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HomeMy WebLinkAbout26513-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27415 Date: 11/21/00 THIS CERTIFIES that the building ALTERATION Location of Property: 1005 MASON DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 5 Lot 36 Sut~livision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 10, 2000 pursu=~nt to which Building Permlit No. 26513-Z dated MAY 22r 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" & AS PER CERTIFICATION OF JOHN J. CONDON~ PROFESSIONAL ENGINEER. The certificate is issued to KENNETH & CAROL SCHNEIDER (OWNER) of the aforesaid building. SUFFOLK COUIFISf DEPARTMENT OF P~ALTH APPROV/LL RLRL~fRICAL CERTIFICATE NO. PLUMBERS CERTIFI(L~TION DATED N/A N/A N/A /Ayorized 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. 26513 Z Date MAY 22f 2000 Permission is for : hereby granted to: KENNETH SCHNEIDER 48 E LIGHTHOUSE WALK KISMETfNY 11706 AN ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1005 MASON DR County Tax Map No. 473889 Section 104 pursuant to application dated MARCH Building Inspector. CUTCHOGUE Block 0005 Lot No. 036 10~ 2000 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765~1802 November 14, 2000 Richard F. Lark, Atty. P.O. Box 973 Cutchogue, NY 11935 RE: Schneider, 1005 Mason Drive, To Whom This May Concern: We because Cutchogue. are unable to complete your Certificate of Occupancy of the following reasons: XX Aia application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No ~lumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 26513-Z Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. Thank you for FIELD INSPECTION REPORT DATE COM~fENTS FOUNDATION (IST) Il ii FOUNDATION (2ND) II II ROUO, FR~ & II INS~TION PER N.Y. II ii STA~ E~R~ CODE ~DITIO C~S: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. :~...~.~:g.3, .............. Date ......................... ~.~.¢~.,~.~...~;~,...., 19.6,~... THIS CERTIFIES that the building located at ,~J,l~OZL.DIC~.~.,...~.L1~CtcJ.g..e. ................ Street Map No ...... ~ ......... Block No ....... ~ ........ Lot No ............... ~: .............................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................ Ma~...1.?, ....................... , 19.~5.. pursuant to which Building Permit No ....... ~.7~.Q~' dated ................J~'...~] .........................., 19....~..5.., 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 ........ addition to dwellin~ The certificate is issued to J. os.~ph..~ee, rkoski...f~r..Jos.~ph...C.r.gw~.~. ............................... (owner, lessee or tenant) of the aforesaid building. NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES thct the building located at ...~...~...~..O..~.....~.~..~..~...~.~....~.~.tto...~..O..~....l~....... Street Map No..W..t......)~...~...O..~..... Block No. **e Lot No. e'~e conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... ,~.o.?...e..~...~.~.,~.....~. ...... , 19....~...~., pursuant to which Building Permit No..~..,..~.,O.,,~. .............. doted ..................... .~...o..~..e...~....~:~...~....~. ......... 19...~...~., 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 ................ ....................................................... ~.t:t ,u"V ,¢.'L'~...0. t~.. ~AI, U;~'X'.. ~ltL~.:T,b ;U~I'..~ ......................................... This certificate is issued to .,~..9?...e.~..~.....~.,'....~..°..¥.]:,~....°....'~...e..~ .......................................................... (owner, lessee or tenant) of the aforesaid building. HOWARD M. $C/d,g: 1 ~=20' PRgP,~tF, D FOR $[IFFOI. K CY?ONTF, Ngig YORK PRO~ 114 HR. FIRE f~,TED SEI:~U~,AT'K)N TO PART. 717.3 &~ STATE B~ ~~PRI)'JI~I) ~ N011~!) · ROUGH - FRAQIH~ ~ PLUWBIN~ ( FINAL CONSTRUCTION MUST BE COMP~ FOR C,O. ~ CONSTRUCTION SHALL MEET ~E REQUIREMENTS OF THE N,Y. ETATE CONSTRUCTION & ENERGY COOES. NOT RESPONSIBLE FOR DESIGN OR CONSTR~TION ~ORS ~)_~y. ~/,~ I. FOUNDATION - TWO REQI FOR POUREO CONCRETE P- ROUGH - FRAMING & PLUMBING 3~ INSULATION 4~ FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.G. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. .F[-..OOf~__ STATE CONSTRUCTION & ENERGY ~ CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] I~ATION [ ~INAL [ ] FIREPLACE & CHIMNEY REMARKS: (~~ C~',) ~rDATE t///3/0-0 INSPECTOR Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN ~ALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 butlding~ industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible ~or 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 Vpre-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-extstinM Buildin~ - $100.00 3, Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00 February 28 2000 Date .,... ......... ,' ............ . .... . ........ As Built Renovation New Construction ........... Old Or Pre-existing Building ................. 1005 Mason Driv~ Cutchogue Location of Property ......................................................................... House No. Street Hamlet Onwer Owners of Property Joseph A. Crowley County~Tax Map No 1000. ~e ................ Block.,0.5.:.0.0. .Lot 036.000 - ,~n 104.00 ............................... Subdivision .................................. ~ .Filed Map ............ Lot ...................... Permit No~.f~3.-~.. .... Date. Of Permit. _~//~/0~. , ~. Estate of Jos.e.p.h...A:..C.r.o.w.l~ .............. app£1cant ................. Health Dept. Approval.' .... .N/.A, ................. Underwriters Approval .... .N/~ ................. Planning Board Approval....N./.A. ................. Request for: Temporary Certificate ......... Final Certicate. X APPLICANT ~/ Estate of Joseph A. Crowley ~L. ~7 BY: Richard F. Lark, agent attorney 15 ! l, .............. ~ $OUTHOLD, N.V. 11971 -r~. ' ,,-, TEL.: 765-1802 Examined . ,,.. Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL APPLICATION FOR BUILDING PERMIT SEPTIC FORH ............. CALL .... HAIL TO: · · · · Date .F.e. lpt:lx.a,~:y. 2.8,. .... >Ill. gO INSTRUCTIONS a. Tl~s application must be completely filled in by typewrlter 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 Bufldh~g Permit to the applicant. Such permit shag 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 insp..o)~ioj~. -- k~l,,nature oI appucanL or name, ira corporanonj Estate of Joseph A. Crowley (Ma/ling address of applicant) State wh~ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · Agent ..... Name of owner of premises -Estate of Joseph A. Crowley (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · Builder's License No... N/A Plumber's License No. N/A Electrician's License No. N/A Other Trade's License No..N./..A ................. I. Location of land on which proposed work will be done .................. . ................................ 1005 Mason Drive Cutchogue House Number Street Hamlet County Tax blap No. I000 Section .. 104 5 36 .......... : ...... Block .................. Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1 Family Residence b Intended use and occupancy 1 Family Residence 3. Nature of work.(check which applicable): New Building .......... Addition .......... Alteration :... :,. Repair .............. Removal .............. Demolition .............. Other Work ., .X ......... As Built Renovation . t. (Desc~ptloi 4. Estimated Cost ,04 Fee ................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units., .1 ............ Number of dwelling units on each floor.. If garage number of cars .. l 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................. ?. Dimensions of existing structures, if any: Front...4,0..$~F ....... Rear . :~b..f.t. ....... Depth ............ Height ............... Number of Stories ....1 ..................................... . ..... · ....... Dimensions of same structure with alterations or additions: Front " ........ Rear ............... Depth ...................... Height ...................... Number of Stories ............ , 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............ Height ............... Num her of Stories ...................................................... 9. Size of lot: Front ...................... Rear ...................... Depth .................... I0. Date of Purchase ... 5/3./.5"l ......... · ......... Name of Former Owner ~9.s.e.p.h.. ~.-..GrOWX~Y ....... 1 I. Zone or use district in which premises are situated...1~4 O .......................................... - · · 12 Does proposed construction violate any zoning law ordinance or regulation: No 13. WilI lot be regraded ....N.q ...................... Will excess fill be removed from premises: Yes t4. Name of OwnerofpremisesESt.........-J°sep.h.. ....A' .C?.qv~d~ffess ................... 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, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fro property lines, Give street and block number or desc~/ption according to deed, and show street names and indicate wheth interior or corner lot. See attached survey. See attached Certificate of Occupancy No. See attached Certificate q~ Occupancy No. Z 486, dated 12/30/59. Z 2203, dated 11/23/65. .See attached Qopy of Town of Southold Property Record Card. Decedent, Joseph A. Crowiey, in or about 1970 constructed a mudroom in the ga~rage area with a bathroom as shown on the attached survey. STATE OF NEW YORK, COUNTY ....... S.S Richard F. Lark being duly sworn, deposes and says tlxat he is the applicar (Name of individual signing contract) above named. He isthe Agent Attorney for t.he E. state of Joseph A. Crowley (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 th ~pplication; that all statements contained in this application are true to the best of his 'knowledge and belief; and that .york will be performed in the manner set forth in the applicatioq flied therewith. ~worn to before me this 28th Feb. ruary. ........................ day of ................... ~..2000 4otary Public, . .... . .................... County 'll~l~ (Signature of applican ~I~a~N*~¥~ Richard F. Lark CONSENT TO INSPECTION Estate of Josepl~ A. Crowley, .... , th~ undersigned, Owner(~) Name(~) do(es) hereby state: That the undersigned (is) (~E~) th~) for estate o[the premises in hhe Town of Southold located at 1005 Mason Drive, Cu,tchogue, New York ...... which is shown and designated on the Suffolk County tax map as District 1000, Section ,104 , Block 5 , Lot 3,6 That the undersigned (has) (~) filed, 'or caused to be filed, au applica- tion in the Southold Town Building Inspector's Office for the following: ~ Building Permit and a 'Certificate of Occupancy for an "as built renovation" for interior mud room and bathroom That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, inel,udin~ any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to ~he aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and reKulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so w~th 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 %he Town of Southold. Dated: February 28, 200.0 Estate of Joseph A. Crowley Richard F. Lark, attorney (print name) (sifnature) (print name)