HomeMy WebLinkAbout24414-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26342 Date: 03/22/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1227 PINE NECK RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 5 Lot 36
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9, 1997 pursuant to which
Building Permit No. 24414-Z dated OCTOBER 16, 1997
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 ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to MARGUERITE & R. DENNIS UDE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Bui ng Insp for
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENr
TOWN HALT
SOUTHOLD,N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
OCTOBER 16 97
24414 Date................................ ............. ............ .. 19...........
Permission is hereby granted to:
SAMUELS & STEELMAN
25235 MAIN ROAD
............................. ............................................................
CUTCHOGUE,NY 11935
......................................................... ...........I..................
CONSTRUCT AN ACCESSORY BUILDING AS APPLIED FOR
to.................................................................................................................... . .......................................
................... .1........ .............................................................................................. ............................ . ..
..................................................................................................................................................................
....... ................................ ......................................................................................................................
.............................................................................................................................................................
1227 PINE NECK RD SOUTHOLD
atpremises located at................... ....................... ..... .....................................................I....................
................................................................................................................................................................
473889 070 0005 036
County Tax Map No. .......................... Section ........................ Block ........................ Lot No. ........................
SEPTEMBER 9 97
pursuant to application dated .......................................................... 19................ and approved by the
Building Inspector.
50.20
Fee$.........................
.................. ... ....... .... . ...............................
Build ng Inspector
Rev. 6/30/80
Form No. 6
5` ?A.
-t. C
TOWN OF SOUTHOLD �^-
j P� 1
BUILDING DEPARTMENT
! TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 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
ti 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 - .25r,,
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
��// VV Date / gec,r . . 7,. �/`,/rl`. . . . . . . . . . . . . . . . . . . . .
New Construction. .!`.!. . . . . Old�r Pre-existi,nno� Building. . . . . . . . . . . . . . . . .
Z!vLocation of Property. / . . .G% . . .. . . . . . . . . .. 7., f':O . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property.. . . .. ... ...... . !?.. . . .�: .- .:°:'':'1. . �!:ye� . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . ,1.'?. . . . . .Block. . . . . .-5.. . . . . . .Lot. . .-r'?A. . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .File22d Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. .'-? .�/ vz. . . . .Date Of Permit. ��%l/J�.T. . . .Applicant. ,/1.! �Y. . Jr XA-Y!r� . . . . . . .
Health Dept. Approval. . 4//. .. . . . . . . .. . . . . . . .Underwriters Approval. . . ./V//t. . . . . . . . . . . . . . . .
Planning Board Approval. . . . ���. .. . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .-K/ . . . .
Fee Submitted: $. ,z6.'
. ,?6..°.400
. . . . . . . . . . . . . . . . . . .
124
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
APPLICANT
yrs-ieoz
BUILDING DEPT.
�MISPECTION
�UNDATION IST [ ] ROUGH PLB6.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE I INSPECTOR
suu.oINc oar.
INSPECTION
[ j FOUNDATION IST [ ] ROUGH PLBG.
( ] FOUNDATION 2ND NSTION
[ J FRAMING [ FI
NAL
[ ] FIREPLACE 8 CFIIMNEY
REMARKS:
l�c
DATE INSPECTOR_21-11±� ��
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Albert J. Krupski,President �p��gOFFU(�COG Town Hall
John Holzapfel, Vice President 53095 Main Road
Jim King c Z P.O. Box 1179
Martin H. GarrellOy �� Southold,New York 11971
Peter Wenzel �►0 a0 Telephone (516)765-1892
l Fax (516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 26, 1997
Samuels & Steelman
25235 Main Road
Cutchogue Ny 11935
RE: DENNIS UDE
SCTM #70-5-36
Dear Ms. Steelman,
The following action was taken at the Southold Town Board of
Trustees Regular Meeting on September 24, 1997:
RESOLVED, that the Southold Town Board of Trustees approved the
request to relocate a proposed house to allow for additional
space for the sanitary system as per variance made to Suffolk
County Health Dept. as per survey dated and received September
2, 1997.
If you have any questions, please feel free to contact our
office at 765-1892.
Sincerely,
�• i ° 09•
Alberti. Krupski, Jr.
President, Board of Trustees
AJK/djh
a
BOARD OF HEALTH :�. . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . ... . . . . . . . . . . . . .
'TOWN OF SOII'1'1101.D SURVEY . .
U
BUILDING DEPARTMENT cnECK . . X�.:2 . . . . . . . . . . . . . . . .
SEP 9 TOWN UALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
G SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
BLDG.DEPT.
CALi. . . . . . . . . . . . . . . . . . .
19.. MA TO: j .�: %Ih'd '\.
Approv(xl....,1���5�?....
19 Permit No. L �` 1�:]�G41�........... _
Disapproved a/c .. _. . _ ..
...............................
......................................................I.
.. . ... ......_...
(ik ' d, g inspector)
APPLICATiON FOR BUiLDiNG FERNfT GG
Date. ��,.�.7. . . 11917
INSTRUCTIONS
a. '[leis application mist 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 sliowing location of lot an] of buildings on premises, relationship to adjoining premises or ]xmblic
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of
chis application.
c. 'five work covered dry this application merry rat be- commenced before issuance of Wilding Permit.
d. lh-xon approval of this application, time Building inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for"inspection throrvg>iout' the work:
e. No building shall be occupied or used in whale or in part for arty purpose Whatever until a Certificate of
Occupancy shall have been granted by the Building inspector.
APP1.IcNn N IS TERM- MALE to the Wilding department for the issuance of a Building Permit pursuant to the
Wilding Zane Ordinance of the Town of Southold, Suffolk Cocmnty, New York, and other applicable Laws, ordinances or
Regulations, for the construction of buildings, additions or alterations, or for
remora or demolition, as herein
described. 11w applicant agrees to comply with all applicable laws, ordi es, buil it* code, housing code, and
regmmlations, and to admit authorized inspectors on premises and in al for ne es ins tions.
- .
igrratu f• pplicant, or name, if a corporation)
(Mailing address of applicant
Stake Whether f/ applicant -
is owner, lessee, agent, architect, engineer. general-contractor,-electrician, plurber or Wilde 1 IAC_ ,
Name of owner of premisesQ�rj-�5 - ... '�: .1.). fr...............................................
(as on the tax rvlYor latest deed)
If: al,4rlicant is a corporation, signature of duly authorized officer.
. .........................................................
(Name and title of corporate officer)
lAmilders License No.
Pl(nbers License No.
Electricians License No. .....................
Otber Trade's License No. ...'.:.
I. lix-ation of land on which proposed work will be clone..............................................................
1. .7.................J ..A. ................:� ....A./.�.....11 x.71....
liouse Number Street hamlet
CAx(nty Tax Mop No. 1000 Section .... 7�...... Block ....Q`5 ....... Lot .........
Subdivision ...................................... Filed Map No. ............... i.ot ...............
(Name)
2. Stage existing use and occupancy of premises and intended use ani occupancy of proposed construction:
a. Existing xise and occrpancy .............................................................................
b. intended use and occupancy ..� e......................... . .................................
3. Malure of work (check vhich applicable): New Iknilding, ._X..... Additionit rrit3ion .......
Relkt i r .......... Removal ............. Handl i t i on ............ Other idcirk Iwv.4'
(Description)
4. Estinrlted Cost �,C���Q........... fee . .. ........ 9.i:K »,w
vy-L..a.ivr
(to Ile paid on fil i ti •s appt icaticxm)
5 If ikvellirr►• mrudler of dwelling units lltnber of ckaelldng traits n'ea T?3a3 .0 ?3R
1„ V; ,
If l;nrape, rxsdler of cars
._
6. if litnsiness, amrlercial or mixed occupancy, specify mature arx) extent of each type of use...................'..
7. Dimensions of existing stnrctures, if any: Front................ Rear .............. Depth
IkAtoitMnber of. Stories ........... .........
Dimensions of sale structure with alterations or additions: Front ............... Rear ............... -
Depth .........`......... ileiglmt .................... Plodder of Stories
11_ Dhllenslons of entire new constnhct:ion: Froth ..21GR.......... Rear ....26o......... Depth ...
1......
lleillnt ......................... Nudger of Stories
q....�.C,OI. ....... 1
9. Sire of lot: Ftcnt ./ i. ?9c......... hear ..../.J:.G. .�...... Dept/h/
M. Mlle of llhrclnase ... ..... Name of Former (Mwr
Ii. 7xioe or use district in'wliidi premises are situated i4/� .0.....................................................
12. Does proposed constnicLion violate any zoning law, orditlance or regulation: ...................
13. Will lot he regraded .........�............ W
Will excess fill lie removed from premises: YES
I4. Marries of Owtier of ptrermmi ses 1.%?lf��Yk_� 4��_Wls�bAcklress 57_!4-;on A!4'. !(:P Z Alt mone No.58.7,`.d.lo.7$
Name of Ardn i tect u�ls.. f"c .�h>�h....... Address 2EPZ3.5.t Ionhone No.Z3I -.6.4o 5
Nine of Ccxntractor ................................... Acklress ...............................Phone No. ...!.......
15. is this prcnperty within 300 feet of a tidal wetland? * YFS ...X..... NO ..........
" "*iF YES,"Si)U111(IiD T(M M IMSM-3 M-Mft MAY w It glimm.
PLOT DIAGRAM
ideate clearly and distinctly all iuildings, whether existing or proposed, and indicate all set-Back dimensions
from property lines. Give street and block mniier or description according to Gleed, and show street nates and indicate
Miether interior or corner lot.
.W`
SPn'IT (w ww Y(w,
ss
(X]IMIY
I. .......................
....... ..... aa-D"I. l
• .dieing duly rwcirn, deposes amxl says that he is the applicant:
(Name of iixliv' signing contract)
alxive lull"l,
Ik! is Ilse ..... . .. ...................................................................
(Owitractor, agent, corlxrrate officer, etc.)
or rlaid (mx--r or owix!rs, and 118 (filly alltlxirlZecl tci lx--rforin or hwe performed the said wcirk and to make and file this
appl icaticn; that: nl l staterrnts ccnntaiwA in this appl icatiom are gale to Lhe hest of his kcxlwledle and lx±l.ief; and
that the wrk will be performed in the mrn wr get forth in .the appl.icalloti filed therewith.
Sworn to before nr_ this g
.l.........c of: ...... .19. 7 .. 1
Notary Ctdntic ... . ........W.
il;ri.tCure of icant) i
• JOYCE M.WVILKINS
Notary Public,§tate of New York
No. 4952246,Suffolk County
Term Expires June 12,19
i
New York State Department of Environmental Conservation
Building 40 -SUNY,Stony Brook,New York 11790-2356
Telephone (516)444-0365
Facsimile (516)444-0373
TIDAL WETLANDS LETTER OF NON-JURISDICTION Michael D.Zagata
Commissioner
March 14 , 1997
Marguerite Ude
57 Mason Ave.
Babylon, N.Y. 11702
Re: #1-4738-01531/00001
Ude Property
1227 Pine Neck Road
Southold, NY 11971
SCTM# 1000-070-05-36
Dear Ms. Ude:
Based on the information you have submitted, the New York State
Department of Environmental Conservation has determined that:
The property landward of the topographic crest of a bluff as shown
as elevation 18 on the survey prepared by Nancy Steelman, dated
1/24/97 , is beyond the jurisdiction of Article 25.
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 tru yours,
t ALS
Pe it Administrator
cc:N. Steelman,
BMHP
S9
A�
o��S�FFO(,�coG
c� y�
Town Hall,53095 Main Road a Fax(516)765-1823
P.O.Box 1179 j, • Telephone(516)765-1802
Southold,New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
March 15, 1999
Marguerite & R. Dennis Ude
57 Mason Avenue
Babylon, N.Y. 11702
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 Occup cy is;
not on file. (Enclosed)
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 # 24414-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
e
r,
�+ y41,�
N is r •
SURVEY OF
DESCRIBED PROPERTY
AND
WESTERLY 25' of LOT 9
Z 0— -Po 0" IN
yMAP OF PROPERTY OF J. WELLS PHILLIPS
7' t+ SITUATE
SOUTHOLD, TOWN OF SOUTHOLD
47.5
C11 SUFFOLK COUNTY,N.Y.
74' h 2
?p .
2 J vi SURVEYED FOR: MARGUERITE FARRELL UDE
k
R. DENNIS�UDE
E N 3 h
N O FM#297 SCALE I = 40
FILED ///6/1909 AREA=?2,053. 75 S.F.
v 2 3
2 TM*1000-070-05-36 of _
0.O
SURVEYED: 1166 DEC 1, 995
o FD. 0N. :FWND CONCRETE MONUMENT
FD. IP =FOUND IRON PIN
Z
O
N �
I M FO
ac GUARANTEED TO;
S 840 00 W 92.89 MARGUERITE FARRELL UDE
< R. DENNIS UDE
FIDELITY NATIONAL TITLE INS. CO.
fA
TOWN OF SOUTHOLD
NOTE: TOPOGRAPHIC ELEVArlavS ADDED
2 NOVEMBER,1996. ELEVATIONS
h ARE /N NVD 1929. BENCH SOURCE
W
SUFFOLK COUNTY DEPT. OF PUBLIC
WORKS.
LU N/F HARRISON
LU
y
Guarantees indicated here on shall run
only to the person for whom the survoY
M is prepared, and on his behalf to the
o
ov title company, Govermentai Agency,
lending institt.tion, if listed hereon, and
y to the essignees of the lending instihitio L
W 2 Guarantees are not
transferable to
FD. /P additional institutions or subsequent ownWo
APPROX. DISTANCE TO Q4KLAWNA =11273
ncuft-rized alteration or addition to
PINE NECK RD. s:rvey is a violation of section 7209 of
OW New York State Education Laws
Ccpies of this survey map not bearing
the Land Surveyors embossed seal shall
not be considered to be a valid trw
0Ny-
SURVEYED BY
STANLEY ✓. ISAKSEN,✓R.
P0.BOX 294
NEW SUFFOLK, N.Y,11956
(5/6) 734-5836
410ENSelf4SURVE
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03 11
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SCALE : 1" = 20`- 0" F LE+�HINCa K2L9: C
ra 3 Ftnol..; 121 ba5i;p X 6 f't. SITE DATA a
N� .L�1�U�NCa p✓ IT �F f= �CPA4 WL, : 5% N
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SCTM # 1000-070-05-36
PROPERTY: 1227 Pine Neck Road
'ADDRESS Southold, NY 11971
a
. ° OWNER: Marguerite Farrel Ude .
Dennis Ude
EXIST' WELLG•' 57 Mason Avenue -
-
LOT 39• Babylon, NY 11720 -
SITE: 22,053.75 SF or .5063 Acres
AREA
LOT 35 xIS�
Z
' �F�L n Q • P �. . ,
T tante Isaksen Jr.
5 --� SURVEYOR: S ,
WE• Y
P.O. Box 294
New Suffolk, NY 11956 w J • v
License # LS49273 - <
Dated: December 16, 1995 w
b 0'4
I'AMILSN.2�EDENGE � ,,,, . � x 4'
' ON LOT ft P 35 NOTES: Elevations shown are based on NGVD 1929. a '°
Q S -
n Q .H • u �
Lor 34 Elevations added to survey November 2, 199.6
- FJCI5T WELL. n. n .
IN9T�D Public water is not available within 500 ft ;
of property
\'.,\ \� • , : ,55a> r The locations of wells and cesspools shown
LOT a'3T ,\�`� " ' , w'.ur hereon are from field observations and or
\ • \ J ac; data from datat obtained from others. �'
lU IJNDEVEJLOPED OF MFdy i•,
Z x ,� Gf2�EK ��•� . ST �o� ,
SITE LOCATION, v `
z IW5t
oils s 1
Q
�D
LOT 38� U_I y N� 1
UNDERWRITERS CERTIFICATE SI GL.� ILY 15•r `� fifu t L u r H O !. I• \\ .' ,w
CE
REQUIRED RESIDBN GE65PGnL- /DQ •j h Projec o:
a p(I�T, Drawn By:
r
OCCUPANCY Oil WEU. \ .•% s 11116DaN N5
J
USE IS UNLAWFUL t�EXIST, 51Te Checked By: N9
WITHOUT CERTIFICATE Lof#3`1 � ` i � P"`" ` d SOUTHOLD Date: 1/24/rJ7
OF OCCUPANCY 15 Sp�E1x �
scale: , s iaW1N
BAY
Sheet Title: .
SITE
D ', •�`.. ° PLAN
Nrc I
,,�. �.Nr•Ar I< ,
wawa
PAAIST �� � N1 Tb2YAX
DO NOT PROCEED WITH
FRAMING UNTIL SURVEY SO
OF FOUNDATION LOCATION A 1. NOTES: Coo
HEALTH "I am familiar with the standards for approval
HAS BEEN APPROVED. A• FINAL • DEPARTMENT and construction of subsurface sewage disposal
� STATEMENT systems for single family residences,and.wlll \ Sheet No:
in abide by the conditions set forth therein and on
\
the permit to construct FDA
" 11 0 G N E C B +
0�
too�
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SIGNED. �L L r Lkda�Beach �
ro.nr
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� FELT- ON 5/e° PLYWD 0
5HI56THING
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WEST ELEVATION BUILDING SECTION FIRST FLOOR PLAN
SCALE : 1/4" = 1'- 0" SCALE : 1/4" SCALE : 114" = 1'- 0"