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HomeMy WebLinkAbout29041-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29701 Date: 09/10/03 THIS CERTIFIES that the building ALTERATION Location of Property: 145 TEPEE TRAIL SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 2 Lot 32 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26, 2002 pursuant to which Building Permit No_ 29041-Z dated DECEMBER 29, 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 ALTERATION (WINDOW REPLACEMENT) TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT G KASSNER & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ho ized ignature 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. 29041 Z Date DECEMBER 29, 2002 Permission is hereby granted to : ROBERT G & WF KASSNER 145 TEEPEE TRAIL SOUTHOLD,NY 11971 for ALTERATIONS (WINDOW REPLACEMENT) TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 145 TEPEE TRAIL SOUTHOLD County Tax Map No. 473889 Section 087 Block 0002 Lot No. 032 pursuant to application dated DECEMBER 26, 2002 and approved by the Building Inspector to expire on JUNE 29, 2004 . . Fee $ 150 . 00 f_ ) i ut o zed Signature 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 IIealth 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 anusual natural or topographic features. 2. A properly completed application and consent to inspect signed by Clic applicant_ If a Certificate of Occupancy is denied, the Building Inspector shall state tlic reasons therefor iu writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling$25.00, Swinuning pool $25.00, Accessory building$25.00, Additions to accessory building 525.00, Businesses $50.00. 2. CertiftcatcoPOccupancy on Pre-existing Builcling- $100.00 3. Copy of Certificate of Occupancy -$.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.080 Date. / (D 3 New Construction: Old or Pre-existing Building: (check one) Location of Property: _L(�S T�C �Tvy /Q/l_ �?71 House No. Street Hamlet Owner or Owners of Property: _A -s Suffolk County Tax Map No 1000, Section Block Lot Subdivision _Filed Map. Lot: Permit No. Date of Permit. f5 -i-7^-'r--Applicant Sof Health Dept, Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ e�1o� agvio� L/b5�/ �[J C pplican Si nature 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOSJNDATION 2ND [ ] INSULATION [ v]' FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: [- DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [c�INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE < 03 INSPECTOR FIELD INSrECT[ON REPORT DATE cobBm TS O M FOUNDATION(1ST) a 17- a FOUNDATION(2ND) _ t O ROUGH FRAMING& PLUMBING i INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS O Z m S � x l d . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING.DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form NX.S.D.E.C. 2 Trustees Examined ,20 Z Contact: Approved / Z 20Mail to: Disapproved a/c hone: Expiration ,20 Buildingns ctor Yli A� 2 3 , APPLICATION FOR BUILDING PERMIT Date 20 INSTRUCTIONS a. This application MUST be completely 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 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 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 commenced 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 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'liousing code, and re lations, and to admit authorized inspectors on premises and in building for necessary inspection ) o. (Si tune of pl cant or name,if a corporation)X sorrTHo�- U (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder \ )tame of owner of premises (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. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: ) Lf S i�5,i5pEC House Number I Street Hamlet County Tax Map No. 1000 Section 7 Block -2, Lot 3 Subdivision Filed Map No. Lot (Name) 2. ,State existing use and occupancy of premises and intended use and occupancy of proposed construction: Xa. Existing use and occupancy _k 1V5/ D Ai hyo-` F b. Intended use and occupancy _ 3./f iature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4 estimated Cost o o C> Fee /J� (To be paid on filing this application) ` 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, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 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 13. Will lot be re-graded? YES NOW ill excess fill be removed from premises? YES NO o13ER`T�d u' „5oG?/f"�0/� 4. Names of Owner of premises )� ASSi7C/L Address I6�STf"AaTVAli­ Phone No. .,2 g Name of Architect Address Phone No \ ( Name of Contractor Address Phone No. X15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. In. Is this property within 300 feet of a tidal wetland? * YES NO ( * IF YES, D.E.C. PERMITS MAY BE REQUIRED. ;116. Provide survey, to scale, with accurate foundation plan and distances to property lines. �I7. 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 v/ R,6 4A T-C, J l �5,5(r t�A, being duly swom, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 6 4./7'C- /®®' (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 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 before me this -_day of 20 0 ;L, Notary Pub c Signa re of Applicant OCCUPANCY OR 4 USE IS ULAY7FUL k . Atter E ;x$ WIT HQUi CERTIFICATE PR� „ .�r. nNF, _ �S Ff” 4A OF OCCUPANCY CE" CY ESCAPE AS REQUIRED 6Y PART. 714 OF NOT 00 N.Y. STATE BUILDING CODE. r . 76544 B A1111 TO 4 00V4610 FOLLO%"Jog liw:NDI� a ' I. 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TW2856 2-958 x 587/8 TW3456 3556 x 587)8 TW205101 2-156 z 6-078 TW28510' 2.9 58 z 6-07)8 TW34510• 355E x 607E TW2062 -2-158 x 6478 TW2B62 2-956 x 6478 TW3462 3556 x 6478 TW24210 2-5% - x. 3078 TW210210.2-1156 x 3-0718 TW38210 3956 x 3-078 TW2432 2-556 x 34718 TW21032'2-1156 x 34 70B TW3832 3-956 x 3.47)8 _ TW2436• 2-556 z 3.878 TW21036.2-1156 x 38 836 7/8 TW3 • 3-956 x 3878 ±' TW24310 2-556 x 4-078 TW210310.2-1156 x 4-076 TW38310 3956 x 4-07)8 TW2442 2-556 x 44 71B TW21042.2.1156 x 4.47)8 TW3842 3A 58 -x 447,8 d TW2446 - 2-5 N x 4.87/8 TW21046'24156 x 48 7)8 TW3846 3-956 x 48 78 s TW24410'.2-556 -x 5078_ TW210410'2-1156 x 5-078 TW38410• 3958 x 5-076 TW2452 2-5508 x.. 5478 TW21052.2-1156 x 54718 TW3852 3.958 x 5.478 TW2456 2-556 z 5878 TW21056.2-1156 x 587E- TWM% 3956 x 587)8 TT�� 1I 1 TW24510' 2358 x 6-076 TW210510.2-1158 x 6078 TW385101 3-958 x 601)8 TW2462 2-558 x 64718 TW21062.2-1156 x 64718 TW3862 3.956 x 6478 M04 mohn waft wHh"56"mw athES IIT14.The lewa ash H taller*A the WPal ash. CIRCLE 1• WINDOWS FOR „ TRANSOM WINDOWS1' 11 11 11WINDOWS UNR WIDTH HEIGHT UNR WIDTH HEIGHT UMT WIDTH IIEIG41f UIHT W®TII HEIGHT ® HT1 I-956 x 1-0' DHT_127 2-558 x 2-9516 DHT3417 3556 x 1.9516 - CTN20 2-I 508 x I-33116 DHT1815 1-956 x 1-7516 DHT2431 2-558 x 335116 DHT34111 3558 x 2-1516 - CTN24 2-55x8 x- 1-53116 �t I Exle4a Wa,Shown DHT1817 1-9 518 x I-9 516 DHT3421 35 56 % 23 516 CTN28 2-9 58 z 1-73116 DHT18111 1-9 58 x 24 5116 DHT2810 2-9 56 x I-0' DHT3423 35 56 ':x 2-5 5116 Edi 111.Shown CTN30 3156 % 1.93116 DHT1821 1-958 x 23516 W2815 2-956 x 1-7516 DHT3427 3558 % 2.9516 CTN34 3556 x 1.113116 DHT1823 1-9 56 x 2-55/16 DHT2817 2-9 58 x IA 516 DHT3431 3558 x 3,35116 CTN28.2 5-75/16 x 3-0' �I DHT1827 1-9% x 2-95/16 DHT28111 2-9 58 z 2-1516 CTN30.2 6-35116 z 34' DHT1831 Y-§508 x-335/16. DHT2821 2-956 x 23516 - `*� DHT2823 2-956 x2-55116 DHT3B10 3958 x 1-7 DHT2010 2-158 z 1-0' DHT2827 2-958 x 2-95116 DHT31315 39 56 x 1-75116 DHT2015 2-156 x 1-75116 DHT2331 2-9 518 x 3-35116 DHT3817 3-9 543 x 1-95116 _ DHT2017 2-158 x 1-95116 DFiT38111 3-956 x 2-1516 DHT20111 2-156 z 2-15/16 D14T3821 3958 x 23516 DHT2D21 2-1518 z 2-35116 DHT3010 3156 x 1-0' DHT3823 39 518 x 2-55116 DHT2023 2-158 x 2-5 5/16 DHT3015 3l 508 x 1-7 516 DHT3827 39 518 x 2-9 5116 DHT2027 2-158 x 2-9516 DHT3017 3-156 x 1-9516 DHT3831 3956 x 33516 DHT2031 2-156 x 335116 DHT30111 3-1518 x 2-15/16 DHT3021 3-1518 x2-35116 DHT31010 3-115116 x 1-0' DHT2410 2-5 518 z 1-0' DHT3023 3158 z 2-5 516 DHT4210 43 516 x 10 - DHT2415 2-5508 x 1-7516 DHT3027 3l% x 2-95116 DHT41010411516 x I-0' DHT2417 2-5 56 x 1-95116 DHT3031 3-1508 x 3-3 5116 DHT%10 5-7 5116 x 1-0' DHT24111 2-556 x 2-1516 DHT6210 635116 x 1-0' DHT2421 2-558 x 2-35/16 DHT3410 3-5 508 x 10 DHT2423 2-556 x 2.55116 DHT3415 35 56 ,x 1-75116 H y r' PICTURE WINDOWS1• s DOUBLE-HUNG WIN1 1 x 411417 WPM HEIGHT UNIT WIDTH HEIGHT MET WIDTH HEWIT ` DHP10310• 1-0' x 407)8 DHP34410.3556 x 5078 M10 7M x 6-078 DHP1042 1-0' x 44 708 DHP3452. 35 543 x 54718 DHP4262 43 5116 x 64 76 0HP1046 1-0' x 487B DHP3456. 3558 x 5878 T"r DHP10410' 1-0' x 5-0718 DHP34510'3556 x 6078 -DHP4103104115116 x 4-078 DHPI052 I-0' x 54 78 DHP3462. 35 56 x 64 78 DHP41042 411516 x 4.47)8 - DHPI056• 1-0' x 5878 DHP41046 4115116 x 4-878 ItlxrIv VNN wlmwe DH 10510* 1-0' x 6-076 DHP3103103115116 x 4-0708 DHP410410'4-11576 x $076 DHP1062• 1-0' x 6478 DHP31042 311516 x 4478 DHP41052 411516 x 547E 0HP31046 3115116 x 4-8 71B OHP41056.411516 x 5878 DHP30310 3156 z 4-078 ONP3104103115116 x 5-078 DHP410510.4115116 x 6076 DHP3042 3156 x 44718 DHP31052 311516 z 54718 DHP41062'4115116 x 6478 d DHP3046 3156 x 4-87/8 DHP31056 311516 x 587/8 S; DHP30410.3156 x 5-078 D3P3105103.115`16 x 6076 DHP%310.5-7516 x 4-0708 r;+r ' ' t • ' DHP3052 3158 x 5476 DHP31062 311516 x 6478 DHP5642 5.7516 x 4-478 DHP3056. 31543 x 5878 DHP5646 57516 x 4878 DHP30510.3158 x 607M DHP423104-3516 x 4-078 DHP%410.5.75116 x 5-0708 j,. DHP3062. 3-156 x 6-078 D3P4242 435116 X 4478 DHP5652• 5-7516 x 5478 DHP4246 435116 x 4-8708 DHP5656' 57516 x 5-878 DHP34310.3556 x 4-078 DHP42410435116 x 5-078 DHP56510.57516 x 6-078 DHP3442 35 56 x 4478 DHP4252 43 5116 x 540 7A DHP5662' 5-7 576 x 64718 -'j DHP3446 3556 x 4-878 DHP4256 4.35116 x 587)8 '. c nw IM.� Ea t . BOW ROAD LOT 15 n• 116.22' _� fc raiY sfoc880 1, kaOle fer/ce IoeSv wi efen�r a s MOO - fnd 0.4''s mon to to I t 0 za.4' 0 IY LOT 19 a buoy Is sfo�/ P' LOT 18 cone p/QYY ti fes. /1.0' hauls& 4 yarage w.. LLJ LU W `ay a p /oa O W nd /m017 61 O oBE � 8 - N. 8 11'00" W. 80. 00' ,y 20 A& 0ten. oeµ s LOT 20 011 fnd. W ' 0 i S•?6o24p. 7,3. 1 WIGWAM WAY CERTIFIED TO ROBERT G.KA SSNER RUTH Z. KASSNER SURVEY OF Prepared in accordance with the minimum LOT 19 standards for title surveys as established ado rr MAP OF N U N N A K O M A WATERS " the L.I.A.L.S. and approved and adopteedd York State L for such use by The New and FILED JUL. 9 1968 FILE NO. 5 1 2 6 Title Association- AT SOUTHOLD TOWN OF S OUTHO L D SUFFOLK COUNTY , N. Y. 1000 87 - 02 - 32 y�Cv.AMDS�'9L SCALE In - 30' MAY' 22 r 1986 0 , N � i N O N.Y.S. LIC. NO. 49618 PECONIC SURVEYORS a ENGINEERS , P.C. (516 ) 765 - 5020 P. O. BOX 909 ) MAIN ROAD SOUTHOLD ,N.Y. 11973 86 — 294 itNa ilirn CoOi Ouf�nii�' i� : Unils 5 6fi hi mkni 3442W 2 DHP3442W ANDERSEN PICTURE UNIT 2.000 10' 4_ 4 9049W_ � W� �_ . 4:000 1 ULTW42 1 MULLION CHARGE 1.000 10 WAN 2 3042W:" 000laws W2032W 2 2032W ANDERSEN TILT-WASH HP 2.000 10 W3032W 202W "."� i � H; �LWASH�NP,:; �000�10l�-3-/s/gxrl3-y� ULTW31 1 MULLION CHARGE 1.000 10 9 W46W 2. 46W = fVE .-TWA$f�,NP 2i 000 10. 0 042W5 3 2 3036W ANDERSEN TILT-WASH Hp w a-/%s x ii a- l i` 2 042WS 2 3042 WHITE DOUBLE HUNG SCREEN 2.000 10 '03215 3 4 436WS 2 2436 WHITE DOUBLE HUNG SCREEN 2.00@ f10 6 0422TWW 8 PC 2042 WHITE ?W VINYL GRILLE " 8.000 7 042TWW 4k,`WHff �1 iTL�. l+> 8 032TWW 4 PC 2032 WHITE TW VINYL GRILLE 4.000 9 032TWW 4 HNN? Ue 0 1436TWN 4 PC 2436 TW NAT. WOOD GRILLE 4.000 i OWN EL �W d,o3Z a 0 q a- aI36 �' p/�iti1?E t4 Do1aQt-E-rlunG T�7`-rv,9�ft 3 03`9. 3o ` j, a f f; M No ifi Choi Ounfnq #i!f n� s xm Unlj!'" 1 58 64 t 6 3442W 2 DHP3442W ANDERSEN PICTURE UNIT 2.000 10 48W 4 c04cW i §i:`H�. 4: N`I �✓a-�g X,ay-y '/g ULTW42 1 MULLION CHARGE 1,000 t0 s x N -y/a � Wtf TfAi;" 00,"1 3MANs�. � �O��W � - W2032W 2 2032W ANDERSEN TILT-WASH HP .000 10 W 032W 2 �3032W N� Ab ILT=W $HSN . _ 2A03-�� ULTW31 1 MULLION CHARGE 1,000 101 s $ 7 9 W436WAND fT "NA 2.0e0 �- 3- r13 2 3036W ANDERSEN TILT-WASH HP "'MAO 2 3042 WHITE DOUBLE HUNG SCREEN2.00010 tRnt z� x d '� t�g� .. :a'a .t •°w''ra�, �7•"t t#i'� ��LV� �� 4 436WS 2 2436 WHITE DOUBLE HUNG SCREEN 2.000 10 V�$gjll MIR 6 042TWW 8 PC 2042 WHITE TW VINYL GRILLE 8.000 7 048%W,T,: 4 .' Pt`-3042 Cf 8 032TWW 4 PC 2032 WHITE TW VINYL GRILLE 4.000 0 436TWN 4 PC 2436 TW NAT. WOOD GRILLE 4.000 i 036TWNLw ,j 1 �-W d,a3 �2 d'llI a o `{a- � 1 �✓ lv//`l�a w S �°u B��-f/N/�� rig T��shF 913,6 <�Tel Ti 3 6 3 a. r--� 3o �f� is ly