HomeMy WebLinkAbout25465-zFO~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27326
Date: 09/27/00
THIS C~RTIFIES that the huilding ACCESSORY
Location of Property: 305 OLIVIA LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 83 Block 4 Lot 5
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 6, 1998 pursuant to which
Bllilding Permit No. 25465-Z dated JANUARY 11, 1999
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 SHED IN REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to THOMAS ANDREJACK
(OWNER)
of the aforesaid building.
SUFL~)~KCODNT~ DEPAI{TMENTOF~aLTHAPPROVAL
~.eCTRICAL ~TIFICATE NO.
pLI~S c~KTIFI~ATION DAT~
N/A
N/A
N/A
or~ed Si~ature
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. 25465 Z
Date JANUARY 11~ 1999
Permission is hereby granted to:
THOMAS ANDREJACK
PO BOX 349
CUTCHOGUE~NY 11935
for :
INSTALLATION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA
AS APPLIED FOR (RELOCATION)
at premises located at 305
County Tax Map No. 473889 Section 083
pursuant to application dated NOVEMBER
Building Inspector.
OLIVIA LA
CUTCHOGUE
Block 0004 Lot No. 005
6 1998 and approved by the
Fee $ 35.00
Authoriz~f Signat~r~
ORIGINAL
Rev. 2/19/98
· TDWN '~8 F SOUTHOLD
B~LDING DEPARTMENT
765-1802
~PLICATION ~R CERTIFICATE OF OCCUP~CY
A. T~i'S application must be filled fn by typewriter OR ink and submitted to the buildir
inspector with the following: for new building or new use:
1. Final su~ey of .property with accurate location of all buildings, property linea
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~)
3. Approval of electrical installation from Board of Fire Unde~iters.
4. Sworn statememt from plumber certifying that the solder used in syst~ comtains
less than 2/10 of i% lead.
5. Co~ercial building, ~dustrial building, multiple residences and s~ilar buildi
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requir~ents.
B. For existing build~gs (prior to April 9, 1957) non-c~nfo~ing uses, or buildings a
'.'pre-~isting" land uses:
~=~y o~ prup~=ty ~o~g gz~p~~ str~t~, ~i~i~g ~n~
t.
Accurate
unusual natural or topographic feB~ ~ % ~!
2. A properly completed appllcatlo~ ~ to zn%~t slued by the appiican
If a Certificate of Occupancy is %~8~, the g~n~l]%~Bpector shall state the
r~o~ tn~r~or i= ~iti=g to t~,~5~f~tl'~'~
C. Fees ~ ~, ~:'~ p~f
. t- ~~. ~ 'i.D~b'
Certzficate
of
,o
~terations to dwelling $25.00, Swi~i $25.00, Accessory building $25.00,
Additions to accesso~ building $25.00. Businesses $50.00.
2.Certificate 'of Occupancy on Pre-~istin~ Buildin~ - $i00.00
3.Copy of Certificate of Occupancy - , .259.
4.Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00
Health Dept. Approval ....................... . . . Underwriters Approval ......................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Co-g ,l?
New Construction ........... Old (Jr Pre-existing n J. .........
Location of Property .... ~...~. .... L1
House No. Street ~am~et 6~
County Tax Map No 1000, Section .............. Block ........... .. .. . Lot .............. . . ...
Subdivision ........ ......Filed Map ......... . .. Lot ...................
Permit No. Z~.~..r..7~--...Date Of Permit ................ Applicant ..........................
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
July 27, 2000
Thomas & Catherine Andrejack
P.O. Box 349
Cutchogue, NY 11935
RE: 305 Olivia Lane, Cutchogue,
TO Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25465-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
FIELD INSPECTION REPOP. T DATE COPII4EbI~S
fl
II
ii i'l
CODE #. iI'
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ]ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN/SULATION
[~F!NAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
\
\
sf~epared in accordance w/Ih /he
dards for titl~ .~'~rvey$ (s
~ t~ ~:S. ~d op~oved ~d o~pled
su~ use ey The New Y~k S/ate L~d
TII~
TOW
SUFI~
· FOI~I NO.
TOI~ OF SOUTHOLD
BU ][LD][I'IG DEPARTI~IiT
TOM HALL
SOUTHOLD, N.Y.
TEL: 765-1802
DisapproVed a/c ..................................
· '" (lhilding In.tot)
a .~flris app
APPLICATION FO~ BUILDING PEP~IIT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLABS ...............
SURVEY ......
SEPTIC FOIllt .................. .
MOTIFY:
CALL ..................
HAIL TO: ....................
Dr~I~N,.O.R. ,C.O..N.S. TR.U.C?.Q.N.E.R.R.O.R.S. .
I. Locacioa of la~d o~ ~hich proposed .~Ork?ill be do~e .........................................
OL I '¢1~
House limber Street
~ .... .¢.. ......... ~..~ ...........
Co~nu] ~x t4ap ~. lOgO jec~ion .... ~. .......... ~tock
s~ai~i,lo~. ~d~¢P.6/a E.. ~E~. ~..¢~.. .......... m~a m~ ~ ................ ~o~ ...............
2. S~[e exis£in8 use and occur,. ~y_ o~ premises a~d in~ended use and occul~r~'~ of prOl~-¢
~. ~ .~ ~ ~ ...... ¢./.~ .................. : ....................... , ..............
' E
~. ~ ~ ~ o~ ....~ .~.....b. ...............................................................
1 FOUNDATION - TWO REQUIRED
~ IN:)URED CONCRETE
~.. ~ - F-RNdlNG & PLUMBIN£
So INSUtAllON
4. FINAL - CONS'rRUCTION MUS-
SE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE: N.Y.
~,TATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
,licatia~ must be caupletely filled in by type~iter or ir, iuk and ~!_h-icted Co the lhildiu~ Inspector ~-i
3 sees of plans, accurate plo~ plan £o scale. Fee according to schedule.
b. PloC plan sho~iug locaCio~ of lo~ a~d of buildiu~s o~ pr~ises, relaciouship ~o adjoiniu~ premises or public
streets or areas, and §iviu~ a detailed description of layout of proper~y u~ be dra~u o~ the dia~ ~aidn is par~ of
~his applicacioa.
c. 'I1~ ~ork covered by chis applicacio~ my not be cartrenced before issuauce o[ lhildi~ Pemit.
d: Upo~ approval of chis application, r_he lhildi~g Inspector ~ill issue a Buildi~ Pemi~ to the applicant. Such
pemit ~hall be k~pt c~ flue prendses available for inspectioa Chrout~hout
e., No buildiu~ shall be occupied or used iu ~ole or in part for any pculX~ ~hatever ~mlil a Certificate of
Occupar~y ~hall have been gran~l by flue Buildiu~ Iuspeccor.
APf~ICATIiI~ IS I~I~B¥ ~ co ~he liuildiu{~ Departure for ~he issumace of a Buildiug Pemlt pur~a~ Co ~he
l~ildiu~ Zooe Ordiuance oi ~he To~ of Souchold, Suffolk Cou~Vy, ~ York, and o~er applicable La~, Ordi~.s or
l~ulacio~s, for the o0usC~ucCiou of buildiu~s, ~ddi~ious or al~era:io~s, or for re.va1 or ~lkiou, as hereiu
described. 3he applicant ~lrees ~o _~m21y ~rkh all applicable la~$, ordinances, buildiu~ code, housiu~ code, a~d
regulations, a~d Co ~t~i, aur_horized iuspec,or, o~ premises a~d i. buildiu~ lot.necessary// iuspec~ic~s.
' u,~,-~ ~Z~.~z ....
...&...:.: .............. ...........
~l/a~hul~ ~4~ess of ap~icimt)
State ~heCher applicant is o~er, lessee, a~eu£, archi~c£, engineer~ Eeueral contractor, electrician, plumber or builde~
......................................................................................... N~PJ~/[D iS fl~f~ ..........
...................... .........
Nau~ o fourier of premises . .
If applicant is a corporation, signature of duly. au[~ized officer.
OCCUP,A'CY OR
] INSPECTIONS:
I0.
II.
I~o
I~.
15.
ltature of ~ork (check ~tdd~ appltcable)~ ~ l~ildt~8 .......... ldditto~ .......... ~ter~ti~ ...........
~ir ............ ~1 .............
~sti~t~ ~st ........... L ............ ~ ..............................................
(to
If gara~, ~r of ~rs
ea~ of ~ .... ~ ......
I~ ~t~se, ~mlal ~ ~ ~, ~i~ ~e ~ ~enC of ~ .........
z~ z~ . ~ ~, ./~ ...
I~i~t ~ /0 ' ~r of Stories .... ~. .........
Dt~nst~ of ~ sC~ ~th alteratt~s or ~itims: ~t ............... ~ar ...............
~p~h .................... ~i~ .................... ~r oi ~tories ...............
Dl~nst~' of ~i~o~ ~ ~st~tt~
~ oE lot. ~t ...............
~e of ~a~ .....................
~ or ~ district tn
~s ~ ~t~ti~ violate
~ill 1o~ ~ ~ ...... ~P.
~ of ~it~ .............................. . . . . . . ~ss ............................. · ~ ~ .... , ..........
PLOT OlAClblH
locate clearl7 a~d dlsti~ctl7 all bullfllr~s, vherher existing or p~o~osed, and i~dicate ail set-back dimensions
i~ro~ert7 lines. ~iwe street ard block ember or description accorfling to de~, an~ sho~ street r~nes and indicate
~hether interior or corner lot.
,~ i, u,~ ...... ~~ ................................................................................
(~tr~tor, ~n~, co.rate officer, e~c.)
of ~id ~r ~ ~rs, ~ is ~Iy ~t~l~ to ~rfo~ or h~ ~f~ ~ ~id ~ ~ to ~ke a~ file this
.~lication; ~at 811 sCaC~uiits c~tat~ i. ~is .~li~ci~
a~at ~ ~ ~ill ~ ~r~ in tim ~r ~t forth in ~e a~li~ti~ fil~
~m to ~fq~ ~ ~t Y /
.... a ............
~D'2~i~ ..... ' ':z:-': .......... ~':~ ..........
~~A~ (S~m of A~lx~t~
deposes ar~l ~s that b~ is tie applicaat