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Home My WebLink About17012-zVORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall gouthold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18508 Date OCTOBER 30~ 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1605 LITTLE NECK ROAD CUTCHOGUE~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 4 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 6, 1988 pursuant to which Building Permit No. 17012-Z dated MAY 19~ 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 & ATTACHED WOOD DECK The certificate is issued to INLAND HONES, INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-83-FEB. 27~ 1989 UNDERWRITERS CERTIFICATE NO. N-081114-JULY 18, 1989 PLUMBERS CERTIFICATION DATED OCT. 18~ 1989-GALE KASKE PLUMBING INC. Rev. 1/81 / // Bu/ilding Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 017012 Z County Tax Map No. 1000 Section ........ .?,,,~,, .~:~'~- .... Block ......... ~ ...... Lot No ............ ..~..~... ..... pursuant to application dated ........ %~....~. ................................... , 19..°~..~, and approved by the Building Inspector. Fee ,~[lding Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDINC DEPARTMENT TOWN HALL SOUTDOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ]~]f ..... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property .... 160~-Little.~eck. Road,.Qu~qhq~4fl~..Z~ ............. HOUSE NO. STREET HAMLET Owoer or Owners Of Property. INI~D.~0~,.I~O ............................... County Tax Map No. 1000 Section .10~.. Block .~ ..... Lot' .1~ ...... Subdivision ....................... Filed Permit No. O~?D22Z .... Date of Permit ~9~...ApplicantI~.~.Hq.r~.~..I~.q=.. Health Dept. Approval .2127189 .......... Underwriters Approval.~Q~l!!5 ...... Plaonlng Board Approval ................ Request for Temporary Certificate ....... Final Certificate Fee Submitted: $..~.00 ............. APPLICANT.~~. . rev. 10/14/88 765,.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST r~]'ROU.GH PLB,G. ~T~'~ FOUNDATION 2ND ION [ ]FRAMING [ ]FINAL REMARKS: ______~ INSPECTOR 765-1802 BUILD,lNG DEPT. INSPECTION [ ] FOUNDATION 1ST [,,~"ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~FRAMING [ ] FINAL REMARKS: ~/--y.~ ~ / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [~/FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ~__~__~~REMARKS: DATE ,INSPECTOR'S- 765-1802 BUILDING DEPT. INSPECTION / ~I*/~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ]FRAMING REMARKS: ,, DATE ~/~ INspECTo/R~r~,Axi ~-/ 'OUNDATION (1st) 'OUNDATION (2nd) ~OUGH FRAME & .FLUMBING iNSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. DATE'///~)/~)'~/~'~' INSPECTOR ~ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. / 7~ O ner (please print) Plumber (~o.~ '~K~C~>~a.~^C, - (please'print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me ~his /~ day of ~~ , (plumber' s signature) Notary PU'~i ic . . ]FIRE U~D=RWRITERS~ ,,, ,. ' . THE NEW yORK:'BOARD OF ~PA~E 100i460 ' i : I ~ L BUREAU OF ELECTRICITY [-- 85 JOHN STREET NEW YORK, NEW YORK 10038 ; ~o ~v~'~o,~a~a ' ' 56695588/88 , N 081114 'I' ,t ~ /Ipplieation No. on file ' JULY Date THI~ CERTIFIE~ THAT only ~he electrical equipment ~ ~zcribed belo~ ~nd introduced by the applicant ~med on the above application number in the premises of INLAND He'ES, 5ITTLE NECK ROAD;~POLE ~10, CUTCHOGUE, N.Y- in the follou'ing h,cation~ ~ Base,nent -, ~' Ist Ft. , ~ 2nd FI, Section Bl~k Lot wasexa,ninedon JUNE 26,1989 ' , ~,~ ~ a'ndfound to be in compliance wilh lhe reqalremenls of this Board FIXTURES RANGES OVENS FIXTURE EXHAUST FANS DRYERS MOTORS TIME CLOCKS UNIT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEET DIMMERS OTHER APPARATUS: }IOTOR8:1-1 H.P. G.F.C.I:-2 S~fOKE DETECTOR :-2 TRACK LIGHTING:-4 NO, OF CC. COND PER ~ OF CC. CON{) W,G. NO, OF NEUTRALS5 A. W, G, NO OF HI-LEG OFA HI-tEG OF NEUTRAL 4 PARK PLACE ' ~ PATCHOGUE, NY, 11772 /' : ;' G$NEIAt MANAGER This certificate must not be altered in any manner; return fo the office of the Board if incorrect. Inspectors may be identified by their credentials, THE NEW YORK BOARD OF FIRE UNDERWRITERS in thefoltowlng Ioca~a¢~:~ , ~$~ent D Ist FI. 2nd FL S*ethm BIlk Lot FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS DISiH WASHERS EXHAUST ~FANS DRYERS MOTORS APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: ,~NOKE I}~;T~CTOR: -' 2 S E R V t C E A W G ND. OF HI-LEG A.W.G- A,W G OF CC COND. OF HI.LEG OF NEUTRAL H~OF NEUTRALS 1 A rcI{Ogf~t;;, NY, 'L 1 '7'/2 GENERAL MANAGER This certificate must not be altered in on), manner; return to the office of the Board if incorrect, Ins~'ect~rs m~y be identified by their COPY FOR :ED IN ANY MANN AY-9 --- ?V,&, c,F ~'7;u/;.¢,!~-~ ,,OUTHOLD, N,Y. 11971 ' , .............. TEL.: 7654803 / Disapproved a/c ..................................... ................................ (B~din~tor) APPLICATION FOR BUILDING PERMIT O,K ILDINO DEPARTMENT SEPTIC FORM NOTIFY CALL ................ MAIL TO: Date . ..~.6~ ......... 19 88 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. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and givin§ 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 ¢ 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 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 building for necessary inspections. (Signature of applicant, or name, if a corporation) · ..BOX .1~7.,. ,l~a.~.t. ituck, ,N,..Y.. 13-9~2 ....... (Mailing address of applicant) State whether applicant is._pwner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. Qe~er. al. ¢.ont rat. to r ............................................................. Name of owner of premises Irz~l,a~l. !~tQ~eE;.~. ,IZZ¢ ....................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· ...... Reberk,E,.E±ltz ...................... (Namcandtitl¢ofco~orateo~cer). ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder'sLicenseNo ......................... Plumber's License No....2~51..P ................ Electrician's License No Other Trade's License No ...................... /~o S'- 1. Location of land on which proposed work will be done~ ~j.~.'lilO. ~.e~q~. R~ad-~..Cuteb. ague.,, i,I., Z. ......... House Number Street Hamlet County Tax Map No. 1000 Section ..... ~5 ......... Block ...~. ....... '.. ~... Lot. pe&...l& ......... Subdivision ..................................... Filed Map No. ~eed..~.O2.~. · · Lot . ~., .~.~6, .~ .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...................................................................... b. Intended use and occupancy .... ~.~ .~TL~r. ~D.~3~.~g ........................................... Nature of work (check which hpplicable): New Building ...X.X...' ..... Addition .... Repair ............. Re~ loyal ............ Demolition ............. Estimated Cost..,.,.~ ~.~.4. .................... . . Fee ....... ~ ..... (tq be pai~ 5, If dwelling, number of dwellin: units ............. Number of dwelling units o~ Ifc u! . 7/~. .................. arage, n nberofca~$ ..... , .. i':, · ............. ; .... ............... 6. If business, commercial or nuxed occupancy, specify nature and extent of each type o f' use ............ 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...... Iteight ............... Number of Stories .............................................. Dimensions'of same structure with alterations or additions: Front Rear Depth ................... ~... Height ........... .~ .......... Number of St~ acs ............. 8. Dimensions of entire new const:.ruction: Front....-~.~_,... ..... Rear ...~... ~ ....... Depth . ..-3, .,~ 9. !~eight .. ~...~. ........ Nmgber of Stories ....... ~ ..................................... Size of lot: Front .... /..~..~.: ............ Rear ...... ./..~..&~. .......... De !h ...).~...o. ,.. 10 Date of Purchase ' Name of Former Owner 11. Zone or use district in which pr~mises are situated .......................... 1 2. Does proposed construction viotate any zoning law, ordinance or regulation'..'.. 13. Will lot be~regraded ..... '?-Aq~r ................... Will excess fill be removed frt 14. Nam e of Owner of premises . I~L~. t'I~0.~10 ~.,.~11-~ Address . ~.a.~;.i.~.qq .k.,. ?.Y... Name of Architect Address Name of Contractor . In.l. and..i l~ome~.~..'rme ...... Address . l~Iatl;:t..tal~k,~KZ.. ~ 5. Is this property located 'within 300 feet of a tidal wetland? *Yes ~If yes~ Southold Town Tru,stees Permit maybe required.. ' . PLOT DIAGRAM , · Locate clearly and distinctly all!buildings, whether existing or proposed, and, indica' property lines. Give street and block mmber or description according to deed, and show stn interior or corner lot. STATE OF NEW YORK, ~ ~ COUNTY OF . . BUFFOI~K ...... Robert E HiltzI (Name of individual signin~ contract) ;q ..... ,Alteration .......... Other Work .............. (Description) on filing this application) each floor .......... ~ .... m premises: Yes No Phone No. 2~7~ ...... Phone No ................ Phone No..29~69~ .... ....... bein says that he is the applicant above named. ': (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly abthofized to perform or have performed the said application; that all statements contained in this application are true to the bes~ 'f work will be performed in the manner set orth in the application,filed therewith. Sworn to before me this " .ELm v0e .... and to make and file this ,~ and belief; and that the of applicant) all set-back dimensions from ;t names and indicate whether ,/ SUFFOLK CO. HEALTH DI~PT. APPROVAL H.S, NO. STATEMENT OF INTENT THE WATEr SUPPLY AND SEWAGE DtSPOBAL SYSTEMS FOR THIS rESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (s) APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOr APPROVAL OF CONSTRUCTION ONLY DATE: H. s. rEF. NO.: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: DEED: L. 7~ P. ~-~ TEST HOLE STAMP SEAL SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES S Ne~.E F~ ,,q&'~ u~gL txtu ONLY other a~nd fo~ Chief o~ Bureau of Wastewater GREEN~T NEW YORK SUFFOLK CO. I~EALTH DEPT. APPROVAL SUFFOLK couNTY DEPT. OF HEALTH SERVICES- FOR APPROVAL OF CONSTRcUCT tON ONLY DATE: , A~'PR OVE D:, , ~. SECT. ~OCK ~L, SEAL CODE CALCOL.ATtON6 2) ~TING ~OLS ~ ~ET 7813.13 , 6) ~S~UCTION ~ N.Y.S. ~ CODE. /~ -- APPIW~D AS II / OCCUPANCY OR ~"~/~'"'/~/~' ~ USE IS UNLAWFUL .o...~ ~,, WITHOUT CERTIFICATE OF OCCUPANCY cPo If ~ tubing is ..used fro, ~lt~ di~rlbutmo W~ten~ piping ihlll be of type~ K or L one/ PLUMBER CERIIRCAYlON ON LEAD CONTENT BEFORE CERIWgP.,4~ OF OCCUPANCy $UPPLY ~'Y~TEM CANNOT EXCEED 2/10 ed 1~ ~ .T Nk O0 R. /5 :g Phone 477.0400 Main Road ! Phone 4' 7.0400 ~,,~ Mai. Road