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Home My WebLink About15382-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. Z16664 Date Feb. 23, 1988 THIS CERTIFIES that the building One family dwelling Location of Property 18217 R.0.W. off Rt. 48 Cutchogue House IUD. Srreer Ham/er County Tax Map No. 1000 Section 102 .Block 1 .Lot t . 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Oct:. 6, 1986 pursuant to which Building Permit No. .1.5382Z dated .OAt.:..8.,...1 .9.8.6. ............. 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 ......... .... 0.~..~.~. ~. y..a.~. ~. D.~.~. $,..~.t..t.~5.~.~. a...g.~?. ?.g?.,. y. ? ?.~..a.? ?..~.. ??f.~.~. .......... The certificate is issued to JOSEPH S. & SHEILA ZUHOSKT, JR. ..................... ?o¥,'~;, ~o'x'~ .................... of the aforesaid building. Suffolk County Department of Health Approval 13- S O- 182 F e b. 16, 1988 UNDERWRITERS CERTIFICATE NO .......... ~8. 5. ?.9.6.3...J.a.n.:. ?.2.,.. !?.8.8. .............. PLUMBERS CERTIFICATION DATED: Joseph Zuhoski 2/22/88 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDiNIG PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15382 Z Permission is hereby granted to: Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF $OUTHOLD OFFICE OF BUILDING INSP£CTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /g3~l (please print) Plumber JO~ ~ 2~03t~" (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~/ ' (p~mber's.A')--~-~'~ ~signature) Sworn to before me this ~ day of ~ , Notary Publis, .~,~_~ CoDnty Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS BURE~AU OF ELECTRICITY 8,5 .JOHN STREET, NEW YORK, HEW YORK 10038 THIS CERTIFIES THAT o~ly the el~trical equipment ~ ~scrlbed belo~ a~ introduced by the applicant ~med on the a~ve applica~io~ nu tuber in the prembes Of in 1he followlng loca~ion~ ~ Basement ~ Ist ~7. ~ 2nd ~. Svctlon Bilk Lot ~sexamlnedon ,~i~y ~ ~ ar~dfoundtobelncompllancewlththereq~irements~ffthlsBoard. 22 28 DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: Detector E R V I C i A' W G NO OF HI-LEG .o ERCC~CONO OF CC. COHO · ~/0 NO. OF NEUTRALS A. WG OF NEUTRAL Francis B, McCaffery 4010 Bridge Lane , Box 245 L~tchogue, N.Y. 11 :,., This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials, COPY FORiBUILDING DEPARTMENT. THIS COPY OF CERTIFICATE/~ !NANY 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 I~ 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 dispoeal--(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 p~operty 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 $25.00 1. Certificate of occupancy New Dwelling. S25.00, Accessory ~$]0.00 Business $50.00 2. Certificate of occupancy on pre-ex!sting dwelling $ 50,00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.vaoant ,and c.o. o.oo 5.Updated C.O.. ~ $ 50.00 Date .... NewConstruct'ion...~... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................................................. House No. Street · l-lam/et OwnororOwnersofProperty/~~.~...~.J~.....~-~..~.~..'. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.,/.,~'. ,~ ~.,~-¢~Oate of Permit ~//~'/~..Applicant ~.~..~~ Health Dept Approval /9~~ Labor Oept Approval Unde~r ters Approva ................ Planning Board Approval ...................... Request for Temporary Certificate .................... .Final Certificate ............. ~. .. .... Fee Subm tte ........................ Construction on above described building and permit meets all applicable codes and regulations. ........... E.o. ELD INSPECTION ,UNDATION__. (1st) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS,: ~'~.~-t4G~ BUILDING DEPT. INSPECTION FOUNDATION 1ST I- '] ROUGH PLBG. FOUNDATION 2ND [ ] I~,~ULATION FRAMING ~]'~INAL ' 7GS.~.802 BUILDIIIG gErT,, INSPECTION [ ] FOUNDATION tST [] ROUGH PLBG. FOUNDATION AND []INSULATION ]~FRAMING[ []FINAL REMARKS: / DATE~ INSPE~OR ~ '/ / 765-1802 BUILDING DEPT. INSPECTION REMARKS: DATE SUFFOLK CO. H'~N DEPT. APPROVAL H.$, NO.~ /// / "It should be no'led that property is Io~ated in on ogdculturol oreo, the possibility exists that the water supply may contain trace amounts of pestic~es and/or nitrates. Special andysis'T~l,4R/.L requ~recl. RODE~ICK VAN TUYL, P.C. LICENSED LAND SURVEYORS TIlE WATER SUPPLY AND SEWAGE DISPOSAL CONFOEM ~O THE STANDARDS OF THE ( I A~L~CAN~ SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY / ~PROV[D: SUFFOLK CO. TAX MAP DESIGNATION: plST. sECT. ' BLOCK PCL. WNERS ADDRESS; )EED: L, 6~52:.D SEAL ,Town o.~ ~oJJ'x-,qo,_o, N. ,'~. CO. HEALTH DEPT. AP~I:~OVAL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL SUFFOLK COUNTY DEPT, OF HEALTH iONSTRUCTION ONLY DATE: _ APPROVEQ:__ SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK EL. ,/ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 xamined .~..d~....~. '. .... , 19 .~. pproved t~,~..~.. ...... , 19~. Permit NO./ isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 · '~s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ', tion. 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 all 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 all 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 filding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '~gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspections. .... (SignatUre of applicant, or name, ~__w6orporation) :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. amc of owner of premises .3fi~'./...T ,. .. _ ........................ ' ' -- (as oh the tax roll or latest deed) ' applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ................ , .......... Plumbers License NO../g~'~.~ ...... ' Electrician's License No. ~t~ ........ Other Trade's License No ...................... Location of land o.n which proposed work will be done .... ~.Obt./~..07/'f/ff_r~/, ~?.].~,e. · .x. .................... House Number ' / Str~o{/ Hamlet County Tax Map No. 1000 Section ...].O..,,'~.. ......... Block ...... I ............ Lot .... .~[.. [.'. ~... Subdivision. q-.. . ,~/'~, ............... Filed Map No ............... Lot ..... .5 ......... (Nfime) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .... .~. l .d..h.~..~. .........................., ..... . "',?..' ~.~,.,, ........... 3. Nature of work (check which appilicable): New Bnilding ..: ... Addition .......... Alteration ......... Repair .............. RemoVal .......... Demolition (Description) 4. Estimated Cost ..................... Fee . I (to be. paid on filing this application) 5. If dwelling, number of dwelling uhits .... ~ ......... Number of dwelling units on each floor ...... ~ ...... If garage, number of ears ..... i. · .:~s ............................... ........ ~. .....,-.'. ............ 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 ............. H~,~ght ............... NuN)er of Stones .......... [ .......................................... Dimensions of same structure wi~h alterations or additions: Front ................. Rear ................ Depth .. .................... i. Height ....................... Number of Stories .................... 8, Dimensmns of entirenewconstrqction: Front .... ,t~,%. ..... Rear.. ~.~%'7. ....... Depth..~'. ....... ~.eight .... , ........... Number o£ Stories ........ l .... . .,~" ............................." 9. S,ze of lot: l~ront .... ~,Q. ]~ :,~..c~. ...... Rea; ..... ~/.~:~ i~~. ...... Depth ..... [.~,~..~,¢~ .... ._..., 10, Date of Purchase ...7././.,~/~..~ ................. Name.o[yo. T70..wTr' 11. Zone or use district in ~vhich premises are situated .................................. ' ........ 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ /b~.~ .................... 13. Will lot be regraded ....... [.C~__..,..~,. ~t ........ :Will express fill he r~moved from premises: 14. Name of Owner of p~mises .~3 p&el0./~,~,~¢fJg ~/~t>J/~Addross ~J~? Name of Architect ~-.%~ .~gg O~. rr~>~k/,t',o~ ......... Address . .~/~ Name of Contractor ,'., ~..ow. ,/~. ~ .~.~-..' ............ Address '!,.~..~.~'.t~. 7.: .(/~ .... Phone No. ;:? ).Y 7.5T.5.~, .6.. 15. Is this property located 9ithinli00 feet of a tidal wetland? · If yes, Southold Town TruStees Permit may be required. 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 r umber or description according to deed, and show street names and indicate whethe~ interior or corner lot. S'IATL OF NEW XORX~, ,, S.S COUNTY OF..~'(4-.~.~.'O/x~.... I ............................. ~ .... . ................ oe~n~ uu,v sworn, ueuoses ann says mai ne ~s me at,u.can[~,-- - -- (Name of individual signlng contract) above named. ~ He is the , (Contractor. agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the'said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannek set forth in the application filed therewith. Sworn to before me this, ......... ............ ~.., .~,½. ,..day of, Notary Public, .... ~, ~,... ,~.~ .~/, .&C.~.,. County No. 4707878, Suffolk Term Ex,ires ~h 30,19-Zd~ NOTES: 1, ALL WORK SHALL COMPLY WITH THE NEW YORK STATE UNIFORM FIRE PREVENTION AND BUILDING CODES. 2. ALL LINTELS SHOWN ARE MINIMUM SIZES. 3. DOUBLE LINTEL JACKS FOR ALL OPENINGS GREATER THAN 6 FEET. 4. DOUBLE FLOOR JOISTS UNDER PARTITIONS. 5. DOUBLE RAFTERS AT SKYLIGHTS AS APPLICABLE. THE NEW YORK STATE ENERGY CODE SHALL BE COMPLIED WITH ON THE BASIS OF PART 5 (ACCEPTED PRACTICE AND IN PARTICULAR AS FOLLows:) PROVIDE SEPARATE HEATING ZONE CONTROL ~OR EACH'~LOOR. FIREPLACE DAMPERS SHALL HAVE A LEAK RATE OF LESS THAN 20 C~M OR BE FITTED WITH A GLASS DOOR & FITTED WITH AN EXTERNAL COMBUSTION AIR SOURCE. THE KITCHEN EXHAUST'TAN SHALL BE FITTED WITH A DAMPER OR BE NON-VENTING. 10. ALL HEATING, HOT WATER, AND ELECTRICAL EQUIPMENT SHALL BE AS APPROVED BY THE NEW YORK STATE CONSERVATION CODE. INSULATION SCHEDULE (MINIMUMS) CEILING~ :,~ WINDOWS - u ~ 0.69 WALLS ~C I~ DOORS - u ~ 0.40 FLOOR ~=H HOT WATER PIPES - R --' 4.6 SLAB EDGE - ~/~. ARE~ ANALYSIi FLOOR PERIMRTER GLASS VENTILATION SECOND TOTALS DRAWING STEVE G. TSONTAKIS ASSOC. P.O. BOX 1180 632 ROANOKE AVE. RIVERHEAD, NY 11901 (516) 727-7411 J addition to fhls document is a violaHon of secHon 720g of the Nev~ York $~a[e Educafiorl Copies of f~b document not seal or embossed seal shall I~e considered Yalid -9 be:considered Unauthorized alteration addiHon fo this dee,,ment seal or embossed seal ~e ~on~ere~ valid