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Home My WebLink About35883-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34621 Date: 10/22/10 THIS CERTIFIES that the building SCREENED ROOM ADDITION Location of Property: 11900 OREGON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 83 Block 3 Lot 5.3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 21, 2010 purs~qnt to which Building Per.hit NO. 35883-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 RAISED PATIO WITH SCREEN ROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALEX ZUHOSKI of the aforesaid building. ( OWNER ) SUF~I=K C~[~TY DBP~T~T OF }[~-Lq~{ APPRO~KAL R?,Rt-rKIC~%L C~RTIFIC3~ NO. PLI~B~ C~RTIFIC3~TION Da'r~ N/A N/A th~ed S gnature 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. 35883 Z Date SEPTEMBER 21, 2010 Permission is hereby granted to: ALEX ZUHOSKI RFD #2 11900 OREGON RD CUTCHOGUE,NY 11935 for : ADD ONTO A ONE FAMILY DWELLING REPLACES EXPIRED BP # 8750 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 21, 20__0 and appr~y the Building Inspector to expire on MARCH 21, 2012. / / Fees 15'00 ~~ l ~ ~__~rized S!.gn~C~zre __ ~ Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ' SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL ITULL COMPLETION OF THE WORK AUTHORIZED) 875O Z Permission is hereby granted to: ~.~ ...... Z~..~t.0.5~/...1 ........ .~....$/Y..P..L[-..:( ZU Ho~ I ..................................................................... ~.U..~...~2.~..~..a.u..E......~....h~....Y., ......................... "~' ~"~' pursuant to application dated .......................... ~..~..J~/~.....~,~,~.. ....19~.6..., and approved by the Building Inspector. Fee $..I..C.~. ............... Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCId BLDG. OEPT. ~ANCY TOWN OF SOUIHOLD L 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 sta'vey 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 electtical 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 New Construction: Location of Prope~t'~-.o Old or Pre-existing Building: House No. (check one) Owner or Owners of Prope~'~j Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ "~ 8 ~ Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ c:,[b~. OO Block Filed Map. Applicant: Underwriters Approval: Final Certificate: l'/ [check one) Lot Lot: REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ,~ [ ] FRAMING/STRAPPING [ ~,/~/-~ ~ f'~z'/'"Z/~ . [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTIONS,~/ [ ] FIRE RESISTANT COflS1111JCYl(~ [ ] FIRE RESISTANT PENETRA'~ DATE INSPECTOR SOUTHOLD, N. Y. ....................... Approved ........................................ , 19 ........ Permit No ..................................... · o~ No. ~ 7>~r~ ~.~ /f" c~;;~.~.~ TOWN OF SOUTHOLD ~ (~ ~ ~ ~ BUILDING DEPARTMENT ~ ~ ~ ~ TOWN CLERK'S OFFICE ~( ' Application Disapproved a/c ............................................................................................ APPLICATION FOR BUILDING PERMIT Date ...................... ~....'i ................ i..., 19 ............ INSTRUCTIONS o. This application must be completely filled in by typewriter o~ Jn 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port 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 Jn whole or in part for any purpbse 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. (Signature of applicant, or 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 ............................................... 1. Location of land on which proposed work will be done. Mop No.: ........................................Lot No ......................... Street and Number ~" / ~ Municipality 2. 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 J . . 3. Nature of work (check which applicable): New Building.. ................. Addition ............. Repair .................. Removal .................. Demolitio~ .................... Other Work ................................................... ,~ (Description) 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 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 ................................ 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 ........................................................ 1 1. Zone or use district in which premises are situated ..................................................................................................... ]2. 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 ............................................................ 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. STATE OF NEW YORK, COUNTY OF ................................ .............................................. ................................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) 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 <:nd file this application; that all statements contained 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, . ................................................... County ................................................................................................ (Signature of applicant) Town lhll Annex 5fd75 Main Road 1'.0. Box 117!) Soulhold, NY 11971-09.3!~ Telephone (631) 765-1802 Fax (631) 763-9,502 BI ~IL1)ING 1)I';F'ARTMENT 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: 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 411184) __ 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: 35883-Z raised patio with screen room ~ ~ % Leonder !.69 B. Glover 473.19 25,~ 52' --. _-15,831sq. ft. ~60 89' Fronk j. McBride