HomeMy WebLinkAbout32620-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32180
Date: 02/05/07
THIS CERTIFIES that the building
ACCESSORY
(STREET)
Block 4
CUTCHOGUE
(HAMLET)
Location of Property: 18216 CR 48
(HOUSE NO.)
County Tax Map No. 473889 Section 96
Lot 1.4
Subdivision
Filed Map No.
Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JANUARY 8, 2007 pursuant to which
Building Permit No. 32620-Z
dated
JANUARY 8, 2007
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 IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to MONIKA & FRANK A. APADULA, JR.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
\
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY .__ ~',
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This application must be filled in by typewriter or ink and submitted to the Building Depart~i'th the iOllowin~ 7
\ ,,~co
A. For new building or new use: \ . JI"
I. Final survey of property with accurate location of all buildings, property lines, streets, a'\id 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 2/1 0 of I % l~d.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a c~rtificate
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 Apl"il 9, 1957) non-conforming uses, or buildings and "pre-existing" la,d uses:
I. 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
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory buildinlj $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 $15.00
Date. / '7- -7D.....0 "
New Construction:
I~')-I ~ Old;;/:;;Xist~vui~i~:$ H-o~:?eckOne)
House No. Street
o)JlkfJ
Hamlet
, Location of Property:
/ Owner or Owners of Property:
A.{-
oQ6
A
Lot
I'~
? Suffolk County Tal' Map No 1000, Section
Subdivision "].U IJo5k J
Permit No. ')..Y6'!7
Block
/-13-qf)
Filed Map.
Applicant:
Lot:
Date of Permit.
OW~lLS
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ a). 00
Final Certificate:
( check one)
rJ,--- 70 -at
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C o-l3J I gO
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.
32620 Z
Date JANUARY
8, 2007
Permission is hereby granted to:
FRANK A APADULA JR & MONIKA
18216 ROUTE 48
CUTCHOGUE,NY 11935
for :
CONSTRUCT AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD OF A
SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 23887.
at premises located at
18216 CR 48
CUTCHOGUE
County Tax Map No. 473889 Section 096
Block 0004
Lot No. 001.004
pursuant to application dated JANUARY
8, 2007 and approved by the
Building Inspector to expire on JULY
8, 2008.
Fee $
35.00
ORIGINAL
Rev. 5/8/02
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTR
REMARKS:
[ ] ROUGH PLBG.
[ ] INSU ION
[
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
U]
"
DATE
INSPECTOR
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FORM NO. I
TOWN OF SOIITIIOI.II
IIUJWTNG IIRP^RTHENT
TOWN 1I^1.1.
SOUTllOI.IJ. N. Y. 1191 I
TEl.: 1r.5-lfl07
1I0^RIJ IW IIMI.III ...............
) SETS OF P1.MS ...............
SIIRVRY ........................
CIIRCK .........................
SEPTJ C FORM ...................
I~ 97
..:::)~ ::~7 P~lmil
~~&?i7f
NOTIFY:
CM,I. ..................
It^' I. TO:............ . . . . . . . .
^pprrM'1'1 .
In!lllf'ctor)
C^TION FOR 1IIJ11.IJJNG I'I\HHlT
n"te#.o.v.?!}fj,#R r 19~H.
INSTRIICTlONS
n. "hi~ npplic:Jt1on Ill.ml: he ('ollplplply fi11NI 111 hy 'Yl'l(.-",.,.-ilf'T" or in ink :1114'1 !luhniU('(1 to Ih~ Hl.1ildilm 'nr:pr'clor '.Iii
'l o~to nf 1'1"1'0. "ccurate "lot plan tn ocal". l'ee acconlin~ tn och<'(ltll".
h. Plot plnn slXMing toc:Jtiou of lot :Jnd of huildit1R~ on prerrii~R, rel:Jtiol1Rhip to :xljoininr, prcmir,PA or puhlic
Rl.rN'!lR or nr-en!;, ;:)neJ r,ivlng :J clelni led deRcription of laYQJt: of (rroperty t'lust he drrn-m on the di:1ffnm ,.~hid'h is p..'nl: of
tlltR nppl kntion.
r. 'Ihe work covered hy thlR npplic:Jl:iol1 rny not he ca1.f1~nced hefore isRtJ..,nce of HujJding Pennit.
d. U(XJfl approv:ll of this npplicntion, the nuildinp,. InspC'ctor Hill ir;5\1e n Building P{'tmit to the npplinmL Su('h
r;'rmit: ~ml1 1~ k{'pl on the pr('fni~r; nvni lnhle ror inr;pectiol'l throughout the work. '
(">. >>l huilding r-Jml1 he ()("nlpi~l or t1!1NJ in 'WIKJlfl or in pm-I ror any pUrpO!1fl Wlmt(7V("r until :l {Rrtiric:Tlr' of
OCO.I,J.'IK:y rJmU hnve I>e€TI nrm1lNI hy the Building (lIRpe.ctor.
M".IC^,flOl IS mw'l!Y ~m tn th" lI..i Idinr, lle""rt"""t fnr the io",,,,IlC" nf " n..i !ding Penni t pumm"l ~() tit<>
Bui hUng 7,one Onlin..'lllCe of the T(Mfl of &JtJtIKJld, Rurrolk f.olmly, Nel:i' York, nnd other appt icahle 1..'lW5, OnliJ1t..'1tlC:eR or
IWp'1Jlnt ion!;, for the t'om;tnlCl ion or hui Iding5, addi lions or nlternllonr;, or for m~JV:)l or dnrol it i011., HR :Iwre;n
d{'Rcrihed. .(he ;:Tpplicant ngree5 to CCI'lJly with nil .npplicnhle l::Ms, Onlilk'ltlCeS, building code, IQ,1Ring c~(', mwl
'-('gHlntionR, md to at',lnit rntt1KJri?N) in!;pectorr; on proni5P5 m.l in htli}.;Jinr:for II('C("S. oary ir1~i<~'"b
.. fNifY. .. a.. . ff. ~.. . . ~ f .. .. .. .. .. ..
(RignRlure or nppl.1c:mt, or n.~., i r a r.'.orpOf.;tt hm)
./ f?:-!.-6.. .f!f....LJ. r.. ..v.~f( ~ ~~ . ../f......
(M"i I illg add....oo nf "PI'I i",,,,I:)
. i
Slnte whether nppt icant 1!l owner, le!l~, fJgent, nrddtect, engineer, generRl cont rnc tor , eleclricinn, pll~)er or hui Idcr
....... .o.WAli:;1.?-...................................................................................... .t.............
'1<.", or (MIler of I'remi!leo .nA.Vk.t.('tj,Q!!!kA....Anp..0.~..................................i ............
("0 on the tax roll or I"teol: deed)
1 r :1pplic:Tnt iR n coqx)rntion, 5ign.'1lllre or (hlly :JlIthod?.e<l officer.
.................................................-.......
(N.--.w m.l title of corpornle oHked
Bl.li Ide..r; I.ic(!nse tho
PIUlhen:; J.icen.5e No.
Rlectriciml5 I.icen!';e No. ~._..~...........~~..
Otllf'r Trn<iQ's License No. ....................
1. t,(X'ntion or lm-xl on loo'11idl propo~l ~Jrk will IJP (kJl)f>....................................._.~......................
...l r')I.~. ...... ...f!.al)yllf.. ....4.,(............................. .[.v..fC.H.O.ri4f...........................
IbJ~e tl..-her Street Ibn'let I
Coolly Tax 11.'1' No. I(XXI Secl:ion ..j'O.?-:....... Ill(x:k ...I............ lot j~':I............
Slllxlivioi(xl It.o.ltl~f:O..74.I1.QJK'..trJfirT.1f. Filed ~1,,, No. ............... Lnt ...............
('1.....,)
7.
St"t" e",ioti"l: ,me arxl occ'tlp"ncy nr Iltemioco. 'AiuteIK1e<J IJO" arxl (x'CIJI"ncy nr ~}TI(Xmed cOllolnlctioo:
a. E",iol:il~llJ!le and (x'C\JI''lftey .5'.ll!tf~f:....~ ('(I, 1.41... Dwlfk:Hf. 0":::.........................
h. Inlcurk'4:1 'me nntl OCCHlJ:1IK:Y .. .SH f?V... _....... _ _.. _........... _.....................................
I.
tJ..-IIIIIC oj" '.\Hk (d~d{ \Addl ul11IiCilhlc);
Ilt:p<lir .... _. _..... HellOVul ..............
f'L""\J Iluilding .......... Atklilion .......... Allermion ........
Dell':) I i l i 011 _............ 01 he [- UOl k _.'r Reo _ . . . . _ _ _ _ .. .. .. .. .
... .8.3.'f(.~............... ~1.~~~J.:P'.:(".I).....
(to l)t~ Iklid 011 fi I iug I It i~ appl icarion)
fee
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",,' ;"'1,,,<1 ("", ~~qQ9.... ...... ....
'i.
H tk",dI illH. IUI..el" of d~.JCllillg uniLs ............ tl..lber 01: (k...e111Ilg ullirs on CHch floor ................
I.
If gilfilge. IUlj)cl" ot l:i.\fti ................... _......... _..........
,
II' I.." ill""", """ere;,,1 or lIIi xed ()(:cu,"""'y, spec i f)l nill ur<: "..I exl<:"1. uf eil,:h type of 'we... . .. .. . .. . . . . . .. .. . .
llillll.!II:doos 01' exisl-illg lilnw.;lllI'Cti. if ilIlY: FrOlll...!Q.'......... lle.u- .~..)_....... Depth .~?~........._
Ik.:il~'t .......----.............. I'lllhel" 0" StOdt~8 .....l.............p;;. I c-r'))
Dilll:llfiioos of 1"lle structure with alteH.ltioClS oc adtlitinuti: Frolll~... ~ 0........ "Heac .~.~.........
I~Jllh '" .~.1:............ Ilcig,hl .................... _ tisiher of Storie!; .. ../.............
fl.
II.
nillleUtilOHti oj' enLin~ Ut..'"\J conslnW::lion:
Fn)(11 ................ Heal- ................. Ilcpl II
~.
lleil~ll ......................... fIlllher of HIOlics .....................
si.e o{ 101: "'''xll ...~.I.C).:.I.j.Q..____ Ue", __..'J./1...(4.__... lleplh ..I.f.3:.<!t...... L
1"1" 01 1\",1..,", . !'}-.-?:? .-.1H__ __.. N,..., of 1'01"'" Owoe' . e7)WfJ.fC.o. t::P.~I[l!/-j ..'2fItv.~ff. J
10.
II.
U.
II.
l'..oc~ or use tlbtrict ill ,.Adeh premiscti m-e situated .........................................................
Docs propof>L't1 cOllsln.w:lion violille HIlY z.()(dng Ii....,~ ofclinance 01' l-cgulation: ...4/0................
\-Ii II lot he H~H(atled .................... \-Ii 11 e~WCHS fill l.e njli"Nec.l hUll prtjuisEti: YES I'll
'li...,,, of I).",,, of premi",," Ft;Q!.Iktl)19kk'4..~.~JWtfJ~"e"s H'.f!. (,{ ./tl:.. 4f.-:(AtfC!111"ne tt>. 7'?'f.7.1.Q.:;1-
1'1.
tt.l.~ of Arddlecl
AiklrCf:ifJ .............................. Phone Il:L
"
Hillc of; COlltnlc:t-or ......................... _......... Atkhcss .............................. .11\Ooe Nu.
I'). IH Ihis propc:~ny within ](X) feet: of 1:1 Ii-tal ,...etland'! -J> Yl~ .......... ~..........
Alii YI<S, Snll1lJll 'JUJU 'IInJSlmS mlU11T IIIIY IVi 1<<"~lIl<<m. V
PLOT IlTAl;UAH
locate clearly nlld distinctly nil hui"ldings, \..herher existing ur proposed. nntl ir~lic::nte ull set-hack Ilill~md{)llti
hUll propelly lines. Give street {md bl(x:k ulli>er or (k:scri lit ion ilcconling to deec:l.'i1I~t tJlCM street IU.I€ti and intlic:Hle
\.Atelltc:~r inlel"iol- (}I" con~r lot.
~ ~#$'~ AP. RO'EDASNOTED ., ,
tv!- If ~ _ ,)ATE: /, '/:- ? B,P' # ;Jrf'J"7/--
~EE: B~
hiOflFY BIJILDING 0 T AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS;
1. FOUNDATION . TWO REQUIRED
. FOR POURED CONCRETE
2. ROUGH. FRAMING & PLUMBING
3. IlIJSULATION
4, FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION a ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUcnoN ERRORS
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~iTAI E OF 11':\J YOltl<)
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.. ft\O.{'( 1 Kfr..,.. .11fB'J:).lA~.ft:...............
"."...". .hc:dlLg duly :;wI.IJ"Il. dl~po~es <loti HayH that he i!.
I h(~ C1llpl icanl
(H.I\lj,~ of il~livithlal lodgnillg (~Olll nll:t)
i11)(lvl~ U(llli~t1,
Cik, ill ,h" ......................~~M_\(..................__...
(Colllrac::lor. ilgellt. corporate officel-, t~It:.)
or Hail! (,,"",IK.!r 01 OWI)(~rBI HId iH duly <lulhorizl.:t1 [0 l'erfOllll lit have p(~rfOluli..d the Haiti work and '0 1"'II<l~ m~1 filt~ lhili
application; lhal. all titale.lelltn cOlltain(~t1 ill lids applicatioll i1n~ tJue to the heH!: of his Im(Jwk"'(lg(~ aud ht~lief; illld
Iltill lhe \.0\)(11. \.Ii II he perrotlled ill the ulillll~~r fiet: forth ill the ilPplkatioll filetllhen.......ilh.
Not ary Puhlic
ROBERT l. SCOTT. JR.
OTARV PUBUC. Slate 0
No. "726089. Suffolk IllY
......'" Expires May 31, 19Z5
o<;:w 4t 0 (e(: 1- 7 2. <;08<(
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:MUIl 10 lxdore lIli! IhiH
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
, 9<a -A .-\'..~ STREET L ~
d ./., (, Y"' "
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S P, n
11- OVID <Xv
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. . ....
VILLAGE
DIST.
SUB.
LOT! "
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rfl- u/tpsj-
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c {/ hit. ~,H"< (.
/.2..
VL
( FARM
W
R,a. S'lmc-h/~K
COMM, CB. MISe.
ACR.
~ '
TYPE OF BUILDING
<).,,?25
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IMP,
TOTAL
DATE
7190
DC
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/96 d
_.-3'-9. 0
~.
3,0
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, .~ - :"'l ) -+ I 1\- ). S \
/;)/:;'3 )91-L1170Q ffog ~ >thiJSk; -h) Aped u iCe
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J Tillable
f Tillable 2
1 Tillable 3
! Woodland
!. . Swampland
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j
j Brushland
J '. House Plat
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~,.Total
f.
,v
(.II
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FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
t I ()'" ~ '9~ BULKHEAD
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: M. Bldg. , Foundation cB Both \ Jf..... Dinette
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, Type Roof Rooms 1st Floor BR.
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