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HomeMy WebLinkAbout23367-z A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25071 Date JUNE 3, 1997 THIS CERTIFIES that the building ADDITION Location of Property 380 HORSESHOE DRIVE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 8, 1996 pursuant to which Building Permit No. 23367-Z dated APRIL 12, 1996 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to CHARLES & LAURA GOY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A O B lding Inspector 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) . Date ...... .....�.a .............. 19.. �� N�` 23367 Z ...... Permission Is hereby granted t .......... .. .................. . ... ......... r............ de to .... ........ ... .. .......... ... . . 4E C�................... .. .......... ..... .... .......... ....... . ........................................................................................ ..................................................................................................................................................I............... at premises located at....... ..... . ..........r�11 -........... . . ....................... ....,............................... .......... County Tax Map No. 1000 Section .........4�...... Block Lot No./ pursuant to application dated Q.,.......... 19... .. ?...., and approved by the Building Inspector. jj Fee$....(.. � ............ ....................... ..`......�.. ........................ Building Insp for Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY 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 "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 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 Building: - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . c.-7. . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. +�1� . . ��° Location of Property. . . .x(zo. . . . . . .f. �r7. ,G. . -EVE. . . . . . . . . . . .4�4�. I �. . . . . . . House No. . Street Hamlet d Onwer or Owners of Property. . . �.ff. K/: � . . . . �4 V G°y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. ��.Jr. .+©� . . .Block. . CD . . . . .Lot. . Q1.Q.: .(_�42-! . . . . . . . Sub division.0-A6 OA .Y{qW . 5� . . . . . . . . . . .Filed Map. . .��. .�. . . .Lot. . .NO, M . . . . . . . . . . . . . Permit No. . . �l.: .Date Of Permit. . . . . .Applicant. .��?�11 � �. .�:. �? . . . . . . . HealthDept. Approval. . 4 . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . :. . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .^ :. . . . . 00 Fee Submitted: $. . . .2.1 . . . . . . . . . . . . . . . . . . . . . Q� S .211S . . . . . l . . . . . . . ? . . . . . . . . . PLI CQ, � J5'�.�� _. - 765-1802 BUILDING DEFT. _ .INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN AITION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: )�� 1 /-7 DATE � V INSPECTOR iv 1, DATE' ----------- AT -------------------- I M I ------------- -------- ------ -------------------------------------- m. ltoIi(:Il FlIANE, & ...................... --------------- -------- ------------- ----------------------- Vt 111SULATIoll III,.Ij [I. Y . STATR Ellf,"Itey CODI; 2� F]IIAL -------------------- ------ -t--------- --- ----------- -------------------------------------------- ADDITIMIAL-------- - ----- ----------- -------------- ------------- ---------------- ........... AFFOUrcOG o� Id ti a Town Hall, 53095 Main Road p • Fax (516)765-1823 P. 0. Box 1179 y� �� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 29, 1997 Charles Goy 380 Horseshoe Dr. Cutchogue,N.Y. 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. )$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits. involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23367-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BOARD OF iII'.Al:l'll . . . . . . . . . . . . . . . PORN NO. 13 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTIOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPAR' fIRN'r CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SO11'1'IIOLD, N.Y. 11971 TEi.: 765-1002 CALL lix:mirtecl_ .. lv 19!' MAIi. Approve .F.�., 19 Permit' Ho. `� ........ �4`0 ... ...... Disapprova/c .. . ................ ... .... .................................... ... .. .........� (lhui ldiog'Insloecfor) A I 7� .[CATION FOR RIJILDING PERMIT . . . . . . . . . . 19 �. INSTRUCTIONS a. Ibis appii cat ion west be cayileLely filled in by LypewrIter or in ink arxl stAxiiitted to the flu iIding lnspecLor with 3 nets of plans, accurate plot plan to scale. Pee according to schechrle. b. Plot plan sloowing location of lot aril of lxuildings on premises, relationship to adjoining; prenises or lxublic streets or areas, mxl giving; a detailed description of layout of property imst be drawn on the diagrmn wloich in part of this appi ication. c. 'the work covered by this applicaticxt may riot: be c(mmenced before issuame of ikrilding Permit. d. 111m approval. of this alogolicaLicxt, the lluildinl; inspector will issue a Wilding 1'ernit to Lhe applicant. Srrc•h Permit. slrrrll be kept on tine premises available for inspection lhrcxuglxxrt the work. e. No Ixtilding droll be occupied or used in whole or in part for any purpose whatever until a Certificate of Occu aixcy shall have been granted by the lkrildinl; inspector. APPM(',ATION IS il's121my mri. to Uue wilding Deparlment for die issuance of a Iluilding Permit pursuant to the Ikoilding Zotne 0rclinance of the 'I'mm of Soutlxold, Suffolk (:rx,nt:y, New York, aril other applicable Laws, Onlinances or llegulations, for t.lte construction of Ixnildirrgs, ackliticxts or alterations, or for removal or doml ition, os herein described. 'Igoe applicant' agrees to con>(oly with all. applicable laws, ordinances, Wilding code, hansing code, anxl regulations, auxl to admit authorized inspectors on pranires aixl in lxrildinrg�fo�r� necessary ins Lions. (Signature of applicant, or name, if a•c rlx)ration) (Mailing a(klress of applicant) State whether applicant is owner, lessee, agent, architect, eng;imer, general ccnntractor, electrician, plurioer or Wilder. ..... ~ l�ySL .................................. . ............................................................ None of cxr►er of premises ....��-�....v... 0. (�........ `'C 'L��....•..`...... � ................ cu(as r the tax roll or. late, deed) . If al>fil.icant .is a cool ration, signature of: (holy aut.lxoriml officer. (None auxl title of corporate officer) ) Ig APR - 81996 ,. Builders License No. ....... ............ BLDO DEPT. J I'ludoers License No. ....... ... ............ .TOWN'OFSOUTHOtD lectricians License No. ..��E � ._....... Other Trade's i..icense No. ....,N .......... 1. Location of lnrxl out which in-op used work will be clor►e....� �:' ..,d� [louse Rnioer Street Itmilet CcxnN:y Tax Mop No. 10()0 ``Section .... nl ock ...Q4..PA... Iol' Sulxlivisicxi/��. :!...y��... CA S..... �ilecl Fkup No. .. .�.... lot ..N.�....j�-.1... "mine) ` 2. State existing use and occupancy of premises awl int:erxlecl use and occupancy of proposed construction: a. Existing use and occupancy v�st_��n .�I1r ...��.X�Z... ............................. b. Inlerxlecl use aril occnparxy .. ,.����`... ..!'�'`.......t. X?! /. :.... .. .......... 1. i mote 'ol` txiik (c:lieck %-Aiidi applicilble): IL-%j Ikrllding, .......... Aililition ..... Alleral.ion .......... Itelulir ............ Italitmal ............. ik.inI ILIoil ............ Other Qnlc .....7 ................... 7 ^� (I)escript ion) 4. list iitalted Cost' , © .`..' :. fee .... ..L ..v7az�............................... (to be paid oo filing; this application) 5. If thA!1l inll, outlier of A-m-ti liy; units .....j...... IArilrer of AmI I hil; unita on each floor ....... f gartilge, iitruber of cars ...................................... 6. If Ixlaii►esa, cnimercial or mixed oc:culitn►cy, specify nature aiwl extent of earl► type of une..... / ......... 2-7. Dine of existing aln►ct u•es, i f any: Frotit.......�.� Itesr ...�.�....... Ilepllt ...... ........ ik!iiliL ..... ............... Unifier of Stories ..... ............ Ilimeosions of: arrrte stnrrture wIlli niteral//icx►8 or rxklil'iona: I tong' ....�.�...... glean ... �r Z....... MIA It ....✓ ............ llei&L ...�Tl........... Umilxr of Stories ....� /y/....... 11. I)h(iensia►s of entire ixw ccxlstnx i(x►: Front.Front. ..... . ...... hear ..... Ik!pgh � ...... Jrt Ik li;l►l: .... T........./......../t�,A,ilx r (►f Stories ..,./...�r/ ......... ` 9. iize of ioL: VMIL' ...Cz�1..4!...... hear ..�Z,S�-.l.�.... 10. Ilnl'e of Rirchane l.. Z ...49. N.-rtie of Former (Mier II. ZRx►e or use district in cA1i(J► preniaea are rituafed .... ?....... ....... .... ........................`. /�...... 12. ioen proposed ccn►stniction v��iffolate any zoning lim,,ordioance or regiilat.ion: ...... O........... 11. 14111 )ot be regrixled ....._/.`:.�......... W't I l excess fill lie r(�irnred froin pronines: YGS tK) ^D i � M. tl:n►es of ()<nx!r of prc�nises �S.. L4'��a. '`� ... A<klreaa .3g�. "ram .. M000 No. 7 7T$ 11:rae of Ardiltect: ........!Y ..................... Acklrea .............................. Piwtie 1Jo. .............. Ninie of Contractor ..... �✓....................... AM"'s ......... .........11xii►e No. .............. 15. la this property within 300 feel' of a tidal wetlntxl? * YGS NC)... ....... *1F YES, SUiI1KMD 1VXM '1111911FS VOMIT MY M Rl?()1111ttil). PLOT DIAGIIAH )ix-ate clearly rind distinctly all Iloildinigs, ikether existing or proposed, mill iixllcntb all set-back dhnensions frtiin prolierty lines. Give street arxl block rr.nlmr or descripHoo according to deed, aml Mimi street rinuen nixl irxlicate %Aielher inferior or cornier lot. i I :;*101"s (V t114 YMK, s �� 11 _ (xxIWIY (M., h�.u ...... .........( i. . .Iming duly tmwo, dellonou nixl nnya thrit he in the rtppl icsnl: „• 'F (Mom of imlivid►al. lilgllillg etnitlacl') nliuve n(nic(I, k! Ili Ili(: V'r ................ (Coo:rignglenL, coirlxirste officer, et:c.) Of n,lid (iwtx!r or owix!rti, mxl is duly nulhorized to Ix!rfonn or IMV(! IN!1'I0111N!(1 I.I►e said work atxl lo.ncilty mill.flle Iliin applic:n0ou; Ural: ill I. ni-atetentn contnirx!d in I.hin npplicifion live Litie to [lie Will: of hilt luiowledile mxl Ixil.ief; still Ilinl. the woilc will be Iierfotn►ed in Lima m(unwr net forth io the application filed therewith. Ilwtirn to Ix!fore ur! 1.1110 61 ....... ............(Illy of ... 19..`.Y. tkit:Iry 1'►ibl lc V-1 (Signature of Applicant) JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk Cou�� Term Expires June 12,19 I0 TR J)M�,AR ov d 89 A oaA ems. 0 fo P v S egI aat P t B 17: opart -andto 0un L v o Chi r rvices, . ........... • C 0 L OF D w CD C, (P 0 OP 0 098 RE i9s \0 0 45 0 0 1,41#6 Sig), 1110 TE MONUMENT. SUBDIVIS101V MA FILED IN ME OFFICE - '/�+ OF THE CLERK OF SUFFOLK Cowry ow APRIL 4, 19 75 A 3 MAP NO. 6241. -NEARE3r WATER MAIN = 4 Afl 411A TER SUPPLY c PR/VA rE WELL. ALr THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD < 0 OBSERVATIONS AND/OR FROM DATA OBTAINED FROM.OTHERS. -CpOch REVISIONS YOUNG & YOUNG THE WATER SUPPLY AND SEWAGE-DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL AUG-11,1977 400 OSTRANDER AVENUE, RIVERHEAD. N EW,YO R K CONFORM TO THE STANDARDS OF,. !:-SUFFOLK COUNTY DEPARTMENT OF HEALTH << LDEN W. YOUNG P SERVICESA HOWARD W. YOUNG A PR PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LIC. NO. 45693 ADDR97 S's- LAND SURVEYOR, N.Y.S. LIC. NO,12845 C' SURVEY FOR: -TEL--- JNAVTMGF12ED ALTERATION OR ADDITION TO E - - - - ' - 'q - \ THIS U RE" 15 A VIOLATION OF SECTION FRA N K B 0 R N 720b'DI' 704E NEA YOR. STALE EDUCATION _AW LOT NO. OREGON VIE.21 , W ES TA TES COPIES Of THIS SURVEY MAP NOT BEARING THE LAN.: SURVEYOR'S INKED SEAL OR SEAL SHALL NOT BE CONSIDENEC A VALID TRUE copy AT GUARANTEED TO: CUTCHOGUE INZICAIED HEREON S.A-, RUN .N;y "0 E THE P'PSON FOP WHOM THE TOWN OF SOUTHOLD S PR PARE[.',-AND ON HIS BE-IALF 'C "HE 'IT' COMPANV,GOVERNMENTAL AGENC' AND 'STED BY LENDING liZS.:,t;T ON L, SUFFOLK CO* N rZA- -7 NOT TRANSFERABLE. Ll ADO -ONAL SCALE DATE NO. PIC.,R'(0%4 SET 6 LENDING INSTITUTION. GUARANTEES ARE INS7 IT OT IONS OR S,)SS; LIEN O*NERS."EREON,AND TC THE ASSIGNEE$ OF' IKE -.. _. - .. f, ,S .:,: .. _ ,_ ..,, .. ". , 4 , _r .. : r .".: .i: _ �ti r... ,., .., :: 1 - .... .. .....r,. .. .,: - :. -: , . _ .. .:. ..-. .. .. ., - ..,. _ .. .. _ .-, - , .. .. - .., f -. .:_: .: .--. .... , .., .,-. ` _ -.-. - , -. ._ . t. .. .. ..-. .. .. .. n: - , -.. 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