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Home My WebLink About6148-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/~CY NO: Z-33025 Date: 05/13/08 THIS C~KTIFIES t~at the build/ng ACCESSORY ~ocation of Property: 4430 BRIDGE LANE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax~p No. 473889 Sectio~ 84 Block 5 Lot 5 Subdivision Filed Map NO. __ Lot NO. conforms substantially to the Application for Building Permit heretofore filed iii this office dated SEPTEMBER 28, 1972 p~rs,,mnt tO which Bllild{ng P~r~tit NO. 6148-Z dated SEPTEMBER 28, 1972 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 PRIVATE ACCESSORY BUILDING. THIS CORRECTED C/O REPLACES C/O Z-5054 ISSUED 4/3/73. The certificate is issued to AUGUST N & CHRISTOPHER J GANDIA (OWNER) of the aforesaid building. ~UF~O~K COI~TY DEPART[~T OF H]~ALTH APPRO%rAL ~t.~,.-rK/CAL CERTIFICATE NO. PL~MB~ CERTIFICATION DA'r~u~ H/A N/A ~uthorized Signature Rev. 1/81 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6148 Z Date ,,~O' .,~£'~7 19..?....~_' Permission is hereby granted to: nt premises Iocoted at ............................................................................................................................ pursuant ,o opplication doted ........................... ..~...,?..........~.,.~t.7..., I9.?....Z%., ond opproved by the Building Inspector. Fee $ ........................ Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tiffs application must be filled in by typewriter or ink and submitted to the Building Department with the following: A, For new building or new use: Final stuve',, of property with accurate location of ail buildings, property lines, streets, and mmsual natural or top%rapMc Features. 2Final Approval fi'om Health Dept. of water supply and sewerage-disposal (S-9 form) 3Approval of electrical installation from Board of Fire Underwriters 4S worn statement fi-om plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5 Comtnercial 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 Plamfing Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and .... , pre-ex~stmg land uses I Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicatiort and consent to inspect signed by the applicant f a Cemficate of Occupancy is deoied, tbe Building h~spector shall state the reasons therefor in writing to the applicant C. Fees Certificate of Occupancy - New dwelling $25 00, Additions to dwelling $25 00, Alterations to dwelling $25.00, Swi~mniug pool $25 00. Accessot3, building $25 00, Additions to accessory building $25 00, Businesses $50 00 2Cerlificate of Occupancy on Pre-existing Building - $100 00 3Cop,/o[' Certiticate of Occupanc,/- $.25 4I lpdated CeIlificate of Occupancy - $50 00 5F~'lnp,~la~ ~, Certiflcaie afOccupanas Residential $15 00, Cormnelcial $t 5 00 New C'onstmctlon Old or Pre-existing Building: __ House No Stl eet Suflhlk ~ c,unI5 T~x Map N. I C~O0, Section .~ ~ __ _ (check one) ~'-~ ~mlel Filed Map ~ __ Applicant [ lndeI-,witers Approval bi~al Certificate TOWN OF $OUTHOLD __ BUILDING DEPARTMENT Ap p,~:~c~~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z~O~% ...... Date ......... ~'Pr;EL~ "3 ........ ' 19'73' THIS CERTIFIES that the building located atE/~.. ~r:l.d~e. Lit ............ Street Map No. "xx ........ Block No... ~x ..... Lot N~.. ~3utch. ogtte..It ~.o .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... Sept;. -28 .., 197~. pursuant to which Building Permit No. 61h. SZ.- dated .......... Sel~¢''' 28", 19,~2., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private'one 'fam'Ily' d~tell~tl~g ....................................... The certificate is issued to . Atahez' · '&' an~;o~'tt~; lle~i~t~ ..... 0~o~'. ......... ~,owller, lessee or renan;) of the aforesaid building. Suffolk County Department of Health Approval .14ai,..2~. '$97~'' 'by' t~ .¥$~1.& ..... UNDERWRITERS CERTIFICATE No.. l{ .bt ~{.'[.~ ..... SeD~..28. ~ 9~ .................... HOUSE NUMBER...Dti+~o ...... Str¢et..' BTi;dge' "~ ................................... · ..... Building Inspector ~ FO~M NO. $ TOWN OF SOUTHOLD Building Delm~tment Town Clerks Office Soethold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of oil buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health 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, Industrial buildings, Multiple Residences and similar buildings and installations, o 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 property showing all property lines, streets, buildings and 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or rand use $5.00 3. Copy of certificate of occupancy $1.00 Date A~,.~I, ..~e ..'1 ~,~ .................... New Building ..~ealt ........... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property .~.~'.~:.,.~...!..?,.?.,.~_~....~..~?,~..,~,.~:.?,..~.~. .................................................. Owner Or Owners Of Property ~.q~...e...s....~....~..e...~:.~....A~....t~..~"'~..~...~....~.?...m~ ............................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No.~.~t'...~. ........ Date Of Permit ..~..~.....Applicant .~...~....~..e..?.~ ............................... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building a~able codes and regulations. Applicant .......~ ~'~ ~//~ . .///.~.~ ..................................................... Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County MAP OF PROPERTY SURVEYED FOR ° A¥Ci-IEZ DESP'2ES · SITUATE AT PECONIC TOWN OF SOUTFIOLD, N.Y. SCALE . 50'= i" AREA .-- ~0,.300 SQ. FT. · TEST ;4OI_E · 3~TaPs°iL 2,LOAM SAND &GRAVEL 4 CLAY 5 AND. GIZA'~ EL I. '~ h~-~"o +~ 14' DATUM = ASSUMED 50.0 ELEVATION IqOIZTFI\VEST CORNE~,. 0P PREMISES · SURVEYED . MAY VAN TUYL s SON LICENSED LAND GREENPORT,NEW FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. ................................ '5 Z em,f d / Approved ................... ....-~..., 19.... .... No ..................................... Disopproved o/c ........................ ~ ................................................ ............................................................. ............ .... (Building Inspector) Application No. ~/~7/~ APPLICATION FOR BUILDING PERMIT ...................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 diagram which is part of this application. 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 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, Suffoll~ 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 buildings for necessary inspections. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder~ Name of owner of premises .A..t..c..h..e..~....L....~....~..n.~,o..:L~...e.t...t..e....D..e.s.]~..r~....s. ...... [.o..~...e..z...e.,~ ............................................................. If applicant is a 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 t£..~.2].3..P..:l~bt No .............................................. Street and Number ......... .~.~'.$.Rl~9...JeR41.fl.....g.~$.~,Jl,jlgllg..~.~.~., ....................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... b. Intended use and occupancy ......... ..g..t..J:.l..:i:.t..Z...s..h..e..d. ............................................................................................... 3. Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... O/~~' (Description) 4. gstimated Cost $?~,C(, Fee ...................................................................... {to be paid on filing this application} §. 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 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 ....... ..~...e. ............ Rear ....~?..e. .................. Depth ..... .~.2~ ..................... Height 8e ................................................. Number of Stories ............~.. ........................................................................... 9. Size of lot: Front ~,~e Rear ..~..~ ............................... Depth ...... ..~..2...~..4.~. 8e Height .................................................... Number of Stories ........ [ ........................................................................... 10. Date of Purchase ........ ~...~......4.1~o.,[.,~..2. ...... Name of Former Owner o......Z~.....~..lJ[~,...?....~.....P~Z~.~III~¢~ ................. 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: lie 13. Will lot be regraded __~ ......................... Will excess fill be removed from premises: [ ] Yes iX] No 14. Name of Owner of premises ...A.~...lf....&......A~....?.~.e....~...~]~. ................ .~.~..~,.~ ................................... (Address) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of bontractor ................................................................................................................................................... (Address) (Phone No.) PLOT DIAGRAM STATE OF NEW YORK COUN[Y OF ...................................................... .......................................................................................................... being duly sworn, deposes and says that he is the applicant above named. /(Name ¢f irgJivifl~al signing contract) He is the ................................................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.] 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 ap~!cation filed therew[th. T£RRI LEE ELAK ,~ Z / · ,OT/~l~Ya,~6~,C' Stateui,ew ,o,, " ...................................... ~. ~z.~t~sut~o''~k ¢c~y ..................... ;;"~ ....... r,1 ~ ... ........... .~ ,' ._ , ~' Notary Public ........ ~i~t~, ~,'~.~. ~t.?~..~:. ~..~ ~, .............. County ................. :L... ....... :'.~.,....~,.~.~:.~. ~ ............................................. (Si~mre of applicant)