HomeMy WebLinkAbout46099-Z ��O�og�FFOt Town of Southold 10/9/2021
o ;3 P.O.Box 1179
o - 53095 Main Rd
of far{� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42432 Date: 10/9/2021
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 425 Tuthill Rd Ext., Southold
SCTM#: 473889 Sec/Block/Lot: 55.-6-15.16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/23/2013 pursuant to which Building Permit No. 46099 dated 4/16/2021
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:
alterations(windows and door)to existing single family dwelling as applied for.
The certificate is issued to Danzer,Meinrad&Karen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
1
A o 'ze gnature
�gufFO(pc TOWN OF SOUTHOLD
Sao °may BUILDING DEPARTMENT
MA z TOWN CLERK'S OFFICE
�y • o� SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 46099 Date: 4/16/2021
Permission is hereby granted to:
Danzer, Meinrad
425 Tuthill Rd Ext
Southold, NY 11971
To: Alteration to an existing single family dwelling as applied for.
Replaces BP# 38083
At premises located at:
425 Tuthill Rd Ext., Southold
SCTM # 473889
Sec/Block/Lot# 55.-6-15.16
Pursuant to application dated 4/16/2021 and approved by the Building Inspector.
To expire on 10/16/2022.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
Building Inspector
0
TOWN OF SOUTHOLD
moo ay BUILDING DEPARTMENT
z TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 38083 Date: 6/10/2013
Permission is hereby granted to:
Danzer, Meinrad & Danzer, Karen
PO BOX 315
Southold, NY 11971
To: Alteration to an existing single family dwelling as applied for.
At premises located at:
425 Tuthill Rd Ext
SCTM #473889
Sec/Block/Lot# 55.-6-15.16
Pursuant to application dated 5/30/2013 and approved by the Building Inspector.
To expire on 12/10/2014.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
EkHI
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCy
This application must be filled in try 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 electrical installation from Board of Fire Underwriters.
4. "Sworn statement from plumber certifying that the solder used in system contains less than 211 Or of 1% lead. .
5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate
of Code Compliauce,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" hind uses:
1_ Accurate survey of property showing,all property lines,streets,building and unusual natural or topographic features-2- A properly Eompleted 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.
New Construction: Old or Pre-existing Building: %// (check one)
Location of Property q 2 5 TU-kh-' I l rXTN So -rh o F 7 �
House No- Street `/ Hamlet
Dwnor or Owners of Property: i v e/✓v✓L,4D v- h-)+eeN D ,a/Ze
'n� 12
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. —%0"( Applicant.
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Zequest for: Temporary Certificate Final Certificate: (check one)
-ce Submitted $ e e
Applicant Signature
So/¢�°
f TOWN OF SOUTHOLD BUILDING DEPT.
co 765-1802
INSPECTION '.
B
[. ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [/] FINAL
SULATION/CAULKING
FRAMING /STRAPPING (
[ ] FIREPLACE & CHIMNEY . [ ] -FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:_
I vl� 0- boo,/ Ave---- (�
DATE INSPECTOR
FIELD INSPSMON REPORT DATE COMNZNTS
FOUNDATION(IST)
- ------*------------------------
FOUNDATION(2ND)
-4t z
• � o
ROUGH FRANVING& y
PLUMBING
1
W
INSUL•ATION PER N.Y.
H
STATE ENERGY CODE'
' � Y
ot
' � 1
-Y -
FINAL
ADDITIONAL COMMENTS
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4WIN-bF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
,,--__B�UILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: 631 765-9502 Survey
.n
SoutholdTown.NorthForket PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined d ,20 /3 Single,&Separate
Storm-Water Assessment Form
/�j Contact:
Approved 20 `/ �� Mail to:
Disapproved a/c
Phone(o j (�
Expiration 20
IF Building
LICATION FOR BUILDING PERMIT
Date20INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 waterways. '
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 a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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../X,A�
.
(Signature of applicant Wname, if a corporation)
QO 8 0 3/S
Sou+kolo( A)Y 1197 1
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
D W ti e 2
Name of owner of premises M 0 i w,41_A bg- A-A-4e N AAA Z-e-r2
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. an 4--7� :1�
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done: /
'f25 7-U+1n,11 Q►� ExTnJ. soU�0/G
House Number Street Hamlet
-r*x Ahp-& �473R99 55.-6-1 /6
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy do�
b. Intended use and occupancy,
i
3. Nature of work (check which applicable): New Building Addition Alteration-
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost f 3 Z 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 2-
6.
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
11. Zone or use district in which premises are situated Re s.d-,AAr A 1
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓
13. Will lot be re-graded? YES NO ✓Will excess fill be removed from premises? YES NO ✓
14. Names of Owner of premises 6 k,4 2enl &* Address 'fZS Nt�"I i 6 rxT"Phone ark4No.7 b5'-15-3 11
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
_Z
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO I/
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
Me,nit A-h DhA/Zek being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
C®f\lNlc D. BUNCH
(S)He is the D wAAe P, Notary Public,State of Now York
(Contractor,Agent, Corporate Officer, etc.) , Qualified in Suffolk County
Commission Expires April 1422-1-6
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 t before me tl 's
aj t- day of 20
Notary Public Signature of Applicant
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Richard a Loureen Wheeler
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SURVEY FOR
MEINRAD DANZER a KAREN DANZER
LOT NO.13,"HIGHPOINT MEADOWS,SECTION TWO AUG 2s,1991
AT SOUTHOLD DATE AUG 21, 1991
TOWN OF SOUTHOLD SCALE I"=ao
SUFFOLK COUNTY, NEW YORK NO 91-0724
PUNAUTHOIILED ALTERATION OR ADDITION TO THIS CERTIFIED TO'
SURVEY D A VIOLATION OF SECTION 7209 OF THE MEINRAD D 1.',
MEW YORK STATE EDUCATION LAW KAREN Ne
p,
COPIES OF THIS SURVEY Or MAKING THE LAND CENTE [f I� �pq
SUR V(pgS INK[D SEAL OR CMBO33CD SEAL SMALL TI CO TI t,,%PA WA
NOT BE CON3IDERLD TO BE A VALID TRUE COPY O
R GUARANTEES INDICATED MERLON SMALL RUN ONLY TO Q
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT 714[PERSON FOR WHOM THE SURVEY 15 PREPARED 01AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERM- Z $�
M NEAREST W U SAIN_MI* ,SOURCE OF WATLA PRIVATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED y
M PUFF CO iAK MAR 01ST IQDO SECTION�NDCK 6 LOT-LS,I6 HEREON,AND TO THE A3310NEES OF ME LENDING T
N THERE ARE ND DWELLINGS WITHIN 100 FEET OF THIS PROPERTY W3TITUTION GUARANTEES ARE NOT TRAM]FERABLE
OTHER THAM THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
M TH[WATER SUPKYANG SCMAS[DISPOSAL SYSTEM FOR THIS ROIOENCIE OWNERS
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT •DISTANCES SNOWM HEREON FROM PROPERTY LINES ( ro0 3
TO LK IS TING STRUCTURES ARE FOR A SPECIFIC
Of WEALTH
1gVltL1 PURPOSE AND ARE NOT TO BE USED TO ESTABLISH `TFD .LDn•
PROPERTY LINES OR FOR THE ERECTION OF FENCES LARD A'K-
ADORE SS
TEL OSTRANDER
YOUNG a YOUNG RIIVVERHEAD,NEW YORKE
NOTE 6 =STAKE • = MONUMENT AL DEN WYpUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAR 19,1990 AS FILE NO 8911 AND LAND SURVEYOR N YS LICENSE NO 12845 ,
HOWARD W YOUNG, LAND SURVEYOR
m LATHE LOCATION OF WELL(W),SEPTIC TANKISTIB CESSPOOLSIICP)WDWN HEREON NY S LICENSE NO 45893
ME FROM FIELD ON SERVAT1ONS ANG OR DATA OSTAMED FROM OTHERS
ze
HRANDIS 6 SONS INC
Form BP-1
Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance
Coverage for a 1, 71,3 or 4 Famitti•, {hvner-occupied Resid-ence
•r77edsfnmrC,w�xoihe used torightsornNlJOliansofanyparv.«»
Under penalty of perjury,I ccrtily that 12m.the owner of the 1,2.3 or 4 family.ra'rt per-tecupied resider-cc
(including condominiums) listed on the building permit that I am applying for, and I Aur not required to stir
specific proof of workers' compensation mi surauce coverage for such res#dcnm because (please check the
appropriate box);
1 ani performing all the work for vriiieh the building permit-was issued.
I am not hiring„paying or compensating in anyway.the individuals)Haat Kam)performing al l the% mh-
for which tht building permit wws issued or helping me perform such work.
I have a homeo%mer's insurance policy tbat is currently in effect and covers the pwperV listed on he
attached building grxmit AND am hiring or paying Wividuals a tout of less than 40 hours per week,
(aggregaw hours for all prod indiE-eriduals on the jobsitt)for which the bruldbig peffnit;vas issued.
I also agree to either_
+► acquire appropriate wotkers' compensation coverage and provide appropriate proof of that coverage on
forms approved b5 the,Chair ofthe NO'S Wodme Compensation Board tea the gov+ernmerd entity issuing the
building permit if need to hire or pay individuals a total of 44 Fours or more per week-(aggregate hours for
all paid individuals on the jubsife) for work indicated on the budding permit:, or if appropriate, BIC a
WCjT)B-101 ex=ption farm;OR
have the genrrFal contractor,performing the w-*rk on the 1,2, 3 or 4 family,owner-*CCupied resi&M,
(including condo-miniums)Listed on the building permit that I am applying fw,provide appropriatc proofof
workers'ecmrupensation covemgr-or prnofofexemption from that coverage ori ftaitas approved by the Chair
ofthe NYS Workers'Cbmpensation Board to thcgovernrnent cutity issuing the boilding,permit if the pnojeat
takes a total of 40 hours or more per week(aggregate hours for all paid individuals iduals on thejoWte)lot work
indicated on the 1cling pertnif,
(Signature of Flom er) ate s>; t►
���•t�><+-Dh Ayu 2e(z Rome Telephone Num -
(flomeov:'ices Name Printed)
Srw.iP ..s f:.,=a r■:*rlrir .fsy•1
Propeny Address that rugifues the branding permit:
r of Nwi&ry
1 '
Oce notartzed,ebb Form BP--1 serves as as a cti pdan for.both workers* ea*Opmmilon nad dimbility benCAb
prance u�awr�arage.
BP-1(p •�) Notary
D.BUNCH T Vy WCB
y Public,State of New York
No.01BU6185050
Qualified in Suffolk County
Corr Mission Expires April 14,2 01 G
New York State WnrkPrc'(-mmnPncafinn Rnarri
Southold Town Building Department
guFFOj,t
d l' P.O.Box 1179
Permit#: 38083
53095 Main Rd
w Southold,New York 11971 Permit Date: 6/10/2013
(631)765-1802 Expiration Date: 12/10/2014
Parcel ID: 55.-6-15.16
BUILDING PERMIT RENEWAL LETTER
Dated: 5/17/2017
Applicant: Danzer, Meinrad&Danzer,Karen
Location: 425 Tuthill Rd Ext, Southold
Work Description: RESIDENTIAL ALTERATION
Alteration to an existing single family dwelling as applied for.
A FEE OF $200.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Danzer,Meinrad&Danzer, Karen
Address: PO BOX 315
Southold,NY 11971
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
MEINRAD DANZER
425 TUTHILL ROAD EXT ;
SOUTHOLD,NY 11971
APR - 6 2021
l09ep1 eo C`teey 1594 12.5
3/-- 2(0,5--153 0 ?�-o _e,-a,,41e- At, 3:;v s oe a:7b�v
COMPLY 1PerITH AL T®WN COF
ODES
NEW YORRED Art CO 6ITIONs F OCCUPANCY O
AS REQUsoy-�eUSE I UNLAWFUL
'�'
L� ITT CERTIFICATE
C
OF OCCUPANCY
00
1
I
AED AS NOTED
!
DATE:" ® � B.P.# 0
FE BY:
j NOT Y BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
Note This drawing is an artistic r =" Designed:4/27/21
interpretation of the general Printed 4/27/201
appearance of the design.It is
not meant to be an exact rendition_ iW y
42508598 jAn Drawing i