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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)