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Home My WebLink About18319-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219100 Date JUNE 4, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1675 PEQUASH AVE. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 07 Lot 016 Subdivision BIG GREEN ACRES Filed Map No. 5757 Lot No. 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 1989 pursuant to which Building Permit No. 183192 dated JULY 17, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to FREDERICK J. & DOROTHY J. CHARNEWS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 roaae 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 THE WORK AUTHORIZED) N ° ~ 8 3 ~ ~ Z Date ..............~..l~trS:~.....(..7.............., 19..~~ Permission is hereby granted to: V . .~.~~s-...... ~ 1 ct premises located at ....~..w...J...~~.°. .......r........~.~-t.!.d:f:!~:>................. .................................................................................................................................11............................... County Tox Map No. 1000 Section ......~..Q..,........ Block .....5.'~~........ Lot No.....~..!.iO........ pursuant to application doted ............~.~„L~,¢..~~ 19 a.~..., and approved by the Building Inspector. Fee ~~~i .~~lM Building Inspector Rev. 6/30/80 { Form No. 6 TOWN OF SOUTHOLD ~ ~ f`~' ~ BUILDING DEPARTMENT t , i!~ TOWN HALL 76s-LSOZ '~i`~,, MAY 4 $f99t) s~ R _ ~ t~ . _ ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY z ~ ..fn,, ~;~-;4C1_~(t,',t ~ s_., 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 2/10 of 1~ 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 $15.00JJ Commercial $15.00 Date .....::371..~1.Q New Construction...... Old Or_ Pre-nexisting Buildin//~~~~~ j Location of Property.......~.~°.?:~ ...!.':....::':':'~...~,~:~A~7:Jt:gQc,y.~„......... House No. Stre ~ Hamlet Onwer or Owners of Property....r/.::`:.'~..~~..~".~~~ ~ County Tax Map No 1000, Sectino_n.,,.,.,.1_ U3:.(~~Block....~.7•.~~~V//..Lot..~~~:t~.Q.Q......... Subdivision.. Q~2 q ....~!~.~~.....~...F/filed Map...~.7S.~.Lo~t//,..~-~(~ Permit No...~.4.J~/. • ...Date Of Permit..~!!.~(..~'. ...Applican~<":°.1!M::.~~~5 Health Dept. Approval ..........................Underwriters Approval..../..................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... _ Fee Submitted: $......°?.'`'~.:OC~ '~c. 3 y6 Y7 ~ (y /c`/~L, APPLICANT 16L~ I:: S: ~C::U;. ~~~n.c. I~ ::vPiMENT.^. ~ - T ~m oCj ~I _ H \r OUT7DATIOII y ~ cJst1 I -1~,, ?OUTdDATION (2nd 1 ~ _ m~~p z o ~ ROUGH FRAME & Ui PLUMBING N~pp 3. ~ p,,., rn ~?J m II7SULATIOfI PER N. Y. y STATE ENERGY CODE y 4 S~3 o No - H FI;IAL o ADDITIONAL COMMEIJTS: m x ~ ?9 to x H 1v ,Z] 9 ' y H O ~ m r - ~ x A e m ^o H ~Y I\~, ~\(1 ~ ~ rl , Oo O Ul to 3 r r Vl ~ ~ ~ ~ ln\" 1 V ~ V~ ~ ~ \ ~ ~ O m ~ O n ~ O ~ J ~ O ~ ~ ~ ~ ~ ~ RO 0 ~ II W ~ o • ~ ~ ~ ~ ~ , ~ ~ ~ cn ~ 7 , ~ IUC ~ ~ X11 ~ ~ r n O n O~ ;o ~ ~ 3 `n` i~ a n i O ~ ~ ~ 1 1 ~~y ~y ~~~o~ z e, ~ ~ O W n ~ ~ O ~ 08 ~ ~ ~ ~ :I ~ ~ ~ ~ ~ n ~ _ ~ ~ Q "1 ~ ~ ~ ~ ~ ~ ~ ~ ~ z ~ ~ °n ~ ~ ~ ~ ~ ~ ~ p ~ ~ ~ ~ n ~ m ~ ~ ti ~Q ~ O o~~~ ~a ~ ~?GG 82:6 ~ i+ro ~ ~ ~ 6' n Y C B 8.. ~ Z O ~ t>(~ ~ ~ ~ ~ ~ m ~-n_ ~ m ~ ~ / R U 7rc o o S. '¢'51.3/ stG~"l~1/,' ~ S~3 o ~ oW to ~ ~ ~ u1~'~ 3 r x ~ r r~~1S~"1a ;b ~ ~ W DJ ~ ~ ~ BOARD OF HEALTH ~ ~ wC~~c...~ FOkM N0. 1 SURVEY OF. PLANS , . IIJI ~I TOWN OF SOUTHOLD CHECK 7~~ i' BUILDING DEPARTMENT SEPTIC FORM . II 'I TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY _ rx BLDG.OEPT. TEL.: 765-1802 CALL , , , , , , TOWN OF SOUTHOLO Examined..'Q..QA,.I.Z.....,19~q MAIL T0: ~,'//1 approved ~ 19.1. Permit No. ~ ~ ~ ~ ~/c(s-~~X Cam- ~ . Disapproved a/c ~ (,`ACS P~"`~` / (Building Inspector) APPLICATION FOR BUILDING PERMIT Date •~r`•^•'7... 15Ql. INSTRUCTIONS l(// 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 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 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, housinti code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporanon) ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...p~l,``e'n-PAL•_ ................I......L... ~ .........................n..~....:........... Name of owner of premises ...~J'~S ~~~-/.1 . ~1.~'(~A~V. t17~.G~-S..... , , ~?,c~-~Qs~~ , , , , , , (as on the tax roll or latest dee~ If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~"U'MA~ - Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of ]and on which proposed work will be done. .....l.'(7.7~, , , , P~~c • • ~ • ...~.e.~1.~ .............~i.~~c.~ House Number ~-~Jtruet ~ Hamlet County Tax Map No. 1000 Section j17.~ Block , . , , , • • , , • , Lot ...~.1:~ Subdivision .U_JI..4~h...~ l-C Filed Map No. Lot t . (Name) 2. State existing use and occupancy of premises and inten.[ded use and occupancy of proposed construction: a. Existing use and occupancy ~ ~•1•~•e ri f •1•Y~• . b. Intended use and occupancy . 3. Nature of work checl. whit • • • • • . • • • • . • h applicable): New Building , , Addition Alteration . Repair Rhmoval . . Demolition Other 1Vork , . 4. Estimated Cost ~ ~~aG, O ~ ~'i ~ ~(Dcscription) Fee........................... .i Qo be paid on filing this application) g g ng units . Number of dwelling units on cach'6oor'.'. , ; ; , , ; , , , , • YP b: IDfrbusmess, comm ~ c al sor mreed occupancy, specify nature and extent of each t e of use . . 7 1 mensrons of exrstmg structures, rf any: Front , , , , , , , , , , , Rear Depth . Height . . umber ofStorics,,,,,,,,,,,,,,,, ' p with alterations or additions: Front • ' ' Rear Dimensions of same structure Height . , , , , , , , , , Number of Stories , , , , , , 8. Dimensions of entire new co ' N Hei,ltt r}stnrction: Front Rear Depth / 9. Size of lot: Front Amber of Stories . , , Rear•.... ........Depth 10. Date of Purchase , , , , , , , , , , , • , , , , ,Name of Former Owner 1 I. Zone or use district in which premises are situated . . . . 12. Does proposed construction viiolate any zoning law, ordinance or regulation: . , , , 13. Will lot be regraded , , , , , , Will excess 611 be removed from premises: Yes Nc 14. Name of Owner of premises . , , , , , , , , , , , ,Address . Name of Architect ' "'•••••••••••••••PhoneNo Name of Contractor . • • • • • • ~ • • • ~ ~ • " " " • • • • Address . ..Phone No.. , . P P 'y ...................Address ...................Phone No. IS.Is this ro ert located within 900 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required, t PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fros'r property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner ]ot. STATE OF NEl~V_y_QRIL COUNTY OF , S.S • • ~ • • • • • • • ~ ~ ' ~ ' ' ~ • being duly swont, deposes and says that he is the applicant (Name of individ al si ning contract) above named. I fie is the....... of said owner or owners, and is dul (Contractor, agent, corporate officer, etc.) ~ • • • ~ • ~ • • • ' ' ' ' ' y 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 manner set forth in the application filed therewith. Sworn to before me this • ............1..~.. ....day of''... 19 s~ Notary Public, ....:zL!, ,~y,,, p,~, U~ , , , , , , County _ HELEN K DE YOE I ~ . ~No 4701878 IkCou~~ (CC/// (Signature of applicant) Term EMplres Mtrch 30,19.+ ! ~ i < x. l r . , , ~,7, * ~ 4 r? ~auoR awful ~'-~~7 t° ~ c ' ~ _ APPROVED AS NOTED ti,, ~ ' ' : ` ~ FEE' ~7U NG ' FY 8 Il 8V ARTMEN'f _ _ _ ~ _ ~ - - ~ ~T' -T"`-~~~.. _ _ . _ _ _ _ _-~OO~ ILLOV~uIN9 Ag TO 4PPM FOR THE - . _ _ F G N TIONS. ;µ6y Y 1. FOUNOATgN - TWO REQUIRED b ~ G~ J ~ FOR POURED CONCRETE ` ~ M11G 8 PLUMBING - 4' CONSTRUCTgN MUST ~ , ~ ~ FOIL C.O. y AtL i11ALL MEET C-' ~ 11,1E OF 111E N.Y, f ~ ~ ~t • E1r>EIIpY i r \ c.'' ~~N ~ 5 ~ f f~,~ 1 t.`. < ' 1 ~ ~ i ~ ~ ? ~4 \ ~ 1 ~ ~ f ~ ~ ~ c 1 ~ ~ ~ tea. I - ~v ..tiff r ~ti~.' , - ' i f ---._.~1 - - -