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