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HomeMy WebLinkAbout19388-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19847 Date APRIL 11, 1991 THIS CERTIFIES that the building ADDITION Location of Property 1450 VANSTON ROAD CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 111 Slock 4 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7, 1990 pursuant to which Building Permit No. 19388-Z dated SEPTEMBER 13, 1990 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 REMOVE CENTER GABLE DORMER & REPLACE WITH SHED DORMER The certificate is issued to CHRISTOPHER BARRISCALE & CRYSTAL SITKOWSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/81 lOBM NO. f TOWN OF SOIITHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. r BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON-THE PREMISES UNTIL FULL I CQMPLETION OF THE WQRK AUTHORIZED) N°- 19 ~ $ ~ Z Date ......~.c~......~..~..........., 19.9 g Permission is hereby gronted~to: > ................r..^.... of premises located at ...~.~.~.D..~~'~°*. County Tox Map No. 1000 Section .......I.II........... Bloec??k~~ .....Q~.......pp. Lot No....~..J............ pursuant to application doted .....1 19..I..I~.., and approved by the Building Inspector. U Fee S...x?~......... ;t'.. ~ Building Inspector Rev. 6/30/80 Form No. 6 aM , { ` ~ i_ ' ~ ~ j , „ TOWN OF SOUTHOLD ~ ~ ~ BUILDING DEPARTMENT Ir J ~ ' TOWN HALL i~ ~ APR 101991 ~ ~ 76s-lsoz TOVdty Qr G~asI1•i-i„f 4'',. APPLICATION FOR CERTIFICATl: 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. 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 1~ 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, 19s7) 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. C. Fees 1. Certificate of Occupancy - New dwelling $26.00, Additions to dwelling $2s.00, Alterations to dwel ink 26.00 Swimming pool $26.00, Accessory building $2s.00, A~ccTi,tions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $s.00 over 5 years - $10.00 A. Updated Certificate of Occupancy - $60.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $16.00 Date New Construction....... Old Or Pre-existing Building.. Location of Property...~.~~~........U:1.:JtS.~4~.:.'...r~TS~!........~~.~~C!~~~4~f.._.- House No. r Street + + Hamlet Onwer or Owners of Property.~~.'1~~~~~.~1.'J:~-~.~~J?~L~~':C.~.4~.`~.r~~?.~~:. ~~~.~~.~~KI 11,1. oa off; o?a.... County Tax Map No 1000, Section.. .....Block.. .Lot.. Subdivision 1I. qq......fQ~.......:' .............qq.....Fiqled Map.... ....~.1.,Lot......-.~...R.,p.,p.....~.p./ ~ Permit No..l.t.J®:!~:..Date Of Permit...l. 1~...Applicant.~f:~?~~ST~..Y.~;l;^~SC:/,~~- Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..:..... Fee Submitted: $....2~~.~ ~ . Qxe•`{I~~~ ~ i q$ , _ . , r~ ~ APPLI Ariz .4_«.~~,~..>~:~,~,~~~s~~~~>~,~~ • ~~rzrr„~, ; , TLL 7(5 1803 yFFO(,~{ ` ~5~, n, CGS TOl~rl`I ter SOUTFIOL~ ~ , f~~~i~~ ' s ~ OPI'ICJ? Ot' TsU[LDING INSPECTOR MAI~ ~ .al. [~AM~<~~~ I'.O.I30X 1179 /8~~.(~~ u P'''.~;i'~~ ~ TO1ViV IIALL Qa c',y, SOlJTI101_D, N.Y. 11971 .,'yob ~ r~a ' 1ti~ave~mvc~t-T~.°° ;r Christopher ~arriscale & Crystal Sitkowski 14 5 0' Va n's't o n Road ~y Cutchogue, N. Y. 11935 r ~ J 'I'o Plhcm 'Phis May Concern, d / !00 4Je arc unable ro complrte your Certificate " of Occupant! Uecaus~ of• the folloiring reasons. 7[X)( An application for Certificate of Occupancy is not On fil.c. / / Plo tJnderereiL-ers Certificate on file. 1(g/ The cl~ccl: .i::~1G%tltcXc~/not on file.) $25.00 D:o ik:a].th Dept. Approval on file. , No final insl~ect:ion has been made. • 9 Please contact Our office on this matter. Thank you for your cooperation. 11ni1dincY POrm.i.P. if 1_ .9 3 8 8 2 Duildinq DupL•. ' 1 slo Plumbr_r ;;olctet: Ccrt.i.ficatc On Lilo. ' ( a].1 permit:: invOlv.i.ng plumbincl being i~sucd aFt.er ~1pri.1 1,1984 ) 1~ . ..w<„~.ne...vA..,. re.. ~'+„',U,. i,c..ro, ..a¢gxt y+Y?s:u n4lx.t~?S1~,a•~ m+±£d-e ti H • 0.. W A D ~ j W z Or o M F . C ~ ¢ H . IY x w 19~ y W ' ~ ~ :si~awwoo av~aolilaav dW 1 o ztlr:I3 4 a r--^~ x ~ 3QO~ xoxaNa szvss ~H •x •u xaa ~aolstlznsril w w cc H N ~ oNZSwnZa ~i ~ awvaa Honoa -3.. o ~ w ® •z. ~W - i PUd ) PloIStlaNO'03 ~ ~ t~s~i r nolzvaxno3 H c L S w szr+~wsaoo t sW~all t;n:a~aas::I a~;;T; 765_1802 UILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOU ATION 2ND [)INSULATION , [ FRAMING [ ]FINAL REMARKS: --r-^ L_ DATE ~ INSPECTOR 90e1RD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . . . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL "76/~_~/J $OUTHOLD, N.Y. 11971 NOTIFY ; T • ' • c,c,~, o TEL.:765.1802 CALL T Exantincd~~•'• • •1 •3• • , 19./. v MAIL TO . Approved 19~UPcrmitNo.f .l,o~,~g,~ Disapproved a/c r'~~- ~ .7 7CPa O ................................C'Y~~. ~w ~~~li (Building Inspector) ~ t~ APPLICATION FOR BUILDING PERMIT BLDG. DEPT. ~ TOWN OF SOUSNOLO a e 15.. - INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ sets 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 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 issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, r applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or or r v litio as herein described. The applicant agrees to comply with all applicable laws, ordinances, g ho t code, d regulations, and to admit authorized inspectors on premises and in building for necessary s tion ignature ap lie t, or name if a corporation) . ,Z.S.D.u?., 495.... H:~'.. N ~'.l oo.! i...:. . • (Mailing address of applicant) State whether applicant is caner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber of builder. ..........©.w!~.r!~ Name of owner of premises . ~~!~~M_ A. `Ar`~•~b?. tR~~1•Ir+.ti+! • 1~!f'!• • • ++s) +3'~~ (as on the tax roll or latest deed) !f applicant is a corporation, signature of duly authorized officer. (Name and title of corporagte officer Builder's License No. ~ .1 I. r.~. ~ . Plumber's License No. ~ . Electrician's License No. ~ Other Trade's License No. ~ . 1. Location of land on which proposed work wilt be done; House Number .Street. Hamlet h County Tar \fap No. 1000 Section ~....1.~ 0O...... BI'vck ~.`C.!~~ , , . , , Lot . , • Subdivision . Filed ~1ap No. Lot . • (Name) Sate existing use and occupancy of premises and intended use and occupanLy~oT~/f proposed construction: A. ;;xisting use and occupancy...~t,~/~~• ,~/e^~IA~'~-'+1 B. Intended use and occupancy....S~~-~~••~-•'••;'~~••••••••••••••••••••""""' . I . 3. Nature of work (check whic?t applticable): New building Addition • • Alteration , Repair Removal Demolition ..............Swimming pool............ Tennis~Court .:~....~./Alcjcessory Building..........Fence .......Other Work:........... 4. Estimated Cost .~`A.J+~,!~~~ Fee (to be paid on filing this application) 5. If dwcliing, number of dwelling units Number of dwelling units on each floor If garage,numbcrofcars 6. If business, commercial or mixed Qccupancy, specify hue and extent of a type of use F • , , . , . . 7. DimcnsioT~ Qfexisting structures,jif any: Front~~r•l~f Rear ~.4 t~.i Depth . , , , • , , , , Hci;ht . !!.1........... Number of Stories ! II~.......... ~~++yy~~ yy~~ . . Dimensions of sargc tructurc Witt} alterations 44r d ns: Front ....7!~!~ 4...... Rear ..~~yt~G~ , , , , , , Depth ....S~w(~ Height ...7.~t~~........... Number of Stories ^!lri! . 8. Dimensions of entiic'nciv.c'onstm~tion: Front Rear Depth , Height Num ~r of Stories v • . ,,ss~~ db~ , 9. Size of lot: Frd~`it+.:~,~~ (w Rear 10. Date of Purchase , . ~ pSp:? ' Y Name0f rormer Owner /'~T1~..~F•r~~7*'•1 • • • • • • • • . l 1. Zone or use district in which ~prcmises are situated • (3, Does proposed construction violas any zoning law, ordinance or regulation: Tlt~ 13. \Vill lot be regraded ~,~y.,.~,.'.~.. Nill excessf},hl be mo d rom premises:^ i,~Y . , No . . 14. Name of Owner of premisesP+l~1~/~~ lww9t~'ess ~~~'•!.V~S.. Phone No. 11.TT.~~'C , t Name of Architect ~r .....Address ,y ~i ~~~.A ....Phone No. Name of Contractor N~'r~.e ~ H~ ....Address .~`V74M1~:'~•~7.. ..Phone No.7~+Z..• 15.Is this property locaC,ed within 300 feet of a tidal wetland? *Y);5....NO.r. *If yes, Southold Town'i,Trustees PermiC roay be required. PLOT DIAGRAM Locate cleazly and distinctly all puildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block ti,umber or description according to deed, and show street names and indicate whether interior or corner lot. ~~~Q Z2„ - I 'Z,o ! ! i I STATE OF NE\V YORE, I!S.S COUNTY OF ! . . . . , being duly sworn, deposes and says that he is the applicant (Name of individual sigt,ing contract) about named. Fkisthe... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du,y authorized to perform or have performed the said work and to make and file this application; that all statements contacted in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application Glcd thcrewitlt. Swom to before mc`th~~i77s aa ..~.d~ayo~~'/.... 1916. Notary Public, /7""`:n : • _ •~'sC UUJ/•ett~• • • • • • County HELEN K ~ VOE NO7~ 470 878 S~uNulk NewtYya~k,~ . 'IamEzpiresMirch30,1C9,.•:./.r (Si;nature of applicant) rte' It - :A.'~~.7-~5~. ~ . l:N.: 4df rli' ~ ~ . ~~v ~i. fs ~ i ~ P~ dAI A~ i ~I yt M'u~ b: ~ i psi .vl+. ~n+• ?Q 1°~~5 V,l J ' r3•, b i ~ l It V x . nJ,.; 7 x~~ xyypy9p ~u ~{~,yk~ tA~`~ f~ .r + 4y-I~~~I~;Y Pri y~~rt¢~lr u e ~4~~~ •~M { i''Vn y'ri Y'" i i~°:'~''U,.` ~ f~JiryA~j I r ~ e~i 3Q X00' ~ ~ 4~ ~ ~ ~ i~ u,~ ~r ~ ~ `4. }~~,,d. ~ ~ _ 'b h 0 ~ ~ t+~ E y ~p H~ fi . ~'~~o~ ~ r ~..s..~„ t~ r+~ ~ CS Z' 'w W 0 u+_ ~ f W 0 W ~ Ssb c~~. n. iR" 1w' 9a'` i~ 4h~ o 'S, tpt ~ ~gE~ ~ J r• =ti fI fg \ N +I t\ ~ ~-J i MAP OF - \ ~.or'E. LOT 304 ~ \ \ pd' . . AMMENOEO MAP A ° ~ ~ r~p2 ' /NASSAU Poj/r/~- A TOWN GtF SGY1Thf~CO ,gQ'YV rTiE ~ D SUFFOLK CQ,N, y. g,6Q~ R D 1 R F/Lf0 AGlT /6i%APP(,yi~,.,r~ ~i gU 035 I~E6U4Afl GO v G~' yqy ,S l~ CE/~T/f7E0 7p: SOUthgi'.p SAVINGS B.QNK ' GCSL /FE T/7LE /M, co of ,y, r I ~P~6 or NFW ro ANNE R1X77/EY B4-5Z- 47P4,9t 5 o~yp w. oory...p~ 9 * Q~ a"`$'P` CI011gCk a^ SS q~BS a ~ ~ ~ 3t3 west matn slree4 ~~'1yF, N~• 4926' J~1OQ• ~.5~C7~ .~.9"~7~ yak . SAND S~Q' Apri! 24,!984 Jnb Na 84_SO2 looo- r r r -o4•ro~ r`;caet ! ~ M n~ • ` _ r__. ~X ` ~ 1_. _