HomeMy WebLinkAbout1416-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..g. ! .15.1.9. ......... Date ..... 4.a.n.u.a.~..y..1.0. ................ 198..2.
THIS CERTIFIES that the building ................................................
Location of Property .2.295 Stillwater Avenue Cutchogue
- HOUS'O 'Al'O] ....................... ~'ttJo~i ....................... h~n/e~
County Tax Map No. 1000 Section . . J .0.3. ...... Block . ..0.8 ........... Lot ....0.0.5. ..........
Subdivision .~, .S....l~.d.,...S.e.c.g.... ~.Z. ....... Filed Map No.. J .2.8.0...Lot No. 9.1.-.9..3..Z.n.c..1...
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· . .M·a. y ............... , 196. ] . pursuant to which Building Permit No...1.4.1.6...Z .............
dated .... N.ay..ltl. ................. 19 .~ J, was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occnpancy for which this certificate is issued is .........
...... .a..~ .~.~y.~ ~. ?..o.? z f.a.m.t..zy..dy. ? .Z.Z.t.n. f:..~. ...................................
The certificate is issued to JON R. CHITUK
..................... io¥;g;,'-~,¥&'cZ~ ......................
of the aforesaid building.
Suffolk County Depart~nent of Health Approval ...8/.3.0./..6.1.,..~ ....V.J:i..1.a ....................
UNDERWRITERS CERTIFICATE NO ..... p.q g...p p.qu..J_ .p.e.d...J_ .n..1.9. 6. ! .. ....................
*This is an updated Certificate of Occupancy, including Building
Permits 1416Z, for new dwelling & 4710Z for porch addition,
for which C.O.'s Zl16~ (10/10/61) & Z38S5 (7/22/70) were issued,
respectively.
.....
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE Of OCCUPANCY
THIS CERTIFIES that the building located at '"~¢'~].'lli~;~,":At/tt¢ .............................. Street
conforms substantially to the Application for Building Permit heretofore filed in this office dated
dated ......................~a~.....,~ ............. , 19./O~,.., 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 ..........
this certificate is issued to '~8~'~ ~'~W~'O~e ~ ~'~':[~o~ner ~e~s/~o~nant)
of the aforesaid building. ' ~?
Villa
Building ,.~3pe6tor
FOI~M NO. 2
TOW~I OF $ODTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS DERMIT MUST BE KEPT ON THE PREMISES LJNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 1t16' Z Date ...................... !~..~. ....... .~...~. ................ 19.?...~..
Permission is hereby granted to:
........... ~ e~t e.~ ~ ch ~...L,, .l, .............................
to ... B:t~J 1~ ~e'~,~ o.~e ...~mi3~..clw. el].i~ ................................................................................
at premises located at .~.o~.~4S~...(..e)~.t.c),~t....,g..~.) ...........................................................................
.................................................... ~ti. lL~a.~e~...Ave ...........................................................................
.............................................................. ~.~ J~e. ho~,e ~ ...... f~ o ,~ ..............................................................
pursuant to opplication dated ...................................... ~.~I,~ ....... ~ ....... ]9.f~.~L.., and approved by the
Building inspector
Fee $...1~ ~,.O, Ci .........
FORM NO, 6
TOWN OF SOUTHOLD
Buiiding Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate Iocatlon of ali buildings, property lines, streets, and unusual
natural or topograah[c features1
2. Final approval of Healtl~ Dept. of Water supply and sewerage disposal--(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, IndustrJaJ buildings, Multiple Residences and similar building~ and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings end unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate, /
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
New Buildin-g--~.'... ¢.<< ?.~.. Old or Pre-ex,sting Building(X) ........ , 'Vacant Land -. ..... ' .....
.... f .... ~ ......... :,' ........· p' o... LotNo.
Permit No. Date of Permit ..........
Health Dept Approval
......................... Labor Dept. Approval ...................... ,..
Unde~riters Approval ........................ Planning Board Approval ..................
Request
TemporaW Cerdficate ..................... Fina~
for
Fee Submitte~ $ ..... '.". 2 ...................
onstruct~on on above described buUdm~ and ~erm~rme~ts all ~O~ble
..... ,,.. . ....... . .....
BUILDING DEP.^~Ti,LENT
TO~'$[ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2295 Stillwater Avenue
[nmmoer & sSreet)
Subdivision M.S. Hand, Sect. II Map No.
1280
Cutchogue
(Municipality)
Lot(s) 91-93 Incl.
Name of Owner(s) Jon R. Chituk & Henrietta Chituk
Occupancy R-1
Ad~mitted by: Jon Chituk
Key ~vailable
tenant
(o~ner-tenant)
Accompanied b): same
Suffolk Co. Tax No. lO3-08-oo5
Source of request Jon R. Chituk
Date 11/15/82
D~'~LLI~:
Type of construction wood #stories one
Fo~undation cement block Cellar full Crawl space
Total rooms, 1st. FI 4 2nd. FI 3rd. FI
'Bathroom(s) 1 Toilet room(s)
Porch, type screened in Deck, typ~ Patio, type
Breezeway Garage Utility room
~ype Heat oil fired ~Warm Air X Hotwater
Fireplace(S)wood burnerNo. Exits 2
Domestic hotwater yes Type heater
Other finished room in cellar
Airconditionin~
oil fired
ACCESSORY STRUCTURES: NONE
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location I Descriotion
I Art. Sec.
B.P. Z1416, May 24, 1961 I
I C.C. issued 10/10/61~ #Zl16~
of
This is an,,Mpdated C.O.zrno violation
todays regulations where found.
Remarks:
Inspected
Curtis W. Hort6n 'Time start 8:~0 end 9:00
FORM NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
0/1// ~ ~}-' ~'(.19 C~f
Approved ........................................ 19 ........ Permit No ...............................
Disapproved o/c
...................... .................................
APPLICATION FOR BUILDING PEJ~MIT
~ . May 2~ ~ 61
DaTe ............................................................ ~, ............
IN'STIZUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Pict plan showing location of lot and of buildings on premises, relationship to adioining premises or public streets
or areas, and giving o detailed description of layout of property must be drawn on the diagram which is port of this location.
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 issue a Building Permit to the applicant. Such
permit shall be kept on the premises ovailoble for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until o 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 and regulations.
(Signature of applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Contractor
Frank Lawrence & Wi£e
Nome of owner of premises .....................................................................................................................................................
If applicant is o corporate, signature of duly authorized officer·
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: ............ ~,.~.,.~f] ............. Lot No: ...9:L~..92,~...9]
Street and Number ....,.S..t...i..1..1.¥[.~:.t..e...r...~...~.r..~.g.]f...A.~,e ............................... ' ...............................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... ..V..a..g..a.~...~,t~(], ...................................................................................................
b. Intended use and occupancy ......... q~g.e...,f, ar0.$.ly...dw.e~L],.i.~§ .........................................................
3. Nature of work (check which applicable): New Building.......X.~ ....... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost......6..:.Q,O..O...~./.~..,(.~q.¢.],~.~ ................ Fee ......... ~LD...0.Q .....................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units .......~B~ .................. Number of dwellin§ units on each floor ............................
If garage, number of cars ............................................................................................................................................
6, If business, commercial or mixed occupancy, specify nature and extent of each type of use ..............................
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 ....J~ ....... .36. ...... Depth ....... 2,8 ................
Height ............................ Number of Stories ......~1~. .................
9. Size of lot: Front .....~.~.Q ................ Rear ......... ].~D ............ Depth ......2..0...0. ................
10. Date of Purchase .............~.c)...~.0 ............................... Name of Former Owner ........ ..~.~.:.!.~.~.~.~. ............................
11. Zone or use district in which premises are situated.....]]~!!..~e.~,..~l.J..~.t~o ............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ......... D..o. ......................................
13. Name, of Owner of premises....~..a:..~.~..e.~.c.,e. ................. Address ............................................ Phone NO .....................
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Controctor...~.....I~$.t.t,:~ ............................. Address ............................................ Phone' NO .....................
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 numbers or description according
whether interior or corner lot.
to deed, and show/street names and indicate
/
STATE OF NEW*~pfO/~ ) S S.
COUNTY OF ...b.'.~.i...O..~ ......... )
.................................... .~...O..b..~..t...~;T,,~,:],,!~,~ ................................ being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the .................... .e`~%z~..~.e.t~.~.~`.~`.~..t::2~:~:.~.~`.;~.~:.;~.~.~}~f~;;.~;;;~~,,~,~,, ,,,~.,~., ,~..., ,-,-.~,,.'~,~ ~--'-~-, ~---, ........................................
of said owner or owners, and is duly authorized to 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 work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
........................ day~f .................. ,~...~,.....~',l,~v..,~u~}~..~r~.aI. [~ York
· = MONUMENT
0 = PIPE
5U BDtVIS~ON MAP FILED iN TH[ OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAY IE~ 1959 AS FILE N0.1280
SUFF. LO.TAX MAP: DIST. SECT. BLK. LOT
I000 103 08 005
SURVEY FOR
dON R. CHITUK & HENRIETTA CHITUK
.OTS 91 THRU 93,"MAP OF SECT. TWO, PROPERTY OF M,S, HAND"
AT CUTCHOOUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
8 YOUNG R,VE..EAO..E ''ORK I
ALDEN W, YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.~S. LICENGG NO. ISS45
HOWARD W. YOUN(~ .4L, ~ SURVEYOR