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HomeMy WebLinkAbout8286-z TOWN OF SOUT~OLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26431 Date: 05/07/99 THIS CERTIFIES that the building ADDITION CUTCHOGUE Location of Property: 7745 OREGON ROAD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 95 Block 1 Lot 8.2 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 10, 1975 pursuant to which Building Permit No. 8286-z dated NOVEMBER 10, 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 FARM STORAGE BUILDING AS APPLIED FOR. The certificate is issued to ALEX H. ZANIESKI & ORS. (oWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A ~lding Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DE~ARTM~ENT*~ TOWN CL~'S OmCB, SOUTHOLD, N~ Y. BUILDING PERMIT (TH~S PERMIT MUST BE KEPT ON THE PREMISE~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8286 Z Permissibn is hereby granted to: ................... ~{a.~.~ek ...................... ,.*.-; ............ to Bt~*~:tti...a.~.-a.~',~*~:-~;-i*~?e-~*'<~-s ~{,~...~.a.~,m..-~.t-e~?~? ~ n at premises located at ....*'~.~)...~g(~...~O~.*.-*: ............. ............................................... ~.C~tcim~ ....... ~t~':~;,.., ................ , ..................................... pursuant to application dated ........................ Building Inspector. Fee SJ.SM~f) ............ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao This application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building er new use: 1. 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, muitiple residences and similar buildi 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a '~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 applican 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 Buildinm - $i00.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction .... ~...... Old Or Pre-existing Building .... House No. U Street~ ~ HaMlet County Tax Map No 1000, Section .............. Block ................ Lot .............. Subdivision .................................... Filed Map ..... ....... Lot ................ Permit No ....... Date Of Permit ................ Applican ., Health Dept. Approval ......................... Underwriters Approval ..................... Planning Board Approval ....... Request for: Temporary Certificate ........... Final Certicate...~...... Fee Submitted: FORM ~qO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. £xomined ................... 19. Approved ........................................ , I9.. ermit No ..................................... APPLICATION FOR BUILDING PERMIT Application No. 0c~'~°~ '~--~' INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in if~k 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 adioining premises or public streets or areas, and giving a detailed description of layout of property must be drawn On the diag~ram which is port of this application. c. The work covered by th s app cot on may not be commenced before issuance ~f 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, 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 app icant 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. (Signature of ~a(~licant, or name, if a corporation) ..... ......................... ............. J (Address of applicant) State whether applicqnt is owner, lessee, agent, architect, engineer, general contractor, electriciQn, plumber or builder. ................................. ............................................................................ ; ...................................................... Name of owner of premises .......... ~~'~~"..~~7.:. .............................................................. * '".....'..'.. If applican,~is a corporate, signature of du~y authorized officer. ............... .............. (Name and title/6~ corporate a~ficer) Bui,ders, Lic se PJumbers License No ...................... ~ ........................ Electrician's License No. .~.~...l..'/:I.~.../. .......................... Other Trade's License No ............................................... Location of land on whi~ch proposed w~zk will be done. Map No.: .. ...................................... Lot No ......................... Street and Number ........................................................................ ~z:,~'~'"~Z'~'-~? "~" ,~ Mu~ra~Jpality State existing use and accupancy of premises and in~,ended use and occupancy of proposed construction: a. Exisiting use and occupancy ...~.d......4-.~!......5.~..'~J.?...'~..4~..~.....'.~..~,r.~.~. b. Intended use and occupancy ~..X~.~.~.~:~.~i~.e~.~/~f.~?.~L~.~.~..~...~.r.~/~?....4./.. ........................... 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolitiar ..................... Other Work ................................................... 4. Estimated Cost ..J..%.~..-...~ ............................................ Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....,~....'~.....'~ ............. 7. Dimensions of existing structures, if any: Front .. -s"~ ................ Rear .....~ .......................... Depth . .~..~. ............. Height ...... ~....,~: .......... Number of Stories .... ./. .......................................................................................................... Dimensions of same structure with alterations or additions: Front ...... ,~,,/..'. ...................... Rear ...~..../...'. ................ Depth .... ~.~.. ~ ..................... Height 2- 2-- u ............................ N tuber 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 .J..,~.]~..~.. ........................................ Name of Former Owner ..~.~z~,d...../,J.~j../. ...................... ! 1. 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 ,exces~,fiilr-~_e removed(fr, p~nrp/~~Yes ( ) No Name of Architect .............................................................. Address ................................Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions frore 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~¥g~F,~/.~ I1.~ Icc .... f.~..~¢....~.~.4~¢¢1....~/..~ .......................................... being (NonCe frf'/Jndividual signing contrac¥) above named. ~' I 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 fi~e thls application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith, Sworn to before me this .......... J.O~.. day of '"~'~'~"~¢"u~"'", Noto~ Pubhc, . ............. ~ .............. ~ .......... ~.,. Coun~ ............................................. ~ ........: ...................................... ~~~ ($i~noture of opplicant) } ~IZAB~H A~N HEVILL~ ~ ~ ~ NOTARY PUBLI~, ~t~le of New York No. 52-8125850, Suffolk County duly sworn, deposes and soys that he is the opplicam