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HomeMy WebLinkAbout25497-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26449 Date: 05/13/99 THIS CERTIFIES that the building ADDITION Location of Property: 12030 NEW SUFFOLK AVE CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 6 Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 11, 1998 pursuant to which Building Permit No. 25497-Z dated JANUARY 27, 1999 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. The certificate is issued to BARBARA BUTTERWORTH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building In ector 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. 25497 Z Date JANUARY 27, 1999 Permission is hereby granted to: BARBARA BUTTERWORTH PO BOX 60057 PALO ALTO,CA 94306 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. at premises located at 12030 NEW SUFFOLK AVE CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0006 Lot No. 010 . 001 pursuant to application dated DECEMBER it 1998 and approved by the Building Inspector. Fee $ 75 .00 Authori ed Signa re ORIGINAL Rev. 2/19/98 A ! Y Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1502 k, APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building / ector with the following: for new building or new use: JFinal 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 17, 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 e-existing" land uses: , 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 dwelling $25.00, Additions to dwelling $25.00, Alterations to dwellin $25.0 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 - .25p. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15,,,00, Commercial $15.00 Date . . . . / „/./. . . . . . . . . . . . . . .. . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Buildi g. X. . . . . . / Location of Property.. e?:d 30 . �.4u/ �„T7�• %�' �� �- +�&4 o*;V� 't House No. Street Hamlet Onwer or Owners of Property.. �.. . . . County Tax Map No 1000, Section. . . � . . .. ..Block. .. . . . . . . . . .. .Lot. . .�. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . .. .. . . . . Fi ed Map. . . . . . . . Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Datee Of Permit. /1� fl . .Applicant Aloe l Gl�ih r f. . . . . . . . . Health Dept. Approval. . . . . .^^e l� . . . . . . . .. . .Underwriters Approval. . .14-A, . . . . . . . . . . . . . Planning Board Approval. .,!.'!.//. . . .. . . . . . . . . Request for: Temporary ^Certificate. . . . . . . . . . . Final Certicate.X:. . . . . Fee Submitted: $. . . . . a. . . . . . . . . . . . . . . . . . A _ 4 !j� ` CN� 6 /Cp ll . . . .PLICANT. . . . . . . . . . . . . . . . . . . . . . .% y :r occuplANIcly OR USE IS UNLMNIFUL WITHOUT CER-1 IFICATE OF OCCUPANCY i f cr,-pff , s, 4 LP a S MOM AS NOTED ¢' 4 — ---- .y/��,� 7s ear: AT 76 IgM s ANA TO 4 PM FOR THE FO LJOWAINIGROWECTIONS: I- OLVIDATION • TWO REQUIRED POLgWDCONCRETE 2. • f#AI>>MIG & PLUMBING 4. FINAL - CONSTRUCTION MUST GQ__ Gfv- . -- -- ..... - _._. .. C 'J�G•Ci �y - COMPLETE FOR C.O. - - T __- -- -------__-- ----------_-..___ .-__ ... -A :CONSTRUCTION HAL M T f REQUIREMENTS OF THE WY.` STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS' e; '+� G�r•ec ��o� . �'{�_��-=y Lr.�''� E7-- ,gyp /fe �` � � r,�` eu.� ✓ -- _ 411 f , ( —__AL rola ice-!' 3�. ^FF u�tck ast ------------------ c!e-c a-r Town Tull Albert J.Itrupaki,President Gy 53095 Main Road James King,Viee,President P.O.Box 1179 Henry Smith of Southold,New York 11971. "Artie Foster p� �`tC Ken Poliwoda Telephone(516) 765-1502 �Q1 O Fax(516)765-1823 136 OF TOWN TRUSTEES" TOWN OF SOUTHOLD December 11, :i998 Noel Gaines 25425 Main Road Cutchogue NY 11935 , RE: Butterworth ,Residence SCTM "#116-6-10. 1 Deer.,Mr., Ga (tgs. The Southol& Town'-Board^ of Trustees reviewed -th'e survey dated and received °in our office on December 11, i998,e- anis determined " that your proposal to "construct a 10 ' X 33 .5' deck onto an ,existing house to be out of the Trustee Wetland' ,jurisdiction. However, any..,activity within 75 ' of the Wetland line_�requires a permitfrom this office,. This determination is, not a determination from' any other agency. if you have any . further �`questions, please do"not hesitate,,to call . , . r Sincerely, g. Albert J. Krupski',, Jr. President, Board of Trustees AJK/djh ' ' cc. Bldg. Dept. `A . ` 6 f 765-1802 BUILDING DEPT. 1SPECTION [VFNDATION IST [ ] ROUGH PLBG. DATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 64 DATE 4YFINSPECTOR s FIELD INSPECTION REPORT D COMMENTS aaassaaav=xaaaaaaaxaaaxxars saaaan amaax�==aaxx==xxxxsxaxaa------------axxxx=xx=xxaxxxaaaa FOUNDATION YND) FOUNDATION --------------------- II � N ROIIGH FRAME & PLUMBING N u � N x =:aasxx=a�=�maasa�x•-_----=.rte---_---_��—_-C-___=aaa=xx==x�====__—_--xaaasa2==x=x==========x- INSULATION PER N. Y. I�N STATE ENERGY u -q CODEIt `n A- q Atef -az II �p =asaa----axaaa=aaasaaaaaa� seas_--_=___a__G_aaaaa ax-_aaaaaxxxsaaaaxxama H r II p FINAL p�M =assasa=aaa----aa_aaaa=al�sa------s =r�--aria-� - sass:am�aaxaxs�aa a=saaaaaa_-a CC �i ADDITIONAL COMMENTS:4a a saaaaaaasxsaa-----sassaasataa a�axaa=aasasxaa_-xa axaaxa= aaaxxvaa=xaaaxxeaaa © �o J O 7 ro H UQARO OF 11EA011 ..... .... : .... . -TORN NO. 1 3 SETS OF• PLANS' ..... .. . ....... TOWN Or SOUTUOLO SURVEY ,..... ..,...,•:r;?. . ...... UUILDINO UEPAR•MENT CNECK .... ...• • • • • • ' TOWN IIALL SEPTIC TOM ... . .. • • • SPUT1i0LD, N.Y. 11971 NOTIFY% TEL: 765-1802 ®����h� CALL . !�7 NAII, TOsy�. X A1-4)rovt :. .. 19 .. ...... .✓ wsapp eo a/c ................... ............... • .................................♦ ..... Yoe ` h Inal)OC tor) t . " T DEC, Er,�—FS'iUfNCI 6 ppLICATION BOR W ILDING PEIMIT *Date.. � . . . . . BCDGINSTRUTONS , a. 'n)ls application oust be completely filled in by typewriter or in ink and submitted to tiffs ponding Inspector wt 3 seta of plans,.accurate plot plan to scale. Fee according Co ss'relatiocAllp to adjoining premises or ixd)lic b. plot plan slwwirg location of lot and of buildings on pr cl%ld) la part of strecA, or areas, and giving a detailed descriptio% of layout of property suet be drawn on file disgrem cilia aWlicatian. c. 'nce work covered by tide application may not Its cuspenced before issuance ld ngPermi Permit- Rte th applicant. Wd, d. Upon approval of tills application, the Building InapecCar wiltissusrlfuilding Permit to clap app permit shell be.kept on the premises available for inspection throug1 dmtever until a Certificate of e, tb building slmll be occupied or used in prole or in part for any purpose Occupancy si)all have been granted by Hie Duildigg Inspector. dlng Permit suant to tics APPl.ICNrEW IS DE .W MADe to the Wilding Department for the Ysuanceatd otiatrof a lappllcabls Iowa. Ordinances or isuilding Zane Ordinance of Che lbws of Southold. Suffolk County, 88 herein Regulations, for the construction of buildings, s,, adcliaionj or alterations ding coder demolition,or for rqwovsl or lhousiag cap. ° described. Ti)e applicant agrees to comply pp •mises and in building far emery insP� nstio . regtilations,Tand to admit authorized inspectors a% pre (Signature col. applicant, or nava, if a corparatian) �-IWAI� N WI,. a7"z-Z y ............... (Malliryi address of applicant) State wl)etl)er applicant is owner, lessee, /agent, ar tett, engineer. general contractor, electrician, plumber or bulltk JGI G/`Y ...... .... .:.. TDA' GGL/ //1 G/.......................................... .. Num of owner of premises .. ... . .....(as on Che tax toll or latest deed) if applicant is a corporation, signature of duly auttlOrixccl officer. (Nam aryl title of corporate officer) Vy V �- 3 0 3 v /�.Z' • lk)ilders License lio. ....d•.............. . Flutters License No. �. electricians License No. .......I...I.....I... Other Trad'e's License lb. ....,........................................... I. ictcaticxr of land on chid) proposed work w111 Wdcxne............ � v �..3.°.......Nom. { / ...`. .:::..:.... ... .. ....................... . .......... Street 1st ... house llniter gyp, k .lP........ Ulock. .... ......... Tot ....... ........ County Tax hal) NO- 1000 Section Sulxliviaion ...................................... Filed Map lb. ......lo..... lot ............... (Name) Of Premises and intended use and occupancy of proposed truct�ipon�s � � 2. State existing use and Occupancy,Of lL ll ®/�? /Ua`""C11r . a. B�cistirg•uea and occupancy ... ...... •..... ••. .rte ....�4......... .................... Tavloff *ody WP14 is a)sr?e;61it�l ELM................... b. Intended use and occupancy ................................. {rpgOSAz, .'n)F,,i iaeo w...,..,.m+..ik,grafin a"sais¢ri3 m%t.l' 4 , �• i. Neutra of wooi<,(dlodt Mildr a ilcabi )t Ekw Wilding ,..., ,,,, AoWition ,.�..., Alteration .•. ,,p_ � Itapnir 1larnvel , .....:.I... tkmolition .,lam...... Other rk .G�?�ac� ,R(gr, �Lf ?J c' (Tktscrlption) yl�r e,/ S zc LnCiunteticost .., .1.........:..... .. Fee ...r.......,................,.......,.,.. . , —lnd�ec (to be pald•oo filing tills application) Amlllnii, moillar of �ftlllng ./..... Amber of Belling units on and, floor �. lE hnital If garage, nlnbar of cera ......../0 ....•.••.............••. if loash,ess, commrclal or ndmf castsney, arealfy nature and extent of and, type of use...................... t. Ulmenaions of existing structures, If'anyt Front................. Rear .. {Allot, Ikett ......................... Mother of stories ...................... Itinenslorm of am atrlrctura with alterations or'additionet Front ............... Rear ............ Ikehth .................... lialgit .... N.nber of stories ......... ZIC 1, Diaenslone of entire new construction', Front ................ Rear ............... Depth ..... . .....�''� _AC, �t �o 1101jit .. ... .....,.,ar of Stories ..................... �- , Mal —�- 9. etas of lot;, Front . Rear ..........4......�b } � d' 4 I(1. Ikere of 1'u,rd,adte ..... .. .......�.•Nare of Vonmr (?.mer ..N �. ••••• •••„u��}�••• �'`' 11, Zone Ione oruse districtt,In %Aid% premisela are situated .........................:............................... .. ... i 2. F .......ction violate ,ry g ilranee or regulation: .. .....fJ........... .... ` 13. 11111 tot 1n regraded d r....... D Will excess fill be removed from premisest YES Np 14. Nares of Owner of premise ..........li.�................ k1fteae'.............................. 1110X9 NO. ........... Nam of Ard,ltecC .. ................ ........... . . Address •, 1 Gt fCtil2 phone No. ..... . / eI hS�rV��jo% Aokiree -r 1 Cut 7. e. 11,one No 3y- ao property q 5 More of Contractor ... .. ,s. to (Ida roe rtyxm an al fnet.of tidal wetland? * ms .......... Nu ..,....,.. * . im mirr MY M milRM. ~' PLOT nrAt1RAM locate clearly and distinctly all hulldirts, uhed)ar existing or proposed, and Indicate all set-back dimensions from property lines. diva street and b1 (runber or description according to deed, and sim street nares and indicate iketber interior or corner lot. W III V e- )N SCI-^CGhRN I V W :rA'nS tAr PJ�11 YfR� UAINIY W ........ .............. �/G •.•. ��% ...............Ix nrS,(Juiy sMrrn, dainses aril says that be In Ude sppl.i< ,nt, (Note of irxlivldunt signing contract) ilxwe molded, Ike In the ... ........... .............I............... (costract , ogentreorpornte officer„ etc.) of avid („oxer or aaxtrs, mxl is duly aulitor4ed to parfonn or hrtve perroraed the sold work aux► Co nnke and file this +yg)l lentim,; that all statements contained , n this application ore ten to U,e best of his knooledge nod WHO-' aixl that lite A)rk will be performed In llhe tmnt!r set forth in lite application filed therewith. .?ammo to before me title . ......�Wl> ......day o ..d 119 48.. , (SlgtmCmre of Appl.iannt) ROBERT 1.S � Ntatoiry Public,Stats )J�epvirrbdR pualiRed in 3 k county Na 01SC472808 'berm&Or**May 31,. . BUILDING PFRMIT RVV'I-r-- W CH�CI LIST Application Name: Architect/Engineer: SCTM#: District: 1.000 Section: �� Block: Lot: Subdivision Name: f_�' �_vb Req. ;j Req �'J� Zoning District:��4_�`'' [Lot size: �O�00 Proposed:/5 � ) [Lot coverage Proposed: RW Req. 30/ Req. (Front Yard Proposed: ) (Side Yard �— Proposed: j Rear Yard 5b Proposed: ,p b �3��) Project Description: (xL AGENCY PERMITS 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 999 A �L 8 Flood Zone: SM'e�' 11000• SURVEY OF PROPERTY ° g AT CUTCHOGUE I� T 0 WN OF S O UTHOLD pot 1 35 2 224 1� SUFFOLK COUNTY, N. Y. gtY fr � 03 - & CAR. sE f 000 — 116 — 06 — 10. 1 wa 52 3 ! SCALE: f " = 40' k M ']Pz H DECEMBER 1, f 998 J IX�cn d pip, plpt Sh 8 O Stan O c i . n i � l C,yF 0-4 AREA = 33, 899 sq. ft. to tie line s c nQ''et i ° ea wall plpE 40 N ti N Y.S LIC NO. 49618 w ANY ALTERATION OR ADDITIOV TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW 020 T A�CpN 9 tie -23, EXCEPT AS PER�'w� HEREON ARE bALSDCFOR THTION �� MAPADNDSCOPIES THEREDION 2. ALL �TONLA/IONS A 9 fcc SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR SOL, AVELN. STREET 98-3i Ay WHOSE SIGNATURE APPEARS'HEREON. SOL, N. Y 11971 j