The URL can be used to link to this page

Home My WebLink About17776-z . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17700 Date JANUARY 24, 1989 THIS CERTIFIES that the building ADDITION Location of Property 105 CINDY LANE MATTITUCK, NEW YORK _ House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 10 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 23 1989 pursuant to which Building Permit No. 17776-Z dated JANUARY 24, 1989 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to JOSEPH W. ZUHOSKI (owner) ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A C~.(.. ilding Inspector Rev. 1/81 iiros~ xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Na 617776 Z Date ..~a-~.......~.`~ t98q Permission is hereby granted to: to .~,~,or.-A.i4L~.us.~....s~.....e24R:fYG....~r!<Qw.k:(-rM..••c.x2....°c!-1.....~:y~E..-.•.g.~..~..^.'-.~szy...~,....... ~.....i~.,.,.~... ct premises located of . ~.~J.........:~`./... .:~:Y.1A .................0.~itil!)ri:l.............................. ........................................................................J......................................................................................... Caunry Tax Map No. 1000 Section ......I ~.7:.......... Block .....f.~........... Lot No...I..~ pursuant to application dated ....~~.intA.aM~••••'~^.~• 19~.~.., and approved by the Building Inspector. Fee S•.•S~•:••~~• Building Inspector Rev. 6130180 i a . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOIITHOLD, NEW YORIC 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE . a l..... . NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING..~..VACANT LAND........ Location of Property...lU~. ~ .......~~N/'~'Y.J.I'.1:. uC .l.......... HOUSE N0. STREET HAMLET Owner or Owners of Property.S~l: n.. `.:t!.~.. ~v~~s~~ County Tax Map No. 1000 Section .I.~Y . Block Lot ..1.~.... Subdivision Filed Map ........Lot.......... Permit No. ..........Date of Permit ..........Applicant Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $ APPLICANT... ....~/.Y.:.. (sec-• 3Gs13 rev. 10/14/88 iELD Ii;S:'EC:iu;J ~~UATE ~ ~Oh1MENT° m J 1. ~ ,J r~-~ J _ y FOUNDATION ( 1st ) - m (b~ FOUNDATION) (2nd) R~ 2. z O C P,OUGH FRAME & PLUMBING H pp~~ 3. m ~O m . H IIJSULATIOf7 PER N. Y. ' STATE ENERGY CODE ~'n m a I/~ ~ ~ I ~ y . 4. FIiJAL ADDITIOfJAL COMMENTS: ~ ` _ ~ x .9 H F. H ~ H z d 1 x ca a ~ • r H m .lt d m ^o H r ~I"' ~ .1 BOAFD OF HEALTH . . i ~ ~4 FORM N0. t SURVEY OF PLANS ~ ~ ~ • ~Z ~~r ~ TOWN OF SOUTHOLD CHECK . . ,a BUILDING DEPARTMENT SEPTIC FORPti &LC7g ~=t'7~"°"°`~ ~ SOUTHOLD, N Y~11071 NOTIFY ~'"~~~~~FSOUTi01-t> s TEL.:7G5-1802 _.-.,w, CALL . L•xamincd 4'!tit.~ a`},., 19139 MAIL T0: Approved t9 ~ ~1. Permit No. / 7 ~ ~ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . 152? INSTRUCTIONS a. Tltis application must be completely filled in by tgpewriter 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 perm: 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 Occupant 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and outer applicable Laws, Ordinances o Re_ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describes The applicant agrees to comply with all applicable laws, ordinance ,building code, housing code, and regulations, and tc admit authorized inspectors on premises and in building for necess i spections. ''',moo( OCCUPANCY OR ' ' signatG~ appli t, or nama corporanon).. . USE IS UNLAWFUL WITHOUT CERTIFICATE •r ~ . ~id`!1J/~ hFl../7/1~1. OF OCC~IPANCY (Mailirt'g address of applicant) State whether applicant is owner, essee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ W/~L='~ . Name of owner of premises ~ O S e,~l,!S~, , ,W ; , ,~,U/~O 5 iC •~,fjA7.E..,~~.~~?'.~._ [i w: i; ~ ,7, (o, ,>Z. (as on the tax roll or la est d~fi r, , L , ~EF: - - If applicant is a corporation, signature of duly authorized officer. NCais=v tJUS~,t)!w~ r_ ~ ~ 76C~: t $t:%~ q (Name and title of co orate officer 1. FOURJOf~; ~i:° ' ` FOR POUFS G CUi~.ir Builder's License No . 2. ROUGM - FRAMt:vC, , 3.INSULF4TION Plumber's License No. 4. FINAL - CONBTRU{'TfC" n...gT BE COM!'LETE FOR C.O Electrician's License No . ALl CONSTRUC710N SHALL MEET THE REQUIREMENTa OF THE N Y. Otfrer Trade's License No . STATE CONSTRUCTION & ENERGv CQ~,~CK D ~ Cf~pES. NOT' RESPONSIBLE FOR Location of land on which proposed work will be done. DE~RC~Jj'~PRUCTION ERROR$ ~ / - .o . HouseNumbcr ~Street~ Hamlet 1 , County Tax plap No. 1000 Section Block , . ~ , , , , , , , , , Lot ...L , Subdivision F,ilcd Alap No. Lot . . (Nanrej State existing use and occupancy of premises and ' tended use • ccupancy of proposed construction: , a. Existing use and occupancy ~Nt.-~/~.. ~ , • ~ ~•/2 • b.lntendeduseandoccupancy ..~t~.5-s~......... •`•.-T.•••••.•••••••..•.•• _ . _ w.,-a:a.t 3. Nature of work (check which applicable): New IIuildinS • • • • Addition Alteration Repair Rcm~tval Demolition Other 1Votk • • • . . alription) . . 4. Estimated Cost Fee .5~ . (to be paid on filing this application) 5. If dwelling, number of dwelling knits Number of dwelling units on each floor . If garage. number of cars . 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use . . . 7. Dimensions of existing structures, if any: Front . , , Rcar Depth . Hei~ttt ...............NumberofStories.......~....... ' Dimensions of same structure w;th alterations or additions: Front Rear . Depth ....................i.. Ileight Number of Stories . , . . ' Dimensions of entire new construction: Front Rear Depth Height •,,,,,•,Num';berofStories. 9. Size of lot; Front Rear ........................Depth , . 10. Date of Purchase .................Name of Former Owner 11. Zone or use district in which premises are situated . ~ • ~ • ~ • • ~ • I2. Does proposed construction violate any zoning law, ordinance or regulation: . lot bere~raded • • • • 1Vi11 excess fill be removed from premises: Yes No P.........' .................Address ...................Phone No. 14. Name of Orchitcct remises • : • • ' • • • • . • . , • ,Address ...................Phone No. Name of Contractor ~ • ~ ~ ~ ~ • • ' • ' ' ' ' ' ~ • Address ...................Phone No............... . IS.Is this property locaxed within 300 feet of a tidal wetland? *YES....NO....•• *If yes, Southold Towns Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all '!buildings, whether existing or proposed, and.indicatc all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~~'tSCI ~ h':r , • ~ ~ _ - ~ ~ _ ~ ,I STATE OF \E1V YORE, ` COUNTI' OF .S (Aante of individuatsignit ~ • ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ' ' ' ' being duly sworn, deposes and says that he is the applicant ` g contract) above named. .,rs,°~ r-:,~[._~ .-'a ^t'xi s ..,y,a4:..~ t;:., .a~i,~. _ , He is the ....+':~~a'~:,......~?~;.~, •4. • (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 contaihed in this application arc true to the best of his knowledge and belief; and that the work will be performed in cite manner set forth in the application tiled therewith. Sworn to bc(ore me this 3.. day of.,'- , 19~~. Rotary Public, ......~"`.~r,*; si~...... Count Y ~ , HELEN K DE V E ~ ' ' ' ~ ~ ~ ' NOTARYPlIOIIC,SWtuo~NewYak (Signature of applicant) No. 4707070, SuOolk~~iCouuiy~ Terra Exryires March 30;18