HomeMy WebLinkAbout17961-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218676 Date DECEMBER 28, 1989
THIS CERTIFIES that the building ALTERATION
Location of Property 350 EASTWOOD DRIVE CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section I10 Block 03 Lot 014
Subdivision EASTWOOD ESTATES Filed Map No. 3683 Lot No. 5
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 23, 1989 pursuant to which
Building Permit No. 179612 dated MARCH 28, 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 ENCLOSE SCREEN PORCH INTO SUN ROOM AS APPLIED FOR.
The certificate zs issued to HENRY J. & MARJORIE K. HOFFMAN
(owner, xxxxxxxxxxxxxxxx~
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING SLIP 11/27/89
PLUMBERS CERTIFICATION DATED N/A
ualding Inspector
Rev. 1/S1
ro8as xa s
TowN oP sourHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No 017961 Z Date ......~!Y.}.ra<s:r.~i.......~.~ 19.x.9.
Permission is hereby granted to•
ro .C~r?~1,.~~,
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°~~fU ......................V.......................-. -..n..........................,.,.....^..~.,-.............................
ct premises located at ..e~~~.....~4!-:.~~'~'~4...~~. ........`MrC.S~-~A~f..A._..
. 1f.1~
.........:.......~~Q~~, .
County Tax Map No ~ Section l Block Q..~. lot No
pursuant to application dated ~ GLA-sJll , 19 and approved by the
Building Inspector. /
Fee .
............0.'l .
Bu ing Inspector
Rev 6/30/80
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' TONN OP SOUTIIOLD '^`^=°Y-°°"-'~a"" r~ i
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BUILBING DEPART:SENT Kp q 9~t~M ~,~~I
T017N HALL ~ 1744 G G I~QJ
" ~ l lN,,. , ~
SOUTIIOLD, NEA YDRK 11971 "t.9G UFF!
Tn',~.N V* SOISTNOt0
765 - !¢02 .'s,.
APPLICATION FOR CERTIFICATE OF OCCIIPAt1CY
DATE. /•Z~/P/P9......
NEA CONSTRUCTION ...,...OLD OR PRE-EBISTItiC IIUILDING. ~ vncnrrT LAND.....,..
Location of Property. :3,5~....'~S(_Le?000 D/z:•___~_,_ CUTCjfIJGuE__
HCUSE NO. STREE"P //U~~AMLET
Ovner or Ovncrs of Property.. ~~E/Yl?X...~. _ _~...~~Jd!~E ~`~'OFf/!9fjN
Goun[y Tax Map No. 1000 Section Block ...1/... Lot
Subdivisioa..~~~~O_~STfJ7'ES__ Filed Map `'/./G(.6LLot...
pp// s i> /i
PcrmiG Ho. 1.7[R~...Date of Permit .._.......Applicant .!`~~`i!LpPLF~,(;O1y~Sj'~~y_~/n~,p
Hea1[h Dept. Approval Undcrvritcrs Approvai ~':Y
PLaaning ¢oard Approval
Request for Temporary Certificate Final Ccr[ificatc
O't)
Pee Submitted: $...~__.LQ f~.......
APPLICANT . ~ . . _
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rev• 10/14/88
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FOUNDATIO;J ( 2nd ) -
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,~~p`~~~. ~0~~ ; T0~'N OI' SOUTIIOLB
C~'~Lw~, y; orl-]cl, or >SuitDmc iNSrrcTOR
. U :w ~S A'~:y°y4 r P O. CiO~C 1 1 7 9
. a1,t ~ TOWN 1fALL
fit- SOU'I IIOLD, N.Y. 1 1971
•~~7" Decenber 15, ]989
fir. B.J. Hoffman
350 Eastwood Drive
Cutchogue, N.Y. 11935
'to S9hcm Tliis May Concern,
PIe arc unable to con:plote your Certificate
of Occupancy because of the follocring reasons.
An application for Certificate of Occupancy
is not nn file. (ENCLOSED)
/ / No tlndcre~ritcrs Certificate on file.
Ji~j 't'he cl~cc}: i:.1~~H~~R~e~~r,ut on file.) $~~-00
Plo I~nalth Uept. Approval on file.
No final ~nsf~ection has been made.
Please r_ontact: our office on this matter. '
Thank you for your cooperation.
I:utldu:q Pcrm~.Y It 1 7 9 ~ I Z
Duilc]iny Dept-.
ru, Plumber ~oldcr Certificate on file. '
( all permit:, in~,olv~nci plumbin, being
issued after April 1,1984 )
c~~~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ iNGION
[ ]FRAMING [ INAL
REMARKS: C.~"~
DATE ~ INSPECTOR
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suR?EY OF LOT S, Ai1AP 06 CA$TW~ ES'Ta4TE~3
rIG~D ^/OY. /!n J9lp2 -iiGE~#.31oB3
SlTUATEp A7 CuTCNOGUE, TawN of ~SarerNaGp SU,~FOGX Cd , ,c>,Y
GI1A.2ANTEEI~ TD CONlMDrl11,t1F~(GT.4! LAh3D TITLE ~iN.SU.P.iI~E CO.
.SourNaLO sA?ii~GS BA,v.~, G,P~'6oeY/A~~. ~~`Ivar,2or~Y/•/. BoYo
O+ N•w , GEEMfMS AND~pN SUPyURTAC[ 3TRUCTURTI ~~fS (srO /~~S
O RF<ORD[D OR UNf'^ORDFD ^F NOT GUAR 1~//,/~
ait0~' TQ! nI_t`"'~~F AUT60 U'.:f55 l4YtICAaT TY+DSNT ON T%E 1 - _ f~~~~'~'f/~~~
f ~ r 4 IR•M"Et At THE TniF Of StRV:Y /
I § p y iHF O. 'f15 R n M~YS'ON< 6'OtrN HT4[ON, Y
S^"a-~y(nt Z ~ ME`M "E 7M: i R'Y LIN`.i "f TsE STIUCTUk[S ~/F~~~ • /N ^J/1
Y L' AF£ TOR ~ i C [U°^OtF lnp UtF THERE E~ '1JC~
~ _ M~f'~'S d 10RF TH:T ~f£ NOL INTF.~DA TO MONYMENT
7HF PROPERTY IINB OR TO 6•JIDF iN[ !RK
~ TION OF F[N@S ADDITIONAL STRUCTURE, W
f,~,,t,~, 4 0~ ATFY OTHgt IMP0.0YlMHlT .yARRY /~/~GGEBR.iWI.~
` s tAnJO Sc~RVEYoR
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F/L E QS/7/
BOARD OF HEALTH
3 SETS OF PLANS
FORM NO 1 SURVEY
TOWN OF SOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC Foarl
' TOWN HALL ~
SOUTEOLD65 8021071 NOCALL
- n MAIL T0:
Examined ..~I~1.?-~..., 19 g~. .
APProved . ?"8..., 19~`~ Permst No. ~ t.°.t.:L~.'. ~ I ~ `~J ~ t``4f~ ~~~~1
Drsapproved arc
• • • • MAR 2 3 i~89 6
BLDG. DEPT.
TOWN OF SOUTHOLD
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . 15..
INSTRUCTIONS
a. Tlus application must be completely filled sn by typewriter or in snk and submstted to the Budding Inspector, wsth
sets of plans, accurate plot plan to scale. Fee accordsng to schedule.
b. Plot plan showing locatson of lot and of busldmgs on premsses, relatsonshsp to adlosning premsses or public stree~
or areas, and gsvmg a detasled description of layout of property must be drawn on the dsagram whsch ss part of ttus appl
cation.
c. The work covered by tItss application may not be commenced before issuance of Building Permit.
d. Upon approva3 of this application, the Building Inspector will issued a Busldmo Permit to the applicant. Such perms
shall be kept on the premsses available for inspection throu;hout the work.
e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc
shall have been granted by the Buddsng Inspector
APPLICATION IS HEREBY MADE to the Busldmg Department for the issuance of a Buddsng Penriit pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and otlier applicable Laws, Ordinances o
Regulatsons, for the construction of buddmgs, addstions or alterations, or for removal or demolitron, as harem described
Tlse applicant agrees to comply with all apphcabZe laws, ordinances, buildsng code, houssn~ code, and regulations, and t~
admit authorized inspectors on premsses and in buildsng for necessary mspectiens.
(ignature of applicant, or name, s a corporation)
(Mailing address of applscant)
State/'whether appli/~cant is ow` ner, lessee, agent, architect, engineer, general contractor, eleotncian, plumber or budder
l7L°.~ff~'..4-4>Ir1~Qt';a(.1L'CA!..........J..,.` . I'....I .
Name of owner of premises'!
4n . `V Ff" . ~!tf j o~(~ ~ K . _ , i~V ~N!~ la-~jµ. • • • , .
(as on the tax roll or latest deed)
IE ap (scant /s (~/'~/o~r~p~o~ra/tson natur f duly au o~rsz~ed~officer.
(Name and tstle of corporate officer)
Buildeis Lscense No. ....I ~ -~'''s^xVUP~~~
Plumber's Lscense No
Electrician's Lscense No .
Other Trade's Lscense No . ~ R s ~
I. Location of land on whsch proposed work will be done. ~ 5 ~ E~S7 W da~ ~~E-A~~,
..1 .....'.1..........
House Number Sd Street r tw.rt,Y~c~ ~A-v Hamlet ~"u~ J~ vex
County Tai Map No 1000 Soctson Block Lot
Subdsvssion Fs]cd 1<fap No . Lot .
(Name)
State e~ss4ng use and occupancy of premsses a Ind intennded use and occupamy oC proposed constnsction:
a. Existing use and occupancy F,~:M `1 . "~'.5 .
b. Intended use and occupancy • • • • • • , •
3. Nature of work (check which applicable) New Building Addttton Altera~{on ~ . .
Repair Removal Dcmoh4on Other t ork . ?k~l'?~•~°Y.'$
$Lr~eN "rt (Dcscnption
4. Estimated Cost ~ ~'.t~V~ • • . . Fee .
. .
(to be paid on Ghng this apphca4on)
5. If dwelling, number of dwelling units Number of dwelling units on each floor .
Ifgara;e,numbcrofcars
6. tf business, cotnmercta] or mt~ed occupancy, specify nature and extent of each type of use .
7. Dtmenstons of cYtsttng structures, if any Front . . . .Rear , , , Depth - .
Hctght ...............NumberofStoncs.........
Dtmenstons of same structure with aiterattons or additions Front Rear .
Depth Iictght , ..Number of Stones .
8. Dtmenstons of entire new constructton• Front . Rear Depth .
Hetgitt . . Number of Stones .
9, Stze of lot. Front Rear Depth .
10. Date of Purchase
..........NameofFormer Owner
1 1. Zone or use district to tvhtclt premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation :
13. Will lot be regraded ~Vt1I excess fi]I be r moved from premtses: Yes T
14. Name of Owner of premtses .J;~fcn(-y, _ l~lgt~'.Mn~ ,Address 354. R`!'..... Phone No~?3~ 72-h'2..:
Name of Architect . , Address ..Phone No. .
Name of Contractor f~.~4.~ale: ~j~tyr~~J~ns ,Address ~g~ ~?'^I?~T? PVDH[1f'!~. Phone No. ~9. yy?~I
IS.Is this property located within 300 feet of a tidal wetland? *YES....NO.,i..
*If yes, Southold Town Trustees Permit may 6e required.
PLOT DIAGRAM
Locate clearly and duttnctly all buildings, whether extstrng or proposed, and indicate all set-back dimensions fro
property lines. Give street and block number or descnptton according to deed, and show street names and indicate wheth
intenor or corner lot.
STATE OF \Ew YORfi, S S
COUNTY OF ~.r
,~f I Lc;(Flt!"~ , . ,t,9~.eJ`t~/R;1Y1.. , , , _ , , being duly sworn, deposes and says that he is the apphca,
(Name of mdrndual st;nmg contract)
about named
fie is the .......~U V~~ ~T~ ~ .
(Contractor, agent, corporate officer, etc )
of said owner or owners, and is duly authonzed to perform or have performed the said worl. and to make and 61e tY
aPphcaaon, that all statements contained in this appltcauon are true to the best of Ius knowledge`'and belief, and that tl
work wdl be performed to the manner set forth m the application filed thercwrth.
Sworn to before me [}us
\atary Public, ..M. C..L'fi~..... County/~~~%J1%~ .
HELEN K DE YOE L/ .
NOTARY PU80C, Shte of New York Signature of a Itcar
He. 4707878, Suflotk coamYy ~ PP
Term Ex{pres M:rch 30,19
_
THE NEW YORK BOARD Of FIRE UNDERWRITERS z~At~=
8012085 BUREAU OF ELECTRK:ITV
85 JOHN 3TREET• NEW YORK, NEW YORK 10096
JANt7ARY 0?.,1990 (fit ott_rvo. ollj7,(e 61679389/89 H Q1347 2
THf3 CERTIFIES THAT nQ' 1/7H1'
only the eleetrkd putpment w described 4elow and introduced by the applicant named on the sboueyplP/dcation namlter in the promises q/
HENRY J. BQFFNAN, 350 EAS~P1ft7QD DB.T.YE, GUT<:R(~G[JE, N.Y.
irs thsfofbmirtR lacation• B..e tn~nt L'J 1st Fl. ? Ynd FI. OUT Set•Non 110 &eck3 Lot
was examined on NQ~BMBER 87,19$9 and onnd to 6e in cem
f pliance Yrilh-the requirements of this board.
IIXTiRtE WB RANOES GOOIRNOOlCRS O 0151't MAi15T fANS
tttITI1T4 AQES SwITCl1E5 INCANDlS[!M PlUtalttlM OTHER NAT. K. W. AMT. K. W. AMT. [.W. NAT. K. W. AMT. X. P.
4 6 4 4 ] F
DRYMS RJRNACE MOTORS tYT11R! AP1UANp RRONIf S~lCIA[REC'/T TVIIl t]OCIIS ~...VIMTSWtTg4 EWit-0YfYt gMMRRS
AMT. K. W. Olt H. P. OAS H. P. AMT. NO. A, W. G. AMT. AMP. AMT. AMIt. iRMES. -AMT. R E Ib• O~ <~T AMT. wAm
S~kVIC7 DISCCtIPR{CT NO.OP S E R p~ V I' C E
MIT. NN. TYPE ~ 1/TN t/tW [/tW 3/A\V NO.OP~clyCOND. ACC
COND. NO.OF HI-IEG NO.Or NFUTRAI$ Oj'P
EUTGML
OTMlR AtMRATiK:
lid- ~-l~
.rd(
NBNRY J.NOFFNAN
350 EASTWOOD DRIVE
rUTCHGCtJS, NY, 7.],985 0 ~ ~ IRANI10RIt
1.1
Per
This carlificata mutt not t» alhnd in any mamar; ratwn M tM office of tlr Board ifincorrscl: Inapectorsmay be idaMiFfed their ctadenHols.
FOR BUILDIM6 DE A1tTMlNT. TMIt COTY OF CERTIFH:A Mldt ItE A !D IN AMY MANNlR.
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