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Home My WebLink About19667-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25364 Date: 11/12/97 THIS CERTIFIES that the building ACCESSORY Location of Property: 26850 MAIN ROAD/ROUTE 25 CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 3 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 12, 1991 pursuant to which Building Permit No. 19667-z dated FEBRUARY 14, 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 RELOCATE AN ACCESSORY BUILDING ON NEW FOUNDATION AS APPLIED FOR. The certificate is issued to of the aforesaid building. MANFRED & ROBERTA LEE (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H057561 10/29/97 N/A Buildi~/Inspector ~ Rev. 1/81 lVOU'M' NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne. 19667 Z Permission is hereby granted to: ~ ~.~ .../...~....~. .~..~. .~..~ .......................... · ..~..~.£~q......~....~.~. .................... ,o ~'.~.....~....~.~ :.~/~ ...... ~....,~.../~/~ , ~.2......~....~......~:....~..~~...,~_~..~ ............. at prem,ses located at .....~...~,....~.~..~. ...... ...~.~.~..~ ...................................................... cou.~ Tax Mop No. ~000 S*c.on ....... ./..~,?. .... mock ...... ~ ..... Lot No ............ .~... ....... ....... ~.../,~.~ ............................. , 19..?./.., and approved by the pursuant to application dated Building Inspector. Fee $ ..~. ..~ Rev. 6/30/80 ~oLm NO. 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 foll6~ing: 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. 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 c6mpleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: I. 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. i. 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 Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Colnmercial $15.00 ~ Date ............................ New Construction ........... Old Or Pre-exist%ng Building .... ~ ......... Location of Pr perty..~ ..... House No. Street Ham_let Onwer or Owners of Property ...................... .................. County Tax Map No i000, Section .............. Block ................ Lot ...................... Subdivision Filed Map Lot . .. Health Dept. Approval..........................Underwriters Approval ......................... Planning Board Approval Request for: Temporary Certificate ........... Final Certicate .... .~. ..... THE NEW YORK BOARD OF FIRE UNDERWRITERS 8068525 , ~ ~ BUREAU OF ELECTRICITY ~--- 85 JOHN STREET, NEW YORK, NY 10038 Date o~q~vo[-~]r;]['.~ 29,1997 ' ~lppfieationNo. onfiie 1A9],889'7/97 THIS CERTIFIES THAT ROBEI:(TA ]:,gE, 26a50 bLAIN ROAD, CUTCHOGUE ~ 'NY in the following location; [] Bwsement u~s examined on ()C~q'OB~R 2',[ ~ ] 997 [] IstFL [] 2nd FL Section Block and found to be in compliance with the National Elect~cal Code. FIXTURE OUTLETS DRYERS ] FURNACE MOTORS I FUTURE APPLIANCE FEEOERS ;flECIALREC'PT TIMECLOCKS I BELL ~TERS ~EYBR . . c STORAGe1 ,:~l'ihD-i MULTI-OUTLET SYSTEMS NO. OF FEET NO OF NEUTRA{S Lot EXHAUST FANS DIMMERS P.O. BOX 1282 CUTC'HOGUI/~, i'Pf, 11935 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the 8oard if incorrect, inspectors may be identified by their credentials. Town Hall, 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 November 7, 1997 Manfred Lee 26850 Route 25 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 # 19667-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 0 -" nF PPr~¢F L..' ~ C?- TO P. OAD MAIN ~OAD. DF PP~PF' PT'.. FOUNDATION FOUNDATIOI~ 2. (1st) (2nd) ROUGH FRAME & PLUHBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONA'L COMHENTS: 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION2ND [ ] I/NSIJLATION / [ ] FRAMING [~ FINAL [ ] FIREPLACE & CHIMNEY ,.T,/<'~~ INSPECTOR ~/~ TOWN-0~'-~?~EL!~ ....... i TOWN HALL ~OUTHQ LD,,. Examinld · , ......, ..... , 19 ermit No. Disapproved a/c INSTRUCTIONS BO/'.RD OF HEALTH ......... .3 SETS OF PLANS ,. SURVEY ....... Clinch: '::::::::::: SEPTIC FORH .............. NO? I Py ~ C LL . a. lifts application must be completely filled in by typewriter or irt ink find submitted to the raiding Ln~peCtor, will sets of plane, .acetate plot plan to scale. Fe~ ~rCcording to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or publ/c stre: or areas, and -' ' - · ~,tvmo a detailed description of layout of property must be drawn on the diagram which is part of tiffs apl: cation. . ' c. The work COvered by tiffs application may not be commenced before issuance of Building Permit. -cl. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such peru shall be kept on the premises available for inspection throuahout the work· e. No building shall be occupied or used in whole or i-n part for any purpose whatever until a Certificate of Occupnn.~ 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 ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances r Regulations, for the construction of buildings, additions or alterations, or for ~:emoval or demolition, as herein descr/ber The.applican,t agr. ees to comply with all applicable laws ord' ' · admit authorized inspectors on nremises a,.,~ ;- ~-..-,~- .' mances,, building code, hou~in- code -,-,~ --. , -- · ~ ,,., ,~, uuuumg for necessary Inspections. C'~/~/ " , .,,.u .CoUmUons, and t · ' (Smnature ~,;-,--,: .... ' ' "~'.~- - .--~- ..... . . ~ ~ S'~:~'~/~','' °r name' 'f''a c°rp°ratmn) · ' - RI) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .... : ............ ~-. ~.~?-4-:-'.~.'{ ' ~ (as on the tax roll/or latest deed) . ' ' ~ ° IL'appLicant is a corporation, signature of duly authorized officer. Builder's License No ........................... Plumber's License No ......................... Electrician's License No ....................... Other Trade% License No ................ ~ ..... 1. Location of land on which proposed work will be done; lIouse Number ' '' ' ......... ~/. ./;/. ~... Street. Hamlet .............. County Tax ,\Ma o. I000 Section .. Block . ~)..~.j oq.~ Ooz~ '' ' .......... Lot ..... Subdlvhion .................... Eilcd Map . ... (~ame) .............. [o~ · ~lltc existing uic and occupancy of premises and intended t/se and occ,' B. Intended u-~ - · ~ .~x/~ /~ ~-- - ' /7 0 . ~c. aha occupancy..//~..5~~~ , ~, ~, . . .... 3. Nature of work (check which al~p lc:lb[e), N,.,,. n, ;t,u.,~-- - '-' ,. .... ' Tennis Cour~ ..... :~-- '*~ ~' ~I'~YA'~'~%/', ............ ~ ~ ........ . · 4. Estimated ~, ~ ' ~ ~>~ ' xu'-'" '~/ ~ (La he paid on ~hng this applica~on)~ 5. IfdwcHing, number of dwelling !unils, ............... Number of dwcilinguniis on each floor ...... ....... lfguru~ numberofcars .. {.. 6. If businuss, commercial or mixc~ occupancy, specify nah~rc and extent of cacl~ iypc of use .................. ,. 7. Dimcnxions of existing stmcturgs, if any: Front ............... Rear ............... Depth ...... Height Nuni bcr o f Stories ' ' '" ' Di i f it [t ti ddid F Depth. ~' tlci~t ...... ................... ' ........................ Number of Sto~cs ................... 8. Dimensions of entire new const~ction: Front ............... Rear ............... Depth ............ Height Number of Stories 9 Site of let: F~ont ..........- ~ ......... Rea.,' Depth 10. Date o~Purchase ...... ~ ., ' ..... o ' ' ' *' *'* '[**, ................ l~nfile offerer Owner .................... 11. Zone rusedmmct~n,vluchprem~sesaresituated .... ;...~ ................... ]. '].~[.[..' ......... 12. Does proposed construction violate any ~oning law ordinance or regulation: 13. W~I lot be regraded .......... ' ' · ' ............... Will excess fill be removed from pr~: Ye; fp ..... 14. N~eofOwnero retakes..; ................. Addm~ ...... PhoneNo ............ N~e of Architect ........ ' ................ ~ co~ "i ............... ~ ~ ............. ;~ ...... ~o~o ............... . uc at' rector ........ . ................ Address ................. Phone No ............ 1~.~ ~a Broperty ~oeaLefl w~thln'300 feet of a C~da~ weC~and? '~YES .... NO .... · ~ yes~ Southold ~ ~rustees Permit may be required. . PLOT DIAG~M Locate cle~ly ~d dist~ctly fl: bu~d~gs, ~hether existing or proposed, ~d. lndicate ~1 set-back property ~nes. Giw street md blocl number or description accord~g to deed, ~d show street n~es and ~dicate w::2::. interior or comer lot. ~/ FEE ' ',, - , BY: ~ ~ ~ ~ ~o~ ~o. c.o, ALL CONSTRUCTION SHALL ME~ s~ o~ ~.,v ~o~, COUNTY OF S.S ................................. i ~d ly th ppli , ........... be n u swo~, deposes ~d says that he is c (N t) ' . amc of individual s~gn~ing cantrac above named. Fie is the .................... I .... (Contractor, agent, corporate officer, crc.) 1' sa~d owner or owners, and ts duly authorized to perform or have performed the said ~vork and to make end file ti: application: that all statements contgined in t ds application are true to the best of his knmvlcdge and belief; and that t~: SwomW°rk willto beforebe performedme thisin the manne[r, set forth in tile applicatioo filed therewith. ........... /2. .......... day o~ ................. ,9:~/.. , ... Notary Public .................. County HELEN tL DE VO.E NOTARY PUBLIC, State of New Ym'k . N%470,7878, Suffol_g Countyo/ lerm ~xpres M*rch ~0i lg----~r (Signature of applic~'