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Home My WebLink About27346-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29479 Date: 05/30/03 THIS CERTIFIES that the building ADDITION Location of Property: 90 HAYWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 2 Lot 4 Subdivision Filed Map No. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2001 pursuant to which Building Petit No. 27346-Z dated J-U/gE 4, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHNNY & DORIS SOTO (OWNER) of the aforesaid building. S~/FFOI/< CO~IFI~f DEPART~qT OF H]~%L~H i~PI~OVAL ELEC~rKIC~J~ CERTIFICATH NO. PLUMBERS CERTIFICATION Di~r~u3 N/A N/A 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. 27346 Z Date JUNE 4, 2001 Permission is hereby granted to: JOHNNY & DORIS SOTO 90 HAYWATERS RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF DECK ADDITION TO SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 90 County Tax Map No. 473889 Section 111 pursuant to application dated MAY Building Inspector. HAYWATERS RD CUTCHOGUE Block 0002 Lot No. 004 8, 2001 and approved by the Fee $ 75.00 Authori ze~gna~ure ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY I'4^¥ 3 0 2fl03 This application must be filled in by typewriter or ink and submitted to the Building Departmctm-*vith the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic fbatures. 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. Commercial 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 applicatiou 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 l. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swi~rmaing 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 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 Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: Street [)ate. PernfitNo. ~_':~-_~c//~f - ~. DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate - Fee Submitted: $ b 7?Y7 __ (check one) Block ~ Lot Filed Map. Lot: Applicant: [ l 9 --q.5'~-,2-~'a¢ Hamlet Underwriters Approval: Final Certificate: (check one) 765-1802 BUILDING DEPT. [ F~OUNDATION 1ST INSPECTION [ ] FOUNDATION 2ND [ / ] FRAMING ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL REMARKS: ~DATE INSPECTOR ~.~ '-~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[ ]]:OR~MNiD~ION 2ND [[~ION [ ] FIREPLACE & CHIMNEY REMARKS'. DATE INSPECTOR FOU~ATION (IST) I ~ FO~T I ON ( 2~ ) " ~NG II CODE ~ ~ FOR}t NO. TO~I OF SOUTBOLD BUILDING DEPARTISEI~T TO~I HALL SOUTHOLD, N.Y. ! 197 I TEL: 765-1802 Disa~p*o~d a/c .................................. .... ii. i"i .................. ' ' ' ~- '~/ (Building Inspector) APPLICATION FOR BUILDING PE~IT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLARS ............... SURVEY CHECK ......................... SEPTIC FORH ................... TRUSTEES ..................... NOTII~: .CALL...?.~..~. ~../.~...~ NAIL TO: .................... Date ............ ' ..... 2C1~..( a. filled in by typewriter or in ink aed anhnitted to ~ Building Inspector w 3 sets of plass, rote plot plan to scale. Fee according to schedule. b. Plot plan slx~*ing location of lot and of buildings on presnises, relationship to adjoining pr~nises or public streets or areas, and giving a detailed descripti~ of layout of property mast be dr~n ~n the diagr~n ~hich is parr of this application. c. The ~a~rk co,red by ~his application r~y not be c~sced before ismance of Building Permit. d. Upon approval of this application, the Building Imqpector viii issue a Building Permit to the applicant. Such pemit ~hall be kept on the t~..:ses a~ailable for inspection thrc~gheut the m~k. e. Ro building shall be occupied or used in ~aole or in part for ~y purpose ~hatever antil a Certificate of Occapa~y shall have been granted by the Building Insl~Ctor. APPIXCATIC~ IS ~ g to the Building Depmi~,,t for the ism of a Building Pemit porse~t to the Building Zone Ordinance of I~e To~ of Sonthold, ~uffolk Camry, ~ York, and other applicable La~s, Ordin~as'or l~tlations, for tt~ construction of buildings, additions or alterations, or for r~al or ~lition, as herein described. Ihe a~plic~t agrees to comply vith all applicable 1~, ordimmcas regulations, and to adadt authorized inspectors on l~ises and in t~m~ilding f~ ~ -....>. (I~ailin building code, housing code, and spections. applicant, or name, if a corporation) ~ress of ~li~r) [ [ ~ ~ ~ State ~hether applicant is O~er, lessee, ~ architect, engineer, general contractor, electrician, @lurer or builde: ~ of o~er of praises .~.O~..~...?. ...... ~ ..... ~ .................................................... (as e~ ~he tax roll or latest deed) If applie~at is a corporation, signature of duly authorized officer. . (Na~e and title of corporate officer) Pl~bers Lic~-~_ No .......................... Rlectriciaus License No ...................... Othar Trade's License No ..................... !. Location of land on ~hich proposed ~rk viii b~de~ ....................... ~9 .................................... House ~e_r .... 7' Strset Ita~l e~' .... ~lxtivisioa ...................................... Filed lqap No ................ l~t ............... 2. State existing use and sco .m~ey of pr~ise_s a~ed in~eeded use~xl occjapan~ of 3. Iaature of ark (check ~id~ applicable): Ne~ Building . Addition ' Alteration ' Pepair ............ p~r~al ............. Demolition ............ Other hlork ................................. ~ (Description) 4. Estimated Cost . : ....... fee .............................................. (to be paid on filing this application) 5. /1~ &~eIling, r~nber of d~alling onits ............ Humber of d~elling traits on each flonr ................ /If garage, nut, er of cars .................................. ... 6.<...--"~f b~iness, o:~mercial or mi~d ee~, specifyt~"~'nature and extent of each type of tree ...................... 7. Oira~nsions of existing structures, if any: Front.. ..'~..'.~. ........ Pear Zf/~' Depth ,~i~,t I~' . .~,~r o~ Stories ~ ~...~. Depth .. ~ .O. .............. Beight ..... ..t-t-trw.. .......... Nmber o~ Stories . ~ ....... 8. Dimensions of entire ne~ construction: Frunt ...~.~ ........ Pear ~..~..: ........ Depth ..~.~ Heigh~ ................ lqunl~r of Stories .. :..~.Z ............. ~. ~i~ o, ~ot.. ~.~t (~0.,t Pear /. h ~.., .......... De~th ~ £~, .~ .-/4 ~ t,/7 I0. flare of Pin-chase ................. Nam~ of Former Oaeer ! I. ~ne or use district in ~hich premises are situated .... ~..~.0..; ................................................ 12. l~oes proposed construction viglatu any zoning l~a, ordinate or regulation: ...... .~..'~. .............. Idyll lot be aded ~/~e/ . I~11 e~ess f~ll be ~ fr~ eauees* B. · ~ ................... ' · · ms 14. Na~s of O, rner of p,t~dses d.t .~.{..~..~ ............... t~lre*s ~.~. ~.//'..~..~..~.~.. ...... ~ No. 2~..~.~.'~.~...~..~ ~' Nam o1~ Architeet ............. 7 .................... Address !5. Is this pmpar~ w~thin ~00 feet of a tidal rutland? ~ ~ .......... I,D .......... PLOT DIAGBAH laucate clearly ~ distinctly all buildings, ~aether existing or proposed, ~nd indicate all set-back dimer~ions Frou property lines. Give street ~ block nuube~ or description according to deed, and ~ street names and indicate ahether interior or corner lot. OF ~'~ 01~1'~' OF ....................... of i~ivi~ si~ing c~tract) the .................................... (~t~tor, ~nt, co.rate officer, etc.) ~id ~r or ~rs, ~ is ~ty ~t~ri~ to ~rfom or h~ ~rfo~ fl~ ~id ~ ~ to ~ ~ fire this ~Iication; ~at all stat~nts c~tai~ in ~is a~lication a~ t~ to gle ~8t of bis ~1~ ~ ~liefi ~ ~ ~ viii ~ ~rfo~ in tl~ ~r ~ ~r~ in ~e a~li~ti~ fil~ ~. to ~[o~ ~ ~is ....... LOT ~71 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFIC/;~"i OF OCCUPANCY l~ o,C, APPROVED AS NOTED DATE: ~'/~°l°l B.R~~'~ 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