The URL can be used to link to this page

Home My WebLink About14616-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z.16009 Date July 31, 198.7 THIS CERTIFIES that the building ...OPP.. f..a.m.i.l.y...d.w.e. 1. 1..i.n.g~ ...................... Location of Property 3870 Bridge Lane Cutchogue County Tax Map No. 1000 Section . . .8.4 ........ Block 05 .Lot 9 Subdivision I SMAR ACRE S .Filed Map No. 5872 .Lot No. 17 conforms substantially to the Application for Building Permit heretofore filed in this office dated Feb. 21, 1986 pursuant to which Building Permit No. }46.1~$. dated . .M.a.r.c.b..6.,...I .9.8.6. ........... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificat~ is issued is ......... ...Q~..f. qm.i.12z, c~well~pg.,' garage . The certificate is issued to .D.A.V. !? A.N.D J.A. CQUELINE ZUHOSKI .... /o'~;.'o;-,:~:~&~6~,k k 'X f ~ " ' of the aforesaid building. Suffolk County Department of Health Approval .. 8..57.S.O. ¥ .2 .4.5...J .u.l.y...2 .7.,.. ! 9. .8.7 ............. UNDERWRITERS CERTIFICATE NO. N800749 March 30, 1987 PLUMBERS CERTIFICATION DATED: Peter Victoria April 15, 1987 Maintain barricade on patio doors (West side--no steps) /l~uilcl~ Inspector ............. Rev. 1/81 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 !l\I! JUL ;3 11987 i[i APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 unusual natural or topographic featu res. 2, Final approval of Health Dept. of water supply end 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 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: Additions $25.00 1, CeFtificateofoccupaney New Dwelling $25.00, Accessory,$10.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. 3, Cop¥ of certificate of occupancy $ 5 00, over 5 · years $]0.00 4.Vacant Land C.O. $ 20.00 ~r,~/.]~ 5.Updated C.O. $ 50.00 Date ......................... NewCOns tpuc tion....~... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ,%, ,~.'~ {Q ......................... ~.. House No. Street Ham/et Owner or Owners of Property . .~..?.\ .~. ~:. ~..(~Q~.~[ .rJ?.....-~.. ~ .~..~.1..~..; .................... q County Tax Map No. 1000 Section . .,~.. · ......... Block ............... Lot ............... · Subdivision .~k'4>~-~,.. ~ ............ Filed Map No..~,, .~7.~...Lot No... [2 ........ PermitNo. ;c (,'~. Date of Permit ~.. .Applicant Health Dept. Approval .~.~.'~ .-..~..Q .?. ~ ........ Labor Dept. Approval ........................ Underwriters Approval .~[..~¢.~.~). ............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $. 2 .~...-~ ..................... Construction on above described building and permit meets all applicable codes and regulations. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. lq~l~ Owner ~k)~O ~ ~C~%)~l~e (please print) (please print)' I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this /~) day of ~ , 19 ~ _. / ~ /Notary. Pu~s~ic ~County ~o. ,~ ' _ ' . "Y, ~ ¢~36~6~ SuffakCounty Notary Public,/ co:-~m ss,on 5xp es ~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 100.38 ,~,~ ~'c~ ~ t~? ~.,,~.,,o.~o.o~.~ ~/~ N 800749 THIS CERTIFIES THAT o~y the electrical equipment ~ ~seribed below a~d intr~c~d by t~ appl~n t ~med on the a~e appllcat~on number ~n the prem~es of David ~, ~ldg~ I~e, M~n ~ & ~ute 48, ~t~e~ N.Y. ~s examined on March ~ 1937 SecHon and found to be ln ~o.*pliance with the require.tents ~f this Board, FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS 40 43 48 40 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS T~ME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 2-G.F.C.I. 2~S~rok~:) Detec'to~' S E R V I C E NO, OF CC COND A W G A w G A W G, 4/O INO OF HI-LEG 2/0 David Zuhoski P. O Pox 465 Oal;chogt~e, N.Y. 11935 Lic. GENERAl. MANAGER 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 BUI~LDING DEPARTMENT. THIS COPY OF CERT MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT, INSPECTION [ *1 FOUNDATION 1ST I- ] ROUGH pLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ['~ FINAL REMARKS: .~ , / - / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~.] INSULATION [ ] FRAMING [ ] FINAL ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE~/~ / 765-t802 BUILDING DEPT. INSPECTION ~~'FOUNDATION ~.ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS DATE ' BUILDING DEPT. INSPECTION [~ FOUNDATION ~,ST ['1 ROUGH PLBG. I' '1 FOUNDATION 2ND J' 1INSULATION [ ]FRAMING []FINAL ~,~ ~,,/-~-" ,~,,,~ FOUNDATION 1ST ~'/~] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~] FRAMING [ ] FINAL REMARKS: ~.~'.,c/..,~--/¢.,,~ ,,~/,~,~ ~ ~~,~ o.~. . .. ,IELD INS['ECTIO~ 1. COMMENTS ,~'OUNDA~TION (lst) ~'OUNDATION (2nd) ~OUGH FRAME & PLUMBING !iNSULATION FERN. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: cRE ©'T k. 5U bS'fST F_-bq E',/,,T E P, I o P,. - WA.L L E_~,TEP-toP- · W~,LL (OPAQUE) 4 L,A.'.ZII4G z:3 % CHI blMGS/ hJ F 1 bT P-/q' 10 ~ io /]/ 7_ I! .. OE$tGb~ ¢,P..F'f E¢.I.&.:. 0.08 0.~ 0.40 0.08 /~ ..t l.,o , ToT.S,L$ 0. ol8 kLLOWED · ~'TUi4 · 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 .~ TEL.: 765-1802 Examined ._.~ .°k~. · .~...~. .... 19 Approved . .~..O.,3~...(q.., 19 .~.~. Permit No. ! .~. ¢. !.~..~.. Disapprove~l a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERIVIIT Received ........... ,19... 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 conimenced 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 a 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 inspections. (Signature ot' applicant, or nam~e,.i:f a corporation) .. ?. ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises f'~l~kt~F~ ~-. 75(hC,~k)~'l..-~ bl~' '~.k.~iqc~XIc'l (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. ~.q:~-~. ¢.t¢. It-..~. ~')'~.4 ........ Plumber's License No. P.~.-.~..~.~.C..?~..~ .1~.. ?.t:,. ~..~.~. !?~ Electrician's License No..039.O. .~.P'..~..~..~..~.~.-T.~..l~... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County 'Fax Map No. I~00 Section .... ~...~. .......... Block .... ': .~.. ........... Lot .... Z ~. ............ Subdivision. ~'~('D~q I.©,. {3&~.(.~ .................. Filed Map No..~. ~.'2~ ....... 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 .~r...' ..... Addition..., ....... Alteration .......... Repair ............ Removal ............ Demolition ............ I Other Work ...... 4. Estimated Cost ~(~O Fee ~ ....... (to be paid on filing this application) 5. If dwelling, number of dwelling units .... .[.' ......... Number of dwelling uniti on each floor ................ If garage, number of cars ........................................................................ 6. Ifbusiness, commercial or mixed occupancy, specffynatureandextentofeachtyp ofuse ..................... 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 ' ' ' i ~'i ............. Number of ~tories ....... ~ ............. 8. Dimensions of entire new construction: Front ........... Rear . ~ .~ .......... Depth . .~-... ........ Height ............... Number of Stories.~,h~ ............ 9. Size of lot: Front .~.~..q, ,.% Rear .... I.'i~.,.B.~ .......... )epth .2q[ ................... . 10. Date of Purchase ............................. Name of Former Owner ............................ I 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... i .......................... 13. Will lot be regraded ...U.O .............. , ........ Will excess fill be removed from premises: ~ No 14. Name of Owner of premises' .D~?2P..z,¥~.4..oh..k: ~ Address 0')/t ~C.~. ~. ~d.~' Name of Architect .L.h.~?-.~..c,~t:..10.:..'~.~.Jq .L. Address I.d.S.cT. ~..C~a~. ?.O?.~.T.. Phone No qD."}~ .1 t~ g~. .... Name of Contractor ~..c2..z. ~. k~p.~.~ ,. ......... Address m.~.x .~??. C..ofF~ Bo ¢,.(~Phone No.-?..~.~.-..~! q ...... 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, andshow .... street names and ~ndtcate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF .......... S. S . ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.)I of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make arid file this application; that all statements contained in this application are true to the best of hi~ knowledge and belief; and that the .work w/Il be performed in the manner set forth in tlie application filed therewith. ,Swom~to before me this : ' .~ day of · .~ .~.. 19~.~ Notary Public, . ....... County ~ ~ I~ ~ ~ , ~(.~ ...... SU~Y FOR SUFFOLK COUN~ DEPARTMENT OF HEALTH SERVICE~ DAVID ZUHOSKi ~ JACQUELINE ZUHOSKI LOT IT "IS~AR ACRES" FOR ~VAL OF CONSTRUCTION ONLY AT CUTCHOGUE DATE: AUG. 6, //7/2~ ~ RE~ ~ ~ ~ ~N ~ ~OU*HOLD SCALE: 1' = 50' DATE O. ~ ' ~H, SUFFOLK COUNTY, NEW ~RK NO. 85 - 867 HEALTM DEPARTMENT-DATA F~ APPRO~ TO C~STRUC T AaO ~ HIS BEHALF m THE TITLE C~P~Y, GOV~N- NEARESTW mAIN__MI,: NSOURCE ~WATER, ~I~TE~P~IC~ H~E~,AND TO ~E ASSIGNEES OF THE LENOING ' ~LIC~T, ~0 ~ ~ B~O %~ P~P[~TY LINES OR FOR THE ERECTION ~ FENCES J YOUNG S YOUNG OS NOERAVE E ~ RIVER~AD~ NEW YORK ~UMENT ~ = STAKE SUBDIVISION MAP FILED IN THE OFFICE ~ THE CLERK OF ALDEN W.YOUNG~ PROFESSIONAL ENGINE ER SUFE CO. ON M~. 15,1973 AS FILE NO. 587g AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LANO SURVEYOR a~ L~ ~ ~L(W),~lC TANK(IT)aCE~S(~) ~ ~E~ N.Y.S. LICENSE N0.45895 6RANDIS & SONS INCo 1046 , : su~Y FOR D~VID ZUHOSKI ~ J~CQUELINE ZUHOSKI LOT 17 ' ISMAR ACRES" NO~ APR. r7 1986 AT CUTCHOGUE DATE AUG. 6, 985 ~WN ~ SOUTHOLD SC~cE I": 5O' SUFFOLK COUNTY, NEW ~RK HO. 85- 86? NU~U~H~IZEO ACTERA~OH O~O~T~O. m ~S GUARANT~F~ ~' ~ I ~ ~OS~NDERAVE~E NOTE: I : ~NUMENT ~ : STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG, PROFESSIONAL ENGINEER SUFE CO. ON MAR. I3,1975 AS FILE N0.5872 AND LAND SURVEYORN.Y.S. UCENSE N0.12845 HOWARO W. YOUNG~ LAND SURVEYOR ~ L~T~ ~L(W),~IC TANK($T)~ C[~OLS(~) ~N ~E~ N.Y.S. LICENSE NO 45893 BEANDIS & SONS JNCo 1046 OCCUPANCY USE IS WITHOUT OF OCCUPANCY If ~ber tubing i for wat~ die $~t~r; piping s PLUMSER CERTI~ ON I.~AD C~ CERTIFICATE OF OCC SOLDER USED i SUPPLY SYSTEM C EXCEED 2/10 of I% L II.AWFUL IERTIFICATE WC¥ ;h;ll ~NNOT % ~AD. -'--~ ......... - ..... ~' " ,, APPROVED'AS NOTED BUILDING DEPARTMENT AT . 76E-1802 9 AM TO 4* PM POR THE FOLLOWING INSPECTIONS: FOUNDATION "~VO REQUIRED FOR POURED CONCRETE ~ ROUGH FRAMING & PLUMBING 3, INSULATION *,, :INAL CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y STATECONSTRUCTION & ENERGY '~DES. NOT RESRONSIBLE FOR ~ESIGN OR CONSTRUCTION ERRORS, ~0 ~o vr~-r 3 to (-2.3 ..5