HomeMy WebLinkAbout28468-ZFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29525
Date: 06/17/03
T~IS CERTIFIES that the building ALTERATION
Location of Property: 230 WUNNEWETA RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
Cou~/ty T~x Map No. 473889 Section 104 Block 11 Lot 12.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 14, 2002 pursuant to which
Building Permit No. 28468-Z dated JUNE 16, 2002
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 ALTER3ITION AND FIRE REPAIRS TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to MICHAEL & KATHY LEHRHOFF
(OWNER)
of the aforesaid building.
SUFFOLK COIIN~ DEPART~R/~T OF
ELEC~I'R£CJkL CERTIFIC3%~ NO.
PLUMBERS CERTIFICATION DA'£~U
N/A
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
COMPLETION OF THE WORK AUTHORIZED)
UNTIL FULL
PERMIT NO. 28468 Z Date JUNE 16, 2002
Permission is hereby granted to:
MICHAEL & KATHY LEHRHOFF
CUTCHOGUE,NY 11935
for :
EMERGENCY FIRE DAMAGE ALTERATION AS APPLIED FOR TO AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR.
at pre~ises located at 230 WUNNEWETA RD CUTCHOGUE
County Tax Map No. 473889 Section 104 Block 0011 Lot No. 012.001
pursuant to application dated JUNE 14, 2002 and approved by the
Building Inspector to expire on DECEMBER 16, 2003.
Fee $ 150.00
~ig~ature
COPY
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 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. Commemial 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.
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 theretbr in writing to the applicant.
C. 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 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:
Location of Property: c~ ~o (.3 LO ~t_uxvx~u.0
House No. Street
Owner or Owners ofProperty: ~'~.~,C...~,'~O~ % C--o,.4~a,~-/
Suffolk County Tax Map No 1000, Section t4"/~' c6'¢'6 q~ I O ~
Subdivision
Permit No. ~,~6'q(:~* ~, Date of Permit. 6,/t6,/0,,~.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~- -
(check one)
Hamlet
(check one)
Final Certificate:
Block t:>O ti Lot
Filed Map. Lot:
Applicant: R~.~r*.~\ ~--~'~o'~-
Underwriters Approval:
TELEPHONE
(631) 734.-6270
BAY CREEK BUILDERS,
D. W. MCGA~N ~ ,/ f- ~
RESIDENTIAL DESIGN CONSTRUCTION ~~~" '" ~ ~ '~
P.O. BOX 6O2
CUTCHOGUE, NY 11935
June 5, 2002
Town of Southold
Building Department
Town Hall
Southold, N.Y. 11971
Building Inspector:
The following is a description of the repair work that was performed at the Lehrhoffresidence, 230
Wunneweta Road, Cutchogue, N.Y.:
Existing bay window was removed, new opening framed for 12' wide sliding door. New double
1-3/4" x 12" LVL header installed supported on double 2x6 jack studs at each end. New Weathershield
insulated sliding door installed.
Damaged rim joist and sheathing at the house was removed and replaced. Adjacent deck framing and
Top decking was also replaced as required. The 2x8 CCA deck joists were removed and replaced
where they were damaged from the fire. New Joists were installed 16" on center, exactly as original.
2x4 top decking was removed and replaced at a 5' x 16' area where it was damaged and deteriorated.
Cedar siding and cedar soffit was replaced where damaged. Soffit is vented, as was the existing.
All work was performed in accordance with state and local building codes. If there are any questions
Regarding the work performed, please contact me at the above phone or address.
APPROVED AS NOTED
DATE: ~ B.P. # ~
?lo~ FEE:/J'~"~ ·
NOTIFY BUILDING DEPARTMENT AT
705-1802 9 AM TO 4 PM FOR IHE
FOLLOWING INSpI~rIONS:
D 1 FOUNDATION - T1/VO REQUIRED
FOR POURED CONCRt'r£
t. ROUGH - FRANIING & PLUMBh'4C
3. INSULATION
4. FINAL - CONS'rRUCTION MUS'i
RE COMPI ~'E FOR C.O.
ALL CONS'flUCTION SHALL MEET
THE R/O!~:~tEMENTS OF THE [I ,'
STATE CC 3TRUCTION &
CODES T RESPONqtB!_.[
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ].~ULATION
[ ] FRAMING [ ,~ FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
INSPECTION REPORT
FOU2qDATION (1ST)
DATE
FOI~'NDATION (2~N'D)
ROUG~[ FRA~II2~G &
l>L/31VEBIN G
INSI3LATION PER N. Y.
STATE ENERGY CODE
FINAL
ADDITION, A/.
TOV~ ~N OF SOUTHOLD
BUILDING DEPARTMENT
TO~q~ HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
Approved 6~'//~'/
Disapproved a/c
, 20 0 ..~-
Expiration _ 20__
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
. . , . Board of Health
3 se~s of Buildthg Plans
planning Board approval
Surve3{
Cheek
Septic Form
N.Y.S.D.E.C.
Tmst~,s
Contact: ~
rhon~: ~ tO ~ ~qT- S~7
APPLICATION FOR BUILDING PERMIT
Date G-I 2o
/NSTRUCTIONS
a. This application MUST be completely filled in by typewriter or m 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 waterways.
c. The work covered by tkis 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 perrmt
shall be kept on the pre~mses 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 commcmced within 12 months after the date of
issuance or has not been completed within 18 months fi:om such date. If no zoaing amea~lm~ats or other regulations affecting the
p~ operty ~;tav?b. gen'~-~, act ed in the intcgim,,gh¢..B,uildingln~ector may anthori~ e., h/Aa[rifin~'the e~ion of the permit for an
addition six manths. Thereat~er, a new permit shall bi'required.
&PPLICATION IS H]EREBY MADE to. the Buildigg Department ~.or ~e issBan0¢ ,Q~a.Bl~ldi~g Permit pursuant to the
Bml&ng gone Ordinance of the Town of Southdld, Sti~folk County, New ;~ork; and other apphfable ~Caws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
~uPt[hlio~5%n~da i%s~; Jt%~: o/nhp lpYr e'~r~' hsesal 2a~Pi~~ %a~ll~Ina~ ~'o: ~d~c%;;ca~ Lu~ ~~and to admit
(]V~nilin~ ~ldress of applicant)
State whether applicant is o;vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~,~__o~ ~- ~,~
(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.
Plumbers License No.
Electr/cians License No.
Other Trade's License No.
Location of land on w. hich proposed wo,.~rk will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
(Name)
Hamlet
Block
Filed Map No.
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction: .~
a. Existing use and occupancy ~wt~e_ --~-o. lntc~ eJkts.~e.B. ,~oh
b, Intellded use and occupancy . %~'~' ~t[~ e~.tt.~.~['~lo~ \~,f ~-~t~-C_~.altcta,~._
3. Nature of work (check which applicable): New Buildlng Addition Alteration
Repair V/ Removal Demolition Other Work
Estimated Cost ;-~qt, ~
' If dwelling, number of dwelling units
If garage, number of cam I
Fee
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If busines ~, commercial or mixed occupancy, specify nature and extent o f each type o f us e.
7. Dimensions of existing s~mctures, if any: Front
Height. Number of Stodes
Rear .Depth
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
'Dimensions of entire~ne~¢ Construction: Front Rear _Depth
Height Number of Stodes
Rear
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
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO f
13. Will lot be re-graded? YES__
14. Names of Owner of premises ~
Name of Architect
Name o f Contractor~s~Ca~ 1~.}.. ~ ~ tl4~[l~
NO /' Will excess fill be removed from premises? YES NO
^ddress 0',3~0
Address Phone No
Address ~>.~ ,~'~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is tiffs property within 300 feet of a tidal wetland? * YES 'NO
* IF YES, D.E.C. PERMITS MAYBE REQUIRED.
NO -'/
16. Provide survey, to scale, with accurat.e foun,dation 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.
STATE OF NEW YORK)
SS:
COUNTy OF __) ) ~ , .:
__ ~(~ ~,1~, ,~ /~ t~'~. "~ .~ 'beingxtuly ~arom; deposes and says tl~t
(Navg.~e of indix~dual signing eolltra_'et'l/JaBove..._~f. -- ~ ~named' ' ~ . (s)he is the applicant
Co
(OgUuaeto~ Agent, (~rI~orate 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 tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in thc application filed therewith.
LYNDA M. BOHN
NOT,~Ry PUBLIC, State O! NeW ¥~
.,,-...~. ;~t e,o$o~ ~ .
~ue~iried in Suffolk COUrI~ .. ' '
Term Expires March 8, ~ ' ~,, '