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Home My WebLink About16176-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-t8030 Date MAY 15, 1989 THIS CERTIFIES that the building ADDITION Location of Property 30100 MAIN RD. & 55 PEQUASH AVE. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 3 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in %his office dated JUNE 22~ 1987 pursuant to which Building Permit No. 16176-Z dated JULY 7~ 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 GARAGEADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPkRTMENT OF tIF2tLT?I APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM & LINDA ZINGARO H 000680 - JANUARY 7, 1988 il~ing Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 16176 z Dote Permission is hereby granted to: ~) .... ~~..e~.~.:~.:...L/..~ Z~,~ ......... ..~.~ ...... ~ ....................... _ ~~~.... ~~iiii~~.....~.....~~ at premises located at .~...~.L..6~........~..~..~.. ~/* .~. ~ ....~... :.. County Tax Map No. 1000 Section ....... ]..C~...~,... ...... Block ....... ..(~....~. ...... Lot No .......~...'/ ........... application doted ........ ..~..~......~.....~ ............. , 19.~.~., and approved by the pursuant to Building Inspector. Fee $../...~.L!.,"~.....~. .... Building Inspector Rev. 6/30/80 TOWN OF SOUYHOLD TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YOHK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCHPANCY NEW CONSTRIICTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Loo~tion o~ Proper t,..~..~. ?~ - -~-. -~.~-..~TX. ~..~..~..~.~..~.//XZ.... ~.~/~.~ ....... HOUSE NO, STREET HAMLET Owner or Owners of Property. .~ .... . ............... ~ou~,, ~ ~ ~o. ,0oo ~,,o. Z~. ~,o~ .?.~... ~o,-9.7 ...... Subdivision ....................... Filed Map ........ Lot .......... Petrol No./'~-LZ.~.~.. Date of PermltT/.~./?.7...Applicant ~..~/~.~.~.~. Z/~ ~ Planning Board Approval ................ Request for Temporary Certificate .... Final Certificate , ..~.. ApPLICant, rev. 10/14/88 CO Ce, FOP~NO. 6 TOWN OF SOUTIIOLD BUILDIN~ DEP~TMENT ~'~ TO~ flAL~ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS 'This appllcatiou must he filed in typewriter OR ink and submitted to the Buildiug Inspector with the following; for new buildings or new nsc: ]. Final survey of property with accurate location of all buildings, property lines, streets, and uuusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Under~riters. 4. Sworn statement from .plumber certifying that solder esed iD system contains less than 2/10 of ]Z lead.l 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installlations, a certificate of code compliance from the Architect" or Engineer responsible for the building. 6. Submit Planning Boar4 Approval of completed site plan requirements. For existing buildings (Prior to April 9, 19572 non-conforming uses, or buildings and !'pre-exlsting" land !uses: ]- Accurate survey of property showing all property lines, streets, buildings and unusual natural or t~pographlc features. 2. A properly completed :application, a consent to inspect si~aed by the applicant and a certified abstract of title issued by a title company which shall shew single and separlate o~nershlp of the entire lot prior to April 9, ]957. . If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~rrlting to the applicant. 3. Date of any housing c:ode or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certificate of Occupancy: ]. A~ application for vacant land Certificate of Occupancy shall he submitted, and a certified abstract of title issu6d by a title company showing single and separate omrnershlp ofl the entire lot prior to April 9, ]95? shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: I. 3. 4. 5. 6. CERTIFICATE OF OCCUPANCY - New I~elllng $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $2'5.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupancy on pre-existing dwelling - $I00.00. Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00 Vacant Laud Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial APPLICATION ON BACK rew. ,]0/]4'/88 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. No Z17106 CERTIFICATE OF OCCUPANCY ~ TEMPORARY Date July 22~ 1988 THIS CERTIFIES that the building. Location of Property 30100 MAIN RD. House No. ACCESSORY BUILDING & PEQUASH AVE. CUTCHOGUE Street Hamlet County Tax Map No. 1000 Section 102 Block 03 Lot 07 Lot No. Subdivision Filed Map No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1987 pursuant to which Building Permit No. Z17106 dated JULY 7, 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 ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to WILLIAM & LINDA ZINGARO (owner, of the aforesaid building. Suffolk County Department of Health Approval N/A H000680 JAN. 7, 1988 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATE NO. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 76.5 - 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 compIeted 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 pzOperty 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling,$25.Q0, Accessory',S10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwe~Hng $ 50.00 3. Copy of certificate of occupancy $ 5,00, over 5 years $10,90 5.Updated C.O. $ 50.00 Date ................ NewCons~;~uc f.~ion. ..... Old or Pre-existing Building ............ Vacant Land ~OlO0 .............. Location of Property (0~/~./~..~'-.~...Q~,.. ~,, ./~-.,~. j~4. .... ~..~. House No. Street Ham/et Owner or Owners of Property ....~..).~,J?. ! ~ ' ~,, ,,L~./V/~, .~....Z~'. ~.~,, ./~...~ .............. County Tax Map No. 1000 Section .... /.~..~.. ..... Block ...~...~f ........ Lot .... .~..? ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~'f~/7. ~. ~ Date of ,ermitT¢?/~. 7..Applicant..... .....[/0/4~..~. .. ~. ~/~ ~. . Health Dept. Approval ......... /~/iI~. ....... Labor Dept. royal . .~. ,/~, Underwriters Approval . .o~. ~. ......... Planning Board Approval ................ Request for Tempo<~ Certificate ..................... Final Certificate .................... ... Construction on above described building and/??~,m~,~ ~.all applicable cqdes and regulations. UND~TION ~ UND^TION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL · ADDITIONAL COMMENTS: 76S-1802 BUILDING DEPT. INSPEI TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ,~]/INSU~TION FRAMING [~NAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [/] FO.O.O~NDATION/~ 2ND [ ] INSULATION ~FRAMING [ ] FINAL DATE / / INSPECTOR ~/'~./ 765-1802 BUILDING DEPT, INSPECTION [~FO~U~)ATION 1ST [ ] ROUGH PLBG. [."*~FOUNDATION 2ND [~r] INSULATION [ ]. FRAMING REMARKS: [ ] FINAL DATE INSPECTOR~ _ II 'FORM NO. 1 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAlL Examined . .~ .~....~....~..~. ....19~. ?.19~''~· Approved .., Permit No.l .[-o.[.'~.{~..~. Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... FORM ............. ; .... TO: 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- catiorl. 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 occupi6d or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been grhnted 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 insl~ptig/ns// ~ '" i~i~ture of applicant, '.~n'~ ~a corporation) . t .t.3 (Mhiling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ff( ' '. ........................ Name of owner of premises ~.ILL~J..~:~....~..~. '...~(~ .~. .~. .... . .~. · ~ · .~. · '.~.~. · ./(..~. · .~ ................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSEB Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Lo,cation of land o.n, which proposed wojk wioll be done .... C~.. ~-..~. ~-.-~. .... O. ~.--. i ."~...~... ~ F .. House Number Street Hamlet County Tax Map No. 1000 Section .... I..C)..~)v~ ....... Block ..... ~. ~ ........ Lot .... .O.C~7 ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ...................................... ¢,. ................. 3. Nature of work (check which applicable): New Building .....~. .... Addition .......... Alteration .......... Repair Removal , Demolition .... ;. Other Work ....... ¢ 6o° ' (Descrip, ion) 4. Estimated Cost ......... , O O ............................. Fee ...................................... (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 business, ~ommercial or mixed 6ccupancy, specify nature and extent of each type 0f use .~ .~ ~. ~ .O 7. Dm~ensmns of ex~stmg st~ctures ~f any: Front... ~ ...... ~$ Rear ...~. .. .... Depth . Height ............... Number of Stones ........... ~f~ ....................... ~ ............ D~ensions o[4~e structure with alterations or additions: Front .................. Rear .................. h ~ " ' De~ t ..................... Height ................. Number of Stones ...................... 8; Dimensions of~gtire new construction: Front... ~....... Rear ..... ~.~ ...... Depth .... & ~. ..... Height . .~) ....... NumLer~f Stories 9. Size of lot: Front ~.. ~ ~... :~; ~ ~ ~¢~,~ ~ ~ ~ ~'~ ~ ~ ~ ..~ ~ ~' ~;~ ']~¢~ ~ ~ :0. Date of Purchase ............................. Name of Fo~er Owner ...... ' [ 1. Zone or us~ district in which premises are situated ..................................................... :2. Does proposed construction violat~ any zoning law, ordinance or regulation: ................................ 3. Will lot be regraded ................... Will excess fill be removed from premises Yes No 4. Nme of Owner of p~emises~.~.~l¢~.00. ZeO.~Address~9%. ~rCO~rhone No. ~..7.k~... Name of Architect [q~ ~ ~. ~ ~ [ ¢. ~ ~ ..... A ddre~ ~ ~ ~ ~'~ ~;ne N~. Nme of Contractor ~ ~. ~ ~0g. ~... Addre~n~0~%. C.~qt~(C~ ~ ~ Phone No. ~ '.5. Is th~s property located w~th~n 300 feet of a tSdal we~land~ ~Yes ..... No ~... *If yes,. SouChold To~ Trusfi~es PermSt maybe r~uSred. PLOT DIAG~M Locate clearly ~d distinctly ~1 bufld~gs, whether ~xisting or proposed, and. indicate ~I set-back d~ensions fro~ ~roperty Shes; Give street and block nu'mber or description according to deed, and show steer names and indicate whether i ;TATE OF NEW Y~)RI~, ~. ~/ ~ ~ ~ ...... .W. 1C.~.\~ ..~ .... ~. ].i ¢ ~ ~ ..... being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) ,bore named. (Contractor, agent, corporate officer, etc.) said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file t~is pplication; that all statements contained ~ this application am true to the best of h~s knowledge and belief; and that ~e york will be perfo~ed in the m~ner set forth ~ the application filed therewith. ;worn to before me this ~ ~ ~ ........... ..... .... .' ,,: ~' N~ ~ =/ , '/ (S~n~t~ of applicant) , Commission Expires icecem~e*' ~ - ~- ~