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HomeMy WebLinkAbout22161-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27520 Date: 01/19/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 330 OAK DRIVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 5 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 1994 pursuant to which Building Permit No. 22161-Z dated JUNE 30, 1994 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 REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to MARK & LORRAINE AGLORA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A z ' 1Lf/`i A ,horized Signature Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~0" HOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ~ .19~/ NQ 22161 Z Permission Is hereby granted to: ...3.3..©... / / -,"~.o~.l~ .:............r........ 1.t. .0.9 *-.N.4..-7.1-2 ......cl.~...- . ...........................................................................................is .i...... ; at premises located at...... 4/.......... . ~:J...................W......... r-.4c'.k a...q. County Tax Map No. 1000 Section..!.. 1...® Block ........s.3..c../Lot No. pursuant to application dated 20...... 19....1...1`....., and approved by the Building Inspector, 4 Fee ~1,!...G..17.. Building Inspect Rev. 6/30/80 I Iy S' G JAN 1 6 "MM FROM SOUTHOLD TOWN PLANNING BOAR,P,n. ,Fdd"Qi : ~16 765 3136 Jan. 09 2001 10:13RM P2 OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY' A. 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, 'p'roperty lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-4 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. B.' 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. ' v C. Fees I.- 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - . .25l~l 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,, Commercial $15.00 Date :TAK: A'0'0 I New Construction............ Old Or Pre-existing Building.............. Location of Property.....--• " House No. o D igox 513 Street Hamlet Onwer or Owners of Property..... - R ~ A-& I o I County Tax Map No 1000, section A!-..--.Block .....Lot.... 2 8 . Subdivision ....................................Filed Map............ Lot..................... Permit No ................Date Of Permit Applicant Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..../~~--.• . l f Fee Submitted: • Ou~V i o~OgUFFO(,~co Town Hall, 53095 Main Road Fax (631) 765-1823 P.O. Box 1179 O ® Telephone (631) 765-1802 Southold, New York 11971-0959 y~Jf01 BUILDING DEPARTMENT TOWN OF SOUTHOLD FAX COVER LETTER DATE: JANUARY 19, 2001 TO: RICHARD KARIS, ATTY FROM: SOUTHOLD TOWN BUILDING DEPT. RE: CO Z-27520 - MARK & LORRAINE AGLORA TOTAL NUMBER OF PAGES INCLUDING THIS ONE - 1 If all are not received, please contact the above at 765-1802. r-~ 2? ~ aaL~li.S:'~.. ~V~i IIDn1S ~I ...~..,..~aA.'s..•~fa _ <r~-y ....tea-•~•.~~ IIII CONMGNTS m FOUNDATION - (1st) FOUNDATION (2nd) v, - m 2. POUGH FRAME W .PLUMBING - 3. cat • i ya m IIISULATIOP! PER N. Y. I L71 H STATE ENERGY II t CODE 3 y 30 FINAL oor ADDI ONAL COMMENTS- m . x~ i ' M • a y m y m M-1802 BUILDING DEPT. INSPECTION j ] FOUNDATION 1ST [ ] ROUGH PLBG. i [ ] FOUNDATION 2ND [ ] INS!! -ION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: PATE 0 / INSPECTOR i rot C C CA C m CO) ;Vgf =r No co PC eg. CD CD cc C. = 'C ~0 "a of ::Ii C M' C M rl; .p co) S f c~ - 00 :E O o3 CO) NS, 0-0 C gm~~ ~ . O .J."o . CD M CD n a~i x e z Y<sa c° rZ A C -n v O t9 _ o o W co Now _0 UM 0 o a pr p % r+ o O y b~ cD cao co = d N ML ML r«w O CAD ML H co co - 0 o. CO) ® N, N O OD U) x fl CL rJ. ma ML ML ML CO) N N CD . N a ~G p c e e s Y -S Z e~ m p 2 e e~ •p s e ~ a, K~ . a F ¢ 5 k ~t W Ma Sr. o W -.r` C m cs y rt RO ro CD rn m w to co rn , r y 3 a. rn ® O ~ ~ i~ - _ r a ° N Z" -m< ~ j j w (1) U) to O cn vi _ i i C) r TERS pRIVE HA YWA O T N . N 0 N/O/F a m LOBICK m N Zo 1' ROBERT M & MARILYN J. 159.61' z ~ 0 1 ° 06' 10" w X. ASPN pRNEWAY om 12 N N VO~ ZD v 24.2' _ i Ln. O 1 Whill \ 0 40-3, c tn. \ _ K m 1 \ 0 m 3.0 w n ^ 3Y.. R m>H g0~t.'~i m Z vyX 1 N. p h., ~~~a m 3.0 V \ Pvol m ~ hp`1 on _ ttoa W O1I E to. A V1 rn ~Oa , im woa y A S 12° 08' 10 F =NZ N 168.02 N/O/F \ BLANCHE BARRFTO )Cl o Q FROM : SOUTHOLD TOWN ~'PL,R.YNNNING BORRD FRX NO. 516 765 3136 Jan. 09 2001 10:12RM P1 M-1802 BUILDING DEPT. Q55isp~ et INSPECTION [ ] FOUNDATION IST ( ] ROUGH PLBG. 12-14~ ] FOUNDATION 2ND ( ] WSULATION ( ] FRAMING ]/FINAL f l> ( ] FIREPLACE & CHIMNEY REMARKS: / /f~ INSPECTOR DATE -ro" oQAV~O,AirPJ ° 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] ULATION FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE I INSPECTOR x0-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING [ ] FINAL Jila [ ] FIREPLACE & CHIMNEY REMARKS: c DATE O do-/ INSPECTOR BOARD OF HEALTH . ~ FORM NO.I ?3 SETS OF PL.%.;S TOWN OFSOUTHOLD ?SURVEY w,,,,,, JUN 201994 BUILDING DEPARTMENT VCHECK TOWN HALL SEPTIC Foan BLDG. DEPT SOUTHOLD, N.Y. 11971 t TOWN F UTHOLD _i TEL.: 765-1802 NOTIFY G~ CALL . . . . . . Examined . 191 . MAIL T0: q n / 1J1Rs "z q? Approved ~ 19 9Permit No$7 tP/ Disapproved a/c jL•a r „ (Building Inspector) AP L ATION FOR BUILDING PERMIT Date . aJuNf-. 19 X:7, INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work, e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicanr^'agte'es'Kto;comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized 4ispgctotsgn premises and in building for necessary inspections. w.. ~ r (Signature of(dpi 4 nt, or name, if a corporation) 3 l tald~ rf~ -lC (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. del! J m p Name of owner of premises .....~'.Z o ,2A, ........I (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. N (Name and title of corporate officer) R Builder's License No. , / . Plumber's License No. /A . Electrician's License No. . Other Trade's License No. ...1.~ 1, Location of land on which proposed work will be done. -3>0 VAK jR/L)Z 6U 7-CP06-r~ House Number Street Hamlet County Tax Map No. 1000 Section Block Lot .4 Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: XXV a. Existing use and occupancy b. Intended use and occupancy` ~yl° ` 3. Nature of • • • work (check which ch appZlicable): New Building 1.. , Addition ....c. AJtciation , Repair Removal Demolition Other Work . 4. Estimated Cost • , . , 35" " (Description) Fee...........'..........'................. (to be paid Ial14'1ah~is application) 5. If dwelling, number of dwelling units If garage, €it1 . - rr;, Number of dwelling units on each°ffoor. • number of cars , . , . ; 6. If business, commercial or mixed, , occupancy, specify nature and extent of each type of use . 7 Dimensions of existing structures, if any: Front 1C0I Rear /f7:,...... Depth...../,.:...... Height Number of Stories . . Dimensions of same structure with alterations or additions: Front . . • • • Rear g Nu Height Number of Stories , Hep lit . . construction: Front ....../.t7: , Rear ...../.Q. r....... Depth /,2 I . 8. Dimensions of ent're new ber of Stories , , , _ • ~ ' ' ' ' ' ' ' ' 9. Size of lot: Front ..7.:.~...3 Rear 7... , Depth 10. 11. Zone or use Date of Purchase „9 Q, , , , , , , , , , , , , , ,Name of Former Owner S C~ .1 proposed premises are situated l~ Cs r?~.N? (A, i.- I late any zoning law, ordinance or regulation: 1',[ v,, , _ 1 12. 3. W 11 lot be regraded construction which vi oND Will excess fill be removed from premises: Yes 14, Name of Owner o ices Mr4R K ` . P A A~' `n lq ..Address sou, c>NK bl2(~r Phone No. : 7. y Name of Architect N o rv • . • . Address . 96 Name of Contractor 0 o"' E : , :.Address , , Phone No . 15. Is this property within'300 feet of a tidal wetland? is " " " Phone No . Yes........ No...Y'... If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block'number or description according to deed, and show street names and indicate whether interior or corner lot. P 0 ED AS NOTED y MC ~ t~ ~ DATE fu~B,# l FEE: BY: NOTIFY BUILDING DEP ENT AT 765-1802 9 AM TO 4 FOR THE FOLLOWING NG G INSPECTIONS: / t. FOUNDATION - TWO REQUIRED FOR POl IRt:.'"~ 0hhlCPETF 2. ROUCP t' N;, PLUMBING 31 INSt A, x:161 I, '•,ICTION MUST t3E CONI€'lk'f}_ :~i C.0. THE ALL. /j )mac/c y CONSTRUCTION 5FiA1_L MEET THE REOt/iN!'ISrtI:NT$ OF THE N.Y. STATE' CONSTRUCTION t;, ENERGY CODES. NOT RF PONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, COUNTY OF S Att L • • • . • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . 0 co r F- rA, (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly'i authorized to perform or have performed the said work and to make and file this Ipplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manners in the application filed therewith. worn to bet re ma this . 19>.7 lotary Public, . 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