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Home My WebLink About19959-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21034 Date SEPTEMBER 21, 1992 THIS CERTIFIES that the building. ADDITION Location of Property 4795 NEW SUFFOLK RD. NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 8 Lot 32.9 Subdivision Filed Map No. Lot No. conforms substantialiy to the Application for Building Permit heretofore filed in this office dated JONE 11~ 1991 pursuant to which Building Permit No. i9959-Z dated JURE 20, 1991 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 RELOCATE & ADD TO AN EXISTING SEASONAL COTTAGE AS APPLIED FOR The certificate is issued to THOMAS WtCKHAM & ORS. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-S0-143- SEPT. 2~ 1992 UNDERWRITERS CERTIFICATE NO. H-023874 - AUGUST 14~ 1991 PLUMBERS CERTIFICATION DATED AUG. 9~ 1991 - C.P. TUTMILL~ INC. Bu~i~dlng Inspector Rev. 1/81 lvO~ NO. ~ TOWN OF SOU~IOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 19959 Z Permission is hereby granted to: ......~.~.~.......~.,..~.:......L!..~..~..~-.. ........ ...... . ~.... .......................................................................... : ......................... ~ ...' ........... ~.~.~.~.~ ....... at prem,~s' I~at~ at .. ~. ~.~ .... ~..~....~~ ... ~.~~ ~1 ......... ~.~....~~t~ ...... County Tax Map No. 1000 Section ...... /./.~ ........... Block .....0..:~ .......... Lot No.....~..~....:...~.. ...... pursuant to application dated ........ ...~...,~(J.~?~....J./.. ................... , 19.~.~..., and approved by the ! Building Inspector. Fee $..~....~ ............. Building Insl~ector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DgPARTMENT 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 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 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 . .~.~ ~?..~ ~.~( ...... New Construction ......... Old Or Pr~-existing.B~i~ldin~....~.. ........... Location of Property...ii.~..~.~.~ .... ~.~.. ~.~. ~.~....~.. ......... ~.~..~.....~..~..~.~..~ .... Street House No. ,Hamlet Onwer or Owners of Pro eft ~'~ ~ ' ~' L, ~ ~ __ ............... ~ ............... -...i ....... ~ ........ COunty Tax Map NO 1000, Section .... ((O Block...~.O~' ........... ' Lot..~.~!.~. .............. Subdivision Filed Map Lot .... Health Dept. Approval..~ ................... Underwriters Approval ........... Planning Board Approval ........................ ~ I/ Request for: Temporary Certificate ........... Final Cert~ate ........... Fee Submitted: $ ............................. ~/_ /_~ . ,,. .......... ................................ ~"~-- ' [ APPLICAiqT TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date (please print) (please prln~) I certify that the solder used in the water supply contains less' than 2/10 of 1% lead. " system Sworn to be for~_ me thi~ 9_q/ . tlOtary Public, Ndarg Public, Smt~, of No~ , No. 4896735 Ouallf~ed In Suffolk Cdun~y Commission Ex~re~ Ma'/Z6 ~19.~ ,. County (plumber's signature) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~':~; ~ 8I~l~g(/~ BUREAU OF ELECTRICITY I~ 85 JOHN STREET, NEW YORK'; NEW YORK 10038 · in the followlng location; ~ Basemen~ ~ l~t FI, ~ 2nd FI. 0[?? Section BI~L Lot FIXTURES RANGES OVENS DISH WASHERS FANS FIXTURE DRYERS SYSTEMS NO. OF FEET E R V I C E NO OF CC, COND PER ~' OTHER APPARATUS: , A W G, NO OF HI.LEG OF CC, COND 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 credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT, BE ALTERED IN ANY MANNER° i~!,o.~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF EL. ECTRICITY , ,~ JOHN STREET, NEW YORK, NE,~W,. YORK 10038 De te Application No. on file THIS CERTIFIES THAT [ 200 C'~ I X ~ ~ / O ~ ! Ogg, ~'[ ~ 't q ~; 'l GENERAL ~NAGER Per- COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN AHY;I~ANNER. TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Kmpski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTt L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 December 26, 1990 Parnel Wickham-Searl P.O. Box 999 CutchOgue, NY 11935 RE: Waiver request for SCTM #1000-110-8-32.3 & 33 Dear Mrs. Searl: The following action was taken by the Southold Town Board of Trustees on Thursday, December 20, 1990: RESOLVED that the Southold Town Board of Trustees grant a waiver to move an existing summer cottage from Lot Number 33 to Lot Number 32.3. Please note that a waiver fee of $35.00 is due to this office. If you have any questions, please do not hesitate to contact this office. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jmt New York State Department of Environmental Conservation Region 1 Headquarters SUNY, Building 40, Stony Brook, NY 11794 Thomas C. Jorling Commissioner May 28, 1991 Mr John Wickham Route 25 Cutchogue, New York 11935 Re: 1-4738-00228/00001-0 Dear Mr Wickham, The Department has completed review of this proposal, and has no objection to the location of the cottage a minimum of 65 linear feet from the NYSDEC stake. Please submit 3 additional copies of the survey which clearly shows the required 65 foot setback, and show this stake clearly labeled on the plan. However, because this proposal requires a variance of greater than I0% of the required 75 foot setback, the total application fee is $900.00. Please submit the additonal $700.00 along with the requested plans. Please note that if you would like to redsign the plan to show a 68 foot minimum setback, the total application fee will be $400.00 ( $200.00 additional required). Please submit this information to my attention as soon as possible. If you have questions, I can be contacted at (516)751-~389. Sincerely, Susan Ackerman Sr, Environmental Analyst FOUNDATION .... (Jst) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING ® INSULATION PER N. Y. STATE ENERGY CODE COM~£NTS ADDITIONA'L COMMENTS: ' SUFFOLK COUNTY DEPAR~34ENT OF HF~'.LTII SEKVICE~ NOTICE OF INCOMPLETE APPLI~TION - RESIDENT~L , H.S. REFERENCE NO'.~ PROPERTY LOCATION The'~urvey's for your proposed sewage disposal and water supply s~stems have been reviewed :~,c,,and the f~ollowtng' 'wil~ ?e~ reqffired prior to'further prdcessing of the application:'for approval ~o con~trd~'t.',PL~Sg"RE~R~ A~%OPY''OF*THi~ FO~ WITH A~Y'RE~ISSION. ' I. PREL~INARY APPROVALS - OTHER AGENGIES ~]' N.Y.S. Dept.~ofq.Enw.?Cons,.~ [7] Sew~r~DistricLAppr~al~:' [ ] SEQRA Dete~ination ] lhree prints of ~urvey . ~f'~[ :.']' ~nd~ete:,on'survey the.~:,/,. · ,[ ,) It, d~cate any,~ur face " ..,. . - , ,, :., s~,,ppL~ wett/wate~ service [ ] Grading ~ten show?~)g ~":~t aetai,ing watt must: be .. ~; survey, . . Letter from water j~.- ~ ~;,~ ~ , . . ,, ', _ .~,,',' ',' , , ;7 ~47 .... ,~-f, - /,,?' ' '.,. App]i~ant ~lO~f~r,d by Marl ~ J P- gon ..oiL- FORM NO. t TOWN OF $OUT~IOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 amincd :,proved .... . .~..0.., i9 9.[ permit NoJ. ~.c~ .~$..~, .sapproved a/c .................... · (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OE HEALTII ......... SETS OF PLANs .......... SURVEY ................... SEPTIC FO : CALL INSTRUCTIONS a. Tiffs application must be completely filled in ,by Wpewriter or in ink; and submitted to the Building Inspector, with 3 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 treas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- o~. c. The work covered by this application may not be c'bmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit I 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 1 have been grantee by the ufldm~ Insp'ector. Ai~PLICATiON IS HEREBY MADEt~o the Building Department for the iss npo ' · - :t?g Zone Ordinance of the Town of Southold Suffolt- r- ..... N~ ...... ua ia Bmldmg Permit pursuant to the ]rations, for the construction of bu;idin~s ~-~-""~:~ ,~ ~Ty~,-?, ..~w jor<, ~d .other applicable Laws, Ordinances or · O. O 1 ~IUUIIIUBS or a [eratlons or Ior re val ' · applicant a:rees, to comply with al/ aDnlicahla I.~,~,~ - W . .... r~v.a! or desr/ohtm,n~ as kerem described. ~t authorized mspdctors on premises and*in bt~i'l~lfl}~ ~:~i~,~}~~sa~({q°usmg/°dhe' a/r/d regulanons, and to --- '~ :a a ~,,',~'~:~'~ ,'~ ~I~'W~ · - · --'"~..'~-. ~., ~ ~'-'~; ..... .,,~ ·., .... ., ~,~,~ ~caut. or name,.4f a co~poranon) · ,vhether apphcant ~s owner, ]essee, agent, arcintect, engin~er, general contractor electr ............................................. · a~~.~. ~,u~ . ~ ll~.J ~' ................................ owner ofp em ses Z ,, .. ,' ,., . , · · ...... ; .......... . .......... '.~."~..": ..... .'v...~:..W::?...~v. · . fas on the tat roll or latest deed) plicant is a corporation, signature of duly authorized officer.,' (Name and title of'corporat'eS~sf~j~¢0~ [.~tli$t~t'lhl,db lO113'~,' -v' } 3 uilder's ,License ,No: ,;,.' .,~., ,.:, , ~t ~ ~k'lt~ ........ ............ ~lumber's License No '"'- '7tectrician's License No )Iher Trade's License No 'cation ofland on whkh proposed work will be done. ./ff./'.'?.~5 .~..~...~'~//.~.~.;'t/.~.~..,~.O (.~. ' ..................... .... " &~ :use Number '~' (~ · · Street ......... ' ' ·, ................... Hamlet ~division .................................... Filed M ~p No (Name) ............... Lot. ~ ......... ~¢ existing use and OCCupancy of premises and in[end¢d use and ocbupancy of proposed donsttuction: Jxlsting Use and occupancy ...... ~.~ .~ ~..~.~ ~ ff ~ [ ~ atended use and occupancy.. '.... ' Date x.J o hda /g2, 19 ~./ 3. Nature of work ( beck whxch aplphcable): New Buildink ......... Add t on . Repair ...... . ........ Alteration . ....... Removal ........... Demolition .............. Other 4. Estimated Cost . /q .C) .~.g2. ~ !' ~ "~' ' (Description) ..... ,... 5. If dwelling, number of dwellin,, u (to be paid on filing this application) n'* / .N, umber of dwelling y ,.~ · If garage, number of Cars ....~. ! ~,s ............... nits on e;~C.h floor ...... .... 6. If business, commercial or mixedi oCcnpancy, specify nature an~d extent of each type,of use ....... 7. Dimensions ofexistingstructures, ifanv. Fro t 13~' ' ., ', · ...... > ....... m,.ht ............ ~4 ........... · Rear H" ................ ... 3,0 ....... Depth .. ,~/.-/ ........ wire alterations or additions: Front ,.. : 'R;a'r' j j ~j ......... Dept ~ ...... ~O.,~.e-,- i ...... ,fi, .a'.~x..-~e~. 8. ~a ' ' . ..................... NumberofStories...~5...~t_~.~... ... :mensmns of enhre new constru.ctmn: Front ..... '77.7 .... ~ · Rear ..."7... ' ........ ......... Depth . ..'~ ........ ... He ght . :'7 . Nu ~ .......... ~. m0erothtories...-7-.. .. . ' .. 9. Size of lot: Front ..... ()' '~' · , · Rear -- ",'~'~' ............ ~' .............. 0. Date of Purchase . /~.~.'Az.~ ....... ..-,,..t,,-~ ....... Depth // 3 $ . "' I. ~Zox~e or use &strmt m which prcniises are situated [~ Name of Former Owner ;..Q_..6e~..~.~,~...e~.~,~r../..~.'... 2. ~ocs proposed COnstruction viok ~e any zonln, ~-.. ~ '.- .................... .A.'q.... .......... 3..Will lot be re-rade~ ~,/.~, ~ .... ~, .,~w, uromance or regulation: .... ~ ' ~ a ',:, ..... = " ', "¢'~" .............. Will , ' , · ' ............. 4. Name of Owner ofprem~scs Y/~.t~&r~.~,. ~;L.// --- ex~es_s/hll be removed from premises: Yes Na Name of Architect ..... '-'~r~'.~.~p,A~,ress c./x~e.&.~-.~t.~e..~:% p one No ~& ff~.~e ~ - ......... · ............. aaaress ~ '/? ' '/' ' · ~''' · · Name of Contractor ~k.t.r" ,~ ~V~t ~-~ - · ................. P rune No 5. Is th~s~p~roperty within 300 feet o~' a' 't'i~'alAd-d-ere~s,s ' '~'~/'~' '~ .... Phone No.~..~..~..~. · ,&z yes, Southold To~n Trustees Perrait%%;a~;:re;uY~rSg~.'~f''' No ....... .~, t ' ' ... PLOT DIAGRAM ~ c./*, $.e.~ · Locate clearly and distinctl. all b ..... .... y ~uamgs, whether existing or proposed, and. indicate all set-back dimensions from :opert¥ trees. ~tve street and block number or descriptioh according to deed, and show street names and indicate whether ~tefior or comer lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY TE OF NEW YORK,' , JNTY OF ......... S.S PLUMBER CERTIFICATION ON IdF~4O CONTENT 8EFORE ~ CERTIFICATE OF OCCUPANCy $01J~1~ ~O IN ~TER PI&JMBINO & V~11ER UME8 NEEO If cOppe, tubing is used for weter dlatributing Mti~NKML~ FEE: ~, ~ 8Y'Y,~.L. ' ' NOTIFY 8UILDIN~- 7~-~8o~ 9 A~ TO ~ P~ FOR FOLLOWING 1. FOUNDATION 'TWO FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSU~TION 4? FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. 'ALL CONSTRUCTION SHALL MEET THE REOUiREMENT8 OF THE N.Y, $TATE CONSTRUCTION & ENERGY ~D88, N~ RESPONSIBLE FOE DESIGN O~ ~NSTRu~ION ERRORS (Name of individual signing .......... being duly Sworn, deposes and says that he is the applicant coln trac't) ' named. (Con tractor, agent, corporate officer, etc.) ' . [ P :canon . . ' Hie this (Slgna~re of applicant)