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Home My WebLink About14821-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18354 Date SEPTEMBER 8, 1989 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~18250 COUNTY ROAD #48 CUTCHOGUE~ House No. Street Hamlet County Tax Map No. 1000 Section 096 Block 4 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 23~ 1986 pursuant to which Building Permit No. I4821-Z dated MAY 3, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A EDWARD & JEAN ZUHOSKI / B~ding Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14821 Z Permission is hereby granted to: ....e..~~.~...~..~ ........... ..L.~..~.~ ....... .~.**'!.~.~. .............................. ot premise, ,ocoted ot ...L.~...;~..~...'~D ........ ~ ....... ..~...~. ......... ~...~~ .................... County Tax Map No. I000 Secti,,g~.......~...~.....~. ..... Block ....... ..~....~... ...... Lot No ........ ~J ................ application doted~- ~J'~ ...... ..~....'~ ......................... , 19.~...~..., and approved by the pursuant to ...~,-~...,.~.. ... Building Inspector. Building Inspector Rev. 6/30/60 TOWN OF SOUTDOLD BUILDING DEPARTHENT TOWN HALL SOUT~OLD, NEW YORK 765 - 1802 11971 County Tax Map No. APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ...... NEW CONSTRUCTION ---~-..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Lo~tlon of Prop~rt, / f4~'~ . ~ ~ ~.~.~.~.~ .~.,/ HOUSE NO. STREET HAMLET ~ .~ Subdivision ....................... Filed Map ........ Lot .... Permit No ........... Date Health Dept. Approval .................. UnderwriEers Approval .............. Planning Board Approval ........... Request for Temporary Certificate ....... Final Fee Submitted: $. Certificate APPLICANT...~..~.~. rev. 10/14/88 : D. FORH NO. 6 TONI{ OF SOUTHOLD BUILDING DEPARTmeNT TOWN HALL 765 - J802 APPLICATION FOR CERTIFICATE OF OCCUP.~dq~ INSTRUCTIONS 'This,application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, Streets, and unusual inatural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Dsderwriters. 4. Sworn statement from .plumber certifying that solder used in system contains less than 2/10 of IZ lead.l 5. CommerciaI buildings,,i industrial buildings, multiple residences and similar. b~ildlmgs and installlations, a certificate of code compliance fromthe Architect or Engineer responsib:le for the building. 6. Submit Planning Boardl Approval of completed site plan requirements. For existing buildings (Prior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" land ~ses: ]. Accurate s~-vey of prbperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed hpplication, a Consent to inspect signed by the applicant and a certified abstrhct of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, ]957. , If a Certificate of O~cupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing c~de or safety inspection of buildings or premises, or other pertinent informationlrequired to prepare a certificate. For Vacant Land'Certificate of Occupancy: l. An application for vacant land Certificate of Occupancy shall be submitted, a~d a certified abstract of title issued by a title company showing single and separate ownership oflthe entire lot prior to April 9, 1957 shall also accompany the application. If ~ Certificate of Occupancy is denied, the Building Inspector · sh'all state the reasons therefor in writing to the applicant. FEES: 1.~ CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of OcCupancy on pre-existing dwelling - $]00.00. 3. Copy of Certiflca~e of Occupancy - $5.00 - OVer 5 years - $10.00 4.1 Vacant Land Certi$1cate of Occupancy - $20.00 5. Updated Certificafie of Occupancy - $50.00 6. Temporary CertifiCate of Occupancy - $25.00 Residential $50.00 Commereial rev. 10/14/88 TOWN OF SOUTHOLD OFVICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN HALL £OUTIIOLD, N.Y. 11971 AUGUST 31, 1989 Edward & Jean Zuhoski 18250 County Road #48 Cutchogue, N.Y. 11935 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. / /_~/ An application for Certificate of Occupancy is not on file. (ENCLOSED) /--_// No Underwriters Certificate on file. /~_/ The check i'~;(D~Xl~Xt~not on file.) $25.00 /'_~/ No Ileal. th Dept. Approval on file. /-_'/ No final inspection has been made. P]ea~.;e contact ()ur office on this matter. Thank you for your cooperation. ih~il(ling Pernlit I! 1 4 8 2 1 Z Duilding Dept. *'~*/~/ No Plumber Solder Certificate on file. ( all perl~l~ts involving plumbing being issued after April 1,1984 ) FIELD INSFECTION COM~4ENTS FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL Ye ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTNOLD, N,Y, 11971 TEL.: 765-1803 xam ned }iii Approved 19~.?.. Permit No..~.~? .~.! .~... Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 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~nspections. · ............. (Signature of appl~ant, or name, ifad 6orporation) P-,~t~'~-J i ~3 (Mailing address of applicant) I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · .................................................................................... (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 LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... I ~ ;~O I. Location of land on which proposed work will be done· ~..~. D.D..L:..~...~..... T...~..20....¢.~. ................ ........ r ...... ....................................... House Number Street Hamlet County Tax Map No. 1000 Section F¢.°. .~..~.-../. ..... 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....~.t] .~...~. ~/./.~ ..... ~.t~..~ .(./.~'. ~.~. ............................... b. Intended use and occupancy . .~...~..~.~.~4..¢~ ..... 0.~- ......... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition . .i...~.'... Alteration .......... Repair .............. Removal .............. Demolition ........... i... Other Work ............... i. ~ (Description) 4. EstimatedCost..~.'./.d.o.~..,.¢.O. ........... ........... Fee~ ........... i .t / ...................... [to be ~paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uni!s 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 Number of Stories Dimensions of same structure with alterations or additions: Front ............ ~ ..... Rear .................. Depth ...................... Height ...................... Number o~ Stories ...................... 8. Dimensions of entire new construction: Front . .. [.G ......... Rear ...... g .&. ...... Depth ....... ~. (~ .... Height ............... Number of Stories ............................ i ............................ 9. Size of lot: Front ...................... ,,~-- ,-,~--',7 Rear ...................... !Depth ...................... 10. DateofPurchase. ~2. t,~..Z~t.~':. ................ Name ofFormer Owner - ................... 11. Zone or use district in which premises are situated ......................... I ............ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ! ............................ 13. Will lot be regraded .................. .._. .......-. Will exce~s fill be removeld fxam premises: Ye~s ( -~o ) 14. Name of Owner of premises .[~)~.iM~....2,1x~-tq~,tAddress . (-~l~7~.<~d.!L~.... Phone No. ~.~..cf.... ~..~ Name of Architect Address ' Phone No Name of Contractor Address ' Phone No 15. Is this property located within 1.00 feet of a t±dal wetland? *iYes ..... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and, in~dicate all set-back dimensions from property lines. Give street and block number or description according to deed, and showy street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ........... S.S ................................................. being duly sworn, dep6ses and says that he is the applicant (Name of individual signing contract) above named. He is the .............. (Contractor, agent, corporate officer, etc.j 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 alb statements contained in this app!icatio¢ are true to the best of hig knowledge ahd belief; and that the work will be performed ih the manner set forth in the application filed therewith. Sworn to before me thi~ -. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE CF OCCUPANCY