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Home My WebLink About14791-zFORM N0. 4 No: Z-33027 CERTIFICATE OF OCCUPANCY TNIS CERTIFIES that the building ADDITION Location of Property: 4430 BRIDGE LANE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 84 Block 5 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 1986 pursuant to which Building Permit No. 14791-Z dated APRIL 25, 1996 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. THIS CORRECTED C/O REPLACES C/0 Z-14688 ISSUED 7/23/86. The certificate is issued to AUGUST N & CHRISTOPHER J GANDIA (OWNER) of the aforesaid building. SIIFP'OLR CODNTY DEPARTMENT OF HEALTH APPROVAL SLSCTRICAL TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y NO. PLDI~ERS CERTIFICATION DATED N/A '//~ i uthorized Signature Date- 05/13/08 Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tlus application must be filled in by t}~pewriter or ink and submitted to the Building Department with the following, A. For new building 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 from Health Dept. of water supply and sewerage-disposa] (S-9 form) 3 Approval of electrical installation fiom Board of Fire Underwriters. 4 Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5 Corrunercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6 Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building htspector shall state the reasons therefor in wilting to the applicant. C. Fees 1 Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $2S 00, Alterations to dwelling $25.00, Swirruning pool $25 00, Accessory building $2S 00, Additions to accessory building $25 00, Businesses $50.00 2 Certificate of Occupancy un Pre-existing Building - $ l00 00 3 Copy of Certificate cfOccupancy - $.2S 4 Updated Certificate of Occupancy - $SO 00 S Ccmpuim~Y Certificate of Occupancy-Residential $15 00, Connnercial $15 00 Date. 5 ~. ~-~_ Neva Constivction. ___ OId orPre-existing Building: _ (check one( LocafionoCPrnperty~ l~~Jd Pj~(t ~,(, Q ~C~ (~ ~~ House Nn ~~-= SU-eet `•e•`~ pp'~ amlet Owner of O~e~ne.r, of Property ~Cn(~OU G -~ P ln~U sfL~ -t- ~ f~~r}~ f ~" Suffolk ~'nunt} Tax Map N~~ I OOtI Sectimr ~_ Block _~-. -- I,~t ~_ --- Suhrli~,i.;inn _ __ _ Piled Map __ _ _ f.ot. Permit C!~~ ~.~{~ ~_~ Date ~~1 Pennif~-~..lo -~~ Applicant. __ -- - Health Dept. approval _ Underwriters 4pproval. Plam~int~ tinard Approval ~ - - - Request (or 7empnrar7~ ertifi~atr Piu,~l Cer[iti~ale - _ I~.he~.k ~~nr.l Fee Submitted. $ ~~ Gb ~~ ~ ~,~-e cl c C o Z-3./3oa1 l!~ r ~g~ on ~~ r C~. p ~,,.1 c7 Y~o ~ ~ 115 6`~Ac~ TOWN OF SOUTHOLD BUILDING DEPARTMENT P.O. Box 1179 Applrcan , rgnafui~e TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING pERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14791 Z Permission is hereby granted to: ................ .....'..~.~.~..,......~.~....~..~::; ...... ...~..~.~.?../,....~.,....u...~..~.~ ......... _~ ...~.~......~....~...~.:.....~.~...~..........~...~.....~.. ot premises located at ...,.~.......~.,.~......~.~e~,~.~..~....~...~ ........ .~,~,~,,~ ................. County Tax Map No. 1000 Section ...... J..J ..............~ Block ...... ..~..']. ........ Lot No ...... .~.. ............... 'o application dated .... ~ ...... m~...~. .................. , I9..~....(R., and approved by the pursuant Building Inspector. Fee $....~...~,....:.~.. Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southotd, N.Y. Certificate Of Occupancy No ..... ~t46&8. ...... Date ........ 4~¥..~3 ................. 19 8.6. THIS CERTIFIES that the building deck addition Location of Property 4430 Bridge Lane Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section 11 5 ...Block 7 .Lot 4 Subdivision × . .Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated April 20 14791Z ..................... , 198..6. pursuant to which Bzfilding Permit No ...................... dated .A.p.r..~ .1..2.0. .................. 198..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 ......... ..D..e.c.k..a..d.d.i.t.i. 9.n to existing one-family dwelling. The certificate is issued to JAMES & BETTY HERRSCHAFT ..................... ?oYn' 'r, Y Yr;' ..................... of the aforesaid building. Suffolk County Department of Health Approval ................. N/A UNDERWRITERS CERTIFICATE NO. N / A Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 sifnilar 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. 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 requ ired to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of ~ccupancy 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 $15.00 Date..'7. T. ?.7 ?,.~. ............. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~., z~ ~ ~) · .(/~. ¥'~../~ · · .~. · .~'~'z~ .~~, ........ ....... .... Owner or Owners of Property -~~ ~ ..... .......... .......... County Tax Map No. 1000 Section , ,/., ,~,-~,~, · ..... Block .... .~. ......... Lot....~.. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. '.~ .~. ~,/.~-... Date of Permit 7.~ ~.'~ ~,~..Applicant(/~~. ~ .... Health Dept. Approval ........................ Labor Dept. Approva~J ....................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Construction on above described building and permit meets all apptica~ble codes and regulations. ........................ Rev. I(~-10-78 COMMENTS FIELD INS[JECTION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE (2nd) FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined(~. ~..&..~..., 19 ~..~ Approvedk~,A~..-~...., 19~. Permit No../.c].7.~../.~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG, DEPT. TOWN, OF SOUTHOLD Received ........... ,19... INSTRUCTIONS 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- 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 ~ 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 building for necessary in~e,~tions. (Sil~a~ture of applicant, or name, if a corporation) ........ ..54 ......... ....... (mailing aGdress or app ' State whether applicant is lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~.~..t,g.~.,[..O~-. ~..~..~.~..~...~/..~...R..~..C~.~.~..~. ............................ (as on the tax roll or latest deed) 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 ...................... 1. Location of land on which proposed work wil! be dohe ..... & .~. ~.. ~....~..._~..t,-.~4.. ~..~../~.~'.~.c: .~..~ .... ............... . r... ........ ................... House Number Street Hamlet -- County Tax Map No. 1000 Section .... [.[.~ ......... Block ..? .............. Lot... ~..~. .... Subdivision./..~.~..~..~....~...~. · ................... Filed Map No..~. 7.~ ....... Lot..."g,~t ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~. ~.t'N ..~ ....................................................... b. Intended use and occupancy ..... .~.,~..c, .t'<. ....................................................... 3. Nature of work (check which applicable): New Building .......... Addition .. i ....... Alteration ..... . ~... Repair .............. Removal .............. Demolition ........... ~.. Other Work ............... ~' (Description) 4. Estimated Cost .... ,'~.t.{. ,~. ........................... Fee .......... : ........................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ................ If garage, number 6f cars ............................................ i ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................ . ..... 7. Dimensions of existing structures, if any: Front ..... .~..O. ..... Rear ....... i ...... Depth .. ~2~~. ........ Height ...].y.t'. ........ Number of Stories .... .~ ....................... ; ........................... Dimensions of same structure with alterations or additions: Front .......... i. *~ ....Rear ..... ~.~ ......... Depth ...................... Height ...~ ................... Number of ~tories ....................... 8. Dimensions of entire new construction: Front . ~...~-,~1~.. .... Rear .... - ....~ ...... Depth . .Z..~'... ........ Height ...~.O .#. ....... ~umber of Stories ..... f. ...................... ............................ 9. Size of lot: Front ../.~...~, ............ Rear ...... .~..f. ........... Depth ... ,~.'2.~. ............. 10. Date of Purchase .~..~. .~. ......... Name of Former Owner .~[,~..~.~..Y. ................. i 1. Zone or use district in which premises are situated ..... ~ ................. ~ ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~.~ .................... 13. Will lot be regraded .......... /..V~.~ .............. Will excess fill be removed from premises: Yes 14. Name of Owner of premises .~.~g~/~...~f.c.~.~..C'Address .~ .............. :... Phone No. ~. ~.¢'..--~../-'~.,fi<... Name of Architect ........................... Address ............... [... Phone No ................ Name of Contractor .......................... Address ............... !... Phone No ................ 15. Is this property located withinl,00 feet of a tidal wetland? * Yes ..... No ..... · 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ COUNTY OF ........ S.S 1 ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) I above named. He is the ............................................................. ~ ........................... (Contractor, agent, corporate officer, otc.)! of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this application; that all statements contained in this application are true to the best of hisiknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ' Sworn to before me this ............ [.~. ......... day of... k~ ........ ,19 .~. (Signature of applicant) /% Z II II r A A -~_o oo o o~ ~ m o u~ m (:~ u~ ,~ m~ $ COURSES 8', 8~ 16" > ~ ~ CONCRETE BLOCK Z ~ ,~ . o r m~ ' ~ k~)~ ~ ~ ~ ~ " ~'~'~"" ~' '~' "~:~ ':" " I I ',",-"""-'.'"'." ~ ~ ~ ~ ,,_, ..~._.., .,..~.. ,,.,.. o ~ · I ~ II ~ I ~ IIV~ ~ zm . ~ g~g o r