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Home My WebLink About18759-Z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31862 Date: 09 26 06 THIS CERTIFIES that the building ADDITION Location of Property: 3650 EUGENE'S ROAD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 8 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 1990 purauaat to which Building Permit No. 18759-Z dated JANUARY 26, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY E. GILBERT (OWNER) of the aforesaid building. SDFFOLR CODNTY DEPARTMENTP OF HEALTH APPROVAI, N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A on ed Si nature Rev. 1/81 sonc xo. s TOWN OF SOUTNOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. lUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 18 7 5 9 Z vote ......,1~~ 19.9a Perrnission is hemby pmnted to: at promises located ot ..s~.~t~.s?....tr..f~~/I.G.Z.....~1~.~....~~............ y..... . County Tax Map No. 1000 Section .........CJ...~........ Block ............Q........ Lot No........,~............ pursuant to application daqte/d~....¢.~.......rct.~.~...Qli-.~?/:.._.~ 19.Gt.,7., and approved by the Building Inspector. - ~ r °"'~l ~ //il` 6~ Fee s..~0.,.~r~r....~'.~~~ ~.~/~~~7 ~Q,oo ` .B~t~.... /Builds or Rev. 6/30/80 Form No. 6 ' TOWN OF 50UTHOLD ' BUILDING DEPARTMENT ~ ~ ~ ~ ~ ~ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP 41 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 Boazd Approval of completed site plan requirements. B. For existing buildings (prior to Apri19, 195'n nou-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 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 Wool $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. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 / Date. New Construction: 9 8 Old or Pre-existing Buildi~n/g: (check one) Location of Property: ~ Jed _Ll1I f ~ S ~CX LG~~c~/~Q House No. Street Hamlet Owner or Owners of Property: m~~ Cg,'~~jp ,y~- Suffolk County Tax Map No 1000, Section ~'f Block ~ ~ Lot ~j ~ Subdivision Filed Map. Lot: Pemrit No. J Q'~ 5'g_~_ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ ~3. f Ap t Signature ~t~w'~~f0 ~ 1 3rg~~. 1 ~7~~ 765-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ]FRAMING [ INAL [ ]FIREPLACE & CHIMNEY REMARKS: ~ - - ~ ~ ~ ~ DATE INSPECTOR ~v~. ~{~?n..- {i ~ v M .LL i..L. L... ~ .'U 3 w )NDATION _ (1st) _ r c ~ ~ m 7tdDATION (2ndl _ z UGH FRAME & V PLUMBING _ y ~y H y SULATIOff PER N. Y. STATE ENERGY x CODE r H ~ ' ^ r_ FIidAL 0 z x ~ ~ ADDITIOf1AL COMMENTS: 4 30 e,ea c~~. . ~ cn O x~} ~ ~ > • r s d M ro _ i a ~ , _ ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT R ~ l ~ f1 ~~w ~ ~ C ~ FORMER O NER N E~ ~ ACR. fi~'~ ne' eaL~ ~ u ~•~/Pnu~' 1.50 S W TYPE OF BUILDING e,.~.5 / , ~ ~ _(~e 1M a a r• of I rd ~ / .i:: . RES. p SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 6 0 3 / 4 Q 3d !f .~/9 s~`~r f~•? l /S.1/r c,.,sd. J+e„cam % ~ 700 ? /Yoa cf~a...o Jr'~~c-~ ///763 _ ,//~~`:3 .%a 4z ~~•3o~os f L 9S~Yo ZP rs ; o a ~ SYo ~ ~ cJ ~ .S' s ~ ~ rr I o--v 6--n--~o o-O Z / O ; 7 ,~P~ l I ~ ' n' ~7 C ~C~ ~ ro ~9 # l d!o - co ~ ~ ~n c _ - 9-000 ? AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD <Q ~ ~ 6'' House Plot DEPTH v u BULKHEAD Total DOCK - s i : t A . ~Q ~ ` COLOR Grp o / r, ~ TRIM to y G~~eh - - a M. Bldg. _ ~ y f'.22 S- yQ F ndation Bath ~ Dinette Extension ~ G X ~ _ Basement Floors ~ K. Extension X _ S-Q Ext. Walls Interior Finish d fe ,r LR. r ~ _ Extension f _ Fire Place h Heat ~ ~ DR. Type Roof Rooms 1st Floor BR. Porch 7 y~ _ ~ ~ s 2 / Recreation Room Rooms 2nd Floor FIN. B. Porch X ~ Dormer Breezeway Driveway Garage - Patio ~1~, ~ s.. <-ti.J. yG-u _ Total f ..S / y~ - .~'r~d e,Orec~a},'~ '11 - l ~ N~~/` ICY..-._.- ~ y y f RR rym? BOARD OF HEALTH D l5 ~ U~ O 3 SETS OF•PLANS•:::::::::::: FORMNO.1 SURVEY Z TOWN OF SOUTHOLD CNECI: BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL BLDF.O~~ $OUTHOLD,N.Y.11971 NOTIFY; TEL.:7G5.1802 CALL Exmnincd..l.P~e........,199.1~, r1AIL T0: Approved ....,1~~.2'~....., 19 N Permit No./Q .?`'~9~ . p . Disapproved a/c ~b ~O 7d ~~C~~p (3~.~ di Inspect APPLICAT!Oi~f R BUIL 1NG PERMIT i Date ...fA!?~.....°_~..., 15 .90 INSTRUCTIONS ~r a. Tltis 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 ~pvblic streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pan 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 applippt_ 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 Certifate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Penait poauant 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 fiasco described. T1te applicant agrees to comply with alI applicable laws, ordinances, building code, housing code, and reetrbt5ons, and to admit authorized inspectors on premises and in building for necessary inspe n~s. l~~~t-yr'o-r . (Si,nature or applicant, or name if a corporation) • (Maili g address of applicant) '/"y State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumbs or builder. ~..~...~......../.J/J ~ . Name of owner oCpremises ~ .'l.~`~'~L. . (as on the ta:t roll or latest deed) ICapplicant is a corporation, signature of duly authorized officer. (Name and title of corp~oyr~a~teo-f~fiJcer) ' Builder's Liccnsc No. . Y'..:':! . Plumber's Liccnsc No . . Electrician's Liccnsc No . ' OtlterTrade's License No . 1. Location oC land on which proposed work will be done; ' House Number ~ G~ Street. ~ j~' Hamlet . County Tas \fap No. 1000 Section l..7• • • ~ ~ • • • • . Block ....U, , , , , , , , , , , , , Lot . • • Subdivision Filed Alap No. Lot . (Name) State csisting use and occupancy of premises and intended use and occupancy oC proposed construction' , a. Existing use and occupancy l~<,a-•.,r;~ . a.:,.to ,t.++~K................ , . . n / 6. Intended ~ ,„„t. tit use and occupancy .....:`f:/• • ..T • . ' . _ 3. Nature of work (check which applicable): New Building dit)~en - Alterattoa Re air RRmoval Demolition J.fl?4C*.'f:L....SVi:zrSinp~~~Q~ . f,' Tennis Court . ~ Accessory Building.......... Fence ........Okhet~llsrl[:4~ i}:i-j.•. 3. Estimated Cost ....~P.'?'F.a~.....' Fee ~o4t .1,...,.... _ . . . . (to be paid ion fil~t~,~~~p~cs4c~ S. IC dwelling, number oC dwelling units Number of dwelling units on each floor _ _ . Ifgatage.numbcrofcars . 6. IC business, commercial or mixed occupancy, specify nature and extent of each type oC use . 7. Dimensions of existing structures, if any: Front . Rear Depth . Hci_ltt Number of Stories _ . . Dimensions of same structure with alterations or additions: Front Rear . Depth IIcight ......................Number of Stories 8. Dimensions of entire nett' constntction: Front Rear ...............Depth . Hci_Itt Number of Stories . 9. Size of lat: Front , Rea- Depth . . 0. Date of Purch+se . ....................Name oC Fonncr Owner , , . . . ?one or use distrct in which premises are situated , . . 2. Does proposed construction violate any zoning law, ordinance or regulation: . . 3. Nill lot be regtzded .......ltiQ ..............:...1ViH excess fill be removed from premises: ,Yes No.. . ~b. Name of Owner of premises Address ...................Phone No... _ Name of Architect ...........................Address ; ..:.....Phone No.......:. . one Name of Contractor .................:........Address Ph No.....;,,.::.. . IS.Is this property located viLhin 100 feet of a tidal wetland? *YES___:NO.~.• *If yes, Southold Tovn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property Gnes. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. ti _ i ,-r,~ - 5 r ~ r s ~'S ~ r STATE OF ~E1V YORE, S.S COUNTY OF. . , , being duty sworn, deposes and says that he is the applicant • (A'amc oCindividual signing contract) above named. Ffeisthc....... Q~ (Contractor, agent, corporate oC6ccr, etc.). oC said owner or owners, and is duly autltorizcd to perform or ltavc performed the said work and to make and Cile tltis application: that all statements contained in this application arc true to the best of his knowledge and belief; and that the work will be perfonncd in the manner set forth in the application filed therewith. ' Swom to beiorc me this Notary Public, ......(w , ..J~:. Y County NOfMtYP~~~M~pIN~tt1M~k~ 1+ sE¢q~?1Yrdi t, -~r [;nature oC applicant) ,n , r _ - ;-~etf. _.G~~Dc 3K~oCdA. _ ~ _ .I ~ ~ .`o ~ ~P ~ , ~ I x' _ i - ~ , b 41 - - - ? ~ I- ~~i j ~ ~ . ,I n ~ _ ~ ~ ~ ~ ~ Lam;:::. co ~ ~ _ :f fi ~9 ~ Q 2 i ~ - ~ I ~