Loading...
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, ~ ' ~,, '