Loading...
HomeMy WebLinkAbout5294-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP;~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z- 4635 Date: 05/16/72 T~IS U~(TIFIES that the building ADDITION/ALTERATION Location of Property: 6370 SKUNK LANE (HOUSE NO.) (STREET) County TaxMap NO. 473889 Section 104 Block 5 Subdivision Filed Map NO. __ Lot No. __ CUTCHOGUE Lot 2 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1971 pursuant to which Building l~z~t No. 5294-Z dated MAY 13, 1971 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 BUILD AN ADDITION ON EXISTING DWELLING. (CORRECTED TO INCLUDE ALTERATION OF SEASONAL DWELLING TO YEAR ROUND RESIDENCE). The certificate is issued to CLAIRE MURCHECK & CLAIRE BLAIR ( OWNER ) of the aforesaid building. SUFFOLK COI~FI~Y DEPA~T~T OF HEALTH AP~RO%rAL ~.RCT~ICAL c~KTIFICATE NO. PL[~ ~TIFICATION DATED N/A N/A N/A ~horize~ Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5294 Z Permission is hereby granted to: ......... .~....~'.~tr~lmck .................................... to 1~ $J.d...~m...&~.~l~.t ~.er~ ..mn..m~Lai;~l~..d~lXt~ .............................................................. at premises located at ........ ~...&~ .................................................................................................. .......................................... · ~mbe~. .......... .ll~][., .......................................................................... pursuan¢ to application doted ............................... ~ ..........~ ....... , 19...~., and opprov~ by the Building Ins~ctor. Fee $...~: ,,~1 ........... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate OJ: Occupancy No. '.~..~.~' ...... Date ..... .! JJa.~... ~J:* ............, lO..*~ THIS CERTIFIES that the building located at ~i' ~&IY' &'~O ............ Street Map No. '~i~ ........ Block No..~ ....... Lot No. ~... Ol~lj~ ...... ~ .... conforms substantially to the Application for Building Pekmit heretofore filed in this office dated .......... l~,It ..... 1 .~.., 19~I. pursuant to whigh Building Permit No. dated .......... l~ay-...'~.~ ...., 19..~., was issued, ankl conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is .. t~,~.go, olao .t~ala.~.y. 51**[1.~k~tg ........ .............................. The certificate is issued to . '~O' ' ' ~1t~ ...... ~1~' ' ' ' ..................... (oWner, lessee or tenant) of the aforesaid buiIding. Suffolk County Department of Health Approval ' '~t~ ........ i .... ' ............... UNDERWRITERS CERTIFICATE No... ~, ...... ~ .... ~... ............................. HOUSE ~UMBER.. ~*~. . .Street .... ]~" ~'t1~ ..... Building Inspector / Form No. 6 TOW SO OLD Il ~PLICA~ON FOR CER~ICATE OF OCC~Y application m~ ~ ffll~ in by ~w~ter or ~ ~d sub~R~ to ~e Buil~g ~t wi~ ~e follow,g: 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 f:rom 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 ce~fieate of Code Compliance from architect or engineer respona~le for the building. 6. Submit Planning Board Approval of completed site plan requirements; For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 Accurate sm~,ey ofprop~:y 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 $25.00, Additious 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 Building - $I00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: House No, O, er or O Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: (check one) Street Itanil~ , ,q Lot ?e t No. 5&qq Date ofPermit. ~- / 3 -7 ) Block Filed Map. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 50 .. ~ O Final Certificate: (check one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [~FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 April 21, 2009 Michael Verity Building Inspector 53095 Main Road Southold, NY 11971 (BY FIAND) Re: Dear Michael: Tel: (631) 765-4330 Fax: (631) 765-4643 BLDG. DEPT. TOWN OF SOUTHOLD Margaret Rutkowski Betsey Perkins Secretaries Claire Murcheck and Claire Blair SCTM#1000-104-5-2 & 3.1 In accordance with our previous discussions, enclosed please find a letter prepared by Angel B. Chorno, Architect which describes the addition constructed pursuant to a building permit #5294 dated May 13, 1971. The Murcheck house which was constructed pursuant to a permit #303 dated May 1, 1958 as a summer residence was converted to a year round dwelling in 1971. Attached for your convenience. Mrs. Murcheck, surviving spouse and her daughter Claire Blair are selling the house and the buyers wish to be assured that the building department records reflect that the house is presently a year round single family dwelling and not an unheated summer dwelling. If there is anything else you require please let me know. I have personally inspected the house and the existing conditions of the house appear to be as constructed in 1958 and 1971. If you wish to make your own inspection I have the key and can provide you with access. Very truly yours, Patricia C. Moore cc: Mrs. Blaire Gail Wickham Esq. ANGELB. CHORNO ARCHITECT 51020 MAIN ROAD SOUTHOLD NY. 11971 (631) 765- 6530 FAX (631) 765- 4643 April 20th, 2009 Building Department Town of Southold NY Re: Claire Murcheck Claire Blair Property 6440 Skunk Lane Cutchogue NY 1000-104-5-2 & 3.1 By this letter, I affirm that above referenced house 1971 addition contains a bathroom, laundry and mechanical room with a hot water tank and a furnace. It was converted, in 1971, from a seasonal dwelling, to year around dwelling under permit # 5294. It met the NYS Code in place at the time. FOP~M NO. 1 ~ TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT C'~ TOWN CLERK'S OFFICE, r~ SOUTHOLD, N.Y. ~ E×am,ned .......... , ,9.?../... App,,cat,an ........... Approved 'k ~9..~ .... Pemit No....~...4.~...~./......~'.. ........... Disapproved a/c .............................................. ..... -- APPLICATION FOR BUILDING PERMIT ~-~,.,9 Date t INSTRUCTIONS o. Th~s opplicotion must be completely filled in by typewriter or in ink ~nd submitted in duplicme to the Buildin~ Inspector. b. Plot plan showin~ IocaHon of bt ~nd of buildings on premises~ relotionship to ~dloinin0 premises or public streets or ~reos, ~nd ~ivin~ o detoiled description o{ loyout ofproperty must be drown On the dioor~m which is port of this opplication. c. The work covered by this opplic~tion m~y not be commenced befor~ issuonce of Buildino Permit. d. Upon opprovol of this opplicotion, the Buildin0 Inspector will issuo o ~uitdin~ Permit to ~ho opplicant. Such permit sholl bo kept on the premises owilob[e {or inspection throughout the profl~ess o{ the work. e. ~o buildin~ sh~ll be occupied or used in whole or in port for any pur~oso whotever until o Certificote of Occuponcy sh~ll hove been ~r~nted by the Buildin~ Inspector. APP~ICATIO~ IS H[R[BY ~ADE to the Buildin~ Dep~r~ment for the Issuance o~, Buildino Permit pursuont to the Buildino Zone Ordinance of the Town of Southold, Suffolk County, Mew York, ond other opplicoble kows~ Ordinonces or Re~ulo~ions~ for the construction of buildin0s~ odditions or ~Iterotions~ or {or removol or demolition, os herein described. The oppHcont o~rees to comply with ~1~ opplicoble laws, ordinances, buildih~ code, housln~ codo, ond ro~ulat~ons. ....................... ......... .............................. (Si0noture of oppHcont, or nome, if a corporation) (Address of applica~) 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. (Nome and title of corporate officer) , ~ 1. Location of land on which proposed work w, II be done. Map No,:]~.~.~g.~.....~.....~. ...... Lot No ~ 2. State existing use and occupancy of premises and intended use and~cupancy of proposed construction: b. Intended use and occupancy ....................... ~Q~..,.~~.~ ........................................... 3. Nature of work (check which applicable): New Building .................. Addition ...~.............. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 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 ....~:.C~../. ...... Height .....~'./...' ............. Number of Stories ................... / ............................................................................................ Dimensions of same structure with alterations or additions: Front.........................- -~ ....... .... Rear ........... ~..'. ............. Depth ......~..~'l'..i...~..i'~. .......... Height .......... ~.~. ............... Number of Stories ............../, ................. , 8. Dimensions of entire new construction: Front .................. ~'...~7.~. ..... Rear h ~,--(~ Depth Height .................... Number of Stories ..............~ ............................................................................ 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase : Name ~f Former Owner ..................... ] 1. Zone or use district n wh ch prem sos are s tuated ...................................... 12. Does proposed construction violate gn.y.zonir~ law, ordinance or,_/..7_'~ ']/// ~ ~',,/.,~ regulation? ............................................................ 13. Name of Owner of premises ..[..:..../.~x.:...--~....~.z....,~,_..Address ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ............ ~ ........ ..~.....Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-b~ck dimensions from property mines. Give street and block number or description according,.to ~eed, and show street names and indicate whether interior or corner lot. NEW ~'~R,~ ,~ 1 STATE OF COUNTY OFfs':':."".')'°'~Oq-~ 'm~ ~z_ _ZZ~ ~ ( ~'~ ' '~ ''~ ........................ ~~~......~. ....... being duly sworn, d~oses and soys that he is the opplicam (Nome of individual signing a~licotion) above named. He is the ............................... ~....~ ....................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duJy authorized to perform or have performed the said work and to m~ke 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 be~ore me this ...... Z~.... day,of ........ ~ ............. .-.= ............. NOTARY PUBLIC, St~t~ of New York No. 52-8125850, Sa~lk Cou~A ~errn Expires March 30~