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Home My WebLink About12671-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12110 Date ..... DECEMBER 2 83 ADDITION THIS CERTIFIES that the building ................................................ · 3350 WEST CREEK AVE. & 220 WEST RD. CUTCHOGUE Location of Property ............................................................... House tVo. Street Ham/et 12 County Tax Map No. ]000 Section .... 110....... .Biock .........I ...... Lot ............. ;.. ;- Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in tiffs office dated OCTOBER 5 19.87 pursuan~ tO which Building Permit No. 12671,Z, . 8.5 dated OCTOBER 19 , was issued, and conforms to all of the requirements of the applicable provisions of the law. l~e occupancy for wMch this certificate is issued is ......... ...~gY..~.g~$~5~.'~9..~.~ boat storage building The certificate isissued to FRANCISCO SCIOTTO ..................... ?o~ff~'r, 'l~de't~r't~,3a~'tl ...................... of the aforesaid building. Suffolk County Department of Health Approval ..... N./.A .................................. UNDERWRITERS CERTIFICATE NO N/A Building Inspector FOEM NO. 2 TO~N ON $O~THOLD BtJlLDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: . ~ '~._f.~ ..~.~....~.....~......~......~... ........... .o.. ............... ...... ......................................... premises located at .,,~.,~.~.~......L~ll.~.....~-.~'~ ......... ~tsj.~ ....~......=.~..,......~.~.r.....~ ................................................................................................................ County Tax Map No. 1000 Section ..... .J].../~.. ......... Block ........... ] ......... Lot No ........ /..~ ...... pursuant ,o application dated .... (~..~......~.. ................ , 19.~.~;11~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 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 installa- tions, a 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. B0 For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"_ land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. C,' Fees: ~ 1. Certificate of occupancy (,_ $5.UU~ / 2. Certificate of occupancy on pre-~-xisting dwelling/landuse--Pre-E×±st±ng C.O. $15.00 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00 ~ew 8uitdin~ .......... Old or ~re-existin~ Buildin~ ............ Vacant kand ............. Ilo. ! County Tax Map No. 1000 Section ........... Block .............. Lot ........... Subdivision ................................. Filed Map No ........... Lot No .............. P,rmit Date of Permit t:L~..'.[?.: ,~.Applicant .~./~/~/~'~/.(~_.O.... (C~ X~) ....... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Sub m itted $~'- '~'~' 'O' 'O' ..................... L~ ' ' ~ ~ ' '1" 'e ndre ulat~ons'~P~ · ~ ~onstr~ctiO~ O~ above oescr,Ded b~i,d~ per~i~ ~e~plica~ o coo s a ~' .~ ~. 10-10-78 F~ELD ~N~?ECT~ON DATE COMMENTS FOUNDATION (1st) FOgNDATION {2nd) 2. ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL ~ ADDITIONAL COMMENTS PI ,D HENRY E. RAYNOR, Jr.. Chairman JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM, Jr. WILLiAM F. MULLEN, Jr. Bouthold, N.Y. 11971 TELEPHONE 765- 1938 September 27, 1983 Mr. Francisco Sciotto Box 6C Rt. 1 West Creek Avenue Cutchogue, New York 11935 Re: Site Plan Dear Mr. Sciotto: The following action was taken by the Southold Town Planning Board, Monday, September 26, 1983. RESOLVED that the Southold Town Planning Board approve the site plan "Francisco Sciotto" for the construction of a storage shed, subject to certification from the Building Department and a one year review. Please forward the application fee in the amount of $25, payable to the Southold Town Clerk, at your earliest convenience. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD cc: By Susan E. Long, Secretary Building Department (with attachments)~ ~ SLOG. DEPT, L,, TOW. SOUT. O O, FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Examined..~..~---L~..~ . ,/.O.., 19 g.~. Approved . .o..'q..~.~..~. j.b.., 19~. Permit No.}..~.~. ?./..~z~... Received .......... ,~9... Disapproved afc ..................................... (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 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 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. 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 herehn described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regu!ation?, and to admit authorized inspectors on premises and in building for necess,a_.ry./r/~spection,s. (Signature of apphcant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises -.~.~4¢.US.t.C.c? .... ~.~. ~[ 9..~O... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Om. Other Trade s L;cense No ...................... Location of land on which proposed work will be done. ~ House Number Street Hamlet ~ County Tax Map No. 1000 Section ...... //.0 ........ Block ....... / .......... Lot ..... J~ ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .C?.__. . ....................... b. Intended use and occupancy ...... .Ck. .~c_~. '~ ' . .~ .~...Vx~. ................. 3. Nature of work (check which applicable): New Building .......... Addition ..... Alteration .......... Repair Rem'oval Demolition Other Work ~f~ ~---'- i , (Description) 4. Estimated Cost...--,~J.. .O..0..~. ,,. ?...~. ................ Fee .... .~.~..~,i - . I (to be paid on filing this application) 5. If dwelling, number of dwellingI units.. .? ..~..~.... Number of dwelling units on each floor..~..I-c,. ~. ...... 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 ~'.O. ~ . R,'~- ~ c~ n,-~*h t,-, ~ Height ..~ .......... Number of Stories .... [ .................................... .= ............... Dimensions of same structure ~ith alterations or additions: Front .'.~....,.,.,.,~ ...... Rear .,~ ............. Depth.. ~e~ .............. i. · · Height . .'~..~...&. ............. Number off Stories ...~ ................... 8. Dimensions of entire new construction: Front .. ,,.~1~ ......... Rear ,.:~../~. ..... i, Depth .oy~.,. .......... Height . [ .~. .......... Number of Stories .~. ' , ..................... 9. Size of lot: Front .... ~ ~ ....... Rear ............ .~Deptlr'. ..................... 10. Date of Purchase ] .q ~ ' ' ............ j .~.~g.~.~. 1~ . . .,.~t~.~ ~ ..... ....... ! ................... Name of Former Owner ... 11. Zone or use &strict ~n which premises are s~tuated 12. Does proposed construction violate any zonin~ law ordinance or rem,l~ti,,-. ~ ~ 13. Will lot be regraded ...... .c2. ................. Will excess fillbe removed from premises: Yes 14. Name of Owner of premises . .o,~&~. ,.~..~. ......Address ~. hone No ..... Name of Arc.hitect ......... ~ ................. Address ................... Phone No ................ Name of Contractor ........ i ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly al~ 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. OK.., STATE OF NEW Y..ORI~ COU...U~TY OF,....~>.C~. ~i ................................................ b~in~ ~1~ ~om, ~o~ ~ ~ ~ ~ i~ ~ ~lioanl (~ of individual ~i~in~ above named. He is the ............................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authohzed to perform or have perfo~ed the said work and to m~e and file this application; that all statements contained ~ this application are true to,the best of his ~owledge and belief; and that the work will be perfo~ed in the m~ne2r set forth in the application filed therewith. Sworn to before me this ............. ~ ........ day off ...................... 19 Nota~ Public .................. ~. · · ~~ounty