HomeMy WebLinkAbout25374-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-26328 Date: 03/16/99
THIS CERTIFIES that the building ADDITION
Location of Property: 350 SKUNK LA CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 97 Block 3 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 28, 1998 pursuant to which
Building Permit No. 25374-Z dated DECEMBER 4, 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 HANDICAP ACCESS RAMP AND ATTACHED DECK TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to WILLIAM BAUER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
C
t
Rldilding 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. 25374 Z Date DECEMBER 4 , 1998
Permission is hereby granted to:
WILLIAM BAUER
350 SKUNK LANE
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF A HANDICAP ACCESS RAMP AND ATTACHED DECK TO AN
EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 350 SKUNK LA CUTCHOGUE
County Tax Map No. 473889 Section 097 Block 0003 Lot No. 007
pursuant to application dated OCTOBER 28 1998 and approved by the
Building Inspector.
Fee $ 75 . 00
Build ng Inspector
ORIGINAL
Rev. 2/19/98
i' _T
TOWN OF SOUTHOLD
�r 1 � BUILDING DEPARTMENT
A -M51999 TOW765-1802
HALL L
BLDG.DEPT.
TOWN 0!LW LICI:TION FOR CERTIFICATE OF OCCUPANCY
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 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 PlanningBoardApproval of completed site plan requirements.
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.
I
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 - 451�.
4. Updated Certificate of Occupancy - _$50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . ��: . . . . . .. . . . .. . . . . .. . . . . . . . .
:w Construction. .. ... ... .. Old Or Pre-existing
Building. . . . . .(.+.,.`.I.. . . .. . .
kation of Property.. .. .��. . . . 2.1 �, �� �,.:�X�.. . . . ..1 VT�� . . . . . . . . . . .
_ House No. II /� inn str et p (` • H� amlet
,ver or Owners of Property. . . . . .I.`. 4V�• ).. . �u 4, • • . . . . . . . . . . . . . .. . . . . . . . .
i.�P
aunty Tax Map No 1000, Section. . . . . . .. . . .. ..Block. . . . . . . . . . . . . .. .Lot. . .. .. . . . . . . . . . . . . . . . .
ttbdivision. . . . . . . . . . ..�. . . . . . . . . . . . . . . . . . . . .. . . .FQQilleed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
ermit No. . . . 3 li
(1 .2,.Date Of Permit. . � . .LY. . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:alth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
.anning Board Approval. . . .. . . . . . . . . . . . . . . . . . . .
:quest for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . . . . . . . . .
ee submitted: $. . . .��: . . . . . . . . . . . . . . . . . . .Y.Y. . . . . . . . . . . .
APPLICANT
Q�.•ssgsl
.3-3.2 S�
o��gOFFOI.t�OG
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Town Hall,53095 Main Road Fax(516)765-1823
P.O. Box 1179 Eiji �� Telephone(516)765-1802
Southold, New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 22 , 1998
William Bauer
350 Skunk Lane
Cutchogue, New York 11935
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 # 25374-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
�-S37 f
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
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DATE Cy INSPECTOR
I LD I"S"=0iiO%� JJDATF COMMENTS yJ
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OUNDATION ( 1st)
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'OUNDATIOW ( 2nd ) — J\
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INSULATION PER N . Y.
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FINAL
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ADDITIONAL COMMENTS: x
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Letter of transmittal
date: 11-24-98
to: Mr Gary Fish
from: Craig Hass
Soundbay General Contractors
309 Fairview Ave.,Bayport,NY
472-2272
re: As you requested enclosed please find a plan and elevation of ramp located at the Bauer residence
situate,350 Skunk Lane,Cutchogue,NY.
If you have comments please feel free to call
regards
Craig Hass
IL
� co12 D
NOV ? 5 1998
BLDG. DEPT
TQWN OF SOUTHOLD
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.....:/..Z......., 19�p.o j� MAIL TO•. . . . ..
Approved....I� .2 ......., 19, I,� Permit No. �53.
Disapproved a/c .................................. .............,.....................
ilding Inspector)
APPLICATION FOR BUILDING PERMIT
Date. . . . . .. . . . . . . . . .. 19. . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
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-work.
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.
m APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Inas, Ordinances or
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, building code, lousing code, and
regulations, and to admit authorized inspectors on premises and in building for
Qnecessary
inspections.
(Signature of applicant, or name, if a corporation)
...............
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildem
.......................................................................................
Name of owner of premises .. /�u �/ °c".................................................................
(as on the ten roll or latest deed)
i
If appl"c)ptt is
a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builders License No. .........................
Plumbers License No.
Electricians License No. .....................
Other Trade's License No. ....: /.
1. Location of land on which proposed work will be done..............................................................
..........................�Ku ' ........................... .....................
House Naber Street Hamlet
County Tax Map No. 1000 Section ...1.p.7....... Block ...... ....... ........
Subdivision ...................................... 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 ........*V,VPff..1fi7...A �
f-v ...n .. ................................
b. Intended use and occupancy ........................... ..................................................r
C®V ( Ti
i. Nature of work (dseck wlsich appli�eable)s New building ... ...... Addition ....... Alteration ..........
Repair ............ Removal ... ...... Demolition ............ Other Work p :°..4F'.
(Description) CDyW7iauc770,/
a. Rstirreted Cost ..... 3 ';v.,ao
....... fee ............................... ....... ....
i (to be paid on Filing this application) c..t8�uigY
5. If dwelling, twber of dwelling tits ............ Nunimr of dwelling units on each floor ................
6. If business, commercial or mixed .•n.•. specify ..
If garage, txaber of cars ......
1occupaxq, specify nature and extent of each ttype of use......................
^�
7. Dimensions of e�Cisting atructtme�, if atry: 1?ront..�.'.......... Rear ..5........... Depth .J../..........
Height A-:�.................. Number of Stories ......./?i- ........
Dimensions of same structure wit11 alterations or additions: Front ............... hear ...............
Depth .................... Deighk .................... lkxrber of Stories ...............
8. Dimensions of entire new eonstr7tion. Frau ................ Rear ............... Depth ..............
Height .........................INtaber of Stories .....................
9. Size of lot: Front ............li,........ Rear .................... Depth ....................
10. Date of Purchase ...............'i..... Name of Former Owner ........................................
11. Zone or use district in which ises are situated ................................�j..........................
12. Does sed construction viola
proposed p 'rte any zoning lata, ordinance or regulation: ........................
13. Will lot be regraded ..........l......... Will excess fill be removed from premises: NO
14. Names of Owner of premises ........................... Address .............................. Hone No. ..............
Name of Architect .... ........ . Address ... . .. Bone No. ..............
5'v.+ivm0 C�aEnJtEQ/9"L .90; hiFii�Oix�—
Name of Contractor .......... A,. .. Address .........t. ..Pham No.
15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ... ...
*IF YM, S01InM MM TEC IEES PM IIT MU BE MMM.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property linea. Give street and block nLaber or description according to deed, and show street nares and indicate
whether interior or corner lot.
I
II
SPAU OF NI: YOittt,
c"fy D[ Y,!...... �S
Lr✓4 rr[-or-J...( .{....................being, duly sworn, deposes aril says that he is the applicant
me
(Naof individual signing contract)i
above named,
le is We ........ .......�/�....
.......... ...............................................
(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 stateenettto contained in this application are true to the beat of his knowledge and belief.; and
that the work will be performed in the manner set forth in the application filed therewith.
Sworn to be re me this y
.........V..:). ay of .. t .it 19
Notary "Ii5� �" - 4:•1:.G'ts/ . . .. �/r-� ..� /:Y`••v....
EILEE,N M. WOOLLEN "
Notary Pus lic, nY, E., e.€N fv Yor t (Srgnature of Applicant)
QssB;htj Ft
Reg;. Wd0.
MY commissioc F'x011,s tuna � 000
0, 2
A"W
ori z °e°ck .
1 - sw J. elc'grnc.
y 9UNjM NOT" DEPARTMENT AT
7MISM S AM TO 4 PM FOR THE
��DS REQUIRED
mom /#uu A M U nm
/fJu Sit. INSl AVN
4. FINAL - CONSTRUCTION MUST
BE COMKETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
Cc¢ a •8 �iZ gMf�GHaiJ. STATE CONSTRUCTION & ENERGY
CODES NOt RESP,O,NSISLE FOR
DESIG+N�iOIR;C01!ISTRU7Cryt1ON ERRORS
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SURVEYED FO¢ ,os,ae.ct
WILLIAM BAUEE E
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APPROVED AS NOTED
2 a 9 B.Ra �
DATE: �
s FEE:
_BY: �• .Pi�ld eC�
NOTIFY BUILDING DEPARTMENT AT
765A802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS
FOUNgDAISQUIRED
ED CONCRETE
1R
E�EDROO[1A 2.T Obi U�aFf - FRAMING a M tM MG
3. INSULATION
i 4, FINAL -BE COMPLETE FOR C-0-ALL
MUST
l7FsK RRMP ratcx"` ' ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
Cc¢ "r 8`' �iZ�gM/�G M� ' :' STATE CONSTRUCTION, A ENERGY
• : "` OT RESPONSIBLE FOR
CODES`+6;-
« DESIGN OrCONS7RUCTION ERRORS
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BUILDING PERMIT REVIEW CHECK LIST
Application Name: A O EA
Architect/Engineer: Date Submitted:
SCTM#: District: 1.000 Section: Block: 3 Lot:
Subdivision Name:
Req. Req. �
Zoning District: [Lot size: Actual: ° Ac ce 1 [Lot coverage?(/J Proposed: ]
Req. / Req. Req.
[Front Yard 3Q
fJ Proposed: ] [Side Yazd /o Proposed: 1 [Rear Yard 3S Proposed: ]
Project Description: HAIOPDiCrapPeO &�mp
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept. k
New York State D. E. C.
Town Trustees X
Town Zoning Board approval: x
Town Planning Board approval: x
Flood Plane Elevation ???
Flood Zone: X
Notes:
1>66K ADD ir10N To Mia j [-q-'A, N 3.5 FRONT YARD
M1N1MLIW f)&VZACK. -