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Home My WebLink About23903-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24983 Date APRIL 11, 1997 THIS CERTIFIES that the building ADDITION Location of Property 5700 VANSTON RD. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section III Block 10 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 7, 1997 pursuant to which Building Permit No. 23909-Z dated JANUARY 31, 1997 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 FOUNDATION UNDER PART OF AN EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to CHRISTINE HUNT. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-054316 - MARCH 13, 1997 PLUMBERS CERTIFICATION DATED N/A f r Bu lding Ins a for Rev. 1/81 FORM NO. I 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) �V o 23903 Z Date ........./!�,-& ................................... ,91-(-7 Permission is hereby granted to: .. .... .../f/7.. .............................. .SAD®tz ....�/ ,� ....% !::.....�!': :../. ....... .Q. .. . ..y... .:....�../.r. :'.... 1• r ?:��lr. .. .....r. ::�. .. ...../ �.... .......� �. �:-.. ..� s:: �.1�.'...��.. ..��Jai� atremises located at .. .. ... .. .N.........................1.................................. .... .............................................. .............. .......................... his c t!. ....lfl�lr- ... Z%3�!.1:.,� lr. ✓.�s:................%... ) �9 County Tax Map No. 1000 Section ...///............. Block ...../..i�.�........... Lot No. ....Zb!/...... pursuant to application dated .............. MAY. 7t4 191 land approved by the Building Inspector. Fee $... ✓......Cw.... .... .... ............... .. ...... .. ........................... uil ' g Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD =>}} BUILDING DEPARTMENT TOWN HALL J 765-1802 U,U` FEB 2 5 199T " pI q ins APPLICATION FOR.CERTIFICATE OF OCCUPANCY BLDG. DEPT. TOWN OF SQu T;OLD A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 f1pre-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 a 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 Buildina - $100.00 3. Copy of Certificate of Occupancy - .251�, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1G5,.00, Commercial $15.00 Date l �i�� ,l�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . II New Construction. . . . . . . .. Old Or Pre-existing Buuilding— . . . . . . . . . . Location of Property. .`.. :!�. . . . . . .� 1(/ : .I.. . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Propertycv9'5�c.�'. 11 Y711-.. . • . .� - • • • • • • • • • • - County Tax Map No 1000, Section. ./J. . . . . . . . .Block. . . . . (3. . . . . . . .Lot. . . ( .� . .� . . . . . . . . . . . . Subdivision.I�.jj. . . . . . . . . .��. .--. . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot -. . . . . . . . . . . . . . . . . . . . . . Permit No. .6 `� 4?_YL-._.Date Of Permit. . . . . . . . . . . . . . . .Applicant. .U9l ` I . . • . • Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . � �. . . . . . . . . . . . . . . . . . •gay .,� . { -� . . . . . . . . . . . . . . . . . . . . . . �`� APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8064967 BUREAU OF ELECTRICITY JOHWSTREET, NEW YORK, NY 10038 Date MARCH 13,1997 Application No.on file 13 9 797/97 H 054316 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 CHRISTINE MATT, 5700 VANSTON, CUTCHQCUE, N.Y. in the following location; [E Basement ❑ let Ft. ❑ 2nd Fl. Section Block Lot was examined on T,.AI:CIT 07,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT[FLUORESCENT OTHER AMT.' K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PTJ TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS, TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 7 SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER �,7W a 3W 3.B'3W 3,B'IW NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER B' OF CC.COND. OF MI-LEG OF NEUTRAL OTHER APPARATUS: INSTALL WASHER & DRYER-1 i CHRESTT.NE RUNT L L P. d. BOX 376 CUTCHDCUE, NH, 11935 GENERAL MANAGER 4.1 _ a5 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. y 765-1802 BUILDING DEFT. INSPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � O .� DATE 3 3 77 INSPECTOR r�-� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ � FRAMING [ FINAL�� ) [ ] FIREPLACE & CHIMNEY REMARKS: DATE -7 INSPECTOR P I I,I.0 I tl; i't•l:r I OI( I(I:l'UI(f I)A H,. COPihll;rl'1'------------ I II y I r)fIN1)Al I ON I� it I FOUNDATION ( 2N1)) II ' jj liT)IIT:II FRAME G I` II v1 I11.IIF11l I NG I II I� �-j I NSIIT.A•T'1 ON PER rT, Y S'i'A'1'171 R NR I!(:Y (:O1)I.. �I �! AII Ap I Il I,I NAT. II j1 AI)1)I'1.1 GNAT. (;O<•IHI.N'i'.'i O .... .......... .. .. _ ._ ..._.__.�_._.._.._. .. 1-4 VJ 1 ('I STEVEN 80RN - MASON CONTRACTOR SOUTHOLD, NEW YORK 11971 JAN _ 7 516 765-3303 OR 722-3319 PROPOSAL SUBMITTED TO PHONE DATE 23 STREET JOB NAME CITY, STATE AND ZIP CODE JOB I.00ATION fil We hereby submit specifications and estimates for: )rc A (.P ffo- . zo X z G t0 c-c Lt- X�� "k. 7 - 41!f , . LJ &r�:z a,,-e v Uo" "I =� Lb -A Z 6 IVP f rapasP hereby to furnish material and labor' — complete in accordance with above specifications. for the sum of: Payment to be made as follows: dollars ($ 4/5 o C) r)C ) Pr-t �—Q C � �So o o "NOTICE TO OWNER" /\ K 1 C 0 U Under the Mechanics' Lien Law, any contractor, subcontractor, laborer, materialmen or other person who helps to improve ! ysd rC your property and is not paid for his labor, services or material, has a right to enforce his claim against your property. l� Under the law, you may Protect yourself against such claims by filing, before commencing such work of improvement, an original contract for the work of improvement of a modification thereof, in the office of the county recorder of the county where the property is situated and requiring that a contractor's payment bond be recorded in such office.Said bond shall be in an amount not less than fifty percent(50%)of the contract price and shall,in addition to any conditions for the performance of the contract, be conditioned for the payment in full of the claims of all persons furnishing labor,services,equipment or materials for the work described in said contract. D Authorized Signature _ 'L Note: This proposal may be withdrawn by us if not accepted within days. Armptana of f raposal—The above prices, specitications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified.Payment will be made as outlined above. Date of Acceptance: Signature BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . . TOWN OF SOUT11OLD �15URVEY . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT JCHECK . . . . . . : . . . . . . . . . . . . . . . . . . TOWN HALT. / SEPTIC FORM JAN SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL /, . . D.r?`. . Examined......./. Z��.., 19 � MAIL TO: . . . . . . . . . . . . . . . . . Approved....l�.V...... 19,1./. Permit No. �3 9 d3 .. ................:................... Disapproved a/c .................................. ..................... ...................................................... '1Azi:ldiLispe or APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . 119. . . . INSTRUCTIONS a I. 'this application must be completely filled in by typewriter or in ink and sulmitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Tee according to schedule. b. Plot plan showing location of lot and of buildings on premises, irelationshi.p to adjoining premises or public streets or areas, and giving a detailed description of layout-of property must be drm.7n on the diagram whi.clz is part of this application. c. The work covered try this application may not be comrenced 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 th"wgiout 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 Lire Building Inspector. APPLI(A'fl(kl IS 19'11fd'sBX MN7f; to Lite Building Department- for Lite 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, additicros or alterations, or for remaval.or demolition, as herein described. ' lire applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit audrorized inspectors on premises aril in building for zreces ary inspections. (S.gnalure of applicant; or name, if /a corporation) (Mailing wklkess of applicant) i✓ r� State whether applicant is owner, lessee, agent,.architect, ehgineer., general. contractor, electrician, pluurirer or builder. ........................... .... ........ . .......................... .......................... Name of owner of premises C_ Lw.../..�.. (1 ......../`+rr!C!/.')k4 .5. ..................... .............. (as on the ax roll or latest deed IF applicant is a corporation, signature of duly authoriwd officer. (Name and . •' .•and title of corporate officer) Builders License No. ......................... Pl.urirers License No. ......................... Electricians License No. ..................... Other Trade's License No. ................. 1. Location of larx] on which proposed work will be done.............................................................. .7 ..........il.�<n.� �.. d .. .:.............................. louse Nuri)er Street Hamlet Gxnty 'Tax Map No. 1000 Section ......��J...... Block ...f`0 ........ Lot .1 0.d ....... Subdivision ...................................... Tiled Map No. ............... Lot ............... (Nano) 2. State existing use and occupancy of premises and intended use aril occupancy of proposed construction: a. Existing use and occupancy ...i4(7.Yn.e.... .....:................................................. ... b. Intended use and occupancy ............................ .............................................. 1. R&ML! of e,nnk (dieck .]kith applicable); Nero Iklildinl; ........ Acklitimi ... Allc:rat.inI .. . 14:Iwlr Itc+kkoval Ikolrllil:ion Oilier hklrlc ./ .. �P1 .�. ..... ..... (Desc:rII11:icxn) I?:;1.11witecl Cost �el.J.• 1!.'�.�.D.. ... fee ................................. ............. (to he iaid oil filing this appiication) 'i. If cAiel l inn;, limner of ck,elllnl; units . ........ ... lumber of: th."el l ing units of each floor ... . . . ... .. ..... Ifgarage, +xikl,er of Cara ...................................... h. If Ixisiikean, colvinercial or mixed cx:ciipaix:y, specify iuiture mill extent of each type of tine...... . .. . .......... .. J. Dimenairxis of existA ng stmeturea, if any: Front.......... ...... hear. 1k:pLlk .. ..... .......... I It!il;lll: ......................... Umber of SLoriea ...................... Dfilcnaions of sane structure with alteratIone.or ixklitions: Front ............... ]tear ............... Dept11 .................... lie iglit Umber of Stories ....... ........ 0. Uialensioiks of: entire new exxiaLn►ctiom Front ............ .... Itear ....... ........ Depth ............ Ik II;IkC ......................... Nlkaller of Stories U. Size of lol:. i hint .................... hear .................. .. Ik lllli .. .................. r 10. It-ite of 11n-chane ...................... Mimic of fornker Owner ..... ..... . ......................... .... I. ZAxie or line IIIaLr-ict in rkich premises are situated ...y� e,sr .... ....................... ...... ... .. ',� l •1 12. Ikx:a proposed rcxksCrnx:tion violate any zoning lira, ordinalx:e or regi lation: ....YY p............. .. VI. Wi t I lol: be rel;rixled .... .Q.... .... Will excess fill he rui�lccived from praniseii: YES tJ0 lit. Milken of (knrer of presnisee 4Clld'.1. �]Yl1ll0i!5f.... Aiklreas�./.(�71 .� h✓`�0?7 ./ ;�i.(� I1rax iJc17J .`J1/X.... Mmic: of Architect' .................................... Acklress ......... ..................... tj lot xe 14o. ..... ...... . . Raw! of ('.ontracCor ....... Aiklress ...............................111olke No. .... ... ...... I:i 'llkis pnllx:rty within 300 feet of a tidal wetlamil * Yf?fi s.......... *Ili YI:S, :XXIIICHD 'ICAM '11A)SIli?9 11 NIT MAY ill's IVAilld-U). PLOT DIAGRAM Icx:ate clearly arxl d,istinclly all Ixiildings, iJiether existing or proposed, aril indicate all set--back dimensions iron prolx�rty lines. Give atreet aril block timber or description according to deed, and slioei street mina mill ickilirare Ikelher interior or corner lot. ... . .... . .... . ....being duly cxxlrn, delxlsea aixl says shot: he is the appl icmil. (Nlnlc: ol` individual. signing contract) alxkve nirlvd, S Ik: I1: Inn: .... ... .. .............®l`J.9.'(''.'P!�.. ..... ................ .... .._. ..._. ..... ._.... ......_. .... .. . ..... (ContracLor, agent, corlx)rnl:e officer., ecc.) of ::aid c,mker or owix:rs, nix] is duly aul.horized Co Ilerfolml or have performed Like aald work mill to make mxl I`ile Ihin ilplll icaLinll; 1.1mi: ;if I ntatailentH contained in this ilplll icatloil are l:rnx, to the bent: of his klxlwledge nixi b6l iel, alai Ihal. (lie work will be perfolim-d in I.he acamker set for.l.h in the appl.icatiou filed therewith. awe,ni In Wfore nr this .. .. . . .... ...day of Ncrl ary L'kihl is .. .. -�4 L OBERTI.SGOTT,JR. (Si ;naCure of Appl icanC) NOTARY PUBLIC;State of N.Y. No.4725089.Suffolk Cou Term Expires May 31. 19_.. -7 2 5-0