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Home My WebLink About21963-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Scuthold, N.Y. CERTIFICATE OF OCCUPANCY No Z-2300~ Date MAY 20, 1994 THIS CERTIFIES that the building ACCESSORY Location of Property. 1300 MASON DRIVE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 7 Lot 7 Subdivision TH~ NARROWS Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 1994 .pursuant to which Building Permit No. 21963-E dated MARCH 28, 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 STONAGE BUILDING (SHED) AS APPLIED FOR The certificate is issued to PAOLO LAVAGETTO (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO.3 TOWN OF SOUI'HOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 21963 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) CounlyTox Map No. 1000 Section .:.Z.~.,/~.,' .......... Block .,.....~....~.. ............ Lot No..... ,~...~?. ............... pu,suon,,o opp,,co,,on ~o,ed ................. ...-¢/.~ Z ......................... ,9...Z..~...:.. ond op~,eve~ bythe Building Inspector. Fe~ ~.....~ ~ ..... Rev, 6/30/80 Form No~ 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN t tALL 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. 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~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,.Commercial $15.00 Date . New Construction ....... Old Or Pre-existing Building ............... Location of Prope . ..O ....... $.~r~. ............ ¢ ~ ........... House No. Street Ha~et O~wer or Owners of ..... County Tax Map No 1000, Section...~.~.[[[..Block...~.~.~...[. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Pe~it..~.~.~Appl~cang.. Health Dept. Approval.' ......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $. ~ '---' · ..~.~....~.~ z2 3 O 009 ............. : ......... ~C~ ~] ~O ~- APPLICANT FOUI__;DA..TIO._N ---_. ( FOUNDATIOI.~ (2nd) 2. ROUGH FRAHE & .PLUMBING INSULATIOM PER N. STATE ENERGY CODE FINAL ADDITIOMAL COM~ENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southo{d, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 25, 1994 Mr. Paolo Lavagetto P.O. Box 66 Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. ($25.00) 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 # BP# 21963Z Please contact our office on this matter. your cooperation. Thank you for SOUTHOLD TOWN BUILDING BEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL DATE / ' / / / // 765-1802 BUILDING DEPT. PECTION ['~ FOUNDATION 1ST [ ] ROUGH PLBG. [ '] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING FINAL 765-180Z BUILDING DEPT. INSPECTION FOUNDATION xST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION~ FRAMING R£MA/F~KS: /~'/~~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 BOARD OF HEALTH ......... 3 SETS OF PLA?,'S ......... SURVEY .................. ClI£CK Disapproved a/c .... ., .'. , .. '. ....... ~ ...... : ....... APPLICATION FOR BUILDING PERMIT : " INSTRUCTIONS a. Tlfis 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 publ/e 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. ¢. The work covered by tkis 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 Inspectoi'. ~:. 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, anc~ other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. q'he applicant agrees to comply with all applicable laws, ordinances, building cgde, housing code, and regulations, and to - · ~-~... t,.~;~...~.:: ............ ' (' (~gfi~ture of apphc~nt, or flame, if a corporation) ' ............ ........ C,..,..'-"~ (Mailing address,~of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises O. ~ e n the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corpbrate officer) Builder's License No...~.. !..r:. Plumber's'License No ......................... Elcetrieian'.s License No ......................... Other Trade's License No ...................... hp Location of landon whic roposed work will be done ...... " " ' ....................... ~,(.~.~.~e ..... . .......... House Number ~ Street Hamlet tJ '" County Tax Map No. '1000 Section ..... /..~./~.. ....... Block .... .~..2 ........ Lot ..... .~..'~. ......... Subdivision ........................ Fil ............. ed Map No. L (Name) .............. ct ............... State existing use and occupancy of premises and intended use and occupancy of proposed constr.uction: b. Intended use and occupancy 9. 10. 11. 12. 13. 14. 15. Nature of work (check which ~pplicable): New Bu ding Add t ot~ Alterati . ...... Repair . Re .... ' ......... ' ........ 'orl .. ............. ,,.uva, ............ Demolition'. ............. O t h er Worki.~,~..~. ........ Estimated Cost ., ! (Description) I , ' ' ' ~ ........................ Fee ................ (to be paid on filing this application) If dwelling, number of dwel mg units .............. Number of dwelling units on each floor. · If garage, number of cars . ' .......... If bu ' · · ·: 1 o xled p ify nd f h typ f us ' '" ......... Di mniess, cO!nemercia r mi occu ancy, spec nature a extent o eec e o e ..................... mens OhS el xisting structures, if any: Front .......... Rear .... . ......... e ..... Hight N robe of St i ...... D pth e ............... u r ores ..... . ' ......... Di io of i ith alt ti .................................................. mens ns same structure v era Oils or additions: Front ........... Rear ......... D pth ' · '' · Hight ' N b ' f St .... um er o ories ........... , Dimensions of entire new consiruction Front . " ......... He g~t ' Nu' be .~ - .............. Rear ....... i... ......Depth .... ~ .......... · .............. m r oratories Size of lot: Front .......... i ........... Re ........................................ Date of Purchase ar ...................... Depth ................. ............. Name of Former Owner ~mm o, use restrict in wmcn premises are situated ......... ; .................... Does proposed construction violate any zoning law ordinance or regulatiom " Will lot be regraded ........ . Will excess .fill b.~ removed from premises: Yes No Nmme of Owner of premises .. i ..... Address .... Name of Architect ~ ...... · ........... Phone No.... ............. ......... ~ .................. Address .......... Phone No. : Name of Contractor ......................... Address .......... ; .... ,... Phond No ................. Is this property within i300 feet of a tidal wetland?. *Yes ........ No...; ..... · If yes, Southold iTown Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockmumber or description according to interior or corner lot. deed, and show street names and indicate whether STATE OF NEW//YORK, ,/, sis ' ..... .~. '.I ............. being duly sworn, deposes and says that he is the applicant (Name of individmil signin~ conti~a'c't5' ' above named. ' '-- .eisthe ...... 3.¢ t/ ,.. . , ! ontractor, agent, corporate officer, etc ) of said owner or owners, and is duly huthorized to perform or have perfornled' the said work and to mhke an'd file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the Work will be performed in the manner s~t forth in the application flied therewith. SWorn to before me this / .......... · <j~.~ ......... davo£ ./.~./..~...._.cr'/vc~,.~._ lo /" Otary Public ounty. · ', Notarlt Pub!lo, Sime of MoW York ..... C~'; .......... ? .................. No. 4~$I~64 i : / (Signature of applicant) Qualified n ~uffolk ~ounty ~ Commission Expires..~p..y ( ~U!l a!,~ o~,) ',U 'bs z£g'Zl = Vs7~V