HomeMy WebLinkAbout24738-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26325
Date: 03/15/99
THIS CERTIFIES that the building ALTERATION
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. --
oonforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 5~ 1998 pursuant to which
Building Permit No. 24738-Z dated MARCH 2, 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 ALTERATION/RENOVATION TO AN EXISTING COVERED PORCH AS APPLIED FOR.
The certificate is issued to DENISE A. MARKUT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
lding Inspector
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. 24738 Z Date MARCH 2, 1998
Permission is hereby granted to:
DENISE M ANTIGNANO
5745 ALVAHS LANE
CUTCHOGUE,NY 11935
for :
CONSTRUCT AN ALTERATION/RENOVATION TO AN EXISTING COVERED PORCH
AS APPLIED FOR.
at premises located at 5745
County Tax Map No. 473889 Section 101
pursuant to application dated FEBRUARY
Building Inspector.
ALVAHS LA CUTCHOGUE
Block 0002 Lot No. 015
5 1998 and approved by the
Fee $ 75.00
~/di~g Inspector
ORIGINAL
Rev. 2/19/98
Form No. 6 [,-~ ~ ,
/~PLICATION FOR CERTIFICATE OF OCCUPg2,ICY
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 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
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 applicant.
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, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
' 2. Certificate of Occupancy on Pre-existing Building - $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-exzsting Buzlding...~ .....
Location of Property .............. ~ ....... · .........
House No. Street
Onwer or Owners of Property ........................... ? ......
County Tax Map No i000, Section...J. PT- Block O~)O~-- .... Lot. .~/.~. · ·
Subdivision· . Filed Map Lot~..~.... .......... . ...
Permit No..~..?..7..~...~....Date Of Permit.~. ~.~-7.?~- ..... mpplican~ ~.~ .~-~...~..g3~..~ ....
Health Dept. Approval.......... ............... . Underwriters Approval .........................
Planning Board Approval ........................
tifi ..... 1 · · ·
Request for: Temporary Cer cate ...... Fine Certicate ........
Fee Submitted: $. ~'~- .......... ~-
t
t,¢o -.3
'~b C.
FORH NO. I
TOWN OF SOUTIIOM)
BUILDING DEP&RTHENT
TOWN IIAI,I.
SOIITI1OLI). N.Y. 1197 !
TEl.: 765- Ig02
BOARD OF IlEAl,I'll
3 SETS OF FLANS
SURVEY ........................
CI1ECK .........................
SEPTIC FOP. iq ...................
HAll. '1'O: ....................
^PI'LICATION POI{ IIIIII.I)]NG I'ERHIT
I NSTEUCTIOHS
a. 'Ibis application rmast be coq)letely filled in by typewriter or in ink a~l snlnitted to the ~dldin~ I.Sl~ctor will
3 ~ts of plans, ac~rote plot plnn to ~ale. F~ acco~lin8 to
b, Plot plan ~i~ l~ati~ of lot a~ of l~ildit~s ~ pr~i~s, relation~dp to Mjoining praise, nr
struts or areas, nmi ~[vi~ a ¢~tailed ~:riptlon of loyont off pro~rty .~mt I~ drm~ ~ the dlagr~n Odch is imrL of
this appl ic~ti~.
c. 'lhe ~rk c~r~ I~ this npplicati~m vny ~t be com~ed before ismm~e of l~dldi~
d. UlU~ a~nl of this al~lfcatlon, the IVfildinl~ ]nslmetor will ismen ~fildlng Pc.alt to the npp~cm~t.
e. ~) Ixfildisql ~mll be ~copled or u~l in dg~le or in lmrt For nny lX"'l~)~ dlnt~er IinC{] n (~rl {f{ca{e
~t~y ~mll have I~n gr~nC~ by O~ Ikli{d{,~
Ikdldjng Y~ ~{~u~e of tie q~ of hltl~ld, ~fffolk ~mty. ~ York..t~ oilier n~licable l~s. (~dlnn~es or
~scril~l. ~1~ 8pplic~t ~s to co~ly with ~11 ~dicMde l~s. ordi~,~es, l~dlding c~. ~slng cede,
red, lucius, m~ to ~}~ ~fl~rl~ insl~tors on pr~.i~s m~ in ~i~ng for ~cessary h,s~tions.
(Sig~mture of a~llca0t, or ~, if a cor~ratlon)
(~ilt~B ~lress off .~l leant)
State v~etl~er applicant is orator, lessee, agent, arddtect, engineer, geoeral eoatractor, electrician, plt~t~r nr I~lihler.
(as m tbe tax t~ll or latest de~)
If applicant ia a cor~ratitm, si~U~re of duly ~tt~)rlz~l officer. ~
............ : ............. ; ...... : ............ 0CCUP/tNC¥ OR ~i,
(N:~ne alii t~tle of torpor, te officer)
USE IS UNLAWFUL
,,,l~.~a ,.ice~ ~ .................... ~*HOUT CER : '
P ~,~[s "¢en.~ ,o ............... ~..= ~.._... TIFICATE
. ' ' ~ ~ uuuu~ANCY , ~.
El~tric]~s l,ice~ ~ ....... ~ ........... ,
OLI~r '~'~ Licen~ ~...~ ...............
4. FINAL -
SE COMPLETE:FORC~O,.
{. [/acat~<~ of ]a~{ ~ ~l)ch pro~ ~[k ~]1 ~ (~ .......................... AL~ ,~NSTR~ .~ ~.
THE ~UIREMENT~ OF
................................................................................... S 7~'~ .'~b~TBUCTION. & .ENEBGY.
i~ ~i~r Strut CO--ergOT RESPONSIBLE, FOR '
D~ ~ONSTRUCTION ERRORS'
Afl~ivisi~ ...................................... F{led ~p ~ ................ l~
(~)
2. State exiati~ u~ at~ ~y off lm~ni~s~ ~ ~~ ~at~ intetxI~l uae al~ ~cu~ ~ff~,°f pro~ c~ml'~ct ioa:
b. ]nte~l u~ a~l <o~t~ ... ~ ............................. W',3D' '~ff$~l ..........
I0.
Il.
16.
3. 1o~tme t}f ~otk (cl~'~d( which aF, Pllcehle): ~ Ikdldin~ .......... ~kliti~ .......... Al~era¢ion .....
~a prnl~l ~mt~ti~ viclate any ~dn8 1~, orditmt~e or resulati~: ..... ~ ...............
·me or: Arddtecr ............ i ........................ ~lre~s .............................. 1~ ~ .............
~s~e of (~mt:rac~or ........... ~ ........................ ~klreas ............................... I~la~ ~ .............
PI.OT I)IAGRAN
xAmtlmr interior or cot;mr
v~k~ '}' '~,~/~)~'~' ~+~ 2': .... ~'" - :' T" T" ~ ................................................
o~fl~$~ll)K~, a~li}s~thl[~au, iO[l[q Lo I~rfotm or havo i~rf'orued the ~id turk taxi to n~ke a~l file this
application; Um(; atl stato~eHt8 c{a~talm~d in this appl [cation ate (n~ to the I~sc off his ks~l~lge
that: the ~n'k wltl I~ i~r[ontml ht [he n}lnt~r ~l: forl.h i. the appLica.m, filed tl~r~ith.
............ ........ .....
ROBERT L. HUBBAR
8~ JOIDA HUBBARD
N. 56 ° £8'20'E.
"z,~,,~,
r
s. 56°28'2d'w.
N/O/F
JOHN FORD
,~ LOUVIN1A FORD
WILLIAM H. MASTON
MASTON
528.22'
:co~c s~kv£¥ons
516) 7651-5020
O. BOX 909
AIN ROAD
9~THOLD, N.Y. 11971
N.Y.S. LIC. NO. 49668
ENGINEERS~ P. C.
N~
VILLAGE
OF GREENPORT
Prepc~red ~n °CCordc~nce Wit~ the minimum
stc~ndards fcr ~ifle su~ey~ ~s e~ablished by
the L I.A. L R and approved and adopted
for such use ~ The New York
~ifle ASSociati~. 5tote Land
517. 50'
DOMiNiC
SURVEY FOR
AND DENISE
'AT CUTCHOGUE
TOWN OF SOUTHOL[r
SUFFOLK COUNTY,
lO00 - I01 - 02-
SCALE !"= 60~
NOV. 15, 1985