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Home My WebLink About15519-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15668 Date April 21, 1987 THIS CERTIFIES that the building ...A.d.d.i.t..i.o.n.. t..o..e.x. !..s.t.i.n..g..a.c.q e..s.s.o.r..y..b.u.i..1 .d.i.n.g L ..... 34875 Main Road Cutcho~ue, New York ocailon oi eroper[y .......................................... ~ .................... House No. Stre~ Hamlet County Tax Map No. 1000 Section 097 .Block 01 ..... Lot 12 & 13 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 19, 1986 pursuant to which Building Permit No. 15519 Z dated......N ov ....emb...........e r 25, I 9 ..... 86 .. . 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 ......... ADDITION TO EXISTING ACCESSORY BUILDING The certificate is issued to STANLEY RYSKO (owner, I~,l~ of the aforesaid building. Suffolk County Department of Health Approval ...... .N./.A. ................................ UNDERWRITERS CERTIFICATE NO. N 80 I 194 N/A PLUMBERS CERTIFICATION DATED: mfilding tnspector Rev. 1/81 FO~ NO. ~ TO%VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No ~155~9,z Permission is hereby gronted to: ...... ~.~,~...~. at premises located ot ......... .......... .......... ~~...'~k~...,., ....................... County Tax Map No. 1000 Section ..... ..O..~..-J ......... Block ...... ,0..~. .......... Lot No....,~.,,'~-~...)..~ ...... pursuant ,o application dated ....~...~~.....!.3 ................ , 19..~...~.., and approved by the Building Inspector. Building InsDector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPAN( Instructions 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. Su bm it Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 ........ Old or Pre~existing Building $15.00 D,te ...... ............ Vacant Land ............. Location of Property House No. Street Hamlet Owner °r Owners °f P;;P0;iYc:i~~' ' f'?'~ ................................. County Tax Map No. se ' .....~. ........ Block ...~,./ ......... Lot../.'~tT/./..~... Subdivision ............... 777.'; .............. Filed Map No .... ~ .... Lot Np .............. Permit No. / .~ i(~ ~, .~, ~)ate of Permit~Lv~3~..~. ¢~'l~plicant , ~.~ ,'¢~...~!-.. ........ Health Dept. Approval ... ~% ,, .~.~ ............... Labor Dept. Approval .... .-'7 .................. Underwriters Approval ~L' /'~ - . Planning Board Approval -- ,.. Request for Temporary Certificate ..................... Final Certificate .. ~ ............. Fee Submitted $.. : ...................... Construction on above described building and per_mit meets all applica,b, le codes and regulations. Applicant ........................ [ooo [4 THE NEW YORK BOARD OF FIRE UNDERWRITERS · ~.~l SUREAU OF ELECTRICITY J*~c~C'h 3 [~ [9~ JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~ly the electrical equipment ~ ~serEbed be~w and int~du~ by t~ ~pplicant ~med on the above application number in the premises of S~an~.ey Rysco~ Rt. 25~ accro~z School, Cutcho~ue, garage in thefollow~ng location; ~ Basement ~ 1st Fl. ~ 2r.d ET. Section Bilk Lot u~s examlned on ~C~ ~ t ~]~ and found to be ln compllance with the require.~ents ~ff this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FAN, S FIXTURE SWITCHES OUTLETS FLUORESCENT 0RYERS SYSTEMS NO. OF FEET )THER APPARATUS: E R V I C E BoJo Electric. st~llf~ater Ave. CutchOgue ~ No¥. 11935 1ic,~,~2670E GENERAL MANAG~[I~ Per ~ 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 FOR B01LDING_~ DEPARTMENT. THIS COPY OF CERT F CATEMUST NOT BE ALTERED IN ANY MANNER. OUNDATION (1st) OUNDATION ( 2n~ ) OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITION A'L COMMENTS: ]65-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765w1802 To Whom This May Concern, We are unable to complete your Certificate of Occupan6y because,of the following reasons. /Z/· An application for Certificate of Occupancy is not on file. /--~ No Underwriters Certificate on file. /Z/ The check is(outdated/not on file.) No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # _~ ~ / ~ Z Building Dept. ***/~/ No Plumber Sol~er Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) /¥ OCCUPANCY OR USE )~ IS UN~WFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED BY PLANNING BOAP, D' TOWN OF SOUTHOL9 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~. ~.~'.., 19~[~. Approved . .~. · .~'~. · · .~...~..~.., 19 ~. Permit No.]..~.~-~..I.c~ .~... Received ........... ,19... Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely tilled 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 promises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until ~ 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 code, and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r necesi~?.iyy.~e%, cy~..(D...c~..~y,..,¢_f?., ..~: ............... (Signature of applicant, or name, if a corporation) (Mailing'address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises' '~'~'-'~5 '~'7' .~¢~9 ,0 '~ '~n' t'~e' ia'x' io'li ;; ilt;~t' ......................... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .~. ~..~. ................ Plumber's License No. -- Electrician's License No ~ Other Trade's License No..'T. ................... 1. Location of land on which proposed work will be done .................................................. House Number Street County Tax Map No. 1000 Section l ~ 7~ .~ ?..'..ff.. Block .................. Lot ................... '"-' Filed Map No ~- Lot Subdivision ................................................................... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exi ' u ~ · st~ng se and occupancy ....~..~.L~.~.~... ....... ) ........................................ b Intended use and occupancy ..Q.,,,~:~ &.~...~.,p~.. - .,~..°~ ~ 3. Nature of work (check which :applicable): New Building ..... '~ ....'Addition ........ Alteration ......... Repair ' Removal Demolition Other Work /~ , (Description) 4 Estimated Cost ~ i Fee .~ .~'.: q.-~. ' : '~' (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 specify nature and extent of each type of use 7. Dimensions of existing structures,, if any Front ..... ~ .~.. . . .. . Rear .... .~..~'. ... . ...' Depth . .~...'~. . ....... Height /t ~. i N~mber of Stories . .d?d~%... Dimensions of same structure iwith alterations or additions: Front .... ~.. ~ ........ Rear ...2<..~. ............ Depth.. ~ ~ ........... i ... Height "' . ......... Number of Stories.. ~..". ............. Dimensions of entire new construction: Front Rear Depth ~lumb~ ,,e Stories .......................... ........... 9. Size 9flot: Front .. .... .~.~ ............................... .... . .. 10 Dat~ of Purchase Name of Former Owner 11. Zone or use district in which premises are situated...~ ............................. - .............. 12. Does proposed construction violate a_~ny zoning law,o ai a 'c; or regulation: . ~ .~' ...................... 13. Will lot be regraded ....... ~ · · ~ .... ,,, .... ~ ..... Will excess fill be removed from premises: Yes (~ 14. Name of Owner of premises .~d~.,~]. I~. Address .~]~.~dPhone No .......... Nam~ of Contractor(~_~.-4~. ~ ....... Address (~,~..c~..~Tf'7~..~. ~.*. Phone No.. PLOT DIAGRAM I Locate clearly and distinctly all buildings, 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. . . STATE OF NEW YORK, S.S COUNTY OF..~../~ ~ I -,r.. ~ .......... , ........ '. k~.~-i,.t-~t4~..(,,.~*-a.~ . .,~rL~..,--.~ t'~ ,~ , ........... berg duly sworn, deposes ~d says that he is the applican[ (Name of individual sig~ing contract) above named. , He is th ~ : (Contractor, agent, corporate officer, etc.) of said owner or owne~, ~d is drily autho~zed to perform or have peffomed the said work and to m~e and file t~s application; that all statements coni~ned ~ this application am true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. Sworn to before me this ............ ..... , .... ..... .......... , Nots, Public ...... ~..~.~' ~ County{ ' '/ ~ ~ ~) , ~~ ~) _. ~a , ~ ~[~, ~.~f~ow:~ (Signature of applicant) I