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Home My WebLink About26801-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27355 Date: 10/17/00 THIS CERTIFIES that the building ADDITION Location of Property: 3700 WUNNEWETA RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 14 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26, 2000 pursuant to which Building Permit No. 26801-Z dated SEPTEMBER 28, 2000 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" . The certificate is issued to JOSEPH & PATRICIA GERGYES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A A thorized Signature Rev. 1/81 � X 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. 26801 Z Date SEPTEMBER 28, 2000 Permission is hereby granted to: JOSEPH & PATRICIA GERGYES 1575 PINE NECK ROAD SOUTHOLD,NY 11971 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. at premises located at 3700 WUNNEWETA RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0014 Lot No. 020 pursuant to application dated JULY 26, 2000 and approved by the Building Inspector. Fee $ 75 .00 Authors ed Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD ��10//�� 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 (pri.or 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 - _ .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . ,_ D ... . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . Old Or Pre-existing Building. . , , 6� Location of Property. . . . . . . . . . . . . �. t. ... . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . .&. Klev . . O G b f r . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . ... . County Tax Map No 1000, Section. . .(.1.1 . . . . . . .Block. . . . I. $. . . . . . . .Lot. . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for.: Temporary Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -�_a . . . . . . . . . . . ... . . . . . . . . APPLIC Ca t7t__� 3ss (40 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [;- 71NAL S ION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: C2��, Li2. DATE 10)031&0 INSPECTOR /)L u u ro --------i' it DC UNDAT ION { I%SST) ii II � Ln II II "-- ------ - -- - - C W UNDATION (2ND) e m t u u i— UGH FRAME �� n PLUt B I NG II II I I II II H SULATION PER N. Y. STATE ENERGY CODE ii ri 7) U u-tet u u ri u --1 FINAL if - A N — ADDITIONAL COMMENTS: r- �Hd H c' O z � r r� b t BOARD OF HEALTH . . . . . . . . . . . . ,v FORM NO. 1 3 SETS OFPLANS . . . . . . �{ OVA TOWN OF SOUTHOLD SURVEY . - . • . . • • . . • Ulr . BUILDING DEPARTMENT CHECK . .. . . . . .. . . . . . . . .. . . . . . . . D TOWN HALL SEPTIC FORM . SOUTHOLD, N.Y. 11971 DEC ....... . ...... .. .... .. . . .. . `06 "' TEL: 765-1802 TRUSTEES . .. .. . . .... . ..... .. ... I NOTIFY: CALL . . . . . . . . . . / . . . . . . . Examined..9,1Z ......... 20.00 MAIL TO: .6^7.4-?.^1 . . . . . . Approved.....9[.Z 1......., 2-4fj�;, Permit No. 0 .................................... .. .......... Disapproveda/c .................................. ................................... ...................................................... ................ • `.�. � (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . .. . . . . . . . . . .. 20. . . . e OF SOU f" INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 application. 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 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 HEEMBY 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 buil r s in 9 S. • ' .. . • ' • • (Signature of applicant, or , ifacorporation) (Mailing address of applicant) State whether applicant is owner, lessee, age , architect, engineer, general contractor, electrician, plumber or builder .....................................`......__..//....... ....,./........................................................ Name of owner of premises ......A. 4.V�v... �!�!J YS .. ................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. +� ......................................................... (Name and title of corporate officer) BuildersLicense No. ......................... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. House Number Street Hamlet County Tax Map No. 1000 Section �.�. .... Block ..1.. ......... Lot ....2.I?....... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... . '!!G .-..f y C.� .. �J�(_.`,.................... b. Intended use and occupancy ............................................................................. t � y ' ,a 3. Miture of work (check which applicable): New Building .......... .. Alteration Repair ............ Removal ............. Demolition .......... tlner iJo ..��e.(.��Z!�!: ?...�F,e.�.. (Description) 4. Estimated Cost fee ...... ........ ...................... (to be paid on filing this application) 5. If dwelling, mixer of dwelling units ............ Number of dwelling units on each floor ................ Ifgarage, 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..5�.�.. .f�Rear 5,,,,,,,,,,,, Depth ................. Height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear . Depth .................... Height .................... Number of Stories ............... .............. r 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 ........................................ If. Zone or use district in which premises are situated ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO 14. Names of Owner of premises ........................... Address .............................. Phone No. ...-/ & Name of Architect .................................... Address .............................. Phone No. ............ Name of Contractor .................................... Address ...............................Phone No. ............ 15. Is this property within 300 feet of a tidal wetland? * YES .......... No .......... *IF YES, SOUI1)CQHD IUM TIMMS PMffT MAY BE REQ M). PLOT DIAGRAM 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. SPKIr OR MW YORK, SS CWNIY OF ....................... ........ � .Z.............being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above vaned, Ile is the .................!U.C,&.L.T.1�C 7. ....................'.......... (Contractor, agent, corporate officer, etc.) .•••.. of said owner or owners, and is duly authorized to perform or have perfotmed the said work and to nuke 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 -�-�G� ... :V.........day of U ....... 20, Notary Public ... .. LINDA J.COOPER •(Signature of Applicant) •.• .. Notary Public,State of New York No.4822563,Suffolk County Term Expires December 3 1, �� BUIIDINGPEITITIIYIECHECKII'S-') I� Applicant/ ,-II ��`` Date / Owners Name: C l't O+ �JC 11 X4�� v\ Reviewed: Architect/ Date Engineer: _ Submitted: surm P: District: 1.000 Section: [flock: l Lot: 2 Project -1 n j Subdivision Location: 9 10 �Llilne�r�e 1� Name: Single separate Required i — — -- -- certification- (Yes/ No) _ L� Req —71 � /-onuig District /n` 40 11,01 size Actual 84 39 S' 1/(I of coverage % Proposed Req � Req. /�/ / Req. / [Front Yard � Proposed/_�— J (Side Yard ,7 Proposed: �3 J [Rear Yard S6 Proposed �� J Project Description: tre- 0K/s7,;Ie AGENC3UERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes.: / Z—e � adf.te, Com- e- enj Aec r..�t tl.oarrT. JOB No. 99-60A TAX I D. No. 1000-111-14-200 ROADLINE IS AN IRREGULAR UNDEFINED CURVE AS PER 8128168 SURVEY BY VAN TUYL ' / a J! \ L CONC MON \\ Z / N T6 5200„E 123 50 � �F 6Ne33� \I ;u � / TIE UNE o 9402, I m DISTURBED CONC MON D C? I o u3 o II �A� m Im / 40 l / ^ 514TF PATIO / O 12, y G U / o CONIC MON / 44/ 1STF WELLI 100 RA,yI�STpNE o. O [3341 283 m 136 WOOD SH fp CONIC MON 'e WOOD PECK __ FNCLP 13”] 2N0 ST OVER pp0 40, POO POSEDINGRN OF NE O. J p 1Z 5 0lSTIN G.011AF � z,al ss r 1224 rt �O SE4050M J � O �y i N +1-125' n4 0 o�ti �O Rl h 47 1o•ELEVATION _ — a� ELEVATIONS IN USCGS DATUM _ FILE MAP No 156 8/16/22 M Or. CI ,m."metea,o• I"reeem.nmms eo="mam. Iy W000 BOAC mm.N•w ron sou eoowon i.w Z r l HOUSE n vm „men ,,,,,,,, SURVEY OF LOTS 231, 232, AND P/0 233 c.mnw amem.ue n.uon an.v,on oni u. mrwn"m rce i�9l ane"n ne oen.nmme rm•wmpam.Im•.ymry .no=ene,nv mau,won usw /3y + EE16w na,w"..namm...m"...mm.e"em°mmwmn",•"o••ge•"roMm,a AMENDED MAP OF NASSAU POINT I S86°09'30"W 10460' n„i•.mmu ea"m•nenm e..nnv m•pmueron.runxae e.n er•meo...e , •mu"a,w=mua. I.) n�. n•em.0 ro,aim."mn.Lnenn.,.en mmNASSAU POINT, TOWN OF SOUTHOLD WOOD BULKHEADI EDGE OF WATER mr•ep.=m=Damn+.ane">e•m u M *mne.s..u..m• HIGH WATER 12128198 emdon eee",am."nmmewwam.mme.•"•ruamnv,"mnnm• r SUFFOLK COUNTY, NEW YORK m•aamn=•anvnrm..-.n memrua.me"u or u=om,n anv,na.nwn au nog DATE. 12/20/99 SCALE: V=40' AREA APPROX 2 ACRES CERTI�OSEEPHHANDPATO: TRICIAGERGYES DESTIN G. GRAF SUBJECT TO RESTRICTIVE COVENANTS W UNNEW ETA POND LIBER 1171 PAGE 362 AND LIBER 1195 PAGE 7, GMAC MORTGAGE CORP. LAND SURVEYOR AND TELEPHONE AGREEMENT, LIBER 1000 PAGE 431 INTRACOASTAL ABSTRACT CO., INC. 73 WOODLAWN ROAD TITLE No.413-242 ROCKY POINT, NY. 11778 BY DESTIN G. GRAF N.Y.S. LIC No. 50067 (516)821-3442 Ce 0 I APPROVED AS NOTED lit- 'v Pc �.P , DATE: FEE: _2S BY ' NOTIFY BUILDING DEPARTMENT AT �3 765-1803 9 AM TO 4 PM FOR THE C FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED --- FOR POURED CONCRETE 2 ROUGH - FRAMING IN PLUMBING i �E tiles 3. INSULATION- 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. �. ALL CONSTRUCTION SHALL MEET `'` _ THE REQUIREMENTS OF THE N.Y. � `I u +�+ H STATE CONSTRUCTION & ENERGY pGS�' CODES. NOT RESPONSIBLE FOR fi?iaJfrl1 DESIGN OR CONSTRUCTION ERRORS `>*�� n � 'S N I QL { iL °p UNDERWRITERS CERTIFICATE REQUIRED - r _ DANry R - a I @LAWR S UN N -0 0 - CERT 9 .� ,hOPCUPANCY rfs D� M J& tTaAt P-OAV � G - - ---- � - -_sem Q 2O - oe� 4 C w jai sp r• � � q I I 1 M ( M t t ii tt a _ AJG = .fib ONl s �i5.=�S_F�1�.Ya.__�_= S-.ZZ-_ v o ��g 033 -t° ---___ .__..-- -- � i