HomeMy WebLinkAbout17800-z
' FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18659 Date DECEMBER 21, 1989
THIS CERTIFIES that the building REPAIRS
Location of Property 1000 HAYWATER ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 111 Block 3 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 27, 1989 pursuant to which
Building Permit No. 17800 Z dated FEBRUARY 2, 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 INTHRIOR REPAIRS TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to SUKRU ILGIN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-104405 NOVEMBER 22, 1989
PLUMBERS CERTIFICATION DATED DECEMBER 14, 1989-PRYER NIELSEN
.f/?~~/
uilding Inspector
Rev. 1/81
xoaas xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N a J 17 8 0 0 Z Dote 19~,~~.
Permission is hereby grante to: , ,
f
l~q~o ~ - D
a!
ct premises located at ...,,IQ~J.R..... ,.,~/~!~....Y..l..~
Caunty Tox Map No. 1000 Section .......~11.......... Block ..........~......yL~ot No...../
pursuant to application doted ......1.?...~~..~ 19..Sj/, and approved by the
Building Inspector. ~
Oa
Fee .~/.syl'.
Bull 1 for
Rev. 6/30/80
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TORN OP SOUTIIOLD ~
BUILDING DCPART:IEt7T ~~..~.ryr?
TORN IIALL D D V D
SOUTIIOLD, NCH YOKK 11971
~6s - laoz DEC 2 fl 198.9
BLDG. OEP7:
F &nUT/H~yOLgD
DATE. ~~J",/,~
/
NEW CONSTRUCTION .......OLD OR PRE-nE%ISTING IIUILDING..E/;>..pACANT LAND....
Location of Property..~~~Q•.,•`~/-I
~~.(~~__~~~~tAJ~Q~~•~~,~
DOUSE NO. 3_• STREET L%1! "
Owner or Owners of Proper[y~,/cf.~,.~._(,ffN•.....__•.•••._.'.........•.•~_~
'County Taz Hap No. 1000 Section .~~l,• Block ?
Lot'
Subdivision.n/.//.~~~~jj//{{'77 Filed Mpa~p ..._..._Lot__.
Pcrnit No. G(/(~~~C!~ _6ate of Permit i/JinC~
_Applicant ~ 1~..
Health Dept. Approval
Underwriters Approval.~•,••_
Planning Board Approval
Request for Temporary Certificate
Final Certificate
Pee Submitted:
APPLICANT...~.~~!~'T ~G~
~/I~P~
,
reV• 10/14/88
~-e-C-• 38775
crJ ~l~sG~s~
1..3rcz*T i _ ~ ,
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~ FORM N0. 6
' TOWN OF SOUTIIOLD
BIIILDING pEPARTMENT
1
TOWN HALL
765 - 1802
~ .
APPLICATION FOR 'CERTIFICATE OF OCCUPANCY INSTRUCTIONS
d
A. This application must b''e filed in typewriter OR ink and submitted Co the Building
Inspector with the following; for new buildings or new use:
1. Final survey of prop',erty with accurate location of all buildings, property lines.
streets, and unusual natural or topographic Features.
2. Final approval of Dealth DepC. of water supply and sewerage-disposal(S-9 form).
' 3. Approval of clectri5al installation from Board of Fire Underwriters.
4. Sworn statement frortj plumber certifying that solder used in system contains less'
than 2/10 of IZ lea.
5. Commercial buildings, industrial buildings, multiple residences and similar,
buildings and instal,ilations, a certificate of code compliance from the 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, buildings and
unusual natural or topographic features.
2. A properly complete application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of '!,Occupancy is denied, the Building Inspector shall state the
reasons therefor inl,writing to the applicant.
3. Date of any housinglcode 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 abstract of title issued by a title company showing single and
separate ownership Qf~the entire Iot prior to April 9, 19S7 shall also accompany
the application. I~ a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelliog $25.00,
Alteration to pi+el-ling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 -'Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5:00 - over 5 years - $10.00 -
4. Vacant Land Certificate of Occupancy - $20.00 '
5. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy -$15.0,0 Residential
Commercial
P
i eo. 10/ 14 /S8
• TEL. 765-1802
~pc~UFF~I.I(CGG TOWN O~ SOUTHOLD
~~.c OFFICE OF DUILDING INSPECTOR
ro ~j F.O. BOX 728
~ TOWN HALL
.,O~~O~ ~~pR- SOUTHOLD, N.Y. 11971 '
December 12, 1989
Mr. Sukru
1000 Haywaters Road
Cutchogue, N. Y. 11935
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
/x7(X An application for Certificate of Occupancy
is not on file.
% / No Underwriters Certificate on file.
/ The check is (~~,~;~d/not on file. ) $25.00
No Health Dept. Approval on file.
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit fk ~ Z _,g_ ~ _Q Z
Building Dept.
***/~(X No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
' S~FFC1~-c TEL.7G5-1802
~O O,, TORN OF SO'UT~ObD
.r
.r:,
• ~ ~c OFFICE OF BUILDI2•IG INSPECTOR
P.O. BOX 728
-e TOWN HgLL
%Ol ~ ~,~p~c' SOUTHULD, N.Y. 11971
C E R T I F I C A T I O N ,
Date
Building Permit No.
Owner-
lease print)
Plumber_ ~'~-1-~,Z ~IE,Sf.N
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1~ lead. (~,E, /~~2ES~oc~S1~~E.~r
OI'1~1.1 OJEI,.a f`E.~h~~t` WG~Lv~. t~ONl_. !N -f'tl•>_ hOv,$E, .
(plumber's signature)
Sworn to before me this
day of ~@L~. /Q~ ,
19
Notary Pub
Notary Public, 0 Count o
JUNE SCHMIDT
Notary Public, State of N pEC 2 0 199.9
No.48ob298
~ualNled In Suffolk my
Commission EXpires Marc 30, g~pG. DEPT.
MOWN OF SQUTNp~.D
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FOUNDATION ( 1st )
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FOUNDATION (2nd) _ ~
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ROUGH FRAME & d
PLUMBING 0 l ~ _
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3.
Ii1SULATION PER N. Y,
STATE ENERGY
CODE
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ADDITIOPIAL COMMENTS: ~ x
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l `7 765-1802
~j `o BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST ( } I20UGH PLBG.
[ }FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ INAL
REMARKS: ~
DATE ~)i' ~ I 0 / INSPECTOR
765-1802
BUILDING DEPT,
INSPECTION
[ ]FOUNDATION 1ST f'" ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: GL~
w
DATE ~ ~ INSPECTOR , ~
S
~ ~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST [ OUCH PLBG,
( ] FOUNDATION 2ND [fib I SULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~kti~~ tm- ~
.~__G~~
DATE ~ ~ d INSPECTOR ~J
/ 1
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ INAL
REMARKS:
. CIy[ L
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o
DATE INSPECTOR ~
THE NEW YORK BOARD OF F1RE UNDERWRITERS a•ACr.
1 ~ ''BUREAU OF ELECTRICYTY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date NOVFM$ER 22r198~i APPIicaNanNo.oajile 5999Q8Ra/89 N 1U4905
THIS CERTIFIES THAT
only tha efectricd equipment as dsscri6ed 6abre and introduced 6y the applicant nomad on [hs ohoee appligtion rKUm6er Jn the premises of
TLOIN, 1800 fIAYNATF,R ROAD, Cii'I'C80GUE, N.Y.
GAR
in the folbrcinq Iocati~M~Bris~nri~ ~ ~ 1st Fl. ? Ynd F7. Section Bloek Lot
roes exomined on AP1l and found to 6e in compiianrn Eritk the Geyuiremenu of this Board.
ACTA SWITCHES RXTURES RANGES COOKING DECKS OVENS DISH WASHERS lXHAUST FANS
ounEn INCANDESCEM HUOtESCENT OTHER NAT. K. W. NAT. K. W. NAT. K.W. AMi. K. W. AMT. R. P.
1S 20 10 15 1 12.1 1 1.2 ] F
DRYRlS RJRNACE MOTORS lUiURE ArR1ANC! RiEDERS SROAI RECfT TIME CLOCKS ~ IRR7 NEATlRS MULTI.OIIiiR DIMMERS
AMT. K. W. dl H. P. aA5 H. r. AMT. NO. A. W. G. AMT. AMY. NAT. AMPS. TR11N5. AMT. R. v. NO.OF T AMT. wAlTs
1 30 1. l w,Otl
SMVK7 DISCONNECT NO.OF 5 E R V 1 C E
AMT. AMY. TWe MlOtgP. I1 tw 1R]W ]A]W ]/AW R~%COND. OF Zf
COND. NO. Of MI-LEG ~~HI~~ NO.OE NEUTKAI] Of ~1
EUTGMAI
1 1.5Q CB
O1NM AFMRAiUS:
RSNIRF; OF FIRE UAMAGF+U ARF:Ai~ GNI,Y 7
SMOEE b1iTECTOR:-2
/
ALL NAYS CsLECTRIC <"ORP. LIC./764°E
262 ORINOCO UR.
NRIGHTNATERS, NY, 1 7 "118 OrOAS ~F1AON
l.t
Par
Thu aerlificoh must not 1]e oRarad in ally nlonnsr; Murn to fhe oNica of the Board if irlcorract. Inspectors may bs ideMifisd by their crodamalt.
-
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MAMIER.
( ~^'~~~~(~~~ii~\jlia<!`s~, B0.1RD OF HEALTH
€ji'~ ~~.+~..~f,:"~..,, r 3 SETS OF PLANS
- - ~~,ta FORMN0.1 SURVEY
~I ~ J~27~ jj~~ B IOLDNGDEOPARTMENT SEPTIC~FORA1
t TOWN HALL
BLDG. DEFT. SOUTHOLD, N.Y. 11071 NOTIFY
TOWN OFSOU7HOLD TEL.:7G5-1II02 CALL
Exantincd . ~ . Z 19 ~ PfA I L ,TO~:....... • • . .
Approved ~?i;-, , , , , 19~Permit No. /•7~'00~ ~~e
,~~1~G
Disapproved a/c I
~!r~~~!~?....
(B ilding ~•pector)
APPLICATION FOR BUILDING PERMIT 9
Date °S-.~.., 1
t INSTRUCTIONS ~ .
a. Tltis application must tie com letel filled in b -
P Y y tgpewriter or in ink and submitted to the Building Inspector, with
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 stree
or areas, and Giving a detailed description of layout of property must be drawn on the diagram which is part of this appl
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 perm
shall be kept on the premises available for inspection throughout the work.
' e. No building shalt be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc
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 th
Building Zone Ordinance of the Town of Southold, Suffolk-County, New York, and other applicable Laws, Ordinances e
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t;
admit authorized inspectors on premises and in building for necessary '~lsnpectio~n~s~ L ~~~nr
(Signature of applicant, or name, if a corporatwn)~
~ ~ ~ (Mailing address of applicant) ~ I~~
State whether appli+y~ytnt.,is ow er, lessee, agept, archite~~c/[{(t/f/~ engi~n~ee®~r,~g/~eneral contractor, electrician, plumber or builder
Name,of.owm~r of p~mise's :Y1 ~/~IUyJ. /f/
. .............................~NRITERS
~ ` (as on the tax'rell or latest'deed) ~'~RE~' ~
ICapp!' ~nt is'a coTpo aiion, slg ~tu ~e o8,duly authorized officei=.
4Name an e q•. cgrporate officer) ~~~Y
/F
Builder's'LiCense'ya „s~~~ `f' ~ , • , , , ~ ~
s= , ;
Pllihi'ber's,`Licensc,5 ~ ~T i Y
, .
Electrician's License No.
Outer Trade's License Nb : . .
I, Location~of land on which proposed work will be done. '
House Number j. ,~~~~~.(:1~.XJ- ~,3~ .
Street
~ ~ Hamlet
County Tax flap No. 1000 Section 11~J:.....~ , Block , , , , , , , , , Lot .
Subdivision , Filed Rtap No. Lot .
~(rjamej ~y.
State e~istin~ use and occupancy o(p~~r))eMMmis,es and intended use and occupancy oC proposed construction:
a. Existing use and occupancy •4:lG~S. •,~.~~l:~f, ~y~
6. Intended use and occupancy V
u~~~...,
.
3. ' of work (check which ap',plicable): New IIuildin5 • • • • Addition .Uteration
Repair Removal Demolition Other lyork .
.~~-.3~ ~ ,,,r~(Dcscription)
4. Estimated Cast Fee ~I~'o~.~~. .
(to be paid on tiling this application)
5. If dwelling, number of dwelling ,knits Number of dwelling units on cacti floor .
If garage. number of cars :j . . : .
6. If business, cammerciahor mixed occupancy, specify nature and extent of each t • • • • •
ype of use .
7. Dimcnsions.of existing strvcturos, if any: Front, ,Rcar Depth .
Height Number of Stories .
' bimerisions of same structure w{th alterations or additions: Front Rcar , •
- Depth . llcight . . Numbct of Stories . • . • . • .
8. Dimensions of entire new constntction: Front~-.-'' Rcar . .Depth • • • •
Height Num',ber of Sto'r~,. , , . , ' .
9: Size of lot: Front ...........I,... ; Rear ; . .............Depth .
10. Date of Purchase
••••••••••••••••••••....:....Nameof Former Owner
11. Zone or use district in which prcimises arc situated • • • • • • • ~ • • ~ • '
'12. Does proposed construction violate any zoning law, ordinance or regulation: .
_ .,r
Name of Arch aded , i, , , , , 1Vill excess 611 be rem vcd~,r9~t prerniscs: ,Yes No
14, Nameoof Owner of prcmtses •~,~9,~,~/, , , gddress y~~:.~r6! Phone No. 4
itect Address ~y Phone No. •
Name of Contractorj.~G~~w~r,-ti(;, , , , , , , , gddress ~ Phone No..~~:~,~~ ;
•
15_Is this property located with in 300 -feet of a 'd eYY"rSnd? *Y);5....NO....
- *If yes, Southold Town Trustees Permit may be required.
_ ~ PLOT DIACRAh1
Locate clearly and distinctly all I buildings, whether existing or proposed, and, indicate all setback dimensions from
property lines. Give street and block izumber or description according to decd, and show street names and indicate whether
interior or corner lot.
c
~
APy d ~ AlNOTEO D .
pATE:.[r~ 9.R N ~ D
FEE: ~ od g~;
' Nn IFF
SU`~ 1'7PPAR E T AT
~2%~L~~~- ,Nl~ .~~f~Gyt"•t~~0 TO 4 PM KOR THE
~r/ ~ t WI SPEC'IIONS:
~ ~ 1. FOUNDATION TWO REQUIRED
Ft ',.`~g> i POUREf)GONCRETE
jro 2. ROUGH - & PLUMBING
3: INSULATION
4. FINAL - CON~1'RUCTION MUST
8E COMPLETE FAR C.O.
~ „ ! LL CONSTRUCTION SHALL MEET
' ~ 'THE REQUIREMENCS OP THE N,Y.
s• ; 31- ' STATE CONSTRUCTION S ENERGY
STATE OF \E`V l'ORI:, ~ ~ Co13ES. NOT RLSPONSiSLE FOR
COUNTI' OF ~•S r3FSIGN OR CONSTRUCTION ERRORS
• ' • • • ' • • ' ' nr?• • • being duly sworn, deposes and says that he is the applicant
(Nam;: oC indiv~al sigmitg contract)
above nantcd.
Ile is the .
I• (Contractor, gen corporate o(Gccr etc.)
~f said owner or owners, and is duly authorized to perform oY~have performed the said work and to make and 6!e this
replication; that a!I statements conta'ncd in [his application are true to the best of his knowledge and belief; and that the
•vork will be per!'omtcd in the mannen~ set forth in the application,liled thciewith,
iworn to before me this
........day of ,~~l~~u,ci~...... , ] 9
rotary ~blic, • . ~ .County I/~~~y.~.. ~ ,
LtNDAJ. COOPER I ~ (Signature of applicant)
Notary Public, State of New York
No. 4822663, Suffolk County
Term Expires December 31,1,