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HomeMy WebLinkAbout18451-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219541 Date NOVEMBER 28, 1990 THIS CERTIFIES that the building ACCESSORY STRUCTURE Location of Property 1910 MAIN ROAD (PVT RD. #3) CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 03 Lot 08.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 29, 1989 pursuant to which Building Permit No. 184512 dated SEPT. 1, 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 ACCESSORY STRUCTURE AS APPLIED FOR. The certificate is issued to CONSTANCE CROS5 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-89 OCT. 31, 1990 UNDERWRITERS CERTIFICATE NO. N116662 MARCH 2, 1990 PLUMBERS CERTIFICATION DATED OWNER ~ ~ ~ Building Inspector Rev. 1/81 i i rosai 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 7HE WORK AUTHORIZED) N°- x.84 51 Z Dare .<~-m~.......~ 19. g.~' Permission is hereby granted to: l.:~v~v.-alp a.v1CA_ LJL.~-w~' ta ..~~!`~'.....4:.`~,.....~,:4~:! ~...rf~.Al.>x4r4.qtr:RM........C~?............... of Premises located at ...l..L~..a.......Jxl..?~k::r...~....C1•..V.Y....~~....~s..,j.......4rl~A.ctl,.J!1~! ~t:ti!:~-....... County Tax Map No. 1000 Section g.......... Block ......Q...i~........gLot Na........~.:.~........ pursuant to application doted ....1.s.a1~:.......a~ 19...1.., and approved by the Building Il~nspector. I Fee 5..~.W.... . ing Inspector Rev. 6/30/80 lcLD I;: : E'±~;iu;. ~~'v,;.~ l~ :;vD1MENT^. + ~ 1 . ~ ~ ~ G H - ~-l c OUI7DATI0^I ~ (1 s ) 1. f' ~ ~ c p ?OUIJDATZOtJ h (2nd) _ _ m~ 2 . ~ o ?OUGH FRAME & ~ ~ Lh'` PLUMBING ~"'`'`J~' ~ f '`'r"~ • '`t ' ~ IIJSULATI01! PER N. Y. w w STATE ENERGY CODE 4 • o a ~--~.-3 FI17AL o C ~ ADDITI011AL COMMEPlTS: s m ' x H 9 H .,1 H O .Q m~ } r - - _ ~ - ~ H O G° r~ c .a , ~,p 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ]INSULATION [)FRAMING [ )~FI~NAL REMARKS: ~ / ~`2,c-¢il7~c~ y IyATE I ~ ~ INSPECTOR T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( ] FINAL,Q REMARKS: ~-f~u~i~7" d DATE ~ ~ ~ INSPECTOR ~C~ ~~i' 765-1802 GG BUILDING DEPT. INSPECTIC,N [ ) UNDATION 1ST { ] ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: +i vU --r DATE 4 INSPECTOR ~`E~.L ~ TeI.. acs-laoz I~., /tr~~~ ~ t=,~ a ~ 1 tCJ~~,:~1tt~.1~ -t.~ OPI'ICfi OI' IIUILDING IidSPC•.CTOR ~u; r;; I'.O. UOX 728 ~`~¢,f/'`~~~~~" Sn1JI'itOLD,N.Y.11971 ~:~r.:,cl~ February 1 , ] 990 JAMHS S CONSTANCE GROSS MAIN ROAD CUTCHOGUE, N.Y. 11935 To 47hom This May Con~crn, toe arr, unable r_o complete your Certificate of UcUc ul~ancy becau~c of the folloo-~ing reason:,. An application for Certifi- _ c.atc of Occunancf is not on file. (ENCLOSED) J_/ to Under:~riters Certificate on file. / 'i'he check is (c~(;$~7i:fnot on file.) $25.00 I:o ttealth Dcpt. Approval on file. I:o final inspection ha: been made. Plenrc contact our office on this matter. Thank yoti.i for your caoperation. . Build.n, I'r_rmit it 1 S 4 S ] Z Buil<lir.q Ucpt. i`fo !'.lumber Solder Certificate on file. ( all pcrmitu involving pluml~in<1 bcin~ .isrucd afL•cr April 1,19fl9 ) n_ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAC; ~ 1001071 EIUREAU OF ELECTRICITY SS JOHN STREET. NEW YORK, NEW YORK T0098 Bay M11RC8 02,1990 Appltcotion No. on file 66606589/89 N 11666'), THIS CERTIFIES THAT only the slectricd equipment w dreribed keloto and introduced 6y the epplicont named on the ekoeeeppdeatbn nuKnMr iw theptemien of ABB B CROSS, BAIB RD., CUTCBl7GUF., B.Y. - in the foBoteinp locution; ©Besement ® Ixt Fl. ~ Ynd Fl. OU'P Section Black Lot - Eeae a:emined un YBBRUARY Ol ,1990 ondfound to he in compliance with the requirementx uJ thie Buard. A%TUq ApK fN1TCIMf RXTURK RANORS tK10KIN0 DiCKf ORK W 1XIIAYST FANS OUTtRT3 NGNDESCENT tlUgESCENT GTNER AMT. K. W. AML K. W. AMT. R.W. AMT. R. W. AMT. N, r. ~1 1 15 al z F DRYNf RXINACR MOTORS t41TIMR AKllAttp IRfRMf fMiC1AE RlC9i TMAR CIOCKf qtl IRNT IIMTRK MttItI40YI11T OIMMRRS _ AMT. K. W. Oll N. P. GAS N. A. AMT. NO. A. W. G. AMT. AMI. AMT. AMIB. TRANf.. AMT. - M. ~ ~ ~T AMT. WATfS 2 F 1 30 SMVKlDIfCONNRCT tt0.01 S E R V I C R AMr. AMr. Tm ~ r r aw i i sw a K rv 1,I tw No~ ~rt ecoNO. a cc c ' No. oc Ni.uG a uo. a NEUnuu a ~ 1 loo c6 1 x 1 2 i - orElff At1AR/1TUk BATORSsl-1 B.P. RL1SC. AATBR BBATERS::1-a.5 R.W. SBORB DH?$CTOR:-1 G & S CU81'RAC'1'pR LTC.~578 BOX 215 SOUTBOLD, NY, 7.1971 ORII~At AW/hoRlt 11 Psr This oMi(icote must not bs aherod in any manner;. return to tM office of tha Board if iMOrracl. 1 n .a idndifled ctedeMioh, ~ FOR BIJI181NG DEPARTMENT. THIS COPY OF CERTIFIGTE MUSK' NOT ,AF.F~ IN`AIW NMIMER. .r ~ . Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 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 2/l0 of 17 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 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 $15.00 Date ~6 ':ew Construction.,t!....... Old Or Pre-existing Building Location of Property..xY/„(-~(,I~/, , , ~.7-C.~?~u$' . _ House No////.yy•__ Street Hamlet 7nwer or Owners of Property...1..CdT.^s~'.!~~G.~:...G~:R~~,~ County Tax Map No 1000, Section.. ~~,,,,,,Block...,~,,,,,,,,,Lot..Gr•,,,,2 Subdivision ....................................Filed Map........ .Lot.................. Permit No.~a,l".~~.~~:...Date Of Permit.~:,~b;-„ ~,9,..Applicant.~.-~.'l~.A~~.:/./~~/~is/4'~/:,,,,,,,,. :Iealth Dept. Approval. ,~}.%;!~,f,U -;,g,dr,,,,,,Underwriters Approval..l~~...(.[.I?.(~,p(„~,,,. Planning Board Approval Request for: Temporary Certificate........... Final Certicate. Eee Submitted: $da ~~_,~y,,,,,,,,,,,,,,,,,,, l „ ~G Q Q • / J z, ~ f ca ys- Syr ~ ~ • n 1 iz~STl~ut5"~tii5 aYxeS as:8we~,n , ,rr. avr~bky, S.Hia~~L,'~.tsxktvw.+ce ~r„ _e... a~. W wr., ~e.,5'ES~Ua~Y+, r< ar. TEL. 765-1802 S~FFOL,f-~, o ,:A,. O~ TOWN OF SO~JT~Ob,fl3 ~ l; .c OFFICE OF IILILDIi~IG INSPECTOR ~?''"C`~ P.O. IIOX 728 TOWN HALL ~0'~c~ SOUTHULD, N.Y. 11971 O! ~ y, . C E R T I F I C A T I O N Date 11/28/90 Building Permit No. 184512 Owner CONSTANCE CROSS (please print) Plumber OWNER (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's signature) Sworn to before me this day of , 19 Notary Public tlotary Public, County , ~ ~ ~Y / / I/ ~ a~ ~ ~ ~ a G^ ~ P ~ ~ ` I h 4 ~ t.l~r~7 ~rnrnj ~/i1'Z° ~ ,~r" rye v, GEp 1rj 1") fV)~ P N ~ ~ ;~1 4~`j ~ ~ ~t7 '(r~ fil>`~~''C7n~d9 i~t~ M v ~~~I n~,C~ ,n ~ m it r~ <9 ~ ~ rn .may ; t, a 1 ~ p.~,i~ ; ~.o ' z _ - ~ ~.,,~..~,~...~.W W - h rtrt~ ~ ~ rn ~ .",II1I 2N Apr)`, fr.,. ~ ~ ~ Ja K i O OOZE vTOpe";:', A~a n . 7o r 2 C ~ ro ~ C ~ G) ca -es n .rzh~~mir~rO nnz~~~ ~v,y~Opcn 30' rmit)O ea E ~ z z G ~ a., ~ ~ 2ar~ ~ r=mom ~ 9 C ' ~D~2rtm1 ~ to a~ ~ ~li~ h' N . ~ °b / ~vy ~ ~ J o7 ~l Nor o D) 4~ ~ ~ 1 b 0 ' - I _ ~ I ~G~NOfI T~/U/i' V ~ ~ ~ r ~ ~ ~ i ~~r.Ud~T/urn 70 ~ ~s ,yGc. s~ar~ur~ ~ I f I ~''c.~+/N~9NS~'~;?/dN5 n Z~~Z~UST CUUE~Z ~ t\ I ~q` /6X/6 C"e~-~'i~C~7"~ 1~~'tX' ~ ~ i a Coke d S~'~ v f Co.vc ~r r~~ 31uc,~ U ~oTir~~+.y 1 _ ~ ~ - ~ - - ~ 1 Y //j h e f 4 ~ , ~~~1 c ~x j-- _ C> loll ~i 1 ~ ~ j(~3IJ -.~?VSLrL~/onJ ~ Ybo fi~ a ~~S~PaT~i/1/ ~ ,~-r~ ~ofl,~ r . / c, ei~~~t~.Gr ~ ~ G'oa/?/~ou5 ~ UP r~ ` 2x/~ l~a~~~"'' 2x v ~"She~2a~~~ ~ } ~o ~..r/vF/wv~ ~-..~~rr , Z ~~.Sli;°~°'~'z ~sr/u y„ s~~ f~nig ~,??L~~,:p~ 1. 7( f~j .~vsu[-.49~vn1 ~.r6 Sl~~ ~4'+7~s ' ~ ~ ~~d /Su.6`i~o 2. ~x /p ~/t ~OX - - ~ ~xg~CCA SlG U .s-~~ - - - - ~i'/3 Z~+is4t.o7ioov ~ ~it~ zyx~ ~,~FOLKC TEL. 7G5-1802 o~p OG TOWN OF SOUTIIOLD s OPPTCE Of' BUILDING INSPECTOR ~ ~~j P.O. BOX 728 T01VN HALL ~~o~ ~ SOUTHOLp, N.Y. 11971 TUNE 8, 1990 SAMES 6 CONSTANCE CROSS MAIN ROAD CUTCHOGUE, N.Y. 11935 2ND 6 FINAL NOTICE To Whom This May Concern, We are unable to complete your Certificate ot-~Occupancy because of the following reasons. An application for Certificate of Occupancy ' is not Ori file. (ENCLOSED) / / No Underwriters Certificate on file. The check is (oi7~ZiZ~~~Zi/not on file. ) $25.00 No Itcalth Dept. Approval on file. 1_/ No final ins.pc:ction has been made. 1'lea~e contact our office on this matter. Thank you for your cooperation. Building Permit 1 8 4 5 l Z Buildi.ny Dept. No Plumber 5o].cter Certificate on file. ( all permits involving plumbing being .issued after April 1,198 ) OCCUPANCY OR USE IS UNLAWFUL WITHOUT A CERTIFICATE OF OCCUPANCY. YOU ARE IN VIOLATION OF THE CODE^OF ' THE_ TOWN_OF_SOUTAOLD _THIS MATTER AAS TO BE CLEARED_ UP IMMEDIATELY. -rte ~sla~lsq 6O,1RD OF HE.ILTH D ~ ~ ~ fl ~ 3 SETS 0F•PL.1N5..•....,'.'. F0RM NO.1 SURVEY TOWN OFSOUTHOLD CHECK . ~~~1 29 198 ~ I !I BUILDING DEPARTMENT SEPTIC FORDi . TOWN HALL ~ SOUTHOLD, N.Y. 11971 NOTIFY ~ TEL.:7G5-1II02 CALL ro ~ oc, Exalt- ~~.;`I9''~~ MAIL T0: II Approve-...... 1..., 19~~. Pcrtnit No.l.~~.~1 Disapproved a/c ~ ~ vl (Bull tng Inspector) APPLICATION FOR BUILDING PERMIT _ , Date 19C3.1~. INSTRUCTIONS a. Tltis 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 sc]tedule. 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 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 in ctiotts. (Signature of"applicant, or name, if a corporatton) ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..........................~y~~G• ~~~.e,~~c~~; . l Name of owner of premises .~a~'/.~5... ~ ~~-~-,Q.~l~ . . (as on the tax roll or latest deed) IC applicant is a corporation, signat/ure of duly authorized officer. (Name and title of co--77rpopprappte office/r)~- Builder's License No. .~~../4.~ -.!LGG . . Plumber's License No. ~~?!y,E,~.. , . , , . Electrician's License No. .~G~/~E~v . Outer Trade's License No . . 1. Location of land on which proposed work will be done. . , ~ Lj~/~~c~• , _ • • House Num bcr treet, " " " " " ' rr ,pp Hamlet mm County Tax lfap No. 1000 Section .....!..C'.lJ...... , : Block , , , , , , Lot ,q , , , . . / Subdivision F.ilcd Rfap No. Lot . (None) State existing use and occupancy of pr/emis~es and intended use and occupancy of proposed construction: a. Existing P Y ...../...c •'.'~l ` " may/ ,use and occu anc b. Intended ' / use and occupancy ~GCPSSO~t~.~.. k~ `~j,~~~/,y . '~~f t 'I , 3. Nature of work (check which~i, applicable): New I3u' d' Re atr rl rnS Addition ,Alteration` . P • • Ro'moval , , , , , , , , , , , , , , Demolition .Other IVork . 4. Estimated Cost , ,!~,~,'O U,v: C~ U • • • • . • • . • • • • , • • • • • . • • • • , • • (Description) .Fee (to be paid on filing this plication) ^ dil/~ o s,number~dwclli y6yC,,,,•••., g 5. if dtvellin~ ng units , Number of dwcllin units on each floor If ~ara~c, number of cars 'i 6. if busrness, comr r 1 or mr~ed occupancy, specify nat~urc6and extent of each t ~pe of use /l~ 7. Drmensrons of~ structSres, if any: Front , . , p( , , , , , ,Rcar • ~ ' Height ~ , Number of Stories . ' "a • • • • • • • • Depth . Z• • . • • • Dimensions of s me structure'Iwith alterations or additions: Front ~O • • ~ • • ' ' ' ' ' ' ' ' ' Rcar .~.Q 6 Depth ....``y~?~'........',, height • 4..... Number f Sto~-ics %w. . 8. Dimensions of entire new construction: Front . Rear . `3,Q, , , , , De th Hci~ht d:? . , . , , N ber of Stories . , ~g P ~ y~~ • • • • ° 9. Size of lot: Front . . ~ F?~.~r............ Rcar ......:7,~b.y , De th . y~/,'3~ . 10. Date of Purchase . , ' ' • • • • • • • • P • ~>5 . 7 p••••••••••••.......Na_rtaeofPormerOwner 1. _one or use district in which / / ~ P P remises are situated ~(T,~,~ r~!1GlL, . , • • • ~ • • ~ ~ " " " " 1... Does ro osed construction violate any zoning law, ordinance or regulation: ~.(,(t'},/V~ , , , , , • • ~ ~ • ' • ~ ' ' ' 13. IVill lot be regraded • • • • • • • • • • • • • • • Will excess fill be emoved from premixes Yes 14. Name of Owner of remises • • P ~y~:es•~; ~~cbFS~ ...Address ~t~•f.~~P~Pl.~.... Phone N 3{J,1/~!'zc~, . Name of Architect ,Address . ' ' ' ' Name of Contractor G~,iLg'1 ' ' • • • • • • • Phone N . •~`~..:f.... Address 1%{~!d+'U~; • , , , ,Phone o7~.`/1. ~8 ~SG IS.Is this property located within 300 feet of a tidal wetland? * L~S....NO.~~ *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ajl buildings, whether existing or proposed, and. indicate all set-back dimensions from property fines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. • sP ~ o ~~~ss~~-l . . ~6 ~ . IJ~ ~8~ it STATE OF NE1V YORK, COUNTY OF S.S f • ~ • • ~ ~ • • • • ~ ' ' ' , being duly sworn, deposes and says that he is the applicant (Name of individual signi,tg contract) about named. lie is the i I (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 arc 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 e \btary Public, ~~C-~s?~. Ilr County NELEN K DE VOEN~ ....~iy?~ ,~~?-LG, • ~No~4761878 SuftalkfCo4~Y~ • . ~ . • ~ • TamEzpirestAaroh30,19...~ (Signature of applicant) ~ r _ _ t . - ~ ~ 9UFFlSF:K GO. FllhkttM Lo,•rn {L. rfrie/ ~ r DfG r< j . ~ ;y - w g r o ~~i P w i buildl~rJ f Atd!~ , r 6~ 1? ,..~".a~ - .z lr `ts ~i ~ / ~ ICJ. ~ C %r' 1 ~*f. ~ ~1 V .A _ _ ~ . e w r ` ` (p j. ~ `tll. f ~.~seye~~ .tin 2 ~ : 1 i ~ ' P ~ '7~G y ~v' G~fm.Fio~xla, ld.Y. r,ip~~ ~ ~ .Igg~.'!9 .p` vy ~ '30° - ~1 9- i - j TuthrfE ~ ~ ~ i AC,~! i ~a 9'~P~ . Gr ~S , t3na.. hcsrr_ ati~3iwn w eaditton G i ?t ~~~1` to th!s s rvw is a v:dneion of + r ~ 'actwn 7~?:? of the New 1'w1 Stett I 1 ~+Ge71 e3 (t+~ ' ~ •dotabort kaw. i ` i ~ f~ rE a = ~ t~ ~ . Conies of tots a:ovev mar not hearing `\T\ - [he land a::n~gYa ~ ineoti gDa4 O. d mo n umc,rt~ emaos-sed seat shat! not 6e xnsidero6 to t» a valid Goo copy. ! O = (,'OY} ~j(a ss Goerantees indicated hereon shag Nn ;J7' only i0 the pMaon POr whan the eimvet- ,iii 1 Y l e~C'" ~?F= ['-''~~`.,.J~~' ~~rZ-Y 76 ctavarad, end. 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