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HomeMy WebLinkAbout17802-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217761 Date FEBRUARY 14, 1989 THIS CERTIFIES that the building ADDITION Location of Property 320 BROADWATERS ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 10 Lot 06 Subdivision NASSAU POINT Filed Map No. 156 Lot No. I83 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 26, 1988 pursuant to which Building Permit No. 178022 dated FEB. 3,. 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 FOR AN EXISTING ATTACHED DECK. The certificate is issued to BARBARA KUNEN (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N050513 DEC. 16 1988 PLUMBERS CERTIFICATION DATED N/A ,.e Buildinq~nspector Rev. 1/81 Fosas xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON TFiE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ~ ~ 17 $ ~ 2 Z Date ....1v/3 19.9 Permission is hereby granted to: ..32.d .....~...!~.r.~..~t..~.......~q.~.. ct premises located at ~..r~.......... Caunry Tax Map No. 1000 Section Block ld....... Lot No.......~.~.° pursuant to application dated 9/~G 19..~...., and approved by the Building Inspector. pa Fee $..5~. ~i ~ .........Bull g..l~e..... Rev. 6/30/80 D~ SCtr 9 s I~$ FORM NO.6 G TOWN OF SOUTHOLD Building Department BLDG. DEFT'. Town Hall rawN of sourHOLD Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ 9oarrr~ to the Building Inspec- torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- ~ lions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 19571, 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00 4. Vacant Land C.O. $ 20.00 ~ e 5.Uodated C.O $ 50.00 Date NewConstruct once .Old orPre-existing Building , V(~acant Land . Location of Property . ~ti(J..~:);(;QP\~v~/.~?~.:9: ~fJ~D(.~.4:~llfi~~`l,A,o,.w~_,~~, House Na, \ _ _ - \ Street \ Hamlet Owner or Owners of Property ~.~"~^f~?., .I~~VJ e. ~ . County Tax Map\No. 1000 Section .1. Q~........ Block Lot , Subdivision ...1~'~Cn~!1.hP~(!a-~!~\`:~~ , , , , ......Filed Map No. 1.?.~.....Lot No. ..1~~..... . Permit No. Date of Permit ,Applicant . Health Dept. Approval ........................Labor Dept. Approval , Underwriters Approval ........................Planning Board Approval . ~v/ ~,~f/.~~.,,.~~. Request for Temporary Certificate .....................Final Certificate ...h... .k'J./,,lG!1.5~I.. . Fee Submitted $ Construction on above described building and per it meets a I plicable codes and regulations. Applicant. Q Rev. 10.1078 (~p ' ~ (~P~ ~".o. z/77G~CQ 'r ll93~ ~~c- -36Gas' aas's ~~aa z ?3~ - ~~6~ w,.~- ' • - - - - - - ---~..,1 ~ - THE NEW YORK BOARD OF% FIRE UNDERWRITERS PAGE 1 1001381 ~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date DECEMBER 16,198$ Application No. on file 59491988j88 ,;.;;'1 N 050513 THIS CERTIFIES THAT only the efectricol equipment as descrihed beloLP and introduced by the applicant Homed on the above application number in the premiaea of BARBARA KUNEN, 320 BROADWATER ROADr (POLE #3, CUTCAOGUE, N.Y. , in (hefollulcinp lnration: ? Bavement ? lxt Fl. ? 2nd Fl. OUT Ser[ion Blark Lo[ Lvas examined on DECEMBER 09, 1988 andfound to be in curnplianee with the regnirerrtenta q(this Boord. OUTIUETS ECEPTACtES EWITCHES FIXTURES M U RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS INCANDESCENT RUORESCENi ygROR AMi K W. AMi K.W AMT. K.W. qMi K.W. AMT. H.P. 10 10 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EEII UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K. W. Oll H. P. GAS H. P, pMi. NO A. W. G AMT AMP. AMT. AMpS TRANS. AMT H p SYSTEMS NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO.DF S E R V I C E AMT, pMp. ttPE METER I NO. OF CC. COND A. W G EQUIP, p YW ~ A 3W 9,a 3W S A' qW PFR % Of CC COND NO OF NLtEG OF HIiEG NO Of NEUTRALS OF NEU RAL OTNER APPARATUS: JODY PUMILLO L. PAT LANE MATTITUCK, NY, 11952 GENERAL MANAGER LICENSE N0. 2305E Per 11 O This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 2`~ 765-1802 BURDING DEPT. INSPECTION [ ] FOUNDAT{ON 1ST ( ] ROUG{i PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING L--IFfNX~- REMARKS: -a~~~~~ ~ c'~~-~ .Pik 7~~`~ ~ G ~ DATE ~ / {NSPECTO , .r__ ~ ~ L~~~~G~%CriGG rss-lsoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL ~ ~ ~-~h REMARKS: c~~ ' ~T' ~u~v~ ~ ~ DATE q ~ INSPECTOR ~ ` ti~CH ~y 6~~a x 9.)~~ 6 f ~ X ~c M yW ~ ~ ORO/NARY N/CN o~ ( / /B.~ Q WATER L/NEAS ` SNOWN ON SURVEY ICI. X TU~Op~GK SAN V ~ QPM 6 Q~ AUG. 20, /976 ~ 0 c~'~~c ~ ~ S~ ~~~ev°°y ~0 ~ a n ~ CY,p 'g AOp ~ ''xr t~ ~°'~tiy ~6'01~ ~ ~ K 4 p O ~p ~B1 ry0~ 'J~ R~ P V ~ / a t q~ S~~ ~ h~ " ~ e h " a,~e X82 ~ a;., > GU,q,2.9NTE'EO O/VG Y TO • LONG /SLANG A'lORTGAG~' CORP. j51p a CONT/MENTAL ABSTRACT CORD, 'S1~ ° STEIygRT T/TLE ~ cj B.9RL7ARA ~t'U/YLN QI ~SAy1EA9LYSTR/CT/GOO G .SECT/OrV /D 6L O` oz ~ OGt' /O ~ LOT 6 AS SNOiYN Op 0 ° ~D SUFfCY/f CGY/iyTy z9,!'//Z9P \1 ~ o ~ o ~ = ~ ~ Z ~ Z _ p~cc u~ ~ J~ - 1 f GQ~ 3,}.6. pp. - SU.P_ 1/EY ' S~ QP NFn, - ygP4Q,t s• Hp~ Yo9 OF LOT /g,~ /1~1.q/° O~ • ~ /B/i9 SS.9U PO/NT ¢ z ' AMENDED /y/AP A , ~ c oArE- o~- 7NG ~ AUG /6, /922 F/L EO ~.~o,o .v °/S6 Zs~b~ ~ 4 9 PJ~ CUTC//OCUE rowrvo.~ SDUTyOLO .SUFFOL,L COUNTYiV Y ~ ~ N d s~ ,QOBE'.f2T B. ~/OL ZiYlq/V L/CENSEO L.4N0 J"U.E~IiE'YO,E? N. Y.S. L /C /V 49/76 7~ ~ /205it/AL NUT A/iENUE f~ ~ (5/6 589 - 02rv / OATS ~ 9-7-88 ,SG".4LE~ / 5Q~ FILE: /OQO-/04-/O-6 Q BOARD OF HEALTH 3 SETS OF PLANS . ~d FORM NO. 1 SURVEY . 'f3 TOWN OFSOUTHOLD CHECK BL.OG.OEP7. BUILDING DEPARTMENT SEPTIC FORM . 70WN OF SO111N04D TOWN HALL $OUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL Examined ./.G~3.........., 19 ~ MAIL T0: ~~p ;;Q.p~-c~~g~,~~Q~ Approved ..t1~,,,~ 190 Permit No. / C~i~ d O,~ ~ ~ Disapproved a/c v ~u~!~ ~Buil g Inspector) ~,7a _ i0~8 ~~i APPLICATIO FOR BUILDING PERMIT ~r Date "~:~~:.~6......., 15~~ INSTRUCTIONS - a. This application must be completely filled in by typewriter Q,~!lIC~'k5~ ng Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.a,<s4sL«~ b. Plot plan showing location of lot and of buildings on premisa~g~el i r ses or public streets or areas, and giving a detailed description of layout of property mi~sb d is part of this appli- cation. ~t r ~ c. The work covered by this application may not be commenced beTo~d>fd's#n~i~EL~ d. Upon approval of this application, the Building Inspector willlis~ued"`a Buil~ t" o~ie applicant. Such permit shall be kept on the premises available for inspection throughout the y?r~tks3fBi"~t.` 4 . e. No building shall be occupied ar used in whole or in part foranyvpi><i.'~$se 1 a ertificate of Occupancy ' shall have been granted by the Building Inspector. a.tats ~ira~~~ APPLICATION IS HEREBY MADE to the Building Department"far t)1e issuanc~'d$~~~ ~inldi P it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County; Nev{.•Yorl~, and 6th°~r"a~p~r~~ ~ws, Ordinances or Regulations, for the construction of buildings, additions or alterations, pr,ftar<re'~ct©t{dl qY ~'e 'd~ b~•as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hou~'inQ code,_and regulations, and to ' admit authorized inspectors on premises and in building for necessary inspectipns,..K~ ~ ~ ~ ` (Signature or a •p icant, or name, if a corporation) ...:.3ao ..~ac, ur~'~eu:S...~4~ . . • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Qcu~eaf . . Name of owner of premises ,tJJCtr!~•A,tro. ~~w~fry (as on the tax roll or latest deed) - If applicant is a corporation, signature of duly authorized officer. . - (Name and title of corp//oyyrate off tcer Builder's License No. ~~1.~..L~~.. Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . ..3.2.0 ??roap;Rd.J ~ ~ . 1 `^`~J~`.~~................ House Number Street Hamlet County Tax Map No. 1000 Section Block ~ , , , , , • , , , Lot ~ . Subdivision ~~S.SQ,~ . ~ Filed k(ap No. t".S. ~O.......... Lot ~ . blame) 2. State existing use and occupancy of premises and intended use and occupancy oC proposed construction: p , y T Sz 11__ 1-----ti - ~ ~Y'g.vKQ lA c~-[? a. Existing use and occu anc b. Intended use and occupancy ...~3"1!~:r!4r..wa~• • •"~'~t •'~c?'`!~u ~2,CI~ (I (luna?jdde~o ainlcu~cS) t,pE ~ytyseaxlx~wiol =-m ~ ~~30AH471N3 ; ~.r 1 nod ,z„.,..a, i 1~},;} rG u ~ ~ ~ fi..gjjgnd ,Clelo it :9~•..,. styl aw a7ojaq of womS 't{l?ma7agl PaIJ uo?loa?jddc at{3 u{ yuo3 los Iauucw atjl u? pauuo,jlad aq fpm .y7om a41 lcgl puc :3 a?{aq pue aSpa{mouy sn{,3o lsaq ayl of anal aac uotlt:a?jdde snjl tp paurr:luoo sluauralels jjr. 1ctj1 : uorlcarjddc sn{3 alg pue a~jcw of puey7om pies ~ia43 pawao,jlad anrq so wao,jlad of pazuoglnr. ~Cjnp sj puc `slaumo ao Iaunw p{cs 30 ' la `taa?3~jo ale7odaoa `lua3c `IOlaclluo~) .................................................aglstal? •paurcu anogc luear{ddc ayl s{ aq lc 3 srics uc sasod ` (laclluoa °t[?u&s jenpjnrp« j•{o aurcjy} ' 4 P ap woms rC{np 3ujaq . ~o ~irlno~ S'S `;I210A A\3Id 30 3.LV.LS l ~ ~00~ N7J ~1V18 y 31H1 llb 36 ' 1VN1~ 'q Npur?nsNi •e ~ ~ OANWjlg611 ' Ma('1pN 'Z ~~Q+?yf10d app YOai YYr 4 W, T'd 6 b08t•88[ A8 fl, fl8 Ai11UN 33d -~O~ ~ M il'6 . , lb~t O~IOM ~r 0 ~ ddy ' Iat{lagm aleajpuc pue satueu laalls motf s pue `paap of Su?paoaae uo?lduasap Io Ia wnu ao 'lo? 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