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Home My WebLink About31192-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin9 Inspector Town Hall Southold, N.Y, CERTIFICATE OF OCCUPANCY No: Z-31010 Date: 06/28/05 TI{IS CERTIFIES that the building FRONT & REAR STOOPS Location of Property: 430 WEST CREEK AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 103 Block 13 Lot 3 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JlR9~ 9, 2005 pursuant to which Building Permit No. 31192-Z dated JUNE 10, 2005 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 REPLACE FRONT & REAR ENTRY STOOPS TO EXISTING SINGLE FAMILY DWELLING. The certificate is issued to DONALD J MACLEOD (OWNER) of the aforesaid building. SUFFOLK COUNT"fDBpARTMEIqT OF I~F~LT~APPR0%rAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION N/~ Authorized Signature Rev. 1/81 Form No. 6 TOW~N OF SOUTHOLD BUILDING DEPARTMENT TOXVN HALL 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: For new building or new use: 1. Final survey of property with accurate location of all buildings, property lilies, 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 fi-om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in systera contains less than 2/10 of 1% lead. 5. Cormnercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or eugineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 C. ertificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. New Construction: _ Location of Property: Owner or Owners of Propert_',,'--"~_ '~ N, Jt'ex.~ Suffolk County Tax Map No lO00, Section 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirmning pool $25.00, Accessory building $25.00, Additions to accessoO' building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildiug - $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 Old or Pre-existing Building: (checAone) House No. Street \ / ~Hamlet {O"~ Block__ [,'""~ Lot~ Subdivision eemfit No. 2,[ I ~ ~'~ ~ Health Dept. Approx al: Date of Permit. Filed Map. ~, /lo / O_~ Applicant: Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ "~.~ C0 -7_. 3toro Final Certificate: X (check onc3~ __ ~ b/// Applicant Signature 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. 31192 Z Date JUNE 10, 2005 Permission is hereby granted to: DONALD J MACLEOD 430 WEST CREEK AVE CUTCHOGUE,NY 11935 for : REMOVAL OF EXISTING DECK AND CONSTRUCTION OF A NEW DECK AS APPLIED FOR ~3~: ~EW DECK 10T BUILT. FRONT & REAR STOOPS at premises located at County Tax Map No. 473889 Section 103 pursuant to application dated JUNE Building Inspector to expire on DECEMBER Fee $ 150.00 430 WEST CREEK AVE CUTCHOGUE Block 0013 Lot No. 003 9, 2005 and approved by the 10, 2006. ~ri Si na ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING .~,]~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR FIELD ~SPECTION REPORT I DATE i COM~ENTS - · ~ e!~_ .~-~ ~, ~ FOUNDATION (2ND) m ROUGH F~I~G & m PL~G ~S~ATION PER N.Y. ~ STATE ENERGY CODE .~DITION~ COM~IENTS i ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN Hua~L L SOUTHOLD, NY 11971 TEL: 765-1802 .4.pproved Disapproved a c BUILDING PERMIT APPLICATION cI-rECKLIST P , l]rr NO. 117,,2 Do you have or need tho following, before applying ? Board of Health 3 sets of Buil~'-~ Plans '-' Sepdc Form N.Y.S.D.E.C, Trm~tees APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,2O a. Tkas application iVIUST be completely filled iu by typewriter or in ink and submit[ed to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show/rig location of lot and of buildings on premises, relationship to adjoining pr~'nises or public streets or areas, and waterways. c. The work covered by tl~ application may not be commenced before ismanze of Binlalug Permit. d. Upon approval of this application, the Building Iuspector will issue a Building Perm/t to the applicant. Such a permit shall b'e kept on the premise9 available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Oceupanc3 is issaed by the Building Im-peetor. APPLICATION IS ~Y MADE to the Building Deparu:aent for the issuance of a Building Permit purm~nm 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 alteratious or for removal or demolition as herein described. The apphcan~ agrees to comply with all applicable laws, ordinances, building code, housing code, and reg~dations, and to admit authorized inspectors on premises and in building for necessary'i.usp~clious. (Sig~lm~ of applicam or n,me, ifa corporation) (M-~,g add~s o/'applicant) State whether applicant is o~mer, lessee, agent, architect, engineer, general contractor, electrician, plumber or.builder (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ~L, ] ntd~ ~ ~ Iq~ Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: ¥30 ~ ca-a- cee e~.- Au~_ t: o-rc.~o~ u e._ Mw 1~5D5 House Number Slreet '~-Iamlet t Couuty Tax Map No. 1000 Section I O~ Block I 2g ~ .Lot 03 Subdivision Filed Map No. Lot' ~ (Name) State existing use sndoccupm~cy ofprem~es and i~tended use and occupancy ofPr°P°sed constmctio~ a. Existingu~eandoCCUPm~cy On,, - Rct~ooc. ,',~,s-r,~ p~**,.,_ . Bod,~uc~ b. ~tended usc and occupancy. . 3. Nature of work (check which applicable): New Building 4. 5. Repair Removal )d Demolition Estiraated Cost l~ ~,0~0, Oo If dwelling, number of dwelling units If garage, number of cars / Addition Alteration Other Work Fee (Description) (to be paid on filing this application) Number of dwelling units on each floor ~ 6. If business, commercial or mkxed occupancy, specify nature and extem of each type of use. Dimensions of existing slrucmres, ff any: Front Rear Height Number of Stories ... / Dimensions of same structure with alterations or additions: Front Depth. Rear Depth Height_ Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories qo 9.. Size of lot: Front 10. Date of Purchase Rear L ~4 Name of Former Owner 1 I. Zone or use district in which premises are situated Rear Depth Depth o 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded 14. Nmnes ofOwnerofp~r, mises 1,4~,r~l') Name .of Architect Name of Contractor ~o,~ D/~,, l.~'r ' Will excess fill be removed from premises: YES Address PhoneNo. 35& $/~(~ O&77 Address Phone No Address ao~~Phone No. ~ 15. Is this property within' 100 feet of a tidal wetland? *YES NO o IF 'z35S, SOUTHOLD TOWN TRUSTEES PERM1TS MAY BE REQUIRED 16. Prox4de survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ,'~l~l,~'~ (.~ k ~-~ '~),&L,~[ ' beiug duly sworm deposes and says that (s)he is the apphcant (Name"~f individiml signing conLtaet) above named, (S)He is the (~ O~,-r em C.-f 0 t~, "~"o ~. k Dat~1 14co ~ g (C-u.ui~dctor, Agent, Corporate Officer, etc.) ' of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this appl/cation; that all statements contained in this applieatinn are trae to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the appheafion filed therewith. 20 ( /' g~/ Signature of Applicant MELANIE DOROSKI NOTARY. PUBLIC.State of New I~o. 01D04634870 Qualified in Suffolk County Commission F. xpir~