The URL can be used to link to this page

Home My WebLink About14901-zFORM NO. 4 TOWN OF $OUTHOLO BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. 'Certificate Of Occupancy No.g. [ 5..7.0.3. .......... Date .. AP.r 3.1..2..8o..1.9..8.7 ............. THIS CERTIFIES that the building One faraily dwelling. Location of Property 2780 Duck Pond Road Cutchogue - - h~f~io~ ....................... 's'*;~i ....................... County Tax Map No. I000 Section 083 .Block 02 ...... Lot 0 19.9 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..iq.. a. 7..I.6.,..I.9.8. 6. ...... pursuant to which Building Permit No..1.4.9.0. J .Z .............. dated . .M.a.y,..1.9?.. ! .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 ........ One family dwelling, 2 car garage and deck. Th~ certificate is issued to MICRAEL & GERALDINE ZUHOSKI (owner, of the aforesaid building. Suffolk County Department of Health Approval ...8.5.-.8..07.2.4. 7 .A p r i 1. 13 ~ 1987 UNDERWRITERS CERTIFtCATE NO .......... .... 23, 1987 PLUMBERS CERTIFICATION DATED: April 1, 1987 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJv{IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14901 Z County Tax Mop No. 1000 Section t~ Block pursuant to application dated ..... ~./~-~.-.../..~'~, ......................... , 19~..., and approved by the Building Inspector. Fee $.....~......~....'~/'~' Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1198T Instructions A. This application must be filled in typewriter OR ink, and submitted m~ 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 ,~musual 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 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 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3, Copy of certificate of occupancy $ 5.00, over 5 years $10.,00 , 4.Vacant Land C.O. $ 20.00 11/~/~7 5.Updated C.O. $ 50.00 Date ................... .~./,~.L.~. NewC'onstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ......................................... House No. Street~ _ ~ ~ Ham/et Owner or Owners of Property ~/~(~DO..~c<.I q- G'~.~Dd~ ,~.. O(J .~.) County Tax Map No. 1'000 Section ........... Block .......... Lot.. '. ....... .. · Subdivision ................................. Filed Map No ........... Lot No ............ Permit No ........... Date of Permit .......... Applicant ~(~ (4),~0. ~-~j/tD~,~,: Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted.~ ....... Construction on above described building and permit meets all appl. ir.~able codes and regulations. Rev. 10-10-78 - c'.d. ?d3 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~LO00~'~ BUREAU OF ELECTRICITY ~-~ 8S JOHN STREET, NEW YORK, NEW YORK 10038 ~.,. ~ ~ ~.~7 ~,,~.,o.~.~.~,~ ~ N 799796 THIS CERTIFIES THAT o~ly the electHcot equipment ~ ~scribed below a~ interlaced by t~ applicant ~med on the a~e applicatio~ number in the premises of i~ the fotlow~ng location; ~ Base~.ent ~ 1st FI. ~ 2nd FL Section Bilk Lot u~xamined on ~W~ 18 ~ 1987 attdfound to be in compliance with the requirements of this Board. SWITCHES 37 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 27 OTHER APPARATUS: ~-G.F.C.I. 1-~noke De~ ~w3tor S E R C E[C~ ] W G NO OF HI-LEG A W G, NO. OF NEUTRAtS A. W G. . j 1/0 1 1/0 405 Hird~ Lane Oat chogl;e, N.Y 11935 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT F CATE /'AUST!,NOT BE ALTERED lit ANY MANNER. TOWN OF SOUT~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /~0/7~ Owner ~ '~¢.[~ ~ f ~_i~ ~ o~, (please print) , (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 's signature) Sworn to before me this ~ day of ~ , Notary Public,~_ County N~tary Public R~,GINA 9. MATTH£~ NOTARY PUBLIC, Store of Hew Yore No. 52-4636665, Suffolk Counf~ Commission Expires -/V~u~l, 'FIELD INSP. EC~ON .- )ATE COMMENTS ,, , ' % ~ FOUNDATION ~ ~/~ .... ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I$T [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL 7G5-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL REMARKS: DATE '/~///~///~' INSPECTOR 76S-18~2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~]~OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: .... ~ DATE INSPECTOR 76S-18~2 BUILDIN~ DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE ///.,~/(~ INSPECTOR 765-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: 76S.x80:~ BUILDING DEPT. ~o~INSPECTION NDATION ~ST [ ] ROUGH pLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: LAWRENCE M, TUTHILL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,qDUTHOLD, N.Y. 11971 TEL,: 765-1803 Approved. ./.?. .... 19 .. Permit No... Disapproved a/c ........... ;:'.~75 ......... ./ ..... 7" APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ...... 57/!~. ...... INSTRUCTIONS . a. Tkis 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 g 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 authorized inspectors on premises and in buildingfor necessary. ~~.'.~.,i ec ios. ~, (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. .... .................................................................................... Nameofownerofpremises .ff/]/Ck~¢~.~. .... k.f.. VD..~ .......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate office? t Electrician s License No...~ ................. (~.~. J ' 1. Location of land on which proposed work will be done .................................................. - ' .d,7 ..................... House Number Street Hamlef County Tax Map No. 1000 Section ............ Block .................. Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. 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 ...... ~ ................. ~ ............................... 3. Nature of work (check which applicable): New Building . .N/~.. ..... ~Addition .! ......... Alteration . ......... Repair Removal Demolition ~ Other Work 4. Estimated Cost ..... .~Fg,~..-. v tgOc_~ .... Fed-.,-, . ............................. '" ,{to bo paid on filing this application) ./ Number of dwelhng' umts', on each floor 5. If dwelling, number of dwelling units .............................. If garage, number of cars ... ~. ......................................J 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 ............... Number of Stories ........................... ] ............................. Dimensions of same structure with alterations or additions: Front ........... ...... Rear ........ ; ......... Depth ...................... Height ....................... Number Of Stories ...................... 8. Dimensions of entire new construction: Front ... ~.. ......... Rear .. 7.~.. i Depth .~,~.. Height /~ . N, mhar nf ~qtori~.q ? , . i . 9 S~ze of lot: Front ...... / .............. Rear ...,,9~...~ .............. : Depth ..., ........... 10. Date of Purchase ///~Y. ..................... Name of Former Owner i..°?]~e. ~/)~'/';¢. 2~.~q... 1 1. Zone or use district fn which premises are situated ............................................. 'r~~ Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ....... ~/o. ............. , ....Will excess fill be premises: 67"&h No 14. Name of Owner of premises /Y,7. [4~#te~..~..,¢/tp&~... Address..~'ta~.~.~?~..~Phone $o.~,~'.~. Name of Architect ........................... Address ...... ,/¢(. ,,rr. xS~¢<.... Phone No ................ Name of Contractor . t0].(¢.~q,]~ .,~.~ .~.o¢.k.? ........ Address ~~ .... Ph,,~ne No. a~f.~.-..~.,~. ~... Locate clearly and distinctly all buildings, whether existin3J,,~ffl~op~d, and, indicate all set-back dimensions from property lines. Give street and block number or description acco~ding/~o/d~'ed, and s~ :feet names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. (Name of individual signing contract) above named. being duly sworn, d~poscs and says that he is :the applicant 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 this application; that all statements cpntained in this application are true to the best or, his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .............. f.~....:...day~f...?~. ............ 197..~. Notary Public ....... ~..~. -.. ~)...¢~'...~..%r'~-:... County .~/ TEST HOLE 'TOP SOIL SANDY LOAM ~EPARTMENT-OATA FOR APPROVe,. TO CONSTRUCT t ' , , - ~-~- -.--~.~ SURVEY FOR MICHAEL ZUHOSKI ,~ GERALDINE ZUHOSKI AT CUTCHOGUE TOV/N OF SOUTHOL0 SUFFOLK COUNTY,INEW YORK GATE: JU SCALE: I": NO. 85 GUARANTEED dOHN FEL PARCEL RESERVED~ - B HleHWAY ~EDICATION + ~ / ~ ~-~ ~ SU~Y FOR SUFFOL[ COON~ DEPART~E~ OF HEALTH SERVICES MICHAEL ZUHOSKI g GERALDINE ZUHOSKI RO~AL OF CONST~UC AT CUTCHOGUE DATE aUNE AT, 1985 FOR APP T)ON OF ~WN ~ S~THOLD SCALE: ~~__~ Y Residence ' - -' '~UTH~IZ[O ALTERATION O~ADOITION m ~[ ~ FO~ WHOM THE SU~[Y IS PREPARED HE~ DEPARTMENT-DATA F~ ~ ,~ TO C~STRUCT Aao ~ HIs ~HALF m THE TITLE C~P~Y, GOV~N- WILL C~.ORM ~ TK STA.~ OF THE SU.~K CO~TY DEPARTMENT TO EXISTING STRUC~RE, ARE FOR A ,PECI,,C ~~ ~///~ ~,. ~eg-~, . , . _ ia] YOUNG ~ YOUNG, ~ OS..OER AVE~ERivER~AD, NEW YORK NOTE ~ ~=Mo~uMENT AREA-' 44,049 S.F. RE~LOT2~ MINOR SUBDIVISION dOHN ~OLIVIA ALDEN W. YOUNG~PROFESSIONAL ENGINEER FELLINGER-IHAR' AND LAND SURVEYOR N Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR ~ ~ C~ ~ ~L(W),~mC TA.KIS~a CE~S(~) ~ ~E~ N.~ S, LICENSE NO. 45893 ~E ~ FIE~ ~TI~S ~ OR DATA OITM~D F~ OTHERS BRANDIS & SONS INO. 1046 I CLAY SUR~Y FOR MICHAEL ZUHOSKI ~ GERALDINE ZUHOSK[ AT CUTCHOGUE OATE' JUNE ~WN ~ SOUTHOLD SCALE: I" = SUFFOLK COUNTY, NEW ~RK NO. 85-565 SURVEY ~ A VI~&TIOH ~ SECTION 7209 ~ THE JOHN FE~'E~ NOTE ~ I=MO~UMENT AREA-' ~4,049 S.F. RE~LO~ 2~"MINOR SUBDIVISION dOHN & OLIVIA ALDEN W. YOUNG, PROFESSIONAL ENGINEER FELLINGER - I HAR" ANO LAND SURVEYOR N.Y-S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR ~ L~L(W),~ICT4~K(~T}aCE~S{~)~ ~E~ N.Y.S. LICENSE N0.4589~ BRANDI8 & SONS Ir{C, .% PARCEL RESERVED FOR POSSIBLE FUTURE HIGHWAY DEDICATION SfN'G, LE FAMILY D~/¢ELLING ONLY H.D. REF. NO. DATE ....... THE SEWAGE DISPOSAL ~ND V/.. '~ q SUPPLY FAC"tLITI:~$~ FOR THiS LOCATION HAVE BEEN Ih.~$PEL;i*~L,D E,Y THiS DEPARTMENT AND FOUND TO BE SATISFACTORY. "' chief of Wastewater Mafiage~nt Section $ C D~IPT, OF H£,ALTH SER'VI~ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ~ ~F CO. T~ MAP mST ~OOO S~CTmO~ ~ ~CK ~L L. OT . ~E~ A~ ~ ~ELLI~I WITHIN I00 FEET OF T~S PROPERTY RE:LOTE, MINOR SUBOIVI~I H FELLINGIER- IHAR" SURVEY FOR MICHAEL ZUHOSKI & GERALDINE ZUHOSKI AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK BRANDIS & SONg INO, 1046 TEST HOLE FEB. $, 1987 SEPT. 18, 1986 SEPT. 8~ 1986 DATE: JUNE 27~ 1985 SCALE: 1"-'50' NO. 85-565 GsU (/~R AuT~T~ YOUNG YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.S. LICENSE N0.4§89~ 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK ( ~if- "['A El'ii l~{-i i~,bb ~ A.P,~RGYED AS NOTED .OT NG DEPARTMENT AT 765-18022 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ]. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C. O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS C SC),L~:: I~rll __-- {l_/_)il APPROVED.Y: 14~kb mit I 0 d; G kly~.l-[ O~t IU ~