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Home My WebLink About11918-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25315 Date OCTOBER 14, 1997 THIS CERTIFIES that the building Location of Propert~ 8925 SKUNK LANE House No. county Tax Map NO. 1000 Section 104 Subdivision ACCESSORY Street Hamlet Block 3 Lot 15 Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17, 1982 pursuant to which Building Permit No. 11918-Z dated SEPTEMBER 17, 1982 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 AN ACCESSORY BUILDING IN 'l'~u~ REAR YARD AS APPLIED FOR. The certificate is issued to (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. M433596 PLUMBERS CERTIFICATION DATED SALVATORE & ELSE-MARY CUCIMOTTA N/A OCTOBER 3, 1997 N/A Buildin~nspector ~ Rev. 1/81 TOWN OF TOWN HALL $OUTHOLD, N~ Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE P~,EMISE COMPLETION OF THE WORK AUTHORIZED) N? 1:1918 Z Dote . UNTIL FULL Permission is hereby granted tg: , ;, ~ ~: , ~o ..i....,~~: ........ .~-~.....~.. : ~~;'~il.....~:..~.x..~.~i~.i....~.,~:. .............. ....i. ........... ,, .......................... ....... ~ ......... '~'¥'~ ...................................... ~ ..................... '. .................................. L' ..................................... Couhty Tad'Map No. 1000 Section./..~.....~.. .......... Block .J,..;3, .............. Lot No. /.,~ ................. pursuant ~o application dated ~.~........./.....~.. .......... ~ .......... , 19,~ and approved by the Baildlng I~spector. · !nspector ' f Bbilding~ Rev. 6/30/80 Ao TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ ,, !, TOWN HALL '~ ·'. 765-1802 b! i , ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY This'~pp~iCatioa must be filled in by typewriter OR ink and submitted to the building ~ znspector wzth the fei~owzng: for new building or 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, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of c6mpleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!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 applicant. 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-e~xisting Buildin¢ - $i00.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $L5.00 Date ........ .%. ,O.S ............................ I~ew Co~structior~ ........... Old Or Pre-existing Building ................. Location of Property...~.?..~?."...-~-.-~----~-?-~- ........ g.~--~ (7~ f~( ../.(?,?./..~... House No. Street Hamlet Onwer or Owners of Property ........................................................... cou=ty o0o, Sectio . '.. ,9 ........ Bloc : ............. Lot .................... Subdivision ......................... . .. ...... .. Filed Map ............ Lot ...................... Permit No..~ .? ~. ?.' ...... Date Of Permit..~..7'~ / ! 1 ~ ~.~pplicant. Health Dept. Approval .......................... Underwriters Approval. ........................ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: APPLICANT THE. NEW YORK ~BOARD ~OF FIRE UNDERWRITERS ~;~: l ~.~4 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY t0~38 OCTOBER 03,1997 /JpplJcaStonNo, or~file~ ~47~.~4297/97 N , '~ ~ THIS CERTIFIES THAT .~s exa,.i.ed on SEPT~J~ER 29,1997 and fou.d (o be in compliance ~ith the NaHon.l Electrical Code. 4 TUNE,. L~r ...... J.;.. ....... I ' ~ FIXTURES RANGES IC~KINGDECKS OVENS DISH WASHER8 EXHAUST FA ' 7,', 4 ' 1 ' F" PADDLE FAN~i EL~C. EOOH }~ATERS~3~,25 HOTORS~ Z-F H.P. G.F.C.I~'i B.J.ELEC. CO, BOX 16,STILLWATER AVE, CUTCHOGU~, NY, 11935 1~[ ENERAL MANAGER This certificate must not be aRered in any monner; return to the office of the Board if incorrectJ inspectors may be identified by their credentials COPY FOR BUILDING DEPARTHENT. THIS COPY OF CERTIFICATE MUST NOT' BE ALTERED IN ANY MANNER. FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C~ODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] /I 'ULArl [ ] FRAMING [ ~ FINAL i/. [ ] FIREPLACE & CHIMNEY · REMARKS, ~/~.~ g~ ~' [ ] I/I~'ULATION [/]FINAL DATE INSPECTOR FORM NO, 1 TOWN DF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1B03 Disapproved a/c ..................................... Application No.-I .~.. ¢ t/.~..'.~-. · · · (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot pla~. 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 the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Suclx 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 applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspeqtions. (Signature of applicant, or name, if a corporation) (Mailing address of app!icant) State whether applicant is owner, lessee, agent, architect, encneer, general contractor, electrician, plumber or builder. ............................................................../.~ A. PPt~Ov~D. :~s 'NOtCh ....... ' ...... " '%" 'D~EpARTM~N~ 765-1802 9 AM TO 4 PM FOE THE FOLLOWING iNSPECTIONS: ........ ~;~d ;~ ;itii ;~ ;;~;r;;; ;~h;;r~ ......... 1. FOUNDATION . ~0 REQUIRED ~ ~oa poua~a co~ca~z~ 2. ROUGH - FRAMING & PLUMBING Builder's License No ................. 3. INSULATION Plumber's License No ......................... 4. ~INAL ~ CO~TRUCTION MU$T BE COMPLETE FOR C.O.' ' Electrician's License No ....................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. Other Trade's License No ...................... STATE CONSTRucTIoN & ENERGY 1. Location of bad on which proposed work will be done .... J~ '~ ~'~7~ROR~. ........ ..... ............................................... House Number Street Hamlet 000 ........ ..... ........... ..... ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existin~ usa a~d occupancy .~ ~.I.'P ~ ~.~. .... ~. ~nt~a~a u~ and ~ . .49~5~A ' ~ ' " 3. Nature of work check ( which applicable): New BuildingS. Addition .......... Alteration .......... Repair .............. Removal .............. Den~l~Won .............. Other Work ............... ~:> ~ 0~1 ~ oc ~,¢'~ I~ (/t.~Y/~ :-' -(Descripti°n) 4. Estimated Cost ........ ~.~b.>~...~:'o..o..~. ~ ............ Fee ....... ~.ff....~. ................... (to be paid on filing this application) 5. If dwelling, number of dwelling 3nits ............... 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 o3 additions: Front ................. Rear .................. Depth ...................... Height ........ -' · · t .......... Number of ~tories .............. I ........ 8. Dimensions of entire new constrUction: Front . [ ~/. .. Rear .... /. O ....... Depth ...~. ff. ......... Height .....~ ......... Number of Stories .............. .......................................... Sizeoflot: Front ........... ........... Rear ...................... Depth ...................... ) . 10. [ ate of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..... t4[.. ~.. ~...~. .................................. 12. r)oes proposed construction violate any zoning law, ordinance or regulation: ...~., ............ 13. Will lot be regraded ...([/7~.2 ....... ~/~ ....... : . Will excess fill be~removed from premises: Yes No 14. Name Of Owner of premises ~3~.~/~...E~.P, .~.o. ~.../g.o~..W'Address ~.t~../~../~.ff~. ....... Phone No. ~ ~. ~ ~..~./..... Name of Architect .......... I ........... r~. · ~. Address ................... Phone No. ' Name of Contractor .~.i ~ .~.b.t.'-~.. Address .[9~-~. *TT.~4e/~J~ ..... Phone No. ~ "~' ~'~ }'4~' ' ' 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 number or description according to deed, and show street names and indicate whether interior or corner lot. '~ : STATE OF NE~ Y)~R_~K/~ ~q 'S S cou m ? .-.- i. , · '. ~'-~/~'~' ~'5~'~''':I C .~' ~_~./.JS[ ~.~...~.... being duly sworn, deposes and says thane is the applicant (Name of individual signing contract) above named. e is the .................. ~) .Cx~/.~. (Contractor, agent, corporate officer, etc.) of saki owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;:~hat all statements contfiined in this application are true to the best oft~l~.kngwledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ ........ .. ........ _ '¢' '7 .... ....... ~o~v ~U~L~. ~t~ ~ ~ ~ (Signature of applicant)