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Home My WebLink About19316-zNo Z-20073 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date JULY 12, 1991 THIS CERTIFIES that the building. Location of Property 440 FREEMAN ROAD House No. County Tax Map No. 1000 Section 139 Subdivision ADDITION TO ACCESSORY Street Block 3 Filed Map No. ~ATTITUCK~ N,Y. Hamlet Lot 40 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 1990 pursuant to which Building Permit No. 19316-Z dated AUGUST 8~ 1990 was issued, and conforms to all of the requirements of the appl£cable provisions of the law. 'The occupancy for which this certificate is issued is ACCESSORY DECK AROUND EXISTING INGROUND SWIMMING POOL. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JEROME & DEBORAH ZUHOSKI Building Inspector Rev. 1/81 · 0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, No Y. BUILDING PERMIT {THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- :. 9251 o Z Permission is hereby granted to: .................... ~..~L....~......ul..:......t.L~.~.i...~.....' T---Y-- at premises located at ..~.~..~,.....~~R~<~....~::::.~~:~ .................. ~y I~ ..................... C~ ...... , ...~ .......Lot INIO..:...~..'~. ............... pursuant to application dated ..~.,~nm..,~.,.....,.~,. ..................... , 19.~...0.., ond approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOW OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i APPLICATION FOR CERTIFICATE OF 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 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 state~ent from plumber certifying that the solder used in system contains ) less than 2/10 of lZ 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 completed site plan requirements. B. 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 o£ 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 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 ... July 12, 1991 :;ew Construction ........... Old Or Pre-existing Building ..... Location of Property ..... eeman Road · - 440 -~ ................................. House No. Street Hamlet Onwer or Owners of Pro-err- ~ROI4E & DEBORAH ZDMOSKI · County Tax Ma'p No 1000, Section... 139 3 40 · · · ........ Block ................ Lot ..................... Suhdi~lsion ' .................................... Piled Map ............ Lot ~ . 8/8/90 M&M Zuhoski Permit No. lg)I~7.Z ........ Date Of rermit ................ Applicant ............................. [{ealth Dept. Approval .......................... Underwriters Approval ,, . Pl d App 1 ' arming Boar rova ................ '!".' Request for: .Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .... 25.00 INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. W1ECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTT I~ HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 8, 1990 Jerome & Deborah Zuhoski 440 Freeman Road Mattituck, N.Y. 11952 Re: Building Permit #17948-Z-CO Z-19495 Building Permit ~19316-Z Premises: 440 Freeman Road, Mattituck, N.Y. Suff. Co. Tax Map ~1000-139-3-40 Dear Mr. & Mrs. Zuhoski: Enclosed please find Certificate of Occupancy ~Z-19495 for your Accessory Inground Swimming Pool. Please fill out the enclosed CO application and return to it to this office with your check in the amount of $25.00 so that we may issue the Certificate of Occupancy for the deck around the pool. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. VL:gar Victor Lessard, Principal Building Inspector FOUNDATION (1st) FO~UNDATION (2nd) ROUGH FRAME & ,FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL COMM£NT£ COMMENTS'. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY -- TEL.: 765-1802 CALL ..................... ~. ~,.J~,,-'qfi - ~i~.,ill=~.l~., 1 9-~-~'-) MAIL TO Examined · ._....~ . .... Disappro ed /c ............................ ~ /9 (B'fiilding Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This 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· Fee according to schedule. b. Plot plan showing location of lot and 9f 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 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 issuan4~j[f/~Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~l~g]icable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for ~'emo~~io.n, as herein described· The applicant agrees to comply with all applicable laws, ordinances, building code, ~ind~regulations, and to admit authorized inspectors on premises and in building for necessary in~ections. ' '~1~1~~ '' '('' ~tureoi'~l"~'a-- *"c'o~l~o'r~tldn')' ' ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ~ '~' ~'(as on Name of owner of p~mises .. · If applicant is a cdrperat~ioh s'ign~t[{re of duly authorized officer. ............. ~I$?~:,~p~.,...'q ..... , .. ................ (Name and ti{l~of co~or~te, officer) Builder's License No... ~A~] .............. tax roll or 1 Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done. ' .... House Num her Street Hamlet County Tax Map No. 1000 Section [ .~.~. ............. Block ...... ~.~ .......... Lot.. ~St~ .-~.. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .~..~.~.oY.~--. · · · ~ ·.~.O c2. .g/. .. ............. ~'~' 'V' ~ ~': ;~ .................... b. Intended use and occupancy 3. ature of work (check wluch apphcabie): New Braiding .......... Addtt:on .. L'-' ':' · tl~t'~]~ . · · Repair .............. Removal .............. Demolition ........... i, ?:~'ptht~i'~o~k..~..~. 4. Estimatdd Cos · . ......... Fee ....... ~ (to be paid on fihng this a 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................ If garage number of cars ' ' If business, commercial or m~xed occupancy, specify nature and extent of each type of use ..................... Dime io ofexisti d if any F Rear ID pth ns ns ngstructur s, : ront ............. i · .......... · .. · e .. ............ . Height ............... Number of Stories .......................................... Dimensions of same structure wlth alterations or additions: Front ................. Rear .... Depth .................... i' ' Height ...................... Number of Stories ........ Dimensions of entire new construction: Front ............... Rear ............... Depth . Height ............... Number of Stories .......................................... · 8. 9. Size of lot: Front ........... ! ........... Rear ...................... Depth ........ 10. Date of Purchase ........... i .................. Name of Former Owner ............... 11. Zone or use district in which pr~mises are situated ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .................. 13. Will lot be regmded i ............................ Will excess fill be removed from premises: 14 Name of Owner of premises ~ Address Phone No ' Name of Architect .......... [ ................. Address ................... Phone No ................ Name of Contractor ......... i .............. Addroos ..... "- ". .......... ~ f I yes, $outhold Tow~ Trustees Permit may be required. · i PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or comer lot. Yes No STATE OF NEW YORK, ~' COUNTY OF ' SiS . (Name of individual signin~ above named. ................. being duly sworn, deposes and says that he is the applicant contract) He is the ...................... ' (Contractor ...................... ') ............................ , agent, corporate officer, etc. of said owner or owners, and is duly !authorized to perform or have performed the said work and to make and file this application; that all statements contaioed in this application are true to the best of his knowledge and belief; and that the work will be perfomned in the manner act forth in the application filed therewith. Sworn to before me this Notary Public, . ~ ~ ..D..~..~...P~.... County ?~t~ ral~,, ~1~ ~0,~_ ~/ (Signature o f applicant)