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Home My WebLink About8096-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23977 Date OCTOEER 23, 1995 THIS CERTIFIES that the building ADDITIONS Location of Property 3295 HAYWAT~RS ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 11 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 23, 1975 ~ursuant to which Building Permit No. 8096-Z dated JULY 23, 1975 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 ADDITIONS TO AN EXITING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 CORNELIUS & CAROL MCSHANE N/A Building Inspector T~ Of SMrTNOL~ SOUTI~LD, H.. Y. BUILMNG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8096 Z Permission is hereby granted to: ¢ ~ne~./.u s.. :~eS~me .-~ ..~'~£e ...................... m .~i.l,~..~,n...~,~.~ ~,.t,~.c~...~.6eek-.~.)...ot~ ..eacl:$,tr:1:rzg.-dve~ ~ ........................................... at premises locoted at .~,o~....J~O.~ .........~a~..P~)..{~z,o~ ............................................................ .............................................. ~e~)n~ ~e..~P~ea4 ......... ~ .... ~t'crh~Te '""l~';'y';' ....... pursuant to application dated .................. Su~..)r ....... '~3' ............... , 1~...., and approved by the Building Inspector. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the Building inspector with the [oIlowing: ~or new Building or new 1. Finul survey of property with accorate location of ail 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. Co~ercial boilding, 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 A~p~o~al of complened sine plan requirements. For existing bnildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existieg" land USCS: 1. Accurate survey of property showing all property lines, streets, building and unusual natural o~ topographic features. 2. A properly completed application and a consent to inspect signed by ~-he applicant. If a Certificate o[ Occupancy is denied, the Build~ng Inspector shall state tBe reasons therefo~ iu writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions Lo dwelling $75.00, Alterations to dwelling $25.00, Swiraming pool $25.00, Accessory building $25.00, Additions to accessory buildia§ $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cnmmercial $15.00 Building add~t~0ns - 2 decks on New Construction ........... Old Or Pie-existing Building ................. I.ocatioa of Pro~)er~v .... 3295.~a~w~$er~.~o~d, .Cutcb0gue, .~Y.ll935 ............................. 0a~.~or or owners e[ p,:op~ty...gOrO¢li~.~.~.g~g!-6~ .~q~ne .............................. County Tax Map No 1000, SccLiun..111,00 ...... Block..II,OQ ......... Loc...QI.~,QQQ ............ Subdivision .................................... Filed Map ............ Lot ...................... 8096 Date Of Permit ................ Applicant ............................. Permit No ................ Uealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ / ) Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 20, 1995 Gary Flanner Olsen P.O. Box 706 Main Road Cutchogue, NY 11935 Re: Cornelius McShane - TM~1000-111-11-19 Prem: 3295 Haywaters Road, Cutchogue To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx Application's for Certificate of Occupancies are not on file. (Enclosed) No Underwriters Certificate on file. xx The check's are not on file. S25.00 each. 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 # 8096-Z & 20860-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ C,}-*FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR DATE ,//~//--~/~ Disapproved a/c ........................................................ ~' INSTRUCTIONS . a. This application must be completely filled in by typewriter or in ,nk and submitted in triplicate to the Building Inspector, with 3 eete of plans, accurate plat plan to ~cole.. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving a detailed description of layout ofprpperty must be drawn on the diagram which is port of this application. c. The work covered by this application may nat be commenced before issuance of Building Permit. d. Upon approval of this application, tile Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection thmugheut 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 ~uildln.g' Zon,e O.edlnance of the T_ .oTn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egu atl.o, ns, .tar the construct!on o.f building?: additions or alterations, or for removal or demolition, as herein described. i ne app,cant agrees to comply w~th all apphcable laws, ordinances, building code, housing code, and regulatlam, and to admit authorized Inspectors on premises and in_bullding~ for qeeeqsary inspections. ~//'/?~' 1~-~ ~:~e ~ 't/~ '' ,(Signature.of al:~iicgni; or name, if a ¢oq~oration) "'i'"' a-~.~ -~',.-~ ~-~ · ,~'~' ~ '{-~ ~ ........... State whet~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. o p mses . . . ~...... - Name of ......................................... ..../~..: ............................ If applicant is a corporate, signature of duly authorized officer. · (Name and title of corporate officer) Builder's License No .................... ,~.;:. .......................... ,/ Plumbers' License No ............... /f/!././. ~ ............................ Electrician's License No ........ .../~..J.'~.. .......................... Other Trade's License No .......... ..,~./~...~ ........................ ,. ,acat,on o, and on whch w be Map No No Number .~ .¥..~ ,~.~ /,C /~,~ ............... ~"~ Street and ....... ~.. ............ ~ .......~....'~../... ~...~.~. ~.~.: ........... ~ .../Z~ ....~..~..~.~..~.~.~.~..~ .... ,~... -- ~ - M~nl~ll~ 2. Stye existi~ u~ and ~cu~n~ of premiss and intended use and ~cu~y of p~ c~stmction: o. ~isiting use a~ ~cunan~ ~ ~/~ ~ ~~ ~. ~n~nd~ ~ ~ ~y ........ ~...~.~..~..~.~.~' ................................................ 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ...... /~.....~.....C'. L..~ ......................... (Description) 4. Estimated Cast ........................................................ Fee / ~'~ ~ (to be paid on filing this application) 5. If dwelling,' number of dwelling units ........... .~.. ............. Number of dwelling units on each floor ......... Z ............... If garage, number of cars ................... /~..a....~..,.e?.-.....:..~ ................................................................................................ 6. If business, commem,al or m,xed occupancy, spec,fy nature and extent of each type of use .......... ~ ............ ..... ..~ '~'~ 7. D~mens~ons of existing structures, ,f any: Front ............................ Rear ....... .~..~'.. .................. Depth ..~.... ............. Height ....../...?.../~..(~.7~. 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 ......o~...~.~.~.?.. ..... 10L Date of Pumhase ...............;,. ............................................................................................................. 11. Zone or use district in which premises are situated ........~..../...~-.~...~..~........,~....~....x~...../..~..~. ...................................................... 12. Does proposed construct'on violate any zon'ng law, ord'nance or regulahon ..... ...~....~..'. ........................................ 13. Will lot be regraded ...... ..~.~.: .............. Will excess fill be removed frqm p~rer~s,: (~) Yes (,~) No Name of Owner of remi ..~,~.~.~...~....~.. ~'~4e,/x~o' /~- .?..~.~ ~f/'c~,~ 14. p ses ......................................... Address ............ ~....a ............ Phone No.....~ ....... Nome of Architect ..............~ ........................................... Address ............ ~ ............... .Phone No......~. ............... Name of Contractor ..............-7........~'.~../..~.....---. ....................... Address ........... ~ .................. Phone No ..... ~ ............... PLOT DIAGRAM LoCate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions fram 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 NEW,-b'O_R~, ~ S S COUN'I'~ OF .%~..~.~.~..~.. ........ ...- ........ ......... ; ................ - ............................. b g duly ~om, d~s and s~s t~t he is the applicam (Name of i~ividual signing c~tmc~ a~e name. He is the ............................ ~ ........................................................................................................................ (Contractor, ag~t, co~rate officer, ~c.) of ~id ~ner or ~ners, and is duly aut~rized to pe~rm or h~e perfo~ed the ~id work and to ~ke a~ file this application; that all statements contain~ in this ~plication are tree to the ~t of his k~ledge a~ ~lief; and ~m t~ wo~ will ~ herfor~ in ~e manner ~t fo~h in the a~l~i~ fil~ ~. S~m to ~fom me this ........ ..................... , .. N~a~ Public, ....... ~.~; ................... ~ .... ~.~~,.~ ........... ;..~~. ~ ~ _ //~.._ / (Signa~re of applicant~ NmA~'~BLIC, ~ ~ Y( No. ~-~1~,