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HomeMy WebLinkAbout26400-zFORM NO. 4 TOW/~ OF ~OUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27126 Date: 06/07/00 THIS CERTIFIES that the building DWELLING Location of Property: 315 SKUNK LA CUTCHOGUE (HOUSE NO.) (STREET) (HA/~LET) County Tax Map No. 473889 Section 85 Block 3 Lot 1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 2000 pursuant to which Building Permit No. 26400-Z dated MARCH 17, 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 ONE FAMILY DWELLING BUILT IN 1965 AS PER ENGINEER'S REPORT DATED MARCH 6t 2000 BY JOSEPH FISCHETTI. The certificate is issued to EDGAR & ARLENE MARVIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A ' ' ~J/u~hc zed Signature Rev. 1/81 FORM NO. 3 TOWN OF ~OUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26400 Z Date MARCH 17~ 2000 Permission is hereby granted to: EDGAR & ARLENE MARVIN NEW SUFFOLK~NY 11956 for : CONSTRUCTION OF SINGLE FAMILY DWELLING AS PER ENGINEER'S REPORT DATED 3/6/2000 BY JOSEPH FISCHETTI. THIS REPLACES BP #2737 at premises located at 315 SKUNK LA County Tax Map No. 473889 Section 085 pursuant to application dated MARCH Building Inspector. CUTCHOGUE Block 0003 Lot No. 001 14, 2000 and approved by the Fee $ 75.00 Autho i~_z~d Signature Rev. 2/19/98 ORIGINAL 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 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 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. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of O~cupa~cy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 ~ 5. Temporar.y~ertificate of Occupancy - Residential $15.00, Commercial $15.00 New Constructign ........... Old Or Pr~e-'existino Build4Jj ...... ~ .......................... ~oc~on o~ ~o~=y..~ .... ~ ............ ~..~.~...~.~. ..... ~ ..... house ~o. Street Hamlet ........... Onwer or'Ownars of Property ............ ~ ...................................... cou.~y ~a~ ~ No ~000 S~t~o~ ~ ~. ' Subdivision ~ ~ ' .............. Block.... .......... Lot ...................... Filed Map Lot Permit No .... ~.2~Date Of Pe~it.. ~9~ ' · .... ~,',~ .... Appxicant ................... tealth Dept Approval ' ' ......................... Underwriters Approval ......................... 'lanning Board Approval ........................ :equest for: Temporary Certificate ........... Final Certicate ~.f~.~ , .... . .... ~'. Arlene & Edgar Marvin P.O. Box 28 New Suffolk, NY 11956 LETTER OF AUTHORIZATION To Whom It May Concern: I, Arlene Marvin, authorize Thomas J. McCarthy and/or McCarthy Management, Inc., to act on our behalf in reference to our property. Sincerely, Arlene Marvin Property Owner HOBART ROAD / PO Box 616 PROFESSIONAL ENGINEER SOUTHOLD, NEWYORE1197! PHONE631- 765-2954 FAX 631 - 6~4-3516 Date: Re ~erence: March 6, 2000 315 Skunk Lane Building Inspector Town of Southold Main Road Southold, NY 11971 Dear Sir, I have inspected the home at 315 Skunk Lane, in Cutchogue on this date. The home is presently in sound condition. This home was factory built had complied with all building codes that were in effect at the time of original construction. , PE Box §ltl PROFESSIONAL ENGINEER SOUTHOLD, NEWYO~KH971 PHONE 631- 765 -2954 1:AX631-614-3516 Date: Reference: March 6, 2000 315 Skunk Lane Building Inspector Town of Southold Main Road Southold, NY 11971 Dear Sir, I have inspected the home at 315 Skunk Lane, in Cutchogue on this date. The home is presently in sound condition. This home was factory built had complied with all building codes that were in effect at the time of original construction. HOBART ROAD / PO Box 616 PROFESSIONAL ENGINEER SOUTHOLD, NEWYOBK11971 PHONE 631- 765-Z954 FAX 631 - §14-3516 Date: Reference: April 18, 2000 315 Skunk Lane Building Inspector Southold Town Main Road Southold, NY 11971 Dear Sir, The main girder and column supports in the basement of 31_ 5 Skunk Lane, Cutchogue, are adequate to safely support the structure. Joseph Fischetti, PE FIELD INSPECTION REPORT DATE .................................... . = COI~IEI~S FOUNDATION (lST) FOUNDATION (2ND) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE II II II II FINAL ~d)DITIONAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. ] INS~N FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]~ATION [ ] FRAMING [//]"FINAL [ ] FIREPLACE & CHIMNEY ~ ~REMARKS: ~ ~ _ ~. DATE INSPECTOR CONSENT TO INSPECTION do(es) hereby state: · the undersigned· That the undersigned (is) (are) the owner(s) ~of t,~e premises in the Town of Southold located at ~,~ 5 ~,~1K L~ d,~ OC t~ · which is shown and designated on the Suffolk County tax map as District 1000, Section ~%~', Block~__, Lot / 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: ¢ 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, ~rules and regulations of the Town of Southold. The undersigned, Sn 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. - ~ /~-iguatur~)- ~ (print name)' (signature) (print name) NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................. ,,, Approved ............... ~, ........................ , ]~ ...... ~ rm~o ................................ Disapproved alc ~.....~-...:-...~ ............ ...... .......... ........................ ................................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 propertymust 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 shqll be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used Jn whole or in pa rt 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 and regulations. ~ Adam V. goroski (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e.'lectrician, plumber or build-er. Ovn.? ............ .... Nome of owner of premises ...,,l~l,~a...~.o...Dc~.oskt, ............................................................. ~ .............................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ...... ~ ................. .......... Lot No: ...~ID[ ....... Street and Number .R/.~....Bl~...A.'j~.t....Cl~t~ho~.l~.e~....N~,.~.~ ................................ ....: ........................................ Murticipality 2. State existing use and occupancy of premises and intended use and occupancy, of! proposed construction: a. Existing use and occupancy ..... .~.~alilt,..'lal:ld ..................................................... ~ ............................................. b. Intended use and occupancy ........ f3lJl~...~lllll.J~...d.~i~l.l.1;[31~ ............................. ! .......... ~ ................................... Nature of work (check which lapplicable): New Building ...][j[~[ ...... Addition .................. Alteration .................. Repair .................... Removal 't .................. Demolition .................... Other Work (Describe) ...................................... 4~Estimated Cost . t/ .~.! ~' ~ ~., ,..~,, ........ Fee "$"J.~t~)~ ........ : ....... ;': ........ . ........... 1'"":"'"~ ................... · J ~l'o De paia on Tiling this appdcarion) 5. If dwelling, number of dwellin! units ...... ~ .............. Number of dwelling units on each floor ............................ f 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 ................................ R~:~r ................................ Depth .............................. Height, ........................ ......Number of Stories ........................................ 8.~ Dimensiog~ of entire new construction: Front ........... ~'~. ............ Rear ....... ;.....~.~. .......... Depth .....~J .................. Height ............................ Number of Stories ....0..~..~ .................. 9.6 Size of lot: Front ............ '?'~'"'i ...... Rear ........... C~.~. ............ Depth ......... ~.O..~./.~J ...... 10. Date of Purchase ...................! .................................... Name of Farmer Owner ...... I1. Zone or use district in which premises are situated ....... #11~#..~.~.~,,~.~. ............................................................. 12.~' Does proposed construction vi?late any zoning law, ordinance or regulation? ....... ~..~..~..~. .............................. Name of Architect ...................................................... Address ............................ , ................ Phone No ..................... ? Name of Contractor ..... .~..~.?~ .................................... Address ............................................ Phone No ..................... ~ PLOT DIAGRAM Locate clearly and distinctly al I buildings, whether existing or proposed, and nd cate a set-back d mens ohs from property lines. Give street and"bJockJnumbers or description according to deed, and show str.~et names and nd cate whether interior or corner lot STATE OF NEW YORK, ~ S.~. ~. COUNTY OF J~£~']t~ ............... .................. ~1,8~...~.~...1'~,,~,~,~. ....... I ......................... .......... being duly sworn, deposes and says,that 'he is the applicant (Name of ind~rc~u~'~JgningJapplicatlon) , . above named. He is the .............. O~i~,..~.,j~i~..i~G~i .................................................................. ;. ......................... J '. (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the sa d work and to' make and file th~s opphcat~on; that all statements cpntamed m th~s apphcat~on are true to the best of .h~s knowledge and belief; and that the work will be performed i~ the manner set forth in the application filed therewith. Sworn to before me this .~ , . .. ~' ' .' , . .................. ~,~a~y of ....'. ........... ~.~...~/ .............. , 19. ...... ,.,, 4 ..... .......