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Home My WebLink About17032-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217120 Date JULY 27, 1988 THIS CERTIFIES that the building ADDITION Location of Property 525 WEST CREEK AVE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 13 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 9, 1988 Pursuant to which Building Permit No. I7032Z dated MAY 26,1988 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to DAVID WAL5H AND WIFE (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Ins ctor Rev. 1/81 xosai xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF 7HE WORK AUTHORIZED) No 017032 Z Date .3~a~ 19.~~ Permission is hereby granted to: ct premises located at .......4~~r~.:.r ...................................................L.lrrr.••C ,r County Tax Map No. 1000 Section Block ~.'~....~Lrot No.......~ pursuant to application doted ......s,~,/.~ 19.4L7.., and approved by the Building Inspector. / pd Fee ~ s I a~)~~ , 3~{ G G ding Inspector Rev. 6/30/80 ~ ~ a FORM NO. 6 TOWN OF SOUTHOLD Building Department 2 ' Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPA Instructions A. This application must be filled in typewriter OR ink, and submitted to the Building Inspec- torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: ~ 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory-$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ I 0 . 0 4.Vacant Land C.O. $ 20.00 ~~Z ~ 5. Updated C.O. $ 50.00 Date ~ NewConstruction,,,,,,OldorPre-existing Building Vacant Land Location of Property~~..~: C'r-e e lL A?~ ~ `l : hca House No. M Sheet Hamlet L Owner or Owners of Property ! r.~r~. ~ t"s..~a.~!. T~.... County Tax Map No. 1000 Section Block . ~ , Lot . , , . Subdivision ......Filed Map Lot No. , Permit No. Date of Permit ~~'Z.~.'...Applicant . . ~;G'~?~ . . . Health Dept. Approval ...............Labor Dept. Approval . , . Underwriters Approval - ..............Planning Board Approval ' . Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ a.~'. G~.~ . Construction on above described building an ermit meets all aylpliCable codes and regulations. Applican ~~-y/~ C/-~-~ Rev. 10-10-78 ~ ~ C.D z/7/ao c1ELD 1G.~,:`L~:iut+ ~~U6:z• Ij ::Oi~1MGNTS - - ,b ~ 1 ~ ~ O a ~ .,y T H~U FOUNDATION (1st) c d FOUNDATIOW (2nd) - m 2. z o ~ ROUGH FRAME & PLUMBING H 3 . x' cn INSULATION PER N. Y. y STATE ENERGY ` CODE x b ad K 4. L FI;dAL o* ADDITIONAL COMMENTS: s ro ' x ro H 9 H O z f x~ a r~ H x c7 m -o H Sas G~~-~G~.~ Vie.. 7rs-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND (]INSULATION [ ]FRAMING [ FINAL 4 REMARKS: /fit DATE ~o~~" INSPECTOR 12D3~~ ~sS-isoz BUILDING DEPT. rNSPECTioN [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ DATE _ '~~~~_INSPECTOR ~ _ _ - - - m G- f" - ltl ~ ~ - ~ ~ - r-- - ~ i ~ ~ ~a rn ~ ~ o - ~ a i - - _ a~'~ mil- cnr"' - I_ - - - - ~mrn ~ - - ~ x. r - o m. .I _ ~ rn~ - ~~al i v - _ - ~ ~ ~ - _~.c- _ - ~ _r _ 1 _ - I, ~ i if _ _ - - _ ~i - - r ~ r _ GG_ ~ I - - _ _ _ _ - - - - ~ 1- - ~ ~ - - ~ - ' - - - - . ~ . ~ - _ rnrn - - - - - - ~ _ _ _ I ~ v ~ i ~i - ~ c;' i - (IJ i - - = ~~r - r H 1 - I = - - - - - - ~ ~ _ ~ . - _ ~ _ _ _ _ i i_ ~ i I C_ ~ - ~ - ~ a- (?-~l G - - - - - - --~-1 - ~ ~ ~ -~-o - - rn-- ~ - - - - - ~ a~, ~ _ ~ . ~ - _ -~rn-~~,- i _ V _ _ - - _ - - - - - - - - -I -I- - ~ - - - _ ~----i ~ ~ ~ ~ - - - = FORM NO. 1 TOWN OF SOUTHOLD MAY - q ~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 g~~G DEPT TEL.: 765.1802 TOWN Fgp~HOLD Examined .~'.~!j. • • • . • • • y~~~ Received........... , 19.. . Approved .,j/~• • • • • • • • 19.~:/.lPermit No. Disapproved a/c . .........................................~..Q.~,/~ ( uildin Inspector) APPLICATION FOR BUILDING PERMIT Date 19 r~. ~ 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. Plq~~ oic~$1~"a1d~tlon of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, aye cT escription of layout of property must be drawn on the diagram which is part of this appli- c. The work peered by this ap ~ ation may not be commenced before issuance of Building Permit. v~,~ >;ic~~~ n, the Building Inspector will issued a Building Permit to the applicant. Such permit ~ a' shall~e ~ t~ t~e~p~re~pldtas ~~~b~~ or inspection throughout the work. e. o baj;>~}g s yr used in whole or in pazt for any purpose whatever untii a Certificate of Occupancy sh anted ~~gn~Inspector. p I D to the Building Department for the issuance of a Building Permit pursuant to the Bu nef s cS'vtof Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re la o S h~ln"~f l~Uildings, additions or alterations, or for removal or demolition, as herein described. Th~`~2~~"~~S ' . Q,~ ly v{ifh all applicable laws, ordinances, building code, housing code, and regulations, and to adr~tIth1~>~ ~ ~~eirirs~s and in building for necessa~insp~e~ct~ions. "d.iA e",Y Sri'?I~1.1~,, L ~s ~ ,3RfCaS.,°;, ~ 3ra ~ . (Signature of applicant, r name, if a corpora Rio 9)7 / 9/ 1'//, s°~aj~,€,s;"4f;.r 6.vU~/.{~~!voo~, c~q1./..So~r9`hp.1d.~..11.~r7..... Uv (Mailing address of applicant) ll! State nwhether/ ap/plicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. /J !.t/.1.4.~.~ Name of owner of premises rn.~". Yl'1 t"$ ~ 5. h . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~ ~ ~ 9• : • • f ~ ~ Plumber's License No. Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . ................~L................................ . House Number /n~St2reet ( Hamle County Tax Map No. 1000 Section .....l Crl~ Block 1 . • • • • • • • Lot .....1 r~. • . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises an`d intended use and occupancy of proposed construction: a. Existing use and occupancy ....~C': S. t .4. ~.h.4KC . b. Intended use and occupancy .a. `M.1C . F 3. Nature of work (check which applicable): New Building Addition r . Repair Removal Demolition 1, „ (+ri 4. I'sstimated Cost D Q, c7 ~'O Fee (to be p d o Just this application) 5. ]'f dwelling, number of dwelling',units .....1.......... Number of dwelling units eachl ~Oi°~?:'..'w~'.~:`~c~~:~~.. . If garage, number of cars ; .::-rr . 6. ]'f business, commercial or mixed occupancy, specify natµre and extent of each type of use ~ . 7. Dimensions of existing structures, if any: Front y Rear ..C/. Q..... ; : ; Depth . ~.6......... . g Dimensions of same structu a Hi ber of Stories ith alterations or additions: Front i~........... Rear . . Her ht ..j. • • . • • Num Height ...1.2.1 Number o Stories >r.................. . 8. I~ mensions of entire new construction: Front 4....... Rear L1. ~-.....Depth . 'J..7........ . 'g ber of Stories + ~ . . 9. Size of lot: Front .Q+ir. Qc~ Rear Q ~...y. Depth ~ C7.. . 10. Date of Purchase :................nn Name pf Fo?~}~er Ow er . 11.T.one or use district in which premises are situated ..a1~p S. ~14~ e. v~~l:-,+~.'~. jj . . 12. Does proposed constru`c~'on violate any zoning ]aw, ordinance or regulation: .N-.C7 . . 13. Will lot be regraded i h Will excess fill be removed from premises: Yes ~ No 14. Name of Owner of premises~.F} ~!t-s~a`v.+.d ~.'`-jf Address Phone No. + Name of Architect i .................Address ...................Phone No............... . Name of Contractor ..........................Address ...................Phone No............... . PLOT DIAGRAM A p ~ Locate clearly and distinctly all buildings, whether existing or proposed, and property lines. Give street and block'~,number or description according to deed, and sl~~{st 'ndi e interior or corner lot. NOfa A 7e6-f ~ AM 7q 4 PM FOR THE FOLLOWING INSPECTIONS: i. FOINi~ION 1Wrt1 FOR FOIRNOCQNCRElE Z. ROUGM - FRAMING • M,AMA8ING 9. INSULATION ~ 4. FINAL CONYTMR:I'ION MUST ~ BE COMPLETE F011 C.O. ~ i ~ ~'i ~ a ALL CON31MlC'lION ~1iAll MST 1 ~ ~ 7NE REQUIREM~IIG OF THE N.Y. a S' STATE CONSfl1UC11pN a •INIIfiY CODES. NC? RE>1FON/IE(~ Fq~l ~ ~ ~ DESIGN OR CONS111UCTION ERRORi l~ ~I' S ~ D fay a b ~1 ~ au ~`".4.~ v ~r ~y 6- rL~.Sz ~ ro~~ Lai STATE OF~ EW Y~RK; ~ ~ S.S COUNT ,i..... . g duly sworn, deposes and says that he is the applicant ame of individual ing contract) ~ ~ ' ' ' ' • bein above named/. Heisthe..(.~'?9i~LTZ~c.~r~t~ (Contractor, agent, corporate officer, etc.) of'said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to beforegqme this .............L. day of.....~ .......,19~. Notary Public, ; .NR-. County NOTARY PUBLIQ Shute ot~CCNe~auwnbqYa~gk- " • . Tam~Ei+Y~BSTMirch30 18.,_f7.~ (Signature of applicant) i ' 1 , I er~Y npW Or f~CNgi! I J John N' / ~ I 12,:80' i 25.0 Y F Q • QN~• In I Tq°28 2 II N ~ 2 fL•id.6 1 ~ O 1U ~ 'G C h 1'pREA: V4,65?I g.f. oz 0 1 ' _ m o~ I •W EII ; A~?i1 * \3B.' 1 iP+i'L .1 I \1 \ y1pOJ°+(aS' a r~J`~ `may' Gbh``` N Q`('PPP 1••C r (e~ri l ~E5990oL n ~ C~? O yO6aP P ~ - m~ ~ 6 ~ S`' %i ~ a 40 1E5i v1o4E. •>F.+" EL'24~ v V M B EL,10' i•i l60.92~ 2 EL•i$.i s.TS° oo now or formerly o ry r Beebe M i I ~ _x J J 1 ~ n _ _ _ -x_ ~ ~ _ - - - - ~ . ' - ~ - f~-sa~r _ ~ O ~ 1 { . s,_v..~ _ _ ~ -._w_ r _ . M..,~,~w - = /oam - O _ 3/ h 0 it • - 2 coo:se j - ,Mond ' `i ` NORTH CROSS ROAD /~o ~ r' i i % • SURVEY FOR ~ ~4UGUSTJNE G/LLEN Q GEORG/NA G/LLEN AUG. 23, /979 OCT. 27 /978 OCT,/7,/978 nT CUTCNOGUE oATE JUNE /978 TOWN OF SOUTHOLD SCALE qp' I SUFFOLK COUNTY, NEW YORK NO 78-288 UNautHORIjED PLiEPAT~DN UH 4DD~TION i0 THIS sLR VEr IS A v'VL ATION ,f sect~DN zzoB ~f T"E GUARANTEED TO+ htw YCRR S+ATE EOVCP i~ON.aw t•CCP~F.S OF T"i5 SURVQv NOT ECARrtlD r~F EavD THE T/TLE GUARANTEE CO. SURVE+iiR'S ~N%EG SfA~ no EMBOSSED SEnL SHaLI AUGUST/NE & GEORG/NE?. G/LLEN ' NOi 8F CONSIDERED 10 BF a va,i0 (a DE .J%'r •GU4aAN TEES ~N U'f AiEO hER[CN Snai: FuY ONLY t0 HEALTH DEPARTMENT-DATA FOR APPP.O VAL TO CONSTRUCT T"E PERSON FDR WHOM THE SURVEr 'S vRE PAR[D. AN:~ ON His BEHALF t07HF Tt. F. COM nAh v, GO VE RN~ iF NEARE4T WATER MAINQMI!IF BOURSE OF WA7ER'PRIVATE?PUBLIC MENf4( AGENCY ANO LEhD~NG DNS (~iUTI^N l.S1ED 4PZE OF ;Ypyf it$VFF CO TAX MAP D;$T. SECTION BLOCK LOT r HE RE Oh, AND 'O ihE aSS H,NEF 6 OF THE : r LACING S j" 9F THE RE ARE NO DWF LLIN GS WITHIN 100 fEEi OF THIS PROPENTY ih S:!TViION GU4 RaN LEES 4RE NOt iRq NSFERA BLE ~ 0,,1 pR :V, FD J{h OCHER THAN THOSE 9HOWN NER EO N, +0 aD011iONAL iNSTITUT1045 ON SVESEO..ENt ' K-THE WATER SUPPLY AND SEWAGE DIS PO$AL SYS TEN FOR THIS RESIDENCE OWNERS x Z, ~±(+N;4~ G W ILL CONFORM TO THE 9TANDAR03 OF THE SUFFOLK COON TY DEPARTMENT *015 TA LACES SHOWN HEREON FROM aROPERiY LINES T ~.'~4ryS; ;J OF HE4LTH SERVICES TOE%IS iINS STRUCTURES 4RF FOR A SPECIFIC r,,.,`(;'j APPUCANT~ PURPOSE aN0 ARE NOT i0 6E USED iC E3 iA BLiSH ~ 4 • PROPER iY LINES OR FOR THE ENEC iION OF fENCE S. •vk _ ADDRESS / o~WG/2 ~ ~ - 7EL.i.;;..: A. a N ~ ENUE YOUNG ~ YOUNG c~" ~ ••5?~~ RI - fk~~3ue~ ORK •ry V.. r =MONUMENT FOUND ~ 1" i, ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S. LICENSE NO 128Q5 HOWARD W YOUNG, LAND SURVEYOR K-THE LOCATION OF WELL(W),SEPTIC 7ANK(STj8 CES6POOL$(CPISNOWN HEREON NY. LICENSE NO 35893 ARE fROM FIE:O OBSE RYATION$ AND OR OATq O6 iAINED FROM OTHERS