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Home My WebLink About18434-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218747 Date sANUARY 29, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 645 FISHERMAN`S BEACH RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 11I Block 01 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16, 1989 pursuant to which Building Permit No. 184342 dated AUGUST 29, 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 REPLACE EXISTING DOOR WITH SLIDING DOOR. The certificate is issued to SANE P. GOELLER (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N`A V lM~.i-~~- I'C~~X1 Building In pector Rev. 1/81 mien rra 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 ° $ ~ ~ 4 Z Date ...st^•:w!•••... °~..1.........., 19. Q...1 Permission is hereby grants . :.y..:...~.r.9 c~.~z~Q~.v.~..... of premises locoted ot .....~,si~.~:"..~4-~!~,~~!'!:!!".^.^::?.C~:).~'.'^.S?!~...~...........\.tir~~! County Tox Map No. 1000 Sect' ....J. Block .......~..1........ Lot No....~.~............ pursuant to application doted :S:S/p~.......J..~P..........., 19.42., and approved by the Building Inspector. - 1 Fee $.•~J~..'.. Building Inspector Rev. 6/30/80 ' ~ / TOUN OF /~/G'~~ tz ~2619~ , j BUILDING i / .c~ ~ ~ ~ TONN gl„pG.DEri. SOUTDOLD, ~ 7,., ~ pF $OOT~IC~I_V , 765 - YI~~ f LfN APPLICATION FOR CERTI NEH C0:7STRUCTION ....,,OLD OR PRE-E%1.,. .rn~.n~~i Lnt1D.. 1 of Pro e i~ / ~ _ Locac on p rty.. ~ Y~. • • •I :f,SE1_~l%/r~i~_~ Ida / ~ llOUSE NO. ' .L:41 . ° • .~'~'-c~{.~.::C~(n__!~ i` STREET NAMLCT • Ovncr or Ovncrs of property..-~-? County Tax Hap No. 1000 Section Block Lot' . Subdivision. Filed MaP -.......Lo[._. pcrnit :lo. 1,11,.1 ~7.~Datc of permit //yq - . ~,t%a`~~s f_•_ A p P l i c a n t ~GcJ ~4•~ . Ucalth Dept. Approval " Undcrvritcrs Approval...,.--•_•._• PlanninII IIoard Approval • Request For Temporary Certificate Final Certificate V.., FCC SubmiC[ed: $ ~ 3S y~ ~ • . c.o. ~ i~~Y~7 ~~~ylyo 1n1~N~F2 fa ~D/z~ ss~ 3`f~j ~1~4r~ C-2~~i 17211 ~ SF4-1uT74 Q/}~,y-~Z~ ~ ey' IO/I4/88 ~i I - ~ III, FORM NO. 6 ~ TOWN OF SOUTIIOLD ~ BIIILDINC DEPART2fENT V TOWN NALL 765 - 1802 j +Yr+ APPLICATION FOR CERTIFZCATE OF OCCUPANCY INSTRUCTIONS A. I'This application mustjbe filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1• Final survey of property with accurate location of all buildings, property lines, streets, and unusu 1 natural or topographic features. 2. Final approval of ~lealth Dept. of water supply and sewerage-disposal(S-9 form). 3- Approval of electrilcal installation from Board of Firc Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of IX lead. S_ Commercial buildings, industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible For the building, _ ' 6. Submit Planning Roa{d Approval of completed site plan requirements, B- For existing buildingsj(Priar to April 9, 1957] non-conforming uses, or buildings and "pre-existing land uses: 1• Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2• A properly completed application, a consent to inspect signed by the applicant and a certified abs9ract o"f title issued by a title company which shall show single and sep~ra[e ownership of the entire lot prior to April 9, 1957. . If a Certi..ficate ofiOCCUpancy-i^ ccnied, tF.a Building Ins,ector shall s~at._ the reasons therefor in 'writing to [he applicant. 3. Date of any housing node or safety inspection of buildings or premises, or other pertinent information required to Prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstiact of title issued by a title company showing single and separate ownership o~ the entire lot prior to April 9, 1957 shall also accompany the application. If~a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D• FEES: 1• CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additiogs to Dwelling $25.00, Alteration to Dwglliag $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2• Certificate of Occupancy oa pre-existing dwellivg - $100.00. 3• COPY of CertiFicaito of Occupancy - $5.00 - over S years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. Updated Certificate of Occupancy - $50.00 6- Temporary Certificate of Occupancy - $(5.00 Residential i i $50.00 Commercial ' ~ i . 3p• 10/14/88 ' D- ~ O~p~~FFU(/(~GGy TOWN OF' SOUTHOLD JINN 2 61990 ~ OFFICE OF BUILDING INSPECTOR _ j 4 emu- ~ P.O. BOX 728 TOWN HALL ~fi nr se=. i;~c'~:~? ,,n,. ~ SOUTAOLD, N.Y. 11971 ~ ~';__...,...W y~ol ~ ~~O December 11 , 1989 Ms. Jane 0. Goeller 645 Fisherman's Beach Road Cutchogue, N. Y. 11935 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy is not on file. No Underwriters Certificate on file. / Xy.X The check is (ouc~d~~/not on file.) $25.00 % / No health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # 1 g c~ ~ 4 Z Building Dept. ***/J/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 1ELD I;:S:~ ._u; ~~'J„;~ I~ ~vtYMENT.^. ~ a o0 .L - - - H 1 ?OUt1DAT'I02! (1st) ~ /N CV ?OUNDATION (2nd) m~~ 2. 0 BOUGH FRAME & N~ PLUMBING 4( ti 3, ag n d' 221SULATIOfI PER N. Y. STATE Ef]ERGY y CODE 4. ~ .mac .t H . FIidAL i a n ~ . ?N2,~~e.~ . m ` ADDITIOIJAL COMMENTS: :J x H ~ 9 H O } - _ r H A • v m .a H ~ ~ ~ 3 ~ ass-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [)FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ~NAL REMARKS: ~ ~ c _ DATE / 2 8' `Y~' INSPECTOR ~ G!1 4 ~ ~ 3 ~ rss-iso2 BUILDING DEPT. INSPECTION [)FOUNDATION 1ST ( ]ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [)FRAMING [~NAL ~ p REMARKS: ~ - DATE ~ ~ $ INSPECTOR ~,¢R~,~(; , QQ" BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL °.OUTHOLD, N.Y. 11971 NOTIFY : JC,-~ TEL.: 765-1802 CAL • . . IL T0: Exami ,I.!~~, a, ~ 19~ Approve a ~ 19~.~ Permit No. ~ . B.~'~...~ ~ v ~ ~ ~ ~ .f~. J~~;? Disa pproved a/c ~ 1 I~ ~ AUG t 61989 ~ ~ c~~:..... TOWN OF SOlrrfiOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19 . 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 shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Dr issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suf ak, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, addit' ~sa, r emoval or demolition, as herein described. The applicant Agrees to,comply with all applicable 1~~'v S, ~~'~5A ode, housing code, and regulations, and to admit authorizedinspeetorS o~1 premises and in building f~~~ ~i . ~ . (Sign ire of arpplicant, or nam~/e, if a corpor0ation) ,n«q .`.J~ 5,~ 'e ` ~ ~,~~pAO~,4yo _(Mailing address of applicant) N~ j(g,3 ~ State whether appli'canG;is u4vn'ef,~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owne r of pYemises~ ; tk.. p~l'l Q 0.@dl `Pr~ . °`k'~''~ ~ a.3 .t.~;~ (as on the tax roll or latest deed) If app~ic~ylb is~a ogrgprgtjpr}y;s~gl}atu~rapp~F duly authorized officer. fif5.^ti'~:Y~?r"~:}',¢,e.}4'.a.~y+~.,ri}`Y";'.'~:. .i . (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFF LK COUNTY LICENSED Builder's License No. d ~ 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 Map No. 1000 Section l Z 1 • • . • • Block .....l............ Lot ~ ~ 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 occu anc S ~ 2 S-a~c~ _ ~ / p Y ..GI!l.~?1 ~ (~Z e.`Q.-.......l.. cal--S~: (<lr4l..`. ~~-S~~( V b. Intended use and occupancy S'p~, }'~i,4°.r........ , 3. ,Nature of work (check which applicable): New Building Addition Alteration Y..... . Repair Removal , Demolition , , ..........Other Work , , • • • ~ II (Description) 4. Estimated Cost ~ ~ . Fee . ` (to be paid on filing this application) 5. If dwelling, number of dwelling u',nits , Number of dwelling units on each floor . - If garage, number of cars 6. If business, commercial or mixedl,occupancy, specify nature and extent of each type of use . . - 7. Dimensions of existing structures;, if any: Front ...............Rear Depth . Height ...,........"...Num[~erofStories Dimensions of same structure with alterations or additions: Front Rear . - Depth . , , , , , , , ,Height , ...Number of Stories . Dimensions'of entire new constryction: Front . Rear Depth . Height . . . Nu~nl~er of Stories . , , . . ' 9.'9izeoflot: Front Rear Depth 10. Date of Purchase ..................Name of Former Owner . 1 Zone or use district in which premises are situated . . . . . . - p p 'te any zonipg law, ordinance or regulation : . . 13. Will lot be regraded truction viola Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . ....Address , ..................Phone No............... . Name of Architect J . ...Address ...................Phone No............... . Name of CP ntp ctoy . ....Address ....:..............Phone No................~ 15. Is this ro ert located ithin 300 feet of a tigidal wetland? *Yes No *If yes, Southold Town Trutees PermitPLO~ DIAG1tAMed. Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block dumber or description according to deed, and show street names and indicate whether interior or corner lot. ' ',I e-- ! ~CUPi?NOY OR ~ I use ~s aH~?'~~~ WI'~N~11~~~~C ATE PP OVED AS NOTED , ~ ~ ~ ~ ~ 0 DAT~• 8.R p .~a.Z III ~i FEE .a"~ ` BY: Y. Ci,~. J NOTIFY BUILDING DEPARTMENT AT 788.1802 8 AM '71D 4 PM FOR TWE ~I FOLLOWING INSPECTIONS: i. fOUNDATION - TWO REQUIRED _ _ FOR POURED CONCRETE 2. ROUGH • FRAMING R PLUMBING ~ ~ers ~ J s ~ • % Lti a. INSULATION ~Cio r .2~1_l fr Cam, ~L .Dc ; (~i 4,~ ~ x~.riw~ t cr v° C~-~`-`ti a' 4. FINAL - CONSTRUCTION MUS7 r S 8E COMPLETE FOR C.C. ii ALL CONS RUCTION BHAL.L MEET - THE REQUIREMENTB OF THE N.Y, STATE CONSTRUCTION a ENERGY CODE. NOR R~PONSIBLE FOR D681GN OR tDpNN87`RUCTION ERRORS STATE OF NEW YORK, 3.S COliNTY OF . • • • • • • • • • • • • • • • • • • • • • • • • • • • ~ • • . • . . being duly sworn, deposes and says that lie 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 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 mannerjset forth in the application Gled therewith, Sworn to before me this I Notary Public, , [t1'4'~!4! .TS~• j .N• (/de-.... County HELEN K DE VOE ~ . NOTARY PUBLIC, State of New 'York . No.A70787R,SuttolkCau (Signature of applicant) Term Expires March 30,19