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Home My WebLink About22972-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24577 Date August. 16, 1996 THIS CERTIFIES that the building addition Location of Property 3650 Eugene's Road, Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 8 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 14, 1995 pursuant to which Building Permit No. 22972-Z dated August 28, 1995 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 a one story addition to an existing one family dwelling as applied for. The certificate is issued to Mary Elizabeth Gilbert (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 379906 dated March 11, 1996 PLUMBERS CERTIFICATION DATED N/A c B ilding Inspector Rev. 1/81 i 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 � .......................... 19... .................. NR 2297.21 Permission Is hereby grant d to; ........................... ............................ .............. ")—/;2S �-✓� ........./.....d.3.. ............. .......... . ...:..... 9�/.............. to . T l..r�.,....... ......... ...... ...�......fl/J��i/7��.........�...... �.',v..... is�rr�.✓�-- ,✓ Lf i �� /�.� ............... .. .... .... ................................... � �......... :................................................................................................................... .................................................................................................................................................................. ...................................:............................. .................. ..................I.......I............... at premises located at........3.6.`�.�..0...... -"�r ..I-S 16 ................................................................ ..............................................I............... ........................................................... County Tax Map No. 1000 Section ..... L.Y �............ Block..... I............... Lot No. ....or............... pursuant to application dated ......A ;.Kl ..../„ ... ............. 19.... and approved by the Building Inspector. Fee $......................... uilding 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 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 Buildiniz - $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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Constructio -"' '-7701d Or Pre-e isting Building' . . . . . . . . . : : . . . . . . . . . . . . . . . . . . . . / Location of Property. . f� � . . . . . . .1�: -.l.P�?��. /� G(. . . . . . . . . . .�l.: GGi.O y.�.�f. . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ./. . . . . . . . . . . . ...n. . . . . . . . . . . . . .. . . . . . County Tax Map No 1000, Section. CQ�7.7.42-2 Block. .D. 4!. 0. . . .Lot.V(9k?.(2.9. . Subdivision. 1 '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . yFee Submitted: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . ^ 7 f5 . . . APPLICANT. . . . . . . . . . . . . . . . . . . . . . . . 60 �-2�/57 7 i P itt ,16.SPECTION REPORT ATE -COMMENTS li - — ZA— — H FOUNDATION ( 10 ) II jl � - � -- -II FOUNDATION ------------------------- ----- -- --------. _______-- ----------------_____ II ROUCII FRAMF & PLUMBING I n ------------------------------------------ 19, INSULATION PER N. T. STATE ENERGY CODE II II I II ` • II - H II II FINAL --- ADDITIONAL-COMMENTS: 0 � v THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY F_ 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date I-MRCH 11,1996 Application No.on file //085196 f 96 N 379 906 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 IUMY E. KENNEDY, 3650 EUGENEi'S ROAD, CUTCHOGUE, N.Y. in the following location; ® Basement ® lst Fl. ❑ 2nd Fl. Section Block Lot was examined on FEBRT PJ f C12,1996 and found to he in compliance with the National Electrical Code. FIXTURE RECEPTACLES 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. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT 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 SERVICE DISCONNECT NO.OF S E R V I C E G. AMT. AMP. TYPE METER I-9 2W 1 0 3W 3 0 3W 3 X 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A. E TR EQUIP. PER Z OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: PADDLE PANS-2 I40TORS:2—F H.P. JIH SAGE ELEC. INC IJC:#3G35 E 350 M1R.INE mlt u GENERAL MANAGER GREENPORT, NY, 119,14 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 MIDST NOT BE ALTERED IN ANY MANNER. o��gOFFO1,�co o� Gym ti a Town Hall,53095 Main Road p • Fax (516)765-1823 New York 11971 ox 9 y�01 �aO� Telephone (516)765-1802 Southold OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Daniel J. Dunne 2175 Pine Neck Road Southold, NY11971 , - k To Whom This May Concern: ' i We are' unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on, file. %%X The check is (Gu d/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 # 22972-Z Please contact our office on this matter.' Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. T65-1802 BUILDING DEFT. INSPECTION [ ] FOUND ON 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: i ------------ Le DATE O INSPECTOR ,0.18oz BUILDING DEFT. SPECTION [ rF0 DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE KS� DATE INSPECTOR , i 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ) FOUNDATION 2ND [ NSULATION [ l GAMING [ ] FINAL REMARKS: DATE � � INSPECTOR .� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING FINAL [ ] FIREPLACE fl CHIMNEY REMARKS: DATE J INSPECTO 7 T65-1802 BUILDING KEPT. INSPECTION [ ] FOUNDATION 7ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CRIMNEY REMARKS: DATE ' INSPECTOR 4 BOARD OF HEALTH . . . 111 ,I FORM NO. 1 -� 3 SETS OF PLANS AUG 1 TOWN OF SOUTHOLD � SURVEY � - _ _ . . . . . . . BUILDING DEPARTMENT —' CIIECK _ _ . . . . . . . . . . - -"- TOWN HALL SEPTIC FORM `s ��,•ps SOUTHOLD, N.Y. 11971 f� TE L.. 765-1802 N aT I FY r7/ .� � �/.. . . . . . C A L L . <<2 Q Examined . . . . .�� 19 5 - . . . . . . p 1 1 a HAIL TO Approved . . . . .Q �O. . . . . . 199 rpermit No.� . . . . . . . . . . . . . . . . . . . Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . Ig Inspector) APPLICATION FOR BUILDING PERMIT Date , . .0 19. . . . . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit, •t-i. Upon approval of this application, the. Building Inspector will issued a Building Permit to the applicant. Such permit sliall be kept on the premises available for inspection throughout the work. e. No building sliall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy sliall 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. Tifie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ' pection . . . . . . (Signatu of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. �. . . . . .... .C...s->�n:� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises ./.'AIF. f, . . ef?np4y. . . (as on the tax roll or latest deed) If applicant is a corporation, signature of dul g y authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . (Name and title of�c(orporra22te officer) Builder's License No. .� ! , ��'!>. C LI- Plumber's License No. . . . . . .... . . . . . . ... . . . . . . . . . j,S`�� 0 OA:�0 Electrician's License No. . . . . . . . . . . . .. . . . . . . . . . . Other 'Trade's License No. ... . . . . . . . . . . . . ... . . . . . 1 . Location of land on which proposed work will 'done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . �lc vl-e 1. ouse Number Street . . . . . . . . . . . . . . . . . . . Hamlet / .. . . . . . . . . • . . . . . . County Tax Map No. ]000 Section (�: � . . . , , . . . Block .��,�. . . . . .. • , , Lot .ocok. 0(0 .cam . . . . . Subdivision . . . . J.-S . . . . . . . Filed Map No. . . . . . . . . . . . . . . . Lot (Name] ; . . . . . . . . 2-. State existing use and occupancy of premises arid intended use and occupancy of proposed construction: a. Existing use and occupancy f. �', ,J,f� • Ar-,- - �� r b. Intended use and occupancy . . . ... . ..eAl. -3. Nature of work (check which applicable): New Building . . . . . . . . . : Ad ilion . .lo. . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition I. , , , . , , . . . , , Other Work . � Oi§' •Description) 4. Estimated Cost . . 1� ?r. �. . : . . . . . . . . . . . . . . ; Fee . . . . . . . . . . . . . . . . . . . :. (to be paid on filinplication) 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 occfik"il3ncy, speci.f n ure and extent of eat ty�fe_°�fuse . . . . . . . . ' . .y ,r 7. Dimensions of existing structures, if any: Front � � .. . . . . . . Rear . . ` , dam' Depth l2. Ileight . . . . . Number of Stories . . . . . . . . . . . . . Dimensions g same structure with alterations or additions: Front « j ' " Depth . .�.Z . . . . . . . . . . . . . . . . I Iei Z A� - . . . . . . . . . Rear .. . . . . . . . . . . 15•bht r . . . . . . . : . : Numb e of Stories .2.. 8. Dimensions of entirg-new construction: Front . ! .` .•. Rear .��,` :` Depth Height 4- flp: , Number of Stories Z 9. Size of lot: Front3. Y� Rear . . . . . . . . . . . . . . . . . . . . . . . Z . . . . . : . . : . . . . . . . 10. Date of Purchase .. /`I' . . . . . . . . . . . . . . . .' Name D`pttl of Former Owner .Sl . . ... . , . 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulaj 0..t � , 13. Will lot be regraded . . . . . Will excess till be'remov from premises: Yes No 14. Name of Owner of premises Address Sa d CKy-4� . . Phone No.7... . Name of Arcliite6i . . . . . . . . Address Phone No. Name ofContractorJ�i c WF7, , • • , , , • , , , , , , , Address - M'?'Q�' ` • , JuLgrieNo. 15. Is this property within 300 feet of a tidal wetland? *yeS. . . . . . . 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. s ' �"7_ A 3TA'FE OF NEW YORK, S.S 0Wry OF . . . . . . . . . . . . . . `e •� �• • • • • • • . . . . . . . . . . . . being duly sworn, deposes and says that lie is the applicant (Naif`ie of individual signing contract) .bove named. Ie is the . . . .� .!?p 't�� C . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or Have performed the.said work and to make and file this pphcation; that all statements contained in this application are true to. the best of his knowledge and belief; and that the vork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . .. ...��. ... . .day of . 19 lotary Public, ,A/., f . ounty HELENE D,HORNE � G�.�. . . . . . . . . . . . . . . . Notary Public,State of New York (Signature of applicant) Na.4S5I364 Oualified in Suf'alk County Commission Expires May 22,19 i - I� r4 RQ -49 o y - Ile o n23 3�'E. 6kDa5'k MAP OF r �Q �I' 3 z DESCRIBED PROPER T Y 511 � •z�Y� � �Rp° ,.r� � -✓ fR FR ••Y p.IE Le,/.\. : ;.In` G A T CUTCHOGUE j rnn \ •�f /" - - P,Pf ; , .° '✓ N TOWN OF SOUTHOL D . _ u r �,' :' $ PIPC SUFFOL K CO.,N. Y° o ; Q • 11• 1: .:. �C rN0 J II M ?, yy, ' FIT BEFORE " OCCUPANCY OR rR'^NID \ �1 USE IS UNEAWFU iQ :. z V U WITHOUT CERTIFICATE C r'e —prys ne • — --_~ CONC 5L \— OF OCIj P Y o p rR N S A"PROVED AS NOTED = O BARN DATE 7f Y Q B,p # FEE /.S-D _ PY ..C.. ,Ta'r sr D I1, 1 0 N / r I NOTIFY F��l��J-Wil- - PARTMENT A' CERT/F/ED TO: q 765- I802 r "':F T•'• M FOR THE THE DIME SAVINGS BANK 5.8n°57'OONw 5'6 FOLLOVi11tiG : ; ;:�E:"`I I';::-1 T/COR T/TLE GUARANTEE CO. 35.00' 1. FOUNDATIOP. T.; -"?UIRED FOR: FOR POURED CO";-' GAR wArrs e 2. ROUGH - FRA%'- 3. INSULATION BARE-ARA WATTS 4. FINAL - CONSTRUCTION f%AjST BE COMPLETE FOR C.C. ;- ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. _ STATE CONSTRUCTION & ENERGY donack aSSOCIateS CODES. NM RESPONSIBLE FOR land surveyors and DESIGN OR CONSTRUCTION ERRORS consulting-enginef AREA = 7 2,425 313 west main street /.ss2acREs riverhead,new york 11901:.;`'`` (516)369-1717 (212) 746, l 4� `i t i N r I �C f i trr't S 1 r2 . 0 '1 6 -t S I _/.. 77:== :t [ ..;j. ,%' t!.'..,i`.'� i`f' fi I • f AUG 16 1995. APPROVED AS NOTED 3' DAI 44 .._B.P.m ?1I 7L� FEE: 7f �� BY: NOTIFY BUILDING DEPARTMENT AT i 1 UNDERWRITERS CERTIFICATE 765-1802 9 AM TO 4 PM FOR THE ! !�" ventedl. Saf;f REQUIRED FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING a ��• F'Eys°}'. 3. INSULATION OCCUPANCY OR � � 4• FINAL - CONSTRUCTION MUST=: JOE BE COMPLETE,FOR C.O. ALL -CONSTRUCTION .SHALL MEET I j USE IS UNLAWFUL THE REQUIREMENTS OF THE N.Y. WITHOUT CERTIFICATE, CODES.0 NOT RRESPONSIBLE UCTION ENERGY FOR —--- - , ---- -- — - - — 0 F DESIGN; OR CONSTRUCTION ERRORS OCCUPANCY -AAR� F-- , k, 0 E� Q& lq-E a I\ 7 u4 u F--, _ - 1 =-77-T-?-7- T T r- i I E P A C 4 1) 1 i , zR ��.._..... +..._:..o..................:J......_.+.._....-. .....d-,....,......................._...._....�..-_ - -_.._....r..w- - ,.'•.+�•�+.+_._;,.w.:.._..,...+runs,....s-_—+»e...........,....v........�..••....-.+...._...ra+..:.....-..-.-.... _ EV FIO