HomeMy WebLinkAbout20960-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21081 Date OCTOBER 9, 1992
THIS CERTIFIES that the building ADDITION
Location of Property 1250 BRIDGE LANE CUTCHOGUE NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Block 1 Lot 6.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 16, 1992 pursuant to which
Building Permit No. 20960-Z dated SEPTEMBER 17, 1992
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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to BETTY KUNKEL
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
I.
FORM NO. $
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)
i
s
WN° 209602 Date '.../..7 19
i
Permission is hereby opted to:
vy,
4 to ~it<....~~ ~e ...4~ C~~.....Cs!d.... F~ / ~ .
10
c at premises located at ....o'O 41
0O2.T6~'4f1~.`ii.- O
County Tax Map No. 1000 Section..... 1?..•••••.. Block Lot No.... ref..........
pursuant to application dated - 4 19.F and approved by the
Building Inspector.
Fee ` `JrcN
k w
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ing inspector
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t
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~r 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 19 lead.
5. Commercial building, industrial building, multiple residences anJ 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.,
3. 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.
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 Building - $100.00
3. Copy of Certificate.of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date G
'ew Construction..... Old Or Pre-existing Building..........,, "
ocation of Property:
House No. Street Hamlet
nwer or Owners of Property... . ..;t...~ Cslr t*J-.-..,,,,.,,,.•••,,.,,,.••.........•..
)unty Tax Map No 1000, Section..,,,,,,Block Lot.... ~4!..............
ibdivision....................................Filed
rr Map. .......Lot..
!rmit No.Z0~W.0 ,,,,Date Of Permit. .~I„,l ,Applicant..M
2~.
alth Dept. Approval ..........................Underwriters Approval.......
anning Board Approval........
quest for: Temporary Certificate.........., Final Certicate..
Submitted:
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95-20-6 (10190)-25C NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER EFFECTIVE DATE
1-4738-00276/00002-0'i°I; September 4, 1992
FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE
' U Epth )fiJar6nmental Conservation Law (ECL)
September 30, 1995
TYPE OF PERMIT (Check All Applicable Boxes)
29New ?Renewal ?Modificabon ?Permrt to Construct ?Permrt to Operate
Article 15, Protection of Title Watr SPDES 17, Titles 7, 8: HArticle 27, Title 9; 5NYCRR azardous Waste Management
3
Article 15, Title 15: Article 19: Article 34:
Water Supply Air Pollution Control Coastal Erosion Management
Article 15, Title 15: Article 23, Title 27: Article 36:
Water Transport Mined Land Reclamation Floodplain Management
Article 15, Long Island Title Wells S Article
Wetlands 6NYCRR 380: Radiation eArticles 1 ation Control
Article 15, Title 27: Article 25: Other:
Wild, Scenic and Recreational E] Tidal Wetlands
Rivers Article 27, Title 7; 6NYCRR 360:
6NYCRR 608: Solid Waste Management
Water Ouality Certification
PERMIT ISSUED TO TELEPHONE NUMBER
Betty Kunkel (516)734-6660
ADDRESS OF PERMITTEL
Box 936 Cutchogue, NY 11935
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
NAME AND ADDRESS OF PROJECT/FACILITY
Kunkel Property
1250 Bridge Lane
LOCATION OF PROJECT/FACILITY
Cutch e
COUNTY TOWN WATERCOURSEIWETLAND NO NYTM COORDINATES
Suffolk Southold Wunneweta Pond E _ N4
DESCRIPTION OF AUTHORIZED ACTIVITY
Construct new wood deck appurtenant to existing dwelling. All work shall be in
accordance with the attached NYSDEC approved plan.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance
with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special
Conditions included as part of this permit.
Deputy Re in 1 Rataulatoey AClafeal
PERMIT ADMINISTRATOR ADDRESS Region 1 . it g•
David DeRidd(--,r Stony Brook, N. Y. 11790.2348
AUTHORIZED SIGNATURE DATE
September 4, 1992 Page 1 of 4
GENERAL CONDITIONS
Inspections
1. The permitted site or fability, including relevant records, is subject to inspection at reasonable hours
and intervals by an authorized representative of the Department of Environmental Conservation (the
Department) to determine whether the permittee is complying with this permit and the ECL. Such
representative may order the work suspended pursuant to ECL 71.0301 and SAPA 401(3). A copy of
this permit, including all referenced maps, drawings and special conditions, must be available for
inspection by the Department at all times at the project site. Failure to produce a copy of the permit
upon request by a Department representative is a violation of this permit.
Permit Changes and Renewals
2. The Department reserves the right to modify, suspend or revoke this permit when:
a) the scope of the permitted activity is exceeded or a violation of any condition of the permit
or provisions of the ECL and pertinent regulations is found;
b) the permit was obtained by misrepresentation or failure to disclose relevant facts;
c) new material information is discovered; or
d) environmental conditions, relevant technology, or applicable law or regulation have materially
changed since the permit was issued.
3. The permittee must submit a separate written application to the Department for renewal, modifica-
tion or transfer of this permit. Such application must include any forms, fees or supplemental infor-
mation the Department requires. Any renewal, modification or transfer granted by the Department
must be in writing.
4. The permittee must submit a renewal application at least:
a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES),
Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid
Waste Management Facilities (SWMF); and
b) 30 days before expiration of all other permit types.
5. Unless expressly provided for by the Department, issuance of this permit does not modify, supersede
or rescind any order or, determination previously issued by the Department or any of the terms, con-
ditions or requirements contained in such order or determination.
Other Legal Obligations of!, Permittee
6. The permittee has accepted expressly, by the execution of the application, the full legal responsibili-
ty for all damages, direct or Indirect, of whatever nature and by whomever suffered, arising out of
the project described In this permit and has agreed to indemnify and save harmless the State from
suits, actions, damages and costs of every name and description resulting from this project.
7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with
the riparian rights of others in order to perform the permitted work nor does it authorize the Impair-
ment of any rights, title, or interest in real or personal property held or vested in a person not a party
to the permit.
8. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-
of-way that may be required for this project,
I
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TRUSTEES o ,%kjFFQj,(0o SUPERVISOR
Sohn M. Bredemeyer, III, President GZ~ SCOTT L. HARRIS
Albert J. Krupski, Jr., Vice President CIO
Henry P. Smith Town Hall
John B. Tuthill 53095 Main Road
William G. Albertson y 9` P.O. Box 1179
Telephone (516) 765-1892 ` f t. Southold, New York 11971
Fax (516) 765-1823 S l&4 TOWN TRUSTEES
TOWN OF SOUTHOLD
Aug. 6, 1992
Betty M. Kunkel
P.O. Box 936
Cutchogue, NY 11935
Re: SCTM# 118-1-6.1
Dear Ms. Kunkel:
The following action was taken by the Board of Trustees at their
regular meeting of July 30, 1992:
RESOLVED that the Southold Town Board of Trustees approve the
request for a waiver to construct a new wood deck onto existing
dwelling as per your application.
If you have any questions, please give us a call.
V ry truly yours,
John M. Bredemeyer, II
President, Board of Trustees
JMB/jmt
cc. Building Dept.
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M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ j ROUGH PLRG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ l FRAMING [ FINAL
REMARKS:
DATE l~ INSPECTOR
1cLJ I::°:_ it L T
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H
OUNDATION (1st)
OUNDATION (2nd} _I
OUCH FRAME & 1
.PLUMBING
F_ 11
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17SULATIO;! PER N. Y.
STATE ENERGY
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ADDITIONAL COMMENTS: x
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BOARD OF HEALTH
" } •,_~r.'. FORM NO.1 J SETS OF PLANS
TOWN OF SOUTHOLD SURVEY
SEP ~It~~ ch BUILDING DEPARTMENT CHECK
TOWN HALL SEPTIC FOR:I
r, SOUTHOLD, N.Y. 11971
TEL.: 765-1802 t:0T I FY ;
ixamincd CALL
19f2-
NAIL T0:
\pproved , 19~ ennit No.. ~O6a
Asapproved a/c _ .
( ilding I pector)
APPLICATION FOR BUILDING PERMIT
Date • . J.G..., 19,1z-
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submittd to the Building Inspector, with 3
ets*f plans, accurate plot plan to scale. Fee ac e
cording to schedule.
o. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
lion.
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 issued a Building Permit to the applicant. Such permit
all 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
all have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
:ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
gulations, for the construction of buildings, additions or alterations, or for rem val or demolition, as herein described.
:e applicant agrees to comply with all applicable laws, ordinances, building co , h usit code, and regulations, and to
'nit authorized inspectors on premises and in building for necessary inspectio
ctcM.~N
_ Z'an1Si
(Signat e of applicant, or name, if a corporation)
(Mailing address of applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~
15 fJl~r2i4e_. C-[7nf7-rz . ~ .
me of owner of premises ...L-fem. Y'!-`;t... i~.~N\G S .
(as on the tax roll or latest deed)
applicant is a cor o tion, signature of duly authorized officer.
(N and title of corporate officer) .
Builder's License No. zcy`~j',, , N 1
Plumber's License No .
Electrician's License No . . .
Other Trade's License No .
Location of land on which proposed work will be done. .
C ?~pezl ~acp.~:.
'louse Number Street
Hamlet
.ounty Tax Map No. 1000 Section ~ 1 .2L , • , . , , , , . Block
1
. Lot
subdivision . Filed Map No.
Lot
(Name)
late existing use and occupancy of premises and intended use and occupancy of proposed, ciistruct
Existing use and occupancy
Intended use and occupancy ........C, I x
1lS , .
3. Repair re of work check • • which applicable): New B+t4+ng Cam„ . Addition Alteration
oval
Demolition Other Work
4. Estimated Cost . , cm.2 boe) (Description)
t Fee
(to be paid on filing this application)
S. If dwelling, g units Number of dwc cling units on each floor
If garage, number of cars .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . .
7. Dimensions of existing stuctur:s, if any: Front . , Rear • . . . . ' ' ' . ' • '
Height Number of Stories . Depth .
Dimensions of same structure with alterations or additions: Front
Depth . t' Height . Numbs Stone Rear .
8. H Dimensions
'
titmensions of entire new construction: Front Rear Depth
nnber of Stories .
9. Size of lot: Front Rear • • Depth
10. Date of Purchase Name of Former Owner . . . . . . . . . .
11. Zone or use district in which
12. proposed regraded mises are situated
13. Does
11 lot bet uction violate any zoning law, ordinance or regulation: .
14. Name of Owner premises ~ ' ' • • • Will excess fill be removed from premises: Yes No
~~w+l.Kr[s.. . Address Q!WK %Ur.Ar%Y~ hone No. ~~t -•rarecD,
Name of Architect Address
Name of Contractor~q Phone No.. .
15. Is this property within 00 feet of a tidaldwetlanx' Phone No.
*If yes, Southold own Trustees Permit may be required,,` N0...,•, „ ,
PLOT DIAGRAM
Locate clearly and distinctly all lbuildings, whether existing or proposed, and, indicate all set-back dimensions from
property Vines. Give street and block dumber or description according to deed, and show street names and indicate whether
interior or comer lot.
•
l
I •
TATE OF NEI R
'OUNTY OP ` .l ~S $
x~ • ~C!'1.. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
>ove named.
a isthc............
(Contractor agent, corporate officer, ctc.) ' ' ' • ' • ' • •
said owner or owners, and is duly authorize o perform or have performed the said work and to make and file this
Plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
irk will be performed in the manner set' forth in the application filed therewith.
om to before me this . ...day of &
tary Public, L , • • • County
Notary Publlo, State of N York
No.4879505 4uatffied in Suffolk Caynty • • • • • _
Commission Expires December 8,1 (Signature of applicant)
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Project No: 9 Io 2
SITE FLAT j
Drawn By: IJ-7
I~~ Nar-r H
Checked By: 'T's
Date' to /9 .91
Scale. A~ sNoi~ J
Sheet Title:
SITE
SCTM # 1000-118-2-6.1 PLAN
OWNER: Betty M. Kunkel
P.O. Box 936 Nvsnec !C
Cutchogue, New York 11935 IMPROVED AS PER TERMS Tel N 516-734-6660 AND CONDITIONS OF PER TERMS
kNS OF
Existing Low-Density Residential (R-40) PERMIT NO. H1%100) pJPc Zoning DATE _SWG12 19i8'tla7 oena"O Sheet No:
Site plan taken from survey prepared by:
Roderick Van Tuyl Greenport, N.Y. 11944
License 11 LS 25626 1
Dated: July 1, 1988
Elevations are referenced to N.G.V. Datum