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Home My WebLink About17575-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17666 Date JANUARY 9~ 1989 ADDITION THIS CERTIFIES that the building Location of Property 675 CEDAR DRIVE House No. Street County Tax Map No. 1000 Section 106 Block 11 Subdivision Filed Map No. MATTITUCK, N.Y. Lot Lot No. Hamlet 7 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 1988 pursuant to which Building Permit No. i7575-Z dated NOVEMBER 1, 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 MASONERY CHIMNEY ADDITION & INSTALL SOLID FUEL APPLIANCE The certificate is issued to KENYON H. KATHRYN E. TUTHILL (owner)~ of the aforesaid building. SUFFOLK COUN~ DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A ' - Bu~l~-ing Inspector FORB~ NO. O TO~'N 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~ 0~7575 Z ...... ....................... premises I~ated at ...... ~.~.....~~...~ ........................... ~....~ ......... ~ ........... Coun~ Tox Map No. 1000 Section ......... Z~..~,.. Bilk .......... ~. ..... Lot No ........... Z .......... Buitding Inspector. .~- 0 ~ Fee $.~ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEN YORK 765 - 1802 11971 NEW CONSTRUCTION ....... OLD OR PRE-EXISTING Location Owner or Owners of County Tax Map No. APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING.X...VACANT LAND ........ of Property ................................ HOUSE NO. STREET HAMLET ...... ............ 1000 Section ...... Block ....... Lot ......... Subdivision ....................... Filed Map ........ Lot .......... Permit No. /7~. Z~-ZDate of Permit . /.~?.~/d~.~.applicant ~.~..~o..~..~.~./.~... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ............. APPLICANT.. ~ev. 10/1~/88 TOW 'I OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL $OUTIIOLD, N.Y. 11971 D,<., If?t( TEL. 765-1802 To Whom This May Conc(3rn, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. /--// An application for Certificate of Occupancy is not on fi].(3. ~ /_--// No Underwriters Certificate on file. /.~_~ The check i'.;(e~D-~d~/not on file.) /_-/ No 1leal. th Dept. Approval on file. /~/ No final inspection has been made. P]ea'4e contact ()ur office on this Thank you for yot~r cooperation. Build inc.~ Dept. matter. No Plumber .~3older Certificate on file. ( all t)c:cmlts involving plumbing being issued after April 1,1984 ) II~A?E COM~gNTs FOUNDATION ( 2nd ) 2. ROUGH FRAME & ,PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI~AL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~CJ FOUN~A,TION ;ZND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. []FOUNDATION 2ND [ ].~J~TION []FRAMING [~] FINAL ._ ~,~.A ~-~/1~, DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL TOWN OF SOUTHOLD $OUTHOLD, N.Y. 11971 .~.//~./ TEL.: 765-1802 E×amined ........... ).//. No../. Approved. //, ......... , 19 ~'~.. Permit ........ Disapproved a/c ..................................... ......... ..... FEE<~ BY: ~fJ~ ~uildi~nspector) . ...... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY C ECK ......... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: ., 19 ~.ff. INSTRUCTIONS ' filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .~e according to schedule. and of buildings on premises, relationship to adjoining premises or public streets of property must be drawn on the diagram which is part of this appli- ' not be commenced before issuance of Building Permit. ,.the Building Inspector will issued a Building Permit to the applicant. Such permit or mspection 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 taws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature ct apphcant, or name, if a corporanon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises...]~J~.'~.~..0./~....~./'..'~..~ ~../7//. Z.'.Z~...~.fi). ~.. ,~.,z}./.,(/./'~/~..~.~. './.'~.~..~..p/./..~.~. ...... (as on the tax roll or latest deecI) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ......................... Electrician's License No ....................... Other Trade s Ltcense No ...................... OCCUPANCY OR /USE ]S UNLA tFUL WITHOUT CERTIFICATE OF OCCUPANCY Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section .../.~. ~. ......... Block / / Lot ?. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and o~cupancy .. , .,.,~ ........... ............................ ature of work (check which :a~phcable): New Building .......... Addition .. Re,pair .............. Removal .............. Demolition ............ ;. Other Wo~k'. , (to be paid on fili'ng this application) 5. If dwelling, number of dwelling units ..... / ......... Number of dwelling units on each floor ................ If garage, number of cars ...T.- ................................................................... 6. If business, commercial or mix4d occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ............... Depth ............... Height ............... Nuraber of Stories ........................................................ D mensmns o£same structure wzth alteratmns or add,trend: Front ................. Rear .................. D.epth .................. .... Height ...................... Number of Stories ..... ~,.~., ..... 8. Dunensions of entire new construction Front ............ Rear ..'~..t.1~.~.~{~.'.:' i .... Height ............... Nur tber of Stories ........................ · ,._. ~,~,..~.# ,q,8 .................. v. ...... 9. Size of lot: Front ..................... Rear .................. Depth ._,~ ........ ~ ..... 10. . N fF ........ 'v .........· .' ' · Date of Purchase ......... . ...... ......... amc o ormer Ow~iT~4.~lth~a~ql.ttl} 11. Zone or use district in which pr ~mises are situated .................... .~1.1'. 80:t. M~ I~.OI'.MA .~'..<~.;;41 ../ ..... 12. Does proposed construction vk ate any zoning,,, law, ordinance or re,,ulation' .......... '~~1 0~..1¢~. ').~ ........ · /PC) ' 13. Will lot be regraded . .~.~ .O.'..; .................... Will excess fill be r~lRl~emiso~ral~4~ .~ No 14. Name of Owner of premises . .~.' ./?..~1~ ............ Address .............. ~,~? . Name of Architect.. ~..o..~.~. ! ..... ; .... ; ..... Address ...... Name of Contractor..~./t~tofi .t~/~ .~.6..~/~ .L~ ..... Address ~.~qc~./.' .°.$~~~~I.~.. 15.Is this property loc4ted withiJt4 300 feet of a tlda. Lr~l~. '_ .. · If yes, Southold Town Trustees Permit may be PLOT DIAGRAM r e q u Locate clearly and distinctly ali buildings, whether existing or proposed, all~lila~i~l~ll~il~nll~from property lines. Give street and block]number or description according to deed, interior or corner lot. STATE OF NEW YORK, l COUNTY OF $.S ............................. * ............ being duly sworn, deposes and says that he is the applicant (N '" t) ....... amc of individual signing contrac above nam'ed. He is the ...................... ! .................................................................. I (Contractor, agent, corporate officer, etc.) . of said owner or owners, and m dul~ 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 m the manner set forth in the application flied therewith. Sworn to before me this / ,, ........................ day of .... . .......... 19... ota. Public, g* County HELEN IL DE VOl: i NOTARY PUBLIC: State of New Yolk . No. 4707878, Suffolk County leffO Expires March 30,10 ~-] (Signature of applicant)