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HomeMy WebLinkAbout19774-z J ' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20069 Date JULY llL 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 2700 DEPOT LANE CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 2 Lot 2.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10 1991 pursuant to which Building Permit No_ 19774-Z dated APRIL 12 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 GARAGE AS APPLIED FOR. The certificate is issued to ANTHONY DOROSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A - ~T `fell g p ,d Buildin s ector Rev. 1/81 posas xo. a TOWN OF SOUTHOLD BIi1LDiNG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST SE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 1 A 7 7 ~t Z Date 1~. Permission is hereby granted to: ,~.7..od......~ at premises located at .......~.~..i..~.....`y~~~i!L....~.1L.~ ....................................................L~2"/'.~r..~~...................................................................... County Tax Map No. 1000 Section Block :...QL~ot No.....~r.~..... pursuant to application dated ..........~/d 19..</..., and approved by the Building Inspector. Fee 5..~~ .,~x... ed ~DOo wadi I for Rev. 6/30/80 ..e a ~ Form No. ~a TO[JN OP SOUTIIOLD BUILDING DEPARTCtENT ~ • TOWN IfALL ,,yam 765-1802 , APPLICATION POR CERTIFICATE OP OCCUPANCY AO~~eG~S,®~~~ This application must be filled in b t ~ inspector with the followin Y YPewriter OR intc and submitted to 1• Final surve of g' for new building or new use: dui ng Y property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Z• 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 17 lead' 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C~;mpliance from archi=ect or engineer responsible for the building. 6• Submit Planning Board Approval of completed site plan requirements. FPreeexisting"ulandnusesprior to April 9, 1957) non-conforming uses, or buildings and 1• Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. Z• 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 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 ,7~/0l4/, +/ew Construction...(~,•,•. . Old Or Pre-existing Building., ocation of Property••,~ 7 U a ~ " " " House No. Street ~ " Hamlet ewer or Owners of Property.,~~(/'T7fpN aunty Tax Pfap No 1000, Section.. .~~a~:......B1ock.... :bdivision....... .......Lot.. ..c~a~ p ' ........................~././...Piled A1:i1~............Lot.. rmit No...~./.77;i ..Date .:Z`~l/e?-/9/.....A ~ Of Pcrmi.t. pllicant.d~/.UTh.!O.N~ .T..J~~.us~:-: alth Dept. Approval...., ~fl •••••••••••...Underwriters APproval...~/,•~ inning Board Approval...... ~ west for: Temporary Certificate..... Final Ccrticate•„y~•, ' - Submitted: ~ CO ~ »lOO ~P-` APP 'CANT • • . ~z'~ ~ TEL, ,7G5-1802 S~FFat,~c 0~0 , ~ OGy TO1VN OF SOUTIIOLD Lta!l'•; ~ OPPiCE OP BUILDING iNSPECI'OR ~ ti: v, $V.~~t .z P.O. BOX 728 ~ 'tONN HALL ~ ' ' ~~ol ~ ~a0t' SOUTIIOLp, N.Y. 11971 JULY 5, 1991 To Whom This May Concern, We are unable to complete your Certificate of- Occupancy because ,of the following reasons. /X~ An application for Certificate of Occupancy , is not on file. 'ENCLOSED No Underwriters Certificate on file. /X~ Tlie check is(~$~$~$~~~/not on file.) $25.00 No flcaltlt Dept. T:pproval on file. No final inspection has been made. Please contact our office on this matter. Tliaiik you for your cooperation. Bui]d5.nq Permit O 1 9 7 7 4Z ACCESSORY GARAGE Build i.nci Dept, DIo Plumber Solder Certificate on file. ( all permits involving plumbing being i.^,sucd after April 1,1984 ) i'lELD II:SPEC:iU;J IIDAIG ~ SOaKMGNT° V FOUNDATION (1st) ~ ~ c ti FOUNDATION) (2nd) 2. z 0 ROUGH FRAME & 6 PLUMBING ~9 ti !wl y 3 . x' m INSULATION PER N. Y. «3 STATE ENERGY CODE 4 . t~ r` ~ d ~Y FIJJAL o ADDITIONAL COMMENTS: ' ~ x Q ^o N ~ n\ H v\_l H O Z r S Hwy • x ill - . v m ro y ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ r ~ ~~1-~>>>,(~~ ~ ,i c ' DATE 7 3 ~_INSPECTOR ,,t,~ 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ J FINAL REMA KS: ~tr~~ I DATE ~ INSPECTOR . ~ ~ r ~ ~ ,U/,~' /'ice ~ ,ra~rr~r~rx v~,. I ~ g .o } ~ 4i _ V ~~P,roo < ~ 6.~15FIti'' - ~ i ~ ~ / t ~ ~%Go~~ ~l . LEU.,~~oo ~~6 4444`y~~~~ ~ ~C ~ r t ' iE ~ i e F ,Aw~cwr h/, le~.rv,+r~w,~r. r M....,~s.•.c~,,,v~.,., L.f~.~..v arua~s~c' f ~3 zegv~q'+af~AR~iaR+ t - ~ / r~ ti'y" 80ARD OF HEALTH -r..R-pit:?~+,Cy~ ~~~\~1~`'';y~ i~§ FORMN0.1 3 SETS OF PLANS j ii ._.,.....:,.w.:>,.,.,,. 6 19 SURVEY . . TOWN OF SOUTHOLD 4;~~~ ~ BUILDINGDEPARTMENT CI1CC[: ',I' TOWN HALL SEPTIC FoRrl . . ~~1..~-~-•°°"m""`~-... SOUTHOLD, N.Y. 11971 ~t.o~. OLQT. TOWN OF OT1~401-C~ TEL.: 765.1802 r:OT2 Y ; 5 . ~ C A L L~ . ~s~ . Examined . `.G~ , 19 ~ -7 / L TO : _ . • • . • • . Approved 19 ~ Permit No. 7j?~ . . Disapproved a/c i , -~L., ' (B ilding ector) APPLICA"i'IOrd FOR 63UiL DING PERlL1{T Date 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set.~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 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 this 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 pazt 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 ode, and gulations, and to admit authorized inspectors on premises and in building for necessary i echo , - (i nat e of a 1' ant, o ame, 'f a corporation) (Mailing address of appli nt) State /wCheth'e~r"ap~p'li~cant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~/iti~ r~.,c{~/ . . Name of owner of premises ~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ....C~~%L~.~,,.i........ . Plumber's License No . . Electrician's License No . . - - thee 'ra e s License No . 1. Location of land on which proposed work will be done. ..?Z. ~D.~1..~~ QI f-:,~ N..~ ~ ~ ~ .....................................................~./t.(.l.r,/.hD. .Gt,~~..Z..~ ..X.I.. ~J House Number Street H~mlet County Tax Map No. 1000 Section ~v"/......... Block ~ Lot . Subdivision Filed Map No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: 1 ~ ~ IL ` a. Existing use and occupancy !4'.... ~ ..~/F::~~ ~ ~ , , . . ~+i;ilt III ~'~,f~'ttG b. Intended use and occupancy ~Yw~ti~~~YnAd ~ '.t~,~ v~~~ataMt.sirafept~ ar1't~+~ ~'arw~,,.ia..aw., . i_..ru nt..r x.~ti+4:w a.4,~"cwU+avt~~i;x.:.<srw;..'~.r ~ n ..P_ s .,.«e..¢a za.~bnm~£`YIi4a~iY~+4i:3s•;:NY~F5 r, tiA`~. x 94 k .i, z.:. 3. Nature of work (check which applicable): New Building . Addition Alteration , . Repair Removal , Demolition Other W rk ~ ~ ~ ~tion) 4. Estimated Cost ~ DOO Fee ~trit . (to be paid on filing this application) 5. If dwelling, number of dwellin ul 6. If business, commercialror mixed Knits . : Number of dwelling units on each floor ; occupancy, specify nature and extent of each type of use . g g Numb' if any: Front ...............Rear Depth . 7 HemhYsions of existin structuresier of Stories . . . Dimensions of same structure with alterations or additions: Front Rear . P .Height Number of Stories . Height ~>'1,X../•vf ~ • „ Numb~tion: Front r?`f...... Rear .....ryf~...... Depth ~.Y.'........ . e , cr of Stories . 8. Dimensions of entire ew constru' Rear • , . , , , Depth . 10. Date of I urchase 11. Zone or use district in which rer,~ ~ • ' ' ' ' ' • • • Name of Former Owner . ize o ot: Front r , 'tis°s a>>*c situated . 12. Does proposed construe ion viola~e any zoning law, ordinance or regulation: . 13. Will lot be regraded . ~b....: Will excess fill~e rem ved from premises: Yes 14. Name of Owner of premises . ~ IX!np,M~.~ft,o,~'/~,~'Address 2?Od. G~a7~,9~v.IS,.. Phone No..1. 3K~.~ 3r? y. Name of Architect ..............Address .Phone No. . Name of Contractor . , ~i.. .Address . . PhQne~e No. . 15. Is this property within 300 feet of a tidal wetland? eyes, No.,?C.. *If yes, Southold Town Trustees Permit may be required. ~ PLOT DIAGRAM I Locate clearly and distinctly all b',uildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block nrlmber or description according to deed, and show street names and indicate whether interior or corner lot. I ~I ~I, R® 6D AS NOl tCl ®v: NOTIFY t3Ult.. DEPART T ' ' 76~-iff3D2 S AM TO A PM PAR THE FOLLC')WING INSPECTIONS: 1. FAUNDATION - TWA REQUIRED FAR POURED CONCRETE 2. RAUGH -FRAMING Ra PLUMBING ' 3. INStIt.ATIAN ~I 4. FINAL - CANSTRUGTIAN MUST RE CAMPLETE FOR C.A. lALL CONSTRUCTIAN SHALL MEET ' THE REQUIREMENTS OP THE N.Y. ' STATE CONSTRUCTION 8~ ENERGY i CADES. NOT RESPANSIBLE PAR DESICaN AR CONS'fRUCTIAW ERRARS iTATE OF NEW YORK, S SJ ~OUNTY OF i ' ' ' ' ' • • • • • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant {Name of individual signing;contract) ibove named. ~ ~ 7. ieisthe ........................4.................................... , . (Contractor, agent, corporate officer, etc.) if said owner or owners, and is duly at<thorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set forth in the application filed therewith. Iworn to before me this Jotary Public, , , • County ~ SuMO~Ma . (Signature of applicant) r 'Rgm1 ,..»wAa"u:~kY+4+".w r N .'r. .~f, .p~3.a+.a~~ay~y."'~.`~i'uRiMii' :V+a.w .eroe n.e,... . r.t. Y. i>'-rx'er3o:a~•~~'wTi~ ~PMMk~a3l..wG.~. [ •~n4N k-D ~~'0~ 40~ i~5'' 4-0~ k-0 4.0~ ~.ffUD r-~ r-~ i ~2°x8,~ t~AFtEp, °a ~ ' Q' gEl%~MIG/FJIJ~.t21G~N~ °0 ~ n ~--5©TT°M nl-a.TE ~ 4 5 ~t ANcuoR~ CTY1?~ r~ ° ~I 15 2'x4-rIE Pl-ATE SEISF'ItG/N~~RICANE ~ ~ ~ ANcNoR.~ z ~ 4 ~ 7-rr-i N ~'x4~ToPPLATE ~ _ _ _STOD j G I CLIP oFF 13©TToM -13mTToM PLATS ~ it AT NEl~17E{~+ poRTl©I-I _ JL pF' PNcI-I'oR ~ - o 0 ~-,O 6 ~ SEISMIC / I-IURRICANE DETAILS ~~=h" 13=5'~ No scaLE ~ ROOF SHEATING LAYOUT 11,1 I"x 10 RIDC~~ ~OA~Y~ SCALE; tl8" = 1'- 0" Roop sHlNyl-es ~ ¢ ~5# RooFINcc~~ FFLT I/22 pL~(Woop `~HFATNINC~ ;9 J 2"x a' aT 24"oe. RaFTER~ I,X~ coLLa~.T1ES AT 4b a- I i ~ , - - - - 2'x6"p~.FTEI~ TIES AT4 roc. I i ~ - ® , I°%Co` FASGIA ~ ~ - 2K'g'„TIE. 1''LP.TE 2;-0 ~ 2x4 TAE PLPTE ~ I~~%2~ SaFFIT 2'%¢ Tin PLn.TE 2%¢"_TOP PLhTE-~' r,~j~ ~ ~ i ~ 62~ t3rz~ dIN ~N~ Neu ~ I N T© °~T~ D~j s ~ ~ ~-//~-~n w _ ~ h - y- - ~ p ~dl ~a0 ~b TI-II PLYI.Joofl r ~ ~ -r ~ ~ ~~~a~~~'s~~~~ z cn 2%4 ~T IG O.G. W ~ H+~,'~[.~..~_.E~~~~ ~~'~0~~u ~~~~~~e Z ~ J 2x4 (`TKEATEn7 L-I~ ~ k 1/z,~12' ArIcHoR =a 4°coNc. FLoo~. w/ Q _.~1 ~ (W Q 13oLT5 Ch~E TaP of coNc. EL. o-© ~ G°M~ -2.9 x 2.9 WWF ~ FoU~1DaTioy.l _ e.-. I ~ ~ Y.a Poo.°a`B°os o a ~ ~ ~ PROJ. PLAN # _ 0 ~f S82°oe o•~ ~~%4' ~T E.AT E.'D7 PL ~ °.J ° 9 J ~ ~ = ~ ~ ~Qas 4 C~RP.vEL p~c~.SE w ~ I/2' ~ ~ ~2" AI~~,~oR 2184-24 I~_o 8 ~oLT~ C°~~E Fo1lFlnt 3 w o ~ z I:g,~ PLpN Fofl- ~f~i~ctt-I~~ ° ~ W ~ 1 DATE: 4.14.89 r F- DRAWN:J.N.R. ~ .S° co}.IL. WPLL- w ~ 0 2-~ q- 1~EF'~PR~-~ - f m lEi SHEET N0. I ~-4 NO FROST BUILDING SECTION FROST J