HomeMy WebLinkAbout25437-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27065 Date: 05/04/00
THIS CERTIFIES that the building ADDITION
Location of Property: 295 ALBO DR LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 126 Block 2 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 29, 1998 pursuant to which
Building Permit No. 25437-Z dated DECEMBER 22, 1998
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 GLASS AND SCREEN ENCLOSED DECK ADDITION TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to ALLAN F TUTHILL & WF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 509443 12/13/99
PLUMBERS CERTIFICATION DATED N/A
)-40:/7
thor zed 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. 25437 Z Date DECEMBER 22, 1998
Permission is hereby granted to:
ALLAN F TUTHILL & WF
295 ALBO DR
LAUREL,NY 11948
for
CONSTRUCTION OF A 12 ' X 18 ' GREENHOUSE/DECK ADDITION FOR AN
EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 295 ALBO DR LAUREL
County Tax Map No. 473889 Section 126 Block 0002 Lot No. 009
pursuant to application dated OCTOBER 29 1998 and approved by the
Building Inspector.
Fee $ 75 .00
Authorized Signature
ORIGINAL
Rev. 2/19/98
f Yr LS I V f2' €._b�, Form No. 6
fii!f, TOWN OF SOUTHOLD
j9
MAY 3 11 [':i BUILDING DEPARTMENT -
- ., _l.R.^ .. 11-Mt....JJJ i TOWN HALL
8f 765-1802
63LD;j,r.11E
. .. fG;e1 i Gf SO�_U71_111M l N��!
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OF, 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 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.
2. Certificate of Occupancy on Pre-existing BUildin2 - $100.00
3. Copy of Certificate of Occupancy - .25V
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . .c.�. Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . .:1l.S. . . . . . . . . . . .� e ft . p.�1:9 Y�. . . . . . . . . . . . . . . . Z� v . . . . . . . . . .
House No. Street Hamlet
Onwer or Owc-e:,,ef Property .Lt q / . : . . �!. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. 7.3.g g . . .Block. ./ L . . . . . . . . .Lot. . .,p . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . : .S. 1. � �.: 7"Date Of Permit: . . . . . . . . . . . .Applicant.1R,t t�qT �c�q y TujtL!�Z
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .....Underwriters Approval. . . ::. . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .� . . . . .
Fee Submitted: $. . . 5..< . . . . . . . . . . . . . . . . . . . .
("��. Gr...;. �i �t . . . . . . . . . . . . . . . . . . . .
APPLICANT
THE NEW YORK BOAR® OF FIRE, UN,DER*RITERS PAGE 1
1001381 BUREAU OF ELECTRICIT,Y-�."
F - 40 FULTON STREET, NEW YORK,`NY 14638
Date DECEMBER 1301999 Application No. on fileJ21$39l�9 N 509443
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicantnamed on a the ave aji?l%oadon number ' in the premises of
ALLEN `rUTHILL, 295 ALSO DR. , Tt
LAUREL, NY
in the following location; F1Basement LJ Ist Fl. El2nd FI. OUT ;- Section Block -Lot
was examined on DECEMBER 06,1999 and found to be,in compliance with the National Electrical Code.,
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT I OTHER I AMT. I K.W. =AMT. I K.W. AMTI K.W. AMT. K.W. AMT. H.P.
2 4 1 2 1 2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL .UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G., AMT, AMP. 'AML] AMPS. TRANS. H.P. NSYTE FS AMT. WATTS
SERVICE DISCONNECT NO.Of S E R ,V• - -°1<.. ,-,—'C - E
METER NO.OF CC COND. A.W.G. A.W G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W.3 0 4W PER 0 OF CC CO De 1'NQOF HiAtd' OF HI-LEG NO.OF NEVTFALS Of NEUTRAL
OTHER APPARATUS'
PDDLE FAN F-1
PUMILLO ELECTRIC LIC.#2300 L L
P.0.80% 323 DY PUMILLO
LAUREL, MY, 11948 'GENERAL MANAGER
11 )
Per
This cer iflcate must not be altered in any manner;return to the office of the Board ItIncorrectanspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS =COPY .OF CERTIFICATEtvi $7 NOT'BE; ALTEt#ED'..IN ANY MANNER. '
/
i 1 '
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MENEM
1 � 1
�:��ii in. I �ii,�i� �ii�i�iiilil�as
_
o��SUf FO(,�c
Town Hall,53095 Main Road p Fax(516)765-1823
P.O.Box 1179 � �? Telephone(516)765-1802
Southold,New York 11971-0959 G5
X01 � dao
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 13, 2000
Mr. & Mrs . Allan Tuthill
P.O. Box 392
Laurel, NY 11948
RE: 295 Albo Dr, Laurel .
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)
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 Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 25437-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Albert J.Krupski,President ��gUFFO(� �o Town Hall
James King,Vice-President �Q D 53095 Main Road
Henry Smith y� P.O.Box 1179
o Southold,New York 11971
Artie Foster y x
Ken Poliwoda O Telephone(516) 765-1892
Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OFSOUTHOLD
September 15, 1998
Richard Beggins
886 Jerico Tpke
Smithtown NY 11787
RE: ALLEN TUTHILL
SCTM #126-2-9
Dear Mr. Beggins,
The Southold Town Board of Trustees reviewed the survey dated
and received in our office on September 15, 1998 and determined
that your proposal to build a 12 ' X 16 ' screen & glass enclosure
over a deck, to be out of the Trustees jurisdiction under
Chapter 97 of the Wetland Code.
However, any activity within 75 ' of the Wetland line requires a
permit from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to
call.
Sincerely,
Albert J. i, Jr.
President, Board of Trustees
AJK/djh
cc. Bldg. Dept.
Albert J. Krupski, PresidentO Town Hall
James King,Vice-President �� �j 53095 Main Road
Henry Smith y� P.O.Box 1179
Artie Foster y Southold,New York 11971
Ken Poliwoda Q
Telephone(516) 765-1892
Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 15, 1998
Richard Beggins
886 Jerico Tpke
Smithtown NY 11787
RE: ALLEN TUTHILL
SCTM #126-2-9,
Dear Mr. Beggins,
The Southold Town Board of Trustees reviewed the survey dated
and received in our office on September 15, 1998 and determined
that your proposal to build a 12 ' X 16 ' screen & glass enclosure
over a deck, to be out of the Trustees jurisdiction under
Chapter 97 of the Wetland Code.
However, any activity within 75 ' of the Wetland line requires a
permit from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to
call .
Sincerely,Prups'kid)r .
Albe� ,
President, Board of Trustees
AJK/djh
cc. Bldg. Dept.
768-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]�INATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: l�I
c
DATE l O-D INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PI,BG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: . 4L '511flI�
DATE `S INSPECTOR
ELD 4I i:3:1i�;:0;7 (�Ub:£ COMMENTS
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�UNDATION ( 2nd)
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AD ITIONAL C ENTS:
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SURVEY OF PROPERTY
AT MA T TITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
1000 - 126 - 02 - 09
SCALE., 1" = 40'
CONTOUR LINES ARE REFERENCED TO SEPT. 3, 1998
THE FIVE EASTERN TOWNS TOPOGRAPHIC Oaf. /¢ /99 0 prop to.M j
MAPS Ocl. 2�, 1998 (CONTOUR LINES)
AREA = 23,000 sq. ft. ME IV �
ANY ALTERATION OR AOOITION TO TMS SURVEY IS A VIOLATION
OF SECTION 7209 OF TIE NEW YORK STATE EDUCATIaV tAW, .:.;
EXA AS PER SECTION 7209-MOVISION Z ALL CERTFICA MNS
NFMEON ARE VALV FOR 7M$MAP AND COPIES MMOF CYEY F
SAID MAP OR COPIES BEAR TME MIPRESSM SEAL OF TFE SMWYOR IV.Y. LIC. NO. 49618
WHOSE 9W rtW APPEARS hEWON.
AMTOVALLY TO COAFLY W N SAW LAW TM TER{!ALTERED 8Y" IM A$ 0
MUST BE USED 8Y ANY AND ALL SUMEYORS U77UZWO A COPY (51
Of AN017ER SUTVEYORS MAP. 78AUS SUCH AS 'HSPECT£D'AMD P. 0. ftot*
IROMr-TO,DATV ARE NOT hV COAMANC£WITH THE LAW. 1230 STREET
SOUTHOLD, N.Y. 11971
t=
>287. .
BOARD OF Huhu...
FORM NO. 1 r3 SETS OP NS . . . . . . . . . . . . . . .
TOWN OF SOUTitOLD }SURVEY . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CIVICK . .. . . . . . . . . . I . . . . . . . . . . . .
TOWN IIALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOiD, N.Y. 11971
TEL: 765-1002 NOTIFY:
CALL I . 1. 3360 . . .
Examined. iL ... 19.Trr MAii. TO:.. . .
. . . . . . . . . . . . . . . . .
Ap{rroved......1-f ..7 .., 19.9. Penni 1. W.�.-...3 .............I......................
Disapproveda/c ...................:.............. ....................................
Alding Inspector)
...�...e...4...,.__._.___-..1
APP . CATION FOR BUILDING PERMIT r (�
LL 01.OG,DEPT
TOM OFSOU-MOLD r` iNSTRUCTIONS
s. 'alis application nest be cannletely filled in by typewriter or in ink and submitted to the Building Inspector wi
3 seta of plans, accurate plot plan to scale. Pee 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 taunt be drawn on the diagram which is part of
this application.
c. 'Hue work covered by this application may not be commenced before issuance of Building Permit.
ci. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be.kept on dIe premises available for inspection thrauglout the work.
i e. No building shall be occupied or used in whole or in part for any purpose wivatever until a Certificate of
Occupancy shall have been granted by tie Building Inspector.
APPLICNMN IS BERKEY UVE to the Building Department for clue issuance of a Building Permit pursuant to Lite
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for.ahe construction of buildings, additions or alterations, or for removal or demolition, as herein
described. the applicant agrees to canpiy with all applicable laws, ordinances, building code, housing code, mel
regulations,(m)d to admit authorized inspectors on pre m_ises and in building fo necessary inspections.(Si nnature of lican(j name, if a corporation)
YY4 4'6*<J' 0I?1�e ✓7)101r`FWA).4J1 .��1b"�.
.... .......�.........
(Mailing address of applicant)
State wbetluer applicant is owner, lessee, agent, architect engineer, general contractor, electrician, plumer or boildei
c� k' �..�yN���.cc��a�//?� ..............................................t................
Name of owner of premises ..IQAt?'..A..k .�( A�......•..•....•.•..11pMVEVANON&.........•..
(as on the tax roll or latest deed) p V3�-Z
DATE: B•�'#
If alrynlicaIt a c Tali signatpre of duly auUx>rixed officer.. _ �_
—_
FEE: '7 U 'DI DE u� 1 '
., ,,,,,,,,,,, .......... ...... NOTIFY BUILDING DEPARTMENT AT
( and title oL orpora ficer) (L!a(+UFiA MI ®R 766-1802 9 AM TO 4 PM FOR THE
OCC UNLAWFUL FOLLOWING INSPECTIONS'
U 1 FOR POURED CONCRETE
REQUIRED
Builders License No. ..................�.��.aj`� C TI /a
Pluniera License tio. ..................y(�I!... UT vp�,�RI i�IilA� 3. WSULATIONMING & PLUMBING
Electricians License No. OF-V Cum 3..4. FINAL - CONSTRUCTION MUST
".µµ". """"" BE COMPLETE FOR C.O.
Otiuer Trade's License ivn.'fl.. J.�... .'�:.'.. 1 Gam` C(����' f� l ��SU,'i,f�RN S ALjr MEET -
E NX
I. location of on which proposed work will be clone...�t ....�..t � SIDITVE FOR:'.••
L, � $? 1E"C11i}Is fIri1V &'EFIEAGY"'
Ra
...........- . ............................... DESIGN OR'CO�(N�gEES'I Rt1CnON'ERRO
�/.� ..
liouse Number Street ( haslet
County Tax Nap No. 1000 Section ..`.[.o)aJ?....... Bi.ock ..... ...... Lot .... ..........
Subdivision .....................................I Piled Nap No. .........I...... Lot ...............
(bane)
2. .State existing use and occupancy of premises and intended use and occupancy of proposed cons action:
�jLfl✓/ �cv�G�IAJC7 /N�G .. ...I......
..
a. Existing use and occupancy •••••• . .'..
III Intended use and occupancy ... f......r
.. //
RL 7"f012.1 T30BOA
*toy weal to 01AIP,,2'1d"W y1814 A
ylnna°3 btolhue"ni baiiilBµQ
8€iQ�SC���tO.ovt
w, ,,41E Veto 401bp3 trs
1. lktlure of work (check tAildt applicable)r New lluilding ........... AdditionAlta all
Itelxnir ............ Removal ............. MIMI itlon ............ Other Work e�16-1 G4Std
..
(Description)
4. lixtiuxttel Cosr .......� ........ fee .............................
(to be paid o: filing this application)
S. if dtallh:g, outber of dwelling units .../...... tidier of. ()%ailing units cal each floor ... ... ....
Ifgarage, umber of cars ......................................
A. If bush:ess, etmuercial or MIM f occupancy, specify nature and extent of each type of use......................
1. Diueusions of/ existing structures, If any: Pront.................Rear ............... Depth
Ik:igl:t ....J.:'�.: r....... M:nber of Stories ...�.................
Dinensioos of Bare structure with alterations or additions: Pront ............... Rear ...............
Daplh .................... Ileight .................... Mmiher of Stories ..............,
S. Db:enslons of entire new crxtstruction. Pront ................ Rear ............... Oepth ... ...........
Height ......................... Muioer of Stories
9. Size of lot , FrOnt .................... Rear ............. ....... depth .........
d ,
1{i. Ikn'e of Hurchaae ..................... Marc! of lrnnt:ec Ovnher ......... .......... .�.....p.•;.... ....
11. Zona or use district in uhicih premises are situated ..............................................................
12. Dxa proposed construction violate any zoning low, ordinance or regulation: ........................
13. Will lot be regraded ... �........... Will excess fill be removed
from preantaes: YES NO
Ih. Na:ea of Owrher of prenisae/ �Lf... Aklreas Plane No`
Nate of Artlidtectf...... ..... Aklreas .....
_ I:aa lx,. .......
JI ' p/ ...... Jd reI'� .,.
NEW of Contractor ( y ?G..,...... Aklresa �O,fa✓ /Y?"• '.jn?id ITli7bne No ��?;3.';i"'aa...
I5. is this property within 300 feet.of a tidal wetland? * YRS .......... N0 .......... �
*dC Yes, 91111D1 13 1171di 1RUSIl+L>S PLRMCI' MAY W1 mSlIMM.
PIAT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and Indicate all set-back dimensions
from property lines. Give street and block n::d:er or description according to (feed, and allow street notes aril indicate
+d:ether Interior or corner lot.
S'Mlld (Ha NEW
a,d"f: tilry 17M17115 r.1;;5:` P.:;4S
CUl1V1Y (11•' ...
o
""'' � �'%t •:1• �t lei .........1x8'"1; duly sacnrn, delx:seS 81x1 Says tient he is the appl.icnat:
(mix! of hxlividuat.:aihl
R y contract)
alxrve niiiiM,
Ne is the ...................:,.m °?.I.Y..:....................................:.............................
(Crnrtractor, agent,-corporate officer, etc.)
of said ow(:er or aw era, slid Is (July authorized to perfons or have lerforned the said work ohxd to nuke nod file titin
alry:lientio, that till sLaterents contained In this rippl.icatio:h are trio to (he twat of his kuxswledge and helief; n:xl
that the pork will lie performed in the na:noer set forth is the application filed therewith.
Novara to before me this i
1 ..dt:y of .. ) qq
Notary hiblic ... .................. . rAI')l
ROBERT I. � (Sigtnture hrfFliNotary
PubRo,St is �bIR
>"i ied in 3 UnIr
40.01%M 6*M S