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Home My WebLink About17393-zFOPuM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17793 Date FEBRUARY 23, t989 THIS CERTIFIES that the building. ALTERATION Location of Property 2055 WEST CREEK RD & 1255 MIDWOOD RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 02 Lot 07 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 1988 pursuant to which Building Permit No. 1739~-Z dated SEPTEMBER 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A BARBARA CHRISTENSEN Building Inspector Rev. 1/81 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~ 017393 Z tO: Permission is hereby granted ..... at premises located at .-.~...,~.~,,~.,..i,~,.,.,,'~,,,..~-~,....c~,~.. ................................................... ....................................... /..~_.~_4/.~.........~../,.. .................................................. County Tox Mop No. 1000 Section ..... v//....~. .......... Block ....... 4.....~.. ..... Lot No ......~:?...~... ........ dated ..~..././....~.... , pursuant to application .~:2.~...~.~;2~..~ .............................. Building inspector. 19.~.~., and approved by the Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with 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- tions, 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~d;.9~ (prior to~cq3T~-~95-7)7~on=confo~ming-u~esT-or--bu~ild~rrg~-e~i-~.%~iz~j ;a.n~ c[~Suer~t e survey of property showing all property lin~ral or topographic features. 2.Sworn statement ~ous owner as to use, occupancy and condition of buitdings. 3.Da~ng code or safety inspection of buildings or premises, or other pertinent informa- ~tTmn r~u p~'epare a certificate.--'---- C. Fees: Additions $25.00 ?OOLS $25.00ALTERAT~O~ $25.00 1. Certificate of occupancy ~ew Dwel[i~3. $25.Q0, Accessory ,$]0.00 Eus~ess $50.00 2. Certificate of occupancy on pre~existing dwelling $ IO0.00 3. Copy of certificate of occupancy $ 5.00, ove~ 5 yea~s $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ~q~r%b.e.~. ~.~.2. c).8.~. ...... New C on s t ~ u c t ion Old or Pre-existing Building Vacant Land 2055 We~t Creek '~ 1255 Mfdwood Rd. Cutchogue Location of Property ........................... House No. Street Ham/et Owner or Owners of Property ]~ez~.~e. S.h~i~.t.~r;af).q ..................................... County Tax Map No. 1000 Section ....... [10 ..... Block ....... .0.2. .... Lot . 07 Subdivision ................................. Filed Map No ........... Lot No Permit Nd. 7..3%3Z ..... Date of Permitg/.(?/.~.~ .... Applicant ~nv~r°nme r~ ~st, Thc, £or Owner Health Dept. Approval ........................ Labor Dept. Approval .................. ... . . . Underwriters Approval ........................ Planning Board Approval ..................... . Request for Temporary Certificate ..................... Final Certificate ........ X. .............. Fee Submitted $ .2~ o0D. ...................... Construction on above described building ~~.~/~l~c~l~le cpdes and regulations' ..... ....................... Rev. 10-10-78 ~ ~IV~L ' 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE ,, INSPECTOR /?,:?~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. F.OUNDATION 2ND [ ] INSULATION FOUNDATION ( 1 S t) FOUNDATION (2nd) ROUGH FRAME~&/ PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: F Examined. 2.7.4 .......... , 19 .~..~ Approved . ~. ~. · ........ TOWN OF SOUTHOLD Jll ll ..... lll BUILDING DEPARTMENT '" ""~.,....,,...U~ TOWN HALL TOWN OF §~' SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Application No ................ Disapproved a/c ' APPLICATION FOR BUILDING PERMIT Date .. &'ugus.f~ .1.~, .... , 19.88 INSTRUCTIONS a. This hpplication must be completely filled'~in by typewriter or in 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 location of lot a.nd of buildings on premises, relationship to adjoining premises or public stre~ or areas, and giving a detailed descriptiou of layout of property must be drawn on the diagram which is part of this apl: cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, Ihe Building Inspector will issue a Building Permit to the applicant. Such peru shall be kept on the premises available for iuspection 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 the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of.Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or .for removal or demolition, as herein describ( The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) 307~ Ip~dian Nook Lane ,, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ f Ge n.e~al gon~octo~ Name of owner of premises .... .B.a,i?..ba~.a..Obj.:kO 'fi~.n,~e. r~ ............................................. (as on the tax roll or latest deed) If applicant is a co;poration, signature of duly authorized officer. ................................... (Name and title of corporate officer) Builder's License No...~. J.S..H..~ ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................ Ro. acl ...........eh.ague ............................. House Number Street ' ltamlet County Tax Map No. 1000 Section .... ~.%0 ........... Block ... 02. ............ Lot .... 07 ........... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy One £{tmilF b. Intended use and occupancy 0. qe...f~:t,~7..d.W~ ~ J-,~.qg. ~.g.h. Il{q4..hal, .~.o.~. la.Rd.. ~.d.~.r~g ........... 3. Nature of work (check~ ~o~,,~,~ whicb~ap~p~cable: New Buildxng.......... Addition .......... Alteration i" ';" I Repair ........... ".. ~.,~,~M~l .... ' .......... Demolition .............. Other Work ..... ,~ ........ (D ripti ) ese on , Estimated Cost -~), .~...~. ~ Fee (to be paid on fding this a;plication) ' · . :. ~. If dwelhng, number of dwelling nmts ............. 12 Number of dwelling units On each floor ............... If garage number of cars ' Ifb i il ix d fig d leal type f ). us ness, commerc a or m e occupancy, spec nature an extent o cl o use .................... 7. Dimensions of existing structure~ if any: Front ........ 3/,L ..... Rear ..... ..3~ ...... Depth .... ..31~ ....... Height ........... Number of Stories .~.~q~ ................................................... Dimensions of same structure wi{h alterations or additions: Front ..... N./.~ ......... Rear ...tll~O ........... ~ Height Number of Stories Depth .................... i .................................... · ....... 5. Dimensions of.entire new constitution: Front .......... . .. .. Rear ............... Depth ............ Height Number of Stories ' ~ Size of lot: Front i Rear Depth 't ) Date of Purchase i Name of Former Owner which pre!mises are situated 1. Zone or use district in ....................................... !. Does proposed construction violate any zoning law, ordinance or regnlation: .............................. I. Will lot be regraded . Ate ..... i ................... Will of.A~s ~jp,~,l'erfig~ved from premises: Yes t. Name of Owner of premise~B~,ba~a. C.blaia~e, nset~ddressUlS, a'¥1~.q'.~.~./ff~2'.'.10~;ll~hone No.91b~. 2.38,.8~.7..1 · Nmne of Architect Address Phone No Nmne of Contractor E ~v.i~orffrle'nt. E.as~ ~-. fi,no .Address .3075. Indian..No ~kPllll~e No.~lS. Peconlc, NYl1958 PLOT DIAGRAM Locate clearly and distinctly all!buildings, whether existing or proposed, and. indicate all set-back dimensions from :operty lines. Give street and block ] mmber or description according to deed, and show street names and indicate .whether :terior or corner lot. TATE OF NEW YORK,. S.S OUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sig~ lng contract) 5ove named. .e is the ...................... i ...... ~ .... .~ .................................................. ~ractor~gent, corporate.pfficer, etc.) , r ' f said owner or owners, and is duly. authon~erform or have performed th'e sgid work and to make and file this ,~plication; that all statements contained in this application are true to th~ best of his kamwledg~ and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. worn to before me this .............~v~.~"~" '~ ...... day of ..... rotary Public, . ";t£~ll{'0~, ..... ......... x ...... oumy FIOTAR¥ PUBLIC, Sta Coun ' ' ' ' ' I Te,n Expires Ma*ch ~0, I ,