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Home My WebLink About22974-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24183 Date FEBRUARY 26, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1255 WEST COVE ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section ill Block 3 Lot 13 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. 22974—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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to SARA TREFMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A //Building 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 el 22974 Z Permission Is hereby granted to; f/ytl ...........D..fix...... .................................................... ........... i (� / 0 t0 .. lZ{�.�r/......... ......... CJ=, L...... //7��?',... ... .......,.,(. ............ ....`....... 1�� .............................. ........ .....,........,............................ ................................................... . .................................................................................................................................................................. .................................................................................................................................................................. ................................................................... ......,....................................................... at premises located at........../ .... .. ....................................................................................... ............................................................... fi r .................... . .......,,,,,............ , ............ County Tax Map No. 1000 Section ................ �... Block........*...........d3 Lot No. ..;...:.........,,.e3.. pursuant to application dated ..... s�........ .................. 19..... and approved by the Building Inspector. Fee$.... .�=� ...... .............. .... . . ...... Building Inspector Rev. 6/30/80 Q� Form No. 6 • ��_ TOWN OF SOUTHOLD r• ' U 15 �j BUILDING DEPARTMENT TOWN HALL ! �11 f 765-1802 FEB 3 FEB 2 1996 �rr r APPLICATION FOR.CERTIFICATE OF OCCUPANCY BLDG•DEPT, �TQWN OF 2Ol9T,40!_G__ 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. ;Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . 3./. l.s: . . . . . . . . . . . . . . . . . . . . New Construction. . . .'. . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . Location of Property. S 7. . . 1r:. :::?. . . . . . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street .Hamlet �Onwer or Owners of Property.. . .�:g.?'� . . . ;T,'2EF!�:q:v. . . . . . _ . .Q�/K .��. . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .VJ. . . . . . . . .Block. . .4?w� . . . . . . . . . .Lot. . . �4. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. ash: `f.�' . . . .Date Of Permit. . .elt ��Q . . . .Applicant.Tm-. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . ./. . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :':�`:�.� . . . . . . . . . . . . . . . . . . . � :SOg . . APPLICANT cn � a�l8'3 �og�FFO��O 0�0 Gy1 y Z Town Hall,53095 Main Road p • Fax (516)765-1823 P. 0. Box 1179 y� O� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 26, 1995 John W. Reichert, Inc. P.O. Box 1862 Southold, NY 11971' Re: Marion Mcall (S. Trefman) Prem: 1255 West Cove Road, Cutchogue 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 # 22974-Z Please contact our office on .this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION ( ] FRAMING FINAL REMARKS: DATE l � a� / � INSPECTOR Ck 1°IET,t, �rfslh,CTION REPURT DATE, COMMENTS u {{ H 1"O(INDA'1'ION ( IS'T') ,T- I cn I FOUNDATION (2ND) II Ol �( ROW,11 FRAM PLUMBING INSULATION PER N. Y. STATE ENERGY i H CODE { I I{ I II II FT.NAT. --nnvzxzorTnl._coMMENxs _— - o �rl 4-� CUSTOM VIEW CUSTOMER -- AL REICHERT DATE 07/28/95 REF ALI cX �ST/a-cr r-o 9)7-/�� /?-Gco a 0 i --(,- co06 t AUG 1 41995 RIVERHEAD .BUILDING SUPPLY ROUTE 25 GREENPORT, NEW YORK ,- `- BOARD OF HEALTH . . . . . . . . . 'FORM NO. 1 3 SETS OF PLANS . . . . . . . TOWN SURVEY : • • : : - - - • • • • • • • • • • � �, BUILDING DEPARTMENT CIIEch . . _ . _ . . . . . . . . . TOWN HALL SEPTIC FORM �C�a• F��= SOUTHOLD N.Y. 11971 OF = TEL.: 765-1802 ttoT I FY -7&67_ O oZbCALL Examined . . . . � . . . . . . . 19 .9S . . . . . . . HA IL TO : P11 �� s Approved . . . . !` . . . . . .. 19�s Permit.No. 'Z9) . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . .l . . . B i1dX►� Ins sect� ( 1 or) APPLICATION FOR BUILDING PERMIT Date . . . '. . . . . . . . . . . . . . .1 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 scliedule. 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. d. 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 shall be occupied or used in whole or in hart 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 building for necessary inspections: (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applieant..is owne.r,-,lessee;;agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . r9 �- .C- ./�� . .��a�r✓� �m/�. . . ... . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . .�F�. . .(. !? . . .". . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' • . �r ✓� % . . . . . .. . . . . . . . . . . (Name and title of corporate officer) Builder's License No. 3 . -7`34C 1/ Plumber's License No. . . . . . .... . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . .' �, , , • (/ -„ „a,v I-louse Number / Street _ I-lamlet County Tax Map No. 1000 Section . , . . . . . _. .��. . . . . Block . . . : ��. . . : . . . Lot l . . . . . Subdivision . . .. . . . . ... . . . . . . . . . . . . . . . Filed Map No. . . .. . . . . . . . . . . . Lot . . . . . . . . . . . (Name) 0 1 Slate existing use and occupancy of premises and intended use and occu,pancy,of proposed construction: a. Existing use and occupancy L. . . . . . . r�. ,:" .�' :Cg ,,, . sue: ;.f: .�.3ai . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . t//. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . Addition . . . . . . . . . . Alteration .Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . . . . . . . . . , . Demolition . . . 1� . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. )estimated Cost : �. . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing thisapplication) 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 occupancy, specify nature a i extent of•eacI ype of use . . . . . . . . . . . . . 7. Dimensions of exiting structures, if any: Front . . . . . • . . Rear . . 5 •? Height Number Depth . . . . nber of Stories Dimensions of same structure with alterations or additions: Front . . . Rear Depth . . . . �. . . . . . Height � . . . . . . . . . . . . . . . . . . . . . . . . . . . _. i . . . . . . : . : Number f Stories . . . . . . . . . . . . . . 8. Dimensions of entire new constnuction: Front . . . . . . ..S . . . . . . Rear . . . Depth .I-Ieiglit . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . .. . . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . Rear. . . . . . . . . . . . . . ... . . . . . . . . . .Depth . 10. Date of Purchase Name of Former Owner . . . . . . . . . . IL Zone or use district in which premises are situated . . . . . . .12. Does proposed construction violate any zoning law, ordinance or regulation: !® 13. Will lot be regraded . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises�;A, R-A . .TAC . . . Address e_?. , • Plione No.73-1' . Name of Architect . . . . . . . . . . . . . . . . . . . . . ..... . . . Address . . Phone No. . . . . . . . . Name of Contractor�SoNK w-nel4NIF97. . . . . . . . . . Address Pa.6,,gXW!0Ct'Tt4q,•o , • Phone No:Zbs;-,�?Q.6 15. Is this property within 300 feet of a tidal wetland? *Yes. . . . . . . . No. . , . — *If yes, Southold Town 'Trustees Permit may be required. s PLOT DIAGRAM Locate clearly and distinctly all buildings, wlietlie'r 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 naives and indicate whether interior or corner lot. A ROVED AS NOTED . DATE: == —B.P.# FEE: --- NOTIFY BUILDING. DEPARTMENT AT 765-'1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED OCCUPANCY OR • FOR POURED CONCRETE USE IS. UNLAWFUL 2. .ROUGH - FRAMING & PLUMBING . INSULATION 4 FINAL WITHOUT CERTIFICATE: 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF. THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT• RESPONSIBLE FOR DESIGN OR ,CONSTRUCTION ERRORS STATE OF NEW YO S.S OUNfY OF . . . . .1� . . . � i2r . . . . . . . being duly sworn, deposes and says that lie is the applicant (Name of individual signing contract) .bove named. leis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6_41 0.V . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 pplication; that all statements contained m this application are true to the best of his knowledge and belief; and that the .iork will be performed in the" ner set forth in the application filed therewith. :worn to before me this . . . . . . . . . .'.4-_Jk�_k. . . . . .day , 1 lotary Public, . . . . . County ROBERT I• ' 'OTT, JR. .G�': , NOTARY PU IC,State of N.Y. • • • • • • • • •i • • • . . . . . . . . . . . . . No.4725 9,Suffolk Cou (Sgnature of applicant) Term Expires May 31, 192 Oct llnn„nq 1.1,: 81420 Form 1)136 TITLE No. S 3 c^Co 8z.3 moo:as o it .. o � 61 z /STY q 7.1 I 1 1 1D,� n ��b.�•� � 1 1 bo 1 tiO i A- S7>1 m ' O 1 , O 1 r e.+• a.p+• 1 1 /0 iz+ 1 ecy r.rs i1 Oct Owomg.Inc.ai4,V Fo,m IIf36 - — �� , ✓ TITLE No. S .3 'El G8c"'%3 I ` o. Oa / O 0 $ 5 <64030�5�„E ° 1 L �1ti o V 1 O D � f 0 rn z a� ` O w v�"x. `9&c k, m /!2 ST y. 1 c h � ' O 1 1 i 1 00 0 r NCG , •V 1 1 ylt 8,VJ 0,40 a0 N. ,o D v 00 -74 v ooP> GL�EsT �T 7 �� off- AGQ��,/zo �/E/eSE'y �/o L-0 7's 4 s MEASUREMENT IN U.S. STANDARD THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD,IF AN,Y, NOT SHOWN ARE NOT GUARANTEED. THE DIMENSIONS SHOWN HEREON; FROM THE STRUCTURES TO THE PROPERTY LINE,ARE FOR A SPECIFIC PURPOSE ONLY.THEY ARE NOT INTENDED TO BE USED FOR THE ERECTION OF FENCES,STRUCTURES OR ANY OTHER IMPROVEMENT. UNAUTHORIZED ALTERATION OR ONLY COPIES FROM THE ORIGINAL GUARANTEES INDICATED HEREON SHALL RUN ONLY THE PERSON FOR WHOM THE SURVEY IS PREPARED, ADDITION TO A SURVEY MAP BEARING OF THIS SURVEY MARKED WITH AN AND ON HIS BEHALF TO THE TITLE COMPANY A LICENSED LAND SURVEYOR'S SEAL ORIGINAL OF THE LAND SURVEY- GOVERNMENTAL AGENCY AND LENDING INSTITUTION IS A VIOLATION OF SECTION 7209,SUB- OR'S EMBOSSED SEAL SHALL BE LISTED HEREON, AND TO THE ASSIGNEES OF THE DIVISION 2, OF THE NEW YORK STATE CONSIDERED TO BE VALID TRUE LENDING INSTITUTION. COPIES. GUARANTEES ARE NOT TRANSFERABLE TO ADDI- EDUCATION LAW. TIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. -- - SECTION BLOCK DATE KULHANEK & PLAN -� LAND SURVEYORS, P.Cr GUARANTEED TO -�-� ,�,1E�-,eoPOL/TAAj A,5ST'/QigcT' CoeP CuTCHoc3uE 1, AUG 1 a 1995 S uFFO t_ WESTCHESTER OFFICc'; COUNTY POUND RIDGE,NY s 1 i_I -- LONG ISLAND OFFIC:1 73 WESTCHESTER AVE. 1"C:JL'��i�.'�OF Est;;�I`d rja . JOB NO. LONG BEACH,N" POUND RICGE,::Y't:1578 -- TELE,"VOHE'.SJO-541.5124 ems- 4458o :!X:BOO-242.495._ SAi2A 7-,QEF/vt'`��V