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Home My WebLink About15237-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18254 Date AUGUST 7~ 1989 THIS CERTIFIES that the bu~ld~ng Location of Propert~ 1590 ANCHOR LANE House No. County Tax Map No. 1000 Section 079 SECT. 1 Subdivision HARBOR LIt~TS EST. Filed Map No. ONE FAMILY DWF3.LING Street Block 04 SOUTHOLD Hamlet Lot 12 4362 Lot No. 40 conforms substantzally to the Application for Building Permit heretofore filed in this office dated AUG. 20, 1986 pursuant to which Building Permit Mo. 15237Z dated SEPT. 5, 1986 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 ONE FAMILY DWELLINGr ATTACHED GARAGE AND PORCH. The certifIcate is ~ssued to of the aforesaid building. JOHN & EVA FUGOSICH (owner, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-142 AUG. UNDERWRITERS CERTIFICATE NO. N050252 DEC. 15~ 1988 PLLrMBERS CERTIFICATION DATED 3~ 1989 HARDY-PLIR~BING JIINE 28~ 1989 Building I{lspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ'A, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~5237 Z Perm~ssmn ~s hereby granted to' ,o .~~...~......~ .¢~..~.~.....~....¥~.....~.... County Tax Map No 1000 Sect,on .(~)-~j...C~. .. Block ..... .~...~ ........ Lot No....t~ .... pursuant to application doted .~%~J~J.Y,~'~ ~-l~ ...... 19.~ ~., and approved by the Budding Inspector Building Inspector Rev 6/30/80 TO~N GF SOUT~OL~ EUILDIN~ DEFART~IENT TOWN gALL SOUT~OLD, NEW YORK 1197! 765 - 1802 · APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ---,~/-..OLD OR PRE-EXISTING ]~UILDIN~ ...... VACANT LAND ........ EOUSE NO. STREET ~AMLET FL/Go ~/c H ...~.x ~ ~ ~ ~ for Temporary Certlflcace ....... Final Certificate ................ Sub=£~:~d: $, .~. ~ ........... FOI~f NO. 6 TOWN OF SOUTIIOLD BUILDING DEPAETHENT TOWN I1ALL 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS This application must be filed in type~rritcr OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I. Final survey of property witb accurate location of all buildings, property lines, streets, and unusual natural or topogra~lic features. 2. Final approval of Bealth Dept. of water supplw and sewerage-dlsposnl(S-9 form). 3. Approval of electrical installation from Board of Fire Under~riters. &o Sworn statement from plumber certifying that solder used in system contains less than 2/10 of IZ lead. 5. Cou=mercial buildings, industrial buildings, multiple residcucns and similar buildings and installations, a Certificate of code compliance from the Architect or Engineer resDon~ih!e for ~ha building. 6. Submit Flanning Board Approval of completed site plan requirements. For existing buildings (Prior to April 9, 1957] uou-conforming uses, or buildings and "pre-existing" land uses: ]. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A ~roperly completed application, a consent to inspect signed by thc applicant and a certifled abstract of title issued by a tltlc compamy which shall show single and separate ownership 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 writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certificate of Occupancy: ]. An appl£cation for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, ~957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Iuspcctor shall state the reasons therefor in ~-riting to the applicant. FEES: I. 3. 4. 5. 6. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Fool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses Certificate of Occupancy on pre-existing dwelling - $[00.00. Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00 Vacant Land Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy -- $~5.00 Residential $50.00 Commercial TO~VN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /,~ Owner ~ ~/~/ F t/~ 3/' ~ (please print) ' (please' print) -e~fy that the solder used in the water supply system =ban 2/10 of 1% lead. (plumber' s signature) zn to before ~e this ~t'~ day of i /~ ~~ · Notary Public,~,Q' / / ~A/f~ County Notary P~blic FIELD ~INSL~CTION DATE COMMENTS FOUNDATION (2nd) I I' co~ ~ ,~. , ... A ZONAL COMMENTS' r 160-28 24th Avenue Whitestone, NY 11357 October 15, 1986 Town of $outhold Office of Building Inspector Town Hall Southold, NY 11971 Gentlemen: As requested, enclosed is on the foundation at 1590 Anchor Lane, Southold, N.Y. survey made by Roderick Van Tuyl Harbor Lights, Sincerely, ef Eva Fugosich Enclosure TOWN OF $OUTIIOLD OFt'ICI£ OF BUILDING INSPECTOR P.O BOX 1179 TOWN I IALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, Fie are unable to complete your Certificate of Occupancy because of the follo%~lng reasons. /--// An apmlicatlon for Certificate of Occupancy is not on file. /_--/ /~!o Under%trzters Certificate on file. /--_~ The check it;(~/nut on file.)~,O~ /'-~' No- ~ Health Dept. Approval on file. /-_'/ No fznal ~nsDect~on has been made. Please Thank you for your cooperatxon. ~/Zi Uo Plumber bolder Certificate on ( all permitb lnvo[vlng plumbing issued after AprS1 1,1984 ) contact: our office on this matter. file. being 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~'~NAL 765-1802 BUILDING DEPT. INSPECTION / FOUNDATION 1ST [~J//ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []/ROUGH PLBG. / FOUNDATION 2ND [/J INSULATION FRAMING [ ] FINAL DATE BUILDING DEPT. INSPECTION FOUNDATION ].ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [p~RAMING [ ] FINAL DATE 76548~2 BUILDING DEPT. INSPECTION ,] F~NDATION/ 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL INSPECTOR REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ 'IFOUNDATION ZND [ ]INSULATION [ ] FRAMING [ ]FINAL DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF EI. ECTRICITY [--- 85 JOHN STREET. NEW YORK, NEW YORK 10038 Dote Application/~o. on fll~ THIS CER'rlFIES THAT only the e~ctric~ mluipment as described below and t~troduc~d by th~ ~l~lica~t named on tl~ ~ ~pl~catlon number in the premls~s Of ~ examl~ on afld~nd ~o ~ in comfllance with the r~ui~menl~ o~ th~ ~rd. ~0 39 33 4O ~ ~ _1~ ~I,,DMG D~PARTMB4T. THIS COPY OF CERTIFICATE MUST HOT BE ALTEREp~ EXCAVA]ION INSPEIlg IIlli~ ,_ HEALTH SBRVI~,ES · ',.A.S.k,% T .~ pLEASE NOTE it is the applicant's responglbility to d uate sanitary dtstence maintain ~, ?J+er supply and sewage between a,, ---- dlSi~sal facilities. ~ ~L~ ~A, ~.~ ~EF~ TO MEAN SEA L~V~[.. SUFI THE W,~ SYSTE~ CONFO SUFFO' SUFFOI SERV CONSTI DATE. H SEE SUFF DIST OWNEI~ Disapproved a/c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL,, 765-1802 BLDG DFF · TOWN OF SOUTF'd,* , ,19Xt, , 19~' Permxt No.,/,~i~"? ~ Received ........... ,19... ...........fo, f . _... , (Bmldmg Inspector) APPLICATION FOR BUILDING PERMIT Date ............ 19 . INSTRUCTIONS a. Tlus application must be completely filled m by typewriter or m ink and submitted to the Budding Inspector, wzth 3 , sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of bmldmgs on premises, relahonsinp to adjmmng premises or pubhc streets or areas, and g~vmg a detmled description of layout of property must be drawn on the dmgram which is part of thru apr' cation. c The work covered by tins apphcation may not be commenced before issuance of Building Permit. d Upon approval of this apphcatmn, the Building Inspector will ~ssued a Braiding Permit to the apphcant Such permit shall be kept on the premises avadable for inspection throughout the work e. No bmldmg 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 Bmld~ng Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the msuance of a Bmld~ng Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulatmns, for the construction of buddings, additions or alterations, or for removal or demohhon, as here~n described The apphcant agrees to comply w~th all apphcable laws, ordinances, bmldmg code, housing code, and regulations, and to admit authorized inspectors on premises and m building for necessary inspectioI3~ /7 ~) l, (Slgnatuf of apphcant, or/fame, ifa corporanon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder Name of owner ofpremmes J r_~ t~ ~ ~ ~' b/ /~t E .(-/.~. .~. .~. I. ¢ ./~ ............... (as on the tax roll or latest deed) If apphcant ss a corporation, signature of duly authorized officer (Namd anc~ htle or corporat; o}fic;r)' ' Builder's License No ~) Cd ~tJ &- ~ Plumber's License No .~') ' Electrician's L~cense No e~. Other Trade's License No Location of land on winch proposed work will be done .. / .,c O B ,v x. t, ,,g. House Number Street County Tax Map No I000 Sect]on '7 ~ Block Hamlet .. Lot. Subdivision .. Filed Map No Lot (Name) State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy ..~ d ~ ~ d.C ....... b. Intended use and occupancy l. / 3. Nature of work (check which applicable) New Braiding t/. ..... Addition .... Alteration ....... Repmr . . . Removal ....... Demolition ....... OtherWork .... .ff (Description) 4 Estimated Cost ..... /?. ~.,~ .tg. q .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, commercial or mixed occupancy, specfl'y nature and extent of each type of use ............. 7 Dimensions of existing structures, if any. Front ........... Rear ........... Depth ......... Height ....... Number of Stones .............. Dimensions of same structure with alterations or additions Front ......... Rear .............. Depth .............. Height ................ Number of Stones Dimensions of entire new construction Front ....... Rear .......... Depth ........... Height ............ Number of Stones ................................... 9. Sizeoflot. Front . .~l..q ,O.,,~.~./~,d. ]0( 'O' .... Rear ..~?..o. ...... Depth ...~../ ? 10. Date of Purchase ......... ~ .......... Name of Former Owner ..... I 1 Zone or use district in which premmes are situated .. .~ .. 12. Does proposed construction violate any zoning law, ordinance or regulation' /~2 co 13. W~i1 lot be regraded ...y.~..~ ......... Will excess fill be removed from premises: M 0 ~ Yes N, 14 NameofOwnerofprem)ses ~.°b.~. tc-'~2~.°~,t ~ /'/ Address ~?'~..~'..~. ~.v.~.,...Phone No.-Tt'~'.?.~(q .~.~"~, Name of Architect .7)~ {J..~,~...~. ..... Y'.. Address ............ Phone No ............. Name of Contractor ........ {' ......... Address t~cr~-~ ~ ~'i Phone No ~! ......... 15. TS th±~ property located wzth±n 300 £eet o£ a t£dal'~tland? ~e$[~ .... No .~... PLOT DIAGRAM -8. Locate clearly and distinctly ali bmldmgs, whether existing or proposed, and indicate all set-back dmaenmons fro~ property hnes Give street and block number or description according to deed, and show street names and indicate whethc interior or corner lot STATE OF NEW YORK, S S COUNTY .... O.F .,~(.N ~.~.~[ ..... n being duly sworn, deposes and says that he is the apphcm me lng contract) above named He is the ......... (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 th apphcatlon, that all statements contained m this application are true to the best of his knowledge and belief, and that t~ work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............... day of. ~ , 19~ ; ~ l~m~l~, l~_~z7 0Signature of apphcan CO. HEALTH DEPT. APPROVAl. 5[tV.IC[5 -- FOR A~ROVAL OF ' ~,~7..--___~ JUL 14 1988 -.~[ ~ ~C~. ~N~ ,~' ~ H~TH ~Vl~ _~ THE WATER ~Y AK'~A~ DI~AL I~ SYSTEm F~ r~ RUI~E WILL ~ ',: ~ ~"~TE. . ~,O, ~~. CONF~M TO THE STA~AR~ OF M~fl all Wl~' .--~r~ , SERVICES -- FOR APPROVAL OF t ~ ,~... _ I,~ ~K ~ATION: ~ ~: L.H/A P. -~. ,,~,~[ ~ ' , ' · ~ FAMILY ~E~I~ ONLY ~ ' ' EYED, ' ~PiRE8 ~O Y~ FR~ DATE OF AP~VAL , , ~, JONN' EVA-' 'FUGOSICN '39 · ' - JULY Zr7,1989 H S, NO.' ~,; .... . b--FATE~ENT OF INTENT TH'E WATER ~L,~LY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM 't~ THE STANDARD6 OF THE SUFFOLK CO_ DEPT OF HEALTH SERVICE-~. ($l ........................ APPLICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE- AlaPROVEO DIST SECT ~LO~K P~L oWN~S Eo-28 2..4T~4 AVa. NorsTM '/46 DEEO. L F Od LJ ~AZ'I 0 ~J ?b AM OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ?LAkJ t ~t I '¢,g