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s. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18725 Date SANUARY 18, 1990 THIS CERTIFIES that the building ADDITIONS Location of Property 1245 NARROW RIVER ROAD ORIENT, N.Y. ' House No. Street Hamlet County Tax Map No. 1000 Section 27 Block 3 Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 1989 pursuant to which Building Permit No. 18205-Z dated JUNE 13, 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 DECK ADDITIONS & ATTACH GARAGE WITH 2ND STORY TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LAWRENCE BUTTER & BETTY A. SATTERWHITE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-107166 - DECEMBER 13, 1989 PLUMBERS CERTIFICATION DATED JANUARY 5, 1990 - FRANK J. MEYERS NJ~.~ ilding Inspector Rev. 1/81 aoau xo. s TOWN OP 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 Z Date ...Y~:3 19...~/ Permission is hereby granted to: Y~~ Yfy too2y3' f' .,..Y,J..c.. of premises located at .....la~.Y..:..`~T.~..,....~~..CZ4..~Kl.?~...........~ ..od County Tax Map No. 1000 Section Block Lot Na......do.. / pursuant to application doted .......~D../~ 19..~ and approved by the Building Inspector, 7d Fee d'~~.. ....':QLt ~Buildin Inspector Rev. 6/30/80 ' ,r ~ ~ . TOWN OF SOUTIIOLD - BUILDING DCPARTt1Ct1T ~ TONN HALL ~ ti SOUTDOLD, NCH YORK 11971 76s - taoz .IAN l 7~ sl.DC. DePT. APPLICATION FOR CERTIFICATE OF OCCUPAt TOWt~UFSOtSTHOLD DATC/~~~~~ y~.1~~0 KEW CONSTRUCTION ~ .,OLD OR PRE-EBISTItIG BUILDING..,... VACANT LAND/........ ~J ~ , Location of Property.~~.~/'S......:_..Y~~'~~~:/`"'Z~'=~":.~=._ llOUSE NO _ ~ / S ~~,EyE~-T ~,QHAMLE Ovner or Ovncrs of Propcrtp~~~uY~l~_.:~^".^':!Y.E_~ .1/.V.• A County Taz Map No. 1000 Section _~S-~:.. Block '„5....., Lot' .GOd3_._ •Subdivision./.y.....nn.~~ Filed Mapp~_. .._..Lot._,,.,,~/.. _ ,Permit No. _19a?oas°_z:.Date of PcrmitC~~~~'fr~~Qr'APPlieant~J::~~:~''~1!.""~-~,r~ Health Dept. Approval Undcrvritcrs Approval..._.......... Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: - APPLICAN .GA.~a~. s'~s"r.:~":'1'; ~ t!........ ~~.~y c o ~ reV- IO/I4/B8 eo ~ i~?~.5 _ ' ' I4 ~.-rl ~ FORM N0. 6 ' TOWN OF SOUTIIOLD BIIILDING DEPARTMENT ' TOWN MAL. 765 - 1802 ' ~l~P1~LIOA'Tf'ON FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS i A. This application must b~ filed in typewriter OR ink and submitted to the Buildiog Inspector with the follpwing; for new buildings or new use: _ I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. ' 2. Final approval of IIealth Dept. of water supply and sewerage-disposalCS-9 form). ' 3'. Approval of electricgl installation from Board of Fire Underwriters. 4. Sworn statement fromlplumber certifying that solder used in system contains less' • than 2/10 of IZ leads. 5. Commercial buildings~y industrial buildings, multiple residences and similar, ~ buildings and instal~atior:s, a certificate of ease compliance from the Architect or Engineer responsiple 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'luses: 1. Accurate survey of property showing all property lines, streets, buildings and _ unusual natural or topographic features. 2. A properly completed~'~i application, a consent to inspect signed by the applicanC and a certified abstract of Citle 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 Che reasons therefor in 'Ivriting to the applicanC. " n of buildin s or remises or other 3. Date of any housing code or safety inspectoo g P pertinent information required to prepare a certificate. C. For Vacant Land Certifi'caCe 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 af~the entire lot prior to April 9, 1957 shall also accompany the application. Ii a Certificate of Occupancy is denied, the Building Inspector shall state Che reaslons 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 Accerssory buildings, $25.00 -'Businesses $50.00. 2. Certificate of Qccupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certjificatc of Occupancy - $20.00 ' 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.00 ResidenCial Commercial I d" Ii i ` ev, l0/14 /S8 ~I m TEL. 765-1802 ~og~FFfltk~o TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR a P.O. BOX 728 o ~ ~~C~CJ~~~f( u'' TOWN HALL `'O,y~~ SOUTHOLD, N.Y. 11971 ~ ~ _ ~ ~ ~ ~ ~ 1 ~ ~~r JAN 1, ~ ~l~ 7GWN StJUTffCrLi7~ C E R T I F I C A T I O N Date / ,a°~~1fJ Building Permit No. /$m~0.5 Owner ~,,i12 eN~2 S [c~'1°"er- (please print) Plumber ~ea~k ~ 2.~-S _ (please prin ) I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. ~.~~2%~~ (plumb 's signat~~ Sworn to before me this day of r~r~--~~- , ~~?-~--s_ 19 Notary Public Notary Public, ~ County SSlQNE®~ 1~ARGns2d~y'a9 ~i~e~ N07gRY PUBLIC, Star p;Piy York No. 62~g3,':3J00 Qualified In Suflo7k ounfy Commission Ex fires / a 30/// TEL. 7C5•180~ ~S~~FOc, To~rrr or souT~oL~ ' 'Jcs OI~pICE OP GUILDING INSPECTOR :~G', 4~;~,GH ~ I'.O. fi07( ! 1 7 9 ~ TOWN IIALL '~`'O ~ t- SOUTIiOLD, N.Y. 1 1971 ~~0.(, ~.a0 January 3, 1990 Lawrence Sutter & Betty A. Satterwhite 160 West End Ave. 1129-E New York, N.Y. 10023 'Po S9hcm This May Concern, 4.e are unable to complete your Certificate of Occupancy because of the folloc•riny reasons. An application for Certificate of Occupancy is `fiot nn fil.c. (ENCLOSED) No tlndcrc•~ritcrs Certificate on file. /t~ 4'hc clux:F; .i::(x~X4t~3~Ct~d/not on file.) 525.00 A:o Ilcal.th Dent. Approval on file. / ho final insi~ect:ion has bcetr made. Pleasr.. contact our office on this matter. Thank you Eor your cooperation. 1)u.il<lic<~ Pcrmi.Y. I 8 2 0 5 Z Duild~ DcpL•. f .k k/t/ tlo Plumber Solder Cert.if irate on file. ( al.l permits involving plumbing briny i~sucd aft.r_r ~1pri.1 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 _ r1135021 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 " Dare DECEMBER 13,1989 Application No. on file 65865689/89 N 107166 THIS CEF2TIFIES THAT only the electrical equipment as described 6ebto and introduced by the applicant nomad on tha above application number in the premius of LAWRENCE SLITTER, 1245 NARROW RIVER ROAD ORIENT, N. Y, in th¢ follouing kfcation: ? Basement ~ Ist Fl. ~ Pnd F1. .Section .Block Lot uas examined on DECEMBER 04,1989 ondfound to 6e in cmnplionre with the r¢yuiremenrs of this Board. ilXiuRE ECEPTAClES SwItCNEi FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT ftUCMIESCENi OTHEK AML. K. W. AMi. K. W, /JAI. K.W. AML. K. W. AMT. N. P. 2 11 13 12 11 1 F DRYERS FURNACE MOTORS FUTURE APPl1ANC! FEEDERS 5?ECIAL REC'Pi 71ME CLOCKS BEII UNIT HEATERS MULTI-OUTLET DIMMERS AML. K. w. On N. r. GAS N. P. AMi. NO. A. w. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P. SYSTEMS AMT. WATTS NO. OF RET SERVICE DISCONNECT NO. Of S E R V 1 C E AMi. AMP. TYPE METER 1 A 7P/ 1 L JW J l JW J / ~W NO. Of CG COND. A W G. NO. Of NblfG A. W. Q NO. Of NEUltxlS A. W G FOUL?. PER Of CG LOND. Or NbIEG OP NEUTRAL .rl, _ OTHER APPARATUS: ~ - c WIRING FOR DEDROOM ADDITION ONLY-1 ELEC. ROOM HEATERS:4-1 K.W.,1-2 K.W. G. F. C. I:-1 SMOKE DETECTOR:-1 ~ i, I I„ THREE "C" ELECTRIC LIC.p3327 E RT, k1, BOX 45M SOUND AVENUE ~ ~ ONEERAI MANAOlR RIVERHEAD, NY, 11901 1 ' Psr This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ~L©~ 7sS-18oz <3UILDINCn DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBC. [ ]FOUNDATION 2ND ~-]~7~ISULATION [ ] FRAMINtia [ ]FINAL REMARKS: /,'~2~~4h~ DATE ~L INSPECTOR .~i1 ~ ~v~~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING Q( ]FINAL REMARKS: ~,-i~-i(l~.~A C~,~ ~~-en~-~~ DATE ~ INSPECTOR ,l 765-1802 BUILDING DEPT. INSi~ECT10N [FOUNDATION i5T ( ] ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: __~~~i~~ ~/-~'"y~ DATE T ~ INSPECTOR c f ~ 765-1802 BUILDING DEPT. lNSi~ECT10N [ ]FOUNDATION iST ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ~RAMING [ )FINAL REMARKS: ,~~~G~ ~ DATE .~J INSPECTOR IcLD I::SPcC:iuti ~~Unic, ~I i;OtKMENT~ ~ ~ f ~ ~ a A9 _ H a _ ~ ~ OUIJDATION (1st) c 'OUNDATZOtJ ( 2nd ) - ti 1 3 _ o R9 ~ ~ ~ TOUGH FRAME & PLUMBING H S 3. _ m H IIJSULATIOPI PER N. Y~ ~ _ STATE ENERGY COpE x a y a H 4. FILIAL /1 7 0 ~ ~ z m ADDITIOPJAL COMMENTS: x ~ . ra ' x \ H 9 H O m H ~ ' . Z b m H 2 BOARD OF HEALTH n ~ Q ~ 3 SETS OF PLANS :I.~~y6eit? Y FORMNO.t SURVEY ~•K:. f(: TOWN OF SOUTHOLD CHECK ~6,`f.G , , , ' S ~ J BUILDING DEPARTMENT SEPTIC FORM , TOWN HALL Sailer vs h ii e, BLDG. DEPT. .,OUTHOLD,N.Y.11971 NOTIFY ~r { TOWN.OF SOUTHOLD TEL.: 7G5-1802 CALL . L .~2~. 7 Examined 19~ / MAIL T0: Approved ..~~~`J~....... 19 Permit No. / .~~.,..v~. ~ ~~~W' Disapproved a/c . (33tlildi nspector) APPLICATION FOR BUILDING PERMIT Date ...................15... INSTRUCTIONS Y~ 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 this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on tfte 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 building for necessary}~ spections. ' (Signature of applicant, or name if a corporation) t\/t4\/ (Mailing address of applicant) yaA',C Ny lboa3 '3652 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner ofpremises L/)!-<.t?~vt~ . ,~J, ,S, E,T`fL-}..A N ~?c~'/•~!. , . JHr7;r~~,ri~i L (as on the tax roll or latest deed) [f applicant is a corporation, signature of duly authorized officer. 1 ~i~i~ (Name and title of corporate officer) Builder's License No..~5„<'~,S Z Plurnber's License No. ...l.B.~ . Electrician's License N'o. . ,raD . Otter Trade's License No. r~ 1,~ . 1. Location of land on which proposed work will be done. ' i~ C ~~,4R IJ Zrtiv~ 1~-OAa7 h•JCr House Number Street. ~ ~ ~ ~ ~ ~ ~ " " " Hamlet 1 County Tax Alap No. 1000 Section ..Q,Z~: b C? Black .v.? ~ f? Lot o D 6 . Subdivision .............~'f,1a Filed Map No. a'f~-:......... Lo[ .°Y~ . (Name) S[ate existing use and occupancy of premises and intended use and occupant Q y of proposed construction: a. Existing use and occu ant 1 R "'ter` ~'^:G~g: ytioc P Y ~ ;~esc a.. ~C.. b. Intended use and occupancy . • •`"'P"~ 1' . • • • • • • • • • . • • • • . ~.~Q~. a a-~' . ~ ~ t~! - i . hie 7% L! t~y .r+~ 3. Nature of work c ck w ( h applicable): New 9uilding .Addition Alfiiratron , Repair Removal . . Demolition Ot@~ \Yor . a . ~ (DR~~ tion) ,ter ~ ~ S O ~ 4. Estimated Cost T• ~S,j Q0© . Fee , ~ . (to be paid on ding this application) g ~ng untts , g 5. If dwetlin , number of dwell ~ 2 • • Number of dwellin 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 .:}:l.11 , , y , , , , , , , , 7. Dimensions of existing structiures, if any: Front . .Rear .r.S... .....1 Depth s.6 . Height .L~:~.,........NumberofStories..,4'yp.. C~.~.. ~Gerve~e;,Z,y,r,~O~xwX.l2.•.~?e.~........,. Dimensions of same structure with alterations or additions: Front . ~L,JYY~F • Rear . s9~7~,e:......... . Depth ..3G!h"~ } ....height v Number of Stories . 8, Dimensions of entire ne~y cot~stniction: Front .tl • Rcar~!`n04:`.~r?. • . • • • Depth egYvo7 : ,Mnx Height ~ti~yhs,T,pY 1 . Number of Stories ~G<d~.r.a-~ pp, o,;.l~t . 9. Size of lot: Front l~Jl :~Q Rear ,ice; l,t[ ;Z. 2~, , , , , , , , Depth ~3 s „ 10. Date of Purchase y .1~,~,7! . . . . ......:Name of Former Owner . ~+N,4v?.'~r• • : . 1 1. Zone or use district in which remises are situated Rr.¢0 . . 1'2. Does proposed construction vrolate any zoning law, ordinance or regulation: . !~t'~ . 13. WIII lot be regraded ..Will excess fill be removed fr premises: Yes Nc 14, Name of Owner of premises .',~'><7TFP.~, , ~P?f~h~l!•1FAddress lhP. ,W,tisi •~"a,Mrp~119o ~ No.~Z.'L~ 7? Y: ~.>i Name of Architect . f¢ax~Y,.~~ ~:.Nn)lcs.{,.sr',r~; ...Address . 1:~ ~1ti,,;~jp?,, .Phone No.lfild).3L4'yy Name of Contractor W~7yrr ~!-~LSs. D!J...... Address ~G!ve;1'I+;K :4d ..Phone No.f4ib.~36^~ 7: (d~: IS.Is this property located with in~00 feet of a tidal wetland? *YES....NOX. • *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly al] buildings, whether existing or proposed, and, indicate all set-back dimensions fram property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ,Varlh ~ 19 z, 23 4 u , [07° l8 ' iD" a. \ti. _ I - - - ~ _ Ng~' ~ o Iflfik .,~'ij. ~ . /~Q~(w ? ~ M ~ UFy1 d~ I~'"-._.~" M~ ; r~GCG(yN, y$/4~4i 15Y~2 ~ ~ntinr N f ' 98)P 4~•5'S LAWD~ nif F ~ foza~g I %F~' Lntd.~ 1u ~ wdgs N I ~ ~ J b N 9 ~ ~ 1 U~ ~ ~ Ii ~ 11 ~ ~ ~1 ~ , ~i ~ I ~ i D A ~ ~ AIV)Z(tW (zzV~l2 . lZdFl~ ' G l~rhl6- 'S112E5T'~ ~ssro ~2 5, ~1 ~ ~ 90" W 191, g~ t'¢eM,ses~ ~,v ``;~,>x K~ngst, ~ C11~Y'ICfr',,.liC1'~~ b~ Drtrz^ Map toof+~m2~ ot~ , STATI:OF NEW YORK, I S gym:tG a3.B4 ` COUNTY OF .~.k.EC' 9!-..>:...... t-eT o0 6• oo t . . . . . . . . . . < , , , . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ' (Contractor, agent, corporate officer, etc.) - of said owner or owners, and is duly, authorized to pe~rfc;~m or have performed the said work and to make and file this application; that all statements contained in this applicatj'on are true to the best of his knowledge and belief; and that the work will be performed in the manner'isc[ forth in the application f"ilcd therewith. Sworn to before me this Q~~ y~ ..............J~ .......day of ~l`.": ".':c , 191' Notary Public, . J:""":^!..~. • • • • • • • • • • • County l/ I~~!tQ:K~. % S, !~l.4'~?..~ztx~,l~x~t.v-'•~l~' HELEN K DE VOE lll/// ~~I (Signature oC applicant; NOTANY PUBLIC, State of Now YorN i No. 4707878, SuHdk Cau_ ntyy' Term Expires Morch 30,1