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HomeMy WebLinkAbout27319-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27703 Date: 05/21/01 THIS CERTIFIES that the building ALTERATION Location of Property: 2180 DEPOT LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 2 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 2001 pursuant to which Building Permit No. 27319-Z dated MAY 17, 2001 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 TO EXISTING ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to GEKEE Y WICKHAM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-071044 04/04/01 PLUMBERS CERTIFICATION DATED N/A ut rized Signature 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. 27319 Z Date MAY 17, 2001 Permission is hereby granted to: GEKEE Y WICKHAM PO BOX 1122 CUTCHOGUE,NY 11935 for ALTERATION TO EXISTING ACCESSORY STORAGE BUILDING AS APPLIED FOR "AS BUILT" . at premises located at 2180 DEPOT LA CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0002 Lot No. 004 pursuant to application dated APRIL 25, 2001 and approved by the Building Inspector. Fee $ 35 . 00 Aut o ' zed Sig ature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector 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 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 a 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . May 8,. 2001. . . . . . . . . . . . . .. . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. .?%► . -r A0vati0;s to shed Location of Property..218. . .. .. . . . . . . . . . .. . . . . . .... . . . . . . . . . .. . . . . . .. . . Depot Lane . . . . . - . , , ,, , Cutchogue, , , , . . , , , , . House No. Street Hamlet ekee Onwer or Owners of Property.. ... . . . Wickham . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 1022 County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . .Lot. . 4. . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.,>�73)1_Z;. . . . .Date Of Permit:qj f7j9.t . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . X. . . . . . . . Fee Submitted: $.?5;00. . . . . . . . . . . . . . . . . . . . . . . L.t:. . . . . . . . . . . . . . . . . . . . . . . (3--T . -5 q N Abiga A. APPLICANT Wickham, Agent Co-2:: a 'T703 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 $08s3o3 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 04,2001 Application No. on file _),�.rr.1,'<3 H 071044 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of GEKEE WICKHAM, 2180 DEPOT LANE, CUTCHOGUE, NY in the following location; ❑ Basement ® lst Fl. ❑ 2nd Fl. GAR/OUT Section Block Lot was examined on MARCH 29,2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: STORAGE SHED-1 *NO VISUAL, DEFECTS: "An electrical sunyey has beer, made of the exposed electrical equipment in the premises indicated. " "No obvious unsatisfactory condition was found. L L GEKEE WICKHAM P. O.BOX 1122 GENERAL MANAGER CUTCHOGUE, NY, 11955 Per This certificate must not be altered In any manner;return to the office of the Board If incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONA VENUE EAST PATCHOGUE,NEW YORK 11772 (516) 286-6642 31340 DATE. 9/29/99 APPLICATION No.ON FILE VILLAGE: Cutchol;ue TOWN: Southold ADDRESS: 2180 Depat Lane ISSUED TO: Gekee Wickham _ 71a77tODUCEU BY:_ Glen's Etectiric—` __.._ ____-___. LIC-No: -4770-E ---- was examined on 9-29-99 and found to be in compliance with the National Electrical Code LOCATION: Base.. z 1st 2nd 3rd Attic Dei.Garage Hot Tub Pool SWITCHES I RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR COND. DISHWASHER DRYER CLOTHES WASH. GAR DISP. RANGE OVEN SMOKE DETECTOR FURNACE OIL GAS CIR. MOTORS BELL TRAM. SERVICEDISCONNECT ASTER AADS PHASE 1 200 OH OTHER EQUIPMENT Outside,Res. Service Only 4GO S. SURDI PRESIDENT BUILDING PERMIT No. Thu oenl6cate most"be ahaed in any manna Inspectors may be idaroSad by their aedenuah BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE FORM NO. 1 3 SITS OF PLANS . . . . . . . . ... . . . . . AP % l � TOWN r^1? SOUTOOLD SUR LY . . . . . ... . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT C11II 17 . . ,... TOWN HALL sa ric PORM . . .. . . . . . . . . . . . .. . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 N TIFY: ALL . . . . . . . . . . . . . . . . . . K)wnined................. 19.60, MAIL 'c0: . . . . . . . . . . . . . . . . . . . . Approvcd.................. 19.... Permit No. �: .................................... Disapproved a/c ............... ... ................ ..................................... ............................... (Building Inspector) APPLICATION FOR BUILDINC PEUMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'this application nest be conpletely filled in by typewriter or in ink and suhmitted to the Wilding Inspector WW 3 sets of plans, accurate plot plan to scale. Fee according to sc]meclule. h, Plot plan showing location of lot and of buildings an premises, relationelip to adjoining premises or ixiblic streets or areas, and giving a detail description of layout of property rust be drawn on the diagram which is !part of this application. c. 'Ilia work covered by this application my not lar cmuenced before issuance of Building Perrnic. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be,kept an the premises a ailable for inspection throupj1out the worlt. e. No building simll be occupied or used' in vhhole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by t ue Wilding Inspector. APFI.ICATTON IS INAW K= to the Building Department for the issuance of a N ildiug Permit pursuant to the 1killdinb Zone Ord Inance of the 7bm o soutimold, Ekoffolk County, New York, and of r applicable laws, Ordinances or Regulations, for the construction of bjildirW, sMitiens or alterations, or for timoval or demolition, as herein described. Tire applicant agrees to +ply with all applicable laws, ordir=nces, I&ilding code, housing code, and , regulations, and to admit authorized $pectora am premises and in building for necessary inspections. • • (Signature of a licant, or name, ifa.corporation) Abigail A. Wickham, Agent Box• 1424_, Mattituek�. New York.11952,,, (�Smt1.111wadilress of applicant) State whether applicant is owner, 1069.2e, agent, architect, engineer,•general contractor, electrician, plumber or builder. ..... Agent .. ... .. ................................................................ .................................... Name of owner of premises .,., Gekee Wickham ...••_•.. as clue tax roll or latest.deed),••.. ..• •. ..• ...•.•......., . If applicant is a corporation, signature of duly authorized officer. ..... .............................. ......... (None and title of corporate officer) Builders License No. ............ Plumbers license No. ............ Electricians License No. ,4770. Other Trade's License No. ?3770 ,(Engineer's) 1. Iocation of land an whirls prom work will be dor+e......................... ................................... ,.2180 Depot Lane Cutchogue ...................... ... .. .. ............ . ... House Number treet '• Hamlet .. ......... C,cxumty Tax Map No. 1000 Sectio++ .......... ulock 2, 14t 4 Subdivision ..................... ................ Filed Map lb. .. Int .............. (Name) 2. State existing use and occupancy f premises and intended use aril occupancy o proposed construction: a. Existing use and occupancy •., ,.,.as.built.' shed.,• � .,. • ••• ..• •................................ b. Intended use and occupancy .. ..:�s��.bA��l:�..�k1ed................ ... ............................ 3. N•hture (it work (check whidl appl cable)1 New lAaildin Acid i t i on Ilelwir ...,,,,,,,,, Re)hohral .•... ..." .. .. .. All'eration .......... .... ........ rk3mlItion ............ Other Wo .. heti........... •(nescription) �h. liatinhated Cost ....... ....'.... ...... gee .. ... . (to be Paid�onfiling tltis application) .... 5. if duelling, msiber of dwelling Ica ............ tricker of, dwelling Imits ot, each floor It paroge, lumber of cabs ..... ..... ... ...................... h. if 1xlsiness, cotwercial or mhod occul> MY, Specify l fy nature and ascent of eacli ry1,e of use, 7. uimensials Of existing xLnhcture i f any: trront 18' ...... Rear 18' .....��: '...•••. .. • Depth Ilelolt ......................... Umber of Storlea .. .. ....... t)imen9lahs of sane s ..............••.•••.• kructure WIt h alterations or arklitions= lironC t=ear Depllh .................... lleJWi• ............... .. . 10ber of Stories.. ............... 8. Alownsions of entire new OonsC tion: 1lront •• ... 11r3ar ............... Iklhtlh ....... ile .. it¢IL ................... ... Na)imr of Stories ....... ... ....... ... 9. Sire of lot: 1'rWL .. '..... 5.0 ... •50 ...... Bear .... :. 17ept1► ... ..!+53.52: I0. D"Ce of Purcllare &' a of Former Owtier ........ ..... ............................... If. Zone or use district in ailidi pr ises are situated ................... 12. Does propnsecl construction viola'e any hrcxtiing law, ordinance or reputations• ..no........... ..... ..•.�.•.... . .... 13. Will. lot be regraded .......... ........ Will excalss fill be removed from anises:........•••, NO 1/1- Males of Owner of praises ,•Ge eeWickham Address ..Min. C}rtol} YES Phone � 734-2277 gg .., Qpgg��}}gg Niue oil 't�xeer ,,,Warren A ,Sambach R.Y. 11-93 " ........... Address .. ..................... Pthona No. Nam of Contractor ............ Atklress ......... ........ .. • ... .... .................Phone No. li- 1s tills property Within 300 feet of a tidal Iaetland? * Ylfg . *IF YES, SQU'111C n IDW I IMSPLnMrr MAY Mli�U'I1iRJ?........... NO . PLOT DIAGRAM lncat'e clearly and distinctly al 1Juilclings, wl)etlwr existing or proposed, frog properly lines: Give street and lock ranber or description according to Indicate stralleet et na do dimensions hdhet'lher interior or corner lot. + and ailOW street rlarrhea and indicate (see 2 sets of plans enclosed) S(A113 Ott N:,W Y(KlK, (jXlN1Y Or. ., Suffolk ...... . ... . ._Abigail A. Wickham � .. ••••••••...• lx-irll ....... . ; duly sworn, delx)ses� arxl ass Lllat i� (Nare ofiilcl.ividual signing contract•).. Y e is We appl.i(tuht above tmed, Slk is the ...agent ...... (Cor)traetor,•Agent, orporate Officer, etc.) .. ........... .... ........ or said mier or o"rs, and ,ie.duly V horized to perfonn or hrrve perfornecl Lhe said work arxl to rmke arxl file this .7I1p1 iV8Llahl� L'hnl: all statehrents caliti Iined in tI11R alilh).icati(xn are true Lo the befit: of his krxlwl.ec4p a1x1 bttJ•iel,' ruu) LIM t)he nark will be perrmned in ti inner set forth in the appliGaLion filed tilerewith. fiwOnl to befyre me Lhis ...... Q.........day ...AP.ril,. Notary Public ... ..... .. ...... ppiture of ApptJca( ') Abigail A. Wickham, Agent DONNA M. CHITUK NOTARY PUBLIC,State of New Y 45:1459,Suffolk County 600ft August 18, Z— N I � 0 ►�J I b V aI Unauthorized alteration or addition to this survey is a violation of Section 72018 of the New Yak State Education Law Copfss of this survey map not bearing ��11 tM land surveyors Inked seal or embossed seal shaA rat be careidered to be a valid true copy. Guarantees indicelsd hereon shell run Only to&parson for whom the survey is prepared,and on his behalf to the title company govemrriental agency and f—� raC I lending institution Rated hereon and to the assignees of the lending institution. Guarantees are not transferable to additional institutions or subsequent Y Iowners. Q� 0 g'E D LA AW LEW 1f 3696 �\ AID,�! 'YDre•i,3 t2aa 3t GQ,vo�urev�-rtze t_ ocs>>'iav G'_i�clyoG� o .vcu� ic/Y. �?a8+c+xy�/19 Or9TC��.o.¢it /g 2GUa 9CTiYJ_?�/�Jaz-oar o.� �r�Cavt.��,fv, CONSENT TO INSPECTION Abigail A. Wickham, the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 2180 Depot Lane, Cutchogue, New York 11935 which is shown and designated on the Suffolk County tax map as District 1000, Section 102 Block 2 Lot 4 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: a ' r building permit application for an "as built" shed. That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all, of the laws, ordinances, krules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: April 20, 2001 / ((signature) Abigail A. Wickham, Agent print name (signature) (print name) GECCI WICKHAM DEPOT (,ANI, CH'I'CIIOGUI, NY. I I E ll 11 o � WEST ELEVATION SOUTH ELEVATION r AE 1 16 I NORTH ELEVATION EAST ELEVAITION SCALE-1/4"-1'TYP. VINYL REPLACEMENT WINDOWS. GENERAL CONSTRUCTION NOTES m X. CLOSE IN (EXISTING DOOR RGH.OPG. TO 5068. INSULATED - VENTED - GLASS SKYLITES LEAVEING EXISTING DBL-2X12 HEADER. 5068 2-1068 SIDELITES 2 PANEL/STEEL/INSL. REPLACE EEXISTING SKYLITES WITH NEW VEN FING INSULATEED WITH SCREENS IN SAME o RGH. OPG. -� RGH. OPG. FILLED IN SHEETROCK AND INST. TO MATCH EXISTING. INSTAL VINVYL REPLACEMENT UNITS IN ALL FOUR WINDOWS. INSTAL SOIFFET VENTS AND ROOF VENTS. PATCH INSULATION AND SHEETROCK WHERE NEEDED. © PAINT ONE COAT OIL PRIMER AND ONE COAT LATEX. o _ NEW ASPHALT ROOF & VINYL SIDING L 27.-0.. R FLOOR PLAN '\ A