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Home My WebLink About13947-z ..................... ....................... - -------------........................... .......................................... ................ ................................................ ........................... 1111111-11 .................................. .......... Town of Southold 2/14/2019 V", P.O.Box 1179 53095 Main Rd 14P�" Southold, New York 11971 ................................. ........................................................... ................................................................ ................ ...................... .......... ------......... CERTIFICATE OF OCCUPANCY No: 15695 Date: 4/24/1987 .............................. I'll .............................. .....................................................................- THIS CERTIFIES that the building DECK .................. . . ............................—-—------------- .......... ........................................... Location of Property: 8745 Oregon Rd, Cutchogue ...............................—--------,"I'll, ................—---------------------..... --l",.............................................................. ....................... SCTM#: 473889 See/Block/Lot: 95.4-12 ..................... .......................................................................................... . ...........- Subdivision: Filed Map No. Lot No. ........................... ......... ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/15/1985 pursuant to which Building Permit No. 13947 dated 5/16/1985 ............. ...... "I',"", .......................... ---------------.................... 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 famijy.,Owslliiij,,� 2/14/20�19 corrected for SLr,(fQ[.k_Coupty Tax map number and street address only. The certificate is issued to Domaleski HI Revoc Trt ............................................................. ..................... ... ........................................................... of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. .. ............................... .. .................... PLUMBERS CERTIFICATION DATED ............................................................................ . ...... .................. ........ ......—-—----- ................ - -- ----- I......................... ... ........ utl riz Signature n I FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15695 Date April 27, 1987 THIS CERTIFIES that the building DECK ADDITION Location of Property 8245 Oregon Road Cutcho~u.e, New York /~s~ ~'d ....................... 'S'de~i ..................... h~iei County Tax Map No. 1000 Section . . ?.5. ....... Block I .Lot .. I I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated M a y I 5, I 9 8 5 pursuant to which Building Permit No. 1 3 9 4 7 Z dated Ma y l 6, I 9 8 5 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 The certificate is issued to HENRY DOMALESKI ..................... X .................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ............... N/A PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FO',~M NO. O TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT fi.HiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13947 Z Permission is hereby granted to.'.,~,~ ....... /~..~....~Af~..E ............................... ...... ~.~.,:o.~...~.~.~.. .............................. ....... ~.-zc~.~..-:..z~/.:..~ .............. ,o ..... ~..~.~~ ....... ~......~.D..~..z~...~..~.~....~e~. .~.~;~ ..... :'-~.~.l ~ ~..~/.....~.~ ......... Zl,.~u,~. .v......: /~X.g~.Zz : ...................... .../ o, premises located g..~..~x......~..~., ....... ~,;~ .)..~.... ....... ,,.~.Z/.Cj ................................................ ............................................................................................... ....... County Tax Map No. 1000 Section .~.7~,,...~.,.. .... Block ..-~,Z ...........Lot No..O~,J~ ......... pursuant to application doted ............ /..~.: ................ , 19 , and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 unusual natural or topographic featu res. 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: I. 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 pe~inent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$ t0.00 Business $50.00 2. Certificate ofbccupancy on pre-existing dwelling $ 5 0-. 00 3, Copy of certificate of occupancy $ 5.00, over 5 years $]0.00__ 4.Vacant Land C.O. $ 20.00 ~./ ~ /~2/. ~./.'. 5.Updated C.O. $ 50.00 Date ............... NewC°nstructi°n ...... Old or Pre-existing Building . J~. f~-~ .W~i~ Vacant Lamd ............. Location of Property. ~ ~7 .............. ~.~..~ f~.J. ......... __~ ~-~ Hou~ No, Street ~Ham/et .... Owner ar Ownar~ af ~ropart~ .... ~.fl ~. ~... ~. . .~ ~.~ ~ County ~ax Map No. 1000 Section ............ Block .............. Lot .............. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo.~3~2¢:.~.. Date of Permit ¢ ~&..Applicant ..~ ................. 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~t~pplicable codes a~nd regulations. ................ Rev. 10-10-78 FIELD I NS P EC ~i ON"~- COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 (Buitdin~ [~sp~c~o~) Received.. APPLICATION FOR BUILDING PERMIT Date, , . /. INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appll- :ation. c. The work covered by tins 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 hall 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 tall 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to [mit authorized inspectors on premises and in building for necessary inspect~jflnx~.' . ....... '~/~':/....~.....~.f /-~_,~./.~..cr. ............... (Signature of/~pplicant, or n,~2e, if a corporation) ~' (Mailing adarress of applicant~ rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... ./.~/~Q..~..c,ff..../~.~.~....~../. ~ ....................... (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 ..... ~2'~'~....C':.~ ......... Other Trade's License No ...................... · Location of land on which proposed work will be done .................................................. ....... r..z.¢.. ......... , ..... ..... .................... ,.r.. House Number Street Hamlet / County Tax Map No.'1000 Section ...~..~...~." ........ Block .... .~../. .......... Lot...(~./~. ......... Subdivision / ..................................... Filed Map No ............... Lot ............... (Name) 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 ..... ' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost .............. ./. ....................... Fee ...................................... ~ (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 ............... Number of Stones ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... ... Height ...................... Number of Stories ...................... Dimensions of entire new consSruct~on: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front .......... : ........... Rear.. .................... Depth ...................... 10. Date of Purchase .......... ~ ................... Name of Former Owner ............................. 1 1. Zone or use d~stnct in whxc em~ses are situated ..................................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ....... / .......... 13. Will lot be regraded ........ : .................... Will excess fill be removed f~rg~premi~ses: //- Yes No 14. Name of Owner of premises ..i ................ Address ............... /../Phonel¢l~/,//'" "~/ .............. Name of Architect .....,.p~...i ..... ...... Address ............. Phon . Name of Contractor..~.~.., ~..t~.( .[.q ~ ...... Address....~.qr~'~..~.~,~hone.. , 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 accord, ing to deed, and show street names and indicate whether interior or comer lot. ~ STATE OF NEW YORK, S.S ' · COUNTY OF ................. ................................................. being duly swam, deposes and says that he'iS the applicant (Name of individual signing contract) above named. 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 mak& and file this application; that all statements contained in this application are true to th,ei best of his knowledge and belief; and that the work will be performed in the manr er set forth in the application filed therewith. Swam to before me this ........... /..'~...~Q. · . ~ .... day Of .... · .~. · .~. · .......... , 19 .~. b~' gOt~¥ PUBLIC, State of Nevi York (Signature of applicant) No. 4'~07878. Suffol~ C0unt~_