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Home My WebLink About20860-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23978 Date OCTOBER 23, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 3295 ~AYWATERS ROAD CUT~HOGUE NY House No. Street Hamlet County Tax Map NO. 1000 Section 111 Block 11 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 1992 pursuant to which Building Permit No. 20860-Z dated Jul~ 29, 1992 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 AN ADDITION TO EXISTING DECKS TO A OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CORNELIUS & CAROL MCS~a~NE of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-No. 20850Z Permission is hereby granted to: ~ __ at premises located at ...... ..~.;~'~.:~..~..'~......,~.,~.....~ ..~..~...~'P' --' ~~// ...................... ............................................-- ...~.~ .C..'...~...>...~:.~...zz..~.:....= .......... CounW Tax Map No. 1000 Section ...J...L.i. ........... Block ...... ~..J. .......... Lot No......J......~.. .......... pursuant to application dotal ........... .~......~J,,....~....., 19..~..,~nd approval by t~e Building Inspector. building msi~ctor Rev. 6130180 TOWN OF SOUTIIOLD BUILDING DEPARTMENT ~TOWN I~LL 765-1802 1995 APPLICATION FOR CERTIFICATE OP 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 %ocation of all buildings, property lines, streets, and unusual natural or topographic features. 1 ' 2. Final Approval from Health Dept. of water supply and sewerage-disposa (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. Conunercial 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 A~p~o~al of completed sine plan requirements. B. ~or existing buildiags (prior to April 9, 1957) non-couforming uses, or buildings and ~"pre-existing" J. and uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic [eatores. 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 buildi~{~ $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .0ctober.l%,.1995 ........................ · Small addition~to exi~ti, no deck New Construction .......... oze ur gre-cx%stlng Bailding ................. 3295 Ha waters Road Cutchogue, NY ll935 Location of Property ............. ~ ........................................................... House No. Street tlamle t Onwer or O~ners of Property...~gFO~]i~.~:.~O~.~?].~:.~0~? .............................. County Tax Map No 1000, Section...!J! ........ Block.!! ............. Lot..!? .................. Subdivision .................................... Filed Map ............ Lot ...................... Perm£t No...~Q~ ........ Date Of Permit ................ Applicant .............................. Nealth Dept. Approval ................... · ...... Underwriters App~ ........................ · Planning Board Approval ....................... / Request for: Temporary Certificate ........... Final Cart~/' ~e--.~/~ ..... Fee Submitted: $.?!'PP ........................ e zO. - o -q5 ..... ,:.>,.. ........................... Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1B23 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 20, 1995 Gary Flanner Olsen P.O. Box 706 Main Road Cutchogue, NY 11935 Re: Cornelius McShane - TM#1000-111-11-19 Prem: 3295 Haywaters Road, Cutchogue To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx Application's for Certificate of Occupancies are not on file. (Enclosed) No Underwriters Certificate on file. xx The check's are not on file. S25.00 each. 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 # 8096-Z & 20860-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ],( ~JLATION [ ~/FINAL [ ] FIREPLACE & CHIMNEY DATE /~,~/~,~ ~/'~ , N S PECTOi YIELD ~OU~;DATION (2nd) ~OUGH FRAME & .PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FI;;AL ;%DDITIO~fA'L COMMENTS: Examined ....... 19 Disapproved a/'~ ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 BOARD OF HEALTtI ......... 3 SETS OF PLANS .......... SURVEY ................... SEPTIC ..... . . ~igt't: TO: ., (Building Inspector) ' APPLICATION FOR BUILDING PERMIT · J INSTRUCTIONS ~_a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~etf'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 ar 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 th.is application, the Building Inspector will issued a Building Permit to the applicant. Such permit ;hall be kept on the premises available for inspection throughout the wbrk. c. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ;hall 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 ~uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herei~ described. {'he applicant agrees to comply with aH applicable laws, ordinanges~-, b"~i~ing code, housing co_de, and reguia ' n and to :dmit authorized inspectors on premises and in building for necessCry in.~'ctioa~. . ~ ) ..~ ul~ _ ~./:_-y ...... ~ ............... , ............. " , (Sign~.ature of applican}, or name, if a corpora~on,) ........... ('I~Ia{ling address of appl" :'~cant) · ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) f applicant is a corporation, signature of duly auth..orized officer. · (Name and title of corporate officer) Builder's License No ...................... Plumber's License No. 0 6t//t.z ~ Electric, Jan's License No. .~/x/~ Other Trade's License No... F~.6.~..,.~..c°.~ ......... · Loca.on, oCiana on which proposed workwill be'done 5~./u-'O'~,'d ~i'Dt-~ ?eeo~v:c ¢~0/), House l~umber Street Hamlet k~ ...... ~ ' ' ' '! County*ax ,ap o.,OOO ect,on ..... .... //. ........... '7. ........... (Name) ....... ..... ............. Lot ..... .'5.'.. State existing use and occupancy of premises and intended use anti occupancy of proposed construction: . ........... b. Intended use and occupancy 3. Nature of work (check which appl,cab e): New Building .......... Addition .... Alteration .......... Repair .... ~ ...... Removal ............ Demolition .............. Other ............... · · Work 4. Estimated Cost . . . f/.~ >.-'9.&?A 77.... (Description). (to be paid on filing this application) 5. If dwelling, number of dwelling lunits ... ~ft/.e ...... Number of dwelling units on each floor .............. · Ir garage, number of cars ..... :'. A/..<./y..e... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ,'V. e,.7' .~j.~/¢./.f ~.t,4{g?,rq ... 7. Dimensionscffexistingstructures, ifanv. Front '.3r. ~ · .. .x~ Z' " Dimensions of same structure with alterations or add't'ons: Front .../ff..~ 8. Dimensionsofentirenewconstruction: Frd~t'~." .X).q." ..... Rear ........... Depth ............ Height ............... Num!ber of Stories .... i .......... ' l !. ~one or use district In which premises are situated _%'/A/,~ (~ .-- ..... / ............. 12. ooes proposed construction yiolMe any zonin,, law .-..,4: ........... , '/ ~'.P't~ ......................... 13. o . , eoulauon . .t ........................ Nme of Architect ..... ';:: ',' '.r:/ ............ Address ..... ~ ........... Phone No .......... Name o.f Contractor... 15. l.S th~s property within 3;00'feet o£ a tidal wetland? ',~'es".'.'..'.'.'.'~Poh.°~.N?.'.'.' .... · If yes, Southold T.own Trustees Permit may be required. Locate clearly and distinctly all property lines. Give street and block interior or corner lot. PLOT DIAG ILMM' l buildings, whether existing or proposed, and. indicate all set-back dimensions from .umber or description according to deed, and show street names and indicate whether OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY TATE OF NEW YO ,, , . ~:~'{~ }~ ~f" 'qP~ ~'~..~. ¢ ~ff~' being duly sworn, deposes and says that he is the applicant (Name ..... ' ...... rove named· of md*v,dual s*gnmg contract) i. is the .............. (Contractor, agent, corporate officer, etc.) said owner or owners, ~d is duly aathorized to perform or have performed the said work and to m~e ~d file this plicatinn; ttmt all statements containdd ~ this application are true to. the best of his knowledge and belief; and that the >rk w~l be perfomed in the manner se~ forth in the application filed therewith. ~om to hero, me this i: '"~ ............... day of...~.~ ~ .......... ' .......... · · ...... ~ ~bflo, 8~to o~ ~Yor~ (Signat~'re of applicant) miami Emires Dmmh~ 0 ,¢