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Home My WebLink About24553-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25505 Date: 01/28/98 THIS CERTIFIES that the building ADDITION Location of Property: 320 EUGENES RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 6 Lot 3 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 10, 1997 pursuant to which Building Permit No. 24553-Z dated DECEMBER il, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to JOSEPH PRILUCIK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO.?, TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24553 Z Permission Is hereby granted to: ........ ~.~.L ,.0. ~..S.~.~ ,..,A.~.~.J.~.,....~ ~..q,.C..Z. ~,), ............ PO BOX 708 ........ g,~,,C,~,,o,,q,U. ~, ,, EL, ~ A9. ,3,,,5, ..................................... to CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS ............ ~,%~E~.,,~,,O,~,,.~,,,~.O,,,,,C,,O,~ .......... ~,,C,~...,Z..%.~.S...,~,.q~.%? ........................................... 320 EUGENES RD CUTCHOGUE at premises located at ............................................................................................................................... Counh/Tax Map No ...... ,4..~..3.8..8..,g..... Section .....0..9. ,7, ............ Block ..... 9.0...0.,6. ........ Lot NO...0...0..8. ............... pursuant to application dated ..,..~..,o..v.,~,.H...~.~.~,.......~..O. ........................ 19 ...... ..9..?. ..... and approved bythe Building Inspeotor. 75 00 Fee $ .............. :.,,,,, .... Rev. 6/30/80 / ' i g peOT(M FORM NO, 6 TOWN OF SOUTHOLD , Building Department " Town Hall Southotdo N,¥, 11071 765- lg02 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in Wpewriter OR ink, and submitted I aa,,=aama to the Building Inspec- tor with the following; for new buildings or new use: 1. Final sulvey of property with accurate location of ill buildings property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-{S-9 form or equal). 3,Approval of electrical installation from Board of Fire Underwriters, 4, Commercial buildings, Industrial buildings/Multiple Residences and similar buildings and Installa- tions, a certif!cate of Code compliance from the Architect or Engineer responsible for the .building. 5.Submit PJanmng Board approval of completed site plan requirements where appl cable. B..For existing buildings [prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and ,condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: .1. Certificate of occupanc¥ $25;00 -- I~USINE£$ $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 ~. 00 3. Copy of certificate of occupancy $'5;'00, over 5 yeats 4.Vacant Land C.O. $.'20.00 5, upd&teC~ C. O? $"50. 00 Date . .N.o.v....5.,. ! .9.9.7 ............. / deck as built NewCons t, ruc bi on ...... Old or Pre-existing Building ............ Vacant Land ............. 32850 Main Rd Cutchogue NY Location of Property ·, House No. Street Ham/at Joseph Priluc:ik Owner or Owners of Property ' 97 6 3 County Tax Map No 1000 Section Block ' Lot Subdivision ................................. Filed Map No ........... Lot No .............. Permit No Date of Permit Applicant Health Dept. Approval ........................ Labor. Dept. Approval ........................ Underwriters ApprovalI ..... ................. : .Planning Board/~~-~'-/ / ............... Request for Temporary Certificate ..................... Fin~Certificate / ............... ~ee C"hmltted ~. ?.5. O0 . / /2 / ....... ; ......... ; ..... .... .......... ;. I/' . Construct,on on above descr,bed bu,ld,nrl and perm,t mee~plp~N~and regulations. n,~. 10.10.?e GARY FLANNER OLSEN, ESQ,' P.O. BOX 706 GARY FLANNER OLSEN COUNSELLOR AT LAW RO. BOX 706 MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE 516-734-7666 FAX 516-734-7712 HAND DELIVERED November 10, 1997 Re: Prilucik to Allen Dear Georgia: Enclosed herewith please find the following: 1. Building Permit Application for deck as built. 2. Application for Certificate of Occupancy for deck as built. 3. Survey 4. Check in the sum of $75.00 5. Diagram of deck as built. GFO:lmk Enclosures and $25.00. Very trul //GARRY fLAY iR OLSEN Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. [ ]/~ATION FINAL [ ] FIREPLACE/&~I~HIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [. ]~/NSULATION [//] FINAL [ ] FIREPLACE &CHIMNEY INSPECTOR 765-J,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2NO [ ] FRAMING [ ] INS/ULATION [ ~INAL [ ] FIREPLACE & CHIMNEY REMARKS: /~'~--~. DATE INSPECTOR BOARD OF IlEALTII ...... 3, SETS OF PLANS ....... 'FORMNO. 1 SURVEY ........ '- · ' TOWN OF SOUTHOLD CHECK · ......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLO, N.Y. 11971 CALL ................ , ,- , TEL.: 765-1803 MAI · ,' Exanfinea t : /. ~ z./ ~ i /. , , * '" ~ : [J'l ' .... ApprovedZ~/~...'..,19,..Pe~itN°'~ < ' , '-~]~{~ NOV ' 0 uisapprovca a/c ................... ,~ ............. " ~ ,, , TOWN O[SOUTHOLD' /~PPLICAll0N FOB BUILDING PERMIT : ' ' // ' .... " ' ~- 'N6'vem~er 5 ' '," 1~ 97 .. . . .. . ~ ~., .. . ua[e ........ ...: ..... :, -.:. , , , . . INSTRU~IONS a. TMs application must be completely filled in by Wpewriter'or in. ink and submitted, . to th~. Build'g. '. . Inspector,. ,:, with.: 3 sets of plans, accurate ~lot plan to scale· Fee according to schedule. ., . , . b. Plot pl~ showing location of lot and of bmld~gs on premises, relationship to adjoMing premises or pubHe streets or areas, and givMg a dot,led.description .of ,layout of property must be drawn on the ~ia~m whic~ is pa~ of this appli- cation. ~ ,' '""d~" ' '" ' b~foreissuanceofBufld~g ..... , c. The work cov r d by t~s applicatio~ may not be commenced Permit~ d. Upon approval of this application, the Building Inspector will issued a Bufld~g Pemit to the app~cant. Such pemit shallb kept on the premises ava~able for ~spection ~rou~out the work. e-eNo bufld~g shall be occupied or used in whole or in p~t for any purpose whate~ Ce~ificate of Occup~cy a shall have been granted by the Building Inspector. ~ ~ .~ ' ~PLICATION IS HEREBY MADE to the Building Dep~tment for the issuanc~ o~ a n~ding Pemit pumuant to the Buildin~ Zone Ordinance of the Town o~ Southold, Suffolk County, New York, ~d other ~p~c~ble Laws, Ord~ces or Regulations, f6r the construction of bufld~gs, additions or alterations, ~r for re, oval or ~molihon, a~ here~ desc~bed.~ The applicant agrees to comply with all app~cable laws, ordinances, bufld~g ~d~ou~ code, and regulations, and to admit authorized ~specto~ on premises a~d~{?~u~l~,~.~.~ssa~ inspectioflJ~/~ , '~ff ~ ~ $ ~ ~i~ ~ ~1~)~.~,'; (Mailing address et appticant/ . State whether applicant is owner~~e~¢~er¢ general contractor, electrician, plumber or builder. Attorney ~Z~ ~ Name of owner of premises. O0s~oh,._.__...P'~!l~l~. ......................~'~ ....... ...... .............................. ,, L~ ~, ...... '-.. on.the tax roll or latest deed If applicant is a corporation, sign~tur~of;d'~ly(autho~jzed;off~cee. - q (Name and title of co~orate officei) ,', ' ALL CONTRACTOR'S RUST BE SUFFOLK COUNTY LICENSgD Builder's License No .......................... Plumber's License No ......................... Elect ician's Li N r cense o ....................... Other Trade's License No ...................... I Locatiol of land wi ich prop d rk ill b d ~ .......... <'.' ....... · i on i ese we w e one ................... .. .......... , 3285.0 Main Road Cdtchogue ' ' 'House Number ';' ' . ~. ~Street ., . . , Hamlet' pN County Tax Ma o. 1000 Section Block ' 6 '.. Lot. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of pre nises and intended use and occupancy of proposed constructions, Deck as built a, Existing use and occupancy ..................................................................... Deck[as built "~ ': ..... b Intended use and occupancy ~ · ·" ................................ deck as built .... Addition Alteration .......... " alpplicable): New Building .......... ................. ~ '~ ,,check which .... ' ..... Other Work "" Demolition ............... Removal ' ' ............. (DescripIion) · ~ Fee 4 Estimated Cost " (to be paid on filing this application) ' ' NQmber of dwelling units On each floor ............ 5. If dwelling, number of dwelling umts ............... number of cars ; i L .............. d,' nature and extent of each type of use If garage '' ' 6 If b[miness ~,0~muercial or mixes occupancy, spec]iy Rest Depth ..... Di~ension~:exmting structures, if any: Front ........................................ ' Number of Stories Rear Height ............... . ' ' · Front .................. Dimensions'of same structure ~ith alterahons or add,Bens .................. . · Number of Stories ..................... n,,,h ., .... . ~,~.~;..; Height ..................... Depth . '-.8. N~mber of Stories ' ' ................. Dimensions of entire new con,traction: Front ............................ Height Depth ..... ............... ~ .... Rear ................. Size of lot: Front ........................................ 9. , ' Name of Fo~er Owner ............................. 10 Date of Purchase ......... ' ................. ~' . ' si~uat a :' '~,' ....ZiL; _'.' ................................ 11 Zone or use district ~n which ~remmes are e , ./;; · ]. reposed construction violate any zomng law, ormnanee or regumuOn ......... .............. ~' No 12 Does p e re r e ....... i ..................... Will excess fill be removed from premises: ~ d Phone No 13 Will lot b g ad ................ · Address ................... 14 Name of Owner of premises .~ ................... Phone No ................ · ~ Address ................... Name of Architect ............................ P1 No ~ Address .... ; .............. rune ................ Nme of Contractor .......................... 1 tl d? *Y 15 Is s propert~ locate~ within 300 feet of'a tide we an , es ..... No ..... . ~ thi ~ :: 'h tl ~1 build~s, whether:&Xi~tihg 'or pr6p0sed7 and, indicate all set-backd~enmons from Locate clearly and dmh c y ~ · - .......... ~eed -nd show street names and indicate whether . d bio k number or aescnpuon accorumg ,o u , ~ . property hnes. Give street an ~ ................. ,. See attached diagram apo survey I ~~ - ~' ~ED ' 2. G ! 4. FINAL - CONS*flU~ON MUST ,~q , , ~ BE COM~ FOR CO. ' , ' ......... TH T TH~S, NOT h. t,, ;~ ,, ..... ,. ..... CODES, :NOT RESPONSIBLE FOR ~:~," ~ , ~ ~ ~ ,. , DESIGN OR CONSTRUCTION:~RRORS STATE OF N~W YO~, S,S ' * ' · COU~Y OF · .~F.F,~L~ ...... '* * ~ ppli Ga~y F]anner 0]sen . ................ b~i~gdulyswom,~poseSan soysthothcisthca car (Name o~ individual ~sigmng con~ract) above named. Attorney ' ' ': ' lte is the ........... t corporate officer ere ) , (Contractor, agent, , . ~ i~ dul authorized to perform or have perfomned the said work and to make. and file tP of smd owner or owners, and Y . . . · and belief and that ti .... . ...... ~* .... *~ }nntained in tlus apphcat~on are true to the best of l}]~knowledge application, thai au s~-~, ....... ~ , -- , · work w B be perfo~ed in the m~ner set forth m the apphcation filed therewith. / ) Sworn to before me this ] ' -- ( ~/ ~ . NoVember , 19 ~ Z / , ' ~D ~ .. .dayo~ ................... // / ~/ ~ / ... ~f~E KL~' / / ' / (Signature oz app,ca ~ ~m~ 6t~ ~ ~ , , ,