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Home My WebLink About34164-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPANTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33283 I~te: 09/22/08 THIS CERTIFIES that the building ADDITION Location of Property: 1835 MASON DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~p No. 473889 Section 104 Block 6 Lot 20.1 Subdivision Filed ~ap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17, 2008 pursuant to which Building Permit No. 34164-Z dated SEPTEMBER 17, 2008 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CURTIS W HORTON (OWNER) of the aforesaid building. S~OIJ[ ~)[~?fDEP~)~T OF }~{ALTHAPI~RO~%L N/A E~.RC'~RIC~%L ~TIFIC_AT~ NO. N 439851 12/08/97 PL~ ~TIFICJkTION DATED 08/11/04 J ZEE'S PLUMBING & HEAT Authorized Signature Rev. 1/81 . - Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 ~PLICATION FOR CERTIFICATE OF OCC~~?~P~ 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. Fina~ survey ~f pr~perty with accumte ~ca~n ~f a~ bui~dings~ pmp~rty ~ines~ stre~ts~ and unus~a~ natu~a~ ~r topographic features. 2. Final Approval fi.om Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi'om Board of Fire Undenvriters. 4. Sworn statement fi.om 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 Board Approval of completed site plan requirements. B. F~re~stingbuildi~gs(pri~rt~Apri~9~957)n~n-c~nf~rminguses~rbui~dingsand"pre-existing~~anduses: 1. Accurate survey of property showing all property lines, streets, building and tmusual natural or topographic features. 2. A properly completed application and ennsent 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 pool $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 Certifieate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Realdential $15.00, Commercial $15.00 New Construction: Location of Property: Date. .~ Old or Pre-existing Building: ~ (check one) Hous~No. ' Street ...... ~'- - Ham~ Owner or Owners ofPropc~ty: ~ ~4~m~' ~7//~¢L~.~2~_~_.¢~ 8uffolk County Tax Map No 1000, Section / 0 ]'7/ Block & Lot Subdivision %fllbq q-/q-o& FiledMap. Lot: ?ermitNo. , DateofPennit. q/¢7 Appheant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: ~)~ (check one) Applicant Signature THE NEW YORK BOARD OF FIRE UNDERWRITERS SACS ~_SSO77 ,,U.EAU OF ,:-,:c'r.,crn. ~-- 88 JOHN STREET, NEW YORK, NY 10038 ~t~ DECE~[BEP, O8,1997 ~FFlicetionNe. onfile 14605897/97 N 439851 THiS CE~IFIE$ THAT ~y t~ e~t~ ~u~me~t ~ ~H~ ~ ~ t~t~ by t~ ~t ~M ~ the ~ ~t~ ~um~r i~ t~ ~m~ CU~TI~ HO~TON, ~ I~N ~, CUTCHOGUE, ~ in I~ f~low~ff hwation; ~ ~nt ~ Ist FI. ~ 2~ ~]. OUT ,~tlon Bilk ~t ~ examin~ on D~C~ ~ ~ ~ ~ ~ ~fou~ to ~ in com~ce w~h the N~o~ ~ect~c~ C~e. RXTUBE ___ . .L,-,'~-z I ! FIXTUIIES I R*NGRS ICOO.,NG OC-C~S IOVENS ims~ WASHEES EXHAUST FANS 6 I-~ / [ 5 5 1 I t F DRYERS.I FURNACE MOTORS I RJTUBE AF~UANCE NED~RS SPEaALR~C'PT~ TI. CLOCKS I BELL. .~ MULTI-OUTLETv ~zd-- DIMMERS .T...w.l,., .., ~,..., .T .o A.,.o..T-..T. "'"1'*1"'"SNo~SToF--"F~T ~,T.WATTS I I S~RVIC~ DISCC~INECT NO.O~ I S E R ' V I ¢ PADDLE FAN- 1 IIOTORS:i-F H.P, G.F.C.I: 's certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. Town Hall, 53095 Main Road P.O. Box!179 Southold, New Yo~k 11971 ~ ,~ ~1~ J~l~ ~.',~ ~-.---~=' - Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T,I F I C A T I 0 N / /- Building Permit No. Owner: ~-~ '~.~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~/ (Plumber~re) Sworn to before me this /{ Lk day of ~t~ Notary Public, County FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34164 Z Date SEPTEMBER 17, 2008 Permission is hereby granted to: CURTIS WILLIAM HORTON 1835 MASON DRIVE CUTCHOGUE,NY 11935 for : CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACE'S EXPIRED BP # 24080 at premises located at 1835 MASON DR County Tax Map No. 473889 Section 104 Block pursuant to application dated SEPTEMBER 17, 2008 Building Inspector to expire on MARCH 17, CUTCHOGUE 0006 Lot NO. 020.001 and approved by the 2010. Fee $ 75.00 ORIGINAL Rev. 5/8/02 I~OR,M NO. il TO%VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 2~t080 Z County Tax Map No. lO00 Section ..../.~,..~.... ...... Block ...~,~. ......... Lot No. ~.Z..~)' / ~u~uo~, ,o opp,ico,on do,~ ..... ~.F~./.;.C......./...Z~..... ,~..~...Zo~d o,,r~ ~ ~. Building Inspector. Rev. 6130/80 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [~/~'FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~ ~''//r -' ~) ~' INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [//']ROUGH PLBG. [ .~GU~.] FRA:iDNA~ION 2ND i i IF~:UAL~TION []FIREPLACE&CHIMNEY DATE ?//~/,~ I NSPECT~ 765-1~02 BUILDING DEPT. INSPECTION [ ~J' FO/UNDATION 1ST [ ~ FOUNDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION [ ] FRAMING [ ] FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE ~~'~Z INSPECTOR ~~? /~ SOUTBOLD, N.Y. 11971 BLDG. DEPT. TOWN OF SOUTHOLD t TEL: 76.5-1802 ..... ,m ..... ..... ,,, ,. Dis~a~:~ a/c ..'..' .............. ..... : .......... ' FOR~ NO. I TOWN OF SOUTDOLD BUILDING DEPARTHENT TO~N HALL BOARD OF HEALTH : ~ .......... ~ S~TS O~"~.NS ..~... .......... so. wy . :....~... ............... c~cK ....~..~. ~.~..?~F~ ......... SEPTIC FORM ........ NOTIFY: APPLICATION FOb BUILDING PERHIT. INSTRUCTIONS Ibis application.mst .be c~npletely filled in by type, triter or in ii and submitted to the Building Inspector ~i~h 3 sets of plus, accurate plot i)lan to scale. Fee according to schedule. b. Plot plan d~ing location of lot ~d of buildl,e,~ on ptt~dses, relatior~hip to ~djoining p, Mses or public streets or areas, and giving a detailed description of la. ut of p~operty must be' dr~m on the dingr~ ~hich is part of - this application. ' ' ' e. The work covered I~ this application ~mj not be e~,.,~i~zd before isansece of Building Pemit. d. Upon ~w,~al of this application, the Building I~spaetor will issue a Buildlng Pemlt to the a~plic~t. Such pamit shall be kept on the preaises anailable for inspection ~t the work. e. No buildlng ~all be oncapied or used in ~bele or in part for any purpose ~hatewr ontll a Certificate of Occupasc7 shall ha~ been granted by the Building Iaspsetor. APt~IOh~(~l IS m~ ~ to the Building Depa~h,.~t for the isan~ce of a Buildlng Pemlt parseant to the Building Zose Ordinance of the To~ of Southold, Suffolk County, Ne~ York, aed other applicable Lass, Ordinances or Rel~lations, for the comtraction of Buildi~s, additions or alteratioas, or for ,~al or a.,.-titlon, as herein described. Tee applicant a~rses to e~ply with all applicable lans, ordlasmes, buildlng code, housing code, mgulatlons, and to ~t authorized inspectors on p~o.lses and in building for secassaz7 inspee__tlp~s. ........ (Sigastum of applic~t, or m~e, if a corporation) , (Nailing address of applicast) ~' State ~dsether ~pplic~t is ce~er, lessee, agent, architect, engineer. Ee~eral contractor, electrician, pl~ber or builder. . , (as on the tax roll or latest deed) ~'~/ If applicant is a corporation, signature ~f duly anthorised officer. (Nm~ and title of oa~l~rate officer) : Phm~b~rs Lic'~nse No ..... Electricians LicenseNo. : . Other Trade's Lic~stse No ..................... I~cation of land on ~t~id~ p, tq, osed ~ rill be done ............................................................... ..... ................ .............. ............... ~.~ ~No. ,.o ~t,on ./.~..~ ........ Bl~ ....~ .......... Lot t .~7..~../..~. Subdivision ...................................... Filed l~p No ................ Lot ............... State e~isting use and occupancy of p,u~ises and inte~k~ use afl oecapaney of proposed b. Intended use afl occupar~y ..... 3. t0z~tnre of ~otk (clmck ~hich applicable): fl~ Iluilding .......... Nldition ...~... Alterati~ I~lmir ............ ~ai ............. 1~1 iti~ ............ Otlmr ~ ......................... ~ ...... ~/.~ (~ripti~) 4. Estil~t~ ~st . ~.~.~ ....... f~ .............................................. (to I~ ~id ~s filing this a~licatim~TL 5. If ~lli~, ami~r of ~lli~ ~mits ............ t~r o~ ~k~lling traits ~l eadl flmr . ............... If ~r~e, s~r of ~ra ...................................... 6. If I~itmss, ~ial or mi~ ~, s~i~ ~ture ~ ~enr of eadl ~ of ~ ...................... l. Di:~ai~m of ~isti~ at~tu~s, if ~y: ~t .......... ~ar .......... ~pth ............ I~i~lt ......................... ~imr off Stories ...................... ~,, ...6a ............ ,~,~,~ ...~8 ............ ~,~ o~ ~or,~ ./... 8. Dimensi~m of entire ~ ~st~tim: lkmt ................ ~ar ............... ~p~l .............. I~i~lt ...~..~ ............... t. ~mr off Stories j. ~.~ ..... ,. ~,~ o~ ,o, ,~ ,.l.z~..~ ..... ~ ..L~.g.~.d .... ~,, ..g~r- .......... II. ~ or u~ ai~trlct in ~dd~ pr~i~ am ~i~t~ .... ~.-~~ ....................................... 12. ~ ~ro~ mt~tlm ~iolate a~ ~i~ 1~, online or re~latim: .... ~.~ ......... ~ o[ ~d~it~t .................................... ~re~8 .............................. ~ ~ ............... ~ o[ C~rr~ror ................................... ~re~ ............................... ~ ~ ............... 15. ls thi~ p~rty ~thin ~ [~t o[ a till ~tl~ ~ ~3 .......... ~ .......... PLOT DIAGRAH l~cate clearly and distinctly all i~ildings, ~l~ether existing or proposed, and indicote all set-back dimensions property lines. Gi~e street and block r~er or description according to deed, and sh~ street na~s and indicate ~hether interior or corner lot. S'I'^'IE OF ti'.34 YI.~I~, SS CligltX (~ ....................... H. ........... (N,~m~ of individual signing contract) above ~, s~or~, delx)ses taxi says IJmt he is the appl leant HELEN[: O. HORNE Notary Public, State of New York No. 495 ! 364 Qualified in Suffolk C,o~mty ,~- Commission i~xi)i¢~s f,;!ay 2/., 19 , (Si~sal:ure of ^pplicant) (Contractor, ngent, corporate officer, etc.) of said o~n~er or o~mers, and is duly ~thori~ to ~rfom or h~ perfo~ 1.1~ ~id ~ and Lo ~ a~ file this al~fiication; flint all sLat~,te.c~tai~ in this al~l. icati~ are t~ Lo ~e Im~ of his h~l~ m~ I~lief~ and that tl~ ~rk ~ilI I~ ~rfS~l in tl~ mm~r ~C forth in the a~licaCi~ fil~ I' ~m to I~for~ LHS ...... ~.~.~.o~, o~ .~..,~.~... ~ta~ h~lic . '- · N SURVEY OP PROPERTY AT CUTCHOGUE~ TOWN O_P SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-104-00-14 & P, OJ SCALE.. 1'=30' NOVE~BER 27, 2007 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 720906 THE NEW YORK STATE EDUCATION LA~. EXCEPT AS PER SECTION 7200-SU~OIVI~ION 2. ALL OERTIFICATIONS HEREON ARE VALID FOR THIS b4AP AND COPIES THEREOF' ONLY IF SAID ~JAP OR COP/ES BEAR THE IMPREE~ED SEAL OF' THE SURVEYOR Iff-lOSE SI('~NA TUBE APPEARS HEREON. · =PIPE /,qlECONIC (631) 765-50 P.O. BOX 909 1250 TRAVELER STREET SOUTHOLD, N.Y. 11971 0?-2,84 L 765-1~02 9'~AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDAtrION - TVVO REQUIRED FOR POU~ED CONCRETE 2. ROUGH ~ FRAMING & PLUMBING 3. NSULATION 4. FINAL - CON~S]RUCTION MUST BE COMPLE-~ FOR C.O. ALL CONSfR~JC'~TION SHALL MEET THE REGU~RI~MENT$ OF THE N.Y. STATE CO~S~~RUCTION & ENERGY GODE$. NDT RESPONSIBLE FOR DESIGN ORI GONSTRUC'rIoN ERRORS £L 1 !