HomeMy WebLinkAbout6004-Z 0; ON Town of Southold 3/4/2017
P.O.Box 1179
of ! 53095 Main Rd
'plan Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 5845 Date: 4/4/1974
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 10725 New Suffolk Avenue, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 116.4-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/7/1972 pursuant to which Building Permit No. 6004 dated 7/11/1972
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:
accesso garage.
Note: This Certificate of Occupancy has been issued to replace the missing original �
The certificate is issued to Robert&Cheryl McCall
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. N 134211
PLUMBERS CERTIFICATION DATED 12/2,W1973
OA rized Signature
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N® 6004 Z Date ......................................................... 19.7...
Permission is hereby granted to: h
Il/A
................................................................................
................................................................................
................................................................................
to .��U. ..L:.:�.........r......................L:...:s......................r'.U....�:b.�.�1.�:.....................................
................................................................................................................................................................
at premises located at ...............�...........�..........: 111..1r........:�:.�'.�.1.............. ..... ..j�.�................
................................................................................ ................................................................................
.................................................................................................................................................................
pursuant to application dated ......................................................... 19........ and approved by the
Building Inspector.
F U'—
Fee $........................
...............:................................................................
Building Inspector
THE NEW YORK BOARD OF FIRE -UNDERWRITERS
tab BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NEW YORK10038
Date December 20, 1973 Application No.m file - 645783 A'
THIS CERTIFIES THAT 1 1 4 211
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
X1/9 New Suffolk Ave,,., New Suffolk, L.I.
in the following location; ❑ -Basement ❑ lst Fl. ❑ 2nd Fl. Garage 'Out d3.-de Section Block Lot
was examined on December 14, 3.97 33 and found-to be in compliance with the requirements of this Board.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT1 FLUORESCENT MyAPORY AMT K W AMT I K W AMT KW AMT K W AMT H P
5 2 5 5
DRYERS FURNACE MOTORS FUTURE'APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT K W OIL H P GAS H P AMT NO AWG AMT AMP AMT AMPS TRANS. AMT H P SYSTEMS AMT- WATTS
NO.OF FEET
SERVICE DISCONNECT NO.OF S E R V I C E
AMT AMP TYPE METER �,2W 1,0'3W 3 0 3W 3,0'4W NO OF CC COND A W G NO OF HI-LEG A W C' NO OF NEUTRALS A W G
EQUIP. PER.0' OF CC COND \ OF HIAEG OF NEUTRAL
1 200 CB 1 3/0 3/0
OTHER APPARATUS:
1-30am. p 2 fuse switch,
B.jElectric co"
Stillwater Ave,
o GENERAL MANAGER
Cidtchogue, L.Ie13.935 � RIS:
Per
COPY FOR BUILDING DEPARTMENT. TH95 COPY OF CERTIFICATE MUST NOT BE ALTERED 9N ANY MANNERi
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ................./................ .., 19......... Application No. ............ ...........
Approved ..................{../.. . ... ... ... 19/.-71` eemit No. ....................
Disapproveda/c ................... .............. .......................................................
...................................................................................................... .......
................... .... ........ ............. r.. ................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date }............................ .."19/...... .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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
giving a detailed description of layout of property must be drawn on diagram which is part of this application.
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 issue 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 a 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 buildings for necessary inspections.
........... ...... ...... ... p ...........................
(Signature o applicant,or name, if a corporation)
1-1
. ........................ .............L.Pte... .`.. !....................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.....t ... .Y............................................................................................................
.............................................................. ..
Name of owner of premises ...... .....l��Sjj.
�.... . ..�. 0.7� j........ ....1.�7[. .1�.. ..............................................
If applicant is a corporate, signature of duly authorized officer.
...................................................................................................
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No.: g
........ ............................... Lot No. .... ....
Street and Number .......... ..............
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ................... e :.:................................................................................
b. Intended use and occupancy .................... .............................................................................
3. Nature of work (check which applicable): New Building ..,/Y............. Addition ..................... Alteration...............
Repair .............. .. Removal ......................... Demolition . ................... Other Work ........ ................. .........
It 7j
S6 „�d (Description)
4. Estimated Cost .... ............................. Fee ... ......... ..... ........... ............... ................................
(to.be paid on filing this application)
5. If dwelling, number of dwelling units ................. Number of dwelling units on each floor .........................................
Ifgarage, number of cars ...........2�............................................................................................................................
6. If business, commercial or mixed occupancy,specify nature and extent of each type of use .....................................
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 ......................................... Number of Stories ........................................
Fr-
8. Dimensions of entire new construction: Front ....2V., Z ..... Rear .....�.�............... Depth ...a .��. .. j............
Height .............1.�... .,................ Number of Stories .....�...........................................................................
9. Size of lot: Front /
.... /�� .�.�....................... Rear .......�0�..1.�........................ Depth . ..�..�..:..��........................
10. Date of Purchase .......1..7.20.................. Name of Former Owner ....................................................
11. Zone or use district in which premises are situated ......( :e:S..t. ! .. . ...............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..J�4..0.................................................
'13. Will lot be regraded __ .O�..............:..... Will excess fill be removed from premises: [ ] Yes AM 'No
1,4. Name of Owher`of premises -....us,,L. L� .....fl:.....QW..l.(A. _V46.... .. ...... .�..F. .��..............................
(Address) hone No.)
Name of Architect ........CT�s.. �.�.� .. c:.. .[.l<<:�:1zt.S............. .................... .1�.. .:.. ...........................
;3" �(Address) .�. 1. hone No.)�
Name of Contractor ..... . t. .T e. .. ...
. °.� .�.!z:a........ .... .... �f. ..... .. ..............
.. .. ...... ... .. ... ...
;Address) (Phone No.)
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 wheth-
er-•interior or corner lot.
POW 11 3
Cy ec_
�vLd o w t 1�rQl�s
STATE OF NEW YORK, ) SS
COUNTY OF ...5.G..,JE 4..G .K......................)
r
;U ..6r.Lr:...... ! ..... ....................... being duly sworn, deposes and says that he is the applicant above named.
(Name of in id vidual signing contract)
Heis the ...............:... LlI.L,,f7L:.? ....................................................................................................................................................................
(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 therewit .
FRED 1RC KA)UN,
........C�..:(... !....................day of .. ... ......NOWY Public 2it .
0 R-713531�� S9�- ! l/
Notary Publi� ... . .. ►ssion ExR"tMe iay30, 1,F ..plic....... ...................................
' 7"tu're of applicant)
FORK[ 1V0. 1 / c ,
TOWN OF SOUTHOLD f Za� a--,.,-��
f/ , ,
BUILDING DEPARTMENT -;d�� "144
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ................... ..,... ...... 19...... bp:plication No. f :.4 ..:�. ./........:.......
Approved ..................... ............ . .. 19 ...... Pemit No. ......................................�11
✓ �
Disapproveda/c ...............................::.......................................................... S&� , Y/7
(Building Inspec`tor)
......................
Q
APPLICATION FOR BUILDING PERMIT
f �
] �
Date .....`�.�.......?............................ 19...a....
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wit
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
giving a detailed description of layout of property must be drawn on diagram which is part of this application.
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 issue a Building Permit to the applicant. Such permit shall be kept
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 shall have bee
granted by the Building Inspector
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zon
Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations,for the construction o
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 buildings for necessary inspections.
.. ...............................
(Signature of applicant,or name, if a corporation)
............................ ...........I.. � ...�`. ................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.............................................................. ............................................................................................................
c
Name of owner of premises ........��� � �3�.....�..a..l.{1 . 2.�t ... ej...... j.1.�c� �S.................................................
If applicant is a corporate, signature of duly authorized officer.
................................................................................................... 1
(Name and title of corporate officer)
me
1. Location of land on which proposed work will be done. Map No.: .... .ten.. .3.:.............................. Lot No. .....�:..
Street and Number
,P_V-) S u ��0� �e- e �eW su-5t&
...........4. ..................................... ........................................ ...............................X. ............
/D 7Af Municipality
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 .......... ..........` ...... ................
g �� - . 4........... ..............................................\
3. Nature of work (check which applicable): New Building
. ............ Addition ....,................ Alteration...............
Repair ......................... Removal .................:..:.:.. Demolition .................. Other Work ....... s .........
4. Estimated"Cost .;-Sh A............................. " Fee ..:.:.: .�....: .:. .. .. ... ................................
•• (Description)
.... ...... ....... N;. ..... .......
(to be paid on filing this application)
5. If dwelling, number of dwelling units .................. Number of dwelling units on each floor .........................................
Ifgarage, number,of cars .......21.................................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................................
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'........................................ Number of Stories ........................................
8. Dimensions of entire new construction: Front .....tZq.fC.... Rear .... 7. � ......... Depth .. .........................
Height ............S.fri........................... Number of Stories ............................................................... . ....................
9. Size of lot: Front .... .�... .. Rear .................•....... Depth .. ..,�..�E L .;..
�...................... ...... .. . ........................
10. Date of Purchase ............�. .�.d........... Name of Former Owner ...1�?�.°.. 56.�1....................................................
11. Zone or use district in which premises are situated .: 5.6.c� ��t.d....................... .... ......
12. Does proposed construction violate any zoning law, ordinance or regulation: ...LYP........:........................................
13. Will lot be regraded ....................... Will excess fill be removed from premises: [ ] Yes ] No
14. Name of Owner of premises ....Ha4.Lf; .•. ......ks!. ...5:e :. .•....�. :..�.g�.��....................
w oG
(Address) (Phone No.)
Name of Architect � ......................
(Addre s) (P� )
Name of Contractor ........ +.'..;e;o'•Yg. ....... ....... � ...............tL
l (Address) (Phone No.)
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 wheth-
er interior or corner lot.
CUjv\_S
G VK
C&I
L`
STATE OF NEWYORK, ) SS
COUNTY OF .......v�^ ��Ll� 1
.......................
.........5.x.�?�De�srr. .. dlT .t! C)....................................... being duly sworn, deposes and says that he is the applicant above named.
(Name of individual signing contract)
Heis the ............... .....GJ..U.tii.. ... -r....................................................................................................................................................................
(Contractor,agent ,,corporate officer,etc.)
of said owner or owners, and is duly authorized to perform or shave 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. FRED W; KARUN 3R.
�Stsry to, State or New Yor�l
................. ........day of ... ...... ..... ..Ne;id County
r 3r
mmissiort Ex s Larch 30,
Notary Public, y
y . . ....... Count ......................
( gnuture of applicant)
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