HomeMy WebLinkAbout18551-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 219416 Date QCT. 4, 1990
THIS CERTIFIES that the building ACCESSORY
Location of Property 2735 PEQUASH AVE. CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 103 Block I2 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPT. 29, 1989 pursuant to which
Building Permit No. 185512 dated SEPT. 29, 1990
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 DETACHED (ACCESSORY) GARAGE.
The certificate is issued to THEODORE O. BEEBE, JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R/A
UNDERWRITERS CERTIFICATE NO. N147121 SEPT. 5, 1990
PLUMBERS CERTIFICATION DATED N/A
Building In pector
Rev. 1/81
!'Ol,M 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)
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No 18 ~ 51 Z Date ...~.P 19~Y..~l..
Permission is hereb granted t .
~s.3s
of premises located at ......c~r.......~.,.? ..............~(./.°1~...................................................
..................................................G'~~••••~-...............................................................
.
County Tox Map No. 1000 Section ....Q..~O.~. Block .......,1.~:......cc Lot No.........C...J~..... .
pursuant to opplication doted 19.Q.,1~.., and approved by the
Bwiding Inspector.
Fee ;•.1.~.l~. O~
C~'~~~ . uil.....'.... ol~.
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i~ g
Rev 6/30/80
- _ _ J
- Form No. 6
TOWN OF SDOTfIOLD
BUILDING DEPARTMENT
+ TOWN HALL
765-1802
' APPLICATION FOR CERTIFICATE OF OCCUPANCY
i
1. This application must be filled in 6y typewriter OR into 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 1Z lead_
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible far the building. ~
b. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 195_j} 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 featuzes.
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 stare the
reasons therefor in writing to the applicanC.
C. Fees
1. Certificate of Occupancy - New dwelling $ZS.OD, 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
Up~ated Certificate of Occupancy - $50.00
S. TT~~emporary Certificate of Occupancy - Residential $:,1~5~j~.,0~.,0,(~,C~Commer/cial $195.00
/"('ew ~ - Date 1...... ~1Fl..~l...[..~.._.......
::ev Construction. Oljd~r Preexisting B ilding. ~O
Location of Froperty..p~.~~.e1..,.,,,~JJ~SfC~'~ZR~`.~~,~:{::-Q.,~......1./~.~.'C..
House No. / (i Stre/e~t p aml t
Onwcr or Owners of Property.....~„~~Q,~~~:~:..C.a..C..~AT..~~~..~~
County Tax Map No 1000, Section...~.~.~....Block.....f-l.f.~`.:..Lot......~
Subdivision........ .Filed Map............Lot. .
.
Permit No..~~', sl, ,~,r, ,~$ate OE Permit, . (.~~.6.~~~Applicant J.'f!'. :.711.!'~1~~~.
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Ftealch Dept. Approval ..........................Underwriters Appraval..~L..t..... _J.
Planning Board Approval...........,
Request for: Temporary Certificate........... Final Certicate........... .
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Fee Su6~itt~; ~......Gts:U. 4V V ~~~/i~`~~'r- "
K~¢GG O~S"7"' `
C d ziy ~ It
APPLICAN'~ ~ ~ .
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OUtJDATIO;I (tat)
'OUIIDATIO;d { 2nd Y ~
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?OUGH FRAtfE &
PLUMBIf1G
s.
=i1SULATIDf1 PER f1. Y. I
STATE EfIERGY
CODE
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FI:lAL
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ADDITIOf1AL CO?^."1E11TS:
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THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1
11.25065 BUREAU OF ELECTRICITY
83 JOHN STREET, NEW YORK, NEW YORK 10038 t
Date S$PTEMlSER 05,1990 gpplicotionNo.onfile 69753890/90 N 147121
THIS CERTIFIES THAT
only the electrical equipment as descrihed 6elota and introduced 6y the applicont named on the a6ooe opplication number in the premises of
TED BEES` PEQtJASN AVE., 22, CIITCHOGUE, N.Y.
? IAt FI. ? Pnd FI. Section Black Lot
in theJolbtciwR hYCOtion; ? Basement fiAR
um examined on JULY 19 ° 1990 and found to he in compliance with the requirements of this Board.
NXTUR! ACl6 SWI7CNE$ RXTURK RANGES COOKING DECKS OVENS DISH WASH[RS EXHAUST FANS
OUTUETS INGNDESCEM tlUORFSCEHT OTNEP NAT. K. W. AMT. K. W. , AMT. K.W. AMT. K. W. AMT. M. P.
7 4 6 'I
DRYERS FURNACE MOTORS FUTURE AFFUANCE FEWERS SFECAAL RECFT i1ME CLOCKS BHt UNIT NEATEK MUtll-OUTIET DIMMERS ¦
AMT. K. W. Oll M. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. ~ ~QF t~T AMT. WAITS
SERVICE DIKONNKT Dq. OF S E R V 1 C E rr.~~~
AMi. AMP. TYPE MEP. 1 N ]`N 1 P 7W 3 d Jw ],e Aw Na' DPER
HCOND. Of Z
COND. ~ NIdtG Of „I'~ Na. aP NEUTMlS Of ~NEVTIIA[
GTNER APPARATUS:
WIRING FOR DETACHED GARAGE ONLY-1
PANELBOARD5:1-3 CIR. 100
G.F.C.I:-7.
.cro'~
LAKE ELECTRIC LIC.,jE1845-E
17 FOREST TRAIL _
RIDGE, NY, 11961 MANAON!
11 ~
Psr ~
This certifimte must not be altered in any manner; return to the office of the Fbord if incorrcd. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY ~ CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN HALL
SOUTHOLD, N.Y. 11971
q TEL.: 765-1802
Examined gg~~/ , 19 ~9 F Application No .
Approved ~,r ~-f , 19~Pennrt No.~IJ.SS~
0 Obi
Disapproved a/c
s~P ps ~6e
~ (B ildm sector) ~
APPLICATION F R BUILDING PERMIT
Date Ltrt, ~ 19~;
INSTRUCTIONS I
a. This application must be completely filled m by typewriter or m ink and submitted m tnphcate to the Buildi~
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 adlommg premises or public stree
or areas, and going a detailed description of layout of property must be drawn on the diagram which is part of this app
capon.
c The work covered by this application may not be commenced before issuance of Building Pennrt
d. Upon approval of this application, the Building Inspector will issue a Building Pennrt to the applicant. Such peen
shall be kept on the premises available for inspection throughout the work
e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupan~
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 ti
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the constructron of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authonzed inspectors on premises and m buildings for necessary mspectrons
~~.--~ry~~~~;-
(Signature of anpl}pan~; or if a corlioration)
_ `A •
~„.I~la~dress of applicant)
State whether applicant rs owner, lessee, agent, architect, engineer, genesal;,~onL~actor, electrician, plumber or build
Name of owner of premises n.~, v 4 d L./ ~ IJ 4 ~ yam. ~ . .
(as on the tax roll or latest deed)
If applicant is,~a,{corporatron~, rsignature of duly authonzed officer ,
(Name-a#~i~t{tje ,~f ip~orat'e=6fficar)3'-
N~?~ 3181£ ~~R 11~ifi .21"~
Builder's Lice&r(sD.`~.'~.~Y
ttx1='.~.= c~:. ~ .
Plumber's License No
Electrician's License No
Other Trade's License No
1. Locatron of land on which proposed work will be done ~Q S.T ~ , E' , O T.. ~P gaaS 1,71!
House Number Street Hamlet
County Tax Map No 1000 Section l' O 3 Block ...Q ~ . Lot G 13.
Subdivision Filed Map No Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction.
a. Existing use and occupancy j.~Y'S 1 ~ `e {1 .
b Intended use and occupancy c~ 19 h'1 Q--. ~f~G^ti'~~k ~r'°~!~4~~ :Cj.
3. Nature of work (check which applicable) New Building ~ . . Additron Alteration
Repair Removal . , Demolition Other Work . . .
~r~,,~~~/~ q (Descnption)
4 Estunated Cost ~ (T-a-d • a'"~ Fee .T~--fr° ~ ~ 3 / a
(to be paid on filing thrs application)
5. If dwelling, number of dwelling units . , Number of dwelling units on each floor
If gazage, number of cars o~ Cc~h S .
6 If business, commgx~aal ® ixed occupancy, specify nature and extent of each type of use .
7. Dunensions of Fx~tm`~ s ures, if any Front Rear .Depth . .
Height . ~ umber of Stones .
Dunensions of ame st with alterations or additions Front .Rear . .
Depth ~ Herght Number of Stones .
8 Dl#nensions of entue co stmction Front , ~0. ` Rear . .3 O. ....Depth ~ .
Hez~k4y^' ,;,i0.WM tuber of Stones . ~ ,Z
9. Size gf.11~f~.~r~- .Rear / ~ A Depth ..aZ 4 A. ~ .
10. Date of Purchase .Name of Former Owner 1~~.'?.`e ~'S .
11 Zone or use dzstnct m which premzses are srtuated . . .
12 Does proposed construction violate any zoning law, ordnance or regulation sfJ. D . .
13 Will lot be regraded .~11 O / .Will excess fill be removed from prem~ses• Yes
14 Name of Owner of premises ~~ad~o Ft°. 6~eEkE Address . qu.as,(~ ,fJ ve, .Phone No. 7 3 ~1 ~.74rP6 .
Name of Architect Address Phone No
Name of Contractor (,Jm I`~, ~p~ebse ,Bxrj~wrs.~`Address G+,-~T,c.~z o~ u'e.~ Phone No.73 `f,-.4, ~ 8 ~ .
PLOT DIAGRAM
Locate cleazly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions fro~i
property lines. Grve street and block number or descnption according to deed, and show street names and indicate whether
intenor or corner lot.
S~ `2 ~~{~U'e~ ~btd. ~~af~s
q~-~~ AS NOTED
DAl'EY o, B.P,~ ~ ~ROVE~aN~T.
FEE• ~ '~~c _
NOTIFY BUI O~E~P,q_.a~FC~(r c 8 P #
765-tt302 8 AM TO 4 PM THE - ~
FOLLOWING MSPECTIONS: _ _
1. FOUNDATION - 'MIO REQUIRED ~ " ~ ~
FOR POURED CONCRETE r' ~
2 ROUGH - FRAMING ~ PLUMBING ` r`,vt~ REQUIRED
3 INSULATION ~ ~t rs t:1REU CONCRETE
4 FINAL - CONSTRUCTION MUST 2 ROUGH -FRAMING & PLUMBING
SE COMPLETE FOR C.O. 3 INSULATION
ALL CONSTRUCTION SHALL MEET 4 FINAL CONSTRUCTION MUST
THE REQUIREMENTS OF THE N.Y. 8E COMPLETE FOR C.O.
STATE CONSTRUCTION ~ ENERGY ALL CONSTRUCTION SHALL MEET
CODES NOT RESPONSIBLrE FOR THE REQUIREMENTS OF THE N.Y.
~:rSIGN OR CONSTRUCTION ERRORS STATE CONSTRUCTION ~ Y
CODES. NdT ~8PONStBCE WR
DESIGN OR CONSTftUCTgft ERRORS
STATE OF NE~V-~'OIt¢~ / I/ S S
COUNTY OF „~„~`1~~ l t'~ /
.~l-19'P.Y~ t n' l~ . )~`.P `P. p 'e- being duly sworn, deposes and says that he rs the applicant
(Name of individual signing contract)
above named
Hezsthe
ontracto ,agent, corporate officer, etc )
of said owner or owners, and is duly autho orm or have performed the said work and to make and file thi:
application, that all statements contained in this application aze true to the best of his knowledge and belief; and that the
work will be performed m the manner set forth m the application filed therewrth
Swom to before me thrs
'.~~~ay of cs`1 , l9 .
Notary Public, ~y.:c~-~iC-Q ~ .County
CLAIRBL.CiLEW
Notwy Public State ~ NevirYork (Srgnature of applicant,
QualiR din
$7u8j/So~lkGCoumy Q~
COmmiss~on Exprres December 8, i3Z•
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SURVEY FOR
THEODORE 0 BEEBE,JR
JUNE 25,1966
' SEPT. 30,1965
AT CU7CHOGUE DATE MAY 3,1985
1DWN OF SOUTHOLD SCALE I°=30~
SUFFOLK COUN7Y,NEW YORK NO 85-393
N urwuTNMlz[D ALTLRATION OR ADDITION TD TNis GUARANTEE OF Y
SURVEY M A VIOLATION OF f[CTION 7307 OF TNC ~
NEW YORK STATE EDUCATION LAN TI OH ITj. • pL1ARA~~
NCO?I Ef OF THIS SURVEY NOT BEMNG TNt LAND `t ~ ~ ,F
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SNAIL R
MOT SL CONSID[R[D TO BE A VALID TRUE CWY ~ ~ GS
NGUARAMT[Ef INDICATED NEREON SNALL RUN ONLY m ~ ,
HEALTH DEPARTMENT-DATA FOR APPRON4l TO CONSTRUCT THE PCRSON FOR WNOM THE SURVEY IS PREPARED tT 7
AMO ON XIS B[NALF TO THE TITLC COM MIRY, GOVEIIN- ~
N NCAR[ST NAT[R tAIM_Mt ~ NSOURC[ OF WATERS PRIMATE.?UBLIC~ NENTAI AGENCY AND LENDING INSTITUTION L13T[D
N fUFF CO. TA%MA? DIfT 1444,fFCTIOM 143. N.OCK M9 LOT 013 NUEON, AND TO TNC AfSIGNE[E OF THE L[NDING
NTN[R[ ARL MO DN[LLIWf NITNIM 100 F[ET Of TNIf PROPLRTY INS TITUTIOM OUMANTELS ARE NOF TRANSFCRA BLE -
DTNER TNAN TNOf! SNONN N[RtON TO A001 TIONAL INSTITUTIONS OR SUBSEQUENT q~i /
K THE NAT[R SUPPLY AMO f[MMG[ gfPOfAI fYff[N FOR MY Rlf1D[NCF OWNERS /
NOI STAMCt3 SHONN HLR[ON FROM ?ROPERTY LINtf ~ [.c/
Will CONFORM TO THE fTANDAROf Of iNt SUFFOLK COUNTY DLPARTM[NT TOE%IfTING fTRUCTUR!! ARE FOR A SPCCIFIC _ yRY~~
OF NGITN flAVlt[f PURPOSE ANO ARE NOT TO BE USED TO ESTABLIfN
AMLICAMT~ PROPERTY LINES OR FOR THE CRECTION OF FENCEf
ADOR[ff
T[L YOUNG & YOUNG R~IYEROFIEADNNEWAYORKE
NOTE' / =MONUMENT O=PIPE p=STAKE ALDEN W, YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N Y.S LICENSE NO 12845
HOWARD W YOUNG, LAND SURVEYOR
NM LOCATION OF NLLL(WI,fC?f1C TAMN(fT1B C[ffMOLf(V) NIgtN NIJI[ON N Y.5 LICENSE NO 45893
M[ PROM FILLD OBHRWTIONf ANO OR OITA OBTMN[D FROM OTXERf
BRANDIS G EONS INC. 1014