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Home My WebLink About18224-z M FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCOPANCY No Z-23170 Date AOGUST 17, 1994 THIS CERTIFIES that the building ADDITION Location of Property 7225 NASSAU POINT ROAD CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 15 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1989 pursuant to which Building Permit No. 18224-Z dated JUNE 16, 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 A DORMER ADDITION TO AN ESISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WARREN AIIGExmwnr.rrg (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N097468 OCTOBER 16, 1989 PLUMBERS CERTIFICATION DATED R & R PLUMBING & HBATING AUGIIST 8, 1994 Buil ing Insp for Rev. 1/81 roast 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 ° 1 8 ~ ? ~ Z Date ..........~r.!~F :4,~,...1. ~ 19. g..S Permission is hereby granted to: wig!~?:!:1.°~:.°.^? at premises totaled of ...~..~::~-1.......N....4r~:?..914.....JS.a:.....P~..........J,C{~!..:~!4•~,,,...... County Tax Map No. 1000 Section ......I Block ......I..~~....... lot No.. pursuant to application dated .........,~~4f~.......~ L.........., 19.~~.., and approved by the Building Inspector. Fee ~.....~J ~`li9 ~C ..9.. c Buildin I for Rev. 6/30/80 -7 _ Form No. 6 '7 3 t~-,- 1 5 TOWN OF SOUTHOLD BUILDING llEPARThfENT 'e ~ TOWN HALL 765-1802 APPLICATION FOP. CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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 19 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 Euildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residenti/al $15.00, Commercial X15.00 Date ,~(,°~'9~r,~ New Construction..... Old Or Pre-existing Building., Location of Property.~°~°~',5,,,,,NRSSAu_..AO1NI (~j/i-D House No. Street } Hamlet Onwer or Owners of Property, ii, , ,~(~~L-'(J~E1'f~-LF_~, . County Tax Map No 1000, Section., l~~ s a .......B1ock...~r~...........Lot. , Subdivision... .............................Filed Map............Lot.. Permit No. ,~ga~~{-, , , , , , .Date Of Permit..rP (l0-` pp ~tIl~~'REMJ f~(~(j-F)~°'TEI J ~EjQ. l .`A~......Applicant. Health Dept. Approval ..........................Underwriters A PProval Planning Board Approval Request for: Temporary Certificate........... Final Certicate...~.,,,, Fee Submitted: ~~F,?>~~~~~Q ~ APPLICAN• ~t~a~~ i;., Town Hall, 53095 Main Road ,.3 ~s~ ~ Fax (516) 765-1823 P. O. Box 1179 ~ =1' ~ Telephone (516) 765-1802 Southold, New York 11971 ~ ' ; ''t `q ` + :j~' OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I CAT I O N DATE • ~ ~ 1~~ Building Permit -N-o~-.,r,~/~ Owner: -[~G~~~A-~ ( ease print) Plumber: k~vS`f\~n~ ~ ~ (please print) Ce nee ~ ~a.3S \ - I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. U ~ a. l 1 e.~ ~ ~ p- J~~ (Plumbers Signature) Sworn to before me this day of 19 ~ Notary Public,~~,o,~~,~~,p Coun f1ELENE Q. WORNE Notary PubOic, Stata of Now York Qualified®ire Sutto k County Commission Expiros nosy 22, t ~ S- ~ ~~y THE NEW YORK BOARD OF FIRE UNDERWRITERS r~t~r; i i.1~('f)d BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 Date IICS; Utft-1Li 3 6' ~ i `3 fig APplicotion No. on file i~.E t13~S'SF:3 ~3 fD`)7~fq; f; THIS CERTIFIES THAT only the electrical equipment as deacrihed 6ebw and introduced 6y the applicant named on the ohove application numher in the premises of t4ti.,k [•3R51~;.W..2.1JF,:h'.'f'('i'itX1t.N~tt, 7;:;?'> i`8A,';tiZ,IJ I"'1o 3~ib., :'~Sf.~~~ ~x4?.,r <aTI"f;f1{)fxf#3~;. 3~d_it, in thefollowinq location; ? Basement ? lxt Fl. ~ 2nd FL .Section Block Lot was examined on UT. I'l7)41e(t (1,~ r ~ ~3i1b and found to be in coneplimtce with the reyuiremeatx u(this Board. FIXTURE ECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECK$ OVENS DI'iH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FWORESCENi OTHER PMT K W. PMi K.W AMT. KW AMT K.W AMT. H P in 1h F'. 4S DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLFT DIMMERS AMT. K. W. Oll H. P. GA$ N. P. AMT NO A. W. G AML qMp. AMi gMpS TRANS AMT H p $YSTEM$ pMi. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V 1 C E AMT AMP. rypE METER ~ 1W ~ A aTy 3,e 3W 3 q 4W NO. OF CC COND. A W G. NO. Of HbLFG A K' G. NO. OF NEUTRALS A. W G EQUIP. ~ PER 9 OF CG COND OF HbIEG Of NEUTRAL OTHER APPARATUS: Cv. i Q,C;, b:ilfi<"1'it,l,r' Lf,+£t', 3.,1t.rR.at: Ji<.' ~p ~ ~ ~.t),~3(7b L,4fl II'h[9lth,i.~, NY, !'L 3!I° FENE L, MANAGER i~~ ~ .r Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be i entified by their credentials. ' COPY FOR BUILDING DEPARTMENT. THIS C®PY ®F CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _ ~ J. mroG a - - - - y cOU;JDATION (1st) ~ c ?OUiJDATIO;J (2nd) _ m 2 o J ROUGH FRAME & e ~ PLUMBING m' ~ ~ 3 -~~«-2 ~ ~ ~ 3 . a m Q IIJSULATION PER N. Y. ~ y " STATE EPJERGY CODE r FI;IAL I ~a ! o .,.,s ADDITIOPJAL COMMENTS: ~ ~g x - ,L ?1 ' X ro• H N ~ ^i~ y H O b - m c^ - / "3 x v m v H ~~r 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T f ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] IN CATION [ ]FRAMING FINAL REMARKS DATE ~ ~ INSPECTOR J Q ~ y T65-1802 I / BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUN ATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: f`~-~.~~ ~ DATE 0 INSPECTOR _ ~ ~ a/ _ v; ti . ` J ~.~,.~a O ~ U =~~F~~~ sf,~ ~ (ire j~~r~' r~~l°3 . _ i pcjoa>o e~ ~ 1 ~ ~ ~ a 4 o g.K ' ~ ~,E~ ~,v I 1 Boa r 4 ~ ~ ~ ~ ZI acaZ q ~ ~ fi~A., n }~~~i p i n;I 30•x.. q ~ ,~h ~ b I~ A~Gb1 ~ o c~ ~ a 447 a i ° ri O , iw o ~a- j t G C Q- ~Z ~ 0'~ ~ ~jtt u ~ b 4 W ;C c ^C N *xt ,~j L~ ti ;ti ~ a ~ •V w a ~ ~'P~w~~ tab _ oJF baalc _ G ~ W d'. • R A ~ ~ is ~ uiL hiw~r ~n4 ~ ~ ~ r lJ ~ 1 O O. O b IQ C S.B GO Iq~ ~1J In ~ ~ ~ U ~Q ; ~ ; V~ ~ r 0 ~ ,1 ti v BOARD OF HEALTH 3 SETS 0~ PLANS ~.'.j . FORM N0. 7 SURVEY , J~ . TOWN OF SOUTHOLD CHECK .K . ~..~.C~~n.7G'....... . BUILDING DEPARTMENT SEPTIC FORM • TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY c~ TEL.: 765-1802 CALL. ......~~.1- 5~~7.1.7. . 19~ .I. MAIL TO Examined . • • , M ' { l; vi ~~i l\•%Jl1 d~~g ,alt Approved . ~.c~+a..l, b...., 19~Q. Permit No.I ~ 1~~'~.- ~ + : ' " 1~~ JUN 121~~9 'p 4 Disapproved a/c ,J~ U4e,s' FZh16Lt5 (Building Inspector) ,APPLICATION FOR BUILDING PERMIT pq Date - - 194.1. 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 • shalt 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 building for necessary inspections. •z. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State hether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....(~w,n,e ~ Name of owner of premises UU-~~-~....'"~/` ~~~':"'!`'y~'••••••••••••••••••••••••••••••••••••••• (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ...'I' ...I.. l ~ ~ • • • • • • • • Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . House Number Street Hamlet County Tax Ma No. 1000 Sectjio~n I I Block Lot Subdivision • • . 1.`/•(•~~• • • • • • • • • • • • • Filed Map No. ..~•~•J,~p• , . , . Lot . (Name) 2. State existing use and occupancy o-~f p~remnnises and int~~nnended use and occupancy of proposed construction: a. Existing use and occupancy ....-I~jc~al.~eit~+~lta'~~• • • • b. Intended use and occupancy Sr~ •Ca1• p~ • • • • • k °~,~ty'~/V~-L.. ~~-~T~•,/~- } 3. Nature of work check which allll ( pplicable): New Building , Addition . ~ Alteration . Repair Rerrjoval Demolition ..............Other Work , . ( r (Description) 4. Estimated Cost `~,p~~7.~. Fee . , , . ` (to be paid on filing this application) 5. If dwellin , number of dwellin g g units ~ Number of dwelling units on each floor . If garage, number of cars . . . . . . . . . 6. If business, commercial or mixrd occupancy, specify n Lure and extent of each type of use , , g g.... es, if any: Front ....~~...:".`....Rear ..:Zi.4~ ......:.Depth".'. . 7 Hei htsions of existin stru Nuw ber of Stories ~ . Dimensions of sarhe structure ith alterations or additions: Front Rear . , , . De ~ h . ...........Height ......,................Number of Stories . ' 8. Dimensions of entire new construction: Front a1 G~-. , , . Rear , l~j4p!Y1:~~ ; : ;Depth :~~y~0....... . 9. Size of lot: Front , , , ,(ap. tuber of Stories . , , , , , , , , , Hei ht ' Nu Rear Depth .3.~ . 10. Date of Purchase `,d . 11. Zone or use district in which r ' ' ' ' ' ' ' • • • Name of Former Owner . g • • . • • emises are situated ~S.I~t1~'l. . . . . . 12. Does ro osed constructipwiolate any zoning law, ordinance or regulation: ...~Q . P P 1~4-- 13• NameoofArchitc a~. , G ' ' ' ' • Fill excgss fill remov from premises: es No 14. Name of Owner of premzses . t~?C.f~?:>~C~Ac"fI~«g-. Address hk~Olly-L' .Phone No . v Name of Contractor ,Q G~1~.:~~~()1~ Address ...................Phone No..... I~;yI . . ~.COY~:CTL.,4l(-rli)Y`Address . . ...........Phone No. ~:y1.~...... ~ . . PLOT DIAGRAM Locate cleazly and distinctly al} buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloclq number or description according to deed, and show street names and indicate whether ' interior or corner lot. I II ~ I 41F"IiM -.y I I~ it III STATE OF NEW YORK, ~ ' oFFoL/ i ~ COUNTY OF . S .......C, , . , 'S.S w ~2 Q~!?. , , W. , , ,~.U G,E~rlfA•l. E~ . • . _ , , , , , , being duly sworn, deposes and says that he is the applicant (Name of indivtdual signing contract) above named. ii He is the .......4.1vNE2... , . (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 g~ .....day of ..`7u,u+=...... , 19$ Notary Public, ~ u.FFoL,y/~/' q,1-..A County .~'VG~ A~ ~ .~'~1.. . /~~/,/I/~ ~/~/q /ta.a~ vi LG.uB+C.... ~rl~,rv ROBERT COTTON • . Notary Public, St' to of New York (Signature of applicant) No. 30.534150 Qualified in Suffolk County Commission Expires April 30, 1990