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Home My WebLink About22973-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24215 Date MARCH 15, 1996 THIS CERTIFIES that the building ADDITION Location of Property 4300 DEPOT LANE CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 96 Block 5 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 1995 pursuant to which Building Permit No. 22973-Z dated AUGUST 28, 1995 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ELEANOR deVECCHIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ding Inspector Rev. 1/81 x; s 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) N R, 22973 Z � &6e Date........... .............................., 19.25.. Permission is hereby granted to: ....................... .:`?rr?. _5..... .....,//q.�71............... ........... � ....... ..........��.................... ......... ..................................................................................................................... ..... .......................................... F.....�1.x rt R..... ....................................................................... at premises located at...... 1...................... a�... . ✓ ....................... ............I.............� ............................................................ . ............ County Tax Map No. 1000 Section .... .............. Block...... ...... Lot No. .. .............. pursuant to application dated ..........��.t�lS/,.....�(".............. 19.....52 and approved by the .. ... Building Inspector. Fee$...75-..... .. ....:. .........,................................ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD fA,_)) �� C Lk` BUILDING DEPARTMENT g3dU TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by -typewriter OR ink and submitted to the building inspector with the following: 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 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. 3. 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 a 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. Fees 1. Certificate of Occupancy - New dwelling. $25.00, Additions to dwelling $25.00; Alterations to dwelling $25.00, Swimming pool $25.00, .Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildino - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $$15.00, Commercial $15.00. Date . . . . 1 .�.�. . . . f. i � .� J�.�. . . . . . . . . . . . . . . . . 'ew Construction. . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . ,ocation of Property. . . :7.3. . . . b�. . :. . . . . . . .�. R . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet ` nwer or Owners of Property. . . .? !�Qr J,� � 1,15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •ounty Tax Map No 1000, Section. . .9 . . . . . . .Block. . . . . . . . . . . . .Lot. . . .C�. . . . . .. . . . . . . . . . ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . ermit No. . . Date Of Permit. . . . . . . . . . . . . . . .Applicant. ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . ee Submitted; $. .Q��; 14 . .. . . . . . . . . . . . . . . . . . APPLICANT. o��g�FFO�,�coG c� yc ti a Town Hall, 53095 Main Road p • Fax(516)765-1823 P. O. Box 1179 y� O� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 11, 1996 John Bertani Builder Inc. 1380 Oakwood Drive Southold, NY 11971 Re: Eleanor deVecchis - SCTM#10'00-96-5-9 Prem: 4300 Depot Lane, Cutchogue To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22973-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 17 1 ETA) INSPECTION RIiFORT V A'I.'F, -- -------- COMMENTS FOUNDAT T014 IST) II 11 FOUNDATION (2ND) ------IL------------- ROUGH FRAME PLUMBING 'h T.NSULATION PER N. Y. Mn STATE ENERGY II CODE FT N AT. ADDITIONAL COMMENTS: Q 0 Q, ryn� o • , {h Q K �.IV l 'y b,4 tiM '� ?y3•;. V � e c�UFPzrO uq!® plc w 1p tLl / 4v/ a� .SURVEY OF Off s?. R OPER T Y �. �2s0 � evc,e•� AT CUTCHOGUE-9 TO.WN OF SOUTHOLD ) �F . SUFFOLK COUNTY, N. Y 1000 — 96'- 05 09 ale . l-* = 50' Feb. 6, 1995 • �%ANp S� f; ' � . NO. 496/8 i 'ECON/C JV O CERTIFIED TO:, ELEA NOR B.' de VECCHIS '5/6) 765 FIDELI T Y NA TIONAL TI TL E �. 0.' ,BOX 909 'INSURANCE'COMPANY .OF N.Y. -A IN. ROAD 20l' 2626 BOARD OF HEALTH FORM NO. 1 3 SETS OF PL.\:1S SURVEY . TOWN OF SOUTHOLD r BUILDING DEPARTMENT CIIECK . . . . . . _ - - - . . . ... . .. . . 1 TOWN HALL SEPTic Fom SOUTHOLD, N.Y. 11971 �[-�;d�Ee,� �, � TEL.. 765-1802 NOTiFY ®1 . . .- -19�� CALL . . . . . - . . . - . . . . . . . Examined .'. . ,. . xamined .'. . . . / MAIL TO : Approved . . . . . . ., 191�Permit No. . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . Vg Inspector) APPLICATION FOR BUILDING PERMIT Date �lU�.��:(. .,. . . . . .. 1AC INSTRUCTIONS `J a. This application must be completely filled in by typewriter or in ink and submitted 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 part of this appli- tation. 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 issued 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 building for necessary inspections. _^ T -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee,. agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . �1°.tl�.fl.� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . .�JCGS n�? . . : . . 4.�L°-C.�►�'l .S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. V. (Name and title of corporate officer) Builder's License No.. . . . . � � •/ �. . , , , Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . .. . . . . Other Trade's License No. . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `��. . . . . . . . . . . . . . . . . . . . . . . D.t" � LM.. . . . . . . . . . . . . Cu-. �?o . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . .(. . . . . . . . . Block . . . .d.�.. . . . . . . . . . Lot . . . . QJ , . . , , , . , Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No.. . . . . . . . . . . . Lot . . . . (Name) . . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . .CL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . �eC!k.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration} Repair . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . Other Work . . . . L, , , �0M CIOescription) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. 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 • • • • Depth . . . . . . . . . . . . . . . . . . Rear . . . . . . . . ... . . . . . . • • . Height . Number of Stories . 8. Dimensions of entire new construction: Front . . . ,�(o•,�• . , • , , Rear . ° �; • • • • • • • ° Height . . . . . . . Depth . . . �. . . . . . . . • • - - • . Number of Stories.. 9. Size of lot: Front . . . . . . a�: ?. .'. . . . . . . Rear . . . ...�. 5"� '. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase. . • • • • • • • • • • • Depth . . ��: �. . . . . . . . . . . . 11. Zone or use district in which premises are situated . • . me of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or•regulation: • • • • • • • • • • • • • ° d • •nc� 13, Will lot be regraded . .C�. . . . . . . . . , . Will excess fill b�removed fro • remises: • Yes • . 14. Name of Owner of • • • •�• �? � • No emises -d�l��:iR�-� . Address �3Q� e..�?4fit4r?: `�o�ne�'`o.�. .7.3.�;�la/,�. Name of Architect `Ul� • • • , ,Address . . . ;�c �,�;L� ° . . • • • .�1 ' � ' • ' • Phone No " • ' ° ' • • • ° • • • • • Name of Contractor *�. . 1 . . . . . Address . 14M— . . . . .Phone No. ..� 15. Is this property within 300 feet of a tidal wetland? *YeS. . . . . . . . No. .X *If yes, Southold Town Trustees Permit may be required. 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 PORK, COUNTY OF . . �,� . . S-S i • • • • ° ° '�'��',`�• •�•'• • � �`• • • • • • • . • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . ... . . . . . . . . . . . . CJ�n k,e .e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me t 's . . . . . . . . . l l. . . . . . .day of. . . . . . S� . . . 19 �. Notary Public, 444 unt y HELENE C.HORNE .��!��: .��/�� . . . . . . . . . . . . . . . Notary Public,State of Now York (Signature of applicant)Nc.49513S4 pp ) Qualified in Suffolk County CoOhMission Expires-May 22,1