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Home My WebLink About16865-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17745 Date FEB. 7~ 1989 THIS CERTIFIES that the building RENOVATE & ADDITION Location of Property 595 CLEARWATER LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 118 Block 02 Lot 14.01 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 25r 1988 pursuant %o which Building Permit No. 16865Z dated MARCH 30r 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 RENOVATE & ADD TO AN EXISTING ONE FAMILY DWFJ,LING. The certificate is issued to SANFOPJD & SUE HANAUER (owner, ~) of the aforesaid building. SUFFOLKCOUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N050284 DEC. 15~ 1988 PLUMBERS CERTIFICATION DATED CHAP-LES SANDERS 2/14/89 Rev. 1/81 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) County Tax Map No 1000 Section .... J..I..~ BIo~k ........ ..~....l~.. ..... Lot No .l.q'.'.~ I pursuant to application clat~l ...... .~.~.~)~...~..~.. ...... , 19.~.~., and approvmJ by the Building Inspector. Building Inspector Rev 6/30/80 TO~N OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, HEW YORK 765 ]802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ................. NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET County Tax Map No. I000 Section [[.~... Block O~ Lot /~.~0/ Subdivis£ou ....................... Filed Map ........ Lot Health Dept. Approval ... Planning Board Approval .. Request for Temporary Certificate ....... Final Certificate ................ Fee Submigted: APPLICAN~~--~ C o Z197 rev. 10/16/88 FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADI ?IONAL /×-' / THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY T--- 85 JOHN STREET. NEW YORK, NEW YORK 10038 DaI~ Application No, on file THIS CERTIFIES THAT o~ly t~f e[~tric~ ~quipme~t M described ~ ~ i~M by t~ ~t MM ~ t~ e~ ~g~ numar in t~ ~mM of w exami~ ~ a~nd ~o be in ~mpllance wi~ the r~ui~me~t~ RXTU~ RXTURES RANGIS OVENS EXHAUST FANS OUTLETS SWITCHES D~YIRS FURNACE MOTORS ~UTURI APPUANCI ~ TIMECU)CKS UHITH~ATLqES MULE-QUTI~T DIMMERS SYSI~MS SIRVlC~ DISCONNICT S E R V I C E LI:(;I,:NSK NO, ~4f~'~-~, This certificate must not be altered in any manner; return to the office of the Boord if ~c~rr~."lnspectors may be identified COPY FOR BUILDING DEPARTMENT. THiS CQ4~ OF CERTIFICATE MUST NOT BE ALTIRED Iii AHY MM4W, R. TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN tlALL $OUTItOi D, N Y. 11971 C E R T I F I C A T I O ~i TEL. 765-t802 Date Buzldzng Permzt No. Owner ~,~'~--~ ~ /2~,,~ (please print) Plumber ~_,~'~/~j (please prznt) I certmfy that the solder used in the water supply system contazns less than 2,'10 of 1% lead. Sworn to before me thzs County (p~mber's signature) ALFRED M. ~ ~ Notary Public, State of Ne~Y~I; No, 478807~ ~u~hfied ,n Suffolk Coumy o,~ ~ .... mn ~:xmres March 30, 19J~ 765-1802 ,BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~FINAL DATE INSPECTO~ 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING r~AL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~r '~INAL REMARKS DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ]INSULATION FRAMING [ ~'*]~FINAL DATE / / INSPECTOR 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ? ~ ~ ~F'~ ! ~*~. DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION 2ND ~"INSULATION FRAMING FINAL REMARKS: /- BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]~ROUGI'I' PLBG. ,] FO.~DATION~ 2ND 1- ] INSULATION FRAMING [ ] FINAL DATE ~'~h ~ ,,- 765-1802 BUILDING DEPT. /~ .~~-tNSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~/~RAMING FINAL 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ RO~~UGH PL.BG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION / [~ ~/OUNDATION 1ST [ ] ROUGH PLBG. / FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE BLDG. DEPT. ...... TOWN OF SOUTHOLD BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY ....~.. 'H'f~ .... TOWN OF SOUTHOLD CHECK ......... BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL FORM ............. : Approved ~¢:~.~ .c~..¢-~ , 19¢~ Permit No l/~. f~..~" .'~ Dmapprovcd'~/c ................. (Bmldmg Inspector:} MAIL TO: APPLICATION FOR BUILDING PERMIT Date 3 - 7..fi- .. ,19gg.. INSTRUCTIONS a. Tins apphcatlon must be completely filled ~n by typewriter or ~n ink and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of bmldmgs on premmes, relabonsinp to adjoining premises or public stree or areas, and giving a detmled description of layout of property must be drawn on the diagram which ]s part of thls appl cation. c. The work covered by this apphcahon may not be commenced before Issuance of Bmldmg Permit. d Upon approval of thru apphcatton, the Bmlding Inspector wall msued a Budding Permit to the apphcant Such perm shall be kept on the premises avadable for inspection throughout the work. e. No huddmg shall be occupied or used m whole or tn part for any purpose whatever untd a Certificate of Occupanc shall have been granted by the BmldLng Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmld~ng Permit pursuant to th Bmldtng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances c Regulahons, for the construction of buddings, add~hons or alterabons, or for removal or demolition, as hereto describer The applicant agrees to comply with all apphcable laws, ordinances, buddm~smg code, anC/egulatlons, and t admit authorized inspectors on premises and in budding for necessary.~n~. ~..~ (Madmg address of apphcant) //7 ~. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrlcmn, plumber or builder Name of owner of premises ,~'f.$' r'&? .~./~/t~'~ Z ~ .... ~9~_a. ~ .... (as on the tax roi1 or latest deed) If apphcant Is a corporation, signature of duly aathomzed officer (Name and t~tle of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ......... Plumber's L~cense No Electrician's License No ...... Other Trade's Lmense No ...... Location of land on which proposed work will be done ~ '~ ff .. ¢,c~.~,~ .,¢,~'j~.. House Num her Street County Tax Map No. 1000 Sechoa Hamlet Block O'l'''~ ........ Lot. Subd~vmlon (Name) ' .. Flied Map No Lot State exlshng use and occupancy of premises and intended use and occupancy of proposed construction a Exmhng use and occupancy .... ~..4~/~ ~ .~'~./y./~..~... . ,¢~_...s. '/..~ .~.~ .~ .e~. ......... b. Intended use and occupancy .................................... Nature of work (check which apphcable) New Building .... Repair . Removal ....... Demolition Estimated Cost .. . .~.../,,g If dwelling, number of dwelhng units. If garage, number of cars ....... Addition ~ Alteration .. ...... ,... Othe~,~ork ...... (Descnp~tlon) " (to be paid on filing this application) ........ Number of dwelhng units on each floor .............. 6 If business, commermal or mixed occupancy, specify nature and extent of each type of use ..... ,. .,, . 7. Dimensions of existing structures, If any Front. '~:q ? Rear "¥~"-q'.'. Depth . ~ Ok.~.° . Height Iq" .... Number'of Stones . ' ] dig" ..... L ........... r '. Dmaensions of same structure with alterations or additions Front .... "'[-5 7 ~ . Rear ..... Depth . ~ 'lr.'.'~>: .... Height ~e~,o e,,r. ~_ q '5. '~'/~' .. Number of Stones 8. Dimensions of entire new construction Front . ~ fi" °k'. Rear . ."~ ~.': ~':.. Depth 4 Height ~..q :' 3.'f~." .. Ntm~b~er of Stones ~ .. 9. Size of lot Front ggo Rear 4/.°'' ~'' Depth 4 ..... 10. Date of Purchase .... .'~rl~.~'~.' ...... Name of Fonner Owner . ~..~,~.~.~/ .m~o.~....r-~..~ 11 Zone or use district in which premises are situated ......................... 12 Does proposed construction violate any zoning law, ordinance or regulation ........ a~.p .............. 13. Will lot be regraded .... at'.o ........... ~_V~ll excess fill be removed from premmes Yes 14, Name of Owner of premises . .:xo.~ e'.,,x~.,,,j~..~_~ ~.o~rress . .~-:1(~ ~,p~,t,t~r .~O. Ph,o~°°j~ff~''tv Name of Architect . l/.A c ...~. q~-. A-.. . Address C4o m~..o~.~t~'{.~'.~ . P~'~e,~oo.~' ,~.v;..,,i/ce- Name of Contractor ........ Address ............ Ph,,one No ........... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..~<.. No ..... *If yes, Southold Town Trustees Permit maybe required. PLO~T DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property hnes Give street and block number or description accordmg to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S S COUNTY OF .... (Name of individual agmng contract) above named. being duly sworn, deposes and says that he is the applicant He is the .. dS) .~o/~..~.~. ............ (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the said work and to make and file this application, that all statements contained m this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth m the application filed therewith. Sworn to before me this ........ ~.~- ..... dayof ...~...~. .... 19~>? ~..~ NotaryPubhc, · . ~..~t..~¢..~..~... County ~ ~ ----~/ l~m a~t~ ~,~c~ ~, 1~ ¢ / / ~ (S~gnature o~ appncanr/ L~T ~ WITHOUT CERTIFICATE ~~ ~ f~ jl l ii II It II .L Yee~T e4~ ~Fym) 5 IZ ~L. ev~, oJ $°,oT~I l- , 595 /-..L-c~r<.M,,,,T¢-.m LA,