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Home My WebLink About27195-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28317 Date: 04/03/02 THIS CERTIFIES that the building ADDITION Location of Property: 27320 MAIN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 27, 2000 pursuant to which Building Permit No. 27195-Z dated MARCH 29, 2001 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 STORAGE BUILDING AS APPLIED FOR. The certificate is issued to CUTCHOGUE-NEW SUFFOLK HISTORICAL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 56030 01/08/02 PLUMBERS CERTIFICATION DATED 01/26/02 J ZEUS PLUMBING & HEAT /X-4� A( horiz d Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27195 Z Date MARCH 29, 2001 Permission is hereby granted to: NEW SUFFOLK CUTCHOGUE PO BOX 714 CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ADDITION TO AN EXISTING STORAGE BUILDING AS APPLIED FOR. at premises located at 27320 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0005 Lot No. 006 . 001 pursuant to application dated OCTOBER 27, 2000 and approved by the Building Inspector. Fee $ 150 . 00 �t� n Author d Signature COPY Rev. 2/19/98 , , 7 �j =l//�' 8 j Form No.6 TOWN OF SOUTHOLD _.....__ __.,, BUILDING DEPARTMENT TOWN HALL - _ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 1% 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 consent 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. v ell New Construction: Old or Pre-existing Building: l/ (check one) Location of Property: House No. l / reet (' ' / amlet Owner or Owners of Property: (�7(/�J ® ��" ✓y� 0 �S Al n LP//Sv A ) Suffolk County Tax Map No 1000, Section l �,� Block Lot Subdivision p r Filed Map. Lot: Permit No.P47l ! 7 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitt d: $ 12�5 Applican ignature TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 u' TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No. -7 ` J - Owner Cv-re-li oq u c N(S-70'r Ic"o c.. (please print) Plumber J , Z.ec`S 4 (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber ' s signature) Sworn to before me this d8day of %C6�� , C JI - Notary Public Notary Public, S 14"U- County JAYNE P.MARTIN Notary Public,State of New York No.7738235 Oual8ied in Suffolk County Commission Expires Jan.31,a4D 0 3 �1 i • Electrical Inspection Certificate Date Electrical Inspection Service, Inc. Application# ;�•.'. 1/8/02 375 Dunton Avenue 56030 East Patchogue, New York 11772 (631)286-6642 Issued to: Cutchogue Historical Society Street: 27320 Main Rd Village: Cutchogue Zip: Town:Southold Section: Block: Lot: s' Introduced by. Lademann Electric Inc. Lic.# 4141-E was examined and found to be in compliance with the National Electrical Code ❑ Commercial ❑NV Defects ❑ Pool ❑1st Floor W Indoor ❑Basement ❑ Hot Tub ., ��; �i•i ❑ Residential ❑ Det. Garage ❑Attic ❑2nd Floor ❑Outdoor ❑ Addition ❑Survey � . �.,•�-.•tee.:, Switches Receptacles Fixtures GFI Heaters A/C Fans 8 10 10 2 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal 1 40 Furnace Oil Gas Circulator Smoke Detector Bell Transformer ti•~_ Meter Amps Phase UG/OH Telephone Television Carbon Monoxide 1 200 1 ❑V ❑ Other Equipment. Building Permit barn 12-track Q - Hugo S. Surdi �> ray President a „• Rough Inspection: 9/18/01 Inspector: Quentin Reynolds Final Inspection: 1/8/02 ?y - Inspector: Quentin Reynolds �. This certificate must not be altered in any manner.Inspectors may be identified by their credentials ,~ 2 765-1802 BUILDING DEPT. -INSPECTION ZFOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE [ W� lnl INSPECTOR BUILDING oar. INSPECTION [ ] F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: L./^,� C ,DATE @ INSPECTOR �"+� ass-isoz BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ OUGH PLBG. [ ] FOJJNDATION 2ND [ ] INSULATION [�YFRAMING [ ] FINAL [ ] FIREPLA & CHIMNEY r REMARKS: DATE INSPECTOR -2 / �� 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RH PLBG. [ J FOUNDATION 2ND [ INSULATION [ ] FRAMING [ j FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: eo S271I >v DATE /0 // / d INSPECTO BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY I /' T REMARKS•• 0 � C4-jl � S DATE � �6 �Y INSPECTOR M-isos BUILDING DEPT. INSPECTION i [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU N [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE -31(0 AINSPECTOR J u u 'v Q UNDAT ION ( IST) II u "- --- - - - - --- ---- - T� - Ir- n - - - u u ---- -----I II II - Cy UNDATION (2ND) -- ---------------- a - - I— Z 'Ij UGH FRAME & - AA � PLUMBING II ore. �- II -II SULATION PER N. Y. ii b — NH STATE ENERGY 1 -- 1� a CODE I — �± N u II q --------------------- --- II � -- Ij ob O i! Aoo C�1 II 11 ,3 FINAL __II --_----ADDITIONAL COMMENTS: � Oy 'ZIZZAA "05 i . I v r --- --------------- r� BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . .. . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL Examined.................. 20.... 77 (—v MAIL TO: �ONo+no #E«+1Z Approved...3.0n-1...... D.L Permit No. 9.7 J�J v Eo�X t-9,2 Disapproved a/c .................................. .. I�1X'K ....................................... ......... ir r (Building I to ) OCT 2 7 APPLICATION FOR BUILDING PERMIT. Date. . .a12o . . . . . , 20R0- I INSTRUCTIONS a. Ihis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan snowing 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 application. c. The work covered by this application my not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICN IS HEREBY MATE 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 admit authorized inspectors on premises and in build' for neves inspections. ....�....... ................................ (Signature of ...licant, or name, if a corporation) :F.C)..� I.g2}�'16�1 1�........... ........ .............. ........ (Mailing address of applicant) Statewhetherapplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder A,R! I e:--T ......................................................................................... ......... .... Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ............. 4 Plumbers License No. ......................... Y Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done...VILV �.. ............................................ �`�!�...IZOADCAse=s IBJ.J...�U1ClIO�i ................................ ... ... .. House Number Street Hamlet County Tax Map No. 1000 Section ° 9 Block ...... Lot ....6:.�. ................ .......... ....... Subdivision ...... .............. Filed Map No. ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....��:N...............................EIHTAT7AffT ?1LT113" b. Intended use and occvPlzb(LN- NODI-now I Vva) Flo•>'rfc,�1.ltsa�tiY?;ATOM Y ..... ..................................VIOVIC��- :;::'.CS l . ! N•nture of work (dieck which applicable): New Building .......... Addition .! ....... Alteration Repair ............ Removal ............. Demolition ............ Other Work ............................ ...... (Description) Estimated Cost .. r�fQ .:............ fee ................... (to be paid on filing this application) If chaelling, number of dwelling units ..1........ Number of dwelling units on each floor .... ............ If garage, number of cars ...... ............................. If business, commercial or mined occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures if 2.0r i® h ` • � any: Proot...�........... Rear ............... Deptlh .. .......... ..... m height ....�1.................. Number of Stories ...�.�.2.............. Dimensions of same structure with alterations or additions: Front .:!-R........... Rear .... ........ Depth ...Y b............... Beight .......lP?:......... Number of Stories ..!.!?......... Dimensions of entire new construction: Front I �' Rear Depth .. �� Height ...��r ...... Nmber of Stories .....� ............. ............... Size of lot: Dont ... ............ Rear . Depth bi.9 .......... 0. Date of Purchase ..................... Name of Former Owner ........................................ I. Zane or use district in which premises are situated ...J:4�.................................................... 2. Does proposed construction violate any zoning law, ordinance or regulation: ... N o ..................... 3. Will lot be regraded ....�V............ Will excess fill be removed from premises: X YES NO cu T�OGcs 6-�ICLv b U�b cK 4. Names of Owner of premises Address No. Name of Architect .1. .......... Address .. aN.. ..F.M.!J.r.? �Phomhe No. 2.1a:.54�53 Name of Contractor ....ff.k=t`.aR:!`16.................. Address ............................... No. ..................... .............. S. is this property within 300 feet of a tidal wetland? * YES .......... NO ..x..... *rF YES, 9WMD TOWN TRDSIMS PERMIT MAY HE R[QIIRFD. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ran property lines. Give street and block number or description according to deed, and show street names and indicate Nether interior or comer lot. ?LOT PSN oto Cont✓7Yi•�cTls� PNS i wir or NW Yow, SS JU`NNly ((1F ...... ....... .......... • ••!�aw l ueg—•..........................being duly sworn, deposes and says that he is the appl.icanL Herne of individual signing contract) rove named, isLhe ..... P......... 1.s...1........................................................................... (Contractor, agent, corporate officer, etc.) f cart rvrwr nr nwrwrs, and is rhmly authorized to perform or have performed the said work and to make and file chis ppl cction; that: all sLatemenLs contained in this application are true to the best of his knowledge and belief; and ihaL the work will be performed in the manner set forth in the application filed therewith. ;porn Loc before me this L?` ........day of .......... `� / Notary Rub i . .... ..................................... ELIZABETH ASTATMIS (Signature of Applicant) NMARY PUBLIC,StateotNewYodt ft(IISTTWM F�xpinn June 8.20aplZ- ISIi�G : G�,-I�RncTo¢, To Nlnw Tc,r OUTLINE ' QPFr IEICATIQNS - "c (i) Zne= - r1 - C ) 2 g _ z) 2xg t •'• ?UE. muV 14iIt.M�`FI�T, SIG6V'RD _ - m 1 3-I�f 1 G' .. t. CdWecWt 4 to wdry aN d FuNnslieidlu in 1M Mld::�nd N q/n9Yly iM Arddldct ��VFM T rDN NOk. may • �� J 1 T. ' +.4' 4'i' PI+aWxa - deny dlhNCR or.dwaeprndM dgrEls ekx�l¢sNrI, '�PRso°orr�' pIXYa�a not b, wthemnimumfJIiWAsnYIFd+tMSwp�wlbne4lai,•.a+ _--� ot '�. PpYedgOyFlp�eh�fQ,R6teIl UAQ({tUdlpd�Dll 2 Qa1PMe-.""y.�^��4e 1G41h11elO QliW.p E1. . � _ I p t fln f�INd kWhfe�r�°pwupa��Yt a i$ '.6i.,1,300 , IL �` rs - ��o�� 9 � 2. ENpU•JEE{tEq Cfdp�glP+�A42oE8tP#ArRkVY, G�L��-IL �JP6.�>i o � � I �Yf=7U_IG� j�t7v1-I CiI>TI!�I-( afSItWG Ced►It+BY , 'f�nplpEab CGANt.: YAC. ��cri I s, a agdi 'raw, r wnh re on i rumir�!n+wG j rt GUTfER61EAUnr¢l11Wf '- q, _ d� 3%a. x�l /x �'•'cvur, _-_. _ d. u , FTI 1 '2tSUdNS r'uwl,biYltidloprt'ndAet/, : .I6". -`1 �I + , � o �T t.o , A x FF Q- �CT,@I21QI{ Id (1TF'�{k (If�`fQl#.S PIIRIl�1I311 fCldlN pMlDt•. �1 y�� } ` 2• . IN?EfSL I?^F'WinMr AIghAole�lpcpids4 LI I'.r APPRO ED AS NOTED G - 450'50- ps \�J�• DATE: ?7 b e,.P. �`a�7�� 9�5, _- - L FEE: EYE ��765-1B11 i 1 ' .,..,!: C NOTIFY BUILDING D PM F TAT - (-- —T FOLLOWING B AM TO 4 PM FOR THE _ 'jR�.},16�11 i IG.•r,^"Vse.l7 `�' IF-� ,• - r�.p, FOLLOWING INSPECTIONS: d" � .,�,(enL 1 FOUNDATION - TWO REQUIRED ' --L / r F1cs-L) -'f— 0 ! \ F. I T-� A T 10 � '�--�I h. F•. I ��4„ FOR POURED CONCRETE M I l/ LJ \ �I LJ L.} 0 I —I LATA TAK,EM MlbM ZUFLVey� � .TOHN �NL.�F..S 'DI`T� Dr) 7 14 1 xX+ 2. ROUGH - FRAMING & PLUMBING -- R, lz hUJ L^1-( t~ItIL er•{ � , 5T ,M 1,,, aR,N 3-70 5p �JGTck A4P9 ik ICJIX7 \C.wl - 5 �. 1 3. INSULATION ) �-ll lc� PR,o po 3Er� .� ITlon.1 540 5F 1 v2el T ? ( � �Q'7. 5F oK 1 . ?R, ¢GQ E^ 4. FINAL- - CONSTRUCTION MUST 'L' lo' S p" I` Q'-0" I, /� TC)TO L q to BE COMPLETE FOR C.U. 70IaE. re- 40 ALL CONSTRUCTION SHALL MEET 301-0 ' THE REQUIREMENTS OF THE N.Y. ----- -- -'— ---- p..I ['-� 810„ it? PGro 13� �•PN 5-Rc'x-Po STATE CONSTRUCTION & ENERGY DESIGN OR CONSTRUCTION ERRORS _ '.__ _ -- I I P k - _. _-- _ _ _ _ _ _ EY- T �'I - 'fit' CODES. NOT RESPONSIBLE FOR - o - b�GK, 1� r`r pF�.pry 1p� y�1y,�� a ., Vv V Q n fLn MP {nwM 1 1 B I 12 P TGN 3 to E IS UNLAWFUL � � H UT CER IE C ----- -- -IIT • -- _. - - - - -- -- 1=X1 TV I - - — - OCCUPANCY g - ' �- --- -- -- - - - --- - - - ---- - -'--'_ - � -- - ilk'. , 1 �I J ` `4 - uv I I"" 5aC��PA9�SI Y vr," 1611 t - wn sTa 9wlw u - - .. --_.� • z L x' �b HTS crat,Nfj T -- ON LEADCONTEN,TBEFOIRE' PLU BER II N 4 y%1 ST 1 n1 W re s ,' i I — CERTI�CATECO CERTIFICATION " Hw- � Fk _ - - n,..n �� T, x r — wo � , SOLDER USED INW4TEI3 m N w X=.ti+ EXCEED 2/10 0 9% ISUPPLY SYSTEM rh e - - - _ 61Nw j! -- - �, vB PINE ¢ �I�` �xrisceu �GITGRE Nor GooJl F CAI wcop ?ccF �� cv - 14z6ws,w ,4cty \yQ ra fyI -"w I ' I NDERWAITERS CERTIFICATE N copper tubing iea - �, ,y I REQUIRED for water distributing -" 3 i I'I, L-j K \. 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