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Home My WebLink About27558-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28672 Date: 08/12/02 '£H£S CERTIFIES that the building ACCESSORY Location of Property: 1725 ALVAHS LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 109 Block 1 Lot 24.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 2001 pursuant to which Building Permit No. 27558-Z dated AUGUST 13, 2001 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 TWO CAR GAPJ~GE AS APPLIED FOR. The certificate is issued to PAUL C KALOSKI of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF H~J%LTHAPPROVAL N/A ELE~-i~ICAL CERTIFICATE NO. 60739 PLUMBERS CERTIFICATION DA'r~u N/A 08/12/02 '~/~/t ~o~ila ture Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27558 Z Date AUGUST 13, 2001 Permission is hereby granted to: PAUL C KALOSKI CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN ACCESSORY TWO CAR GARAGE IN REQUIRED REAR YARD AS APPLIED FOR at premises located at 1725 County Tax Map No. 473889 Section 109 pursuant to application dated JUNE Building Inspector. ALVAHS LA CUTCHOGUE Block 0001 Lot No. 024.002 5, 2001 and approved by the Fee $ 141.00 Aut hori~ Signature ORIGINAL Rev. 2/19/98 Form No. 6 T(~WN OF SOUTHOLD BUII.DING DEPARTMENT TOWN ItALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: l. 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. C~ommercial 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. B. 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 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 - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: ~// Location of Property: ] ~ ,%-~' House No. Owner or O~vners of Property: Pi~ [J) 4 Suffolk County Tax Map No 1000, Section Subdivision gO]3~ Permit No. ~ "} ~'-~'~ ~' Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ (2>Q ~ ~ Old or Pre-existing Building: Street L I Date. Date of Permit. (check one) mockI Lot Filed Map. Iq~ Lot: g/4- Applicant: 9tm_ ~t 1 .~.~ } O,~.[~; Underwriters Approval: & O* 3~ Final Certificate: f (check one) ~'/ Ap~ar~t Signature Date 3~6~02 Elec trico/ Znspec Y/on Certif /cate Electrical Inspection Service, Inc. A==lication # 375 Dunton Avenue 60739 East Patchogue, New York 1i772 (631) 286-6642 Issued to: Paul Kaloski Street: 1735 Alvah's Lane Village: Cutchogue Zip: 11935 Section: Block: Lot: Town: Southold Introduced by: Lademann Electric Inc. Lic.# 4141-E wa.~ ~x~tnined and found fo b~ in cotnphbnc~ wifh ~h~ iVa~ion~l ~/~cfrical ~'od~ [] Commercial []NV Defects [] Pool r~ lst FIoor []]Indoor [~Basement [] Hot Tub [] Residential [] Det. Garage []]Attic F~2nd FIoor []]Outdoor [] Addition [~Survey Switches Receptacles Fixtures GFI Heaters 4 2 4 1 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Furnace Oil Gas Circulator Smoke Detector Meter Amps Phase UG/OH Telephone Television Other Equipment A/C Fans Garbage Disposal Bell Transformer Carbon Monoxide Building Permit Hugo S. Surdi President Rough Inspection: Inspector: Quentin Reynolds Final Inspection: 3/5/02 Inspector: Quentin Reynolds This certificate must not be altered in any manner. Inspectors may be identified by their credenUais BuIL'DING PERMIT REVIE' CHECK LIST Owners Name: Reviewed: Architect/ Date Engineer: · ~ Submilted: SCTM #: I)islrict: 1,000 Section: /'¢.7 Block: / Lot: c;~ 7.~7~.... Projecl ~--~.c~f~_._~-, Subdivision Single & separate Required cemficaOon: (Yes / R~. [From Y~d pro~s~: ~] [Sidc Yard Pro~s~: Project Description: AGENC'~,..PERMITS REOUmEr) FOR REVmW N,A. Suffolk County Health Dept. New York State D.E.C. Town Trustees / Town Zoning Board approval: Town Planning Board approval: Permit NO YES Number Flood Plane Elevation 777 Flood Zone: NOtes: 765-1802: BUILDING DEPT. /JNSPECTION [/..~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL~ CHIMNEY DATE INSPE~~~j~ ~ 765-1802 BUILDING DEPT. iNSPECTION [~ FOUNDATIOH 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~' r'*~ ~/ DATE /~)///~/ INSPE~O,~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN~-.ATION . REMA~ INSPECTION REPORT ' DATE I~OUNDATION ( I ~ COHNENTS [OI~'~ATIOS (2ND) ROUGH FRAHE & PLUI~ING INSUh~TION PER N. Y.' STATK ENERGY CODE ADDITIONAL C o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. Application No. Disapproved a/c .............. --------- ~ · (Building InspectoH APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 ofproperty must be drawn on the diagram which is port of this application. 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 issue 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 Departr~ent 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature g(f a~p.~:ant, or nam~.,_lif ~-~r~or?tlon) /.) (~(ddress of applicant) ..... State whether ap.~p~licant is owner,_ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. ~~~~~~.~~~~~~~~~~~~~~~~~~~~~~.~~~~~.~~~~~~~~~~~~~~~~~~~.~~~~~~...~.~~~~~.~~~~~~~.~~~~~..(Name and title of corporate officer) Builder's License No ..............~.-~... .................................. Plumber's License No ....... i.,,~./..~./~. ......................... Electrician's License No..,..~;~.(~..~.L.~.. ........................ ' Other Trade's License No ......... /..~.s~..-.~'.,-,~.~.~. .............. -- t' Location of land on which propo;~..ed/work, w, ill be ,clone..Map No.: .... ....~,.-J..j ...................... Lot No. ,...D...?(...,...) .......... Street and Number ...... ~...~..~]~.~. ....... ~-~/.~.'.g~ .~.,.,-~....,~C~/2....~,. .................................................. ~_~.c..~..~..~..,~.~..~.~,,... Municip'c~lity State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .............. '.~.~...~. use and occupancy ............. b. Intended .... .),. ......... pEl~i~ "i ~ E E~I.~-i~.-.~-F~.i~/~.£ ........... TO REMOVE EXCESS FILL FROM ABOVE PREMISES BY ~ REGRADING LOT , DRIVEWAY CONSTRUCTION CESSPOOL CONS IRUCTION CELLAR CONSTRUCTION 3. Nature of work (check which applicable): New Building.. ................. Addition ...,,~'. ....... Alteration ~. ........ Repair .................. ; Removal .................. Demolit or, ....... Other Work - ;~/'-~ .~--~ <30 ~ ..... (Description) ' 4. Izstimated Cost l/.... ~C;~, (~,J.~. '-"-'- ~ ~'- / ~- ....... ~ .................................. tee ......z....c?.. .... · (to be paid on filing this application) ..... 5. If dwelling, number of dwelling units -(-~../.~-.~.. ..... 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 e.x?ting structures, if any: Front ..:...~..~.. ....... ..~ ..... Rear ...... (~.~.. Depth c:~ .~. Height ...... .~..~.. ........... Number of StOries ...... :.....;....C~.~-- ..................... ' ................................. Dimensions of same structure with alterations or additions: Front ........... .4~'...~.. ................. Rear . . .~'.?.. Deptln ........~.~. .................. Height ........ ./...~...~ ............. Number of Stories ....~..../7..~. ............ 8. Dimensions of entire new construction: Front ........... .~...~. ................... Rear ........~./'.. ............ Depth ..~.. Height ...... ./..~i.~ ...... Number of Stories (D/7.~ ..................... 9. Size of ot Front ~ ~"(~ ~/~' ....................... I~'~ ............... ~'~ .... : ...... .......... ............................. ..... ...... ........... 10. Date of Purchase ...,/~,~ ~. ~(_,) , //9,~"49 ,, ,"~ ........................ ~ .... ~ ~ ...... '-v.: ........ : ............ 11. ~ .......... ~' .......... -'-.'~ .......... ,'~ame or rormer Owner ..Z.//Z:.6:,~. ..... .N,~.~4.C.....~.~../4~.3.~ 12. Zone or use district in which premises are situated ............................................................ ~ ........................................ Does proposed construction violate any zoning law, ordinance or regulation: .... ~..~." ........................ 13. Will lot be regraded ~....~. . . ' ............ ......................... WHI excess fill be removed from premises: 4:><) Yes ( ) No 14. Name of Owner of premises~.~f,./.,~.Z...~..~..ib4~/~,.~/'~.~.~.~.'Address "~'/'~-~-~..~.~,(~.L Phone No. Name of Architect .......................... ' /.~.~ ....................................Address ............ ~..f6'.C. Phone No. ~a~ of Contractor ..3~ ~ .F./., Address ~r.~.~ ........... Pho,e No.~.?Z~..:.~.Z.F.P ..... .~...~.r..~; i; ....... ~ .............. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~'~RK,~ -- COUNTY O1~-~~/~ ~-S.S : ............... , (Name of/in'ideal si~';;~) .................. g duly sworn, deposes and says thor he is t~e applicam QDove named.· " ' He is the ................. ~~~...~ ..................................................................................................... (Contractor, agent, corporate officer, etc.) ........................... of said owner or owners, and is duly authorized to perfoFm or have performed the said work and fo make and file this application; that all statements contained in this applicotion are true to the best of.his knowledge and belief; and thor the work will be performed Jn the manner set fo~h in the application filed therewith. Sworn to before me this _ ~ ~ .~ . . . uoHc, Co (S ature of apphcanf) .: ............................... I i OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ~ ~vhich premises are situated Jction violate any zoning law, ordinance or regulation: ........ /. ...... '~....~. ............ Will excess fi!l be. removed from prem, ises: ~:~ ~i ses,,/.~L,£4./...~...~..i'~t/~;...J1~ '~.0. ~ .~./.' Address Address ........... ................ Address ~. l~:...~.~(~.,. PLOT DIAGRAM inctly all buildings, and block nUmber whether existing or proposed, and indicate or description according to deed, and sho 160 ,, . , , / ,1,1, --~