HomeMy WebLinkAbout25651-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~-RTF~NT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26881
Date: 01/11/00
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: 1445 FLEETWOOD RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 137 Block 4 Lot 33.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 17, 1999 pursuant to which
Building Permit No. 25651-Z dated MARCH 26, 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 COVERED PORCH ADDITION, SECOND STORY ADDITION AND ALTERATIONS TO AN
EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to STANLEY MALON & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 25296 06/02/99
PLUMBERS CERTIFICATION DATED 11/18/99
JOSEPH S. ZUHOSKI, JR.
Au~/horized 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. 25651 Z Date MARCH 26~ 1999
Permission is hereby granted to:
STANLEY MALON & WF.
264 LINTON AVE
LINDENHURSTiNY 11757
for :
CONSTRUCTION OF ADDITIONS AND ALTERATIONS FOR AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR.
at premises located at 1445
County Tax Map No. 473889 Section 137
pursuant to application dated MARCH
Building Inspector.
FLEETWOOD RD CUTCHOGUE
Block 0004 Lot No. 033.001
17 1999 and approved by the
Fee $ 75.00
Authorized Signature
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDINGTOWN765-1802 DEPARTMENT HALL
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Ao
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.
Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
of electrical installation from Board of Fire Underwriters.
n statement from plumber certifying that the solder used in system contains
than 2/10 of 1% lead.
building, industrial building, multiple residences and similar buildir
installations, a certificate of Code Compliance from architect or engineer
>onsible for the building.
~it Planning Board Approval of completed site plan requirements.
buildings (prior to Ap'ril 9, i957) non-conforming uses, or buildings am
:isting" land uses:
survey of property showing all property lines, streets, building and
usual natural or topographic features.
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 Dccupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - ~ .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .~e.q¢..v)3 ~u~..! ~.}. 1 .~9..~ ..........
New Construction ........... Old Or Pre-existing Building .................
Location of Froperty...I. i . ......... .......... ......
House No. Street Hamlet
Onwer or Owners of Property...~nl~..Q~C~d..~)[%l$-~J.-~..~'O'~ ................
co=ty No ,000, S'ection../ ........ Bloc ...2q.. .......... Lot...'Y..&/ ..........
Subdivision Filed Map .. . Lot
Permit No&~. 5.1 ..... Date Of Permit. ~..~¢.-.~...~...Applicant.S.~.~.~..~. ~. IO~ ......
Health Dept Approval Underwriters Approval ·
Planning Board Approval ........................
/
Request for: Temporary Certificate ........... Final Certicate..~... .....
APPLICANT
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERT~I f I CATI ON
Building Permit No. ~--~;~/ ~
(please [Srint) ;
Plumber,
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
Notary Public, ~
County
DATE.· 6/2/99
ELECTRICAL INSPECTION SERVICE !NC.
$ 75 DUNTON A VENUE
EAST PA TCHOGUE, NEW YORK I1772
(M 6) 256-6642: : ·
VILLAGE: Cutchogue
ADDP~$S: 1870 Fleetwood Road
ISSUED TO: Stanley Malon
25296
APPLICATION No. ON FII~
Sou&old
LOCATION:
1st i
6/2/99 and found to be tn comphance with the Na~onal Electrical Code
37d Attic
Jnd ·
SWITCHES RECEPTACLES FIXTURES I HEATERS: FANS G.FL A JR. COND.
DISHWASHER DRYER CLOTHES WASH. GAR. DISP. R~VGE OVEN SMOK~ DETECTOR
FURNACE ~ OIL GAS CIR. MOTORS BELL TRAN. SERVICE DISCO~VNECT
I 200 UG
OTHER
EQUIPMENT
Out~ide Residential
Service Only
B UILDING PER3/IIT No.
BLUE ORIGINAL YELLOW COPY PINK coPY OFFICE
I]NDATION (]ST)
,UGH FRAME
STATE ENBRGY
CODE
FINAL
ADDITIONAL COI~4ENT S:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
·
INSPEC~TOR
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG,
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ,~NAL
765-180Z
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG~LPLBG.
[ ] FOUNDATION 2ND [ ~]/INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY -,
REMARKS: ~
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] R/~OU~LBG.
[ L/~ INSULATION
[ ] FINAL
DATE
INSPECTOR
INSPECTI/ON
FOUNDATION ¶ST [ ~ ROUGH PLBG.
]/FOUNDATION 2ND [ ] INSULATION
/
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
Albert J. Krupskl, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hail
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18~2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
January 22, 1999
Stanley Malon
1445 Fleetwood Road
Cutchogue NY 11935
RE: SCTM #137-4-33.1
Dear Mr. Malon,
The following action was taken at the Southold Town Board of
Trustees meeting on January 22, 1999:
RESOLVED, that the Southold Town Board of Trustees grant the
request for a Waiver to construct a small addition on top of an
existing house.
However, this does not constitute approval from any other
agencies.
If you have any questions, please call our office at 765-1892.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc. Bldg. Dept.
New York State Department of Environmental Conservation
Building 40 -,S,UNY, Stony Brook, New York 11790-2356
Telephone (516) ~.~.~. 0365
Facsimile (516) ~??,-0360
LETTER OF NON JURISDICTION--TIDAL WETLANDS
John P. Cahill
Commissioner
Stanley & Christine Molon
264 Linton Ave
Lindenhurst, NY 11757
March 8, 1999
Re: 1-4738-02170/00001
Molon Property
145 Fleetwood Rd., Cutchogue
SCTM# 1000-137-4-33.1
Dear Applicant;
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that:
The portion of the property landward of the top of the bluff as shown on the survey prepared by Pat T.
Seccafico last revised 12/30/98, is beyond the Article 25 Tidal Wetlands jurisdiction.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no
permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction,
sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional
boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary
precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or
vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may
· include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project
(i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary
permits or approvals from other agencies.
Very truly yours,
cc:KK/file
Brian P. Radigan Contracting
· F01~l H0. I
T0~I/ OF $01YfHOLD
BUI'LDII~ DBPA~tT~IIT
T0~ ~
SOI]THOLD, tl.Y. 11971
'r~L: 765-1802
BOARD OFH:gALTII ...............
3 SETS OF PLAI~S ......... ' ......
SEPTIC FOI~ ...................
HOTIFY: _., .....
NAIL TO: ....................
(l/are and title of corporate officer)
pltubers Li~,t~e lto ..................................
Blect~c~a~ Lt_~ 1~ ......................
Other Tree's license ~ ..................... '-I~ ~-. ~ ' t,"~_~,', /' t ~ ,~
....... ~ ..................... - ..... ', ~let
~~. ,~ ~,t~ .... ~2 ......~..~ ...........~, ..~.t .......
aiisi~ ........................... i .......... ~il~ ~,~ ................ ~C ...............
(~)
..... ~____. w ~ .~k~ ~~ ................
~. ~ ~ ~ ~,, ..... f~ ..~a~...~.~t~o~. · .m~.
15.
~ o~ro ~ ~. , ~ ~
PLOT DIA~RA~I
Locate clearly and distit~:tly all l~lldit~s, ~aether eadstit~ or p~o~ed, mid. i~dicate all net-back dtm~siotm
pi,,~erty li~es. Ot~e st~ceet ~a!block ~mber or descrip'tto~ ~-___eotdit~ to deed, and ~ street nares m~d indicate
uhetber interior or
........... .... ................................
(Co~tractor, v~,~, corlx~te o~ftcer, e~c.)
o[ said o~oer or o~ers, ard is dutyi ~orized to per£~t~ or have per£~ed the said ~ork a~l to rmke taxi file ti*is
ap?llca~i~; that alt stat,~,~i~s c~it~t_,~! in ~his aPPltcatlo~ a~e tree Co the best o~ his koo~ledt~ ~xl b~llefi ~d
tl~t the ~tk viii be per~omed in tl~e ..~-~r set £x~tth ~ the appltcatlo~ filed the~-.rith.
($tlpaCute of Applic~t)
Town Hall, 53095 M'ain Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 9, 1999
Mr. & Mrs. Stanley Malon
264 Linton Ave.
Lindenhurst, NY 11757
RE: 1445 Fleetwood Rd.,
Cutchogue,
1000-137-4-33.1.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
~XX An application for Certificate of Occupancy is
not on file. (Enclosed)
~ XX
~ XX
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
XX
No final inspection has been made.
No Plumber solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25651-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
D
FF. O, 7'N
126.2'
125.6'
N 85°57'20"E 270.00'
~' "~.~ ~_~..~%' ~
174.5'
PROPO~ 2nd STY.
L
t/2 57Y.
EL.
45.70'
FF. 0.7'S
SURVEY OF DESCRIBED PROPERTY
SITUATED AT
FLEETS NECK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C.T.M. NO. 1000-137-4-33. I
AREA = 16,060 SQ. FT.
0.2'3
FILE NO. T5684
SCALE:
REVISED: 12/30/98 (PROP. 2nd STY. ADDITION
I" =30' DATE: I 1/27/98 ADDED)
PAT T. SECCAF ICO, P.L.S.
- SUCCESSOR TO -
DONALD TASE, L. S.
RICHARD WILHELM Ho 4s$oc~4~s
PROFESSIONAL LAND SURVEYORS
~l Cenlre Street 3~8A Moln Street
( .516 )56 7-4 773 ( 5 16 )8 78-0120
N. Y.S. L lC. NO. 049287