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Home My WebLink About18679-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE: OF OCCUPANCY No 218612 Date DEC. 5, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 245 FIRST ST. & 530 STILLWATER AVE. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 07 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 18 1989 pursuant to which Building Permit No. 186792 dated DEC. 4, 1989 was issued, and conforms to all o€ the requirements o€ the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY BUILDING IN THE REAR YARD. The certificate is issued to PETER & THERESA BROPHY-MARY LOZINSKI (owner, Xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building nspector Rev. 1/81 Foaas xo. s TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N° ~8~~g Z Date 19.s~~ Permission is hereby granted to: , .~r......r~~...~....~............/..1...~:.~.s` ' ......~....,~~`...~.....~I ~.f at premises located at .........Q..l.~ ..1.~!^!:~/f .......................................~...............................,......y1,...~....~~..~~....~...~.-:................. County Tax Map No. 1000 Section D..' Biock .......~j~........... Lot No / pursuant to application dated a/~~~.~....~~ 19........, and approved by the Bulldl~ InL[s'~pec~~t//or~~.>) Fee $..R4,.l...[.Y...f~... 1 ....l~. ~.C ' ..nCr~..... Building Inspector Rev. 6/30/80 _ _ . ~ Y t Fi _ _ 1 1f .J ~ Y r....~... i ~ i i xi t ~ ~ „4 i e..t~7C 'F ,1 7^ t~z f r ~ ~ ~!J' /rp Y Y F/~{7i~v~ 1 r ~ ~ e:1 ~y~MC ~^Y(""Y ` K ~~3kfl ~J4S Q T W ~--"~ktq { S~' N.~4fi'z9'gq H,.--.ri-,:..,..~., , 5• ~r~"` tt ~ i ~ -20~ ~ ? rt , ~ z` ~ 1 ~ ~ N r, , i ' 1 STY. FR ti0 ~ ~ t s~ ~J~ : x a z` dom.-. ~ ~ ~ Srn ~ ~~~t ~ x 'x ,r~a~ sr ~ 4 i x ~ ..io . ~ y~ ~ . t '~<{K`.C~ t Vi . ~r ~ ~ _ ~t r ~yti ~ . I y--~ ~ . Q ~ ~ ~ ~ ~ ~ ~I - y~ ~'~1_ JMi. ~ i ' } p ~ n T ~ ~ ~ ~ ~j ~ ~ _ _ ~ .p ' ~ ~ r ~ ar, } ~ N ~ 'fj1 ~ a. , ~ ~ o, ,,m. n4x ~~i -1 _ ~ e ' 9 f ~ ~ Y l b ~ t ~ ~ ~ < , ~ r, c ~ a n rl gym.., i'~p ` , t b Ey ~ Z ' ~n , ~c., z a ~ ,~Lti, / LA~~~ ~ t. ° 4 ( ~17 -{r^` t c)Y 33~ ~.;~R ~ u' r ti.a r ''1 v r 1 C 4.~ zR C:~.'<~ ~1 g jtC~ { t~ `fr ~ Z~1 ~ ~ ~ ~ ~ m~ ~ 5 S. ~ "~".o~ ~O`~9 F ~ , ~ ` ~ Y ,Y\~~ F ;o '-r ~ egggg^°~ 9k$k C ~ N°.r~~' in~~oT 1, L ~ ~ .a -.rte' ~ TOWN OF SOUTIIOLD BUILDING DEPART?LENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY q DATE..... ~~L~~j~ i NEW CONSTRUCTION ..Y1...OLD OR PRE-E%ISTING 'BUILDING......VACANT LAND...._... Location of Property....~.Y~..:........~IQ~T~~....~1~~~{4~_.... HOUSE N~`OI,^., nn`` ~SyT BEET HAJM~LET(~T ~v''~~pp~~,, Owner or Owners of Property .`,IS~f+1+4 (.~:Ll!JS.~..~~"~C1~A~.~fS~~l,~~1\~..... _ -JJ ~t County Taa Map No. 1000 Section ~d3 Block Lot~...'7..... Subdivision.........._ Filed Map ........Lot... Permit No./L/.(P.~/.rG-rDate of Permit~v:~~,lli~/Applicant)/,,G~~-(?-?.-!~~s~yG~~~ , Health Dept. Approval .-......../Underwriters Approval Planning IIoard Approval Request for Tempo!~ry~a(ry Certificate Final Certificate ....Y~._........ Fee Submitted: $..p2~1®Y,~~,,.,,,.,, APPLICANT.. cb y ~gGl~ ~~~y3 R~` ly\~~~~ rev. 10/14/88 _ ~ i FORM NO. 6 1` TOWN OF SOUTIIOLD , ' I~~ BIIILDING DEPARTMENT TOWN MLL 765 - 1802 APPLICATION FORCERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must b'e filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of prop~erCy with accurate location of all buildings, property lines, streeCS, and unusuallnatural or topographic features. ' 2. Final approval of He~lth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement fxomplumber certifying that solder used is system conCains less than 2/10 of ]Z lead'. S. Commercial buildingsr indusCrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings,;,4Prior to April 9, 1957 non-conforming uses, or buildings and "pre-existing" land ',uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed',application, a consent to inspect signed by [he applicant and a certified abstract of title issued by a title company which shall show single and sepat,ate ownership of the entire loC prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state Che reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy:, 1. An application for vaunt land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of'the entire lot prior to April 9, 1957 shall also accompany the application. Zf ~ Certificate of Occupancy is denied, toe Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $10.00 Addition to Accessory buildings, $10.00. - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificat;c of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 b. Temporary Certificate of Occupancy - $15.00 I rev.i 10/14/Su BOARD OF HEALTH 3 SETS OF PLANS FORMNO.1 SURVEY TOWV OF SOUTHOLD CHECK • • • • • • BUIL'D.tNGDEPARTMENT SEPTIC FORi`1 TOWN HALL . °.OUTHOLD, N.Y. 11971 NOTIFY • TEL.:7G5~1802 CALL MAIL T0: Examined .................19... Approved „ 19 Permit No..~~ 4?. Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~Q~(~......, 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 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 wil] 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, and other applicable Lativs, Ordinances or Re=rilations, 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, bu' o ode, hour' g code, and regulations, and to admit authorized inspectors on premises and in building for necessary ' pectin PP ~~~...p (Signature of a ant, or na ~r cor oration) • • ..ass.. ~'esT. ~x.~~ :.~kcc~. ~ , t i.9.3S (Mailing address of applic ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. \`ame of owner of premises }.1 ~^~t.~7K,..~. 'SQ.JL~ `g•,/~~C't~~~kJ1~~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. " (Name and title of corporate officer) ' ALL CONTRACTOR'S MUST B UI'FOLK COUNTY LICENSED Builder's License No. ,,'~2; F~ . Plumber's License No . . Electrician's License No . . O[frcr Trade's License T•!o . . 1. Location of land on which proposed work will be done. , , , , , , , , , , , , , , • • - ~Y.~ ! r~, esX..~~s~~.............. ~~~~c ~ - House Number Street Hanilet County Tax plop No. 1000 Section ~,Q,~...~, , ~ , . , , , Block Lot , , , , , , , • Subdivision Filed plop No. Lot . i ..(Name) State csistino use and occupancy oC premises and intended use and occupancy of proposed construction' a. Existing use and occupancy r0."t:t:P. Yi~~ . b. Intended use and occupancy ~•%'.~~3~ a!~'sz• • • . • 3. Nature of work (check which applicable): New Building Addition Alteration . Repair • • Removal's Demolition Other 11'ork o~ t-~ (Description) 4. Estimated Cost/ • (~,~J,f/,~~, • . , Fee . a'^.~.1.•.~ . (to be Paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage,numbcrofcars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if,any: Front ...............Rear • Depth . Height Number',of Stories , Dintcnsions of same structure with alterations or additions: Front Rear Depth Ficight Number of Stories . 8. Dimensions of entire new construction: Front . . Rear ...............Depth Height ._.........Nwnber'ofStories S. Size of lot: Front , Rear . , Depth ......................i 0. Date of Purchase ' Name of Former Owner 1, Zorre or use district in which premises are situated , . . .i~ 2. Does proposed construction violate any zoning law, ordinance or regulation : . . 3, \Yill lot be regraded ..............Will excess fill be removed from premises: Yes No' 4, A'ame of Owner of,premises ............Address ...................Phone No. (;~16J.~3~. 52`~ Name of Architect ...........................Address ...................Phone No.. , I\'ame of Contractor . . . . .Address . .Phone No.... . 5. Is this property located within 300 feet of a tidal wetland? *Yes No *Lf yes> Southold Town Trustees Permit may be required. PLOT DIAGIgAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from roperty lines. Give street and block num';ber or description according to deed, and show street names and indicate whether tterior or corner lot. ~ ~ ~ ___T_ r. , , -ArE or• Ne«' S~oRi`, s.s ~c;.-rY or• . , , , , , , , , , , , , , , , , , , , , being duly sworn, deposes and says that he is the applicant (Name oCindicidual signing cbntract) ovc named. isthc (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly auChorized to perform or have performed the said work and to make and `file this ~lication: that all statements contained in this application are true to the best of his knowledge and belief; and that the rk will be performed in the manner set Forth in the application tiled therewith. ~ orn to before me thyhis ~~E ............~l.. ..dayof...' .C~,ct~...........,]9~ tart' Public, ~ . (l~; , . Count HELENRDEYDE ~ (Sig tune of applicant) , NDfAR't PUBI;IC, State of New Yak I a' , • ~ No.47078I8,5aflolkp,~~p~ G . ~ Term Expires PRawh 30, t9--•LC , u.. . i