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Home My WebLink About29611-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29621 Date: 08/04/03 THIS CERTIFIES that the building ADDITION Location of Property: 2765 HIGHIJ~ND RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Ta~ Map No. 473889 Section 102 Block 8 I~t 13 S%~bdivision Filed~ap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 23, 2003 pursuant to which Building Permit No. 29611-Z dated JULY 28, 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 REMOVAL OF EXISTING DECK & REPLACE WITH NEW ENTRY STEPS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ~e certificate is issued to EDWARD P & RUTH VETTER (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOFI~%LTHAPPROVAL ELEC~RICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£~U3 N/A N/A N/A A~/ Signature Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC55 ~ This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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. 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 Plamfing 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 sho~ving all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect sigmed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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, Connnercial $15.00 New Construction: /"- Old or Pre-ex?ting Building: Location of Property: ~'-)b ~ /~'~'~ ,~,~'-/; House No. ?Street Owner or Owners of Property: /'~..q. -~ ~ I./~' r/-'~;/.q Suffolk County Tax Map No 1000, Section ~O~ Block Subdivision t/7t ~)/~tr/~d ~ ~ & FiledMap. (check one Hamlet Lot Lot: Permit No. ~:2 [ \ _ Date of Permit. ~/2.- ~/0 ~ Applicant: Health Dept. Approval: ~) l ff~-~ _ Underwriters Approval: ~,~'-- ~ ~_, Planning Board Approval: /~[ ~4-~ Request for: Temporary Certificate Final Certificate: J (check one) Fee Submitted: $ App~can~ Signature. / ~' . /Z.,...,..I,t,,.. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERblIT NO. 29611 Z Date JULY 28, 2003 Permission is hereby granted to: EDWARD P & RUTH VETTER CUTCHOGUE,NY 11935 for REMOVE EXISTING DECK & CONSTRUCT REPLACEMENT STEPS TO AN EXISTING SINGLE FILMILY DWELLING at premises located at County Tax Map No. 473889 Section 102 pursuant to application dated JULY Building Inspector to expire on JANUARY 2765 HIGHLAND RD CUTCHOGUE Block 0008 Lot No. 013 23, 2003 and approved by the 28, 2005. Fee $ 150.00 f A~thorized Signature ORIGINAL Rev. 5/8/02 TOWN OF- SOUTHOLD BUILDqNG DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. north fork.net/Southold/ Examined Approved Disapproved a/c Expiration ~7//~,, 20 20 PERMIT NO. o2 ? BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Plarming Board approval Survey Check Septic Form N.Y.S.D.E,C. Trustees Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT JUL 232003.. Date'-T/ -. ~ INSTRUCTIONS cation MUST be letely filled in by typewriter or in 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 this application may not be comanenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises 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 conzmenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Comity, New York, and other applicable Laws, 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 admit authorized inspectors on premises and in building for necessary inspections. ( ig~na~re of2p~m/e, f~a ~, (Mailing address of applicant) State whe~ther applicant is owner, lessee, ~ge~t,)architect, engineer, general contractor, electrician, plumber or builder (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. Electricim~s License No. Other Trade's License No. 1. Location of land on whicT~~ll be d~._p_fi) ~' ~ House Number Streeta County Tax Map No, 1000 Section /~ ~-- Subdivision ./~~ ~ ~ (Nange) Hamlet Block ~ Filed Map No. Lot /.~: Lot 2. State existing use and occupancy of premises and i,ntended use and occupancy of proposed construction: a. Existing use and occupancy .~'~.~ ~-~-~ b. Intended use and occupancy_ ~5~:~,-,._ ~ ~ -- 3. Nature of work (check which applicable): New Building Repair Removal 4. Estimated Cost Addition Alteration 5. If dwelling, number of dwelling units If garage, number of cars Demolition _ Other Work__ _F'ff~ '~ A/-~ ~- 44 ~ (Description) t Fee (To be paid on filing this 9p. plication) __ (/ Number of dwelling units on each floor 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 Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Sizeoflot: 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 ~ 13. Will lot be re-graded? YES__ Rear NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 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 this property within 300 feet of a tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation 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 (Name of individual signing (S)He is the being duly sworn, deposes and says that (s)he is the applicant contract) above named, (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the saict 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 the application flied therewith. Sworn to before me thinx F/ ~3[.~/~ dayof _~)~_~ 20_(_~..~_ 0 Notary Public LYNDA M. BOHN NOTARY' PUBLIC, State of New York No. 01 B06020932 Qualified in Suffolk Count~ Term Expires March 8, 20 0.__7 'gn~re of Applicant FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) ......................................FOUNDATION (2ND) ROUGI~ F~VIING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS TOWN Og souTHOLD BUILJYlNG°DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration ~,.~_, 20 ~9.5 ~/.~, 20 aYB ,20 ~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Plamfing Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector , ~'; ~' APPLICATION FOR BUILDING PERMIT 2 3 2003 : JUL i Date 20 05' INSTRUCTIONS a. l~catmn MUST be o_ ~ letely filled ~n by typewriter or in ink and subnfitted 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 c. The work covered by this application may not be commenced before issuance of Building Pemfit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises 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 cormnenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning m'aandments or other re=oulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pmsuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, 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 ach~fit authorized inspectors on premises and in building for necessary inspections. ( ig~nature o f~pplicant or name,~/ if a ~n) State whet,~_he.r applicant is owner, lessee, ge~,~architect, engineer, (Mailing address of applicant) general contractor, electrician, plumber or builder (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) State existing use and occupancy of premises_, and i,n~ended use and occupaocy of proposed construction: a. Existing use and occupancy ..~c~.n /~-~(-~ ~,--,/---.--' b. Intended use and occupancy_ ~5-~:.-~-.~,--~._ ~ /q/ -- Nature of work (check which applicable): New Building Repair Removal Estimated Cost If dwelling, number of dwelling units If garage, number of cars Demolition_A/.~ ~' Fee Addition Alteration (DescnpUon) (To be paid on filing th's. p. plication) Number of dwelling units on each floor 6. If business, conmaercial or mixed occupancy, specify nature and extent of each type of use. Rear 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear Depth Dimensions of entire new construction: Front Height Number of Stories Size of lot: Front Rear Depth Name of Former Owner 10. Date of Purchase 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES __ NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 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 this property within 300 feet ora tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation 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 ) being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.)