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HomeMy WebLinkAbout27292-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27702 Date: 05/21/01 THIS CERTIFIES that the building ACCESSORY 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. 27292-Z dated MAY 7, 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 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. N/A PLUMBERS CERTIFICATION DATED N/A AuVAorized Signature Rev. 1/81 1 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. 27292 Z Date MAY 7, 2001 Permission is hereby granted to: GEKEE Y WICKHAM PO BOX 1122 CUTCHOGUE,NY 11935 for CONSTRUCT AN ACCESSORY STORAGE BUILDING AS APPLIED FOR. (REPLACES BP #18459-Z) 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 Autho z d S ' natur 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 Buildiniz - $100.00 3. Copy of Certificate of Occupancy - -2W: 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . May 8,, 2001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . .. Old Or Pre-existing Building. .:C . ,rrkovatijpjv to shed Location of Property. .2180.. . . . . . . . . . .. . . . . . . . . . Depot Lane o . . . . . . - , , , , Cutcho ue, , , , , , , , , , , House No. •Street• • . . • -Hamlet Gekee Onwer or Owners of Property. . . . . . . . Wickham . - . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1022 County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . .Lot. . 4. . . . . . . . . . . . . . . . . . . Subdivision— . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . _Lot. . . . . . . . . . . . . . . . . . . . . . Permit No�.7.1.1.02.t. . . .Date Of Permit$J J�j . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval— . . . . . . . . o . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . X. . . . . . . . Fee Submitted: $.25;00, , , , , , , , , , , , , , , , , , , , , , , i Abiga' A. APPLICANT Wickham, Agent FORK NO. e 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) N° 18459 Z Date ......... . :,: .......: ............... Permission is hereby granted dtto- (1 ....�.t.�4 ...... . ...... fir .w c.L .... .. . ... PT ... �. . .s'...... ..cef... . Q.�.... .. .. .... ... . . . . ....... ... .... . .. . .....................................................................................do- .... .. ........................................................ at premises located at .s?`1..�?..4d..........):1T - 1-n-�:�........ ...... 1�:--...... ................................................................................................................................................................. ................................................................................................................................................................. County Tax Map No. 1000 Sectio ). ....... Block .......Q 3::..... Lot No. ....... .` .......... pursuant to application dated .... .....a:..�,, ,........ 19. ., and approved by the Building Inspector. Fee $. 1ri.r. ... L . 0►t. ... ........ .....a'(. ............. Building Inspector Rev. 6/30/80 p � IWR OW 1319 11 @=.DM Of Michael Capuano 2180 Depot Lane Cutchogue, New York 11935 Town Of Southold Office Building Inspector P.O. Box 1179 Southold, New York 11971 -0728 Kindly grant me an extension on my Building permit #184592 . If you have any questions, please do not hesitate to contact me at the above address. Thank you for your attention in this matter. Sincerely, Michael Capuano MC/cm 11/14/90 KUHMMWE HAVE EXTENDED THE PERMIT FOR 6 MONTHS NEW EXPIRATION DATE IS SEPT. 8, 1991 r 765-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ] FRAMING [ ) FINAL [ ] FIREPLACE & CHIMNEY REMARKS: A-f;e� ,7e- 5 DATE INSPECTOR , ?/ Ado ' n - •C,; FOUNDATION ( 1st ) c ti ?OUNDATION ( 2nd )------------- m 2 . z o DOUGH FRAME & • o •PLUMBING Fl 3 . "1 m INSULATION PER N . Y. -n3 STATE ENERGY CODE I c- 4 . _ FINAL ADDITIONAL COMMENTS : m x • m • x P3'.l ^o H x a ob o ,.o v m -v . . . . . . BOARD OF HEALTH 3 SETS OF PLANS - • - - - • • i? FORM NO. 1 SURVEY . . . . . . . . . . TOWN OF SOUTHOLD CHECK ------• � `�' BUILDING DEPARTMENT SEP-T-1-C FORM BLD:T UFF.:. t . . . . . . . . . . . . . . TOWN OF SOUTHOi-D r TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 - • - • • - - • - - - • - - - - (�� MAIL TO : t Approve . . . . . . . . Permit No. qct Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT �<J� Date . . tii. `.(. . . . ., 199.1 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections . . . . . . . . . . . (Sig attire of app cant, or ame, if a corporation) . . . . . . . . . Y.i . 1_4. . . CG.�/� Jrne AIX.. lmf. (Mailing address of appli ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . .Otc. N / . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . 1 I I 1 >`,C`Cti. aNr_.,. . .'- f.f;U i nt +� . . 64(yp,�i,V O. . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST BF,4UFFOLK COUNTY LICENSED Builder's License No. . . . r . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . • • • . • • • • • • • • • • • . • . . . g.I8.0 . . . . . . . . . . . . . . . . . . . . . oopGr- L-aNe . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . )01. . . . . . . . Block . . . . . . 0 . . . . . . . . Lot . . . . . 004/. . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . �n/�. . ./. dp-7! 1. . . . .�!�� . .S I&I' . . ./-A11 C-. . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . ACC,- S-QY.f.( . . . buOj)NJ . . . . . . . . . . . .. . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . Other 1404-S • • • . - 1,/ (Description) 4. Estimated Cost . . 5 v : . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . Number of dwelling units on each floor . . . . .K_:_� . . . . . . . If garage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . ,,,/. . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . .f. . . . . . Rear . . . . tA7. . . . . . . . Depth . . . . I&. . . . . . . Height . . . .1.2.rT. . - - .. Number of Stories . . . . . . . . . . . . QNB. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . S. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . 0 . . . . . Depth . . . . . . . . . . . . . . . Height Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._ . . . . . . . . 9. Size of lot: Front . . . . . ,J_? : . . . . . . . . . . . . Rear . . . . . . .� !O. ... . . . . . . . . . Depth . . . .���..?.) . . . . . . 10. Date of Purchase . .MUCH. -3, . 1 Q.E:`.7. . . . . . . . . . . Name of Former Owner 6(Vr . >R��y .D`t41�r� 11. Zone or use district in which premises are situated . . . . 1� . . �J '4�1t•-�r� . . . . A . .Ir S11Ci�'NF'.91 . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . ND. . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . .N 0 . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 67) 14. Name of Owner of premises . . . . . . . . .C9)0.U. 9?1(0, Address . . . 'oW80. Df);tt .Phone No.'73y.- .739 Name of Architect . . . . . . . . . . . .:- . . . . . . . . . . . . .Address . . . . . . . :-�. . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . .. ... . . . . . . . . . . . . . Address . . . . .. . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . . . . *If yes, Southold Town Trustees Permit LOY be required. AM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from, property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. (fro C's t, F-33 1 S7cr f wa'r2 Nou,.z I ,S� 1 I i STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis 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 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 q .�3. . . . . . . .day of. . . . . . . . . .. 15 (. Notary Public`, . . . . . . . .'�! t. !/!� . . County HELEN K DE VOE NOTARY PUBLIC,state of New Yak No.4707878,Suffolk Cou_ e�ipi (Signature of applicant) Term Expires March 30,19�� 13 gcovi 1 nH NOO NO W)� ' � ORApL` Abd3N3 9 NoaonHisS',:);-,s A*N 3H1 �O SIN3Vv . ,lr.tj - 133W lltfH'3 7 1SnW N©11.,1lHS.c1 °" �3t!(f3�13a1,4�� Rl�l�`JC3h ;st:'_3t I TS -re) 6'ev^} -, A^^ "�,/ 'x�at '.A .Jo 'SN01,133d`;1%411-' i{, '= s s w !7 I CCA 't`rPAfP� 1sl . � � a r-#�� , � • �_� 3H1 803 LA.13 ir 01 Wb ?0R., ��y r lb 1N3VVId 'd30 `7NiCl`JIf S J,J°.0- _ ��s���`.,. n ` -� S 8 # d'8_`� 31t/Q -- Food MON SV a3AOdddY J OLI, i 3p,'ke s n o t� -pro pCSea� Clr'A ,4 W,) c��� rr)rA'7e a•� c T C - w F KUaGZ��51'f I ` ►t ✓� '; _ _ y rt , , h r y 4 a *.. aLm ouu PQ r. .]£ltpPatfOi►aP atm _- � ,.: ,. CUPCAOGUF- ON-sJrrsy is a vielatson aR TO t'[�i v OF 5OUT HOrift m Esc^ca17ZO-of tho MW atm M=Psmn LOW., ! t C t� f t�t 1R GUAIRANTE - fia-A+:♦ � D �f i"" C 1 v' Z%c,as o'w asN a cd"cry tt�� �fwr � �.' _ t#ie i rA sLaYer/Of fit' ewbnwra)sa•R sh l rurA gnCxh.�3 �ry L E IA'7 NqF C0• Lc bo is valid taro WGV. Nncil Pat! bo rcen 1, J�201971 Csu a fnr€icatlw,,,,,, ED w th9sC!++or inAurr�the survo� 3' it l�'�aPad ow tris bsh,,lf to th3 VAN }F .i w.,! ; tSleflt9l E�l.w� h5.�/AV{ t�dalMYr9� erWn, hd_ - � 'ttti0n IEYiOd..�,..,__ ;" to the of the 1*"n; � motion.(;,wa�tses are not mnd*mbi4 - ;J —a A fs bmq M. - � b at.�.tiartal irutitui tms au or s