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Home My WebLink About26782-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27622 Date: 04/11/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 4075 STILLWATER AVE CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 137 Block 1 Lot 8.1 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 2000 pursuant to which Building Permit No. 26782-Z dated SEPTEMBER 19, 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 GARAGE AS APPLIED FOR. The certificate is issued to GEORGE J SAILER JR ( OWNER ) of the aforesaid building. SUFFOLK COUN~"f DEPARTMENT OF ~RALTHAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£F~3 N/A N-368894 11/02/95 N/A Signature Rev. 1/81 FORM NO. 3 TOWN 0F $0UTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PE~tMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26782 Date SEPTEMBER 19, 2000 Permission is hereby granted to: GEORGE J SAILER JR 4075 STILLWATER AVE CUTCHOGUE,NY 11935 for : CONSTRUCT COVERED PORCH ADDITION AND ACCESSORY GARAGE AS APPLIED FOR. THIS PERMIT REPLACES BP#22464-Z. at premises located at 4075 STILLWATER AVE CUTCHOGUE County Tax Map No. 473889 Section 137 Block 0001 Lot No. 008.001 pursuant to application dated SEPTEMBER 19, 2000 and approved by the Building Inspector. Fee $ 211.60 A~~t/'z~ture Rev. 2/19/98 ORIGINAL Form N6. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT' TOWN HALL' 765-1802 ~PLICATION FOR..CERTIFICATE OF OCCUPANCY 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 l%.lead. 5. Commercial building·, industrial building, multiple residences and similar buildings · and installations, a certificate of. Code Comp!ianae from architect or engineer responsible for.the building. 6. 'Submit Planning Board Approval of completed site plan requirements. For existing buildings. (prior to April 9, 1957) non-conforming uses, or buildings and Vpr~-existing" land uses: 1. Accurate survey of .property showing all property lines, streets, building and unusual natural or topographic features, 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. 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 $~5.00, .Additions to accessory building..$25.'O0. Businesses $50.00. 2. Certificate·of Occupancy 'on Pre~existing Building.- $100.00 3. Copy of Certificate'of Oc'~pancy - i.~5'~ .' · . 4. Updated Certificate of OcCupancy - $50.00 5. Temporary Cert{ficate of Occupancy - Residential $15.00, Commercial $15.0.0 Date ....... ~ ............ ~'. ........ ~.. House No. Street Hamlet Onwer or Owners o~ Property .......................................................... County Tax Map 'No 1000, Section .... Block. ~. .Lot. .~..'/ ' Subdivision ......... ". ......... ' .............. ....FiledMap ............ Lot ............... ~ ...... ~ Mealth Dept. Approval'. ......................... ·.·UnderwritersApproval ......................... Planning Board Approva!~ ....................... Request for: Temporary Certificate ......... ~ee Submitted: $ ................. ~ ......... .. .. Final Certicate. ~ ........ · - ~' //, APPLICANT FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENI' TOWN HALL SOUTHOLD, N.Y. N9 22464 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ..~.,~.....J,. ...... ~~ ...... ~.: ......................... ...~-,~z~.~ ...... ~,...../../.?.z./.: ........................ . ~ ...... .,~..,.:: ............ ~.~ ............ ~.:. ........................................................................... Counly Tax Map No. 1000 Seotlon...../.~,.~,.,~.. ........... Blook ....... d.,//. ............ LotNo ..... ,..~,.'..../., ............. Building Inspeotor. Fee $., ~.'..'~.~ ......... Rev, 6/30/80 ULATIO,~! PER'N. Y. STATE E~!ERGY CODE FI;!AL '. ADDITIO~IA'L COM~1EI.ITS: ~0 I0 ' '1 ! ': 6j [ ........ ~ ........ l llj TOWN OF SOUTH OLD ~,l~ .' -, ,, I!,~ BUILDING DEPARTMENT i ................... _,~ i SOUTHOLD, N.Y. 11971 i BI. PG. DEPT. ~ TEL.: 765-1802 TOWN OF ?~oO~UT~HOLD ~ ~,, Disapproved a/c ..................................... g inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH/L_ ~ ...... CIlECK SEPTIC FORH .............. · / a. This 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 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 halVhave 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 regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, hous~g code, and regulations, and to dmit authorized inspectors on premises and in building for necessary in~t;~tions. CNff~'~ .... .................. ..... (Si~,nature of ~FlS, l,lcar~t, or name, if a corporation) (Mailing address of applicant) ;tate whether appl!~ant is owner, lesse% agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... ~'~;;;/' ~. ..... :~;~i1~:~: ........................................... lame of owner of premises .......... ~ .................. : ........................................... (as on the tax roll or latest deed) f appli~;a~t is a corpo/~ation, signatu~ of duly authorized officer. O ...~.?/~.. .... ..%¢...: ............ (Nam~nd title of corporate officer) ,.,,d~'s,.,~.n~,o... t .?~. ~.q..7... :..Hr ..... Plumber's License No ........ .' ................ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .... ' ...................................... ~ ........ ...... ': .......................... .... ......... House Number Street Hamlet County Tax Map No. 1000 Section ....... /.3.7" .... Block .... ,~. ............ Lot...,O~,. :.!: ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: : ........... b. Intended use and occupancy . : 3. Nature of work (check which applicable): New Building Addition . Alteration .......... Repair ...... 'fY ..... Removal .............. Demolition ..... ;,! ....... Othe. r Work ............... c~. A "" ~ ~ ' (Description) 4. Estimated Cost .~..~...~...~? ......................... Fee ...... 'F.~ ............................. (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 Stories ........................................................ Dimensions of same structure with alterations or additions: Front ....... .' ......... Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ............... ~ ........................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 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: .., ............................. 13. Will lot be regraded ........... ; ...... ' .......... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... ~Phone No ................ Name of Contractor .............. .............. Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes.~. ..... No ......... *If yes, Southold Town Trustees Permit may be required. 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, and show street names and indicate whether interior or corner lot. STATE OF NEW.XagRK,~, ~ ! ]./ ~. ,. COUNTY. OF..; .~. (.% .~fTO..~.__~ ..... ~.'~ ~' '~(,l' '~ . %~. ~~ ............. being duly sworn, deposes and says that he is the applicant X(Name of individual signing contract) above named. He is the . .~ .......................... ~~ .................................................. ((Contractor~a~ent, corporate officer, etc.) of smd owner or owners, ~d is duly authored t~form or have perfo~ed the said work and to m~e ~d file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~ner set forth in the application filed therewith. Sworn to before me this .......... ' ......... 7:.':. ...... ......... .... Qualified in Suffolk Coun~ ~/~ ~ / ' ' - ~S~g;~;e of applicant) ~mml~lon ~iros JUL 2 7 1995 · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197] i ' TEL.: 765-1802 . ,/. . . Disapproved. a/c ................................ '... ;, 3 sETs SURVEY CIIECK SEPTIC BOARD OF IIEALTII ·.., ...... OF PLANS ...... · .... FORH .............. CALL ~ .................. HAIL TO: ' ' ' ~ --i]~tlii~ing ~: " ' ' AP~IZICATION FOR BUILDING'PERMIT //' INSTRUCTIONS a. This application must be completely filled in by typewriter or iii ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showiug location of lot and of buildings on premises, relati0nsbip to adjoining premises Or public sti'eets or areas, and giving a detailed description of layout of property muit be drawn on the diagram which is Part of this appli- cation. c. The work covered by this application may not be Commenced before issuance of Building Permit. d. Upon approval of this application, the Building Insp6ctor will igsued a Building Permit to the applicant. Sucli permit shall be kept on the premises available for inspection throughout tile work~ e. No building shall be occupied or used in whole or iii part for any pnrpose whatever.until a Certificate of Occupancy sliall bare been granted I~y the Building Inspector. . APPLICATION IS ttEREBY MADE to the Building Department for the issuance of a Building Permit pursnant to the Building Zone Ordinance of the Town of Sonthold, ·Suffolk County, New York, mid other applicable Laws, Ordinauces or Regulations, for the construction of bnildings, 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 on premises and hq (Signature'~"'~22(~ ~'~' 'x~'~' of applicator ~n) adnlit anthorized inspectors buildhlg for necessary i~~: /% k"x ' . ' (Mailing address of applicant) State whether applicant ~s'owner, lessee, ·agent, architect, engineer, general contractor, electrician, plumber or builder. · L-3 (as on'tile tax roll or latest deed) If applicant is a corporation, signature of duly authoriied officer.' / ' (Name a'nd title of corporate officer) Plumber's License No. Electmc~m s Lmense No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be'done ..... . ............................ :. ................ ....... ' ' Hamlet House Number : Street Cou'nty Tax Map No. 1000 Section Block .................. Lot ................... Subdivision . .: ..... . ................. ..... ..... ' Filed Map No ............... Lot ...... : ........ (Name) 2: State exisling use aud occupancy of premises and intended use and~occupancy qf proposed construction] '3. Nature of work (check which apPlicable): New Building ' / ' .'~ddition Alteration Repair .............. Removal'. ............. · Demolition ..;...: .......... Other Work 4. Esti~nated Cost \ (.3~ (D(Dc.~~ · ' (Description) ..................................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ' ' , Nmhber Of dwelling units on each floor · If garage, number of cars ..... 2 ................ · ..................... , .... . ............... . .... 6. If business, commercial or roi.xed occupancy, specify nature and extent of.each type of use .................... 7. Dimensions of existing structures, if any: Fron~ ....... i ....... Rear ............... Depth ............... Height ............... ~tnnber of Stories . .. i . i.. ' ' l)inensions of shine stmctur,, with alterations or additionS: Front ................. Rear .................. · 1.' ......... torles . [ ....... 9. Size ofl0t' Front ' R ..................... .......... , ............ ear ............. ; ........ Depth ...................... 10. Date of Purchase ~ , . ''. .................. ' ....... ..NameofFonnerOwner ...i ....... ' 11 z~one or use restrict m which premises are situated ........... ' ............................ i...' . . 12. Does proposed construction violate any zoning law, ordinmice or regnlation: 13. Will 10t be regraded ' '' ' ': .......................... ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Name of Architbct ........... , · · · ~ .... Address ..; ................ Phone No .. . . ........................... Address Name of Contractor ................... Phone No ................. .......................... Address , ' ............ ' ...... Phone No. ,.. 15. Is this property within 300 feet of a tidal 'wetland? *Yes ........ No ......... ·If yes, Southold Town Trustees Permit may be required. .... PLOT DIAGRAM Locate clearly and distinctly all "bnihtings, whether existing or proposed, and. indiCate all set-back dimensions 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 YOP, K. coum-¥ ................. 's.s ........................... ' ......... being duly sworn, deposes and says thathe is the applicant (Name of individual signing contrac0 - above named. (Contractor, agent, cor'porate officer, etc.) ' . of said owner or owners, and is duly authorized to perform or ]lave performed the said work and to make and file this applicaHon; that all statements contained h~ tliis'application are (rue to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed tl{erewith. Sworn to before me this ; Term [,