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Home My WebLink About19069-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19311 Date AUGUST 21, 1990 THIS CERTIFIES that the building ADDITION Location of Property 30105 MAIN ROAD CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 2 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 22, 1990 pursuant to which Building Permit No. 19069-Z dated JUNE 1, 1990 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 ADDITION TO AN EXISTING AGRICULTURAL BUILDING AS APPLIED FOR The certificate is issued to LEWIS EDSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 10l~1t N0. f TOWN OF SOUTHOLD lUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ i y~ 6~ Z Date .............~..LM..!~:?:..~....................., 19.~.Q Permission is heroby granted to: ......J..~t,"? ~....4~.....1 .....VVV....~~, r- , at premises located at ...~.,~.9?:.3..........~~:~..all~:.......~+!:vS......... A:4.A-+....~ ....~5,...(, e!:!-fr!4:G1......~K'mil'.s County Tox Mop No. 1000 Section ......~..G.~..... Block .....Q1......... Lot No...f.~ pursuant to application dated ..........~...•a::~:-••.••.•••••••••, 19.s.Q.., and approved by the Building Inspector. Fee S•5~:.../........ ......~.Q-:~....... Bu I or Rev. 6/30/80 Form No. 6 'r() I • TOWN OF SOUTHOLD /~[.GJ~ t~Z%~~-L-C~~!(,YS D ~ BUILDING DEPARTMENT TOWN HALL • ~X IZ/~ fW~7 2 765-1802 ~''~!-~~A,/~ f~7d~ AP ICATION FOR CERTIFICATE OF OCCUPANCY .1. Th s 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-4 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 1Z 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. 3. 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 consent to inspecC signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees Certificate of Occupancy - New dwelling $25.00, Additio well' 25.00, Alterations to dwelling $25.00, Swimming pool $25.00, ccessory building Additions to accessory huilding $25.00. Businesses $ ,2: Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 L'puateu Cer~ifica[e oY Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ' / Date .8 .-.~'y:?~? '7,•v Construction.....Y.... OldZO~r Pre-existing ildi'nyg........... (/~^,~,'""~~j :.~ca[ion of Property.r..~..~.L-1.~C:S.........~~i~C~•...... • S-.'~'r~`.u'•'•.. House No. Gam,.,, / Str~ee~t~~,~,~_ .-y~~H~amlet~,J -Inver ar Owners of Property •t••••••• County Tax Map No 1000, Section... ~'Q.Zt.....Block.....~'~ :......Lot.. l.~....•............ Subdivision ....................................Filed Map............Lot......f.\.~~.Q(..~.~.:_........ ?omit No..1~~~ :1.~..,Date Of Permit. ...............Applicant t',1 (iealth Dept. Approval....~~~~••••••••••••••••Underwriters Approval....~~~..... AA , Manning Board Approval..ll.l~~ Request far: Temporary Certificate........... Final Certicate...V....... • Fee Submitted: x.40333. ....~`~s... APPLICANT . cow I931~ I~~ " ~ 765-1802 ~ BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: J ~i~- DATE ? d INSPECTOR ' A/ i 'vim i c1cLD IGS1'~C:IUN ~~lli,:E COMMENT ~y-- ~v ~ 0 H FOUNDATION ( 1st ) y C FOUNDATION (2nd) _ m 2 . ~o~ z 0 • N ROUGH FRAME ~ ~ PLUMBING ? N N 3 . ~ m m I17SULATIOA7 PER N. Y. H STATE ENERGY CODE x a 4 . ~ _ y ,Jr l FINAL F~+ z. ADDITI011AL COMMENTS: ~ x ~y °`h. ` . ra ' x _ ro'N H ti ' 9 y ~ H ~ o r,, z z m A _ _ H ~ Z v m H B0,\RD OF HE,\LTN - SETS ~ PL.\:i5 FORrt N0. 1 SURVEY .y_~~• TOWN OF SOUTNOLD C11ECR ~ • • • • • - - BUILDING DEPARTMENT SEPTIC I'0[t:I . TOWN HALL $OUTIiOLD. N.Y. 11971 NO ~ y~„Y 7~ • TEL.: 7G5-1B02 C • • . / MAIL T0: Hxmnin~d .r<.VWt.. ~ 19 ~ t) ,~d.:°~~~..~1~,?v~..... . Approved ~.,1"~'Nl. J.., 199.4 Permit No.J ~ Q(/O,Q ~ j~'i~~:p ~~.'70~. D'uaPProvedalc . o,~ ~ MAY 3 I I~ ~ . y~ I (Building[nspector) V APPLICATION FOR BUILDING PERMIIT TOWN OF SOU~THOLD Date 19 9f.~ INSTRUCTIONS fry a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans,aeeurate plot plan to scale. Fee according to schedule. b. Plot plan shoving 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 ispart of this appli- cation. a 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 [he appiiesrt. 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 part for any purpose whatever until a CertiSote 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 Lams, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for iemova! or demolition, as herin described. The applicant 1gteC5 to comply with all applicable laws, ordinances, building code, housing code, and resuLztions, and to admit authorized inspectors on premises and in building for necessary inspe tons: • (Sig plica t, - ame. if a corporatton).. . • (Mailing address of appticani~ State whether applicant is owner, less ,agent, hitect, engineer, genera! contractor, electrician, plumber or builder. Name of owner oCpremises . LEIACIS EjX~Gl _ . (as on the tax roll or latest deed) IC applicant is a corporation, signature oCduly authorized officer. (Name and title of corporate ofliccr) Builder's Liccnsc No...... ~:3,C`?.74 • • • • • _ Plumber's Liccnsc No. . Electrician's License No. Otltcr Trade's Liccnsc No. N~~.......... . Location of land on which proposed work will be Jore; 29925 M!•~f) H'?'.1'..f,1~Y•~C.IE; flousc Nunrbcr ~ Street ~ ~ • • • - - " • • atn c County Tax Alap No. 1x00 Section . ID!?..... • Bluck Lot . • . Subdivision ~ F.ilcd Afap No. Lot . . (Name) ~ State esistin~ use and occupancy of premises and intended use and occupancy of proposed construction: - ` r 1 0 a. Existing . /~(~i~..ie ' : ~ ~ t=~'Y . ~uscand occupancy ...y b. Intended use and A ' " ~~~y {C~~1y occupancy C`CLf~SOeS`~.. - ,,ic~~lA _-tLav~rrc.V _ i ~I i I~ ~ l~ " _ ~~u F t F vATlcaN - - - 1 ~ ~ ~I ~lJlq~ ~90_~9_+~ ~ I . 1 F;,~'.. - , per. ajb' - 2. R;)UGH FRAh4".r. ,~7~~1\GQ~~ 4. FINALp(lOti.C:> -„t`~ `_G _ _ ALL CONSTRi~{: {'1>7 PJ SNh LL 't<t ET i'- ~ ~QP THE REQUIREMENTS OF THE N v ~t C` w r V STATE CONSTRUCTION & ENERGY J - - CODES. NOT RESPONSIBLE FOR °3°~ DESIGN OR CONSTRUCTION ERRORS ~f DRAwN sr: Fcc.; DATE: _ _qC ~ LGkJ ELXG_.~i ~SAw1A'S CNr--- _ -'Iv~1-~~~.. F~'t,!Y~._ oEr~cE i18-Psisv.~cen scAiE. CNE CRED 0Y: DATE: MOM BUILDINGS INC. ~ ~ u JOB NO. ~'d9-~~7.SJa SKEET NO. REVISED OY: DATE: t I ~?1-~~'"'ClU~~..~_L-__..__-_. z of ZFD~-, ~t7 r 3 (Z) 6QS~ F~J-f~l R~~ i i 3pG8 P~%.-= F~JT~'~ Dom? • ~ 'Xlz' I~cTeSC.~ ~r1T~/4 D~ ~ ,4IJ7: =.~SElJ~v1NtNZ~iLS ICI ~ ®•O" ' ~ ~ ~ ~ i - - - - - - ~_-tom ~ u u ® ~ ~ ~ ~b o ~ _ - ~ p I ~ 6 I 6~, I ~ i I i yz' x k~' ~ E7CSS7YlJ~e l5~ - ~ ~ b ~ ,(P l . ~ ~ ii I ~ I i i ~ I I ~ I~ ~ I'~ i I ~ j' a ~ i ~N Y Y ~ ~`1 h R ~Ti R I"If-1 h - __n_._t - po I 1 /SO' - DnAwNer: onrE: ® -1~i 'r 77vtA 7.P.£~. J~4XM /'B-Ps?E1'.tl'~FL~ scA~E ~ - NO CNECKED Br: y 5- MORTON BUILDINGS, ~ ~ ~ ' OFFICE - DATE: i _ / G:B ~ G/ ~r ~ NEVISED Br: DATE: ~ _ ~4. - ~ JT~~~TU~ r/~ J.- JOB NO. of