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Home My WebLink About19922-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z20054 Date JULY 3, 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 2550 HAYWATERS ROAD House No. Street County Tax Map No. 1000 Section 111 Block 06 Subdivision Filed Map No. CUTCHOGUE Hamlet Lot 19 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 31~ 1991 pursuant to which Building Permit No. 19922Z dated JUNE 5~ 1991 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 SHED~ IN REAR YARD. The certificate is issued to LOUIS & PATRICIA CAIRO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A '~/~ ul~'l~ding Inspector Rev. 1/81 TOWN OF SOUTHOLD RUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne- 199~ Z Permission is hereby grantedx~o: __ J~.~.~.~..~.....c...~ ............ ...qS~ ~ ~..~ ~.,~ ........................... ..~J..~~,,~ ..... ~..,.,/.~.....u....~..~..z..... · ..... ~.......~ .... ~~....~ .' +~ to ~ ............................. ~.. ...-~.~..~ .,......~';...;...../~'.- - · .~. · ...~. ~. ~...~.,.....~.......~~...~ .............................................................................................. a~t premises located at ..~..~...~...'~....'~.....N. ...... ~....~...~.. ' . ....... ~. .~ ,. ,...-~... County Tax Map No. 1000 Section ....... I.l.I. ........... mock ...... ..~...~ ....... Lot No....I..~ ............... pursuant to application dated .......... ~ .......................... ~ .~.~ , 19.~..L, and Building Inspector. Fee $..9~.~..;...;~ approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN I~LL 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 i% lead. 5. Conmmrcial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C~pliance from archiuect or engineer responsible for the building. 6.Submifi 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 dwelliug $25.00, Swimming p~ol $25.00, Accessory building $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_S15.00, Coramarcial $15·00 Date .... ...... ew Construction ........... Old Or Pre-existing Building ..... ' ocatlon of Property. ~ ~ ~) J~.,~ 6/1,].~0~.-~2) .................... ' .'. ,.[ . ,.,. . . . ltouse No. Street ................... ,wet or Owners of Property . . . 0013 :¥. ~bdivision ........................ Filed M Lot L ................ :rmit No. . . .Date O~ Permit.. .~ .... Applicant ............ :alth Dept. Approval ........................ · ' Underwriters Approval ......................... arming Board Approval ...... . quest for: Temporary Certificate... Final Corticate ......... e Submitted: $.~ ..... ..~.~ ............ ~0 ~0~ APPLICANT ~ - ' ........ FOUNDATION FOUNDATION 2. (1st) ROUGH FRAME & -PLUMBING (2nd) INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONA'L COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWNtIALL s N.Y. 1 l~fi71 $OUTItOLO, June 28, 1991 TEL. 265-1802 Louis & Patricia Cairo Box 1246 Cutchogue, N.Y. 11935 To Whom This May Co.ncern, We are unable ko complete your Certificate of Occupancy because .of the following reasons. /_--/ An application for Cer%ificate of Occupancy is not on file. '(ENCLOSED) /_--/ No Underwriters Certificate on file. /--/ The check is(~Y~not on file.) $25.00 /~/ No llealth Dept. Approval on file. /--/ No final inspection his been made. Please contact our office Thank you for your cooperation. Building Permit II 1 9 '9 2 2 Buildin¢! Dept. on this matter. No Plumber Solder Certificate on file. '( all permits involving plumbing being issued after April 1,1984 ) ';drained [ 1-C;c' i, .: .~h.?i'%t~!:~ t,proved ... t ~' ~'" 19~/'/' Permit No. ~ .~. ~.~..~..'.'.~ :sapproved a/c .... . ................................ ............................... (Building Inspector) APPLICATION FOR BUILDING PEFIMIT FORM NO. 1 TOWN OF: $OUYHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOAKD OF 3 SETS OF PL.%:;S . suRv£¥ ~ ' ' CH~c~ .................... SEPTIC FORH HA~L TO" Date ..... ., 19... INSTRUCTIONS a. This application must be completely filled in by typewr/ter erin ink and submitted to the Building Inspector, with 3 : 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/c streets '.reds, and giving a deta/lcd description of layout of property must be drawn on the diagram which is part of this appli- on. ¢.' The work covered by this application may not be c})mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to tile applicant. Such permit I be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in ~vhole or in part for any purpose whatever until a Certificate of Occupancy 1 have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursnant to the ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appUcabl¢ Laws, Ordinances or ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr/bed. applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~t authorized inspectors on premises and in building for necessary inspec~ns. ~ (Signature of applicant, or name, if a corporation) .. :?.. o...~.ox..t~ .~....C..~. r.~ ~ c~ ~ ~. ,ailing add.ess o app.cant, 2 whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pinmber or builder. e of owner of premises . . .~..~.~' ................................................... (as on the t~2¢ roll or latest deed) plicant is a corporation, signature of duly authorized officer. ,' ( amc and htle of corporate officer) Builder's License No...~.~. ~..~.7 ~...,,. ....... Plumber's License No ......................... Electrician's License No ............ 3tber Trade's License No ............ ,cat,on or,~nd on which proposed work w,~ be done. ~7~/~. '~ ~.c0~4 .,f.~. "' l~'"u:n be r Street ~t5~ 7t~, t un,y Ta., ,~l~p No. ,000 ~ec.on ILt ............... Bloc~ . .¢... / .C/. bdivision ................................... Filed Map No. (Name) .............. Lot ............... to existing use and occupancy of premises and intended _ ,~ ..~. 'iseand°ccupancy°fpr°p°sedc°nstructi°n: :xisting use and occupancy / .~. t';' ~0~ I ............. /' ............. ~¢i ,,t',;¢ :~ ~* :d 3. Nature of work (check which app icable): New Braiding .. ........ Repair .............. Remov,al ............ Demolition Addition ....... \lteratLon ........... 4. Estimated Cost .~. c:~,,,,~,.~ , (Descr/ption) ................... Fee , i. (to be paid on filing this application) 5. If dwelling, number of dwelling urgts .............. Number of dwelling units on each floor. If garage, number of cars 6. If business, commercial or mixed OCCUpancy. specify uature and extent of t:ach type et ' ' ' ' ' 7. Dimensions of existing if any: Front ............... Rear .............. Depth Height ............... Numbdr of Stories ............... Dimensions of same structure wlthl a terations or additions: Front Rear .............. Depth ........ . ...... ~He~ght ................ Nnmbcr of Stories . S. Dimensions of entire new construc~ian ~ t ...... · .................... Height ............... , ~-: -ron ..... : .......... Rear ............... Depth ............... 9. Num be[ of Stories . Size of lot: Front ....... i. ' ........ ................... Depth ). Date of Pnrchase ............. I' ' ....... Rear . .[. I. ' .............. Name of Forlner Owner ...................... Zone or use district in which premi ' Does proposed construction violate~es are situated ..... ' ............................ ~. Will j any zoning law, ordinance or regulation: .................. ' lot be regraded .,. ~ " ,' ~. Name of Owner of premi}ds ...... i ................. Will excess fill be removed from premises: Yes No ' ' [ .............. Address ................... Phone No. " Name of Architect ........ ~ .............. Address .. , · · · Phone No. Name of Contractor ........... } ............. . .............. 300i .............. Address ................... Phone No ............... Is this property within ' feet of a tidal wetland? *Yes ........ No ...... ' · If yes, Seuthold Tow~ Trustees Permit may be required ''' ..., , PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from nperty lines. Give street ~md block number or descriptioh according to deed, and show street names and indicate whether refior or corner tot. Name of individual signing co~} .............. being duly sworn, deposes and says that he is the applicant ( tract) ~ named. i (Contractor agent corporateofficcr etc) ............................ ,d owner or owners, and is duly authorized to perfon~ or have perfommd the said Work and to make and file this 'al~on; [bat all statements contained ih this application are true to tile best of his knowledge and belief; and that the will be perfomed in tile manner sci fo}th in the application filed therewith. ~ to before me J.his ~.5'49 w.