HomeMy WebLinkAbout15960-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No ... 5160.43. ....
THIS CERTIFIES that the bmldmg
Location of Property 9820
Ho6~ ,vd ......
County Tax Map No 1000 Section 11.8 .
Subdivision . . .Na.s.sau P.o~.nt. .....
.a.c.c.es. so.r.y .b..ea.c.h.c.a~a.~a .. ..........
Nassau Point Road Cutchogue
Stree~ Ham/et
.Block ...... 6 Lot 10
.Fried Map No --- . .Lot No. 87
conforms substantially to the Apphcat,on for Building Permit heretofore filed in fins office dated
.Apr.~],. 22., ]~987. pursuant to wbach Bmldlng Permit No .... 1.5.9,61..Z ......
dated . MAy 7,. 1987
was ~ssued, and conforms to all of the requirements
of the apphcable promsions of the law The occupancy for which this certificate is issued is ...
An accessory beach cabana.
MR. & MRS. ARTHUR R. STUCHBURY
The certificate is issued to .
........ oi r ffrt4i ............
of the aforesmd budding.
Suffolk County Department of Health Approval ..... N/.A ................
N/A
UNDERWRITERS CERTIFICATE NO ....................................
PLUMBERS CERTIFICATION DATED:
N/A
Rev 1/81
FO~.M NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING FElt, MIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 15960
Z
Permission is hereby granted to:
County Tax Map No. 1000 Section .......... !..(..~.. ...... Block ......... (~..~ ..... Lot No .... J....O.. ............
pursuant to application dated ..... ~.....~... ..................... , 19.~..~., and approved by the
Building Inspector.
F'e. $../..~,,:...~
Building Inspector
Rev. 6/30/80
FOruM NO. ~
TO~N OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 15961
Z
Permission is hereby granted to:
.....
to ......~......~.~... ~ ....
County Tax Map No 1000 Section .. L.J..~. ........ Block ....... .,~...~.. ..... Lot No .....1.....~... .........
pursuant to application dated ....... ...~...~"~'' ~
Building Inspector.
Fee $ ....................
19~ "]., and approved by the
Building Inspector
Rev. 6/30/80
TO','
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res.
2. Final approval of Health Dept. of water supply and sewerage disposel-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$I0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00 oO/ /
5.Updated C.O. $ 50.00 Date 3 o°~'
New C OhS truct ion ...... Old or Pre-existing Building ............ Vacant land .............
Location of Property . .c~ ~.c~. (~../~,~,~z~..../~.,.. ~¢'Q¢~..~ .... ~ .M. 7~. C,~.O.~.~. ...........
House No. Street Ham/et
Owner or Owners of Prope~ ,~/~Z~... ~,~,~¢~, ,~,.,. ~: ,~,C~,~, K~,~,
County Tax Map No. 1000 Section ..... /.~.~. ...... Block ...... .~. ...... Lot...]i~.. .........
Subdivision ................................. Filed Map No ........... Lot No ..............
/..~. ~'. ~'./. 7~ Date of Permit ~.1 .~. [.~...Applicant..C./.~,,{'1~-'~.~./~/..~".,.,.,.,~.. ~3.,g ~.~.
Permit
No.
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporarv Certificate ..................... Final Certificate ....~. .................
Fee Submitted $ . . )b .... . . .%/~...~.~...~. ........ //~
Construction on above described building and pe_~r~.~ee/s~all al~Sticable codes and regulations.
App icant ~-~-~,.., .~.~¢'. ~.. ,.-~,~(_~ ............................
Rev. 10-10-78
TOWN OF SOUTtlOLD
OFFICE OF BUILDING INSPECTOR
P O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-I 802
To Whom Thls May C~ncern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
/_~4 An application for Certificate of Occupancy
is not on file.
/--/ No Underwriters Certificate on file.
/~ The check is(outdated/DDt on fi~.)~lO~
/Z/ No llealth Dept. Approval on file.
/Z/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ~ I ~_ q _~ ~ g
Building Dept.
***/Z/ No Plumber Solder Certificate on file.
( all permits ~nvolving plumbing being
issued after April 1,1984 )
Occupancy or use ~s unlawful wzthout a Certzf~cate
of Occupancy. Clear up this matter as soon as possible
so that legal actzon does not have to be taken.
Thank you for your prompt attentzon.
TOWN OF SOUTttOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
To Whom Th~s May C~ncern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
/? An application
is not on file.
/-£
/-/
/-/
for Certificate of Occupancy
No Underwriters Certificate on file.
The check is(outdated/nQt on fike.)~lO~
No Health Dept. Approval on file.
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # ~ ~ ~ _~ ,~ Z
Building Dept.
***/5/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
Occupancy or use is unlawful without a Certificate
of Occupancy. Clear up thss matter as soon as possible
so that legal action does not have to be taken.
Thank you for your prompt attention.
OUNDATIO:~ ( 1 s t)
OUNDATION (2nd)
OUGH FRAME &
PLUMBING
NSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
Examined
Approved
Disapproved a/c
BOARD OF HEALTH ......
3 SETS OF PLANS .......
FORM NO 1 SURVEY ..........
TOWN OF SOUTHOLD CHECK ..........
BUILDING DEPARTMENT SEPTIC FORM .............
TOWN HALL
SOUTHOLD, N,Y, 11971
TEL.: 765-1802
,1987
, 1957 Permit No / ~'~.Q '~-
NOTIFY
CALL
MAIL
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
2 21987
BLDG. DFPT
TOWN OF SOUTHCLO
INSTRUCTIONS
a Tlus application must be completely filled in by typewriter or in ink and submitted to the Bmldmg Inspector, wd
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of bmldmgs on premises, relahonstup to adjoining premises or pubhc sir.
or areas, and gwmg a detmled descnphon of layout of property must be drawn on the diagram which is part of this al:
cation
c. The work covered by tins application may not be commenced before issuance of Budding Permit
d Upon approvaI of this application, the Building Inspector will issued a Budding Permit to the applicant. Such pe~
shall be kept on the premises avadable for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldmg Permit pursuant to
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance
Regulations, for the construction of bmldmgs, additions or alterations, or for removal orfle~ohtlon, as herein descnl
The applicant agrees to comply with all apphcabIe laws, ordinances, b~ufl~g ~ode, houj~mg c/bdevand regulations, an,
admit authomzed inspectors on premises and m bmldmg for necessa~~7~~
(Signature of applicant, or name, if a corporatmn)
(Mailing address of applicant)
State whether applicant m owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bull,
~. E/¥'~c'./C'/'~Z, . C~¢JT~C. To/~ ..............
Name of owner of premises /~2,47'7'4t,'ta~. ~Q~ -~- ,.,gZ'~.C../-/t~,~'p( . .
(as on the tax'roll or latest d~ed)
If apphcant is a corporation, signature of duly authorized officer
2
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY
Budder's License No
Plumber's License No.
Electnclan s License No .. .
Other Trade's L~cense No
Locatmn of land on which proposed work will be done
House Nulnber Street
County Tax Map No 1000 Section
Subdtmlon/qR$ s~qc2
(Name)
LICENSED
Hamlet
Block . . .{P.(~ .. Lot / 0
Filed Map No .. Lot ~3~7
State ex,sting use and occupancy of premises and intended use and occupancy of proposed construction
a Existing use and occupancy
b Intended use and occupancy ~-.zOOZz'77~*,). (Ti~' ~5~-~CA(.~0~$~'. ......
3 Nature of work (check which applicable) New Building .......... Addition ..... Alteration
Kepa~r .... Removal .... ~ .. . Demohtlon .~'~ ..... Other Work..
(Description)
4. Estimated Cost . '~,:~90 .O .................. Fee .........................
· (to be paid on filing this apphcation)
5. If dwelling, number of dwelling units Number of dwelling units on each floor ..........
If garage, number of cars ......
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..............
7. Dimensions of existing structures, ~f any Front . d/-~. ~. ~ Rear ... ga ' .. Depth ..
Height ~S/~i[. Number of Stones . / .............................
D~nens~ons of same structure with alterations or additions Front ..... O. .... Rear .O .........
Depth ...... Height . ~ ....... Number of Stones ..... O .........
Dimensions of entire new construction Front ....... Rear ...... Depth
Heightslzeoflot Front .. Number of Stones ... 'o..'/' ' . p?-""
/~)O~ ..... Rear ' '' i i! i i fl.'De ii,~.~1211.iiiiii
9.
t//~'lWlff'c~ Same of rormer Owner ..&~ ~/~'/.~-.~'~A~. (.C,'~4.) ..
10 Date of Purchase ......
1 1 Zone or use district in which premises are situated../q~-$~. I3 ~'~'~L..
12 Does proposed construction violate any zoning law, ordinance or regulation ..~.~i'ii'i..ii.i'i' .i.iiii'
13. Will lot be regraded .... /~'.Q .......... Will excess fill be removed from premises: Yes Q~
14 Name of Owner of premises .m/g/~$ ~6/(.~/~v'~.AddressA~q~ ~TtY.O~D)..ff.~ Phone No ..........
Name of Architect ............... ss ................. rhone i,m.
Name of Contractor ~g, ¢/d/?t¢..bd.-~"75~-~ ..... Address ~,/:lo5o~,q3. hWir.. PhoneNo.c.~?.ff~:-.~O-~...
15. Is th±s propert:y locat:ed w~t:h±n 300 feet: of a t:±dal wetland? ~erff~..r~.."/~ 51o .....
*If yes, Southold Town Trustees Perm±t: maybe requ±red.
PLOW DIAGRAM
Locate clearly and distinctly all bufldmgs, whether existing or proposed, and mdlcate all set-back dimensions frm
property hnes Give street and block number or descnptmn accordmg to deed, and show street names and mdmate wheth~
mtenor or corner lot.
~OT~FY ~JILD~t'h'' ~aRTM~[ AT
ROUG~ >RA~N~ & PkU~BING
STATE OF NEW YORK,
COUNTY OF
SS
(Name of individual signing contract)
above named.
· being duly sworn, deposes and says that he is the apphcm'
He is the ............
(Contractor, age't, co~o~a'te omcer, etc )
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th
application, that all statements contained m this application are true to the best of bm knowledge and belief, and that th
work will be performed in the manner set forth m the application filed therewith.
Sworn to before me this
..... ~.a .. day of
Notary eubhc .... ~" ' ' '~"'~ll~ g. I~ V0~ ........ ~' I~. q~ Count.~ ~~ ......
g01~'tt ~St~, ~at~ ~ (Signature of apphcan
le*m fox,res March 30,
BOARD OF HEALTH .......
3 SETS OF PLANS
FORM NO. 1 SURVEY ..........
TOWN OF SOUTHOLD CHECK ..........
BUILDINGDEPARIMENT SEPTIC FORM .............
Examined .~. -~
Approved O~ ...
Disapproved a/c ..........
(Building Inspector)
TOWN HALL
*.,OUTHOLD, N,Y. 11971
TEL.: 765-1803 CALL
, 19.87 Permit No / 6c~I~1 . .
APPLICATION FOR BUILDING PERMIT
Date . pZ/~. ?_ ..... 19
IN STRUCTION S
a. This application must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, wi
sets of plans, accurate plot plan to scale Fee according to schedule
b Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public sh
or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this a,
cation.
c. The work covered by tins apphcatlon may not be commenced before issuance of Budding Permit
d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the apphcan, t Such pe
shall be kept on the premises available for inspection throughout the work.
e. No budding shall be occupied or used in whole or in part for any purpose whatever untd a Certificate of Occup.
shall have been granted by the Building Inspector
APPLICATION IS HEREBY MADE to the Buildmg Department for the issuance of a Bmlding Permit pursuant tc
Bmldlng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc.
Regulations, for the construction of braidings, additions or alterations, or for removalfl~r-4,emolitton, as herein desert
The apphcant agrees to comply with all apphcable laws, ordinances, bu)l)ding code, ~6usmg}cod% and regulations, an,
admit authorized inspectors on premises and in building for necessa~/~/Ject~lpn~s,//
(Slgn~ure of applicant, or name, if a corporation)
(Maihng addre~ss of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bml
Name of owner of premises j9,~'/7-/.o'~ -~ &/'4.,¢0~' ...~T'&IiLJ4.~?~. ........
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
2
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No .- :ne 7 ~ (o ~
Plumber's License No
Electrician's License No . ·
Other Trade's License No .....
Location of land on which proposed work will be done .....
House Nuniber Street Hamlet
County Tax Map No 1000 Section iloly Block O ~, .... Lot /.O . .
Subdivision ,c,'~ gE~ ,,~0/.~/-~ Filed Map No Lot
iName)
State existing use and occupancy of premises and intended use and occupancy of proposed construction
a Existing use and occupancy 15
b. Intended use and occupancy . ~, ,'~i'.,qo',':) .........
3. Nature of work (check which applicable) New Budding .... Addmon
Repmr ..... Removal ........ Demolition ..........
r~
4 Estimated Cost .... ~. O~>.q ................. Fee .q~..'~. '
Work D~ ¢ P(.
Other
(Description)
· (to be paid on fihng thru application)
5. If dwelling, number of dwelling units .. o . .. Number of dwelling units on each floor .............
If garage, number of cars ......................................
6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use .. - ...........
7. Dane~sk~ns.'e~exlstlngstructures, lfany Front .J4 t Rear .. /.~,.,~/ Depth
Height l~t! .... Number of Stories /. ....................
Dunens~ons of same structure with alterations or add~tions Front ......... Rear ...........
Depth ..... Height ....... Number of Stones .................
' 8. Dimensions of entire new construction Front ! ~ ! Rear .... l ~,t .... Depth
Height ! ~/t.. Number of Stones ~ ....................................
9 Slzeoflot Front Jo. Pt.. . . Rear .... lq/ ......... Depth ..,-.~f~' ..........
10 Date of Purchase . ~t/~2. t~/g~ ...... Name of Former Owner
11. Zone or use district in w' hlch p'remlses are situated .. ~t~./~ ~'n.F~.,qL. ...................
12 Does proposed construction violate any zoning law, ordinance or regulation .. ,~t o. ................
13. Will lot be regraded . .. 2-?. o ...... Will excess fill be removed from premises Yes
14 Naxne of Owner ofpremisesmt~/~tf¢, l~/'2-~.~Ut~)/ . Address ! ¢.o0r~t, rT~lxzg44d~g. Phone No .
Name of Architect ........................ Address .............. Phone No
Name of Contractor /~, ~tq/5 ~,~/,JTl~ .... Address g,/3. O,~'t2q.~,~/~//~.O,~ Phone No
15. Is this property Zocated w~_thin 300 feet of a t±dal wetlan~.¥v~t~ .2~. bio .....
*If yes, Southold Town Trustees Permit maybe required.
PLO~F DIAGRA~
Locate clearly and distinctly all buddings, whether exlstmg or proposed, and ~ndmate all set-back dnnens~ons fro~
property hnes Give street and block number or description according to deed, and show street names and xndicate wheth,
mtenor or corner lot.
STATE OF NEW YORK,
COUNTY OF.
S.S
.................... being duly sworn, deposes and says that he is the apphcan
(Name of indtwdual s~gmng contract)
above named.
He is the ...............
(Contractor, agent, corporate officer, etc )
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thJ
application, that all statements contained m thru application are true to the best of his knowledge and behef, and that th
work w,ll be performed in the manner set forth m the application filed therewith.
Sworn to before me this
...... '~.~ -. .... day of . ..~f~.' .. ,
Notary Pubhc, ~44.~ /]~,...~'z'. ¢~. ......
E~res M~r¢~ 30, lg · !
..., 19~7 ff //// /
County_ . / / .~ '
(Signature of apphcam
HENRY P SMITH, Prestdeat
JOItN M BREDEMEYER, Vine-Pres
PHILLIP J GOUBEAUD
ALBERT KRUPSKL JR
ELLEN M, LARSEN
BO %RD
OF TOWN TRI'STEES
TOWN OF SOUTHOLD
Town Hall, 53095 Mdln Road
P O Box 728
Southold, New York 11971
April 30, 1987
TELEPItONF
(516) 765-1892
Mr. C. Dantes, Contractor
6130 Sound Avenue
Mattltuck, New York 11952
Re: Arthur R. Stuchbury - Waiver request
Dear Mr. Dantes:
The following action was taken by the Board of Trustees during
their regular meeting held on April 29, 1987 regarding the above matter.
WHEREAS, The Board members have personally vxewed and are familiar with
the premises in questzon and the surrounding area, and
WHEREAS, the Board considered all the documentation submitted concerning
this request, and
WHEREAS, the Board made the following findings of fact.
1. By this request appellant requests permission to remove existing
bathouse, install deck with covered area conslstxng of an area
approx. 22' x 22'.
2. The sub3ect property is located at 9820 Nassau Point Road, Cutchogue,
New York or more particularly xdentzf~ed on the Suffolk County Tax biap
as: 1000-118-6-10.
3. The project as proposed will not affect the health, safety and general
welfare of the people of the Town.
NOW, THEREFORE, BE IT
RESOLVED that C. Dantes, on behalf of Arthur R. Stuchbury BE AND HEREBY IS
GRANTED A WAIVER OF THE WETLAND ORDINANCE AS REQUESTED to remove an extstzng
bathouse, install a deck with covered area consisting of an area approx. 22' x 22'
on property located at 9820 Nassau Point Road, Cutchogue.
In considering this determination, please be advised that thzs is not
a determination for any other Dept. that may have jurisdiction in this matter.
Please return to the Buildzng Dept. to see if other approvals are required.
C. Dantes, Contractor for Arthur R.
Waiver - Page 2.
Stuchbury
Should you have any questions or concerns, please do not hesitate to
contact this office at the telephone number listed above.
A $25.00 Waiver fee is now due and payable.
Very truly yours,
Henry P. Smith, P~resident
Board of Town TRustees
HPS: ip
cc: Bldg. Dept.
Board of Appeals
C.A.C.
Trustees
file
,,,, cc, ,! i I ii /
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BE.AcH HOUgE AND