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Home My WebLink About35882-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34620 Date: 10/22/10 THIS U~KTIFIES that the building ACCESSORY GARAGE Location of Property: 11900 OREGON RD CUTCROGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 83 Block 3 Lot 5.3 Sud~division Filed Map 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. 35882-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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to ALEX ZUHOSKI of the aforesaid building. (OWNER) S[IFI~)Id[L~O[II~YDEPART}4ENT OF~]~{API~{OVI%L N/A RY~-rKICAL C~KTIFICATE NO. 35882 10/01/10 CERTIFICATION DA'r~o N/A ~A/i/Si~ture 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. 35882 Z Date SEPTEMBER 21, 2010 Permission is hereby granted to: ALEX ZUHOSKI RFD #2 11900 OREGON RD CUTCHOGUE,NY 11935 for : BUILD AN ACCESSORY BUILDING ( GARAGE ) REPLACES EXPIRED BP # 9993 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 SEPTEMBER 21, 2010 and approved by the Building Inspector to expire on MARCH 21, 2012. Fee $ 10.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUII.DIN~ DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, K. ¥. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9993 Z Building Imi:mctor. Building Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA1 OCT 14 sd,10 ~LDG. DEPT. CY TOWN OF SOUi'H~,, 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 of electhcal 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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. 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?' /~ //l.// /'(.~ New Construction: Old or Pre-existing Building: (check one) Location oferoper~y:~ / ~ q ~)(:~, ~)1'"~--~_~1~'~ ~ 0-~'~L'C~O(..~Ham1 House No. t~treet et Owner or Owners of Property:'~,~ Suffolk County Tax Map No 1000, Section ~ _~ Block Lot Subdivision PermitNo.~<~ ~ Dateofeermit. Filed Map. Applicant: Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ t;~L 5~. o ~) Underwriters Approval: Final Certificate:/1'"///(check one) Applicant S~t~ e~/~~ 1,'17.5 Main Road 1LO. P, ox 1179 Soutk, okl, N Y 11971-0959 'l'clcphol~c (631) 76,;-1802 l::tx (final) 765-9502 ro,qer, richert~town southo d ny. us 1H;II,I)IN(; I)I'2PARTM I'2NT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Alex Zuhoski Address: 11900 Oregon Road City: Cutchogue St: NY Zip: 1193." Building Permit #: 35882-35881 Section: ~'~ Block: ~ Lot: _..~, ~ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Residential Commerical New Addition Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Indoor Outdoor Renovation Survey ~Heat ~ Hot Water A/C Condenser A/C Blower Appliances Switches Office Use Only ~ Basement ~ Service Only ~ 1st Floor Pool 2nd Floor Hot Tub Attic Garage INVENTORY DuplecRecpt ~ Ceiling Fixtures ~ HID Fixtures ~~~r~l~~ GFCl Recpt Wall Fixtures Ill Smoke Detectors Single Recpt Recessed Fixtures ~ I CO Detectors Range Recpt Fluorescent Fixture U Pumps Dryer Recpt Emergency Fixtures~ I Time Clocks Twist Lock Exit Fixtures I I TVSS Notes: 35881-cenver~ garage to living space, 35882-detached garage Inspector Signature: Date: Oct 1 2010 81-Cert Electdcel Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ~.~ [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION []fln~R~mSTANTC(mS1'RUC110N []R~nf:mSTANT~:NE'n~'I'ION REMARKS: ~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...................... ~'*'"'r ........ :, 19 ........ Dimpproved a/c ........................ ;.r ................................................................. APPLICATION FOR BUILDING PERMIT Application Na ................................. INSTRUCTIONS a. This application must be completely filled in by typewriter oe 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 areas, and giving o detailed description of layout ofprpperty 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 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. /~na, ture_: of applicant; 6r name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......... .~-......~ ...... ...~,.,~.~..~,~,~:~,,~. ........................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... ~ ~_~sed work will be done. Map No~.: ~ ....................................... LotNo ......................... Location of land on which p o Street and Number ~//..~.. ................ (~.~1~./~.. ......... ,~..~. .....................................................Municipality~Z~"':'i~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: ./ a. Exisiting use and occupancy ................... ~'..~....~ .................................................................................................. b. Intended use and occupancy ............................................ ................................................................................... 3.-,~N~t~re of work (check which applicable): New Building,. ...... Addition ~ ~lteration .............. Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) 4. Estimated Cost ? .~/..!::....:. ................................. Fee ............L.0.....~....... .............................................................. (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 of existing structures, if any: Front ............................ Rear ................................Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................ Number of Stories .......... : ...... 7 ............. 8. Dimensions of entire new construction: Front ......... ~ ....................... Rear ...... , .................... Depth ..::;.: ................. Height ................... Number of Stories ....... /. ........................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ '10. Date of Purchase ........................................................Nome of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ....~/..z~...: ............... Will excess fill be removed from premises: ( ) Yes (¥') No Addres~ .,.; ...........................~hone No. 14. Name of Owner of premises ...... '; ...... :~. ...... ;....; .............................................. Nome of Architect ..............................................................Addre~ ................................ Phone No ...................... Name of Contractor ............... ' '~ .......................................... '/¢, t.: ~'.-- Address ................................ "~'' ' Phone No.".~;:: ...... PLOT DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~ck dimensions from prope~y lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ S S COUNTY OF ............. : .............. ,,,~ ~' ................................................................................................. being duly sworn, deposes and soys that he is the opplicom (Name of individual signing contract) above named. He is the ................................................................................................................................................................................. (Contractor, 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 statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this //~ ........................ ddy of .................................. - ......... , 19 ........ /'~ /y//') Notary Public, . ................................................... County ..... :: ............... ;. ............. ..................... ~.~ /~/ (Signature at applicant) FOILM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ................... .~...~ .~...~.., 19..~,....~"- Approved ................... ~.....C-~....~.~..., 19.~.~'~'~ermit No ......... .~.~....~..,.~,....Z.... ........................ Application No.., ~'~,~' ........ APPLICATION FOR BUILDING FERMIT / ~ "'"- /~ 19..~.....~. Date ................................................ , INSTRUCTIONS a. This application must be completely filled in by typewriter o~ 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 m 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 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 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. ////Signq~re~" '" 'of applicant, or name, if a corporation) .......... ............................... (Address of ap~)~ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Street and NumberL°cati°n of land on wh. ic~/L?. ,.~- ..~- pr~:~.e.~.:.~[~ .n:.]ll .~...~ .'~.~ .0..~e..d°ne' Map No.:~(~. ........ ~ ........ :..i.:.:::....iiiii.~t....N.~i.[..i..:.,.i[[[i:[ii:jg~ State existing use and occupancy of premises and in'.ended use and occupancy of proposed construction: ............................................................................ a. Exisiting use and occupancy ................................................ b. Intended use and occupancy ................ .(~. [..~..~ ./. J..~?.. A~ ................................................................................ *3. Nature of work (check which applicable): New Building-. ..... Addition .................. Alteration Repair .................. Removal .................. Demolition .................... Other Work .................................................... ~_~'4'/~ Fe I ..~.. (Description) 4. Estimated Cost ........~...~.. .......................................... e ..................................................................................... (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 ~rs ................... ~.:.' ................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each ~pe of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Numar of Stori~ ................................................................................................................. 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 ~ner ........................................................ 11. Zone or use district Jn which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ....~E.~ ............. Will excess fill be removed from premises: ( ) Yes ~ No 14. Name of ~ner of premises .... ~....~.L~ ............... A~re~&f:.¢~ .. one No ....................... Name of Architect .............................................................. Addre~ ................................ Phone No ....................... Name of Contractor ...~..~.,...~L?~.~;~.& .................... Address .~Z~ ....... Phone PLOT DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set~ck dimensions from prope~ lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. couE .... ~~....x,:>~ ........ being duly sworn, deposes and says that he is the applicam C] ..... ~/1~~ signing contracf) a b"oge nam~d. He is the ........................... ~~.~~~ ................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tho~ the work will be performed~ the manner set fo~h in the ppplication filed therewith. Swornt~methis /I I~ / ...... .... ...................... Town ltall Annex 51375 Mare Road 1'.(). Box 11751 Soulhold, NY 11971-0931t Tclt~phonc (631) 763-1802 Fax (631) 763-9302 BI ;ILDING I)EPARTMENT TOWN OF $OUTHOLD 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,,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: 35882-Z accessory garage Tov~l Hall A~lnex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (6311 765-1802 Fax (631) 765-9502 September 13th, 2010 BUILDING DEPARTMENT TOWN OF $OUTHOLD FIRST NOT ¢E Alex Zuhoski 11900 Oregon Road Cutchogue, N.Y. 11935 11900 Oregon Rd. $¢TM #1000-83.-3-5.3 To Whom It May Concern: Please be advised that your Building Permit # 8750, Building Permit # 9992 and Building Permit # 9993 have expired. According to the Code of the Town of $outhold, 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 l'nspectors. ENCLOSED FOR YOUR CONVENIENCE ARE COPIES OF REFERENCED BUILDING PERMIT. If you have any questions, please call us at 765-1802. Respectfully, 50UTHOLD TOWN BU'rLD'rNG DEPT BP# 8750 - ADDZTZON $ 15.00 BP# 9992- GARAGE CONVERSION $ 10.00 BP# 9993- ACC"Y. BLDG. (GARAGE) $ 15.00 C O, V ~ L ,~N£ leander ~. Glover d. McBr~We 473.19'