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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