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Home My WebLink About18548-z ' ' ~ FOE2M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22196 Date MARCH 17, 1993 THIS CERTIFIES that the building REPAIRS Location of Property 3615 VANSTON ROAD CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section lIl Block 11 Lot 1.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 27, 1989 pursuant to which Building Permit No. 18548-Z dated SEPTEMBER 27,1989 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 REPAIR DAMAGE CAUSED BY FIRE. The certificate is issued to JOAN R. SMITH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N 112824 FEBRUARY 3, 1990 PLUMBERS CERTIFICATION DATED N/A Bui~ spector Rev. 1/81 lOEH N0. f TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMl5E5 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 1848 Z Date ~ ~ //ll % 19.p..~ Permission is hereby granted to• ~'j~ ....C/~!:1.........~~:...~ .~z2 ~Z~~!ll...... ......~..~/,...~~...,l/..13s~ ro \ ..r............................................. at premises located at .........~/./~v~.1..,~.,.~" ..~~l.:!!d.~.~. ,...l.:~,. .........................................................:/..1...~I.l • County Tax Map No 1000 Section ..1..~ Block .....I.~..........~~rrLot No ~.t.. ~ pursuant to application dated . r~........., 19.f~~and approved by the Building Inspector. Pee 5.,..t~'.(~.?.~!D.... Building Inspector Rev 6/30/80 Form No. 6 ~y~ (y (~ra s'Y^, ' • ~ TOWN OF SOUTHOLD ' BUILDING DEPARTMENT ~ ` MAR .3 1993 TOWN HALL ' ~ 1 765-1802 i.~„„ L...~~.~TC} APPLICATION FOR CERTII'ICATE OF OCCUPANCY 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 2J10 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. i 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 Euilding - $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 New Construction..... Old O'rlPr"1e-existing BuilI,lding........... r..... Location of Property.. C~~.....Y~'7v~T~l~ ~f! :...............YJ~.I.r~~.l,`,'.V. N.~....... . House No. ,i Street Hamlet .,~',~.~~4-.Fi.S..l~.:..v~Y?1.1.~.~ ..`.J.~ ~~xrCG(~C~ c~~~e'4~~ ~r" Onwer or Owners of Property.. ~ ..1.. '7.!-~~. /f sm~ County Tax Map No 1000, Section.... .!!......Block.... ~.+..........Lot....i:~ Subdivision ....................................Filed Map........../.~.Lopt..~/..........L./........,~./ Permit No.~-~. ~~~~~~..Date Of Permit ................Applicant..l?~[l.~\~~ ..,C7:. ~~~!L~/~l Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...!1....... c9 1 Fee Submitted: . . APPLICANT - ~ ~ i =0UI3DRTI0`I ~ i 7st) ~ _ i 'OU33DATION (2nd) I o I o ?OUGH FRAhfE & PLUMBING 3. I a m n =I3SULATIOI3 PER I3. Y. I • • STATE EIIERGY I CODE I I ~ ~ 3 l 4. m -j I FIi3AL ( C I a• ADDITIOI]AL COMMEi1TS: M m a~ a~ . p\ c~ 1 r . - r '-1 v m THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGF. 1 f 7.000343 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Y6ARUARY 03,1990 Application No. onjile 65257.859/S9 N 31'I.8?.4 THIS CERTIFIES THAT only the electrical equipment a. deurihed 6eksw and Introduced 6y the epplirnnt named on the ohoeeepplicotian number In the premiees of ~ i CHARLy:S SNITH. S/S VANSTON RD., t;tJTCHOQ[JF~, N.Y. ¦ in thefollotcinR lucotion; ®Baeement ® Ixt Fl. ? 2nd FI. .Section Block Lot Eeae examined on dANIJARY 7.1 , 199U and found to 6e in compliance with the reyuirementx of ehu Board. ~ fl%iUR! flXTURES RANORS COOKING DECKS OVlNS DISH WASMRS EXHAUST FANS OUTLETS TACtES SWITCNlS INCANGFSCENi F1U011ESCEM OTHEn AMT. K. W. AMT. K. W. AMi. K.W. AMT. K. W. AMf. N.I. 7 2l 7 DRYERS WRNACE MOTORS WTURE AN'UANC! MEDERS SFlC1Al RlC'1T 11A1E CLOCKS ~ UNIT MEAiERS MUlll-0UTLlT DIMMERS AMT. K. W, ql H. r. GAS H. P. AMT. NO. A. W. G. AMT. AMI. AMT. AMeS. TRANS. AMT. H. t. ~ ~ /iMC WATTS 5 F GOU SERVICE DISCONNECT NO.OF S E R V 1 C E AMi. AMt. irtE I,e TN 113W ].e 3W S/AW ~~C~COND. Of CC. CONe. NG. q' HIAFG Of'~~IEG NG.Of NEUnAIt qA EN uTiAl I I.00 CB O7NER AFNIRATUS: I( }:I NR DANAr,L R&PAIN ONLY~-1 C 'i .E~o'C . G(70DALP; MLFCTRI(: hIC.~783 '1355 RAIN R(iAD 06rlAL MANAGER NAT'C.TTtlCJl, NY, J1952 11 Per ~ This nrtificate must not be altered in any manner; roturn to the office of the Board if incorracl. Inspectors may be idaMHisd by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~~~vo*~o~ ~/,.,fib 3 S1 5159 7 9MT fl(,i NIA T r'n^. ? •:~~!t+ . , z D r ~ a i~tni;~{d+ . ~c~~ /7oa~ ~ ~~ZZ s` ~Oa?. 9~7 3~'311'JNOJ naN+~ ,v ` V ~ ~ o~N~ , . FF ,~~sy~.,P wry/%m~ %dS-/802. - ~ -.FNS IR!ln ir;~,::-- - - _ - ~w~ G _ _ _ , - - w3~ I ~a-Se ~ _ _ - - ~ ~ f.?: hoI y.~~ " %ds'+X ~ „ ~ 3 ' S _7~,.ro ovc-~- ~d?v _ _ , ~ Is,, _ _ _ _ - _ - n 1 _ _ _ _ rf G-.~t /YJ~?! v ~a66,~ ~ ~L~r!'/e . ~ ' C~ f=/o r fit// J~err/~' St~~r7~ -crpv~ y~aor, _ Sca ~~n o S v~P - - - ~%e~vc9 s~ S6 t~j ii~c% Cro/?r~ , ~ Eck t7~yo,:o9 - - - BOARD OF HEALTH 3 SETS OF PLANS FORM NO. t SUAVEY TOW V OF SOUTHOLD CHECK - • - - • . BUIL"D.ING DEPARTI41ENT SEPTIC FORM _ , - - _ - _ , • , _ TOWN HALL NOTIFY . EOUTHOLD, N Y. 11971 CALL TEL.:7G5.1802 ~ MAIL T0: E:camtned 19 . Approvcd~~~/J? 19~~P0rmtt No. `.C/.. ~.!/i "Z' Disapproved a//c J.~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19.~. INSTRUCTIONS a. This application must be completely filled m by typewriter or in ink and submttted to the Building Inspector, with sets of plans, accurate plot plan to scale. Eee according to schedule. b. Plot plan showing location of lot and of butldutgs on premises, relationship to ad~oming premtses or public street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apple cation. c. The work covered by this appltcatiein may not be commenced before issuance of Budding Permtt. d. Upon approval of this apphcatron„the Budding Inspector wAl issued a Building Permtt to the applicant. Such permt shall be kept on the premtses available fornnspectton throughout the work. e. No building shall be occupied or used in whole or to part for any purpose whatever until a Certificate of Occupanc; shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE tb the Budding Department for the issuance of a Butlding Permit pursuant to th. Building Zone Ordinance of the Town offSouthold, Suffolk County, New York, and other applicable Laws, Ordinances o~ Regulations, for the construction of buildings, additions or alterations, or for removal or demolitron, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatrons, and t~ admit authonzed inspectors on premtses and m building for necessary inspecttons.r (Si~nantre of a hcant, or name, tf a cor oration ~.x Y.G..........~.~:f~ . - . (Mailing address of applicants State whether applicant is owner, lessee;, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner ofprcmues ...~4irt<..~..5.%?~i~~.............•. <as on [he tax roll or latest deed) If applicant is a corporation, signature of duly authonzed officer. (Name and title of avx}zorate officer) ALL COttTRACTOR'5 MU$T.BE STJPFOLK COUNTY LICENSED Builder's Ltcense No . Plumber's Liccnsc No . . Elcctrtcian's License No . . . OthcrTradc's Ltcense No..._ I. Location of land on witch proposed work will be done . . .J 6~S ~la,, s~~ ,~n!......G-r. ~jGLio,~~r. ~ ......l `.yv . House A'umbcr Street Hamlet County Tae biap No 1000 Section , , , , , , , , , , , Lot . , • .1, Block 7........... Subdtvtsion Filedi•1ap No Lot............... (Namc3 2. State ertshng use and occupancy of premtse/sfa~nd intended use and occupancy of proposed construchon• a. E~isttng use and occupancy .........tl .t `:.r . . _ ,y ~f~~_ , b. Intended use and occupancy ~%~-a ~..,,~2/~/~r.~T.~`~rr."/.. Y!.`~~L/~9~~,.~.......... . ~,v1.0 ~i .tip/"7`~/'r~ 3• Nature of work (c eck which applicable): New Bi ]ding ion ~Uterauon . Repair . - • • • • • Removal Demolition Other l5'ork (Descnpiion) 4. Estimated Cost ..~Sf U ~ ~ ~ ~ Fee . ~•a ~ ' (to be paid on filing thts application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . IfFarace,numbcrofcars _ 6. If business, commercial or mixed occupancy, specify nature and extent of each t pe of use . 7. Dimensions of existing structures, if any. Front Rear .....S~ cpth . HcigEit Number of Stones . Duncnsions of same structure with alterations or addiuons• Front ...YQ. ; . , , • • , • • • , Rear .,r , . Depth ......'5~.' Height :..............Number of Stones . 3. Duncnsions of entire new construction Front Rear Depth . Height . Nuiiiber of Stones . . 9. Stze of lot Front Rear . Depth .?-/..Z . 0. Date of Purchase Y9.~ ........Name of Former Owner . . •w`- ~ . I. Zone or use district in :vhich premises are situated . 3. Does proposed construction violate any zoning ]aw•, ordinance or regulation: ..•~~r1 . 3. Rill lot be regraded R 1Vill excess fill be removed from premises• Yes No 3. Name of Owner of premises ~°~+-.Yt .,ll.'. ,5~;~!~ • , .Address .~6/.~ . !~':'.'S~~rx !P~F: Phone No.. 7?/.:6, 9'sS6• , • , Name of Architect ...........................Address ...................Phone No............... . Name of Contractor ..........................Address ...................Phone Iv'o............... . 5. Is this property located within 300 feet of a tidal wetland? *Yes No .l:~..'' *If yes, Southold Town Trustees Permit may be reqqu~ired. PLOT DIAG1tAM Locate clearly and distinctly all 6uddings, whether existing or proposed, and indicate all set-back dunensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether iterior or corner lot. S tr-v~ ' - ??o G,~ ~m~,r, ATL- OF 1E• OR I S S ~U~'fYOF. ••f~ • • • • • • , , ~ k...... Sw:?~:~~ , being duly sworn, deposes and says that he is the apphcant (::amc of mdn [dual signing contract) aic named. ~5f •isihc ...............:.Y~•,••••:............................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ^I:cation; that all statements contained in this application are true to the best of lies knowledge and belief; and that the irk wdl be pcriorncd m the manner sc[ forth m the apphcauon filed therewith. orn to bctorc me this ~C( ..:.;.day .........19L~.` nary Public, l~.{.lj.,(. County ry~ypgp~ ~s~p~Y~ (Signature of applicant; QuatiRed in Suifalk CoutnY _ Q~ Oommisaion 6cpires December S,1