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Home My WebLink About26541-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27341 Date: 10/06/00 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 1030 WEST RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax flap Ito. 473889 Section 110 Block 5 Lot 46 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 2000 pursuant to which Building Permit No. 26541-Z dated JUNE 1, 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 ACCESSORY GARAGE IN REAR AS APPLIED FOR. The certificate in issued to WILLIAM A & RITA J MILLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMKNT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 10/04/00 PLUMBERS CERTIFICATION DATED N/A —�4' V- z� //,/Au 't razed 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. 26541 Z Date JUNE 1, 2000 Permission is hereby granted to: WILLIAM A & RITA J MILLER 14 WALLACE STREET ROCKVILLE CENTRE,NY 11570 for CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REAR YARD AREA AS APPLIED FOR. at premises located at 1030 WEST RD CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0005 Lot No. 046 pursuant to application dated MARCH 20, 2000 and approved by the Building Inspector. Fee $ 69 .40 Autho zed Sigifature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD �� o 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 o� 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 Certifi„ upancy is denied, the Building Inspector shall state the te,-e,for n p, iting to the applicant. C. Fee . 1. Certif� tt 8f uparrc - New dwelling $25.00, Additions to dwelling $25.00, Altera ons to dwejl�Lng $25.00, Swimming pool $25.00, Accessory building $25.00, Additions .to accessory uilding $25.00. Businesses $50.00. 2. Gertificate of Oc&u�a on Pre-existing Building - $100.00 3. depy-a€ Certificate of Occupancy - 25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 q Date . . . . . . 5:'. .. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . 1Q.3A . . . . . Fn) .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . House No. Street Hamlet Onwer or Owners of Property.. .W k.41r1 �.-KA. . . . .��:�r' Z. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . 11S4 . . . . . .Block. . . .�)� . . . . . . . .Lot. . .`t.b. . . . . . . . . . . . . . . . Subdivision.//.��.r. CUL . ., �. . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . .d . ?,1. . . . .Date Of Permit. . . �7:L . . . .Applicant. .) .(:A . . .M . . . . . . Health Dept. Approval. . . . .. . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. .. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . Fee Submitted: $. . . . . . .5}'. ... . . . . . . . . . . . . . . . . RQ'c. _5856j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . co � a� 3q) APPLIC Nt ART S�P�gt. 65 Zp 1 l'n o o � Z O �9 r° y " 2 I ypt G 5 40 Z J _ 'o Qo SS 5000Av 5 52Zgp n0 `NEC` �` SURVEY FOR LOUISE GOVERNALI AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000- 110- 05- 46 Scale: I"= 80' April 5,1994 JV LO N� 1�.'tb Ipe16 OQQ' Op NEW O Prepared in accordance with the minimum n %B/ � N.Y.S. LIC. N0. 49618 standards for title surveys as established ` bythe L.I.A.L.S, and approved and adopted PECONIC SUPVEYORS, P.C. lar such use by The Now York Slate Land 15161 765 - 5020 Title Association. P. 0. BOX 909 MAIN ROAD - SOUTNOLD, N.Y. 11971 QA _ 1A? t4lof2 A. PEWP'li N b 22 Q0. N 650 00 S /jam tT O O Z (n O �• A M n pp ti w�cK 19� Q 40 G f °0° PO h° RD VVEgT SURVEY FOR LOUISE GOVERNALI A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNT I; N. Y. 1000- 110- 05- 46 Scale: 1"= 30' April 5,1994 eo LANv 7U \y 0 * 4 -91�;.�•40916 Q't' OFMEN /O Prepared in accordance with the minimum S�7Tn dal .,- N.Y.S. LIC. NO. 49618 standards for title surveys as established by the L.I.A.L.S, and approved and adopted PECONIC SURVEYORS, P.C. for such use by The New York Slate Land (516) 765 - 5020 Title Association. P. 0. BOX 909 MAIN ROAD - SOUTHOLD, N.-Y. ?1971 94 - 143 th Wall Elevation for 1030 West Rd mmumffmUD OCCUPANCY OR � � eNPROMa$No USE IS UNLAWFUL F �BY. WITHOUT CERTIFICATE SULATION NOTIFY BUIL G D PAR EN AT OF OCCUPANCY 765-1802 9 AMT 4 PM FOR THE FOLLOWING INSP EONS: 7S y26 1. FOUNDAT REQUIRED 26 , FOR P ED CONCR j� 2 R H - FRAMING & PL BING 4. FINAL CONSTRUCTION MUS \ o BE COMPLETE FOR C.O. �/ c6 i ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FAR i \ DESIGN OR CONSTRUCTION ERRORS ` o o I 0 0 0 0 � o o � I 3.00 '- 400 - 4.00 3.00 4.00 1.00 3.00 ; 3.00 24.00 --- -- — Ro3 �� — itis � 4�7i k►whv�' S�hl.(.iv� 1 M9 t nc�ia 1 wand SoFf"' - — gu .,( u- i 1 l. -r \bN i v-3o w e Forte, Ght kC.E East Wall Elevation for 1030 West Rd. Garage —�I �--2.00 —2.00 F- ; --TI , 0 0 -- 10.00 8.00 6.00 co ; I o ri ^—`} CD 0 � 0 0 CD 4.00 3.00 3.00> ' 3.00: 4.00 I -- 5.50 - . -- 5.50 - West Wall Elevation for 1030 West Rd . Garage 2.00 -2.00 6.00 J 8.00 10.00 J> ------------ i II O O i O i ! i `F O � O O O 2.00 3.00; --- 8.00 - 8.00 --- - 2.00 --- -- 28.00 28.00 8.00 �20 71- 0 O C6 '=2.00 — 1 2.00 3.00 o W co S N Floor Plan O forO OO ---- - 1030 West Rd . N Garage O O C6 CD 3.00' 3.00 : 3.00' 4.00 I�': 5.50 — — 5.50 - 4.00 Elevation for North Wall of 1030 West Rd. Garage i CO Exterior Siding to be stained Cedar Plank T to match existing structure on property. Unfinished interior, electricity to be included. Electric garage door openers, Anderson windows, steel door and gutters to be included. - 24.00 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( ] FIREPLACE & CHIMNEY REMARKS: CTl� DATE 7 �l� dv INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE < INSPECTOR P c)�51 0 a13�1 THE NEIN YORK BOARD OF FIRE UNDERWRITERS PACE 1 F BUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 17,2000 Application No. on fele 11082900/00 N 539665 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 WILLIAM MILLER, 1030 WEST ROAD, CUTCHOGUE, NY in the following location; ❑ Basement ❑ ist Fl. ❑ 2nd Fl. GAR Section Block Lot was examined on OCTOBER 04,20M and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES I COOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS r OUTLETS I INCANOESCENi FWORESCENT I OTHER I AMT. I K.W. I AMT. j K.W. AMT. I K.W. IT. I K.W. V 4 7 3 4 E DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS X.F'. AM. NO. A.W.G. AMT. AMP. AMi. AMPS. TRANS. pMi. X.P. SYSTEMS AMT. WATTS P NO.OF FEET 6 SERVICE DISCONNECT MtT�k S E R V I C E AM. AMP. TYPE EQUIP. 1 0 2W11 0 3W S 0 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. PER 0 OF CC.COMO. OF HI-LEG OF NEUTRAL OTHER APPARATUS: Rr.SLAK ELECTRIC LIC43677 (OG,.c„a-.._.. L L P,O.BOX 164 C-OTCHOGUE, NY, 11935-2453 GENERAL MANAGER Per This certificate must not be altered in any,manner; return to the office of the Board it Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTMrr) IN ANV unn�ni= + ti vi-s PrGPR ' N N 650°° \ N mo0' a N lP Q Z O T ��31 L o. Vi K tom C GN Z a O N � INN �u ZoG 40� N `s CL s, o" {� ZZ.k°. W• 5°°° 6 PO 5. 5 R� SURVEY FOR �ES WILLIAM MILLER AND RITA MILLER A T CUT(:HOGUE TOWN OF SOUTHOLD SUFFVW - COU5NT4Ya, N. Y. K Scale: 1"= 30' ?- April 5, 1994 SEPT. 220 2000 (garage local/on 1 AREA = 9998 sq. tt. �P�E Of NEIy J, ANY ALTERATION OR ADDITION TO SURVEY IS A VIOLATION I. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, o EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CER TFICATIONS � Tw. � HEREON ARE VALO FOR TINS MAP AND COPES THEREOF ONLY IF //• W O MAP 8 O ES BEARRS� S'ED SEAL OF TME SURVEYOR y` LIC. NO. 496/8 ADDU LLY TO COMPLY WITH SAD LAW THE TERM ALTERED 9Y-P ,C IC 1t�VE � P.C. OF A T!#RSSl RVEYORS MMAP iT~�AS 7AWE TEDo>AY (P6 -4�5 J (631) 765 - 1797 ND vm r - TO - DATE'ARE NOT*V COMPLIANCE WITH THE LAW, 1230 REST SOUTHOL , Y. 11971 94 - 143 • BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . .. TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . .��. �� Examined. . ........ MAIL TO: . . . . . . . . . . . . . . . . . . . Approved... .gZZ?....., X?� Permit No. ................................. Disapproved /c .................................. ................................. ...................................................... ' 7-,c/ (Building I❑nsp�c. � tor) APPLICATION FOR BUILDING PERMIT aft O� Date. . . .:-. . . . . . . . , 19. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be commneed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sucl permit shall be kept on the promises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for ary purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICN IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the TWn of Southold, Suffolk County, New York, and other applicable Laws, Ordinancesor 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*appliant, e, housing code, and regulations, and to admit authorized inspectors on premises and in building forpections. (Signature or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil, Nam of owner of premises ........Ln�r ... '�?. j. ... .LJ�D ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) .�1 Builders License No. .... �M)3. 5 ... )WG MC13Ct-'EFK- Plumbers License No. .........N L ......... Electricians License No. .....L":Y� �• -��- Other Trade's License No. .................... 1. location of land on which proposed work will be done............................................................. ..............�� 0 4.i ? 1�...A....CV YCI�o .... .:. ....... ..... ....................................... House Number Street Hamlet County Tax Map No. 1000 Section ...... ...... Block ......Q•5...... Iot ..1:16......... Subdivision ......F2.1 �S1_m.. ............ 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 ......... IQ�Cr,�. ... \�M ......?.ly��.'............................... ^!: i E•tWTNMR�,H T-, ,ii..f3 ml . Z;pY,;�,. { b. Intended use and occupancy ................................... . a.�q-•;aG'' '�:. i'�S'. ?�'. .......... .._OS.6 anu4 tar�yx�nmol' r " 3. Nature of Murk (check mdhidh applicable): New IkAlding ..>t�.... Addition .......... Alteration .......... Repair ............ Removal ............. DEnolition ............ Other Work ...............:................... (Description) 4. Estimated Costfee ........ ...................................... oto be paid on filing this application) 5. If dwelling, amber of dwelling units ............ Ninber of dwelling units on each floor ......... Ifgarage, cumber of cars ........!?1:.......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front....�k1.3....... Rear ... ...... Depth ...�?�.4. lleigbt ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Ileijjht ........L........... Nnber of Stories ............... 8. Dimensions of entirenewconstruction: Front .... `....... Rear ...ZS-;- ...... Depth .....�V.�.l. .... Height .......... ............. Number of Stories ........k............ 9. Size of lot: Front .........C..M........ Rear .................... Depth ...... ......... 10. Date of Purchase ..................... Name of Former Owner .....APN g2 tJ 6..................... II. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ......�6fn.............. 13. Will lot be regraded .......t`. ........ Will excess fill be removed from premises: 6P FD 14. Names of owner of premises Address .............................. Phone No. ........... Naeof Architect ........................�..1....�....... Address .............................. Phone No. ........... Nae of Contractor ...Db ... Address .?.4.&AX..W.�r...�l. '..Poon No. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO/K..... *IF YES, SOLME D 'TOWN TIaJSIMS PERMIT MAY BE REQUIRED. _ PLOT DIAGRAM Locate clearly and distinctly all buildings, u4iether existing or proposed, and indicate all set-back dimensions frau property lines. Give street and block rnarber or description according to deed, and show street nares and indicate rdrether interior or corner lot. SPAIE (F NSI Y(W, SS WORN OC ..... I�P.�c�{....� ......7)k1yG l-1 :.s4fl=N.................being duly sworn, deposes and says that he is Uhe applicant (Name of individual signing contract) above named, lieis Ole .............. .... ................................................................... (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 Lbat the work will be performer) in the manner set forth in the application filed therewith. Sworn Lo before me this .......Pt2-.A[:) ......day of W .....W-L.og?.P Notary Publi .......... / ?•l{�/ (Si torqofA licamt) ELIZABETH A STATHIS NOTARY PUBLIC,State of NCewYe04 LTi mTE p�iree3. 3 FIELD INSPECTION REPORT DATE �_------- COMMENTS • -------�----------------- ------- Ito r I II II — FOUNDATION OST) u FOUNDATION ___ 2ND) a --- ----------- -- - - -------- ----------- - - I ROUGH FRAME & PLUMBING -- if if Ilf--- U II �� INSULATION PER N. Y. STATE ENERGY CODE II if ax� xa>L;,aaaa - x.xxaxxxxeaxx=xxaxx=xx=xsaxx=xxxxxeeexxx=x I Illi U � H IIS �f FINAL ii aara=asxxxx--x=xxmxxxxaxrx�-aaxxaxxx ��exx=xxaxreaxssexsxxxaxxxxsxaaxaxssxxsaxx=ra=axaxx=x- _=====xxxaaxxxx=x________ ADDITIONAL coNMNTS: 7/1 1� --axx�x=xxrp=x=px p� I �o QK - _10 r� o z r ro - H 1_)__U —1.1�.I_� 1 Y1L l 1 a 1\1 -.I ,I I 1► Z.1 t .1 + t t L t-.■ .+ . L .� ; • ,�. Applicant/ w t 111 Cr t11 ►` �A-c^ �t `'� I MIC Owners Name Revtcwcd Architect/ I)atc Engineer: SCTM ll: L District: 000 Section 1��, Block Lot ro fj > ect �ubdtvitiion Location Sin;;le& separate Required certification (Yes/No)_ g _ t2cq Loninr,t)istnct �_ � (In(size wY Aoual QW ItA11 i ��uap,r �� iyin,ed Rey ., I Pcq AO / Req (Front Yaid _ _ Proposed _ I ISO, Yard lar,/ Pmtx)xd (Rcai Yaid /��- Pmp,)red Project Description: �•, _ __ U AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health DeP t. — / - New York State D. E. C. / Town Trustees Town Zoning Board approval: ToPlanning Board approval: Flo dPlane Elevation ??.2 Flood Zone: mew