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Home My WebLink About25367-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26529 Date: 06/28/99 THIS CERTIFIES that the building ADDITION Location of Property: 7475 SKUNK LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 4 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5, 1998 pursuant to which Building Permit No. 25367-Z dated DECEMBER 3, 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 ADDITION & ALTERATION TO AN EXISTING NON-HABITABLE ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to BARBARA PRINCE KELLY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-489505 05/25/99 PLUMBERS CERTIFICATION DATED 06/15/99 CUTCHOGUE EAST PLUMB&HEAT B ildin `Inspector 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. 25367 Z Date DECEMBER 3, 1998 Permission is hereby granted to: BARBARA PRINCE KELLY 7425 BAY AVENUE CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ADDITION/ALTERATION TO AN ACCESSORY STORAGE- GARAGE BUILDING AS APPLIED FOR. at premises located at 7475 SKUNK LA CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0004 Lot No. 028 pursuant to application dated OCTOBER 5 98 and approved by the Building Inspector. Fee $ 35 . 00 a4W4 Building Inspector COPY Rev. 2/19/98 ' � M BUILDING DEPARTMENT --• V TOWN HALL In 765-1802 IUB IiL I 2 4 IM N APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWBIOG.DEPT, must be filled in by typewriter OR ink and submitted to the buildir. 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 buildi 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 a '.'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 applican 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resident'a1 $15.0/0, Commercial $15.00 Date . . �. !�. (, 4.4C7. . . . . . . . . . . . . . . . . New Construction. .. . . . {� Old O/r�Prej!.i�s�ting Building. . . .• • • • • • • • • • • • • Location of Property.. .. q.&6. . .16(6 *- . . ... . .. . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . .�� . . .. .. . ... . . .. . . . . . . . . .. . . . County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Subdivision.a3 �7.& . . . . . . . . . . . . . . . . .. . . Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . ).Filed 4% . . . . .Applicant. . • • • • • • • • • • • • • • • • • • • • " ' Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . L-. . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . •P Fee Submitted: $. . . A511r• . . . . . . . . . . . . . . . . . . • t� APPLICANT C0 2;A$ "ha .y/ NArrau fa p.»r" TOTLE N0. /B4 7�f•9 .�� Via'• � s �Q'l7Ber e: n+r` a j.►3. t c ta� " C'• d j rw Is e 'NIs uy � • � YY � 2 r. i q y ra i �. 44 M vY Ek3� +.may S 4 !Y r 4 O �J RF �yf F r t �f }b'�v`�'S '��Y b n i•F.' � n � ° t '�' � � .,'.T pt a 4 rgl'y x1ia A ,aT�u,r 1 sA >t � i xi ,.� � v �ii' Yf f9�s„y i r a� ✓ ef••d'd` '�'r"1" " ' ' ' • � ,3 i < < d i r �,Y rF ri rye 'f t �rF. r +. f< � � Y5` l� i."� /.t d 6 d a *tF s � Oir �l1 e r t5 i t f l,• .F dF^W b� w7�°� •[ h S,t;14* ,tit . � { �7Y�i� x��'S�T! p �0�" ry� ' ' � wr. � re �` x- � '� u V d �ff�►14 � {�S C.�,J4 fiJ��xy�� : r x y)Yr r.. p� �y�r� �3��5� �11� Al '�M "r x 6� 'f• n ��iil��'' s i � r i�� e � ii ��§� yt a� r4 Y x3 r 4yet sa-xL�A v � it d x�y @.a � wx3 d � f�� '1 7• �'l $ L7 �f- r ,� AAAi�S �gdr'i,�' >.,3}�..t � �, ��n}.tk �'� x �J r' f,�, •r f h '' �'� � Ea s`� 3ifx s�k 3 va r _^y xL � � tri. if r !n.pgj fi ri fir' i f iii, 'SAY. 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(+r++ 3J 1 st, u. , �,u ''�1 4 a`tk Yolk Poco (itoois rt h b x F kfi �'►.k9MKS WWA1. LAW,,'llYrtvsEw'Olf 3f1 1 t IA�.Saas Roa1,;wqfY lsllp, N Y. MOhawk 9-4952 +. rs!j�kr'�ty t?•��'' . ^„ yc { d Y 1 tj tl� �vF� r �p5 r �� TEL, 765-18o2 c • � 1� �� 'TOWN OF SOOT'IIOLU . !•;�' �;'C oerlce of uU1L1)11'Ic INSPEc1'oR ; P.O. 13OX 1179 •,p/y'�o av l c TOWN 3IALL A X11 ' d0� SOUT HOLD, N.Y. 11971 C. E T I P I C A T I O N Cate I t ' Building Permit No. 5�� 1 Owner' � '' ^� Ipleas print! Plumber 6-c, I (plea"--sE print! i I i I certify that tree solder used contains in tile se water supplysystem than 2/10 of lg lead. y h G (plumber's signature) I - - - - - --- - - - - - sworn to beforc me this - - - — - day of ,; NogaLy Public �� ' Notary Public, c� FGo� County d;<v Notaypubllo,State ofONeOwVYork No.2,902160 0 . . in Suffolk County TOnn Expieres January 31,2% o��gOfFO�,�cOG o� y� Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 ZO O�� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 22, 1999 Barbara Kelly 7425 Bay Avenue Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An a lication for Certificate of Occupancy is not on i e. (Enclosed) XX No Underwriters Certificate on file. 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 # 25367-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 F BUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK, NY 10038 Date 14AY 25 F 1999 Application No. on file 18114699/99 N 489505 THIS CERTIFIES THAT PERMIT NO. 25367 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of BARBARA P. KELLY, 7425 SKUNK LANE, CUTCHOGUE, NY in the following location; ❑ Basement ® Ist Fl. ® 2nd Fl. GAR/ATTIC Section Block Lot was examined on MAY 20,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS SWITCHES OUTLETS INCANDESCE NT1 FLUORESCENT OTHER AMT. K.W. AMT K.W. AMT. K.W. AMT. KW. AMT. H.P. 15 19 13 15 DRYERSFURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMi WATTS SERVICE DIS CONNECTNO.OF S E R V I C E METER NO.OF CC GOND. A,W G. A W,G. A W.G, AMI. AMP- TYPE EQUIP. 1¢2W 1 0 3W 3 0 3W 3 6 4W PER 0 OF CC.COND NO OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PANELBOARDS: 1-8 CIR. 100 G.F.C.I:-2 SHORE DETECTOR:-2 MICHAEL J. HURLEY LIC.#4221 E Law, w L L 9905 NASSAU PT. ROAD CUTCHOGUE, NY, 11935 GENERAL MANAGER This certificate must not be altered in any manner;return to the office of the Board if incorrect.Inspectors may be identified by their c COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE A M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( INSULATION [ ] FRAMING [ ] FINAL [ ) FIREPLACE & CHIMNEY REMARKS: . � �` c9�� DATE INSPECTOR 7z�, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: - DATE INSPECTOR ""' �-57367 765-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION IST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ) INSULATION [ �RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR c-A s"36 7i�- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ vf ROUGH PLBG. [ ] FOUNDATION 2ND [ J INSULATION [ ] FRAMING [ ] FINAL [ } FIREPLACE & CHIMNEY REMARKS: CyZ� s DATE W1q INSPECTOR A4 lzl4;n M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE lINSPECTOR I M-1802 BUILDING DEPT. INSPECTION [r/] F NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,17 DATE l INSPECTOR Sa -� 1=LD 4I7'S"l C:i(1;� JIll' COMMENTS ..31 .lo" H OUNDATION ( 1st) (}J f ^ C 'OUNDATION ( 2nd ) m �� 0 TOUGH FRAME & x c , -PLUMBING OA IL/Iti l . m 3. m H INSULATION PER N . Y. STATE ENERGY CODE a 4. 41 FINAL tq 'm ADDITIONAL COMMENTS: x ro • H � IN H a O G 2 � r T. • m a Hti O T ro H BUILDING PERMIT REVIEW CHECK LIST Application Name: 'B,4 R P AR 1a ALL`( 21—- 6 / 1 Architect/Engineer: Date Submitted: SCTM #: District: 1.000 Section: Block: _ Lot: Zg Subdivision Name: �j Req. Req. � Zoning District: 'T� [Lot size: Actual: Of ] [Lot coverage 21 Proposed: 1 Req. Req. ' Req. [Front Yard Proposed: [Side Yard 5 Proposed: 1 [Rear Yard Proposed: ] Project Description: 40DrrfoNZAl.-r6Rt3T101J AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. _ New York State D. E. C. Town Trustees K Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: A5 pef< £Z ToIR R 6rele- Coks��t�cr o� of Aoymc)N if Abtewyw 1-o T.e. Acc.esscr. GIQRAC',E/S-IbR a&6 8u tt.o,``s CaN HAve Ln►D fL. Dottn�e� � FAct.� n (2#QN be i NIWL4*ec� — Lw-eve2 t,)e) oe, Shows�er— �]LL Se. All oweaJ . BOtkRD OF-HEAIRH' . . . . . . . . . . . . . -FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD L'SURVEY . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . .. . . . . . . . . . . . . . . . . +� n TOWN HALL SErT-ro—:.,uza . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY::? CALL Fxamined.A..4........., 19 / MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..M&......... 19-'�� Permit No. ..b 6 .................................. Disapprovedarc .. .................................. o a 0 .. .. (Building Inspector) OCT _ 5 1998 0 PLICATION FOR BUILDING PERMIT BLDG. DEPT. 19 J.4 � N OF OUTHO D INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector V 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 application. 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 issue a Building Permit: to the applicant. Such permit shall be kept on the premises available for inspection throughout the cork. 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. APPL.ICATI(M IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 be-rein 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 buidinspections. e ..... ............... (Signature of applicant, or name if a corporation) .6�Z.....................(......... (Hailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build ........dw/V4 fZ.................................................................................................. Name of owner of premises ....ze!.Cdl ?.:K./,�-/� . ....................................................... (as on the tax roll or 1 est deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License HD. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... i. Location of land on which proposed work will be done.............................met .............•............ �1Jfo?J�................... c�'.�cf � 1L.. Z,4,.) ..................✓Po lk........... House Huber St``rufttt Canty Tax Map No. 1000 Section 3!V� 6......... Block ...u.......... Lot �p�y........... Subdivision ...................................... Filed Map N0. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupant' of proposed constriction: a. Existing use and occupancy .....G.�EFCd:�.r f J r1�.6L.1?............................................. b. Intended use and occupancy ......A�&.e!�SmP(G�h..,kJIA�L�14QC ................................... U �f A e): New Building ...! . C ... Addition ..k... Alteration 3. Nature of work (c}reck wlricr applicaUl ,,,,,,,,,. Repair ....... ... Removal �.... Demlition ............ Other Work .................................. (Description) 4. Estimated Cost ... a� fee .............................................. r...............�. (to be paid on filing this application) 5. If dwelling, mviber of dwelling unites ........... Hunther of dwelling units on each floor ..r✓...... If garage, nu:iler of cars ...... ...L........................ . 6. ?. Dimensions of existing structures �neY, specify nature and extent of each type of use...................... If business, ce istingl or structures, , f any. Front...�S� a Rear )��...... Depth . Height 1g9................ timber of Stories ...../.............Dimensi _. P tern i s or additions: Front of saw ructure th Depth �u i ... �... �.......... limber of Stories ....f:U 8. Dimensions of ent retnew cansCiructi �/ ..vS(�.v�i..... .. Wight /,� on: Front ..'. ... ......Rear ...vi�.. Height ..... !&............... Number of Stories ...I4 ..... 9. Size of lot: Front ....CtP:.0.1..1..... Rear ... ..c k......... Depth .. E 10. Date of Purchase .. l Nare of Rormer Owner ... . ,n i ........... 11. Zane or use district in which premises are situated ...g *:.................................................... 12. Wlot Does proposed n:tion eviolatelany zoning law, ordinance or regulation: ................. 6 ................. 13. regraded 1 .......r...... Will excess fill be removed from premises: dff7 NO 14. Nares of Owner of premises .bx�:�nj� k...R.,l��i�Adaress 2Z?6...6g1e.A.-.V :..... Phone No. Name of Architect .. Qj�- �va`Cit!�C4(ig'........... Address ..�}:leewy9U,i,', :.............. Piwne No. / �, J 1r,+ t Name of Contractor .. th? ................ Address . ��tV .4d�.,., .JJ..............Phone No. 15. Is this property within 300 feet of a tidal wetland? * YFS .......... NO .I.Ja... *rF YES, SOUHI" Tom TROS*S P1iIHN MAY HE RFIr BM- . IPLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frac propenes. Give street and block rnirber or description according to deed, and show street nares and indicate �whether t rro or corner tp ri j �je- I SrAIE Op lata Ym' 55 C"IY Or .'.'5WIf.4�. ...Y... .................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 'I t above nared, j ,rr� � pQ { lieis lire ......,..4.1 W W�..... ....................................................................... (Contractor, agent, corporate officer, etc.) i of: said owner or owners, and is duly OuLbori7ed to perform or have performed the said work and to make and file this application; that all statements contained in this application are true Co the beat of his knowledge and belief; and that the work will be perfonrecl in the manner set forth in the application filed therewith. Swom to before me this ....4..... :'... .clayof®. .. 19..Z. . Notary Public .1n.1 P,ALJ!}... . ..... ........., Nolary Public, Slate,of aw York (Signature of Applicant) No.49513ti4 Qualified in Suffolk Countqq Commission Expires May$2, 19_L�G vv- ('�� eli - I I 1 � I r l ; � �lu`•' ta..r,�1s I c� . - i I i r fK- CSD ) p �� c� �CNr; iNsraw r�oH of a. res, �t f all s 2?'C ° o showbE OR II svcµBpiNlw9= r P c�c} o 1fi 4 . "� — _ -- AS - -- -- TSF, •'�' - - - y r�1�_ -- -_ - ----- - - --_ FALIW'CY l5 NOC 96RMl?IAil LiNOER I_PZ RS BPA NOTED O7 m CONOifi0u5 OF 41hs JERrll'f, P. a DATE: r'!" _ . __. -._ . .. . - . / . . -.. -...__.. _.____ N0T13� DEPARTMENT O ri T FY BUILDING E T p n 1�F�1�101.1 7EE-1802 8 AM TO 4 PM OR TH p., aj ° elf +>� q ,/ i,./ r FOLLOWING INSPECTIONS: F E W .- m aLLlc ad v .q �r ; � rUJ �- 1. FOUNDATION - TWO REQUIRED X 1D •I ,Y �_ - - --,k - .- ,p _... - - _ ____ FOR POURED CONCRETE O X 2 HOUGH - FRAMING i PLUMBING X• ' 9. INSULATION O cc O ..,2-3s'� 7 - —_ _ BE LETE FOR C.O. p'ALL CO STRUCTION ME ITHE REQUIREMENTS OFSHALL THE N.Y. IL W - f . _ _ > I 1 I _ ``V � r _ � � ,� it r"I•=. , . _ __ . __ � i� � STATE CONSTRUCTION A ENERGY Z z . . CODES.! NOT RESPONSIBLE FOO - y 2 n I �I u . Yt M� •, s .� DESIGN QR CONSTRUCTION EgRORS CUPA ' ,•� I ,:o I , I U I � o0C NCY OR USE IS UNLAWFUL �� `� WITHOUT CERTIFICAT 41G L-1 I 0 OCCUPANCY _ate " 4 1' d l I �- 4 �� GAJ V '• C t *I gffc , �. - • A"IUMBERCERT/FICAT/ON j ON LEAD CONTENT BEFOR� �n '�a - . i '� I J. c CERTIFJCATE OF OCCUPAN n SOLDER USED IN WATER (7 t 4 I if X 41" LJL� 'r SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1%LEAD I ' I II t � ! � , r '� �� ' III. II •��' �� = - I� ° I ,-_°-• - - _ -"o---- - _ _.__- T� �..,-- —__-- __ -----.. _. __T,,_,I _-F- - �-��— �) aJ HIcoPPertubinplsuse LVL. dforwtar ilng em`;PiPingshall be ' V L onl W ____ _. _ -_ _- __ -_. (�Ji.S• h�G� ` �'f�"�-(1 'r� S,TL PLUMBING WASTE ' &WATERLINES NEED TESTING BEFORE COVERING OFEW v' •Z PROVIDEANfl3CALDAND/OR ir157 u f 1 IMuM II ,� ,. 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