The URL can be used to link to this page

Home My WebLink About28654-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-28705 Date: 08/14/02 THIS CERTIFIES that the building ALTERATION Location of Property: 900 OAK DR CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 6 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 2002 pursuant to which Building Permit No. 28654-Z dated AUGUST 14, 2002 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 ENCLOSE A SCREENED PORCH ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. (UNHEATED) . The certificate is issued to JOAN LANGEMYR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 371285 11/27/95 PLUMBERS CERTIFICATION DATED N/A >Aoriz-od Signature Rev. 1/81 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. 28654 Z Date AUGUST 14 , 2002 Permission is hereby granted to: JOAN LANGEMYR PO BOX 501 CUTCHOGUE,NY 11935 for . ENCLOSE AN UNHEATED SCREENED PORCH TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. (NEW ROOM SPACE WILL NOT BE HEATED) THIS PERMIT REPLACES BP# 22645z at premises located at 900 OAK DR CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0006 Lot No. 013 pursuant to application dated AUGUST 14 , 2002 and approved by the Building Inspector to expire on FEBRUARY 14 , 2004 . Fee $ 150 . 00 Authori d Signa re ORIGINAL Rev. 5/8/02 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) Date...........MARCH 28.......I.......................... 19....95.,. NP 22645 Z Permission Is hereby granted to: ROBERT BORN CONT. - A/C LANGEMYR, ROY & WF ..................................................I..................... P.O. BOX 55 ................................................................I......................... PECONIC, NY 11958 .......................................................................................... ENCLOSE AN UNHEATED SCREENED PORCH OV..AN EXISTING ONE FAMILY DWELLING t0 .................................................................................. .......................................................................... AS APPLIED FOR. (NEW ROOM SPACE WILL NOT BE HEATED.) ................................................................................................................................................ ...................................................................................................................................................I.............. ....................................................................................................I.............................................I...........I... .................................................................................................................................................................. at premises located at...........900 OAR DRIVE...........................CUTCHOI QEA..NY................................... ..................... . .............................................................................................................................................................. County Tax Map No. 1000 Section .......104............ Block........... .............. Lot No. .................13........ pursuant to application dated .........MARCH 105........... and approved bythe Building Inspector. Fee$.... .J.../ s :�.................... �Bu iiding Ins ector Rev. 6/30/80 Form No.6 ,� 10 TOWN OF SOUTHOLD _ � I 1 BUILDING DEPARTMENT _8 I TOWN HALL mm% 765-1802 i APPLICATION FOR CERTIFICATE OF OCCUPANCY r' .� 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 Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-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 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 Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15..00 Date. 11'— New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street U V01Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block l Lot Subdivision Filed Map. Lot: Permit No. L Date of Permit. 2 ' ' D.Z Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C a "� Applicant ignatur THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY F— 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date NOVEMER 27,1995 Application No.on file 88103095/95 N 371285 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JOAN LAN&KYR, 900 OAK DRIVE, CUTCHOGUE, N.Y. in thefollowing location; ❑ Basement I IAt Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on NOV M 'R 22,1995 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLIES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 5 1 2 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS I ULL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. IVO OF FEET AMT. WATTS 1 .fi5 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER A.2W t,C 3W 30 3W 3 0/W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W.G. NO. NEUTRALS A.W.G. EQUIP. PER A' OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 HOTORSt1-F H.P. PAUL R. BURNS LTC.#3897-E P.O.BOX 1061 SOUTHOLD, NY, 11971-0932 ciENIM MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. >_ � �-�—c-.� —•gym •r'_ a"`, ` �`�'v ., y j e�F1 a o _ OWN OF SOUTHOLD PROPERTY RECORD ' CARD' .""v OWNER STREET 9C� VILLAGE DISTRICT SUB. LOT To✓r.1 lie l FORMER OWNERN E ACREAGE �a lr r�v e �0 tr f 0 y r ' V �� S TYPE OF BUILDING C , e f C:.T, t-o o a Z A v GEM Y,,P _ Jf10 M r' _RES. D SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS Sa /Q/ �Q Q 166 Sa /a( l� 9 �/ 3a�— iT6 6, 7`.4.4 D d d 749 S�l�, ,ey a a a Lt-,A Ut b e i tawie, rt6 R. GQ 0 0 Zu a 17/ 0 / 7/ <90. d70 7Z 00 A E B DING CON IT ON ✓ 31 �� ; I _ NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD 1111 s.3:�rlf Tillable 1 BULKHEAD O' Tillable 2 DOCK rr Tillable 3 � f Woodland Swampland Brushland House Plot ' Toto I eii 1jaw NOT �N� N ri ,,. ��y �NNNOONON�NNN NO NON • IIII� Y / I / 1 1 s•� C7� /K CR / �E' s. • h L � � v Go"c. block a �eLAwolptipn Q � N CD o - ! RED AITFRAl10N OR ADDITION 10 SURVEY IS A VIOLATION OF ON 7209 OF THE NEW YORK STATE ATION LAW. COfIlS OF THIS SUR!'EY MAP NOT SEAR rolot Nile' SuF2vEYEG' FZ�� m,'Al D SUCVFYOR'S (NX-D SIA! OR WOSSLD SEAL SHALL NCT Sk '.�+OJt tj�• /./-/��-/� �y/ ^ ' / / /l / ` / -- T ! / TO p A VALID TRUE Copy. �Or:SIpERFD J f I•�� 7 �� . / �� • �' V U (..,./�� E' A-'-. � {��" � �OUARANTIES INDICATED HEREON SHAIL t lj t ONLY TO THE JE;,50N FOR VH,OM THE SU4 E' � IS FSL.AkfD, AND ON HIS DLHALF 10 i141 ! TITLE C010ANY, '30YERNMENIAL A."" jt�rFaf k�'• llNDL:G IfiTUT10N L:ST1p H.RLVN, AND EA.S T TGf "X.�r /E �'�' / . TO THE ASSIGNCES OF THE LE1'DIft6 INSTI. I / 1UT1O-N,GUARANTEES ACE NUE RAI;SFMA TO ADDITIONAL INSTITUTIONS OR SMFQU 4►ri+Fad YV�, .E,r•. - = - S u Y v e y e d `1 u 1 y ?-A { -77 . �► _ 'won /o,'�c t+G . V � � ...,.....��_ - r ''ut�r 11 c� re r►�or f , New Yea c� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1�4 MING [ ] FINAL REMARKS: DATE Tzlilq � INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [kjolANAL REMARKS: Com/ r i DATE I �A koolNSPECTOR FIELD INSPECTION REPORT "DATE a COMMENTS ro � II 11 H FOUNDATION _( 1ST) _ r FOUNDATION (2ND) ------------ --- ii x � ROUGH FRAME h ii ii C PLUMBING ii n u ° � it INSULATION PER N. Y. STATE ENERGY II ii CODE If If it / xxssxaaxxxaessxxxxssxxxaxxssxas�xs--a asxxxxevsas=asoxa-xxxxxsxxxxsxxeaxxxx=---------- u I � ea C 1 H II II ('j II II Cs If II II FINAL li n II II ¢:xxx=xsoxxsxx----aasxaxaxxas�sr-x�---asxxaxxaxaxaxas -xxx sxxaxxrsaxos=ssJ ^ ADDITIONAL COMMENTS: ssaaxaxaxxs xmr-sx-----------xaaxasxx--xxxesxx_a---=--e-- -xxxs--x-axxssesxe=exx � � �e n G da L 1 ya 0 x rda ro H F" BOARD OF HEALTH . . . . . . . . . FORM No. 1 3 SETS OF PLANS _ t ; TOWN OF SOUTHOLD SURVEY ! BUILDING DEPARTMENT CIICCI: i..i - . . . . . . _ _ _ . . . . . TOWN HALL SEPTIC Fonn _ . . • d SOUTHO " " " BLDG. PT. LD, N.Y. 11971 TOWN OF S40UTHO � TEL.: 765-1802 Examine % Sy CALL ��5.- ��,��. . MAIL TO: Approved . .9� ?..�. . . . . . .. 10- Permit No. ,;�k,�?. T. .� . . . . . . . . . . . . . . . . . . . - Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ildi r- nSpector) 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 ets 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 )r a.`eas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- atior[. 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 hall 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 Certificate of Occupancy hall 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 Wilding 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. 'lie applicant agrees to comply with all applicable laws, ordinances, buil P code, housin code, and regulations, and to dmit authorized inspectors on premises and in building for necessary ' sp ct ,6ns. (Signature of aPPlicant, or name, if a corporation) (Mailing address of applicant) ;tate whether applicant is owner, les , anent, architect eng b eer, general contractor, electrician, plumber or builder. _ ,t 2 . . . . . . . . . . . . . . . . . . . . . . . lame of owner of prem; s d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t (as ort he tai roll or latest deed) f applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . .� Y �• A Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . . . . . . . . ... T House Number 1 . � . ./ 4. ! . .0. Street • UU Hamlet County Tax Map No. 1000 Section . . . . . .I.0. .I, // . . . . . . . Block . . . . . {0. . . . . . . . . . . . Lot . . Y .� Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. (Name) . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a• Existing use and occupancy . . . . . . . . . . . . �- 110 4Wb. Intended Occupancy Intended-'use and t �AAI�N pancy . .4�.`�„ • • rcr . ,,,_�t h e 1,,:, ..fi� • 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . Alteration . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition Other o el� /'/ �- (Description) 4. Estimated Cost . . . . . . .i. r. �. . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . .!� If garage, number of cars . . . . . . . . , ' ' . ' ' ' ' . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . !!r?. 7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . ._. . •; • • •• • • • • . . . NumberofStories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front i^ %STry , , , , Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front ' ✓.Z. . . . . . . . . . . . . . . . Rear .i.1 4. '. . . . . . . . . . . . . . . Depth / c'1 .� . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner ...... . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . 13. Will lot be regraded . . . , !r!4 ��" " " " " " . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises �, Address J"7<- .Q A iC, ,:Sl., Phone No. .�.?' Name of Architect . . Address Phone No. . . . . . . . . . . . . . . . Name of Contractor �dL.t!, , , , , , , , , , , , , Addre . �'. �� ,S �nC_✓f hone No. .? %/ 15. Is this property within 300 feet of a tidal wetfanV *� V No. . . . . . . . . *If yes, Southold Town 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 lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. _Z� i1 f CMZ —. �x�STrN c � of�1� TATE OF NE Y OUNTY O f S.S — • • • . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) >ove named. is the (Coni or agent, corporate officer, etc.) said owner or owners, and is duly aut wr�to perform or have performed the said work and to make and file this Plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the irk will be performed in the manner set forth in the application filed therewith. porn to before me thi / . . . . . . . .day of. - 19 . J i; tary Public �. �tlG J\, , Count CLAIRE L.GLEW NOTARY PUBLIC,State of New*4 No.4879505 . . . . . . . . . . . . . . . . Qualified in Suffolk Cpuiry (Signature of applicant) Commission Expires December 8,11 �5PIP., fbod f5 y lig ir��.t, t✓F% h - -If - f - - - oONCKr_ � E. Dwvopriol� Gr�2 iG 7iG � &d)( it J ..;rrlrr: rq E'F ^CIJIPLl7TF_6+776,C.'J. UNDERWRITERS CFRTIFICATE r'AL CON ;TFIUCTKA4 SIAM. VG,IFET REQUIRED Tits R'E:71V16RSMENTS OF THE M.',' COMSTRUCTION & ENEPCJ CCT,'ES. NOT RE„4F'CINSIEL.E FOR DESf NI OR CONSTRUCTION ERROR'.,