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Home My WebLink About29595-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29771 Date: 10/16/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 2445 HAYWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) Cou~ty Tax Map No. 473889 Section 111 Block 7 Lot 8 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 2003 pursuant to which Building Pex~tit No. 29595-Z dated JULY 23, 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 "AS BUILT" ACCESSORY ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to CHRISTOPHER B & MARK B ZAIA ( OWNER ) of the aforesaid building, SUFFOLK COUIF~YDEPARTMENTOFF~L~LTHAPPROVAL N/A ELE~'i~lIC3%L CE~TIFICATH NO. 1162528 PLDq~BEILS CERTIFICATION DA'£~ N/A lO/O9/O3 Rev. 1/81 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. 29595 Z Date JULY 23, 2003 Permission is hereby granted to: EDWARD L & WF HAWTHORNE 376 S KILBURN RD GARDEN CITY,NY 11530 for : AS BUILT, 252 SQUARE FOOT ACCESSORY GAP-AGE AS APPLIED FOR. ADDITIONAL CERTIFICATION MAY BE REQUIRED at premises located at 2445 County Tax Map No. 473889 Section 111 pursuant to application dated JULY Building Inspector to expire on JANUARY HAYWATERS RD Block 21, 2003 CUTCHOGUE Fee $ 150.00 0007 Lot No. 008 and approved by the 23, 2005. d~Signat ure Rev. 5/8/02 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL f('3 0 2003 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Th/s application must be filled in by typewriter 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 ali buildings, property lines, street's, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial 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 April 9, 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - 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 Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary/Cex:ti-ficate of Occupancy - Residential $15.00, Commercial $15.00 Date.__ April 23, 2003 New Construction: Old or Pre-existing Building: X _ (check one) Location of Property: 2445 Haywaters Road P.,,rehn~m~o_. l~ House No. Street Hamlet Owner or Owners of Property: Estate of Edward L. ltam:horne by Lorna B. Zia' as ExecutrLx Suffolk County Tax Map No 1000, Section 111 Subdivision Block ? Lot S Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~ ~ ,O-~ Underwriters Approval:/ Final Certificate: OLSEN & OLSEN LLP ~ BOX 7~ ~HOGU~ ~ 11~ (check one) Applicant Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 I ((" ~ ~-~' CERTIFIES THAT Upon the application of upon premises owned by GARY OLSEN P.O. BOX 706 CUTCHOGUE, NY 11935 MARK ZAIA 2445 HAYWATERS RD CUTCHOGUE, NY 11935 Located at Application Number: 1162528 Section: Block: Described as a Residential 2445 HAYWATERS RD CUTCHOGUE NY 11935 Certificate Number: 1162528 Building Permit: BDC: NS11 Lot: occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Detached Garage, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 9th Day of October, 2003. Name QTY Rate Rating Circuit Type Wiring and Devices Receptacle 1 0 Receptacle i 0 General Purpose GFCI seal [ of This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ,~FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ -,*'] FINAL [ ] FIREPLACE & CHIMNEY DATE BOARD OF HEALTH 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : · ' TOWN HALL . ^ / . OU -HOLD, N.".,,,7' . .. ' / o ~ TEL: 765-1802 ............. ~. / / ~ ' MAIL TO: Approved ......... ~ ~., ~ . . Pe~it No .......... ... . . ........ (Building Inspector) ...... :A~P~ICATION FOR BUILDING PERMIT ~"' " Date July I, 2003 ., 19... "' INSTRUCTIONS ~. T~s ~ppli~/~a must be completely fi~e~ ~ by Wpewdter or in ~k and submitted to the Bu]d~ Inspector, with 3 sets of plans accur~ic Plot plan tO scale, F~ ac~rding to schedule b. Plot pl~ s~owmg 19cation of lot and of build~gs on premises, relationship to adjo~ing premises or pubhc streets or ~eas, ~d gtvmg~led description of layout of property must be drawn on the diagram which is pa~ of t~s app,- cafion. c. The work covered by t~ application may not be commenced before issuance of Bufld~g Permit. d. Upon approval of this application, tM Building Inspector will issued a Bu~d~g Pe~it to the app~c~t. Such pe~it sh~ be kept on the premises available for ~spection ~rou~out the work. e. No bufld~g shall be occupied or reed in whole or in p~t for any purpose whatever unt~ a Certificate of Occup~cy ~all have been grated by the Bu~d~g Inspector. ~PLICATION IS HEREBY MADE to the Bufld~g Depg/ment for the issu~ce et ~ B~lding Pe~it pu~uant to 'Building Zone Ordinance of th~ Town of Southold, Suffolk County, New York/~d ot~r applicable Laws, Ord~ces ox Regulations. for the construction of buddies, additions or alterations, or [or/emoval ~r demolition, as here~ described. The applicant agrees to comply with all appficable laws, ordinances, bufld~c~e. ~s~g code, and regulations, and to admR au,hor,z.d ~sp,cto~ oa premis~, and ~ bulldog fo. necessa, insp.c~/y/~ ~' Gary Flanner 0isen, as .2....o... Yg =. ~p;~bpgp~,, NT. ~ ........... (Mailing address of applic~t) State whether applic~t is_owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builden · . .... AtCorne~ ................................................................................... Name of owner of premises .. ~ark. ~.. Zaia. and .Ch~istaghen .a...Zaia .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co.orate officer) · ALL CONTRACTOR'S HUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... hp 1. Location o£1and on whic roposed work will be done~ ................ · House Number Street Hamlet County Tax Map No. 1000 Section 111 7 .................. Block . Lot. 8 Subdivision ..................................... Filed Map No ............... Lot ............... (Name). 2. State existing use and occupancy of premises aud intended use and occupancy ofp~'oposed cOnstruction: b. Intended use and occupancy .... .~.~..~.&. ........ .~... . 3. Nature of wor~ (check which applicable): New Building .'~-....~..~(3~ dition .......... Alteration .......... Repa:r .............. Removal ........ Demolition ............ Other Work..,: .... , ....... (Descriplion) 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 miked 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 of Stones ........... ~: ........ -.8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............. Height ............... Number of Stories ...................................................... 9. Size of lot: Front ...................... Rear ...................... Depth ................... I0. Date of Purchase ............................. Name of Former Owner ........................... 1 1. Zone or use district in which premises are situated.., ................................................ 1 2. Does proposed construction violate any zoning law, ordinance or regulation: .............................. 13. WLII lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Nanae of Owner of premises .................... Address .................. Phone No ................ Name of Architect ......................... Address .................. Phone No ................ Name of Contractor .......................... Address .................. Phone No ................ 15, Is this property located within 300 feet of a tidal wetland? *Yea ,.,.. No'. *If yes, Southold Town Trustees Permit maybe required. PLO'F DIAGRAM. , Locate clearly and distinctly all buildings, whether existing m: proposed, and, indicate all set-back dtmenmons 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~YO~.I~_, .. _ coum¥ OF.. ..... .....~ ~'---- ~ ~%~3.~ .~.~ ............... 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.) of said owner or owners, ~d is du!y authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief;'and that the work will be perfo~ed in the manner set forth in the application flied therewith. Sworn to before me thi~ ~ 3 , .......... :. ,/ .......... day of,. ~ Public, State ~ N~ , No. 020L602~74 / ' / (Signature of applic~t) } _ ~lifi~ in S~olk Co~ LOT ~3 S 02'0 I'O0"E N HAYWATER$ 100.00' 100.0C ~OAD T/E:= 160' cN0 c;