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Home My WebLink About7713-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25377 Date: 11/21/97 THIS CERTIFIES that the building ADDITION Location of Property: 9775 NASSAU POINT ROAD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 119 Block 1 Lot 5 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 7, 1997 pursuant to which Building Permit No. 7713-Z dated FEBRUARY 7, 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 ADDITION TO EXISTING ACCESSORY NON-HABITABLE GAi~AGE. The certificate is issued to JANET BUSCHMAN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A PENDING ] 1/24/97 N/A FORM NO. 2 TOWN OF $OUTHOLD 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) No. 7713 Z Date ......................................................... ! 9 ........ Permission is hereby granted to: ..... 6..(.L~.!.:.?:..~..5~.~.?:~.L'.2..~..'. ~.,.~.~ at premises located pursuant to application dated ~-/~ "~ /~ , --? i~.~ ........................................................ 19...:...., and approved by the Building Inspector. Fee $..../. ................... / Building Inspector Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF $OUTHOLD October 10, 1997 Perry, Mady & Grove 100 Jericho Quandrangle Jericho, NY 11753 RE: Janet Bushman ~1000-119-1-5 9675 Nassau Pt. Road, Cutchogue BP~7713Z - 2/7/75 Dear Ms. Sutton: It appears upon inspection by the Building Department the guest cottage has not been used for a period of two years. As per Southold Town Code the use of a guest cottage will be lost and shall revert back to accessory storage and garage as per survey enclosed. Also enclosed is dated August 11, 1980 accessory structure. a letter from the Building Department as to the occupancy requirements for this A building permit application will be required for the accessory deck "as built" in 1975 and a Certificate of Occupancy application. JMB:cmt /~espect fully, Building Inspector APPLICATION FOR CERTt=iCATI OF OCCUP~YCY/ inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from 5ealtk Dept. of water supply and sewerage-disposal(S-? form) 3. Approval of electrical installation from Board of Fire 4. Sworn statement from plumber certifying the: the solder used in system contains less than 2/i0 of i% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architac~ or engineer responsible for the S.ubmit Planning Board Approval of compietsd site plam requirements. For exlstimg buildings (prior to April 9, 1957) non-conforming uses, or bui!df-~gs and '.'pra-e~xisting~' land uses: !. Accurage survey of proper~y sho~J_zlg all property limes, streets, building and unusual natural or topographic features. 2, A properly completed application a~d a consemt to inspec~ si~ed by ~he applicant. ~f a Cargificata of 0ccupancy is denied, ~he Building inspector shall sta~e the reasons Cherefor in writing ~o the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Add--ns to ' ~ ~ S25.00 ~/ Alterations to dwelliag $25.00, Sw~--~img oooi $25.0C6~~. uib ld~-~z S25.00, 5 Adcltzons to accessory ou~_!ding $25.00. Businesses ~3o.uu. 2. Certi£icata of Occupancy on Pr~-e.xist~_n,~ Buildi~s - $i00.00 Copy of CertificaTe of Occupancy - : .2~C, 4. Updated Certificate of 0ccupanc7 - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $~5.0~ Ne.~ Construction ........... Old Or P_e-e~.s~ing Buildf.~g .......... SubdivSslou .................................... F~ed Eap ............ Lo~ ........... : .......... Planning Board Approval .... Reques~ for: Temporary Certificate ........... Final Cer~ica~ ........... Fee Submitted: ~ LiTTL~ ?~coMC ~AY TOWN CLERK'S OFFICE Approved ....................................... , 19 ........ Pe~it No .................................... ..................... 2 ....... .................... ............... Di~ Date ................................................ , 19 ............ ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 ofproperty must be drown on the diagram which is pert 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 Build~g 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances, bulld.ng code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections: State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... ~....~ ~...?.~. 1. Location of land on which proposed work will be done. Map No.: .~...~.. Lot No..~....~. ........ Street and Number .................................................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ t~l~.~ ................................................................................... b. Intended use and occupancy ......... ~. ....................................... :~ .................................. ~ ............. ~ ............... 3. Nature of work (check which applicable): New Building'. ................. Addition ........ Alterati0~ ...:...., ........ Repair .................. Removal .................. Demolitior, .................... Other Work ................................................ . .... ~) O~ (Description) 4. Estimatecl Cost '".....~.....~..~.O..~ .................................... Fee ..j. .................................................................................... (to be paid on filing this application) 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 ~ature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .......~....~. .............. Rear ..,...~....~. .................. Depth .'~.~... ......... Height ...... I...L{'...I ......... Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .....~.¢~ ....................... Rear ....7~..:. .............. Depth .....3...~ ................ He,ght .....,/,~...~ ........ .Numb, e7 of Stones ...../. ............. .. .......... 8. Dimensions of entire new construction: Front ..... l..~.......~. ................. Rear ..~.~.....~. ............ Depth ./...d...~.... ...... Height ...e/~..~.. .... Number of Stories ..... /. ............................................................................................................. 9. Size of lot: Front .... .~...O...~.. ....................................... Rear .....~..~..4~ .............. ~..... Dnepth .....L~.-/.~..../. .............. 10~ Date of Purchase ....... ~..~..~....~.. ................................. Name of Fq,r, mer Own_er ...~ ...................... ! 1. Zone or use district in which premises are situated ...... /~..~- ..................................... /' ....................... 112. Does proposed construction violate any zoning law, ordinance or regulation: ../~.~). ............................................. 13. Will lot be regraded ...~.~. ............... Will e~cess f. ill be removed from_~,q~ises: ( ) Yes ( ~No . 14. Name of Owner of premiss ...~-...(~ddress ..~ ...... Phone No~J.~...~.~'/..O..~, Name of Architect ...~....~~~:...._. Address ~..~....~.., ......... Phon'e~o~. .'Z.~".~.~.~..'~../~/ Name of ontroctar Address PLOT DIAGRAM .~ote cleaHy and distinctly all buildings, whether existing or proposed, ond indicate all s~t~ck dimensions from praperty lines. Give street and block number or description according to cle~l, and show street nomes ond indicote whether interior or corner lot. COUNTY OF ~~'~"~ ................................................................................................. being duly sworn~ deposes end says that he is the applicon! (Name of individual signing contrac0 above named. _. fContrac~r, agent, coq)orate officer, etc.) of said owner or owners, and is duly a'~d3erf~ed 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 thor the work will be performed in the manner set forth in the application filed therewith. Swam ~;o b~ore me this /~ U~DITH T. ISoKEN-- u (Signature of applicant) Notary Public, State of New york Ho 52-0344963 Suffolk Coun~q 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND[ ] 1~ISULATION [ ] FRAMING [/_~ FINAL ] FIREPLACE & CHIMNEY ' z _~O '/