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Home My WebLink About19078-zFOBI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19514 Date NOV. 16~ 1990 THIS CERTIFIES that the building Location of Property 11825 House No. County Tax Map No. 1000 Section Subdivision ADDITION OREGON ROAD CUTCHOGUE Street Hamlet 83 Block 02 Lot 14 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 1990 pursuant to which Building Permit No. 19078Z dated JUNE 6~ 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 DECKADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JOHN ZUHOSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N147140 SEPT. 5~ 1990 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 IvOZ~,M NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD~ N. Y. No_ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) ~ ~) / J~ Z Dote .....~.~ ...................................... , 19..~....~ / Permission is hereby grante, d/tTo: ................... ................................... at premises located at ..../../...~...~.....~.....~.~...o~...~... .......................................................... County Tax Map No. 1000 Section .......... ~..~.. ...... Block ........ ~ ........ Lot No ........ /...../... ...... pursuant to application dated ..~../..~.... ................................. , 19..~..~.., and approved by the Building Inspector. Fee $....~...~ Rev. 6/30/80 Form No. 6 ~7~ , ~ BUILDING DEPARTMENT ~[I m ~ 4m i~ !J · TOWN HALL TOWN O~ S~OU, TH~O~A~PLiCATiON 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 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.' 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. 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 . . . J/~. ~ .f~. ........................... qew Construction ........... Old Or Pre-existing Building ......... Location of Property .... House/"'/'No. ~' ~ '~' ........ '~'~'~''' 'Street ]] '' ['' [~[~:~t~'~ .......... )nwer or Owners of Property...~.*~.~2. W~k*~h~ ...................................... . .... . . ]ounty Tax Map No i000, Section ..... .~.~ ...... Block ..... ~ ........ Lot .... /..~. ............. ;ubdivision .................................... Filed Map ............ Lot ...................... >ermit No. ~f~.~.~. ....... Date Of Permit .......................................... . Applicant .. [ealth Dept. Approval .......................... Underwriters Approval .... . ..................... 'lanning Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate...~ ....... 'ee Submitted: $. .................. / .................... · 0 Z I ¢It l? ~F~IC.~T FOU~DATION ( 1 st) FOU!IDATIO:3 2. {2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE EIIERGY CODE Fi:~AL ADDITIONA'L COMMEI.;TS: THE NEW YORK BOARD OF FIRE UNDERWRITERS '~ '~ ~'~l')O~t BUREAU OF ELECTRICITY 85 JOHN STREET, NEW yORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the electrical equipment ~ ~scribed below a~ introduc~ by t~ applicant ~med on the above application number in the premises of in the following locationc ~ B~(~ozent ~ 1st Fl. ~ 2nd Ft. ()lit Section Bilk Lot ,,ItChY 24, ] )){~ FIXTURE FIXTURES RANGES OVENS EXHAUST FANS TIME CLOCKS MULTI.OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT S E R V I C E DTHER APPARATUS: NO, OF CC COND, / A W G. t NO OF HI.LEG ,~wo ~ oF .~U~*^LS 'g/O^wo OF HI-LEG OF NEUTRAL ~.'l YOI~I';ST TJtA I'h This certificate must not be altered i~ a~y manner; return to the o(fice of the Board if incurred, inspectors may be identified by their credentials, COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFI~TE MUST NOT BE ALTERED IN ANY ~NhlER, / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND £ ] IN~!.ATION/. I' ] FRAMING [ ~FINAL REMARKS: 49,54' LOUISE ESMAN 2698.18' N/O/F 8, S.46° 34' 47"E. LOT 2 AREA=3.186 59~5.81' 188.00' 1'~7. OC ' 2106.54' ,/~ JOHN ZUHOSKI~ JR, LUCILLE ZUHOSKI (AREA.-- 0.399 ACRE,) (BUILDINGS NOT SHOWN} / FOR J AT TOWk SUFFC I000 t),)l ~--- _ --,~ lilll TOWN OF SOUTHOLD L TOWN ~OL~ TEL.: 765-~8~2 ........ AppruVe~ ........... [9~ ~C~it NO,, ~ 2 Disappro ed a/c ................................. ................................ [B~Iding ~spector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ MAIL TO: Date ................... 19 . . . INSTRUCTIONS a. Tiffs 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 detmiled description of l~yout 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 Pemnit to the applicant. Such permit shall be kept on the premises available foe inspection throughout the work. c. 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, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for ~emoval or demolition, as herein described. The applicant agrees to comply with all appticab"le laws, ordinances, building code, housine code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. '(S~gnat~re'oi"apphcar~t, or na'n~e', ifa co;l~o'r:~tl~n')' ' ' (Mailing address of applicant) ' ' State.whether. 'f.,.~. ?:~2 applicant/.~i~]~is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... . ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · ...................... / (Name"ari~ title of corporate officer) ' Builder's License No. Plumber's License No ......................... Electrician's License No ....................... Other Tradc's License No 1. Location of land on which proposed work will be done: Ad-. i' }louse Number Street. Hmnlet " Tax County .... Lot.. .. -.... Subdivision F, ilcd Map No .....................................(Name) ' .............. Lot ............... 2. Slate existing use and occupancy of premises and in telldcd use and occ'upancy of proposed construction: A, Existing use and occupancy .......... *'' ~]~LIIII~/*CI~I ..................... B, Intended use and occupancy .... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alt¢l~:~tiod.- x:._!~}i'~4" ...... Repair. ........ ~ ..... R~moval .............. Demolition ......... _ .... 4. estimated Cost .... 41."<.~. u~','. · ....................................................... ~ (to be paid on filing this appl!cation) 5. If dwelling, number of dwelling uhits ............... Number of dwelling units on each flo'6f;.. If garage number of cars ,,. ; · · · specify nature and extent of each type of use ' 6. If business, commercial or mixed ;occupancy, , ................... Dimensions of existing strueturesl if any: Front" Rear Depth Height. ............. . Number of Stories ...................................................... Dimensions of same structure with alterations or additions: Front ......... · ........ Rear ................ Depth : Height~ . ....... .. Number of Stories .................... 8 Dimensions of entire new const~ction: Front Rear Depth . Number of Stories Height ' 9 Size of lot: Front 4 Rear . . Depth .................... 10. Date of Purchase .... . ....... i ................. Name of Former Owner ............................ 11 Zone or use district in which premises are situated - · 12. Does proposed construction viol{re any zoning law, ordinance or regulation: ........................... ~ .... 13. Will lot be regraded ......... i .................. Will excess fill be removed from premises: . Yes .... No.. ' Phone No 14 Name of Owner of premises ~ Address .................. ' Phone No Name of Architect .................... ....... Address .................................... Name of Contractor ......... i ......:. i... ~.. Address ... ' ' 15.Is this property located w~thin'{' 0 feet of'd' ihZ£....... wetland?Ph°neN°*yES ..... .... i('''~7NO.~.~. .... · If yes, Southold Town{ Trustees Permit may be required. 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. STAT OF Nre VOR , I COU N.T OF .. . ~ ... ~ .q~ ~ ........................ being duly sxvom, deposes ~d says that he is the applicant _. (Name of individual sigoing contract) above named. ] ~isthe -~-~ · .. ' ..: ............................ of said owner or owners, ~d is du.ly authorized to pe,rform or have performed the said work and to m~e and file this application: that all statements contained in this application are 'true to the best of his knowledge and belief; and that the work w~l be pert~m~ed in the m~nCr set forth in the applicatioa filed therewith. / Swam to betore me tlu~ : ~ ~'X ; ................ dag ., 19 .... ., ~IRS ~ ~ . .; ............. ~ ~[~8'~ (Signalure of applic~t)