HomeMy WebLinkAbout24686-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25621
Date: 04/01/98
THIS CERTIFIES that the building AGRIC. GREENHOUSE
Location of Property: 5745 ALVAHS LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 101 Block 2 Lot 15
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 29, 1998 pursuant to which
Building Permit No. 24686-Z dated FEBRUARY 17, 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 ACCESSORY GREENHOUSE IN REAR YARD AS APPLIED FOR.
The certificate is issued to DENISE M ANTIGNANO
(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
TOWN OF solar HOLO
BUILDING DEPARTMEN~
~OW~ ~
$OUTHOLO, N.Y.
24686
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OFTHE WORK AUTHORIZED)
Z
Date FEBRUARY 17 19.,..9..8..,..
Permission Is hereby granted to:
DENISE M ANTIGNANO
5745 ALVAHS LANE
CUTCHOGUE,NY 11935
t~ CONSTRUCT AN ACCESSORY GREENHOUSE IN THE REAR YARD AS APPLIED FOR.
5745 ALVAHS LA CUTCHOGUE
at premises located at ...............................................................................................................................
CounNTax Map NO..,., ,4..7...8.8...8.,.9. ..... Section .....1..0.~:, ............ Block ..... .0..0...0.5 ........ Lot NO...0..,1,.5. ...............
pursuant to application dated.....J...A..N..U...A...R,.Y.. ....... .2...9. ........................ 19 ...... .9...8. ..... and approved by the
Building Inspector,
Fee $ ......
( Building Inspector
Rev. 6/30/80
BLDG. DEPT,
TOWN OF SOUTHOLO
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 buildi~
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of ail buildings, property line~
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 buildp
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.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings z
Ppre-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 applican
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, Swizmming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .....................................
New Construction .... ~. ..... Old Or Pre-existing Building .................
Location of Property...~.Z?,~. ..... ~.L .~..-.g~. .... ~ ..... ~.6/~-~. H~a~[ .........
~ouse No. Street
Onwer or Owners of Property. .
County Tax Map No 1000, Section ..... )..~3.~ ..... Block.. (50 ~1_ .Lot ....
Subdivision Filed Map .... Lot ..
Permit No..~...% .'.~.~..'. ~-...Date Of Permit.. Jn.~. :.?~...Applicant..~.'..~..O~/S !G..-~. · ] ....
Health Dept. Approval.............. ........... . Underwriters Approval ................. ... .
Planning Board Approval .....
Request for: Temporary Certificate ........... Final Certicate ...........
.........
APPLICANT
C
·
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
//
,/
N/O/F
ROBERT L. HUBBARD
8{ JOIDA HUBBARD
N/O/F I
,JOHN FORD
~LOUVINIA FQRD
S. 56°28'20"W. ' ~/~¢ 528.22'
N/O/F VILLAGE OF GI~EENPORT
N.Y.S.
LIC. NO. 49668
ENGINEERS,
Prepared ~n ~CCordance w~th t,%
~andor~s fcr title m~n/rnum
s nd.approved and -
titl~ c se ~ T~e Ne~ Yo ~ ~ a~opted
Associati~. r~ orate Land
DOMiNiC
SURVEY FOR
AND DENISE
'AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY,
I000 - IOI - 02-~1~
SCALE !": 60'
NOV. 15, t9e5
FORH HO.
TO['~N OF ,gOIJTIIOLD
BUILDING DEF^RTHEflT
TOWN IIAI,I,
$OUTIIOLD~ N.Y. 11911
TEl.: 165--1802
BOAIH) OF IIEA1,TII ...............
3 9ETS OF PLAH$
SURVI~Y
CIIECK .........................
· ~;EPTI C FORH ...................
NOTIFY:
C^LI ...................
l'l^] l. TO: ....................
~.~p~. ,at,../.,.g9 ....... ,~g
TOWN OF SO~THO~
IHSTRUC'r lO~S
a. 'lhls al~licatilm m~st I~ c{a~lel, ely filled in by tyl~.~rlter or in ink m~l mflani~ted to the ~dlding Ins~clor with
~ sels aL pbms, aero,rate plot plan to ~ale. F~ according to sd~tule.
b. Plot plan d~i[~ l~ati~ of lot md of bdldi~s ~ praises, relationship to ~ljoiolng prmises or g~bllc
streets or areas, ar[1 giving a {htai]~ ~bscripti~ of la~t of la'o~rty mint I~ dr~) ~ the diagr~ O~icJ~ is l~rl: of
this a~licaCim.
c. 'lhe x~>rk c~ I~ this a~licati{a~ ~ *~t I~ cl~m~l l~fore ism~e of l~ilding Pemit.
d. lI~ air--al of thla al~licaclon, the IMilding Inslmctor will isstm a hdhling Pe~mit to the a~llcanr. Such
~mit droll 1~ kept ~ tl~ groni~s available for ins[~ction thmq~ont the x~rk.
e. ~ Ixdhli~ ~mll Im ~cx~pial or u~d in ~mle or in l~rt for any ~se Mmt~er until a {~rtiflcate of
(kml~rg:y ~all bare I~en grant~l I~ tl~ ~dlding l~s~cl'or.
All~/l(~'rl~ IS l~glfl~l~ }~g to tim I~dhli~ ~l~rbmot for the isam~e of a l~dlding Pemlt ~ramnr to the
lkdldlng ~ Ordi~m~me aL fl~e T~ aL ~thold, a~ffolk ~lnty, ~* York mxt oflmr applicable l~s, O~lim~tmes or
~t~ons, for tl~ amtxtim of I~dhli~s, mklitims or alterations, or for r~al or d~ml irio~ , as I Brain
~scril~l. 'lhe a~plicant saris to ca~ly wifl~ all a~flicable l~s, ordlm~es, laiilding c~e, Imsi~ c~le, a~
f~datlons, mxl to abaft ~tl~)riz~l ins~ctors r~ pr~nlses a[xl in I~Hhllng IBr [~cessary ins~etim~s.
(Si~mture of a~)licant, o~ l~m, i[ a corlx)ration)
(Hailing address of applicant)
SLate ~A~eLher appticant is tx~er, les.see, agent, architect, engi~oer, general contractor, electrician, ph~lmr or I~dlder.
................ O.w~.~ ..........................................................................................
(as on ~)~.~ tax ~)ll or l*H'est dee{I)
Il: applicant is a eoqx~ratlol~, sig~mture o£ duty auLIg>ri~ed officer.
USE lS UNLAWFUL
,~,~,~,~,~,,~ ,~,~.~ ~..., ........... ur.u~uraa~ ~. ,,s~
sO,er 'l¥~'s Licen~ ~ ..................... UNDE~RITERS CERTIFICATE 4. FINAL - ~ON~ M~
,~,~ , ~ / ~E~~C.O.
~ 7 ~ ~ ...~'~--s...--~z</. ~ ~ .......... ~ ,,,~ ,,~u,,~.,~ ~ ~,~.,.,.
............................. ~~ .~.~. ,.
lkx~m ~mt~r Street CO~tNOT RESPONSIBLE
~.~ co.s..~T,O. ~..o.s
{~,,.ty Ts~ ~,~, ~. m~ ~,~on .... [.G.( ...... ,,~k .... ¢.&. ..... ,~ .................. ' :r
~lxlivisim ...................................... Fil~I }~1~ ~ ................ la~ ...............
(~)
2. ~[a[e exi~tJIl~ [J~ all] ~CiI~ql~ aL premises atxl inte{xl~l use a~L~:cu~r~y of proI~l coustrocrion:
/~ ~ g. ~ ,, f~. ~/~..~. .
j. r'LHLIIu l)i ~a)~l~ (clw. ck MLi(:h nl~)illcnblo): I~.~ lkdhliflg ...... ~ldil[on ......... : Allelnl~on .........
,
,
PI,OT 1)T A(~RAH
I)hx:k r~ldmr or dem:ri[)l:[o{~ ~ccordin~ I:o deed, m~! 'd~cx,' sl:ree~: ~li~.~ nn<l irMieale
I
......................................................................... rix r e ,rr , - ~,, )
~
NOIB~ Publio, ~t~a Of Ne~ork
Qua n~
(Sig,~nh.e of Appli(:nul ) ~