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HomeMy WebLinkAbout17392-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217441 Date OCTOBER 20, 1987 THI5 CERTIFIES that the building ADDITION Location of Property 1405 WUNNEWATA ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 04 Lot 29 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 23, 1988 pursuant to which Building Permit No. 173922 dated SEPT. 6, 1988 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 SHADE ROOF ADDITION TO EXISTING ONE FAMILY DWELLING____ The certificate is issued to GRACE GOLDEN (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. N039182 OCT. 1Z 1988 PLUMBERS CERTIFICATION DATED c~i lding Inspector Rev. 1/81 Boaat xo. s TOWN OF SOU7HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 0 017 3 9 z Date .......9...:~ ....................................... 19.6 N _ ~' Z Permission is hereby gronted to: ro ..~i.tlr.....r.~~!..../~n...~r.~~G.df!•••LB'?.....~.~~f.~..~.~-rnr}..... ~...~~~p.. ~ . ~ .............. . ct premises located of ....~~~....~il~..~tr!1,1... .... ..4..... .................................. Ccunty Tax Mop No. 1000 Section pursuant to application doted ... Buiidfng Inspector. o° Fee $...`.~~ .............//......................................................................................... .....~.ll........ Block ...........~.... Lot No.....~~....~.......... ...........~~.,,~ ..................... 19.~ and approved by the a ..... .~yi~~ .................. uildi Inspector Rev. 6/30/80 FORM N0.6 ~ ~ ~ ~ ~ ~ y~ TOWN OF SOUTHOLD ~ ~" j°~ - Building Department I Town Hall SFp ~ 5 X988 Southold, N.Y. 11971 `"` 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted •9~~ 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 equaq. 3, Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements wfiere applicable. B. For existing buildings (prior to April 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. 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 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ y 0.00. 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 9. Vacant Land C.O. $ 20.00 5. Updated C.O. $ 50 .00 Date ..Se}ztember..13•,• .198, .. NewConstruction,,,,,,OldorPre•existingBuilding ............ Vacant Land Location of Property ... 1.1~p~. Wunnewata• R.oad..... ....Cubaholtue ............... .... . House /~o. Streer Hamlet Owner or Owners of Property .. C3race Qoide n _, N u.-_ County Tax Map No. 1000 Section ...113i . i~... Block .~ .4u~-,~..,,~rt, Lot , ~'~~2~~, . ~~, ,~ Subdivision ....................... ,, ~._.._.~._.Eiled-Ma No.-.-.-.-r.-r, .-,-.-bat-No,-,-,-.---.-.-.:.- - - p Permit No. ,1,73922 „pate of Permit 9~l6~88 ,Applicant E;.nvirontnentment Pastlnc for Owner Mealth Dept. Approval .. N~~ ..................Labor Dept. Approval . , N/A. , ........ , . , , , , . , Upderwriters Approval .. . . .....................Planning Board Approval N!A'................. . Request for Temporary Certificate .............. ....Final Certificate . R .................. , , Fee Submitted $ . 25 ~ ~~ . .......... . ........ - - 'i Construction on above described buildin ~ p: ~~~.......9..... s, Applica tg.•• pronmen s~ast, Tnc•~ePresideantn,.,,,.... , Aev. 10~10J8 ' 3 s 99/ ~ 6 '- z ~ 7 U`~~ traa~o93 I THE NEW YORK BOARD DF FIRE UNDERWRITERS BUREAU OF ELECTRIGfT1' 83 JOHN. STREET. NEW YORK, NEW. YORK 10038 UCTUB&lt 19 ]9RR 579R39RR/RR N D"seIR2 pAGt: 1 Date ~ ' ` Application No. on file ~~ - ~ ~ -~ THIS CERTIFIES THAT. ow/y tke alectrlcd puiprnent v slpcrihed helots and intFadaced 6y the applicaF[t nomsd on the ahow appliesNon numher In the premises of GULDRN, MUNNF;NA7'A ROAD, t"QTC,HOt;DF, N.X, in tMfoBoteinR locations ^~ g~ e ^ lst FL Okf"I' SF,P3'EPIBER 7. {ne~t~RR Ynd Fl. Sertiun Block Lut leas examined on tt /R , A and found to 6e in romplianre Fei th the reyuiremenM of thu Board. BX11NE RX RA NOES COORIN O DECKS OV ENf DISH W ASIBRS DINAU fT FANS OUTIRTf ACLES SWRCMf I NC..W[k5[EM FlUON7CENT AMT. K. W. NAT. K. W. AMT, [.W. AMT. K. W. AMT. M. r. 7 DRYERS RJBiACE MOTORS F11TYtl AR'l1ANQ NIMINS SFEOAt REC-T iYAS CLOCKS pLL UNIT MATERS AWLTI-0UTIRT DUAMERS AMT. [. W. Oll x. t. GA6 x. r. AMT. NO. A. W. G. AMT . AMI. AMT. AMTS. TRAM. AMT. x: r. ND. ~~ AET AMT. WATri SlRVICE DISCONNECT NO.Oi f E R V 1 C E AMT. AAV. TTP! ~ I A tV/ 1 / JW t X 3\V 9 / AW NO. pERG. COND p~ NO.OF xI.IEG . OF ~C COND p ~ ~~ NO. OF NEUTRAIE Gj ~ E GN . N VT AI V IrnR nrrMnlln: <~ GARY DURU5K1: aza NoFrs>?k,r. I,N. C'Ci'I'CHUGlYF., NY, l.1y35 OBEBtAt SAOB! 11 i~fc;p;NSF; Nt). :E447 Per ~; Thit certiflceM att rot i>e ahead in arty manner; ratarn ro 1AR o/fin of tM band. if incwrM. hripactort may bs idanti 1Mir cndenNalt. u_ .~. _____~,~~1f,DR lUILOdING DEPAR7MBlT.11MS ODP7 OF CERTIPIA~L ~T NDT BE ALTE14 Rl,,ylY.1,AlNiER. lELD~ I~:S:~ ~:'_U~i ~ ~D,~:ii i~ tUMMBNT.~. ' ~ `„ 1 ~ ~ ~ ~° ~: ~ . I - - ~ ~" H FOUIIDATION (1st) _ ~ `v e FOUNDATIOiJ (2nd) -I - ~ ~ ~ 2. ~ zoo P OUGH FRAME & , .PLUMBING H 3 . ~' ca IIJSULATI011 PER N. Y. y STATE ENERGY O ~ DE C _. x~ ~ FIiJAL o z ADDITIONAL COMMENTS: x a G x `~ G ~ ro H ~ ~ T. y ~. H O Q z . ~ rn a r d `~ m . b H 3 R;-~ V tl1 I i~ FORNt NO. 1 2 "~ 19~3N TOV'JN OF SOUTNOLD BUILDING DEPARTMENT 6LpG.~Drrl~7.~~~~"°~ TONlN HALL 70WN OF SOt1THOL0 SOUTIiOLD, N.Y. 11971 TEL.: 765-1802 Examined .!/ ..........., 19~~~Q/• q Auproved ..9w!. • ......., 19 ST/J. Permit No. ~'?'3/. ~'. Disapproved a/'c ....................'................ . /~ ~(BuilQifitg Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS (~ ~S ~~~ . p, Application No............ ~~~-~ ~~ ~~~ ~ 8 Date ...Au~;us.t-.23,,...., 19.(38 a. This application must be completely filled~in by typewriter or iri ink and` submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing ]ocation of lot and of buildings on premises, relationship to adjoining premises or public stref or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apF cation. c. The work covered by this application may not be conmtenced before issuance of Building Permit. d. Upon approve] of this application, t}te Building hnspector will issue a Building Permit to the applicant. Such pern 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 Occupan shall have been granted by t}te Building Inspector. APPLICATION IS HEREBY MAllE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Sout}told, Suffolk County, New York, and other.applicabie Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or ,for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances,~uiidino code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. ZUnvironment ~ast,,,,Inc..Fgr.Awa®r...... (Signature of applicant, or name, if a corporation) 307,5 T:ndian Neck Lane .. `t .Pe.oonic,•.Nl'••1•~g5&..........'........... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build: ......Ge}~e,r;&1. C.~atl~a.ctor ................................................................... Name of owner of premises (}raep, Qglde,r} . . . . . . . . . . . . . .......................................... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ............................ P.rasida.nt....... (Name and title of corporate officer) Builder's License No. . ~..5~sfi..HT • • • • • • • Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . 1. Location of land on whic}t proposed work will be done . .............................................. . .. ~ LL05 ......................... klunne wa t.a .13 o ad..............Cu t aho~ue.................. . House Number Street ~ Hamlet County Tax Itlap No. 1000 Section ....11~........... Biock ......~-........... Lot ... 2.9........... . Subdivision ..................................... Filed hlap No. .............. Lot ............. . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..~in~;le,fam~ly, dwelling,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, b. Intended use and occupancy , Si ng1e, f amily, dwe lli n~. wi.th shade roof .: . .. . . ....... . . . . ~_._ .. ' -5„ , 3. Nature of work (check wliicb applicable): New Building .......... Addition .x........ Alteration ......... . Repair .............. Removal ....'.......... Demolition .............. Other Work ..;., .;, ,~.ti .... . ~(Desirtion} 1. Estimated Cost , ~ •31{.50.OL1 . i ........................ Fee .......................... s .......... . I (to be paid on filing this application)' , i. If dwelling, number of dwelling ynits ...1........... Number of dwelling units on each floor ............... . If garage, number of cars ........................................................................ i. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... . 7• Dimensions of existing structtires> if any: Front .. ~4~! ........ Rear ... 2.9+• • • • • • • . Depth .. ~2+......... . Height ... i9.+......... Num~er of Stories . ~; ............. . Dimensions of same structure with alterations or additions; Front ....29! ....... , .. Rear ...2~!........ . Depth ..52! ................ • Height .. 1.4+. .... , ........ Number of Stories .....~ ...... ..... tl. 3. Dimensions of.entire new constnuction: Front ...16!......... Rear .... 1b+• .......Depth ... 1Ltt ......:. Height ... 8 ~.......... Number of Stories .Qn. l;Pl~ .Of. 2nd . Sti1Y'y'. d~.Ck ......................... r . ~.' Size of lot: Front .......... ......... Rear ....................... Depth ..................•... I: Date of Purchase .......... .... ......... Name of Fornfer Owner .. . ......................... . ... ... 1. Zone or use distract in which premises are situated .. reside.n'ti.al• .........:.......................... . ?. Does proposed construction violate any zoning law, ordinance or regulation: ...no .......................... . p , ............... Will c 1 be r oved from premises: Yes No ... ~ ~~~~er ~a ne 3. Namle of Owner o d remises SIa..991d~%.n ......... Addressyg.VittbtJn; ' !VY'I17°ne iQo..796•-~..~~3.... . Name of Architect ...........................Address ................... one No............... . NarncofContracto~pv.irontae.nt.Ea.st,.,S.nc.,.Address 3.075•S.radian..N®ckPlTy~eNo..731}.,71}74...... Peconic, NY.1195~ PLOT DIAGRAM Locate clearly and distinctly all ~', buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether ;terior or corner lot. .. ~i ,} ~; y_- TATE OF NEW YORK, I,S.S OUNTY OF ................. ; (Name of individual signing contract) rove named. being duly sworn, deposes and says that he is the applicant e~sthe .............. ...... . ~~ •~.~~~~ (ontractpor,a nt,corporpateofficer,etc.)'~~~~~~~•~~~~~~~.•.~~~~~~~~~ f said owner or owners, and is dully aut onzed to erform or have erfonned th'e Bard wor}, and to make and file this 5plication; that all statements contained in this application are true to th'e best of his latowledge and belief; and that the •ork will be performed in The manner set forth in the application filed tlie~rdwith. wom to before me this ` .......... ~ ~ day ofd.../~/.......,19 ~~ fotary Public, . ~. ~.. !+; 41~~`Q.... ..... County .\ • I .. ..:. .........:....... I HELt:NKt1EV0E I ($ignature,ofapplicant) NOTARY PUOIIC, State of New YorN ~ Ne. 47078'/S, Suffolk Couery~ ~i Term Expires March 30,18_;'_.._ 7777777 FASTEN TO AxI-1VNfa AQCJF c. — _ _ _ . 4xH VO!115 TO eXISTIMC61DECY,A4,1 0 �;— 151b FELT pecks jo 6 - I� LE T >< II I I ' - - OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE nr OCCUPANCY _ _ - ROOF Za MATCN -�. i X8 TS THRV- LnLT Przs PosE o _� P VED AS NOTED p-2 Dou CSF 4x Peas �'' I � /70P S _ I �pJ/p ,7�0��' Sµr rJE yTkVCTJR E I I 1 �\ DATE f / B.P.M FEE: '{ DE NOTIFY gU G OEPAR ENT AT 785-1802 9 AM TO 4 PM FOR THE _ \ FOLLOWINOINSPECT10N9i 7. FOUNDATION TWO NSOUINED _ rtiav-eo�T �; FOR POUREDCONCl1N7E ^ �•-�- - _ `• —._>- L - - -�_ ..,.-_.___-.._ -� �-- - - .._.1.1_/i, / 2. ROUGH - FNAI wo lk pLL*A O 3. INSULAlM 4. FINAL - COWTHUCIMm UM - �� ALL COINNUCIION IyB► THE NNINXINNNNNNI�qp sm - -- CODES. NOR#�;�n� li + _ II III I --, � � IL .1_ .1. 1 DEt10NOIlOO�iNIN,'1NIN�Ip1�,' a _ I — I I s -- .6CALE: / e- 'O•, APPROVED OY F /NC DfP.WN by _.. FRONT �: JDE EL.EVRT1 ©NS� ' - DRA anRuweeR - '1H{1MEfV6f1M616 - . .. ..� :i A