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Home My WebLink About24952-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26141 Date: 12/02/98 THIS CERTIFIES that the building NEW BUILDING Location of Property: 11165 CR 48 (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 1 Lot 2 MATTITUCK Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 1998 pursuant to which Building Permit No. 24952-Z dated JUNE 11, 1998 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 AGRICULTURAL BUILDING AS APPLIED FOR. The certificate is issued to HENRY M RUTKOSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A 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. 24952 Z Date JUNE 11, 1998 Permission is hereby granted to: HENRY M RUTKOSKI 18275 MAIN RD MATTITUCK~NY 11952 for : CONSTRUCTION OF AN AGRICULTURAL BUILDING AS APPLIED FOR. at premises located at 11165 County Tax Map No. 473889 Section pursuant to application dated MAY Building Inspector. CR 48 108 MATTITUCK Block 0001 Lot No. 002 8 1998 and approved by the Fee $ 50.00 in~ Ihs~ctor ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION.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 D~pt. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 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. 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, u 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. .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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - '~4. Updated Certificate of Occupancy - $50.00 5. Temporary Certific~te of Occupancy - Residential $15.00, Commercial $15.00 ~/~ Date .............................. · ........ . Old Or Fre-existin u lding. House No. Street Hamlet twer or ........ /~ / Lot ~u SectSon ........ Block ............................... ;bdtvSsion ...... ~,[~ ....................... F~led Hap ............ Lot ...................... ~quest for~ Tomporary Certificate. · F~na~ Cert~ca~e ...... -. ....... ' '" .... Town Hall, 53095 Main Road P.O. Box 1179 SouthoId, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 4, 1998 Henry Rutkoski ' -'11165 C%R. 48 Mattituck, New York 11952 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 # 24952-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [~NAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE ~/~ ~ INSPECTOR ~/~.~ /i~ / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ,19~''~ ., 197~. Permit No ............ Disapproved a/c ..................................... APPLICATION FOR BUILDIhlG PERMIT BOARD OF HEALTH ......... SETS OF PLANS .......... SURVEY ................... CI1ECK .................... SEPTIC FORH .............. CALL ................... MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 of property must 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 Inspector will issued a Building Permit to the applicant. Such permit 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for nec~~...., ~~.. · ....... (Mailing address of applicant) State whether applicant is owner, lesse~chitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......................................................... (as on the tax roll or latest deed) If applicant is a cqrp/6ration, signature of duly authorized officer. Builder's License No. (.~..~,Td:~. T ~.~. .......... .I Plumber's License No.. J~ ................... Electrician's License No..~.//~. ................ Other Trade's License No. ~./~w ................. 1. Location of land on which proposed work will be done .................................................. · ..................................... 2 zz. z .................. House Number Street Hamlet County Tax Map No. 1000 Section .... /~.~. ......... Block ...l .............. Lot...~.. ............... Subdivision ..................................... Filed Map No. ~ ... Lot .... ~ ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~].~..~.....~4~..~Z~. ............. ~ .......... ................... b. Intended use and occupancy ..~. ~..t~O.- .~[.4Q'/.. ~--~..~..~. ............................... 3. Nature of work (check which applicable): New Building ....... Addition .......... Alteration Repair .............. Removal .............. Demolition .............. Other Work..~ ............. m t ,~b,~/~) /x,,~,,~, (Description) 4 Esti a ed Cost ~c.~.,Ic,~:d,~ Fee (to be paid on filing this application) ~If dwelling, number of dwelling units ·..."T. ..... ~ Number of dwelling units on each floor ................ If garage number of cars .... , ~.' Ifb ' ' ...................................................................... umness, commercial or mixed occupancy, specify nature and extent of each t e of use ..... .,,~ / ...... - YP ............... ,y~ unnenmons of existing structures, if any: Front... ,~.., ........ Rear % '"...~.. '- Depth .~ ...... -- Height . ~....-7.... Number of Stories..v ........... ? ......... Dimensions of same structure with alterations or additions: Front . ':7 .............. Rear . .~ ........ Depth ..... ~. .....~- .......... Height ...w:.'~.;;~ .... ~ ....... Number~ofStories .... ~.~ . . 8. Dimensions of entire new construction. Front . .'/~ .d_D ~ n~o~ qO r~+u ZJ~,'~ ...... Height ...... ~ ....... Number of Stories... ~ .............. , .... 9. Sizeoflot Front ~.~.. t Rear z/C>q' ...... 10. Date of Purchase . ~ .D/..}. ~ .................. Name of Former Owner . ~..".~0. ~__ . .Y.'. .......... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed constru, ct, jon violate any zoning law, ordinance or regulation: ./(,,~.~. ..................... 13. Wflllotberegraded ..~P_~-.~ ................... Will excess fill be removed from premises: _Y. es 14. Name of Owner of pre. m,[s~ . ~C~;>. ~,I~,~'~ ~.. Address ./(~TT'Z~'~-~ .... Phone No. Tfi~..~I~) .... Name of Architect . ~ .~ .......... Address ~::?)~. ~ .......... Phone No.. 7.~.. ~/.'.~. .~.~.~..... Name of Contractor ./~tf;~¢~. ~ .......... Address ~'d).ld. K/-J .......... Phone No...7. .g.~.': .z/.~..(h,~.... 15. Is this property within 300 feet: of a tidal wetland? *¥es.~ .... ~ ...... *If yes, Southold Town Trus~tees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly ail buildings, whether existing or proposed, and~ indicate ~! ~et-back dimensions from prope~y Hnes. Give street and block number or description according ~o deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ ~ S.S COUNTY OF. ~S · ~.~. ~. i'. ~.~.7 ................. being duly sworn, deposes and says that he is the applicant (Name of ~ndividual signing contract) above named. He is the ....................... ........................................................... (Contracto~rporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me t is ............... , ........ day of..'~. ~ ........ , 19..~. ~-- H}~LENE D. HORNE ' · Qualified in ~u~olk ~ount Commission ~xpiros May 22, 1~ ~ ~ . OF: PP~OPEP~-I"r' ................. ............ SITUATE.- NIATTITUCK. NY,S OR L[C NO 50202 0 / GRAPHZC SCALE CERTIPIED TO: ROE~ERT RUTKOSKI 5DRVEY'EP DARN LOC. 10-22-q8 SUPPOLK COUN"Pr' TAX MAP lo00 108 I 2 NOTES: · MONUMENT FOUNO -0 ..... ~OODEN PENCE -x--x--x- ~IRE PENCE At;~J~A = 4.80 AC, RE5 REFERENCE # 98 :iOg