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Home My WebLink About26706-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27235 Date: 08/08/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 255 LUPEN DR CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 9 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4, 2000 pursuant to which Building Permit No. 26706-Z dated AUGUST 8, 2000 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR & AS PER INSPECTION DATED MARCH 3, 1975. The certificate is issued to FRANK A.&BRENDA M.CICHANOWICZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ""'L�' /4 Au orized Signature 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. 26706 Z Date AUGUST 8, 2000 Permission is hereby granted to: FRANK A.&BRENDA M.CICHANOWICZ CUTCHOGUE,NY 11935 for CONSTRUCT ACCESSORY STORAGE BUILDING AS APPLIED FOR. THIS REPLACES BP #7302 . at premises located at 255 LUPEN DR CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0009 Lot No. 016 pursuant to application dated AUGUST 4, 2000 and approved by the Building Inspector. Fee $ 35 . 00 A�4rizjefd Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD 4 r � BUILDING DEPARTMENT TOWN HALL 765-1802 T ,{vN; F S U i Fi jD APPr=ION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lines, streets, 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 a consent to inspect signed by the applicant. If a 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 Certificate of Occupancy _ Residential $15.00, Commercial $15.00 /.: Date . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . .. . .. Ol��re fist' 9g Building. . . . . . . . . Location of Property. . . . .. ... ... . . . . .. .1;;L. e . . . . . . . . 4:4.s. . .-:�L, . . . . . . . . . House No. Street Het f , Onwer or Owners of Property.. . . . ,4.�-. . �. . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .. . . . . ..�. .Block. . . . . . . . . . . . . .Lot. . . .�. .f.!. G• • • • • Subdivision. . . al, -1-"-�-.�: . .... . . . . . .. .. .Filed Map. . . ??�:� .Lot. . . . . .. �. . . . . . . Permit No. . . . . . 706 Date Of Permit- . .'4, g.1 . . .ApPlicant. . � � • . . . . . Health Dept. Approval. . . .. . . .. . . . . . . .. . . . .. .. ..Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval.. . .. . . . . .... . . .. . . . . .. . F . . . . Request for: Temporary Certifa.cate. . . . . . .. . . . Final Ce rticate. . . . Fee Submitted: $. . .. . . . . . . . . . . . . . . . . . . G0 -9--a 7x35 APPLICANT FORM NO. Y Wim; h TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. , ., . Examined ......... .. 19 .1.. Application No. .........................£ Approved ............... .�...... � ......... 19 .!.. Permit No. .................................... .r r Disapproved a/c ........... .......... f ....................................... . .......................................... ...... ......................................................... .............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT C Date ...................... une 6 19. 7L! L INSTRUCTIONS r c a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 ofproperty must be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit f 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, ordinance4s, bil ' code, ho g code, and regulations, and to admit authorized inspectors on premises and in buildings for neceio i.... . . ......... ........................................ ture of applica , or name, if a corporation) M ..........Cutcho&ue.................. ................................................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................Q.Waer....................................................................................................................... Name of owner of premises ....FX.aD.X...Q..i.Q,h4AQw1q.7s....................................................................................................... If applicant is a corporate, signature of duly authorized officer. ...................................................................... (Name and title of corporate officer) Builder's License No. .................................................... Plumber's License No. ................................................ Electrician's License No. Other Trade's License No. 1. Location of land on which proposed work will be done. Map No.: ........... I.C.1t.WZY..AA.... Lot No. .................... Street and Number ......Zupin..ISS:.Y.e........QUt0b.Qg..0e......................................................... .. .. ........ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .........dWA lkig............. ......................................................................................... b. Intended use and occupancy same with accessory, storage building ..................... 6� 0 , v \r , .. f t.: X77 '•;: %� �, «{ ' - . . +::- bei ' C - � � Q ► - ��,�� ------ ��tom.. � - f r ; FJO L.5 - 'F PEECON IC rwo WJ ��ry 7 \ 1 -� ap i b � LTJ;PEN OQ[VE NOTE5.; �_ _, i, r, , + r- oid aheration or addition Arai EF.� ,;C�;;�G TIE IW5URANCE :�• — _ �^, C r_' �^n W _ - __._-- --_-- :c rvvyisaviolation of I. LO T. `(..'G M MA OF �1CIWQY AC2E,5 F'1L�D tN :ZOO/'� l.t... �. �� ~t f n 7209 o`the New York Stats / � �"1f..�t....Li .ifs +i r i G t _(,c .tion LAW. "'[[� _.(.—�-_.('` A-, �, r, c ; ' TLS tis rule SUrVat!nl�not beating ` • +E UF'f .CQt Cl E F�t�'S 0 FF{r.E AS-MAP NO -3325. — surveyor's inked seal or + en-.bossed seal shall not be considered ! F f- .'.G- T^,)( MAP DK _q f COO�97-r-9 !✓ � 16, • i ' 1 1 t t (J,�+ � to ba a valid true Dopy. uarsntees indicated hsttaon shsfl rta't only to the person for wham 4n survey s orepared.and on his WAN to" i tct,e company, ion lis met w s9 O and ;srd;nginstitunonOstedhersortand _ to if c assignees of the huldhV Nu& ,wion.Guarantees are not tronsfiraW �.1 C.L A��J ✓�.` r`✓ �!'�t J - — -- -jr► t r' r N,�t', c-i;:;on2!institutions or subsequent i a