HomeMy WebLinkAbout16387-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26324
Date: 03/18/99
THIS CERTIFIES that the building ALTERATION & ADDITION
Location of Property: 5745 ALVAH'S LANE CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 101 Block 2 Lot 15
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 25, 1987 pursuant to which
Building Permit No. 16387-Z dated AUGUST 27, 1987
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 ALTERATION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to DENISE A. MARKUT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
//B~d lng Inspector
Rev. 1/81
FORM NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No_ 16~81 z
Permission is hereby granted to:
...~..~.../...~..~.~ ............................................
· "~~"'~':~'"* ............. v'":'":' ~. ·
,o
ot pre~,ise~ located ~ .~......~.i~~....~ ........ ~ .......
County Tax Map No. 1000 Sect]o.--~.../..~../ ....... Block ....... .~...~.. ..... Lot No....,,~../...~.- .......
pursuant to application dated
.., and approved by the
Building Inspector.
Building Inspector
Rev, 6/30/80
TOWN OF SOUTHOLD
BUILDINGTOWN DEPARTMENT HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
'his application must be filled in by typewriter OR ink and submitted to the building
.aspector with the following: for new building or new use:
Final survey of.property with accurate location of ali buildings, property lines,
streets, and unusual natural or topographic features.
'. Final Approval from Health Dept. of water supply and sewerage-dlsposal(S-9 form).
.. Approval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of i% lead.
Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
pre-existing" land uses:
Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
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
re~sons therefor in writing to the applicant.
ees
Certificate of Occupancy - New dwellinE $25.00, Additions to dwellin§ $25.00,
Alterations to dwelltn§ $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
Certificate of Occupancy on Pre-existing Buildin~ - $100.00
Copy of Certificate of Occupancy -
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Kesidential $15.00, Commercial $15.00
Date . . .
of Propa=y.$..7.~>5 ...... .~'7.~o ...... ~ ............
House No. Street Ha~ul e t
Owners of Property ........................... ., .......
Tex Map ~o 1ooo, Section...].O.I. ...... Blo~. ..... .O.O.O...a-. ..... ~ot....O/.$. .............
Dept Approval .... Underwriters Approval .....................
~g Board Approval ........................
for:
:mitted:
Temporary Certificate ........... Final Certicate ...........
APPLICANT
FIET~D ~I~SPECTION
,(1st)
COMMENTS
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER~. Yo
STATE ENERGY
FINAL
ADDITIONAL COMMENTS
INSPECTORS
(516) 7654802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. %VIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
SCOTT IL. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Sour:hold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 30, 1990
Dominic Antignano,
5745 Alvah's Lane
Cutchogue, N.Y. 11935
RE: Building Permit %16387-Z (Add.) #16773-Z
Premises: 5745 Alvah's Lane, Cutchogue, N.Y.
Suff. Co. Tax Map %1000-101-2-15
(Accy)
Dear Mr. Antignano:
During a review of our files, it was noted that the above
building permits have expired and Certificates of Occupancy
have never been issued.
According to the Code of the Town of Southold Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures, alterations or
new dwellings, and it is unlawful to occupy or use said
structure until the Certificates of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Victor Lessard,
Principal Building Inspector
VL:gar
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING J ~INAL
REMARKS: /~O ~'~-~---E ~'~'~
7GS-~L802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND ~J]IN~U~TION
[ ] FRAMING
REMARKS:
[ ] FINAL
INSPECTO~
765-t802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION 2ND []INSULATION
z~MING []FINAL ,.
INSPECTOR~
DATE
765-1802
BUILDING DEPT.
INSPECTION
] DATION 1ST [ ] ROUGH PLBG.
DATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
REMARKS:
DATE
INSPECTOR
'FORM NO. 1
TOWN OF SOUTHOLD
' BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N,Y. 11971
TEL,: 765-180:3
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH .....~,~
./~...
3 SETS OF~LANS .-
SURVEY
SEPTIC FORM ............. :
NOTIFY
CALL ................
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 herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing c/ode, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspecti.on~..~
.......... ........... , ....
(Signatur. e of applicant, 94'~ame, i~ a corporatign)
(Mailin~ address of applicant)/'
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...... ................... . .................. ./ .....................................
Name o f owner o f p re mises . .<~../q../.~./.~....'Z..~.. Z~7:..,~. ~.~7...././Y.~./..&.-.'~. './¢.~)...~ ........................ (as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of co¢orate officer) .
ALL CONTRACTOR'S MUST BE~U~FOLK COUNTY LICENSED
Builder's License No .... ~'~. 3 ...... ta']. ? ......
Plumber's License No .........................
Electrician's License No.. :~.~.-.S..~: ~.~T.~'.~./'..C~: ....
Other Trade's License No ......................
1. Location of land on wliich proposed work will b~ done ............. ' .....................................
.:.-?. >.-5. . .............. ::. . .:. ........... .:... >:,. e.
House .... Number Street Hamlet /
County Tax Map No. 1000 Section .. C'D [ Bl~ck .C~..1~. .... Lot. db /~---
Subdivision, . ................................... F}led Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended hse and occupancy of proposed construction:
a. Existing use and occupancy . .- ......... .~.~/,~D ~q,e'..~Z..~...~... .. ': ......... : ..... ,: ................
b. Intended use .and occupancy .' .z.=..-" ...................... 'x .................... ................
3. Nature of work (check which applicable): New Building ..... ' ..... Addition ...~-, ..... Alteration ....55. .....
Repair .............. ~/ Removali, .............. Demolition . .~, ......... Other~ ------W°rk ...... (Des'~rip~tion)~' .... "' '
4. Estimated Cost .......... 71o.o h,~.
" (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 bosiness, commercial or mixea occupancy, spec/fy natrure an, d extent of each type elr rise ..................
7. Dimensions of existing structures, if any: Front.· .~..O...7. '. .... Rear .~..O..~ 2 ...... Depth..~..~f. i~. i/.r .....
Height .. ~.7. ......... Number of Stones .... .~. ........................ · .......'..
Dnnensmns of same structure w~th alterations or additions: Front . ~ .... ~ ......... Rear ...........
Depth .... ~O. ~. 2 7: ....... ~.. Height ...... /,~..'~. · .,:, .......Number of Stories ..... ( .................
Dimensions of entire new construction: Front ... ~ .-D... ?.... Rear ~. (o ' .. Denth .05'0/ ~ ~
Height ~. ......... Number of Stories ..... -~. ................................
10. Date of Purchase ......... /..~.~57 ............. Name of Former Owner ...... .~Y./.q~.q~'ef~ ...........
· Zone or use rict in whlc r raises are situate .... ~'..~/.~..c .................................
12. Does proposed construction vie!ate any zoning law, ordinance or regulation: ..... .~.a. ......................
I3. Will lot be regraded ..... 4),4~.~~ .~./,utc~,~,. ~..~ ...... Will excess fiI1 be removed from premises: Yes_ ~ ~
15, .rs th±s property located w±th±n 300 feet of a t±dal wetqa~d* ~Yes ..... ~o ~-~..
~.[f yes~ Southold Town Trustees Perm±t may be requ±red.
! PLOT DIAGRAM
Locate clearly and distinctly ali build/rigs, 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. i
STATE OF NEW~ORJ~,:, /~Z/
COUNTY OF~
........ .'~...o~.~4'7! ./J.~'fiz~'/~.~..,g.?. $ ................... being duly sworn, deposes and says that he is the applicant
(Name of individual sig¢ing contract)
above named·
He is the ...................... ~ ................................ . ...................................
i (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 file this
application; that all statements con!ained in this application are true to the best of his knowledge and belief; and that the
work w/il be performed in the manner set forth in the application filed therewith.
Sworn to before me this, ~
19~7
· ,, NO. 4879505 '-'. ' ~/ (Signature of applicant)
· Qualified in Suffolk County
Commission Expires Dec~mber 8, 1
./o/~
~/o/F ~/o/r W~LLIA~ ~. ~ASTO~
I ROBERT L. HUBBARD gOHN FORD ~ ALVANIA MASTON
~ ~ ~OIDA HUBBARD ~LOUVINIA FORD ~} -
. , ~¢" N. 56°28;20'E. I ~ ~ 517.50'
~ 's~ I, t~t~.¢__ ,~. ~
~ O. ~OX 909
MAIN ROAD
SOUTHOLD~ N.Y. 11971
N/O/F ¥1LLAGE OF GREENPORT
N.Y.S. LIC. NO. 4966B
8~ ENGINEERS~ P.C.
Prepared in accordance with the minlmum
Stondards ~or title sUrveyz os e~tablished by
the LI.A.L$. and approved and adopted
for such Use by The New York State Land
Title Association,
hjI'~
SURVEY FOR
DOMINIC AND DENISE ANTIGNANO
' AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
I000- I0! 02 - 015
SCALE Im-- 60~ .
NOV. 15, 1985
~5161 765/'-5020
R O. BOX 909
MAIN ROAD
$OUTHOLD , N.Y.
./o/~=
N/O/F
,JOHN FORD
& LOUVINIA FORD
i~ tDDL E
.VILLAGE
OF'GREENPORT
./O/F' W~LLIAU .. UASTO" ~
ALVANIA MASTON ~
..I
528.22'
Prepared ~n 'aCCordance whh the ·
standards fOr title sUrVeys mmJmum
the L. LA. L. $. anT~eapprov:~ establishedand adoptedbY
for such Use by New York State
Title Association, Land
SURVEY FOR
DOMINIC AND DENISE ANTIGNANO
- AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
I000- I01 02 - 015
SCALE i"=60t
NOV. 15, 1985
85 -380
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
ALL C:OFi~;~ ~dL;~ O~N ~HA£L MEET J'