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Home My WebLink About11471-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15827 Dato June 9, [987 THIS CERTIFIES that the building .... ~. 9 .c.a.a.s. 9.r.Y.. B..u.5_.]_.d..~ .n.g ....................... Location of Property 2300 Depot Lane Cutchogue, New York House No. Street Hamlet County Tax Map No. 1000 Section [ 02 ...Block 2 .Lot 2.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 9, 1981 .. pursuant to which Building Permit No. 1t471Z dated ... ?.o.¥ ? .m.b.a.r...~,2.,.. ! .9.~. 1 ..... 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 ......... SE'COND ACCESSORY BUILDING JOSEPH LIZEWSKI The certificate is issued to ..................... ?oWn'e'r,~'~-fftt,'~R .................... of the aforesaid building. Suffolk County Department of Health Approval ...... ~ ./.A ................................. UNDERWRITERS CERTIFICATE NO ............. .N./.~. ................................. PLUMBERS CERTIFICATION DATED: Rev, 1/81 FOB~ ~qO. TOWN :~0~ BUILDINg'; TOWN HALL SOUTH'OLD,~ N~Y. 1:1471 BUILDING ~EI1J"AIT' (THIS PERMIT MUST BE KEPT ON ~H,E PP, E~IsES UNT!L ~ULL COMPLETION OF THE woRK. AUTHORIZED) Z Date' : ~//'~ /' ~'~'/' / ...................................................... , 19... Perm ssion is hereby granted tq~ ..._~ · Tax · ~- .. .... ~ Lot No coun~ Building Inspector. i Fee $ ....... .~ .......... ~ ..... Building [InspectO FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold. N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of p~perty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~. 7(~.0 , ("~'~J ~ . '~ Owner or Owners of Property .../,,,,~,. ¢,~r~.,~. ~¢. ............................................. County Tax Map No. 1000 Section .. ~ ~ ~' Block ~ Lot....~. c ,~' ' Subdivision ................................ .I.~. / ,,I)l ~ .Filed Map No ........... Lo,No .............. Permit No ........... Date of Permit .../9..Applicant ....................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Request for Temporary Certificate ..................... Final Certificate . Fee Submitted $... I.~'~..~.~. ................. Construction on above described building anti,permit ~.eets ~l apple code~n~d regulations. Apphcant ............................ Rev. 10-10-78 FORM NO, 6 ~ TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in Wpewrker OR ink, and submitted ii IiImii 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. Fina{ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all propertv 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. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $I0.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.upd&ted C.O. $ 50.00 Date ....0.~q~.~.,..~9.8.7. ........ NewCons truction., ..... Old or Pre-existing Building ...~ ......... Vacant Land ............. Location of Property ....... D.e.D o[..LaDe ................................................ House No. Street /Yam/et Owner or Owners of Property .... J o,s.e,p b. L.i.z ew~.ki ...................................... County Tax Map No. 1000 Section ...1.(12.00. ..... Block ...02...0.Q ...... Lot .Q0Z~.0.QZ ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~.l ~..~/.... Date of Permit .......... Applicant .. Cha.l.~.e$..R... CJJ.ddy ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Req, uest for Temporary Certificate ..................... Final Certificate ... X ................... Fee Submitted $ '50'.{}0 ...................... Construction on above described building and permit meets all applicable codes and regulations. (Charles R. CuddfLl) Rev. 10-10-78 .¸.3 81.!I~V~¥EO FOI~. OO.$ PH SITUATE AT CUTCHOGUE NEW YOI~K $.CALE. 50'=1" e = 1 IZON PI PE ffi = t^ONUtAENT IZU~ZC'£EW TITLE N°- 5-'27169~ GUA2ANTEED TO TIlE 1.5.5. LIFE TITLE INSUIP. ANCE CO/APANY:OF. NEtV YOt214 t2ODEI~IO~ VAN TUY L,.~R Q m~EENPOI~I', NENV RAYMOND C. DEAN COMMISSIONER {le uni , 11958 TEL. 765-3140 734-5211 January 11, 1984 Southold Town Planning Board Town Hall Main Road Southold, New York 11971 Gentleu~n: I have checked the layout of Dr. Lizewski's parking area on Depot Ix3ne in CMtchogue. I agree with the curb cut at the location he has asked for. If you have any furrier questions, please do not hesitate to contact me. Ver~ t~ly yours, .//~aymond C. Dean Superintendent of Highways RCD/plm cc: Southold Town Building Dept. Dr. Joseph Lizewski THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 o.~. September 30, 1.981 .~,,~,~i~,ti,,,,No.o,,.file 1~83~81 N 537171 ~.~ .~.~,~od o. ~pte~r 28, ]g&~ and found to be itt coo~pliance with the requirements of this Board. FIXTURE OUTLETS RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS FLUORESCENT DISH WASHERS EXHAUST FANS DRYERS OTHER APPARATUS: S E R V I C E NO O~E~RC~COND, A W.O. NO OF HI LEG A W G NO OF NEUTRALS A W G OF CC. COND OF HI-LEG OF N~UTRAC 1 1 Joseph Lizewskt Cutchog~e, N. Y. 11935 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be /credenho s. ~ coP~,Fpe BUd~DIN9 DEPARTMENT,. THIS COPY OE CER~T FiJCA~E ~NtU[~T ~,OT~ BE[~LTERED IN ANY MANNER. FORM NO, '1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTP, OLD, N.Y, 11971 TEL,: 765-1802 Examined ................. 19... ^pprov,:d ........... ............... 19 e.nit (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .... ( ( .c(r..,?./. .... Date ................. 1 INSTRUCTIONS a. This application nmst be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plc, t plan showing location of lot and of buildings 93 premises, relationship to adjoining promises or public sire~ or areas, and giving a detailed description of layout of prb~')erty must be drawn on the dia~am which is part of this cation. - c. The work covered by this application may not be cmnmenced before issuance of' Building Permit. d. Upon oppmval of this application, the'~kfilding Inspector wilt issue a Building Permit to the applicaut. Such pern shall be kept on the premises available for inspection throu~ writ the work. e. No bu Id ~g sh dl be occup ed or used :n x~ hole or m pa~ for any purpose whatever uufil a Certificate of Occupan shall bare been granted by the Building Inspector. API'LICATION IS HEREBY MADE to the Building Department for the issuance ora Building Pemfit pursuant to t Building Zone Ordinance of the Town bf Southold, SuffOlk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe D~e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit amhorized inspectors on premises and in buildillg~ l)~r necessa~ inspections, (Signature of applicant, or name, if a corporation) (Ma 1 g address of applicant) ,tare who!her applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build. ,;~c of owner of p~cmises . . .~.o.~.ph...,. L.i~{~-~. (as on tilt: tax roll or latest deed) applicant is a corporalion, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . .~./z~.-~. ' Plumber's License No ......................... Electrician's License No ....................... ()dmr Trade's License No ...................... i. Location of land oil which proposed work wilt be done..D*.po'g..Laa,,r .~'¢o.hog~.~..N ~Y.,..$~ 9g.D ....... House Numb ber Street Hamlet County Tax Map No, i000 Section ... ~0.~ ........... Block . .~. Lot ;~. '~'/~ ' ~ Subdivisiml ..................................... Filed Map No ............... Lot .............. (Name) .. State existing use and occupancy of premises and intended usc antl occt*pancy of proposed constrnction: a. Existing use and occupancy '~ ~,Td,=X ~ ,0 0>~- / o.c_~ t ,~ b. Intended use and occupancy ~a~ ~ ~ ~,~ orc)}....,.,.......,~-~d ~- ~ ........ Nature of work (check whlc,h applicable): New 13',tii,li,~g .......... /~dditi,~:{ ........... ~' ,Tad,: n, Repair .............. Removal ,Wi ........... DcmoliUon ....... ii ..... Other Work .... ......... i (Description) Estimated Cost ...../?..~. ........................... Foe ...... ~ ................... .-: .... (to!be paid on filing this application) If dwelling, number of dwelliug units ............... Number o f dwelling Units on each floor ................ If garage, number of crtrs ......................................... i ......................... If business, commercial or mixed occupancy, specify hature and exteut of each type of use ........ ~. .... Dimensions of e/xisting structures, if any: Front.../.dj(.' ......... P, ear .... /..~. ....... Depth . . ..~. ....... Height ..... [.~..r ...... Nuniber of Stories .... ~ ................... .................. .... Dimensions of same structure with alterations or additions: Front ......... ; ........ Rear; ........... Depth ................. ~ .... Height ...................... Numbet of Stories ........... ~ ..... Dimensions ofentire new construction: Front .../.0(./. ........ Rear../.~,:: ......... Dep. th.: ..~: .~':: ....... Height .... ~..~ ........ Number of Stories ......................... . ......... Size of lot: Front ............. :., ......... Rear .................... :., Depth ...................... Date o'f Purchase Zone or use district in which premises are situated .................................. : .................. Does proposed construction violate any zoning law, ordinance or regulation: ................................. Will lot be regraded .......... ' .................. Will excess fill be rem >red from premises: Yes No Name of Owner of premises ............... . ..... Address .................. Phone No ................ Name of Architect ......................... ... Address .................. Phone No ................ Name of Contractor .......................... Address .................. Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. in~ticate all set-back dimensions from roperty lines. Give street and block nmnber or description according to deed, and ~how street names and in~licate whether terior or corner lot. I'ATE OF NEW YORK, OU ~:' . S.S '~ says that he is the applicant is the ~1;~-.~,,x~ (Contractor agent corporate officer etc ) said owner or owners, and is duly authorized to perform or have performed t!~e said work and to make and file this )plication; that all statements contained in this application are true to the best Of his knowledge and belief; and that the ork will be performed in the manner set forth h~ the application filed therewith. ,vorn to before me this i ' o Public ............. County ~o. 5~-812585'0, Suffolk Co~ ' ~ (Signature of applicant) ..L ;,2 5"/ E'AS¥ ,E.LEV'ATI 0 a --'....r~lzg Y~"" Y,0" ~oTIFY BU[LDING D~ENT A~ 755-1~n2 9 AM TO 4"~M FOR THE 1. F~Uh?AmION ' TWO. REQDIRED FOR P ,JR .D CONCR,ETE 2. ROUG' I - ~RAMING & pLUMBING ALL CO'NSTR~ICT[ON SHALL MEET THE R~QU[REMENTS OF THE N.Y. <~D~ '"NOT RESPONSIBLE FOR