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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