HomeMy WebLinkAbout17587-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17767
Date FEBRUARY 17~ 1989
THIS CERTIFIES that the buildin~
Location of Property 1545 BRIDLE LANE
House No.
County Tax Map No. 1000 Section 102
subdivision
ACCESSORY
CUTCHOGUE, N.Y.
Street Hamlet
Block 8
Filed Map No.
Lot 22
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 14, 1988 pursuant to which
Building Permit No. 17587-Z dated NOVEMBER 4, 1988
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 ACCESSORY STORAGE SHED AS APPLIED FOR
RICHARD DiTUSA
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FOu~w NO. I
TOWN OF SO~THOLD
BUILDIHG DEPARTMEHT
TOWN HALL
SOUTHOLD. N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 017587 Z
Permission is hereby granted/~to.'. ,~ ~/~.d..-
............ ........ ...........
County Tax Map No. 1000 Section ..... /~....~ .... Block ........... ~ ...... Lot No ........ ..~w.......'~.., ....
pursuant to application dated ...... //.......//~.... .......................... , 19..0~..~, and approved by the
Building Inspector.
Rev. 6/30/80
TO~N OF SOUTHOLD
BUILDINC DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
t/.A.
DATE..
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Location of Property ........................................................
O~ner or 0~ners of Property
Subdivlslou ....................... Filed Map ........ Lot ..........
Permi~ No. \~.Hate of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate .........
Fee Submi,ted: $... ? %0~00 ~ ~
APPLICANT ....
rev. 10/14/88
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-t 802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 6, 1989
Mr. Richard DiTusa
1545 Bridge Lane
Cutchogue, New York
11935
Re:
Building Permit 9 15520-Z
15886-Z
17587-Z
Dear Mr. DiTusa:
We are unable to complete your Certificate of Occupancies
until you fill out the enclosed applications and submit them to
us with a check in the amount of $60.00.
The fees are calculated as follows:
B.P. ~15520-Z - POOL & FENCE $25.00
B.P. ~15886-Z - DECK ADDITION $25.00
B.P. ~17585-Z - ACCESSORY SHED $10.00
As soon as we receive your applications and check we will
mail the Certificates to you,
Thank you for your cooperation in this matter.
Very truly yours,
G-&r¥i/ish,
Build±ncj Inspector
GF:gar
encls.
FOU~DATION
(1st)
FOUI~DATION
2.
f2nd)
ROUGH FRAME &
·PLUMBING
I~SULATION PER N. Y.
STATE ENERGY
CODE
F I'N ~
. ADDITIONA'L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
in~eo%~ by this ~cpert~nt ~d found
~lef of
SURVEY FOR
RICHARD DiTUSA & PATRICI/~ DiTUSA
LOT NO, 25, "HIGHLAND ESTATES"
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY~ NEW YORK
JAN. 21, 1986
DATE: JULY 29,1985
SCALE: 1":50'
NO. 85-83l
/ /J ~.
II Y/I .._ ----'"/Ill TOWN OF SOUTHOLD
Illfl l NOV ..~ ~q~ IIII BUILDING DEPARTMENT
I~llll .e ,,~vu !11 I TOWN HALL
IJu[ -. I/~ . SOUTHOLD, N.Y. 11971
L TOW~I'DG:'eE~ TEL.: 765-1802
/
........ ....
Disapproved a/c .....................................
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH
3 SETS OF PLANS · .....
SURVEY
~ '~;¢ ..... . .....
FOR~ .....
CHECK ..............
SEPTIC .............
NOTIFY
CALL .... >)~ ~. ......
MAIL TO: '"' "' '
INSTRUCTIONS
Date ...................
a. This application must be completely filled in by Wpewriter orin 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 punic stree;
or areas, and giving a detailed description of layout of properW 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 tliis 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 Occupanc
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 other applicable Laws, Ordinances c
Regulations, 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, building code, housing code, and regulations, and t,
admit authorized inspectors on premises and in building for necessary/f~p,K~i~ons/'} k -'---
.... .. .
tlt~,~ ~ ilt ,, ' .............
. (Signature of app, licant, or name, if a corporanon)
........... ¥~t ' ' ~ r~ .............................
............... (Mailing address of applicant) /(~ .~-,
State wiaether:~l~plt~'~lt~'~s"~ o*~a'~er~:.l,E's~e? ao-ent.~architeot, engineer, general contractor, electrician, plumber or builder.
· ~~uoq~m ........................ ~ .r ' ' ' '"'"'"
Name of o,vne~l~J~es~ ??..~.~,l~.,~O-~l.3 ct~ /~ , ..... v~,t,Fl~3t;~t~t tg .......................................................
~ ~O~l'~ljffl'~.~tOD JAM,~:I ~* (as on the tax roll or latest deed)
If applicant is a corporati~l~lS~ti~Yitlft'h!t~l~thorized officer.
.......... ,- -~.# .i1~'. tO. amt~t~ltO~8, qt~} ......
(Nart/l~]l~itl~ olSl[~t}tJtlit~l~*ce~}'/~'a' ,
Bu lder s ~~8~O~.~0 Aq .~ ........
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
I. Location ofland on wlficb proposed work ,rill be done. \,._~t.~_~ .
t~°c£ FS&~,~e- tM,o~ ..... .(z..u_..TZ-f4....k_2....c.~..~.~ ....
House Nmnber Street Hamlet
County Tax Map No. I000 Section ~0o~, Block O~ o~oh
SubdMsion ..................................... Filed Map No ............... Lot .
(Name) ..............
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. ,se occupancy ...................... ..
b. Intended use and occupancy .................. .. . .. . . ...........
3. Nature of work (check which applicableS, x~ .........
~ ................ ~emoval n~ ,~- ~:~;.~ :~., ..~,,u,~ ;., ......
; .................
.~ ~ · ~ .......
4 ' ' ~ I ~: ~ - ~(Desc,fiption)
If garage number of cars ' .....
6 If business commercial ~ixed occupancy specify nature '
· , or . , and extent of each type of use ...............
7 Dimensions of existing st~c~ures if any: Ero~t
Height ~um~er of Stories ............... Rear .............. Depth
Dimensions of same st~cture with alterations ......................................................
Depth ' HeiSt or additions: Front Rear
~ Num her of S~ofies ................
Dimensions of entire new obstruction: Front
Height ~ umber of Sto~es ............... Rear ............... Depth ...............
9 Size of lot: Front ........ ' ...............................................
Rear
10' Date of Purchase ............................................. Depth .....................
' ' ' ' h;";" '. ................ oC
11 Zone or use district in ni rem~ses are situated
I2 Does proposed construction ................. ] ............
13 'iolate any zoning law, ordinance or regulation: ..........
. W~I ...................
' · Will · ·
14 lot be regraded ......................... excess fill be removed from premises: Yes N
. N~e of Owner of premises ........ Add
N~ f A ........... ross ....... PI '
e o rchitect ....... ' ........... rune No ...............
............. ; ..... Address ............... Phone No..
N~e of Contractor .... .... ' ' · · · ............
' ' ~ ................ Address ................... Phone No ............ ;..
I~.Is this property lo ated ~ithin 300 fe~t of a tldal uetland! ~YE$ .... ~O ....
~Zf y~s, SouthoZd To'~n Trustees P~rmit may bn required.
PLOT DIAG~
Locate cle~ly ~d dis~ctly ~l bu~d~gs, whether existing o~ proposed, ~d. lndicate ~1 set-back d~ensions fron
prope~y ~nes. Give street ~d block number or deschption accord~g to deed, ~d show street n~e~ and ~dicate ~hethe.
in~e~or or corner lot.
· 8.
STATE OF NEW YORK,
COUNTY OF ......... S.S
App.IIOJ/EI) AS NOTIO _
OATE:~ B.R # ~
7e~-18o2 9 AM TO 4 ~ ~ ~
FOLLOWING INSPECTIONS:
1. FOUNDATION . TWORINIWIIIID
FOR POURED ~C~I~K~Lrll
2. ~OUOH. ~ i I~
3. INSULATION
8E COMPI.tTE FOR CO.
ALL CONSllNcrl~ ~ ~
STATE CONeTI~IGTION & ~
COOF$. aOt ,~~ ~
OESIGN Og CONSTRUCTION ~
...................... ~ .............. being duly sworn, deposes and says that he is the applicant
(Name of individual sigfling contract)
above nan~ed.
tie is the .....................
(Contractor agent corporate officer ) .........................
, , , etc.
of said owner or owners, and is duty authorized to perform or have performed the said work and to make 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 will be performed in the mann(r set forth in the application filed therewith.
Sworn to before me this
.......... ' ......... day o~
...................... ... County
HELEN IL DE VOE
NOTARY PUBLIC, State of NOW Yolk
No. 4707878 Suffolk Ce~uflty
Term Exp res Morcil ~0,
(Signature of applicant)