HomeMy WebLinkAbout21553-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25600
Date: 03/19/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3870 BRIDGE LANE CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 84 Block 5 Lot 9
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 9, 1993 pursuant to which
Building Permit No. 21553-Z dated JULY 23, 1993
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 INGROUND SWIMMING POOL WITH DECK SURROUND AND FENCE
ENCLOSURE TO CODE AS APPLIED FOR.
The certificate is issued to DAVID & JACQUELINE ZUHOSKI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N-285643 08/09/93
N/A
PLUMBERS CERTIFICATION DATED
Rev. 1/81
Building Inspector
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y.
N_o
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date .../,,~. ........................................... 19 .~,. ....
21553 Z
Permission Is hereby granted to:
.... ~z.¢........ ~~..~...~. .......................
......
CouniyTax Map No. 1000 Section ......... ~...,~... ....... Block ........... ~ ....... Lot No ....... ~ .................
pursuant to application dated .......xfL..,,~...,~. .......................................
Building Inspector.
19..~.~. ...... and apprc~ved by the
Rev. 6/30J80
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 ail 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 i% 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.
C. 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 Buildinm - $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 $15.00
Date .~. 7. (~ ~.~ ~. ..............................
New Construction ........... Old Or Pre-existing Building .................
Location of Property..~ .-~..~. ............ ~.~.%.C)..~..~...k..k).. l ........... .~..~3..~.C~. ~ . .~.. ~ ......... ..
House No. Street Hamlet
Onwer or Owners of Property...~).~..O.~. ......... ~ ..................
.o. -r .........................
county Tax Map No 1000, Section..?.fi ........ Block .... ~ ......... Lot .... .~ ................
Subdivision .................................... Filed Map ............ Lot ......................
Permit No~.~.~.~. .~.~..~. .... Date Of Pe~it :.-).%$.~q..~. ...... Applicant .............................
Health Dept. Approval ...................... . . .. Underwriters Approval ........................ .
Planning Board Approval ........................
Request for: Temporary Certificate ....... Final Certicate.
Fee Submitted:
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11§71
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
December 14, 1995
Mr. David Zuhoski
P.O. Box 465
Bridge Lane
Cutchogue, NY 11935
Re: Building Permit #21553-Z
Premises: 3870 Bridge Lane, Cutchogue
Suff. Co. Tax Map #1000-84-5-9
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of $outhold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
~OUNDATIO:! (2nd)
,~UGH FRAME &
-PLUMBING
!I~SULA~ION PER N.
STATE ENERGY
CODE
Il''
FI;;AL
Town Hatl, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 23, 1996
Mr. David Zuhoski
P.O. Box 465
Bridge Lane
Cutchogue, NY 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 21553-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ].Jl~ULATION
[ ] FRAMING [ Y' 1 FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
INSPECTOR /~"~~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1185~77
BUREAU OF ELECTRICITY
j---- 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
only t~ el~trical ~utpmenr ~ ~scribed be~w a~ int~uc~ by t~ applicant ~d on the a~ appl~ation n~mber ~n the p~m~es of
in thefotlowing h,ca~iv~.e ~as$~t ~ 1st FI. ~ 2nd }2. OUT Section Bilk rot
LECEPTACLES iNCANDESCENT FIXTURES
SWITCHES FLUORESCENT
OTHER
FIXTURE
OUTLETS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
SERVICE DISCONNECT NO. OF S
OTHER APPARATUS:
made by a quali[led per,~on~
RANGES
~ECIAL REC'PT
R
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET
SYSTEMS
KY. ~ps. TRANS. NO. OF FEET
V I C
OF CC. COND.
EXHAUST FANS
DIMMERS
P,O.BOX 164
NO, OF NEUTRALS A,W G
OF NEUTRAL
GENERAL MANAGER
Per ~ '~
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST~NOTBE ALTERED IN ANY MANNER
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1185~J77
BUREAU OF ELECTRICITY
r"-- B5 JOHN STREET, NEW YORK. NEW YORK 10038
THI~ CERTIFIES THAT
o~y the e~c trlc~ ~ulpment ~ ~scrlbed be~w a~ intr~uc~ by t~ appllca~t ~d on the a~ application number in the prem~es of
D~VID ~UHO~ 3870 B~[D(~ L~I~]~ ~[O~U~, ~,Y.
in the followlng location; ~ B~sement ~ Ist FI. ~ 2nd ~7. O U~ Section Bilk Lot
~s examined on ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ and found to be in compl~nce with the N~onal Elect~cal Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES
1 1
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
TI~IE CLOCKS.,A{~P, 40-1
MOTORS~I-1.5
*(SWEMM]:NG POOL) This certificate
covers compliance at the date of
~spection oilly, Because of uauaual
ellvtronments iL t~ advisable to
have frequent test/and or repairs
E R V I
<<< Cont,inued oi~ Page
c E
A, W.G. NO OF NEUTRALS A. W, O.
OF HI-lEG OF NEUTRAL
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BU LD NG DEPARTMENT. THIS COPY OF CERTIFICATE MUST,~NOT BE ALTERED IN ANY MANNER.
?, FORM NO. 1
;ii: i-"' TOWN OF SOUTHOLD
· BUILDING DEPAR'TMENT
,7 ~,/~.~,~. SOUTHOLD, N.Y. 11971
TEL.; 765-1802
Approved ' _.... .... ,19 ,~
..... , Permit No
Disapproved a/c '
.................. . ...............
(Bu~in~
APPLICATION FOR BUILD NG PERMIT
BOA'RD OF HFALTH
.3 SETS OF PLANS
SURVEY ...................
CIIECK ....................
SEPTIC FORH ..............
c ^ L ...' .......
HAIL TO:
Date :... ~..//7. ......... ,19~
INSTRUCTIONS
a. Tkis application must be completely filled in by typewriter or in ink and submitted to the B~ilding Inspector, with 3
sits of plans, accurate plot plan to scale. Fee according to schedule.
~ b. Plot plan showing location of lot and of buildings on premis'es, 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 tltis 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 applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspe~ns. -.~ ~~ .~ ~/f.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant) '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nam~ of owner of premise
(as on the tax roll or latest deed)
If applicant is a ~orporation, signature of duly auth~orized officer.
(Name and title of corporate officer)
Builder's License No... ~. ~.~/.d~. :.Z.-/.-,F. ........
Plumber's License No .........................
Electrician's License No
Other Trade's License No ......................
1. Location of land on which proposed work will be done ...........
....................... "~ '~treet Hamlet ~
House Number
County Tax Map No. 1000 Section ..... ~ .......... Block .... ~.' ......... Lot..~ ..............
- (Name) .............
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .. ~/
'3. Nature of work (check which a~plicable). New Building .' . " ' ·
. Addition . .. Alteratlon~.. ,'?:. '
Repair .............. Rem:oval .............. Demolition .... . .......... Other
4. Estimated Cost '-~([ ~' '" ' ' ..~.~.~..~. (D'escrip~tTdh)
........... ' ............. Fee. ..q9 ..... ,..; ..... , .... , .....
(to be paid on filing this applicatiori)'
5. If dwelling, number of dwellingiunits ............... . Nurrlber of dwelling units on each floor ................
· If garage, number of cars .... i ........
6. If business, commercial ,~ .~i,,oa .......... ' :~" '.,~ ' ' ': ............................................ : · ·
....... ~- -..,e~-- ,,.,-,-,,~,,,,y, specny,nature and extent of each type of use .............
7. ~nmenmons ot exxstm~g structures ff any: Front...~..,~.. ....... Rear ..~.~.' ........ Depth· .~.~
Height /.~..~...-~0 ..... 5umber oCStories.../..' ......................................... '"
Dimensions ot s,Sme structur,, with alterations or addit OhS: Front ............. Rear ......... i ....
Depth ..... ' ............... i.. Height ........ ' .... · ......... '., Number of Stories ..........
8. Dimensions of entire new construction: " ........
Front ............... '. Rear ............... Depth ...............
Hight N mb f St n..'
e ............... U er o o es
· ,zeo ot: r nt... ' ' R /~.' ! ..................... 7 ..........
I0 · · ear... ' ...... Depth .
· Date of Purchase ....... ! "' · ..........
11 .... ' ......... ' ......... Name of Former Owner .......... , ...............
Zone or use district in which pr~mises are situated .
12. Does proposed construction violate any zoninr, law ora; ......... . ~. /t 1;, ..................
13. Wil,~,,.~~ ,, . . ~ . ] ........ ~: ....~*gmaaon: ../?.O .......................
14. "* ,ut o= reoraaea ...~.w.~. 'i', ................ ;.. Wall excess fill be removed from premises:
~ame of Owner of prmmses ~h. ¥.T~,~.[t~ .2zq.~o.~. Address .~.O.~.....¢y,.~... ¢..ova...~a~Phone No. ).,,~.¢f.; .5'.5:/,O. , ..,.
Name of Architgct .......... i" ................. Address ........... . .......
, .PhoneNo ............
Contractor 0~ .o.~., .qSo~,~.~..~. ~.~.~.5.. Add,ress .~...~l~.z. ~.d~7¢.~... Phone'No. ~.5".~.': ~..-~fi'r~ ...
15. ' . zs property wzthin 3,00 feet of a tidal wetland? *Yes ........ No..~'.... ~. '"
· If yes, Southold ~own Trustees Permit may be required.
-... PLOT DIAGRAM
Locate clearly and distinctly all ibuild~gs, whether' existing or proposed, and, indicate all ~et-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. : .,
N~)5:I~-Y t~UIL.O)~ilG DEPART-h~il~ 'AT
7654802 9 AM ~ 4 P~ FOR THE
FOLLOWING [NSPE~IONS: .
1, FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3, ~NSULATION
4, FINAL CONSTRUCTION MUST
BE COMPLETE FOR
ALL CONSTRUCTION SHALL
THE ~EQUIREMENTS OF THE N.Y.
$~TE CONSTRUCTION & ENERGY
COD~$, N~ RESPONSIBLE FOR
D/SIGN OR CONSTRUCTION ERRORS
;TATE OF NEW_-YORK~ b / / .- ..
:OVNT,?F . . . . .tW.
..... · ~k~ ..~ .M..~...... &~ .t ~ ~ ....... being duly sworn, deposes and says that h¢ is the applicant
(NaiVe or individual signind contra'dO ....
bore named·
is the..,~ ..................... ,. . .
i ............................
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
oplication that all statements contained in thii application are true to the best of his knowledge and belief; and that the
ork will be performed in the manner sdt forth in the application filed therewith·
a, orn to before me ~
· . CLAIRE L GLEW ' "'J "
No. 4879506 ..........
Corn 'O'u'allfled in Suffolk Cou'nty
roi. Ion F.~lr,, D,~emlm18, lO.~T (Signature of applicant)
SUFFOLK
SRqGLE
H.D. Rla=. NO.
DATE
JUL'2? 108!.
DEPARTMENT
THE SEWAGE DISPOSAL AND WAT;.R SUPPLY
I~ATION NAVE BEEN INSPECTED BY THIS DEPARTMENT
FOUND TO BE 8ATI~AG'TORY.
OMef o Waslew~t~ ~ nagement Section
HEALTH DEPARTMENT'DATA FOR APPROVAL TO CO~STRUC T
NOTE: · = MONUMENT 43 = STAKE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFE CO. ON MAR. 1:5,1973 AS FILE NO.§87Z
SURVEY FOR
DAVID ZUHOSKI & JACQUELINE ZUHOSKI
LOT 17 "ISMAR ACRES"
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY~ NEW YORK
.~uT.o.~zEo ,~LYERA'r,o" OR*,DOIT'O. 'tO ~lS
SURVEY tS A VIOL&TtON O~ SECTION 7209 OF THE
NOV 21, 1986
APR. 17, 1986
DATE AUG. 6~1985
SCALE. I" = §0'
NO. 85 - 867
I G U AR A N T E_,E~.J;~,~
' ~ME.~[~ ~rT~SUR^NCE
CO.
........ - . -'~ 400 osTRANDER AVENUE
YOUNg3 YUUNb .,VE""E^O,"EW
ALDEN W YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N Y.S. UCENSE N0.12845
HOWARD W. YOUNG~ LAND SURVEYOR
N.~S. LICENSE N0.45893