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Home My WebLink About21283-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUpANCY No Z-24037 Date NOVEMBER 20, 199~ THIS CERTIFIES that the building Location of Property 3870 RWTnGE LANE Douse No. County Tax Map No. 1000 Section 84 subdivision ADDITION CUTCHOGUE, N.Y. Street Lot 9 Lot No. Block 5 Filed Map No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in thie office dated MARCE 19, 1993 pursuant to which Building Permit No. 21283-Z dated MARCH 24, 1993 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING 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 DAVID & JACQUELINE ZUHOSKI N/A N/A N/A uilding Inspec~r FORM ~;0. it TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDIHG P~.RMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO-No. 212~3Z Permission is hereby granted to: · ...~..~...~.~..../~.....~..-~_~_ ~,,,~ ......... ....... at premises locate/at ~.~...~.. ~Z. ......... ,~:.~~.....~ ........................................... County Tax Mop No. 1000 Section ...... /~..~... ........ Block ........./~..... .... Lot No. pursuant to application dated ...... ~..//'..~.. .................................. , 19~.., and / Building Inspector. Fee S...?.~ approved by the Rev. 6/30/80 Fot'rn i'Io. G '[OWN OF SOUTUOLD B~!LD[NG DE?ARTHENT TOWN HALL APPLICATION FOR CERTIFICATE OF OCCUPA~CY This application must be filled in by typewriter OR ink and submitted to the building inspector ~.th the following: for new building or new use: l. Final survey of property ~¢ith accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of ~¢ater supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. S~orn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, i,dustrial build,nc, multiple residences and similar buildings and installa'tions, 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! l. Accurate survey of property showing ail 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. Cerlificate of Occupancy - New d~elling $25.00, Additions to d~eiling $25.00, Alterat{ons to d~ellieg $25.00, S~immiog pool $25.00, Accassor~ building $25.00. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $[00.00 Copy of Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 .5. Tsmporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 Ney ConStruction ........... Old Or Pre-existing Building ....... . ......... bocation of Property...~. -Q .............. .~.~.~..~..~..l~..~.~/% ................ .~..~.~. ?.9.~.O.~....~.~.~ . . '~ouse No. Street tla,ule t Dower or Otonsrs of Proparty.~..0)~).-.~.-?~-<--~0~-~.)~~-'. . .'~.?.l~.Oj.}~ ............................. :onnty 'Po,,: .o 000, Section.. Y{ ......... .......... Out oq %lbdivisJon .................................... Fi led Hap ............ but ...................... Per,nit ....... Dace Of Permit ................ Applic;u,c ........................... itenlLh Dept. Approval .......................... U.tler~ritcrs Approval ...................... 'Jan.lng Board Apr>roy:il ................... lequest for'. '[empornry Certificate ........... Fi,m{ Certicate ......... ~ee S,bmitted: $, . .~ ................ co v:Rqo ,'/ ...................................... 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 September 15, 1995 Mr. & Mrs. David Zuhoski P.O. Box 465 Bridge Lane Cutchogue, NY 11935 ***** SECOND NOTICE ***** 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 ~ 21283-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOV;N OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED, INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek OrdinaT~ce Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 2, 1994 SCOTT L. HARRIS, Supervistn Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mr. David Zuhoski 3870 Bridge Lane 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 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 ~ 21283-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ]~I~ULATION [] FRAMING ~/j/FINAL~)~/ :S£N~HHOD qVNOI£IflGV qVl:I~ {puE) ONI~Nflq~' -; ~:Oi£¥GNHO, FOR~'I NO. 1 TOWN OF SOUTHOLD .'BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 Exanlined ..... , 19 ... Disapproved a/c ...; ................................. ~ ' ' (Bu)Fding I~scO~6ctor) APPLICATION FOR BUILDING PERMIT BOA'RD OF }tEALTlt ......... ~'3 S~TS OF PL2~NS .......... " ,...,S UR V£Y ................... .... CIIECK .................... SEPTIC PORN .............. CALL ...... l'la Z L TO: INSTRUCTIONS a. Tiffs 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. Fcc according to schedule. b. Plot plan showing location of lot and of huildings 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 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 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 necess,~_~pections.. . (Signature of' ~'~i~a'n't i ;r name, if a co?poration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nam~ of owner of premises ......................................................................... (as on the tax roll or latest deed) If applicant is a korporation, signature of duly authorized officer. (Name and title of co/-porate officer) B ilder s L tense No .......................... Piumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ' lIouse Number Street Hamlet County Tax Mai, No. 1000 Section ~ ~ Block ~. ~ Lot ~ ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: b d d "' · Inten ed use an occupancy ...................... , ' 3. Nature of work (check which ap'plicable): New Building ........... .~ddition .......... Alteration ........ !. Repair .............. Rem6val ....... Demolition " ' Other Work 4. Estimated Cost . ~. /.~ .? 0. .O . . .. ............ Fee (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor. . . · If garage, number of cars ..... i ......... . ...... · ......... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........ 7. Dimensions of existing structured if any: Front ............... Rear .............. Depth Height ............... Num~erofStories... ' ....... · .. ~imensions of s:ime structure wiih alterations or ad4itions Front ................. Rear ........ pth ..... ' ............... i ig.t 8 Di f tru .' .............. .. ' .~. e . He ............ · ......... '.. Number of Stories ................. · mansions o entire newtons ction: Front Rear ............... e eight ......... Num bar of stet/es '. .............. pth ........ H ...... D .... · S~zeoflot: Front .......... . ........ Rear ............. De ... 10. Date of Purchase ....... ~ ........ N ......... pth ................... 11 ..... ' ........ ame of Former Owner .......... , ..... · Zone or use district in which premises are situated ......... ' .............. 12. Does proposed construction vie e any zoning law, ordinance or regulation: 13. Willlot be regraded . ....... ... ....... ' ................................ · · · Will 14 N f P : ........ excess fill be removed from premises: Yes No . ama of Owner o remises .... .......... Add · ..... ress ................... Phone No ............. .... Name of Architect .................. Address .......... Phone No ................ Name o ontractor ....... . . Address .................... Phone'No... ........... · 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ........ ''° · If yes, Southold TOwn Trustees Permit may be required. ' ,... PLOT DIAGRAM Locate clearly and distinctly all buildings, whethe~ 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. API~ilOVI~D AS NOTED ~- o~. DAiF: ,~/,J-~/~.3B, R # --~/ NOTIFY SUI£1~N(~ DEPART[~E, IqT AT 765-1802 S AM TO 4 PM FOR THE FOLLOWING INSPECTIO NS: 1. FOUND~,T'ON TWO REQUIRED FO'R PODr~ED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ;TATE OF NF~YORi~f'~ / j/ :oum¥ ...D.9 ?.~ P.....%9..~.,~ ,~ ~ ,. ...... ) ............ (Name of individual signing contract) bore ~mmed. .... being duly sworn, deposes and says that he is the applicant Js the .C. ¢ ~V.-~..~..r.. Z'.Cp~ ' ' (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the rammer sdt forth in the application filed therewith. ,yom to before me this ......... t~" .~.day of2z_~...~. ~,.~.&,9~....~ °taryPubli~N-~:('~-k-k'~' · '~f·"~.~.~,~.~. County NO. 4879505 ' Qualified'In Suffo k Coun~ ~mmi~ton E~ires De0ember 8, 19