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HomeMy WebLinkAbout17167-z ti FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19246 Date JULY 26, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 100 VISTA PLACE CUTCHOGUE NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 83 Block 1 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23, 1988 pursuant to which Building Permit No. 17167-Z dated JUNE 27, 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 ONE FAMILY DWELLING WITH GARAGE & ATTACHED WOOD DECKS The certificate is issued to DONALD & PATRICIA RICHERT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-208-JUNE 28, 1990 UNDERWRITERS CERTIFICATE NO. N-139511 - JULY 10, 1990 PLUMBERS CERTIFICATION DATED JANUARY 10, 1990 - FRANK J. MEYER f ~ ~si~ uilding Inspector Rev. 1/81 1 Foss xo. a 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 fl ~ 171.6 7 Z Dare a 7..............., 19..~g Permission is hereby granted to: ...l. .~:r..~-~-~:~..... N.:.~..:....., ~ ~ to .~'~o.:~.c.~::....~.... ~:....~.....1~.w?..4k!N,~..,..+,~~,P.,..~:.~~..-.~.,.....~....... at premises located ot ...............°~...............................f~.:......../.........X............~J~...44......................... County Tox Map No. 1000 Section .......~..g.3 Block .......~..I Lot No....~.~P..... pursuant to application doted ........~.,~1.!~?.':4~....a..~~.1•••••••••••....., 19.$g., and approved by the Building Inspector. Fee 5...~P+~.a..'. 9 D.. .......c B ing Inspector Rev. 6/30/80 . ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 19 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 consenC 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 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction........... Old Or Pre-existing Buildingy~ Location of Property...~~4~ .................~~.fT,9.....6/~:...........C.~.Tc-.!f',p.lv.v/,~...... House No. /J Street ,Q Hamlet Onwer or Owners of Property.. ~©:~/.iL`~..:N. ~":3.7~./~, ~.Gjt3,....(11,,.~j~~.~ County Tax Map No 1000, Section...~~.......Block....j...........Lot..1~................. -r Subdivision.....U~S'7`~ p~t,7nYY ....Filed Map.J~.~:ft?.....Lot........ Permit No . ...............Date Of Permit................Applicant........................... Health Dept. Approval ..........................Underwriters Approval........................: ' Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ 6:..... C~~~Dn.S 4.~~ Co-~19~2~~ APPLICANT _ - , ll'~js~ w o p February 26th, 1990 ~ 8 BLD6.DEPT. OF SOUTHOI-D Donald & Patricia Richert 100 Vista Place Cutchogue, New York 11935 Town of Southold Building Department Town Hall Southold, New York 11971 Gentlemen: As per our telephone conversation, please accept this request to extend our building permit No. 0171672 since we will need some additional time to complete the house. Please send the extension to us at the above address . Thank you so much for your attention to this matter. ill~7~-~ ` Patricia Richert 516-734-5465 pr TEL. 765-1802 q c,~fF~IKcO~ TOWN OF SOUTHOLO OFFICE OF BUILDING tNSPECTOR P.O. BOX 728 O,y~~ SOUTHOLD N Y 11971 ' 1~ C E R T I F I C A T I O N Date it5 \d~tt~ building Permit ~N77o. Owner \,10ry(-ILT1 ~ 6"~~~~\c di IA~rL~ (please print Plumber ~=~r.~~G ~Me~r;~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. (plumber s siy~re) Sworn to before me this J` day of ~p~-L,c~, 19 OT ~/~i~- Notary Public NOtary Pub11C, L COUnty (SEG?d[~ PA?±~+`.n'ar' ~n~°n NUI~ARY Pu73t_li', C~~;~_- c; ,'c~;J Y`ork No. 52~0~';33J!3 ~uzliPi e:! it Soi~di/~oU~~ Commission Expires / TEED aI;:SPECTIUfJ ~~UATn { COs`-SMGNT° ~0 1 m a ~ i . ~ H H ~ FOUNDATION ( t'sL ) FOUNDATION (2nd) _ - - ~ ~ ~ U 'a.rl z z. _ N~ ROUGH FRAME & ~ PLUMBING~~, H ~ ~ 3. y IIdSULATIOPI PER N. Y. -c, STATE ENERGY P CODE b .7. r ~ c~ H C~ 4. FIidAL _ /n s z ADDIT NAL COMMENTS: - x ~ ~ to x ro ~ r H 9 J "3 H ~ O_ ..D n.--% I CxTJ o(9 v J r ~ H y x O b ~ b N .-3 0 06 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~1>~~ 1UUi)~59f~~ BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 Date ,'11itLY IQ.',I~~CI ApPlirationNo.onfile ~.:?~.~pfi'$`~f$~`i ~ 'I.14ri,~a THIS CERTIFIES THAT only the electrical equipment as deacri6ed below and introduced 6y the opplicant named on the shove application numher in the premises of i)i1N:~L'll ~ NF,'tlt"(('A II'I<;~M;R'1`, 1'lli[;k 1+,tN(~r Ctl'4'i:Nl)(=11N:. 't~.,`I, in thefo/lowing location; ~ Basement 0 /st F'(. ®2nd F1. 4o~~rf)lIP Section 81oek Lot ~7LiP1F; ;1, ),yj<)D and found to 6e in cur{tplianre with the reyuirentents u(this Board. uns examined on FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT RUORESCENT OTHER AMi K W. AMi K~W~~ AMT K.W AMT. K W AMT. H P. is i~ F1 C1 (ih f(] f I.ri .1.~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELI UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K. W Oll H. P. GAS H. P AMT. NO A W. G AMT AMp. AMi AMPS TRANS. AMT H. P NO. OF FEET AMT, ttW/A~Al!ittiS .r'1 l~ I ei +i ~ 1. V 4 SERYICE DISCONNECT NO.OF S E R V 1 C E AMi. AMP. iypE METER I ,6' 9W 1 ,6' 3W J.9' 3w 3,e' 4W NO OF CC COND. A W. G. NO. Of H4LEG A W' G' NO. OF NEUTRALS A. M' G EQUIP. PER A' OF CC CONp. OF HbtEG OF NEUTRAL OTHER APPARA7U5: f~ia`PCRi;1."Q.50 H.P,,.,i-i•` ?fnt'. ~ F?~id,tl,73~ART1S:~._~.1i t'zR. 'I!In C.Fe(°. C'-~6 rD-MAkN F7Lkai~,yE;RVI~s~`I`I'S1'fl 1,,1C.~ITiti2 ' 9R12 A'tJC~t)ItR7 3>'P. ' ?•'kANKt~I:N cif,)., DIY. ~.~fi1O GENERAL MANAGER ,'1. I , ; ; „,.r - Per This certificate must not be altered in any manner; return to the office of }he Board if incorrect. Inspectors may be identified by their credentials. emOPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i~~~~ 765-1$02 BUILDING DEPT. INSPECTION [ ] F NDATION 15T C ] ROUGH PLBG. [ FOUNDATfON 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: % DATE INSPECTOR 1~~~ ~ 765-1802 BUILDING DEPT. tNSPE~CTI® [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REIYIARKS: DATE INSPECTOR 1~7t~ ~ 765-iSOZ BUILDING DEPT. I SPECI [ ] F UNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ]INSULATION [ ]FRAMING [ ]FINAL r' i~ REMARKS: ~ ~ G~-r~`.. I 1 I./ ~Y ~8 ~ DATE ~ ~ .1 INSPECTOR A n K 4 rss-is®a BUILDING DEPT. I NSPECTI~N [ ]FOUNDATION 1ST ( ] ROUGH hLBG. FOUNDATION 2ND (]INSULATION [ ]FRAMING//J~ ( INAL J Y /,ry l~ G REMARKS: ' _ ~ rte, n_.~,,~?- DATE % '~f~ ~ INSPECT I ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND NSULATION [ ] FRAMING ~ ]FINAL ~o REMARKS: ~.~-('f ~''~t. ~j /q ~ DATE l / INSPECTOR G ~ ~ ~ ~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( } ROUGH PLBG. [ J FOUNDATION 2ND L ]INS ION [ ]FRAMING L FINAL REMARKS: ~C DATE INSPECTOR '~~F'I BOARD OF HEALTH D 3 SETS OF PLANS " FORM NO. 1 SURVEY . - - - . 3 ~ b'p TOWN OF SOUTHOLD CHECK - - - - • • • • - Z ~•..^a BUILDING DEPARTMENT SEPTIC FORM TOWN HALL BLDG. DEPT. N O T I F Y TOWN OF SOUTHOLD $OUTHOLD, N.Y. 11971 CALL ~G-~-r-r • TEL.: 765.1802 MAIL T0: Examined ..~-4NtR-.~~-.7..., 19~~ Approved ..~LWxA.. r?-.~ 19~ Permit No. ~.7 ~.7.Z2. . Disapproved a/c . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19~~ INSTRUCTIONS a. This 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 pazt 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, housing code, and regulations, and to I, admit authorized inspectors on premises and in building for necessary inspec/t/~'Q°ns. (Signature of applicant, or name, if a corporation) //.~z.. ~.~,r D...A. ~F . , .r? EAR. ! . (Mailing address of applicant) //S~~j State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~.~.~E~S ...................Q............................................................ . Name of owner of premises ~~N.~1!-9.d..Y.~.f~?~1A.,..~,1,<N~bt~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOL& COUNTY LICENSED Builder's License No . . Plumber's License No . . Electrician's License No . Other Trade's License Ny.! ..~J1.~:'zr'~!~? ~f' ' z~~ 1. Location of land on which proposed work will be done : ' . ~/0lZTNU.~~f apO~Q Q /Oo C04In1tJ!?... ~N.~l<../:0^~,~...!~.B...AN~... I~/STA...~[_/f.rl~,• ..............4(~T.eH~?lodL'................... House Number Street Hamlet County Tax Map No. 1000 Section r~3. , , . Block ~ Lot ~ 6 q............ Subdivision l~/'STR ~L u, Ff , , , , ,Filed Map No. . 5~.~~ Lot . (Name) 2. State existing use and occupancy of,p/remises and intended use and occupancy of proposed construction: a. 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E ~ ~ r ~ ~ ~`~~~7E3~ NCt ~ !c' - ~2? s3.1 y~~ ( r ~ ~ - r.-. i ~ ~ ~ ~ l j ~ , f3 .c'PdC~~; ~ ~ ~ / STATEMENT OF INTENT irJ2.IC~ = - ~ , r r THE WATER SUlrLY ANC SEWAGE DISPOSAL t N.51~CXa E. 1~~-------~- - ~Z. t6 ~ _ . _ . _ _ _ - SYSTEMS FOR TNlS RfSib6NCE W ELL _---__-_.__-e ~ ~ '~r I CONFORM TO THE STAIiCARpS OF THE ~1 I b ~ _ ' rf1 j fib. gyp' Ac, ~U~ < F :i.>.iL SUFFOLK CO. 1:fEl~T. OF HEt9lLTH SERVICES: ~ i ~ I ~ ; ' r)'v~?N Cf- _;f 1. ~:~..L;, ~,Y Ig' APrLICA«* s. Q ~ 1 tg~~ ~ ~ SUFFOLK COUNTY DEtaT. OF HEALTH 51'5. ~ " (V.A~::AhT i ~ Q„ ~ ~ ~ 4k ` SERVICES -FOR APPROVAL OF Ao CONSTRUCTION ONLY DATE: 3 9? f t~ f- ~ ~ , ~ ~ ~n1 35 ~ t ~ a ~7J SUFFOLK CWNTY DEPARTMENT OF T SEAt/If~S H. S. REF.NO.: , _ ~ SINGLE FAMILY DWEllllr6 Y APPROVED: ~ ~ r ~ r~ ZBNCQ. - 1,,,~~ DATE.IUN 2 $ 19~^~.5. REF. No.~ `D( ~ gy~,gLp~S I ' ~ The sewage disposal and water suppl aci ties Inr this SUFFOLK CO. TAX MAP DESlGNATiON: _ - location have been irrspected by thi parhilent and/or gECT. BLOCK lrC1.. ! , F Sher ages ies nd lou d to be, ~ isfaotory. ~/k' ~ -':~C, 3`~ Chief Bureau of Waatewate Management p1ANt&RS /tCORE56: ,arc, ' M~2CLI~k NY 1 ao i r ,i ~ ~ G ~ ~ _ a . p ~ A4~EA=:26.12. S. F. ~f~„ ~ ,ray ~4 A@ ~EF,ri: raw, 7aV _I:L_, , c L ~ 8 eat NCs T E5? w 1 LET F.K7S. 1~EF~(?'"rJ ^'IAP ~ VV~fiA Fs+ Uf ~ , Ff~Ep IN t% ~ T"~{E BUFF CC3 CLE(21c S c~F~ ~~_E AS !~"At~ rv~ ~Ue~~. ~ ww to _ _ :.c.7ttTv^~,'~u fC~ t E t2 ~ M EA 1 ,i ~ ~ C,F`~ k ~ . ~UAI?ANTEED ~ TK4R TITE,E GtIrA,QA.NTEE ~ + ~ 2 - ~ i AhfD 1 ~ ~ '4'+~:J ``,'~D~ v~,r r3F, ~ _ ~ ~ MAY ENCEp -SEPT.21 VAM L, ~•E.f ~ - AW.I$11q~BQ LlCEki~Ri! LAN® SUR '~.-.t,"~`~-%~/ t , - JUN.15 { GRfENIbR7 1yE~IF VOIAMC L .Rr~t roF . - - T