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Home My WebLink About24105-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y.. CERTIFICATE OF OCCUPANCY NO Z-25090 Date JUNE 19, 1997 THIS CERTIFIES that the buildin~ RENOVATION Location of Property 1435 FAIRWAY DRIVE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 5 Lot 14.28 Subdivision 'Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 22~ 1997 pursuant to which Building Permit No. 24105-Z dated MAY 8, 1997 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 STOOP RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VICTOR & CYNTHIA BOZUHOSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 FOB,~r NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ~THIS PE~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE wORK ^UTHOPJZED) N.° 2 105 Z County Tax Map No. 1000 Section .......... ../'...d?...~.... Block ........ ~ ....... Lot No......'~....~(..~..'~....~... pursuant to applicntion dated .............. ~....~T.....~W. ....... , 19.~.?..~,., Fee $.....~..~... and approved by the Building I rtspec/t,~ Rev. 6/30/80 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 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 '!pre-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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cormmercial $I5.00 ate .L : 2 .............................. New Construction ........... Old Or Pre-existing Building ................. House No. Street Ha~et On.er o~ O~a~s of Property County T~ ~ap NolO0, Section . .. ...................... Permit No ................ Date Of Pe~it ..... ~ ....... Applicant. ~ ......... ' ......... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval . . Request for: Temporary Certificate ........... Final Certicate .......... 33 ........................ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 12, 1997 Victor & Cynthia Bozuhoski P.O. Box 75 Cutchogue, N.Y. 11935 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 # 24105-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]/J~ULATION [ M FINAL ] FIREPLACE & CHIMNEY DATE INSPECTOR N LOT ~. 88°~9'20' woom wA Y LOT ,or ~ FAIRWAY FARMS" FEB. 16, I~74 FE..E NO. 60C~ T' CUTCHOGUE TOWN OF SOUTHOLD, SUFFOLK COUNTY, 1000 - 109 - 05 - 14.28 26~69' GARYJACQUEMIN AIA ARCHITECT 21 E. 2ND ST. RIVERHEAD NY 11901 T 516.369.8630 F 516.369.9203 STOOP RENOVATION APRIL 15, 1777 BOZUHOSKI RESIDENCE 1435 FAIRWAY DRIVE J/~/~/~%~'~SHEET 1 OF 1 cu~c,oou~, ~y 1 FORH NO. TOI4N OF SOUTEOLU BUILDING DEPARTIiENT TOI~I ltALL SOUTHOLD, liLY. ] ]97 ! TEL: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... gEPTIC FORH ................... NOTIFY: cAL .. ZT/. llAIL TO: .................... Otter Trade's License No .................. FOLLOWING INSPECTIONS: ~i, FOUNDATION TWO 9E(~U~RED FOR POURED ~NC~TE Z ROUGH - FRAMING A PLUM~G 3. ~NSULATIO~ B~' COMPLETE FOFf aLL CON~'FRUCT~ON SHALL T~-~E ~EQU~REMENTS OF THE S'17~TE CONSTRU~ION & ENERGY !. Lo~atioa of land on ~aich proposed ~ork will be clone ......................... ~,.a.~E;~,. · a~; · ~E~NS~E' ' ~ ' . ~ ...... ~~, ....................... -., ..... ................................... ............................... ~ ~r ~eL , ............. 2. S~ate ~sti~ ~ ~ ~ of ~i~s ~ inte~ u~ ~ ~ of ~ 8 ...... a. ~st ~ ~ ~ ............................................ Electricians Licer~ No ..... ara title of eorporete officer) ........... 0CC[~PA~CY WITNO[IT CERTIFICATE ~il~rs Lic~ ~ .......................... 0F OCCUPANCY INSTRUCTIONS a. Ibis applicatian mast be completely filled ia by typ~itor or in ink and submitted to the B~ilding Inspector with 3 sets of plses, accurate plot plen to scale. Fee aeeordit~ to schedule. b. Plot plan sho~ng lseatien o£ lot and of buildings o~ premises, relatienship to adjoining pr~nises or publlc streets or areas, and givi~ a detailed'descriptien of layout of pro~er~y r~st be dra~ oo the dia~ra~ ~icb is part of this applicatien. 'c'. Ibc ~rk covored by this application v~y not be ¢omnaeced before isle of B~ilding Pe~mlt. .d. Upon approval of this application, the Building Inspector will issue a .Building Pe~nit to the applicant. ~ch penalt shall be kept ou the premises available for inspection thronShent tt{e ~ork. e. No building shall be occupied or used in ~iaole or in part for any l~rpose ~hatevor ontll a Certificate of Occupancy shall have been granted by tim Building Inspector. APPLICaTI¢I~ IS I~¥ ~ to the Building Departaent for the issuance of a Building Permit parsu~t to the l~ihling Zone Ordlnence of the Toga of ~onthold, a~ffolk County, I~ York, and other applicable l~s, Ordinenees:or Rngulatians, for the coastmction of buildings, a&litions or alterations, or for reaoval or demolition, as herein described. The applicant ngreas to c~aply with all applicable la~s, or,ii, aces, building cede, housing code, and n--gulatians, and to adait authorized inspectors on premises and in buil~ling for necessary inspections. .... ................ (Igailing address of'applicant) State ~5ether al~lieant is o~or, less~, asant, ardaitect, engioner, ~eneral centractor, electrieien, plt.~ber or builder. F 3. t~;Rere of ~rk (cl~ v4dch apl)l~cab e); ~ Ikfildi;~ .......... kkliti~ .......... Alteration .......... { / If garage, I~{~r ef car8 .... { ................................ 8. I)i.~n~i~m of eetire r~ ~sC~t~c~: l~t ................ ~ar ............... ~pLh .............. Kmi~r of Stories 15. Is this p~rty wlthio ~ fe~t of a ti{hl ~tla~? ~ ~ .......... ~) .......... PI.OT DI AGRAH l~:ate clearly m~ di~ti~tly fll ~ildi~s, ~tlmr existi~ or pro~, m~ i~licate ali ~t-t~ di~nsions f~n proimrty li~s. G{~ st~t an bl~k ~mtmr or ~seripti~ ncco~ing to ~, a~ M{~ ~tl~r interior or co~r lot, 'p~ ~ , of said (~r or ~rs, {sKi is duly ]nillhorJr~l fo lerfonn or have i~rl'o[awM' the said ~rk sial LO n{lke OiRI file this appl icatioa; thai: all stato~nte o~t]ait~ in this al~)lic:ati(~ are the Lo Lhe Imat of his klx~l~ that the ~)[k ~i[l I~ ~rron~l lo ~ forth in Lhe application fi]ed tlmr~id~. ~iRnature of Apl~Cant) HELENE D. HORNEj Notary Public, State of New York No. 4951 Qualified {n Suffolk CoQntv Commission ExpPos i~,%y