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HomeMy WebLinkAbout24153-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25149 Date JULY 22, 1997 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 650 CROWN I,%ND LANE CUTCNO~UE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 2 Lot 12.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated RAY 6, 1997 pursuant to which Building Permit No. 24153-Z dated RAY 28, 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 ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 LOUIS F. & ANNE M. CUTOLO N/A N/A l~in~ InsplCt o~~ I~O'RM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ,AUTHORIZED) N.° 2t153 Z Permission is hereby granted to: ,o ..~,:.'..~ ......... ~ ....... ~.~ ~.z'.~.~.~' ....... ~ ........... ~...,::~... ....... .~,~........~.~...~ ........ .~.~ ........ :..~.../../....~../.,_~.,/, ....... ~ ................................... / County Tax Map No. 1000 Section . ./...~..~.. ........... Block .......~7~ ......... Lot No....~,'~,,'~..%..'~. ...... ,,-r, uont ,o ~,,~,,o, ~,~ .... ~......~.~ .................. . "~Z~"~-- ~,o,~ ~, t~. / Building Inspector. Fee $.. ,~.~ .... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 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 'Tpre-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 pooi $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 - 4. ~Updated Certificate of Occupancy - $50.00 5. ?~emporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......................................... New Construction ........... 01d Or Pre-existing Building ................. ..... Location of Property.~.~..O .C~.%w~...~.O.~...~.~...~.~r.~.~.~.~...~.~--. ~ · *~ .......... House No. Street Hamlet Onwer or Owners of Proper ................... County Tax Map No i000, Section .... f.~.? ..... Block .... .~ ......... Lot.../.~. ~. .............. Subdivision......... ..................... .. .... Filed Map ............ Lot ...................... Permit No..~'~.~. .~ .... Date Of Permit...~/.~..../.... ..... ~ ~.~..Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .......... Fee Submitted: $ ............................... 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: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. k 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. Pees 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property ......................................................................... House No. Street Hamlet Onwer or Owners of Property .................................................................. County Tax Map No i000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... ~Fee Submitted: APPLICANT Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 27, 1997 Louis F. Cutolo 650 Crown Land La 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 CertificateJOccupancy is not on file. (Enclosed) No Underwriters Certificate on fil~. / 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 # 24153-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-].802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ].ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN'ION [ ] FRAMING ~*~INAL REMARKS: ~/~ ~-~ INSPECTO~~ ~ PORt'.t NO. I TOI4N OF SOUTIIOI,D BUILDING DEPA RTl'lENT TO~N NALL SOUTtIOLD, N.Y. 11971 TEL: 765-1802 Examined ..... Y Disapproved a/c ........................... (Boildi~/~spec~/~r) APPLICATION FOR/BUILI~[NG PF, RNIT INSTRUCTIONS BOARD OF IIEALTH ............... ~-3 SETS OF PLANS ............... BURVEY ........................ CNECK ......................... SEPTIC FORM ................... NOTIFY: HAIL TO: a. 3hi8 application rammt be coapletely filled in by typevnriter or in ink and suhnltted to the {hi{Id{ns Inspector witt 3 sets of plans, accurate plot plan to acale~ Fee according to sd~edule. b. Plot plan ~h<xving location of lot and of hdldings on pramises, relationship to adjoining pram{sea or {~blic str,eets or areas, and giving a detailed de~cription of layout of property mast be drawn on the diagram ~dd~ is part of this application. c. llm ~ork covered by this application my not be ccrmaenced before issuance of Building Permit. ~ d. Upon approval of tiffs applicatlon, the Building Inspector will ismma Euilding Pennlt to the applicant.. Sud~ permit shall be kept on tlm prouises available fnr irkspection thronghont the e. No building sl~all be ocoq)ied or used in wt~le or in part for any purpose ~mtever until a Certificate of Occupancy shall have been granted by tim lkfilding Inspector. APPLICATItlq IS HRRRI~ ~ to tl~e l~dlding Ueparl~ent for tim issuance o{ a Building Permit l~rseant to the l~ilding Zone Ordinance of tlm To~n of Soathold, S~ffo~k County, Ne~ York, and otlmr applicable La~s, Ordim~aces or P~gulations, for tim construction of beildlngs, additions or alterations, or for removal or demolition, as t~rein ~eseril~d. 'llm applicant agrees to cc~ply with all applicable laws, ordJrmsees, boilding cede, boosing code, ~] regulations, and to admit antl~orized inspectors on pr~alses ~ in building for nccesser~ inspections. ..... ............. (Signature of applleant, or nam, if a corporation) (~lailing ~klress =============================== .... OCCUPANCY OR USE iS UNLAWFUL ~ Bu.~s .ca.~ No ................. .W.~THOUT CERTIFICATE, Fl~s.~on~ No .................. OF'OCCUPANCY Electricians License No ...................... State ~lmtlmr applicant is o~rmr, lessee, agent, architect, engieeer, geserat contractor, ~[~.~:~]~l~or beilder. ..................................................................... (as ~ the ~ mH or laEesE ~) 76~-1802 g AM TO 4 PM FOR THE '~ a~licaa~ is a ~raEi~, si~ o~ &dy ~El~riz~ officer. FOLLOWING I. FOUNDATION - ~O REQUI~ED FOR POU~ED CONCRETE 2. ~OUGH - ~AM~NG & PLUMB[N~ 3. IN8U~TION 4. FINAL - CONglRUCTION MUST BE CO~PL~E FOg g.O. ALL CON~flUCTION 8HALL MEET THE flEGUI~EMENT8 OF THE N.Y. STATE CONSTRUCT{ON & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROR~ Orl~r ~Y~% Licen~ ~ ..................... ' >Z,~ d~,,~ /~/n' ) [~ ~r St~t l~]et /~ ~~. ~ ~ ...:.~. ........ ~ .......... ~ .... ,... ...... hfl~tlvisi~..... .... .. Fil~ ~p ~ l~t .............. 2. State ~sti~ ~ ~ ~m~y of ~i~s ~ inte~ ~ aM ~ of ~ emst~ti~: .. - .................................... b. Int~ u~ a~ ~ .......................................................................... 15. 3. ~ltutu ol' ~n)~l~. (dmck wJlic. Jl applicflble): I'L~a Ikdhling ~klition . I . Alterution (Io 1~ fid (al fil nI t If garsae, matlmr of cara ...................................... i ! 6. If Inmincaa, t~u~rclal or ml~l ~:oqmncy, nisei~ ~mture m~l exten~ of each ity~ of u~ ...................... 7, I)i.~n~itma o~ ~[s~ing a~rncturea, J~ a[W: Frt~ ................ l~ar ....... I ........ l~l)llt ................. l~i~tt ......................... ~a~i~r o~ SLoriea ...................... l)inen~i~m o~ am~ stn~t~Jre ~Jtit fllterati~ma or ~kliriona: Fron~ t ~a:~ of ArddtecL .................................... &klreaa ............... ~ ............... I5~ ~ ............... Incate clearly as~l distinctly all IAd'l(liugn, tiLetlu~r exlating or pro[~, fl~ frm~ i)rol~rry lt,~a. Give $t~t a~ bl~k n~d~r or ~acripti(m according to ~ ~dmtlmr inrerlor or corer lot. l~llcate all ~e£-Imck dimensions a~l sh~ street ~nen alii i~licate gI'RIE ()ir ~,l,.'l{ *filL{K, (~m} of im.iividtud ~ignii~g contract) t Ik~ in I.he ~ II,retractor, agent, corl~rnte officer, etc.) npplicntion; thnl: nil nLUIOIWIIL8 (:oiKait~d in Illin nppl icat ion fire Ilmt the ~)lk ~itl Im imrl:on~l tu the n~lu,~r ~t I~rLh in I.hg appllcatiosl fil~ I:lm~ith. ~).l Lo Imfore n~ Ihia ' Q ;~( EUZAEETH ANN~EVILLE (Sig~mture of Al~)l icent Notm~ Public, State of Kew York N~ ~2-.~12~50, Suffolk Co~ ]3xm E~k~res October 3~, TITLE ~C~O. ~HI~ALTH D£P~, APPI~OYAL, · S. N O-. I,--,,, ~E~ST HO~E SUrf, CO. DF~:0? qEALT~t,.~IC~ STATEmEnT OF INTENT J u~ ~UOT~ CORP. J