Dote 19..4 Permission is hereby granted to: ~...9~.~ ........................................3 to ~ ........G` ..~~g t premises located at ........~°..Q :~...,Cllfir.~..~~ .................................................LG'.~.~....................................................................... County Tax Map No. 1000 Section .....11..~......... Block Lot Na..........~.~-... pursuant to application dated .......s.~~.~.,~.,.,~ 19.l~f..., and approved by the Building Inspector. ~~yy O D Fee $.~r.%!~....~ , uildin for Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD 0 ~ ~ ~ ~ O BUILDING DEPARTMENT ~ ~ Q TOWN HALL 765-1802 - BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OFSOUTHOLD 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 Dept. 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. 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, 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. C. 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 $15.00, Commercial $15.00 Date t: L dF ~.~i.~.Q........... New Construction........... Old Or Pre-existinjg~ Buildiing...... Location of Property... a.d.~...lti° $'.5~~:....h.~.a:6~ .........5~.4%.~tr.hc~~6~:~1..` House No(.~ / p Street- - amlet Onwer or Owners of Property.../:~.~f!~f4/c~,s'./1..../~.~~-.b:'~~.{,i,QJ~j,,,~L~;q,~j,,,,~1~c,,,,,,,,,,,, County Tax Map No 1000, Section/..1.~ ~.......Block.....7..........Lot....~.~ Subdivision ....................................Filed Map............Lot...................... Permit No.~O..~~.~.......Date Of Permit./.tQ,E}~.~~p ~.`/.~'~.Applicant Health Dept. Approval ..........................Underwriters Approval Planning Board Approval Request for; Temporary Certificate........... Final Certicate..~,..... Fee Submitted: 5 „ Q,~ 5IY ~ APPLICANT {-E:.J i:~:;: c:;: i.~:: j~Dr~'i j i:Ua`4ME.NT.9 c~., - m \J ~ l~ H OUIIDATIO?! , ( 1st) o c OUNDATIO;•1 (2nd) _ _ m 0 OUGH FRAME & Q PLUMBING H m rn l1SULATION PER N. Y. y ` STATE ENERGY CODE x t'~~'\\\l r S ra H FI;JAL o ADDITIONAL COMMENTS: m x ' ~ ' x ~ ~ b\ H cc,,'' 9 ~ 'W H H O a~ ~ ~ ' r - y m ^o H BOARD OF HE.\LTH 3 SETS OF PL.1NS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL SOUTHOLD, N.Y. 11D71 NOTIFY ' TEL.: 765-1802 CALL Esantined~ 19~ MAIL TO Approved 19~~~. Permit No. ,D ~ ~ ~ l_VJ L~~~~~ Disapproved a/c . MAY 2 31989 ? ~~l~J ,i T(JWIVi~UFSOtJP,+OLCY (Bu mg I ec or) APPLICATION FOR BUILDING PERMIT Date .....Md1J..~2......, 1~.9.. INSTRUCTIONS a. Tltis 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 t]tis application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throw}tout 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 Rcculations, 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, hou n~ cAde, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectia f~/~~ (Signature of applicant, or name, if a corporation) d.~.~.........,,,,,.,,.. ~ yt.'v'.! giy.... ~'9.~oX.93.1,,,Cutchogue,,N:Y:..?.1935 TA-,1 P, ~~~;~.j,~y g,,:~~~ti ;tii~~ - 1(Mailing address of applicant) } q ~ yy State wheth~eryr gapphcant~.^~is` owr{er le'~seei }agen_Y, architect, engineer gen't;rhl' coritr"ac'tor, electrician, plumber or builder. G~~Y1t~,~,~~d Y'~9'n~~;'2rC~`3~o'~'; ,F . ~ ~.r.....:...'.. t Ibi394alft~,5'} ,Iy ~ rYi +`s1}~'} - ` ' e,°x' ~ ~ ~ ~ - s . ame of owner of premises Peck T~.Sh ~Re.~r.0at~,Q~. Ca.h17. ~Xl~t, u . t~l,;~t tr;eylT ~ ' (anon the tak r"o~l~or latest de_e ~ kg~7an~t~=°u ~S,° IC applicant is~~~o~por~~t~r~q, sjgnature of'd'u'ly authorized officer. +~AA ~t1 r! "s`, tit%~~;: ~t'i ;o" F+ IS i y~#l,t.. . .t~.~t,ti ~•~itf,~l i.~. . . . . . . (Ndrhe ~n ~ ~.cp~ora~fd°officer) ~Ci~ Builder's Zt~''en~"IN~o~j .:~.t. ~.3ou:9.. H1 . Plumber's License No . Electrician's License No . Other Trade's License No . riJC6T /S 1. Location of land on which proposed work will be done. .-.~d,~ , : f Est Rd . of f ........~'egtzagh„live;,, Cutchogue,, N;Y. House Number Street Hamlet i County Tax M1fap No. 1000 Suction Block Lot Subdivision Filed t`lap No. Lot . (Name) State existing use and occupancy of premises and intended use an/d occupancy of proposed construction: a. Existing use and occupancy . R'F.GP.f trt-~!•~• t"'• • • • L';~y~ . . b. Intended use and accupancy 1 ( 3• Repair of work check which applicable): New.Iluilding Addition , teration ....x......... R~Inoval U II Demolition .Other 1Vork . 4. Estimated Cost ~3 x , (Description) 000 ~0........... Fee (to be paid on filing this application) ^ g units .C7-Ltb, ,house • , Number of dwelling units on each floor..:..`.... If garallcnnumbcr of carsvelliti'• . • • • • • . • • . • . • • • 6. If business, commercial or mikcd occupancy, specify nature and extent of cacti type of use . 7. Dimensions of existing Nures, if any: Front ,.~r,__, ; ; ; ; , , pear a structu' Depth . Height ~mbcrofStorics... Dimensions of same structure with alterations or additions: Front No. aiid,i,t7-ons Rcar . Depth . Ileight . ' ' ' ' • • • • • • • • Nuntbcr of Stories . 8. Dimensions of entire new constriction: Front ' ' ' ' ' ' ' No •additi0ri;;. Rear . Height Depth Nu'nbcrofStorics. 9. Size of lot: Front ..l.QQ. Rear . 16d . + r 10. Date of Purchase 'p ' • • Depth .355....4...:. . ' ' ' ....Name of Former Owner ~ • • ~ • • • 1 1. Zone or use district in which remises are situated , , , , , , , , , • , • 12. Does proposed construction violate any zoning law, ordinance or regulation: ~ • • • . • • • • • • • • • • ~ ~ • ~ • • • • • DI' 3. Will lot be re;raded Q • . \Vill exc ss fill be remov d om premises: Yes AIo 14. Name of Owner of nremisrs Pequash .Flee,., ,Q1ubHddress ,~utohogue ~ l~l. Y . Natne of Architect ~ • • • • • • • • • Phone No.. rigr)~....... , Name of Contractor • • ress • lcler8~ Phony, No. . ddm.. M..~eeb.~ •~><t~, utcho u'e'"'N:Y'.' 4-6681 • • IS.Is this property located within ddress.Cr. ~,,,r,,,, „PhoneNo..~~ *If yes, Southold Towtt Trustees Permit may bearequiredetland? *YES....NtD.... 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 decd, and show street names and indicate whether interior or corner lot. i , Replace rotted s~alls and girders Replace 4• window 'units with ~ used window units Replace rotted posts with CCA posts Replace rotted wood skirt. with CCA skirt Replace pine vertical siding boards , APR~gD AS NbTEO _ DATE.~,C~3~_v i - 8.14 M w~6 I FEE: O ' j NOTIFY $ BY: ILp QQ~~/~~°? 7Bb•T$02^~~D~PAPNI FOR THE 4d000r~NCjY ®R FO4LOWINOINSPECTIONS: F ' Q 1. FOUNDATION TWO gE0U1REO I~ UNLAWFUL 2. ROUGHURFRAMINO dt~PLUMBIN(i ITHOUT' CERTIFICATE 4, ~ N LLATIO CONSTRUCTION MUST BE CAMPLETE FOR C.O. "''~~~C~ THE REQUREMENTS OFATHEMN~y CO ~S•C NOT RESPON BL`s EFOR [~s"SIGN OR CONSTRUCTION ERRORS STATE OF \EiV YORK, S COUNTY OF 'S r ~ ' ' ' ' • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant • . • • . • • •(Aamc of individual si~nii',g contract) above named. i ifeisthc (Contractor, agent, corporate officer, etc.) ~ • ~ ~ ~ ~ " ~f said owner or owners, and is duly (,authorized to perform or have performed the said work and to make and file this iPPlication; that all statements contairted in this application arc, true to the best of his knowledge and belief; and that the ,vork will be performed in the manner $ct forth in the application filed therewith. sworn to before me this G.7~.... ..day of.;....~rn..~........ /0 19.1 rotary Public, , , , , , ~/•6~.... , County NELEN K DE VOE ii \ • NOTARY PUBLIC, State of NewryYak~ • ~i'~'*-' " ' ' . Terme•ExpUes Mi ceh 310 19u~/ (Signature of applicant) j i u e~ _ x ~ ~ Y . x ' i 1. i ei ~ g ~ s ~ i 4 ~ .T ~ ~ ,C- _ Fi q a . < ag i t ~ 1 'c' 1 axe. _ ~ P t 8~ 1" r ~ . t i° ~ ~ ~ ~ i ,~n ` ~ s ' Y, ~ ~ ~ ~ ~ ~ l a z ~ ~ ~ . ~ t I ~ ~ ~ 9. 'L ,t jf~0 ~ . ~ , 1 ~ ~ ~ ~ ~ . ~ °~1~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ . ~ . ~ ~ ~ ~Ci R ~ - ` tt~ , b 3 ~ ~ ~ ~ 'd n~ m Ct - X , ,a ~ ~ t1 a1_ ~ ~ ~ n ~ O~q~~ ~ ~t -1 ~i ~\"F t.~ t. ~ ~ ' t, ~ ~ ~ ~ Y'e`s ~ .Y_ ~ ~ fA ,rd ~ ,h W l41 +i ~ e n.n. rl E~ ~q ~ t C7 y' ~ ~ r' ~ ~ ~ ~ ~ ."f ~ E9. ~ '9 ~e , p n~C• ~ ~ '77; _ M ' , { ` t7.. _ _ ~ ~ ~ p ~ ' . , fr . sY ` ~ r, ~ ~ ~ ~ ~ ~ c~~ U ~ . ~ ~ ~v~M~r- s N. f