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HomeMy WebLinkAbout18068-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219472 Date OCT. 23, 1990 THIS CERTIFIES that the building ADDITION Location of Property 85 SILVER COLT ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 04 Lot 18.1 Subdivision OREGON VIEW EST. Filed Map No. Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 13, 1989 pursuant to which Building Permit No. 180682 dated APRIL 24, 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 DEQC ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to JOSEPH & BERNADETTE PETERSEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A B lding Inspector Rev. 1/81 rosac 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 ° $ ~ 6 ~ Z Date 19.~.•a Permission is hereby granted to: C~-~:...~............... ra .G?:~:~i,...t,:s~'....m,...~,ntc~..Q~~.,~.~~~.:,h!~c...`.Tu....3!~I'.t~-::-~...R~.~... . ~ ((..JJ at premises located at ....~.;a..... ....'.~::.....`.:'u;:'v' ~.:..........1..Mt'.~4sl.Rr.,~~....... County Tox Map No 1000 Section,^..\..`.~,~n.L~......\ Block .......SJ~....... Lot No . pursuant to application dated ~.,QR~,JN.IG.... 1.~ 19$~.., and approved by the Bui lding ~,In1spector. Fee S••~•+~.:..~- uilding Inspector Rev 6/30/80 ,r Form No. 6 .i°'- TOWN OF SOUTHOLD P~ t y°-•; _ ~ ( ~rV~' ~je~' BUILDING DEPARTMENT ~ ~Gy TOWN BALL f / O~ ~ ~ ~ , 765-1802 ! ~ 31tJyQ l.~ js ~ +'8 T~~ ,Lfi.; ;I~anw9 L.? APPLICATION FOR CERTIFICATE OF OCCUPANCY -x-...,,,,~,e, 1 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, multaple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible far 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 i.s 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 o£ 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 ..~J.C;% ./~-y y.4~1.~Z(J New Construction.....SS.TT..... Ol~d`Or Pre-existing Building~.f~.,/~ . / _ Location of Property.p.~ ....S.~.L?.'~.. ~4.~-:T ...!'~~~.....,(_.°,L?"Ge4~o U' House No. Street et r^ ~ Onwer or Owners of Property. ~ O $ Pr?.~. , , „ ~ il.ri cr (,y~ ~'e . , , ~~d~,Q , , County Tax Map~~yyNo /100,,,,0)), Se~~ctJ/ion.~~..)Jdicl..'~t~....Block. .T• • . • • , • , , .Lot....~.~.'. . Subdivision//. L./~~~d .[Y... L!. ~~'Y]/...(r.s?iled MGGap............Lot.... t Permit No.~C.~S.~.~.~..~..Date Of Permit.:.!? ~..~t.Applicant.~r:-/:..I~.~'-.7-.~2.s~~/. Health Dept. Approval ..........................Underwriters Approval,. Planning Board Approval Request for: Temporary Certificate........... Final Certicate...~.. Fee Submitted: vG ~3~ ~ hJ.: . ~0I°~3/ Pa APPLICANT ~a Z ivv~~ TEL. 7Ce5-t 80' °t'~~o'` To~(Jrr or sov~ruoz,~ 1:.~36;,;~~•.yf;~ ~ Ol~f"ICL OP PSU[LDING iNSP£CTOR U this ~'~it/,4~! i~.Q. Il O.t ! 1 7 4 ` ~ ~ J5 ~ TQt'!N E[ALL • c',y SO1J'I HOLD, N.Y. i 1971 ~yo~ October 12, 1990 Mr. Joseph Peterson 85 Silver Colt Road Cutchogue, N.Y. 11935 To 4lhcm This, P4ay Concern, h 41e arc unable r.o complete your Certificate of Occupancy becausa of the follocJing reasons. An apnlication for Certificate of Occupancy is not nn Lil.c. c!o t)ndcruritcrs Cl'rl'1f1CatC on file. /gg/ 't'he cl~ecJ; i;; (taaaicadxil<~xllr.ut on file.) $25.00 I_J P:o health Dept. Approval on tile. No final lnsl~ectlon hay been made. Pleasr_ r_ontact: our office on this matter. Thank you for your coo~cratlon. lluildlr.c~ Permi.Y ~ ~ Q ~ g Z BU 11d LJ1CJ Dupt• . '`"J / tlo I'lumb;~r ;;o1c1c7. CerL•iLicatc on Lilo. ' ( all l~nrriit:, involvJng plumt7in~ briny issuccl after r1pr~1 1,1J8A I~LD 1:. S: ~~.:~J~i ~~UniG ~ QOM . ti 1 r tTl _9 i . Uf H - - H FOUJJDATIO:J ( 1st ) ~ c FOUNDATIOtJ ( 2nd ) m 2. z o ~ DOUGH FRAME & PLUMBING m 3. ~ ( m ~ m IJJSULATIOf1 PER N. Y. 'j STATE EfJERGY CODE T ~ a r 4 . ~ _J .3 T ..j t FI.JAL _E pp ADDITTOPJAL COMh1EfJTS: m 3 x~ i m ' x ro H ~ ~ • 9 ' H H ~ O .d C m a - r- H T d m -a -a a ~(O~ 765-1802 BU{LDING DEPT. INSPECTION [ )FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ) fNSULATION [~RAMING [ ]FINAL REMARKS: ~ ~<c. _ DATE / ( INSPECTOR ~~r r ~~G~~ 765_1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: ~i~-~2 o. DATE C~ INSPECTOR t d BOARD OF HE.\LTH 3 SETS DF PLANS FORM NO 1 SURVCY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORh1 ' TOWN HALL SOUTHOLD, N Y. 11D71 NOTIFY - - TEL.. 765 1802 /l/~ CALL Esammc 19~~. II ~Z MAIL TO . Approved 19~ .Permit No. 1 ~ DisaPProved a/c . . (Building Inspector) APPLICATION FOR BUILDING PERMIT ° i Date ~ 3..., 15 INSTRUCTIONS a. Tlus application must be completely filled m by typewriter or in ink and submitted to the Buildmo Inspector, wit 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 adlommg premises or public stye or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap cation. c. The work covered by this application may not be commenced before issuance of Buildma Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to [he applicant. Such pert shall be kept on the premtses available for inspection throwrout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupai shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Btulding Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appl cable haws, Ordinances Re;ulations, for the construction of buildings, additions or alterations, or for removal or de olio n, as herein descnb. The applicant agrees to comply with all applicable laws, ordinances, bull code, housing ode, rid regulations, and admit authorized inspectors on premises and in building for necessary ins coon . (Sign t ot""applicant, or name, if a corporanon) ¢~-iEA kn_ rig ddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, lectrician, plumber or ild i`~3S Name of owner of premises ~ .rte- -L1 - . - • . (as on the ta:c roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) udder's License No....a.r;?. fit. Plum is License No . . . Elcctricia License No . . Outer Trade's Li se No . 1. Location of land on which proposed work will be done . . . . . . . . . . Efouse Number Street Hamlet County Tai 1,1s.~tp No 1000 Sccu~~on~~ p9..~,.L.~,.f. Block C~.7.......... Lot .....(.4~. ; , , Subdivision 4~!'P.g~'!~ - l.lt N.t~ . ~~.i•".i •~S Filed M1tap No . Lot (Name) State e\isung use and occupancy of pre ices and intended use and occupancy of proposed constnuction. a. Eeisimg use and occupancy 7 ~ C• 1-u• I b. Intended use and occupancy ~ et !~?'1; . 3. Nature of work (check ahtch applicable) New f3uAdmg .....~..tf . Addition .Uterauon Repair ~moval Demolttton O her 1Vork . ~'o ~ X I STf/t/~ ~ fJ~ (Descnpttot //JJ 0 4. Esttmatcd Cost ..........1.'?~~Q'~'.~ Fee (to be paid on t"ihng this apphcatton) 5. If dwethn„ number of dwelling units Number of dwclhng units on each floor . , , . , , , , , , , , Ifgara;c.numbcrofcars 6. If business, commeraal or mixed occupancy, specify na[ttre and extent of each type of use . 7. Dtmenstons of extsttng structures, if any Front Rear Depth . Hci.ht ...............NumberofStones............... Dimensions of same structure with alterations or addtttons: Front Rear . , . Depth IIctg}tt ......................Number of Stones Dtmenstons of enure new construction Front . Rear , Depth . Height ...............NumbcrofStones. 9. Size of lot. Front Rear................. Depth 10. Date of Purchase ................Name of Former Owner . 11. Zone or use dtstrtct to whtclt premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulatton• . 13. NIII Iot be regraded . . . . . . .Will excess fill be removed from premtses: Yes 14. Name of Owner of premtses ....................Address ...................Phone No............ . Name of Architect ..............Address ...................Phone No. Name of Contractor ..........................Address Phone No 15.Is this property located within X00 feet of a tidal wetland? *YES....NO.... *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 f, property Lines. Give street and block number or descnption according to deed, and show street names and indtcate whet tntenor or comer lot. STATE OF \EN YORE, S S COU;~TY OF • bang duly sworn, deposes and says that he is the appltc (Name of individual signing contract) about named .Icisthe (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authanzed to perform or have performed the said work and to make and file .pptte.atton, that all statements contained to thu apphcatton arc true to the best of lus hnowledgc and belief, and that work will be performed m the manner sci forth m the apphcatton Glcd therewith. worn to before me flits ~ qq .....,.,.~:3.........dayof...... 19~/. ~otary• Public, l~t~:~?" ~ ,j~ei~.... County . HELEN K DE VOE (Signature of apptic NOTARY PUBLiC, State of New York No. 4707878, Suflalk Cooriy Term Expres Match 30,19.~~ ~ T ~ i9B6 JF,;1 <nT V ~ ~ ~ / - ~ x,11 'I ~1T1~~111Jt.S N«~I1 3 ~uU{RO7,K CONY HEkLTH DEPARTPItEN. i sm ~ e x- -a , \ ~Gl . I v faDili~~ . ~ ~ teDn inspects.: . ~cLLnd to be sflti x _'vv. y , ~1'fl~~,,,- ; pE Cht~Rf ~ GenE airFyLginee ng ~ ~ ~ C'1 Services. a F<, °o / ~ ~ T i ow ~ <,F `r9 ' F(( b0 d F~ . ~ ~ ~ 99. s ~ ~ , ~ ~ 00 ASS , ' Sc T. //T /OO 2,, \ 0 . o oti 2Or tea`, F F<,. b 6~ ~ v 99 ~ Gee " ' ~ r ° ""9~" rb n` a, ,'b" R=2500 ~OJ ';,PJ ?o~, ro L=3927 ~ ~ ~ GJ ~ 1~ ~O2 ~b b2 ~v ij0 ~ hti ~ Sy 1 0 / l// ~ ~ ~ ~ , Or - - , a - - - - ~ ~ N ~ ~ ~ G aP^~ ti - L FAD ~ ~ O S3, - P T~ 2S ~ a`' ~2 5 ~~s use/ e / 9 V 2jC b0 \ VV ~U „ ~ , 0 ~ R~ ~ ~y SURVEY FOR JS~SEPH PETERSON AuG 7,1985 SUFFOLK COUNTY DEPARTMENT CF HEALTH SERVICE2 LOT I, OREGON VIEW ESTATES~~ MAY 9,1985 AT CU TC HOGUE DATE JAN 7,1985 FOR A?P60VAL OF CONST; UCT:ON ONLY TOWN OF SOUTHGLD SCALE ~"=50' SUFFOLK COUNTY, NEW YORK No 64-1275 DATE H$ DEF. NO wUlNUTHDRIZ ED ALTERATION OR AO DITION ro rHIS GUARANTEE ¢SE OF kFW SURVEY 6 A VIOLATION M SECTION 7209 OF THE METROPO A~RI J, A TY GO APPROVED HEW YORK STATE EDUCATION LAW S w COPIES OF fH13 SURVEY NOT \EARWG TNf LAND SOUTHO $ A Nr SURVEYORS INKED SEAL OR EkSOSSED SEAL SHALL JOSEPH ~N -s OG MOT 0[ CONSIDERED TO 0E A VALID TRUE COPY w GUAR ANTEES INDICATED HEREON SHALL RUN dlLV TO BERNAD PE c THE PERSON FOR WNON THE SURVEY IS PREPARED HEALTH DEPARTMENT-DATA FOR APPROVI4L TO CONSTRUCT AND CN MIS OE HALF ro THE TITLE COMPANY, GOVEJlN- s''~ ' K NEAR[ST WATER •AIN_MI ~ wSOURCE OF WATER PRI WITE ,rL PU\lIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED M SUFf CO TA%NA? pfT 1000 Sf CTION 095 KOCK ~4_ LOT 18.1 HEREON, ANO TO THE ASSIGNEES OF THE LE NOING R TNLIIE ARE MO DWELUNOE WITHIN 100 FEET OF THIS ?ROPLRTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE fj 1'O OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTIiVTIONS OR SU\SEOUE N7 C,y. a5 93 N THE WATER SUPPLY AMD SEWAGE WlFOlAL SYf TEN FOR THIS RQIDE NCE OWNERS ~ 4fr~ 04 WILL CONFORM TO THE STANDARDS OF TM[ SUROLK COUNTY DEPARTMENT w 01 STANCES SHOWN HEREON FROM PROPERTY LIMES OF HGITN t[MIC[S TO EZISTING STRUCTURES ARE FOR A SPECIFIC ARLICYIT~ PURPOSE ANO 4RE NOT TO 0E USED TO ESTA\LISH PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS "L YOUNG & YOUNG R~RHEADNNEW YORKE NOTES STAKE ALDEN W YOUNG, PROFESSIONAL ENGINEER 4ND LAND SURVEYOR N YS LICENSE NO 12845 HOWARD W YOUNG, LAND SURVEYOR N THE LOUTIDN OF,WELLfwl,3EPTIC rANNf3r)¦cea\POOLS(CP) SHOWN N[REON N V 5 LICENSE NO 45893 ARE FROM FIELD OpERwT10N3 ANO OR DATA O\TMN[D FROM OTHERS BRAN015 6 SONS INC 1066 ~ , ~ 8~ = Lo~E DF~K ~g pp ~ ~oo~ ~ ~~,a, L~ ~ ^ a s r'+Or'' psi p~ ~ ~ w ~ o ~ 2 Q S ~ L~lvt EoN ,'~©~s75 . 0 n S r rr: O ~ T S ~ ~I r T 1 c`. i t a ~ I 3 + s _ y , ' ST~"PS ~ 2 a6' ~ s- l~ ' • ,$'Tlz ~ ~F1Z $ I ~p i ~a~~e,A 3^ ~ v'" ~ ~ ~ ~ ~ ~ ! i ~ R NGH_O2~' c ~ ~ I ~ Q . fff i ~ i 6 s-rR~NS~ o~T _ ~ ~ .fib o i ~ ~-g 4 ' 1 I ~ ) i I 1 Y ~ i ~ I I ~ ' ~ ~ I ~ c n' `~l~'~ Q_I 1 ~ i 1 ~s \ 1 • , _ _ ~i _ i L,Y,e - ~ - ! c- ~ 1,V ~ ~ 2 j-i~- i tt r`r 5 (Jl i y i a 'y / L~ n r o S't ~ ~ ! 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