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HomeMy WebLinkAbout27567-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27877 Date: 08/20/01 THIS CERTIFIES that the building ADDITION Location of Property: 670 HOLDEN AVE CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 5 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 2001 pursuant to which Building Permit No. 27567-Z dated AUGUST 20, 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 ENCLOSE AN OPEN PORCH & DECK ADDITION ON REAR OF EXISTING SINGLE FAMILY DWELLING "AS BUILT" & INSTALL CENTRAL AIR CONDITIONING AS APPLIED FOR. The certificate is issued to ANDREW C FOHRKOLB (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-070900 03/20/01 PLUMBERS CERTIFICATION DATED N/A tho 'zed 84119nature 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. 27567 Z Date AUGUST 20, 2001 Permission is hereby granted to: ANDREW C FOHRKOLB HOLDEN AVE CUTCHOGUE,NY 11935 for ENCLOSE AN OPEN PORCH, & DECK ADDITION ON REAR OF EXISTING SINGLE FAMILY DWELLING "AS BUILT" , & INSTALL CENTRAL AIR CONDITIONING. at premises located at 670 HOLDEN AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0005 Lot No. 020 pursuant to application dated MARCH 9, 2001 and approved by the Building Inspector. Fee $ 75 . 00 Aut iz d Sig ature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL. 765-1802 t�----k 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. 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 - z. :2�►9 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.0.0 Date . . �.:.��. . . . . . . . . . . . . . .. . . . . . . . . . . . New Construction. . . . . . . . . . Old Or Pre-existing Building. .... . . . . . . . . . .. 1 ' Location of Property. 10.1� . .n.��:I�-t\ . . .T�V�.. . . . . . . . .CV �.��.� .�?Y E. . . . . .. . . . . . . . House No. Street Hamlet /?�1Onwer or Owners of Property. ?d��W . .. . .rO j-t=1. . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .`.l 0. .. . . .Block. . . . . � . . . . . . . .Lot. . . . . . . . . . . . . . . . . Subdivision. . . . . ... ... . . . . . . . . . . . . . . . . . . . . . . ... . . .`Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �. .�. . . .Date Of Permit. ,fl M J.Q .1. . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final ticate.NF_4�7 . . Fee Submitted: $. . ._ . _ . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Y. . . . . . . . . . . . . . . . . . . . . . . . GC003 APPLICANT c0 aa-7g7-7 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8033221 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date MARCH 20,200'1 H 070900 Application No. on fele 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 ANDREW C. FOHRKOLB, 670 HOLDEN AVENUE, CUTCHOGUE. N`'i in the following location; D Basement E; Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on MARCH 15,2001 and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCIIN4 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 SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT.7H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METERNO.OF CC COND. A.W.G. A.W.G. AW.G. AMT. AMP. TYPE EQUIP. 1/41Y 1/JW J/JW J/4W PER• OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OFNEUTRAL OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated. " "No obvious unsatisfactory condition was found. ANDREW C. FOHRKOLB l_., P. 0. BOX 645 MATTITUCK, NY, 11952 GENERAL MANAGER Per This cera flcate 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. 04/18/2001 15:07 6317275524 PAGE 01 HELEN J. ROSENBLUM ATTORNEY AND COUNSELOR AT LAW 1287 EAST MAIN STREET RIVERHEAD,NEW YORK 11901 (631) 727-1010 FACSIMILE: (631) 727-5524 E-MAIL: elilaw(ftarthlink.net 54635 MAIN ROAD Foal OIBce Box 14" SOUTHOLD.NEW YORK 11971 (63t)765-5252 p FAGSMM:(631)765.5969 April 18, 2001 E-UML:aW&wZearWk&t ee Via Facsimile and Regular Mail Southold Town Building Department Town Hall Main Road Southold,New York 11971 Attention: Gary Fish Re: Premises 670 Holden Avenue, Cutchogue,NY SCTM# 1000-110-5-20 Andrew Fohrkolb Dear Gary: Since we last spoke,it is my understanding that all parties have come to an agreement in that the boundary line which is further into the Fohrkolb property, i.e.,the one that does not involve the shed, will be the official line. In furtherance of that understanding, I am enclosing a copy of the amended description that the purchasers' title company has requested we use. This being the case, there should be no further issue concerning the shed and hopefully no further impediment to the issuance of the certificate of pre-existing use. Please let me know if there are any other issues that need to be resolved on your end. I believe you have a copy of the most recent survey with the two boundary lines shown but only the correct one having metes and bounds. If you need an original,I will certainly get you one-am not sure if I have it at this point. The closing has again been adjourned, this time with my client picking up the cost of the adjournment and the second extension of the mortgage commitment. It appears that the one remaining issue is the certificate of pre-existing use. Thank you so much for the courtesies you have extended thus far. They are very much appreciated. Sincerely, Q HELEN J. ROSENBLUM HJF<. Enclosure cc: Gary Flanner Olsen, Esq. w/enc. Deborah Doty,Esq. w/enc. Rocco Iacoviello, Esq., w/enc. Andrew Fohrkolb,w/enc. t v wiv yr LOvu i rim t3UILDI U I kXM11 AePLICA ION CHECKL15' BUILDING DEP AR NTanD3 1Do you have or need the following,before, Y g, ore applying TOWN HALL O HOLD NY 119 1• Board of Health a' 3 sets of Building Plans TEL: 765-1802 't0,:�.--`�.,..:�,.....�•...;._..-:, Survey PERMIT NO. `� �L� iZ-- Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 6VI Contact: Approved 204 Mail to: �� Disapproved a/c Phone: Building Inspect AP ICATION FOR BUILDING PERMIT Date � — l 3 , 20 th 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 ori•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 a Certificate of Occupan is issued 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.' (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician, plumber or builder 0Lol l E_ Name of owner of premises f� NA D E W (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: 070 OL-p1J-H AUL AUT-e- �4O House Number Street Hawlbtw° ` � Y`" J`'Ww 7 County Tax Map No. 1000 Section l Block D � Lot 2 D ,r Subdivision Filed Map No. Lot (Name) -• 0-11r b 1411116 uac auu uucupaticy of premises ntended use and occupancy of proposed construction: a. Existing use and occupancy rap G� b. Intended use and occupancy i. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 1. Estimated Cost i' ©��, U Fee (Description) e paid on ng If dwelling, number of dwelling units �' Number of dwelling( units on each flloioor this application) If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. 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 Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front Rear Depth 0. Date of Purchase g "�— 7 � Name of Former Owner IL—' ef-- I4j:)Iq 40 TT 1. Zone or use district in which premises are situated r 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded � Will excess fill be removed from premises: YES O -,gAA0 e 6, .o 4. Names of Owner of remises_ Gor/i2i; ,� �o y 1' Address G rc yog&*:n_ Phone No._Z2 V-2 g 89' Name of ArchitectlhM 6 p Gce-- ��,y ��, Address_/YI�7'77T1�G Phone Nod'9$ ��0 Name of Contractor � Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, OUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK). c SS: 'OUNTY OF, L rl ` hr b 10 being duly sworn, deposes and says that(s)he is the applicant (Name�of individual signing contract)above named, i)He is the (Contractor, Agent, Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. worn to b fore me this 3 day of 20 .&— rn Notary Public Signature of Applicant YNDA BOH NOTARY P BLIC See of Vow ybtk No.01 B06020932 Qualified in Suffolk County Term Expires March 8,20W y A r-- aCcuPANcY OR ? USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ��I1 Pos'f� 0" cr,Wctxcc Ft6s 3' RE.ww G 2 x)o caA UNDERWRITERS CERTIFICATE O�sTs REQUIREa , E .raft' ' °' SA, x to AP RO AS NOTED ao I pA 3 B.P. I '` So+stS T=ar, Zx do NOTIFY BUILDING RTMENT AT r± 6Q l.� t3ous6� 765-1802 9 AM TO 4 PM FOR THE _ Tn •,Lta6r.R. 'Ta WaJse� FOLLOWING INSPECTIONS: — - 1. FOUNDATION - TWO REQUIRED N { �'-d of FORPOURED CONCFETE 2-Zxtp 6 2 ROUGH - FRAMING & PLUMBING +iu2 Typ Foe w NOONAXs 3 o 14!- 2 INSULATION Da�O�s 4 FINAL - CONSTRUCTION MUST j 69 x i STS n1 Poe-c- BE COMPLETE FOR C.O. �q� dPE,N� To ALL CONSTRUCTION SHALL MEET G.»Iiv4(, —THE REQUIREMENTS OF THE N.Y. i I -- 7 STATE CONSTRUCTION & ENERG CODES. NOT RESPONSIBLE FOR D2 2- 6'r I DESIGN OR CONSTRUCTION ERROR 'p 'Zx4 �HC c��rv�.crS �` POST i pest- � ' W ALU Ex 1S'TI NG% � j ..Q . S%DNP ( cx� 9~ oac,�y +c.A.�s