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HomeMy WebLinkAbout22228-z l FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23191 Date AUGUST 31, 1994 THIS CERTIFIES that the building ADDITION Location of Property 395 HARVEST LANE CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 2 Lot. 13.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 15, 1994 pursuant to which Building Permit No. 22228-Z dated AUGUST 3, 1994 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 DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAM & GARY WATSON . (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspecto 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 ................................ 19.�T,...................... ...... N® 22228 Z Permission Is hereby granted to; ;,. ....... .T........ /�...0 ..... . ..................... .. too... x..../44..�..................................................... C. r �.....y� .................... to .......CS`i ..�- /.................. .................!✓. -C/ ........................I. .... ....... ..............,............ ............. ............................................................................................................... ................................................................................. ... ............................................................................ 41 sv1/ .................................................................................................................................................................. at premises located at...................`....�I S.......... /Gt/<Si........6�f,�,�`.......................................... ............................................................. .77 County Tax Map No. 1000 Section ........ .... ........ Block......C� ........... Lot No. ..... pursuant to application dated ............... /�✓ ..........................., 19.2T..., and approved by the Building Inspector. Fee$....75 yam......... ..... .................................. Building Inspector Rev. 6/30/80 Form No. 6 s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL � O 765-1802 i ;s �i1117 APPLICATION FOR CERTIFICATE OF OCCUPANCY "0'VV 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" I. 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 - Residentiall000//� $15.003 Commercial $15.00 Date . . . �. . . . . .. . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . .. Old Or Pre-existing Buildingg. . Location of Property. . . . . . . . . . . . . . . . . . . . . . . bZtrtlelT /1411 C . . .. . . . . . . .0 f, �: . . . . . . . . . . House No./,' ,. Street Hamlet '' Onwer or Owners of Property. . . .V'::`�/. �-. . `;�! . . . J�.. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . County Tax Map No . 1000., Section. . . . .! . . . . . .Block. . . . . ,. . . . . . .Lot. . . . l: -�. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . .. . . . . . . . . . . ... . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . �z . . (. . , , , ,Applicant. . . �. �Q.!J (/(`( .�� C.) � Health Dept. Approval. . . .. . . . . . .././. . . . . . . . . .Underwriters Approval. . ./JJ.// . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . .. . . . . . . . Final Certicate.'.y. . . . . .I Fee Submitted: $. . . �. .a . . . . . . . . . . . . . . . . . APPLICANT FO(��oG y� Town Hall,53095 Main Road y Z Fax(516)765-1823 P. 0. Box 1179 W Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 30, 1994 Pride Building Co. , Inc. Box 1464 Southold, NY 11971 Re: Gary & Pam Watson 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) xx No Underwriters Certificate on file. ( If any electrical work done. ) ---- no►- 791 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 # 22228-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 [ ] INSU ION [ ] FRAMING INAL REMA 'KS• DATE 3 INSPECTOR � -N-1 L lV r OUNDATION ( 1st ) " . "b rN Wb— OUNDATION (2nd ) :OUCH FRAvlE & I Ll .PLUMBING 3 . :I7SUL-ATIO;I PER N. Y. STATE ENERGY II CODE I T -13 . FINAL o ADDITIONAL COMMENTS : x m -v H • BOARD ' OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS D . . . . . . . . . . . . . . . . . . .TOWN OF SOUTHOLD SURVEY .� BUILDING DEPARTMENT CHECK "D94 h TOWN HALL SEPTIC, FOR:! _ . . . . . . . . . - . . - SOUTHOLD, N.Y. 11971 BLDG DEPT. � TEL.: 765-1802 N DT I FY TOWN fl' OFSJ 'TW CALL Exan "V ° �. . .. ��LD197. MAIL TO : Approved . . . ..0 . . . . . . 19�- 4er'mit No. ? oZ . . . . . . _ . _ . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . ... . . . : . . . . . : . . . . . . . . . - - . . . . . . . . . . (B g Inspector) APPLICATION FOR BUILDING PERMIT Date . . . : . . . . . . . . . ., 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. d. Upon approval of this application, the.Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout 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 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 inspec 'oX1s. f'�d e• IJ�t i IC►tit .J. . ,�.�. . . . ._ . . . . . . (Signature of applicant, or name, if a corporation�AA. . . . . .. . . . . . . ... . . (Mailing address of applicant)• State whether applicant is owner, lessee, 'agent, architect, engineer; general contractor, electrician, plumber or builder. . (�1. ! . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . Name of owner of premises . . . Gtr� . . �. PAM. . .`�Gt�S�'0; . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If-applicant is a cor oration, sig ture of duly authorized officer. . . . . � N e and title of corporate officer) Builder's License No. . . . . L. Yu' 1[-4- (. . . Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. • • • • • • • • 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . �{u!-��� . . .����- . . . . . . . . . . . .�4 c40'. u•c. . . . . . �1U ./1�. . : . . . . . . . . . . House Number Street J Haml t County Tax Map No. 1000 Section . : . J 7. . . . . . . . . . Block . . . . . . . . . . . . :.. . . Lot . . ./�!7 . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . .•. Filed Map No. . . . . . . . . . . . . . . Lot (Name) : . . . . . . . . State existing use and occupancy of premises and untended use and occupancy of proposed construction: a. Existing use and occupancy . . . .S1�1 F'�2 . . .T CA w,I•I�[ . .ALcm l l�y,. . . r �,• -, ppf . . . . . . . . . . b. Intended use and occupancy . . . S!n '(.•. • , '��J �� ei.�i �t • • . • . • . . . . . -3. Nature of work (check which applicable): New Building Addition . . . . . . . . . . Alteration Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . Other Work �G , , • , 4. Estimated Cost . . /Q 000 (Description) , , �.: . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . , , , • Number of dwelling units on each floor . Ifgarage, number of cars . . . . . . . . . . ' ' ' ' • ' ' ' ' ' • • . 6. If business, commercial or mixed occupancy, specify nature and extent of.eacli type of use '4 + , * • , 7. Dimensions of existing structures,if any: Front . . Rear Depth . . . . Height . . . . . . . . . . . . . . . Number of . • . . . . . . . . . . . . . . . . . . Stories . • Dimensions of same structure with alterations or additions: Front Rear . Depth . . Height . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . • . . 8. Dimensions of entire new construction: Front . . . Rear Depth. . . . . . . . .Height . . . . . . . . Number of Stories . . .. . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . Rear. . . . . Depth 10. Date of Purchase . . . . Name of Former Owner . . . . . . . . . 11. 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: • . . Y• . 14. Name of Owner of premises . . . . . . . . . . . . . . • es No . ... Address .Phone No. '1 . Name of Architect . . . . . . . . . . . . . . . . . . . . . . ... . . .Address . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . Name of Contractor . Address . . .Phone No. . • . 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. STATE OF NEWYO /." COU ( S.S . : . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . :�. . . . . . . . (Contractor gent, corporate officer, etc.) :)f said owner or owners, and is duly auto o perform or have performed the said work and to make and file this .application; 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. iworn to before rme this . . . . . . . . .4 ' . .day of. 19 . . votary Public, . "•`rf]c, .. . . . . . . . . . . County CLAIRE L GLEW �� poetry public,State of NoWYork No.4879505 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Qualified in Suffolk County (Signature of applicant) Commission Expires 9ecembar 8.15 J z— I nnv-J� ' V `L c� o � o w or ✓omes $ ornery en Wyche P X a ° ro 4 0� �Qo \gag6 54 � o Spyq ,• 1 �q�ss\Op�qa '� c°��°4 `` a �!6 �yT �y���o00 W 0 6o3\3a 226.1 �s -` o- Wq Y �gs4.�0, \`6 CP,Q 31 C A ` �op'R6�p O 4.V rn �(�f 0 o.d a W NaiS? R Wq O OO j Q00 0 OP, s� \a A 1• Aa WFTC�ry�/M/T c �, � � 4 /S O yam/ `•'?,`'�s. � F .c�0 94 c q �- - .] o Q7 im 0,t c / \� 3/ W. WgRo N p c 110 O h S U- a (0OR 3 C9 "' � (p CV N o` � (00 0 . 00 ro° p CV N s o� 3 now or formerly O Irma St•rimban CV CV ti� G° ° / �� _O y O 4 V 7 L� 3/� , Cd O� l eC Qi •6 'e IZ7 C�k SURVEY FOR GARY WATSON a PAMELA WATSON AT GUTCHOGUE DATE*. OCT. 23, 1992 TOWN OF SOUTHOLD SCALE: I" = 100' SUFFOLK COUNTY, NEW YORK NO. 92 -0915 r UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO: SURVEY IS A VIOLATION OF'SECTION 7j209 OF THE GARY WATSON NEW YORK STATE EDUCATION LAW .' PAMELA WATSO *COPIES OF THIS SURVEY NOT BEARING-,•THE LAND CENTERBANK MP SURVEYORS INKED SEAL OR EMSOS3E'6. SEAL SMALL SECURITY TIT NOT BE CONSIDERED TO BE A VALIfp TJIRUE COPY MGUARANTEES INDICATED MEREON,, SHALL RUN ONLY TO ^ /� THE PERSON FOR WHOM THE SURVEY- IS PREPARED (� HEALTH DEPARTMENT-DATA FOR APPRO\AL TO CONSTRUCT a AND ON HIS BEHALF TO THE TITHE COMPANY, GOVERN- y 0 * NEAREST WATER SIAIII_MI.! *SOURCE OF WATER PRIVATE✓PUBLJ,4_ MENTAL AGENCY AND LENDING;INS.TITUTION LISTED r M UFF CO. TAX MAP DIST 1000 SECTION 97 BLOCK 2 LOT 13.4 HEREON,AND TO THE ASSIGNEES OF THE LENDING *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE--NOT TRANSFERABLE OTHER IMAM THOSE SHOWN HEREON. TO AODITIONAL INSTITUTIONS OR SUBSEQUENT THE D- OWNERS N WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE MdISTANCES SHOWN HEREON `FROM PROPERTY LINES WILLCONFORM TO THE STANDARDS OF THE SUFFOLK.000NTY DEPARTMENT TOEXISTING STRUCTURES ARE FOR A SPECIFIC OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES `AN ADDRESS ' TEL YOUNG at YOUNG RRIIVOERHEAD, NEW YORK ANDER E NOTE: ■=MONUMENT L=STAKE O=PIPE ALDEN W.YOUNG,PROFESSIONAL ENGINEER RE : LOT 3, MINOR SUBDIVISION - "CREATIVE VENTURES" AND LAND SURVEYOR N.Y.S.LICENSE NO.12845 HOWARD W.YOUNG, LAND,SURVEYOR LITHE LOCAT04OF WELL(W),SEPTIC TANK(ST)BCESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893 •* ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS BRANDIS & SONS INC. A.C.