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Home My WebLink About16825-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Zt7817 Date MARCH 7~ 1989 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 8960 COX LANE & 12950 OREGON RD.~ CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 83 Block 03 Lot 3.1 Subdivision GULL RIDGE MINOR Filed Map No. 544 Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11~ 1988 pursuant to which Building Permit No. 16825Z dated MARCH 16, 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 ATTACHED GARAGE. The certificate is issued to GREGORY & SUSAN BOYD (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-S0-10 FEB. 27, 1989 UNDERWRITERS CERTIFICATE NO. PENDING SLIP 2/6/89 PLUMBERS CERTIFICATION DATED GREGORY BOYD 3/4/89 Rev. 1/81 Building ' Inspector FO~M NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y* BUILDING PEI~41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE wORK AUTHORIZED) Permission is hereby granted to: ............................ ....................................................... at premises located at ..... ~..~ .~.....~. ...... ~'. ............ ~..~ ........................................................ County Tax Map No. lO00 Section ........... ~.]..'~.. ..... Block 3 Lot No. ..~...~.~ pursuant to application dated .....'~.. .............................................. , 10 ........ and approved by the Buildin~' Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTUOLD, NE~ YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND HOUSE NO. STREET HAMLET Owner or Owners of Property ....... ~ ~.~.~.,~J .................. County Tax Map No. 1000 Section .~. Block ...~.... Lot ~.~ .. Subdivision .................. Health Dept. Approval~ . ~...-~ ............ Plannl g Boa d App 1 ~ Request for Temporary Certificate ....... Fee Submitted: $ . ~..~.. ............... Filed Map ........ Lot .......... Underwriters Approval.~..~. ........ Final Certificate ...~. ........... APPLICANT..~ .... ../~.~. .............. rev. 10/14/88 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. ~F~ Owner ~p~O~r 00 (pleage prin~) Plumber 6~y ~o~ (please print) I certify that the solder used in the water supply system contains less than 2,/10 of 1% lead. Sworn to before me this Notary Public, ~/~f~. County L/ ~otary Public FOUNDATION FOUNDATION 2. ROUGH FRAME ~// PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING [ ]FINAL REMARKS: ~,~~ ~- 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []/ROUGH PLBG. / FOUNDATION 2ND [,/~ INSULATION DATE INSPECTOR > ~/~ 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST ~/ROUGH PLBG. [ J FOUNDATION ZND [ ] INSULATION [,,~/FRAMING ~ ~ FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~ST [~ROUGH PLBG. FOUNDATION ZND [ ] iNSULATiON [ ] FRAMING [ ] FINAL REMARKS: ~ DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~IST [ ] ROUGH PLBG. [~UNDATION ZND [} INSULATI°N BUILDING DEPT. INSPECTION [~OUNDATION ~.ST ROUGH' PLBG. INSULATION [ ] FOUNDATION 2ND [ [ ] FRAMING ~r ] FINAL REMARKS:~( (~. "~.~ P~ ,, ~)~ ~( SUFF.O_~ " '{St ': ' ,SUFFOLK:: C07~T Y CON~TR~CT~N ONLY-:':.':- ' ' SUFF~K CO.'~AX~.M~ DEED': L:ai~'" TE~T HOLE. TOWN BOARD OF HEALTH 'FORM NO. 1 SURVEY O. (%/.,. · , TOWN OF SOUTHOLD CHECK - BUILDING DEPARTMENT SEPTIC FORM .~'.~: .......... TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................ Examined ~-/./.a~ ...... , Approved' ' ~.///~;i/ ...... ,1~' '~' ..... 19 ~..~Permit N .~.4~.'.~..~. 7 .~ Disapproved a/c ..................................... (Bui~hg Inspector) APPLICATION FOR BUILDING PERMIT MAIL TO:~o~ ~[,% Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 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 Law% 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',mg for necessary inspections; ~ ........... d ;';i'"d .... .... i~i'g~tt~r'e'J~ j~;c~nt, or name','i~ [~;~ atio ) .................. 7 ........ ;z...~. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~.'.~..~.-.~..~..~.~...../{. · · · .~..~../Y/..~. .......................................... (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 SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land oj~ %hic~h proposed work will be done..~.~.>../~..T.,~..~/.,~..~...~p.~.(~.q... / ~ 7~~ House Number Street Hamlet County Tax Map No. 1000 Section ~. ..... Block ~..~Q~ .......... Lot. ~-.~.~ ....... ..................................... .... SubdivisiOn ~o~d_ ff/~-~ ~, ~o~ Filed Map No .... ~.~ ........ Lot ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~... ~(-~.dZ?....(-~ ~ ...................................... b. Intended use and occupancy . .~(~. 9.5 ~'... ~ ~ ~ ~.7... ~ {< f'.~. + ~ ~ ............................ 3. Nature of work (check which applicable): New Building .......... Addition ...... '..!. Alteration .......... Repair .............. Removlal .............. Demolition ............. ,. Ot~e~ W~r~ ............... , 2 ~ ~'~'~ (Descriplion) 4. Estimated Cost ~o,~ o t, ~ i Fee ...................................... · (to be paid on filing this application) 5, If dwelling, number of dwelling units... ~. .......... Number of dwelling units on each floor. ' ' . ........ If garage, number of cars . .~[... .................................................................. 6. If business, commercial or mixed 9ccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures,i if any: Front ............... Rear .............. Depth ............... Height ............... Numbler of Stories ........................................................ Dimensions of same structure wit~ alterations or additions: Front ................. Rear .................. Depth ..................... . Height ...................... Number of Stories ...................... ' 8, Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Numb, er of Stories :~ . . 9. Size of lot: Front .-~?(, tt4' '~ ............ , ............................... '/ ......... ................... Rear .-~. ,~..~'..~¢'~... .......... Depth . ~..~.,,tO,.~.? ........... 10. Date of Purchase . ~/~.~ff~..~..! ................. Name of Former Owner ~/o .~.o?.~.~../~..~ .~.o.~.~..,q~.~.~..~. .... 1 1. Zone or use district ir~ which premises are situated ......................... .~.,e..2~../u.~....~'..q.~?. ~.~-. ~.r ........ 12. Does proposed construction viola]re any zoning law, ordinance or regulation: .............................. 13. Will lot be regraded 14. Name of Owner of premises ~'~.,0~¥ ~',0 Address ~ ~o ~'F~ ~.¢, ,qu~'Phone No ~ ~' d~.,~ ~Z .~.. Name of Architect .~ ...................... Address ................... Phone No ................ Name of Contractor ~-~..~-r~.,¢~.. ,t?o~'. ~ ....... Address ~,.. ~...,v ...... ~... Phone No. ~/~.Ff'.': .'.~.~..~../(.. 15. Is this property located wlithin 300 feet of a tidal wetland? *Yes ..... No .~.... *If yes, Southold Town Trus:tees Permit maybe required. ; PLOT DIAGRAM Locate clearly and distinctly all ~uildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block n~mber or description according to deed, and show street names and indicate whether interior or corner lot. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signi tg contract) above named. He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dull' authorized to perform or have performed the said work and to make and file this application; that all statements cont~ ined in this application am true to the best of his knowledge and belief; and that the work will be performed in the mannerlset forth in the application filed therewith. Sworn to before me this ................ ( ...... day ofi .... .': .'~.w~ ........ 19 Notary Public .......... ¢ ..... Coun NO'(AIW PUBLIC. State o! New York No. 47078'/8, Suffolk Coufltv~' ~[orm Expires Nlsrc~ ~O, 19--.~ SU~.,~j~. HEALTH DEPT. APPROV L *~,-~ ~ ~'~ . s. NO. .. STATEMENT OF INTENT THE WATER SU~LY AND SEWAGE DIS~SAL SY~EMS FOR THIS RESIDENCE WILL surro x.c PT, o s .wc s. SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOr APPROVAL Of CONSTRUCTION ONL~ DIST. ,SECT. BL~K PCL. OWN~S A~RE~: DEED: L~ i ~ % SUFFOLK 'CO. HEALTH DEPT. APPIIOVAL ~.- ~9/~ ~ ~ ,<~ ~A~. ~ '"- ...... '~ : . x ~ ~ T0 T~ STANDA~ ~ T~ ~ ~. · .. _ .... ...... ~' ~.8;~ ~ .......... ~- .= ~: ..... , , . , . , ' ~ ~ ) .......... - ........ ~. ~cT. ~K ·~ '~ ....... 4 ...... 7~ }.~:- ~ ~ .... -I, ' ~~=~ ~:~::~:~ . ~.. ~~. -' , , ENERGY CODE CALCOL/'xTION5 ~XT~/~ (v~z~ C~¢u¢) i, 9/o i ~ o.o~ ~ ¢30 ~ D7 o. wo 87 o ~/~/~ / ~ /~&~ ~o o.'o~ ~9 0 Z~YlLT~ATI~ (vvZ~mC) /~LoO O.o/b i ¢70° 5) WI~WS - ~UBLE GLASS. 6) CONS~UCTION ~ MEET N.%S. ENER~ CODE. D/~/~¢ j; use IS UNLAWFUL WITHOUT CERTIFIC^TE If ~ lubln0 b used for w~ter di~ributing of lyp~ K or L only APPROVF. D AS NOTED NOTIFY BrUILDING DEPAR'FMENT AT 765-1802 9 AM TO 4 PM FOR THF FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CON~JTRUCTION MUST BE COMPLETE FOR C O. ALL CONSTRUCTION SHALL MEET gO/DER USED IN WRIER SUPPLy $¥$TgAf EXCEED 2/10 of I~ I..~. PLUMBER CERTIFICATION ON lEAD COIiITENT* BEFORE :F CERI*IFIC4TE OF OCCUPAIVfi'y F, uH PATI H Fb,^H THE REQUIREMENTSj OF THE N.Y. STATE CONSTRUCTIpN & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORSA~.' N 8" ~hick po~ed concrete round,ion Wall eyed to 8"xl'~" po~ed concrete 1/2" dta, ~n-corros~ve Anch~ bol~s 8~-0"o.C~ ~x.- 2'-0" @ each corner. --: lOO sf ~8" ~pe 'x~ ~p.'bo~d ~ove InsuLate all hea~[ng ~ipes in ~s~e~t to R ~.~ min. ceiil / / / L I6°', ~ t, tP.~ ~~- ,/ ' I i I i T r) ~ H ~1 ~ b i~VAT DRAWN BY NUMBER BY T ? L..u vl ~ Ld..._q_ .............. d ? f,~ L ¢.,,, t-IALL I'L Bq I'..P' '..¢ "r"' P C E s ~ p E., d c -