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Home My WebLink About29563-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29734 Date: 09/24/03 THIS CERTIFIES that the buildin~ ADDITION Location of Property: 2060 RIGRLAND RD CUTCROGUE (ROUSE NO.) (STREET) (HAMLET) County T~x Map NO. 473889 Section 102 Block 8 Lot 28 Su]~division Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 2003 pursuant to which Building Permit No. 29563-Z dated JULY 11, 2003 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VIVIAN VELEZ of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENTOFHEALTHAP~RO~%L ELR~-£~IC~J~ CERTIFICATE NO. PLDMBERS CERTIFICATION D~r~u N/A N/A Rev. 1/81 FORM NO. 3 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) PERMIT NO. 29563 Z Date JULY 11, 2003 Permission is hereby granted to: WILLIAM F & VIVIAN VELEZ 2060 HIGHLAND ROAD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES BP 26923 at premises located at 2060 County Tax Map No. 473889 Section 102 Block pursuant to application dated JULY 11, 2003 Building Inspector to expire on JANUARY 11, Fee $ 195.00 HIGHLAND RD CUTCHOGUE 0008 Lot NO. 028 and approved by the 2005. ORIGINAL Rev. 5/8/02 FORM NO. 3 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) PERMIT NO. 26923 Z Date NOVEMBER 15, 2000 Permission is hereby granted to: VIVIAN VELEZ 2060 HIGHLAND RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 102 pursuant to application dated OCTOBER Building Inspector. 2060 HIGHLAND RD CUTCHOGUE Block 0008 Lot No. 028 19, 2000 and approved by the Fee $ 105.00 Authoriz~ Signature COPY Rev. 2/19/98 MAR ~0 This application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: l. Final survey of property with accurate location of all buildings, property lines, streets, mid unusual natural or ~pographie i%atures. 2. Final Approval fi'om Health Dept. of water supply and sewerage-disposal (S-9 feral). 3. Approval of electrical installation flom Board of Fire Underwriters. 4. Sworn statement fi'om plumber certifying that the solder used in system contains lass than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance lkom architect or engineer responsible for the building. 6. Submit Plalming Board Approval of completed site plan requirements. For ~xisting buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existhag" land uses: 1. Accurate survey of property showing all property lines, straets, 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 Inspector shall state thc reasons therefor in writil~ to the applicant. C, Fees 1. Certificate ofOceupaucy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00, 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Cmlificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5 Temporary Certificate of Occupancy - Residential $15,00, Commercial $15.00 New Construction: Location of Property: f--~ O & c5 Hm~e No. Ovaier or Owners ofPropezty: ___~/~ I ~ Suffolk County Tax Map No 1000, Section Subdivision Date of Pernnt. Health Dept. Approval: . Pla~ming Board Approval: __ Request for: Temporary Certificate Old or Pre-cxisting Building: . (check one) - / ' Street''~v' -' / ": (J "lttmlet Block (~00~ Lot Filed Map, Lot; Applicant: Underwnters Approval; Final Certificate: (check one) o3/2o/a3 Applicant Signature THU J. 2;50 [TX/RX NO 9872] ~002 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ - F~~INAL/.~_~ [ ] FIREPLACE & CHIMNEY REMARKS: /~"~ *~' ~'~ DATE INSPECTOR//~'*~ 7654802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2N~[ ]/~ISULA~ION [ ] FRAMING [ ~' FINAL []FIREPLACE&CHIMNEY REMARKS: ~/'q'/~ DATE INSPECTOR ELD INSPECTtON REPORT DATE COHI'~NTS ~UNDATION (]ST) II )U~ATION (2ND) I~ ,S~TION PER N.Y. II Il CODE {~ U Exanir~4 ................. , ~0 .... Approved.. 3.~.~.1..~. ........ ~2'°q.O.. Permit NO ................. Disapproved a/c .................................. BOARD OF BEALTH ............... ~ 3 SETS OF pLaSS ............... ~su~vzY ........................ ~caEcz ......................... SEPTIC FORM ................... DEC ........................... · RUSTEES ...................... NOTIFY: HAIL TO: .................... / (Building ~ector) APPLICATIOH FOR BUILDING PERMIT INSTRUCTIONS Date ............ .... ,20 .... a. 'Ibis applicaticaq mast be canpletely filled in by tTpeuriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shouting 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 airman an the diagran ~ahieh is part of this applicetian. c. ~he wrk covered by this application my not be ccrmuenced before issuance of Building Permit. d. Ulx)n approval of this application, the Building Inspector xdll issue a Building Pemlt to the applicant. Such ~emi£ shall be kept an r3ne pr~aises available for inspection throughout the xaork. e. NO ~uilding shall be occupied or used in whole or in part for any purpose whatever until a ~ertificate of Occupancy shall have been granted by the Building Irmpactor. APPLICATI(lq IS ~ MM~E to the Building Department for the issuance of a lhilding Permit parauant to the lhildlng Z~e Ordinar~ of the Tc~n of Southold, Suffolk Coanty, New York, aad other appliceble La~s, Ordinances or Regulatioo~, for the construction of buildings, addi~iarm or alterations, or for removal or dermlition, as herein described. -,qbe applicant agrees to ~ly with all applicable l~s, ordinances, beilding code, hoasing code, and ~gulations, and to art. it authorized inspectors on premises and in b~ilding for necessary i ~rm?ec/tians. ................... ,Signature of applicant, or fla~, if a corperatim) (Ma~l:t e~s of apphcanO ~ · · ~dd~ ' State ~hether applicant i~ mr, lessee, agent, architect, engineer, geeeral contractor, electrician, plumber or builder ..... ................................................................................................... of of .. ..... ....................................................... (a~ on the tax roll or lareat deed) / If applicent is a corperation, signature of duly authorized officer. and title of corporate officer) l~ilders License No .......................... Plumbers License Ro .......................... Electriciarm License NO ...................... Other Trade's License NO ..................... I. Location of land on which prolx~sed ~rk will be done .............................................................. ..................................... .................. ................ Hotme Ixl~be r Street R~,~I et Count~] Tax,ap No. ]000 Sec[io~l /4~ ........ Block .d~.q-- ......... I~ ..~.~. ......... (~) 2. S~aee existing ~ and oconpaocy.~f premises and i~teeded use and occupancy of proposed construction: a. Existing use and occupancy -~'~J~-'~- ~k~.. ........................................................ b. Intended uae and occupancy ........................... ;.,; ............................ 3. ~z~.tJre of ~ork (check ~fich applicable): ~ 1)Jilding .......... a~ditico '. ..... ~.. Alteration .......... I{epair ............ Removal ............. I)e, nolitico ............ Other Work ..~)~.~.a ..................... /~ "' ~ripti~) ~.~,i,~,~ ~ ..q~,~ ........ ~ .............................................. (to ~ ~id ~ filing this a~li~tlm) 5. If &~lli~, ~r of ~lli~ anits ... / [~r of &~lling traits If gara~, ~r of ~ra ..... ~ .............................. 6. If ~i~ss, ~rcial or ~ ~, ~ci~ ~re ~ ~tent of eada ~ of u~ ...................... lMi~t ......................... ~r of Stories ............... ~pth ..... ~..' '. ........ ~i~t ...~ ............... ~r o~ Stories . ~Mi~t ......................... ~r of 8~ories .~ 9. ~i~ o~ ~o,: ~ ..~. .......... ~ .~/~ .......... ~,, .2.q~ ........... ,~. ~ o~ ~,~ ..~*~:~f..1 ...... ~ ~ ~ ~ .-.~d,~:~Z~.~ .................... I ~. ~ or u~ district in ~i~ ~i~s a~ si~t~ .............................................................. ~2. ~s ~ ~t~ti~ violate ~ ~ing ]~, o~i~e or re,latin: ~3. ~ill lot ~ ~ ..~ ........... ~ill ~ss fill ~ r~ ~ ~s: ~ of ~dt~t .................................... ~rese .............................. ~ ~ .............. ~ of ~tr~tor ................................... ~ress ............................... ~ ~ ............. 15. Is Ods p~thln ~ [~t of a till ~tl~? ~ ~ .......... ~ ./. ..... PLOT DIAGRAM Iocate clearly and distinctly all b~ildings, fine,er existing or proposed, and indicate all set-back tHraensicos f~om property lines. Give street and block r~m~ber or description according to deed, and sho~ street hanes axl indicate ~betber interior or corner lot. ~ ~ ....~..~t.~.. ~_ ..... (Na~e of individual signit~g contract) ~n~, deposes and ~'z'ys that he is the spplicant HEATHER J. K{~SIFR Notary Public, State of New York No. 4~I92922 Qualiflod in Suffolk Coun~ ($ignat~ure of Applicant) lie is the /~A_~ ~. (Contractor, ng~nt, corporate officer, etc.) of ~id ~r or ~rs, a~ is ~ly ~thoriz~ to ~rfo~ or h~ ~rfo~ O~e ~id ~ ~1 to ~ke a~ file this a~licati~]; ~at all stat~nta c~ta[~ in ~is ~]{cat[~l are tn~ Lo ~e ~st of his ~]~ and t~]Jef~ o~ that the ~ will ~ ~rfo~ in the ~r ~t forth in ~e a~l. lcati~ fil~ t~r~.Oa. ~m to ~fo~ ~ ~is .... ...... r. E