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Home My WebLink About16984-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Zi9562 Date DECEMBER 5, 1990 THIS CERTIFIES that the building Location of Property 28675 House No. County Tax Map No. 1000 Section Subdivision ACCESSORY MAIN ROAD CUTCHOGUE Street Hamlet 102 Block 05 Lot 21 Eiled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27¢ 1988 pursuant to which Building Permit No. 16984Z dated MAY 13, 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 BUILDING AS APPLIED FOR-DETACHED FROM DWELLING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A DAVID & LYDIA ABATELLI Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N916784 z Date Permission is hereby granted to: .......... at ~remises I..o~. ate~ at ...... ~4~..~..?.'~~ _ ': .....~. ........................................................... County Tox Map No. 1000 Section ...... ./..~....?~...... Bilk ........ ~ ..... Lot No .......... ...~...../... .... pursuant to application dated ................... ..~../;~.;.~.. ................... , 19~.~., and approved by the Building Inspector. Fee / Rev. 6/30/80 TOWN OF SOUTHOLD,_.... Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN'ALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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 i% 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: ~ i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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. 1. Certificate of Occupancy - New dwellin§ $25.00, Additions to dwelling $25.00, Alterations to dwellinE $25.00, Swimming pool $25.00, Accessory buildinE $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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Pate /?? .:ew Construction...v. ....... Old Or Pre-existing Building ................. Location of Promertv...~..~..~..~.~'-- ~Z~_~5~ /~o~ ............ 7.~....~ ........ House No. Street Hamlet 0nwer or Owners of Property.. ~, /z~._ County Tax Map No 1000~ Section.........../~P~' ...Block......~.. ........ Lot....~../ ................ Subdivision ................................... · Filed Map ........... . Lot ...................... Permit No. /..~..~.~..~/. ...... Date Of Permit...'.~..~./..~.'~.~..~...Applicant. b.~..~/..~.. Health Dept. Approval..../~/././~.. ................ ..~//~. .Underwriters Approval. . . /_ Planning Board Approval..../~/~? ................ Request for: Temporary Certificate ........... Final Certicate...~ .... Fee Submitted: $ ............................. TOWN OF SOUTIIOLD OFFICE OF BUILBING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 DEC. 4,, 1990 David & Lydia Abatelll BOX 621--Main Road Cutchogue, N.Y. 11935 TEL. 765-1802 To Whom This May Concern, We are unable ~o complete your Certificate of Occupancy because .of the following reasons. ~x_--/ An application for Certificate of Occupancy is not on file. _~ /~/ -No Underwriters Certificate on file. ~X_--/ The check is(~/not on file.)~25.0_0~ ~ /~/ No Health Dept. Approval on file. /~/ No final inspection has'been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ I 6 9 8. ~ Z ACCESSORY BUILDING Building Dept. ***/Z/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 'OUNDATZON ( ls t ) 'OUNDATION (2nd) ~OUGH FRAME & .PLUMBING ADDITIONAL COMMENTS: 'NSULATION PER N. STATE ENERGY CODE FINAL 765-X802 BUILDING DIrPT, INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. [] FOUNDATION ZND [ ~tSULAT~/~ ]FRAMING D/] FINAL ~'~___.~.~ [ INSPECTOR F~7, z.3ql BOARD OF HEALTH ... . 3 SETS O~PLANS .~'.~- .... ~o,M ,o., SHRVEY : .5:'. ~ E TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTI~ FORM ............. TOWN HALL $OUTHOLD, N.Y, 11971 , .~../.,~ TEL.: 765-1803 Disapproved a/c ..................................... .... ... APPLICATION F~DING PERMIT NOTIFY ........ CALL '~ MAIL INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 se4s 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 of property must be drawn on the diagram which is part of this appli- catton. 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 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 Department 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 c~q3~l~'~t~',al'l?,~pp~i~cable laws, ordinan.~.ces, building code, ho~si!lg c~ode, and regulations, and to admit authorized inspecto~'(h~pr'~rhises and in bui~l~.~, for neccqs,~ inspectiocs':"-'"~.~ ~-. 'T~"7~'~ , r ..... ::'" ....... :'~ ..... .......,~ ~.~,,, ,,.~,~. ......... ~ , . (Szgnature of appf~ant, or name,. . . . if, a corporation) /k3~tl/0.3~ O~ · 1~ "', {' ~ (M ~ilingmd'dress 6 f .applicant) State whether appcl~{~l~ncr, ]~[1[~, ag~n~r~c]~itect engineer, general contractor, electrician, plumber or builder. · .P. · .~'..ff.~. - .'~. · .'~,¢ ~o~., ......... ~ ....... ' .......................................................... ame of ow.er of g. z'. v., ................................................ ¥.~4 ~I+~T aA~ '; , ~ll~~ [" '~¢4 ,~, (as on the tax roll or latest deed) If applicant is a cotVl~n.~g~9.re 6~1~.~]~ authoiiz'ed officer. .... ./../'~.. ....... ........ .... (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE S[I~FFOLK COUNTY, LICENSED Builder's License No...."~.q .~-...'~.?/2/.'Ae~/...~... ('~','/p &~l Plumber's Ucense ~o. "Y~' f- Xz,,,~/'r, ,~ .~./.C~. r%o ?/"'-¢; *~ ) ~le0trician's license No. ~..~../7/7Z../:~..~:(((...r~ ~ ,/¢~¢,-;- ) .~./..<. Otlier Trade's license No..~.77/.';.~. 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax ~ap No. i000 Section . ./.~ .......... Block .... ~ ......... Lot... ~./ ............ Subdivision ~ ~72[~ Filed Map No. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'~ .... ...... ~ .......... ~ .............. ~ .~ [~. ............... b. Intended use and occupancy ~, ~ ~/.~ ~ ~ ~ .~...~(~,~~ ~~e .... ~ ...... F ...~~~~,~. ................ 3. Nature of work (check which applicable): New Building .. ~ ..... Addition .......... Alteration .......... Repair .............. Removai .............. Demolition .............. Other Work ............. (Description) 4. Estimated Cos ............ ~ Fee ..................................... i ' (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ~ 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 f . · · - :' -t. ......... :" ; ....... 7. D~mensmns ofex~st~ng structures, ~fany Front ..... ~.. .......... Rear ...J~..~. ........ Depth.: .~..~...:.: .... Height .2 7.~. .~.'T ...... Number of Stories ...~..'... ................................................. Dimensions of same structure with alterations or additions: Front ----- Rear ~ "' Dept ....~7'. ~..~ ............. i' Height ......... :., ........... Number of Stones ............. Dimensions of entire new constru:ction: Front .......... ~ ..... Rear ..../.~ ......... Depth . / .o.'. Height ./..~' * Number of Stories ....~.,~ ~ 9. Size oflot: Front .. ~.~.; i .......... Rear ~..~?. ~ 7 ....................... Depth ... ;2~'~. ............... 10. Date of Purchase /Z~.C:./...i./~v,./~.~.,~'....~. . Name of Former Owner ..~.~t~.~.~../.,g-~..t~.¢ .,~..~..~... 1 1. Zone or use district in which premmes are mtuated.., g~'..T/. ........................................... 12. Does proposed construction viola,ie any zoning law, ordinance or regulation: ...~/..~. .......................... 13. Will lot be regraded ..... ~'~'! '/'/~ ' '~t' ' ' r' 'ti! ' Will ex&~ess fill be removed fram premises: Yes No 14. Name of Owner of premises ~..~. ~,~c..~..P/.~..~.?.~.//.~Address /.4~., .~..~: ~,~/.. ~,:~ff, Phone No. ~7~tt'.-..~..~.~.... Name of Architect ' Address Phone No Name of Contractor .......... i ................ Address .... : .............. Phone No ................ 15. Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No .-~,... · If yes, Southold Town Trusltees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block nBmber or description according to deed, and show street names and indicate whether interior or corner lot. "8. APPROVED A8 NQTED OCCUPANCY OR USE IS UNIgWFUL NOTIFY ~IJILDIN(~ t~EP, t~rMl~l~r AT 7~5-1802 9 AM '~,'~. ~ FOR 11,.IE FOLLOWING WITHOUT CERTIFICATE OF .OCCUPANCY 1, FOUNDATION . TVVOI~RED FOR POUREOII~NCR~I 3. INSU~II~ 4, FINAL ~N~TRU~ ~T BE COMP~ FOR CONST T ON CO UC N COOES. O SIGN OR NSTRU STATE ,OF NEW YORK, COUNTY OF .,5.. '.~. ~'~..~./: ./·~. ..... S. Si ....~,~tY.t~.../.~., . .~. (~...P,~..7~.~?.-.g:./...: .I ................... being duly sworn, deposes and says that he is the applicant (Name of individual signifig contract) above named. He is the .... .~..t~/.,,,~..~.~. ............................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner Set forth in the application filed therewith· Sworn to before me this ..... day of :. . .~-~. · .. 19 Notary Public ...... (Signature of applicant)