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Home My WebLink About35881-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~=qTMBNT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34619 Date: 10/22/10 THIS u~KTIFIES that the build/ng GARAGE CONVERSION Location of Property: 11900 OREGON RD CUTCHOGUE (HOUSE NO.) (STREET) (HD/~LET) County Tax Map No. 473889 Section 83 Block 3 Lot 5.3 subdivision Filed~ap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 21, 2010 pursuant to which Building Permit No. 35881-Z dated SEPTEMBER 21, 2010 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 ALTER GARAGE TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALEX ZUHOSKI of the aforesaid building. (OWNER) SuF~OLKCOI~YDEPART~gNTOFHEALTHAPI~RO%5~J~ N/A ELagCTRIC~J~ ~KTIFICATH NO. 35881 10/01/10 PLI~4BE~S u~a(TIFICATION DA'tm N/A .u~or~ d/lgn ~ure Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35881 Z Date SEPTEMBER 21, 2010 Permission is hereby granted to: for : ALEX ZUHOSKI RFD #2 11900 OREGON RD CUTCHOGUE,NY 11935 CONVERT GARAGE AREA TO HABITABLE OCCUPANCY. REPLACES EXPIRED BP # 9992 at premises located at 11900 OREGON RD CUTCHOGUE County Tax Map NO. 473889 Section 083 Block 0003 Lot No. 005.003 pursuant to application dated _EPTEMB__R 2], 20__0 and approve Building Inspector to expire on MARCH Fees 1500 ~ea signature ORIGINAL Rev. 5/8/02 ~G FK~.M rr (THIS PERMIT MUST BE KEPT ON THE PREMISB UNTIL FULL CON%PI.ETlON OF THE WORK AUTHORIZED) N? 9992 Z Date .................................................. ~ ...... 19;2.... Bulkling Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 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: 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 features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval o f 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 application and consent to inspect signed by the applicant. Ifa Certificate of Oecupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 3. 4. 5. New Construction: Old or Pre-existing Building: Location of Prope~-~' HouselN!. q ~ C) Owner or Owners of Prope~y~.~ ¥~[ I ~r- Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commemial $15.00 (check one) Suffolk County Tax Map No 1000, Section Subdivision Permit No. '"~-_.%~r75'~ } Date of Permit. Block ~.~ Lot Filed Map. Lot: Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 6~-J"~ oO Final Certificate: Underwriters Approval: ¢~(check one) Applicant~gq~t~re 'F{>xx n 1 lall Annex 5 [37.5 Main Road P.O. l',ox 1179 Tdephonc (631) 76.5-180~ Fnx (6gl) 7ti,5-9.50~2 ro.qer, richert~town.southold.n¥.us BUIIJ)IN(; I)EI'AP, TMI';NT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION issued To: Alex Zuhoski Address: 11900 Oregon Road City: Cutchogue St: NY Zip: 11935 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Onty Residential ~ Indoor ~ Sasement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures [~ HIDFixtures ~~r~l~ Service 3 ph Hot Water GFCI Recpt Wall Fixtures [11 Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures U CO Detectors Sub Panel NC Slower Range Recpt Fluorescent Fixture L~ Pumps Transformer Appliances Dryer Recpt Emergency Fixture~ Time Clocks Disconnect Switches Twist Lock Exit Fixtures ~ TVSS Other Equipment: Notes: 35881-convert garage to living space, 35882-detached garage Inspector Signature: Date: Oct 1 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] INSULATION REMARKS: ] FIRE RESISTANT CO#STRUCTI(~ [ ] FIRE RESISTANT PFJIETRATION / DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA~, ~ INSPECTION [ ]FIRERESlSTANTCONSTRUC110N [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~] ELECTRICAL REMARKS: DATE //-~--~-~-- INSPECTOR~~ TOWN OF ~O~TNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................ -~.~.~.~.....~.'..:./,19 ........ ~ ~ ~'~) ~pr~ ............. ~.~....~..(~.., 19.~ Pe~i, No....~....~...~ Di~pproved a/c ..................... ~......... .............................................. ....................~ '.~..T... ~- ~: ~ (Buildi~ Ins~tor) .......... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No. a. This application must be completely filled in by typewriter o¢ in ink and submitted in triplicate to the Buildings. Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. erebc;s aPnl~lt ~l~nn showing., Io~. a. tion. of. lot and of buildings on premises, relationship to adjoining premises or pubic streets o, · g v g a aetanea aescnphon of layout ofproperb/must be drawn on the diagram which is part 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 Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southo d, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of bud ngs, oddit ons 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. (Sig{3ature of applicant, or name, if a corporation) ' (Address o~3pplicont) State whether applicant is owner, Nome of owner of premises ........ If opplicont is o co~orote, signoture of duly ~uthorized officer. {N~me ond title of Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Locatian of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. £xisiting use and occupancy ......... ~.~.;.::;/;.<.~.....j ....................................... b. Intended use and occupancy .................................. . ................... : ....... '.....Z.;~;.'.. property lines. Give street and block number or description according to deed, whether interior or corner lot~ Nature of work (check which applicable): New Building'. ................. Addition .................. AIt;~c~tion ~... Repair .................. R~,/noval .................. Demolitior ..................... Other Work ~/~ ~) 0 (/) (Description) ' ' 4. Estimated Cast ........................... Fee .......................................................................................... (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 ............................................................................................................................................. If business, commercial or mixed occupancy, specify nature and extent of each t~pe of use ............................ 7. Dimensions,o§existing structures, if any: Front ....,./.( ................. Rear .... ~..~ ..................... Depth ...~e:../.. ......... Height .//.f~'' .................... Number of Stories ..... ../.. ................................................................... """""'--i, Dimensions of/same structure with alterat~9.,n~ or additions: 'Fr°nt"".'...Z.'f....:. .................. Rear ...~..Z...../. ............ Depth .....~..../- ...................... Height ...... ./.?. ................. Number of Stories ........ ./... ................... 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories .................................................................................................................... 9. Size of let: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises/Z~/..:.....~'.....61'.../'(....O..~..~..../. ................ Address~.~.~.~.~.-x../-..~'.l')'' ......Phone No. ...................... Name of Architect ................. ~ ......................................... Address ................................Phone No ....................... 6V?/U~, /~ ~ Address ~ o Nome of Contractor ......................................................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from and show street names and indicate ~~~ ............ being duly sworn, deposes and says that he is tne applicanl ~ ./~ ,~me of individual signing contracf) e~ove nam~a~/ ~ ,~, . / · He s the .....~--'-~,~W(.~-~..~~.~ ............................... ~'~i"~'r'"~": ............................................................... ~ agent, corporate o of said owner or owners, and is duly au~T~orized to perform or have performed the said work and to make and file th s opp cation; that ail stgtements contained in tk~is application are true to the best of his knowledge and belief; and thor the work will be perforr~ed in the J:i~gl~r set forth in the application filed therewith· Sworn to I~ore,.l;ne this ,,/ /~'~'"~, Notary Public, ..~U/~(. ... ../.~-/ognty ............................... pAMELA ~. SCH¥~!I~IR" ~. ~ // /// (Signature of applicant) ~rOU'm' NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E amin ............... ........... . ' prav, ............ Oisepproved o/c ................... ~ ........ ~ ............. ................ ............... ....................................... CBuilding Insl:~:tor) Application No. ~:~":~"~"-'-- APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets 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 az areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part 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 /V~DE to the Building Deportment for the issuance of o 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. ~~, i~'iinl, I' ' ii'r'ii'r'it' :I I,' ........ State whether applicant Js owner, lessee, agent, archJte~, engineer, general contractor, electrician, plumber or builder. If applicant is a con)orate signature of duly g~4thorized officer. ......... ~/ (l~"e";;~"title of corpora--'"'""'"'"'""~:~"bfficer-""'"'~ ......... Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... ]. Location of land on which proposed work willie done. Map No~. ...................... Lot No .... Street and Number ~).~,~..~.. 0/4,,? ~..~.. ~ U~ C~..~...C-3 ~...~'. ..................... Municipality 2. State existing useand occupancy of premises o_nd.~.n.~endeduse ond occuponcy of proposed construction: a. ExisitJng use and occupancy ..... ~~ .......................... b. Intended use and occupancy ..... ~..~?~.......~....~ 3. Nature of work (check which applicable): New Building' · ................. Addition .................. Alteration ..~'~....,... Repair .................. Removal .................. Demolitior .................... Other Work ..~..Z'..~...~.~./~./(.~/..4'4~.......~/E4~2'¢Z/'/ (Description) 0 0 6? 4. Estimated Cost ............................ Fee .......................................................................................... (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/oJ existing structures, if any: Front ....,../~ ................ Rear ...~..~.. ..................... Depth ...~.../-. .......... Height ,/.,~ ................... Number of Stories .... ~... ........................................................................................ 7' ............ Dimensions of same structure with alterations or additions: Front ...... ./....~'..../.. .................. Rear .../.....~. .................. · Depth ...~..~..../. ................... Height ....../...~...' .............. Number of Stories ....... / .................... 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises-- '- -- --'~' .~.....~....~.~.~.~.,~- -/. ................ Address~...~.~.~' '~''..~' '~- ...... Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ..C ...... /~.~.~'.~,..~ ...................... Address ..~.~.~.. ..... Phone No ....... ~ 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 number or description according to deed, and show street names and indicate whether interior or corner lot. E OF N p, .., ~~ ........... being duly sworn, deposes and says that he is tne applican, signing contract) He is the ....~~...a~ove nam~a .... . ............................................................................................................ ~, 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 application; that all st( ~ements contained in this application are true to the best of his knowledge and belief; and that the w~will be perforr qd~r set fo~h in the application filed therewith. Sworn to ~this ~ ~ ~ ........ Nota~ Public,~~ ~.l.~.~n~ ....... ~.'¢'"'-'~ ......... ~'~ ............~ ...................... ~ ' (Signature of applicant) Town 1 lall Annex .5 !.373 Main Road P.(). Box 1179 Southold, NY 11!~7 I-0.059 Telephone (631) 76.5-1802 Fax (631) 76.5-9.502 BI ILDIN(, DI'J AR FMEN 1 TOWN OF SOUTHOLD October 12, 2010 Alex Zuhoski 11900 Oregon Road Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: 'x'x,J Application of Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. __ A fee of $25.00. Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35881-Z alter garage to living space Town Hall Annex 54375 M~n Road P.O. Box 1179 Southold, NY 11971..0959 Telephone (631) 765~1802 · (631) 7 5 ro.qer..ohe td. Co n.so o .nv. us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Date: ~ame: .icense No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Address: /? .~?~ 0 ~:~/~(~.,'~O~U ,"'-~,,,o:,~/') *Cross Street: /- *Phone No.: Permit No.: Tax Map District: 1000 Section: ~ ~ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: YES / NO Rough In YES / NO Lot: ~,~ Final Temp Information (if needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form 'l'o~n I lall AImcx ,5137,3 Main Road P.O. Box 1179 Soud~old, NY 11!171 Tclcllhonc (631) 76,3-1802 F:LX (631) BI ~ILI)IN(; I)I']~ARTMICNT TOWN OF SOUTHOLD FIRST NOTICE September 13*h, 2010 Alex Zuhoski 11900 Oregon Road Cutchogue, N.Y. 11935 7010 0290 0002 8969 6267 RE: 11900 Oregon Rd. SCTM #1000-83.-3-5.3 To Whom ~t May Concern: Please be advised that your Building Permit # 8750, Building Permit # 9c~)2 and Building Permit # I)9c~3 have expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued before use of the structure. To renew your Building Permit, please submit a fee of $40.00. At that time, we can schedule an inspection by one of our Building Inspectors. ENCLOSED FOR YOUR CONVENTENCE ARE Cop'rES OF REFERENCED BUTLDTNG PERNL_,-T. If you have any questions, please call us at 765-1802. I~espectfully, SOUTHOLD TOWN BUILDING DEPT BP# 8750 - ADDTI'~ON $ 15.00 BP~ 9992- GARAGE CONVERSION $ 10.00 BP# 9993- ACCY. BLDG. (GARAGE) $ 15.00 DATE, , ~ , NOTIFY BUILDING DEP~MENT 765-2660 9AM to 4PM ~R REQUIR} ..... 1; B~ORE BACKFILLING FOUNDS, TION OR START FRAMING 3. BEFORE COVERING PIPZS OF ANY KIND 4. FINAL WHEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ALL CONSTRUCTION MUST REQUIREMENTS CF N.Y. STATE CODE AN~ TOWN HOUSING CODE & ZONING COX'~ I ,~NE ~ran~ ~ McBrkle leonder ~. Glovor 5G0.8~' 473.19 '