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HomeMy WebLinkAbout23845-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24792 Date DECEMBER 12, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1120 BROADWATERS RD. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 9 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 1996 pursuant to which Building Permit No. 23845-Z dated DECEMBER 6, 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 "AS BUILT". The certificate is issued to PADRAIC & SANDRA FURLONG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Auelding Inspector Rev. 1/81 FORK NO. 2 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) N? 23845 Z Date .................................. ................... 19.2� Permission is hereby granted 7t ... ............... ................ ...A�g ...................... ............. to ................ ....... ..G..""""' ................ . B . .. .... are ed� ...a.--.reol ............................ ................................................................... .......... . 0 X��, at premises located at ....................:.. ....t........... ............................... ...... ...................f........................ ............................................................. ................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section .......�145;)�/ ......./....... Block ..... ............ Lot No. e?.................. pursuant to application dated .....................1'&�---Y eel..........I 19.41W, and approved by the Building Inspector. Fee S. .......... .......................*..... ............. .............. Building Inspector 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 tvpewriter OF, 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 Buildina - $100.00 3. Copy of Certificate of Occupancy - .25-�:. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . L1/15/.96 . . . . . . . . . . . . . . . . . . . . . . . . . . New Cons truction. . . X. . . . . . .. Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . .112A ,B1:PA(Waters, ROcld,, ,CVtch49ue,, . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of _Property. .FUKT'QI9G... .1?NDR2AW. .cirld. SAIITDRA . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .10..4. . . . . . . . .Block. 09. . . . . . . . . . . . .Lot. .0.2 . . . . . . . . . . . . . . . . . . Subdivision.Amerldea .Map. A .Of. Nassau .PQ.i.ntFiled Map# . 15.6 . . . . . .Lot. is/Q. 252. . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . N/.A. . . . . . . . . . . . . . . . .Underwriters Approval. .N/A . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . X . . . . . . . a� Fee Submitted: $ . .1 Q . vn. . . . . . . . . . . . . . . . a. APPLICANT LONG 1)ATL--* cullul; 11-:1 I'MiNDATIW4 FOUNDATION RID) ltoI)(:Il FRANK I NG - --------- INSULATION 111--I( ti. y . STATIF CODI.I. F I IIAI. ------------------------------------------ ------------ ADDI.T1011AL - ^� BOARD OF illiAl:I'll . . . . . . . . . . . . . . . FORM NO. I 1 s ,TS OF PLANS . . . . . . . . . . . . . . . j} -- 'TOWN OF SOUTl101.r) S11RVI,Y . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DETAR'ITiENT _JCURC;R . . . ..`. .. . . . . . . . . . . . . . . . . . . r 'TOWN 1Mi,1. `ii I''T].0 FORM SOIITHOL.D, N.Y. 1 1971 'iEL: 765— 1802 NOTIFY: II I?xarnirx_cl... / MAiT. TO: . . . . . . . . . . . . . . . . . . . . Approved... 19 /? Penni L 110.40) S!.fW Disapprcrvecl a/c ..... ............................... r) ........ 3 ilding inspector) A POR .DING PERMIT MTIT Date. . . . . . . . . . 19.96- I NS'I'R(1CT]ON a. 'ihis application nest be c(;trq)lelely filled in by Lyl)cAariter or in ink and sulanitLed to the Wilding inspector with 3 SeL!; of plans, accurate plot: plan to scale. Fee according to schedule. b. 1'loL plan rJim7ing location of lot orx) of: lxrildirigs cm premises, relationship to axljoinint, preinises or lxrbl is slrreet.l; or ,rreas, aril giving a decanted dc�scripl:ion of laycml: oP prolx!rty null, he drrnarr Off Life diatlramwlrich inl)n1: of this application. c, file work Covered by this apiilicaticnl rely riot: lie coalnre!)ced before issuanx:e of: Wilding i.1ennit. d_ lllxm approval. of this api)l ication, the Ikrilding Inspector tail L it>soe a IA)llding permit to Life rrppl icanl. Scrch lx:rmit shall Ix- kept on Lhe premises available for lrnspeclion Chrmi hoot the work. e. No Ixri(ding ;;l)al l be (x'ci!piecl or used in whole or in part for any ixrrix)se i-AmLever tintil a Certi ricale of Occt!lviixy shall. have been granted by the ikril.ding Inspector. A11171. CNI'1ON 'IS ITE1401Y WUX", to Lhe Ik,ilding Deparl)nent f:or the issuance of a Ibrilding T'enniL lx,rs-crant to the Killding 7cme Ordinance of Lhe "T'ocan oC So,Lhold, FAIffolk (.�o(mLy, New York, and other applicable l:acas, Onlinances or I(egnlal.ions, for Live colstrtKaiol of buildings, xidiLicx,s or alterations, or for rerroval or dermlition, as herein described. 'Ihe aplilicant agrees to carq)ly wilar all. nplilicable' ].aws, ordi I'll x:es „,iWing code housing code, aril rein,lations, and to aduit rn,Llxorized inslxectors o) premises aril in Ix)ildi.ag f r necessary inr cli(ms. ...... . _cam/ tv (Sign.Lure of: appl.icanl:, or if n corl)oral ion) 9 Secor Drive, ..Port.6lashangton, Ry..11.QS.Q............ Nailing address of allil.i.cant) Slate wlxtther applicanl: is miller, lessee, agent, architect, engiocer, IT.neral c-onlrnctor, electrician, phinber or Imilder. ....Owner............................. ...........I................... ............... ........................ ............. .... Nairn of, (xarier of l)retnises ..- Padraic Furlong & Sandra Furlong ._._._ (as (m the tax rull. or latest: decal) If applicant is a corlx)ral:ion, signattrr'e of duly AiLlK)rized officer. -----•--...N�A............................................... (N:nxt arxl title of: corl)orate officer) r Ikrilder, l.icense No. ......................... Phillber s i..ic:ense No. ......................... i;lectrici.ans license No. ..................... Other Trade's License No. .................... I. t(xaLior of larxl car which pmlxosec] work wi]1, toe docx. 1120._Bro�dwaters ...... Cutchoque. ............... ....... .......................................................................................... ..... . Ikxr se Ncxdxpr Street Ikarrilet Uxnit:y Tax PL)p No. I(XX) Secliol ..104„ T11cxk ...09......_... IAA .02............ Amended Map A of Nassau Point SkIlAivisi(xl ...................................... Filed Kip No. 156........... l.nt .P/o..252.... Mine) 2. State exisLing use aril oc(--ui)arxy of lKeillises aril interxled use and m-.c:uponcy of propose(] corrsLri!ction: a. F.xi,Dint; use aril cxxc,lkrrx.:y of premises is of a single-family dwelling If. lnl:e!xk_d use aril occt,pcnx:y .of .premises is of a single-fami;ly::c;�eFl.lj.4 .... .., .. .. . .ty sr... 1. lilloee of ticnk (check %Alidt illh)li(clllle): IAk%j Ik)ild'Inl, ... .. .... . Addition X. .. . .... AllerllLion . . . .. . . . .. 16:Ixl i r ........ .... Itr tlovid ........ .. ... DeimI i L II oil ....... .... . Outer Ik))k .. ..de.C)C.at—rear . . . . . . . . . . . . Mesc:ripl:icx)) /i. Est inched lust: N �—�... . fat ... . .......... ..... .. . .... ..... . .... ..... .. . .... ..... 7' (to be paid oil filing, lltls application) :i. If: tltx!llinl,, )Pl�Itx!r of Melling, units . . . I.. ...... tkmiber of tA.iellinl, units oil each floor .. .??/a.... . . . . If: l;arage, oisiber of cars . .....Tl/a . . . . .... .. . . .. . .. . . . .. . . .. . 6 If Ixlsliu!as, c[rnllercial or mixr!d occupaocy, tjpecify natirle iaxl exlc!nl. of each t.ylx- of use. .. .n/a .. . .. .. . . .. . . f /. Ilium.'JuJtxls of: exist iltl; structures, i f° any: Hrcx,1..35 . .. . ... .. . .. Itear ..... .... ..... . Dew h 3.2./-. . . .. . . . . . Ik!il;lil. 1. . ......... .... . . . 1. .. . .. ... . .. .. . . . . . 18 �'�- tAutx:r of :ilorics 1)iwt:nsio s of; sme slrtu:Lure with alleral.ions or rxldil.ions: Front: .39-1.+./-. . .... hear .. ..... ...... . . 46.•6'" F 2: tAntx r of Slorirs .... . ..... ..... I V" � 11eigJlr .. .__-. �br steps -from--deckle o rear -yard- !t. I1lrili:nsi0mi of: enure oew ctxlstllu:Ificxl: FI-oor . ... .. .. .. . . .... I(c!ar' . .. . . . . .. ...... De1)111 . .. . . . ........ Ik:il; w ... .. . .. ... . ........ ..... nxilwr. of` lil:orieti . . . .. .... . . ...... ... . 9. Size of lot.: VItxtl .. ... .... .. . . ... ;. .. Wall r• . . ...... .... .. .. .. .. DepIII . ... . .. ........ .... . 10. I1al e (3f` 11ii chime JW6191. ........ . Mule! of Former a.)irer Eugene.P.—Bolter.and.Mary.Jane .BoltR5s wife 11. Yule or use dharicl: it) tAt'tc:h pronises are s.i:tuaLed . .... . ......... ...... . . . .. . . . . . . .. . . .. 12. I11x!;) pt'olx)sed colt., rlx:Licx) violate any 'L[xliill; law, nr[linance or relpclal.ion: 11. lJi I I lot be ref,riKk!d .. .NQ..... ......... Will excess fill he reiKNed Prcrn prani ties: YES Px) Padraic Furlong & Sandra Furlong 9 Secor Drive ' Ill. Mille) of lkJlx!r of premises ......... ........... .. . .... Aiklres:i -Pcert-Washingtorri 'NY 11)o"! Iko.767n892a . .. Y1050 I, tl:rlr! of Architect ............... .. . ... .... ... ... . . ... Ailch'ess .. . . . . ... ...... ... . . .. . . .. .... I'floix! a). . .. .. . . . . .. . N)rtic! of: 0xitrift:tof .... tv Id ens .. . . .. .. .. . .. . ... ....... ... ....MoIx! I-Io. . . .. . . . . . .. . h. is Illis l,rolx!ft.y withLn.:KIU feet of: a dotal tre(:ltiolf * Yl:i ._..X. . . - . IJO . . .... .. . . *IF YlUi, ;XXIIIYXI) 'IC) N '11t11S111`sS 19s1ir11'l' HAY IV- PLOT I)IACItAI.1 hwille clearly awl dial:inctly all Ixlildinl,s, vhelher exisl:irip, or prolx)sed, and Irulicat:e all set-hack clinx:usiont hmi property lines. Give street: bong hltx.k ixnl)er or descripticx) itccor[I'Ing, to deed, mu.l filim sl.reet naves and irOicate OwIller interior or corner lot.'. I ; APPROVED AS NOTE® _ Z1,1,i(1�ij ;:r;' „' i,j �µ��' n'' ? IRATE: ��,2,�, 13.P#� PEE: �MLDING By pyF9F PA f FOLLOWING INSPECTIONS: JT I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - F€ ANAIING & PLUMBING LJ 3. INSULATION 4. FINAL. n CONSTRUCTION MISST �COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET UNDERWRITERS CERTIFICATE THE REQUIREMENTS OF THE N.Y, REQUIRED STATE CONSTRUCTION & ENERGY ';WIE. (W 11;14 Y(xnc, CODES. NOT RESPONSIBLE FOR SUF SS DESIGN OR CONSTRUCTION ERRORS (XAIIIIY lN� . . .... . . . .. ..... r ADRAIC FURLONG) . ... . . .. ... . . .. . .. .. .. ...w .. . .. . . . . . . .. . .. . . duly t�-xnn, cictlx)ser nixl nayts Lhat. he I:I lht: applicant (I•L•rIK! of ilxlividual sil,niol, coal rant. alxivc lialvd, Ile: hi Iln! .. . . ... . QWYr2I:... . ... . .... .. . .. . . ... ... ..... . . . . ...... . .. . .... . . . .. . ......... . .. . .. .. .. .... . . . . . .. (0--mCracl'nr', agcOl., corlx):ei:'e officer , eit:.) of -Mill OWIK!r ur' OWIX:ra, and in duly aulhorized to lx!rfoun or have lxlrfonlled the said wollc alxI to Imilke alxl file Ihin application; that all tililleswlits c:onlailw(I in Illitc appl ical ion arc t.1we Lo lht! belil: of his l(IX)WIedge alxl Ix:l ictl; alxl lllal. the WOlk Will IXI Ix.rfolliccl in the ncuxx!r tier: fo)lh in the applirnt.ion filed IhereWit.h. �.Jl)111 to !x:ft)t'e! [IV! thin 15. .. . .. ... .. ...tlily of: _.. .. . . rt.. . .. 19. .96.. . . (�� 1Jolar ' T'flilii�.�.......... ....... ... ............ .. .. �". ... ..� .. . .. .f ROSEANNEORSKI (Sig,naLure of; Appl ic:anl.) NOTARY PU13UC State of New York PADRAIC FURLONG ed in SSW kg !/f - Tern►�Iros 130 7 / O S - //dD ,Bro�clh/a faP� �t ,• ' J`a�a cne� ]�R£rrm�/lIr �o . -::[>LAti71A16-7 BAD _ram{ �\�` _ �,� , �• \,\,\ �,/� � ` r'.- ",. -�...�:// j •. , o /a" X/�JJ G" rSL �5 3 —P o, cAgr cl 4-0 C�e.G�, I lon9 44Id, I l✓Q��-�eCL �l e—hL4t`on.SaLK Vrel./ Z=::z • E L` ..�1SIi � 1 r i ale✓a4,brI z�.4.s 4 i 4 9 f lu o ,d 's lore— 5165671287 EUGENE L. NICOLA 992 P01 NOU 04 '96 15:51 �• A' ' �' MAP. CAP' Pr20A�MTY EQQrat �/ � c I�•�, '1 AT •f ,:.',. TbwM OF Spui-•Nol„p,•1\l.`r'. m ! s 1 as N '�rr��'�� (�. � 9'�$L„�f•rTutirb�lY's Shown rt,�r fo yQrrgQtrded M�' A `7 Naswu F-t,irtf,' p J �I �r'led in f hm' Seal!• Coutrly Claris:, office 05 Mco No_ 166. $o} [k ct""4y lax Mop res/q,-4ra Q1 sf JOW,5oc-4; 1D4, Bloc.9 A:1., 2 O _ W U�{ 1 �/YAUTMOlgED AErE4ArION o0.Ao9lreprE 10 THIS SUSVT;T f9 A VfOEAIJON or. N �) 3[CTION IZ09 Of THE NEW Y04K 3TATA EDUCATION LAW. 0 •/1 COrIES OF THIS RUAYEY ,,,MT TVARM V fNF l/ND 31JR1hTO"'INKED dEAI O4 m s EMSOSSE D t' 6NwlL WOT 8L TO IF A VALIO TRUE COPY. COT•LSR)6A6D - 3 f r. ho. d• GOA+ANTEES INDICATEA HMON&WALE RUN - ONLY I*TUB KEBON FO IQ 13 PRIPAWX AND ON R WMOy iH� t IR f,VRy[Y 0 3• 1 t, .71TEE COMPANT,�OYFB DEMAIr TO 71Y NAENTµ Ag CV A14D V? ,- i . . fEH01NG IUS7I7UTION U3119 Hjum ANb TO THE AZ31GNEES OF THE LD1 JNG 1146p. ` •4. .`�� .a_,�_:C', •TION."ABANTIL3 ARE NOT T4ANSEYEARLE A'31TIONAE INtTITUV,QNS OA SLMSEOU(W 6uevrem4eeJ 4o,Nre '�'� � .. • Chicago 7'iTFIE4 lITaCErorrCa: C©irr�rEy Q5 wrvt yecf Oer.. 16,1960. eoz>F ick_ VAN 7Z1YL,P r_ *ti SCaEe sSQ`=1" c.fc.slia cf Lul.d 5ur✓etfors ri1oF2VffIon I Gl"�h�Yf ^" New York tt��b'x rE orr P4 EuGENE IL. DENicoT.A ATTORNEY AT LAW , HERITAGE BUILDING 200 RAILROAD AVENUE P.O.BOX 68 9AYMME,NY 11782 TEL 516-567.1200 ANDREA DENI[COLA PAX 516-567-1287 November 15, 1996 Town of Southold Building Department Town Hall Southold,NY 11971 RE: Prem: 1120 Broadwaters Road, Cutchogue,NY. Tag Map# 100-104-09-02 Dear Sir/Madam: Enclosed herewith please find the following for issuance of Certificate of Occupancy of Certificate of Completion for deck constructed at above.premises at rear thereof 1. Application for Building Permit; I Application for Certificate of Occupancy; 3. Three sets of plans with survey attached; 4. Check payable to Town of Southold in the sum of $100.00. Kindly process same for issuance of.Certificate of Occupancy for deck constructed thereon. In the event you require anything further, please do not hesitate to contact this office. November 15, 1996 Page 2 Thank you for your courtesy assistan erein. truly u d ELD:eb Enclosures T S Alf-ell=' JF= �o'�F ' ,=�= T Y _ -110,-e/,ham ��~� •`J �fD rr f`�r!� �.J 1ordirra �_ - - 911, �-�• -�.._ "'�� - � I�ASL ICJ C��Jl�•lT TOWN! OF SCDUT14OLLf , Unauthorized ahermion or addtlon to IhH wrwy Is viotarion of ! Se 7208 of the New York ftft Eduoagon Lana r �•� Coplea of mb �t�p not�t0 e WO r nwor emboned eimi y�not be e n side } Neplt`` to be a weld rw a Q WAnUM WROW hwm rrfnl run . �� ! ', I' oNy b tlw pw�n br whom the surest► / rl le prepared and an Na bel>.II b tlto �+ twee oomparty,govsrrtnrsntal and � Iending IruUtutbn Bated hereon and Of) to the aulpnees of the lending kweh O ` tutlon.Quarantees are not traratsrabM % to additional InsUtutions or aubaegdent owners. � '� IN r �� r•I I shown rf to � �- � •'� r r{�~ U! � 'An•terided Mcr�E A of rVnssciu �«rt;'• l,) b� o 0 i '• .1 `? 1 filed in 441e Suffolk; Coot4y Cle_rk.,; �1 J officp as MaP Na. 156. Tax M(X�J L�'✓(�KCY>LiOr?% ,J Q t`r ry`• ( t�i 8-F. ice, Sec-l: lo-1, elk.. 9, P::1. 2. to �O ._. ` p a{r.� f I i „ �e ` � �P�� Vilry�09 �• 1 I INVE CO Jr m A r> � U Guarar r cd -Iv -Hie 1 Chicago Ti'-H& /rrsurarcc•� Co,rr�arrcf 1 0 2� elel °da Seale : aUR=!" L�cefr.eo( l_arrc� Surve fors C3r-eoerr�orf NNemv r or k a = rrf 4rlr,�rtfef-r-f- � O = Irori �ii�