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Home My WebLink About29490-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29530 Date: 06/18/03 THIS CERTIFIES that the building ADDITION Location of Property: 17425 CR 48 CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 101 Block 1 Lot 21 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 2003 pursuant to which Building Permit No. 29490-Z dated JUNE 16, 2003 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT J KULL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A ori ed Sig/nature 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 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29490 Z Date JUNE 16 , 2003 Permission is hereby granted to : ROBERT J KULL 350 PINEWOOD ROAD CUTCHOGUE,NY 11935 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#25235 . at premises located at 17425 CR 48 CUTCHOGUE County Tax Map No. 473889 Section 101 Block 0001 Lot No. 021 pursuant to application dated JUNE 16, 2003 and approved b the Building Inspector to expire on DECEMBER 1 , 2004 . 1 ' Fee $ 150 . 00 A horiz Signa re ORIGINAL Rev. 5/8/02 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) PERMIT NO. 25235 Z Date OCTOBER 15, 1998 Permission is hereby granted to: ROBERT J KULL 350 PINEWOOD ROAD CUTCHOGUE,NY 11935 for CONSTRUCTION OF A DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 17425 CR 48 CUTCHOGUE County Tax Map No. 473889 Section 101 Block 0001 Lot No. 021 pursuant to application dated AUGUST 26 98 and approved by the Building Inspector. Fee $ 75 . 00 11 Building Inspect COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD - BUILDING DEPARTMENT TOWN HALL 765-1802 6 Toy APPLICATION FOR CERTIFICATE OF OCCUPANCY s R 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 I% 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. B. 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 therefor 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. %p/�(p/0 3 New Construction: Old or Pre-existing Building: l// (check one) Location of Property: / 7c/d!5 f(J7e yd ( tJ J-`jpwe /), ' //Q3 S House No. Street Hamlet Owner or Owners of Property: 6&g-T J &I-L �Q _ Suffolk County Tax Map No 1000, Section Block Lot p� Subdivision Filed Map. Lot: Permit No. a't`1 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ G ?.-:: a� KJL L (o 4 /(/3 Applicant Signature $0 765-1802 BUILDING DEPT. INSPECTION [ /FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE /d INSPECTOR 2 `l 90: M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ]] FOUNDATION 2ND [ ] INSULATION [ FF MING [ ] FINAL [ ] FIREPLACE ACHI NEY REMARKS: G [�- DATE / 4 INSPECTOR ,Gv� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CH�IIMNEY REMARKS: uC l DATE o INSPECTOR �� Hv H 'OUNDATION U c ?OUNDATIOIJ _ ( 2nd ) m � z 0 ROUGH FRAME h —� PLUMBING viH V3 m ItiSULATION PER N . Y. . . H STATE ENERGY CODE ?' 4. P a3cc FINAL . z ADDITIONAL COMMENTS: x3 V2 x H 70 ' H H O z d - m r v m rr RR ruxri nu. � � Jl:1J tea• ra..�.�.. . . . . . . ... . . . . . . D S S BUILDINGFDEPARNTHENT CHECK;Y. . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . AUG2 6 � �J SOUTHOLD, N.Y. 11971 TEL: 765n-1802 C(� NOTIFY:^ / 0d CALL PLDG. D P7. / IJ WN MAIL TO: . . . . . . . . . . . . . . . . . . . Approved... .. ..`s..ll, •, 19.... Permit No. ii Disapproveda/c .................................. �Cj V-�� ................................. ..............I............................ .... ..... tat ildingInspecto - ... APPLICATION FOR BUILDING PERMIT Date. . . .. . . . .. . . . . . . . . 19. . . INSTRUCTIONS z. This application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing 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 application. c. The writ 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 permit shall be kept on the premises available for inspection throughout the work. e. No building sball 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 BEEEBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tawe of Southold, Suffolk Canty, New York, and other applicable lam, 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 audit authorized inspectors on premises and in building for necessary inspec ons. .. ..: ....................�........ (Signaturef cont or name if a corporation) .. .. . .. .... ..... !. (Mailing add as of applicant) State whether applicant is owner, lessee, t, architect, engineer, general contractor, electrician, plumber or builde .................. ....Gv=...•.......................... J ......1......................................................... Name of carer of premises ... G!ec ? 1 v 4 ..................... . .............................................................. (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. PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... �y 1. Location of land on which proposed work will be dare......:./ ... ,� ..................................... ....................................................................................................................... House lumber Street Hamlet County Tac Map No. 1000 Section .......... Block ...1............ Lot .. �V?:e.......... 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 ......... C/.... y .®...::..... ............................................... b. Intended use and occupancy ........... :`:' `:.............................................I...... ..y, W&WON aa• ,.�.y .. Ild iQJy lm4nf:$M `� Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ............ Hammel ............. Demolition ............ Other Work .................................. Q (Description) Estimated Cost .... °a.............. fee .............................................. _ (to be paid on filing this application) If duelling, number of dwelling units ............ timber of duelling units on each floor ................ Ifgarage, number of cars ...................................... If business, commercial or mind occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures, if any: Front................ Rear ............... Depth Height ......................... timber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... height .................... Nurber of Stories ............... Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Nuaber of Stories ..................... Sizeof lot: Front .................... Fear .................... Depth .................... 1. Date of Purchase ..................... Name of Former Owner ........................................ ' I. Zone or use district in which premises are situated ..................................... Z. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 3. Will lot be regraded .................... Will excess fill be removed from premises: YRS NJ 5. Names of Owner of premises ........................... Address .............................. Phone No. .............. Name of Architect .................................... Address .............................. Phone No. .............. Name of Contractor ................................... Address ...............................Phone No. .............. 5. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *1F YES, SWMD IM TSS PUMIT MAY BE MVIRM. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions Tun property lines. Give street and block ember or description according to deed, and show street nares and indicate tether interior or corner lot. rl U tisr )UUNCrA,tE Or 1,3aalNn . ... ...... ....being duly sworn, deposes and says that be is the applicant (Nene of individual signing contract) above named, fieis the ...... .......... .............................................................................. (Contractor, t, corporate officer, etc.) of said owner or is duly authorized to perform or have performed the said work anal 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 befLne this Q.... .. of .` ...... ..19... /QJ � 0 Notary Pub 'c .. .......... ... .. .. a�( i "IM Yak j (Signature . Applhcant) OmemluiM&Phu Dw BAY—+-F-� s►�cN►cc� MAP OF PQ P_Ef2TY �r SURVEYED FOR 99.67 I r -BERT J. f . V Z DOG HO., W TEAR w' ° j ::UTC HAGUE ; o ro rQWN of SGU,'7HO j. �.Q 4 I.Y. o pLA`Y YARD rn UIMedanio to tl><s wrvey is a v� °raitOr addIdW OF. �. of M G� I �e ed` c Era b�eagrq rn m I ` I be �►tY to tS,r a a harem 3 ftm T1 AarE ,;^.d+a his behW whom b tll SND SO yam° crn'nantal � c .'s,ed hereon�Ild f s j Guarartset �:', � addiNonallrs•Jtutku�p� � scALE • 5'- i'` EWCL.Ei TR + AR EA° 0.50 AC. !` t z a°v N Q: MONUMENT F N f STOOP O f. J ' ' N +I 2l'± ink SUFF CO-TAX MAP DATA'- 1000 'OI- 1.721, •b �onlca.w�.k�_ .� -- ALVAu•c i ANE i-IA2ANTEEC 'b Tt'` 2 tTI.E sUhRAt�TEE U, A. SU2VEYEG JULY 20 MIDDLE ROAD CRAB — '�DEC�s ��< VAN TUYL,PC', 5'? 0, LIC', LAND SURVEYORS - EASP�iiT 1.Y. X' C C p /4 �ecr� OXY I Z/ 3 D ` OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPRAPPR—�c R4"(Eu off• ^ - C C ^ J DATE: w� B.P # FEE: BY' NOTIFY BUILDING DE RT AT 765-1802 9 AM TO 4 P FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED y FOR POURED CONCRETE Z mOuGPIFLAMING & rtVIVISI aG- 3. INSULATION 4. FINAL - CONSTRUCTION MUST o� BE COMPLETE FOR C.0 ALL CONSTRUCTION SHALL MEET p THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY oy tai SY �� ' �� x � Oxy r. �z r r a x s� �� i 6 I I I I 1 fI 0 1 Q f 1 j4ayse