HomeMy WebLinkAbout18561-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26420 Date: 05/03/99
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 7895 SRUNR LANE CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 104 Block 4 Lot 24
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 3, 1989 pursuant to which
Building Permit No. 18561-Z dated OCTOBER 5, 1989
was issued, and conforms to all of the requirements of the applicable
provisions o£ the law. The occupancy for which this certificate is issued
ie ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to DOLORES H.KALLER & WENDY E.LOWENTHAL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H-063556 03/22/99
PLUMBERS CERTIFICATION DATED 03/17/99 HARDY PLUMBING & HEATING
Bui1 ing In ec or
Rev. 1/81
roses xa ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPLETION OF THE WORK AUTHORIZED)
N ~ 1 C^5 J ~ ~ Z Date 19
Permission is hereby
gmnted :
?~~~.....:.f.:...
. ~~.~s'
~~~3s-
T ~.....~~i~i~s~j~,....,ot~...~~.~Qc
at premises Located at
' .G.......................................................................
County Tax Map No. 1000 Section L..:a. Block Lot No .
pursuant to applicotion dated ......1.~~.~ 19.~y.., and approved/by the
Building Inspector.
Fee S.ti...~A...
.
Ildin or
Rev 6/30/80
~ n M R
u V f5 BUOI DING DOPARTMCNT
i' TOWN HALL
APR ? ? ! 76s-Iaoz
E_ APPLICATION FOR CERTIFICATE OF OCCUPA_~CY
7QW?, ~ _
A. This application must be filled in by typewriter OF. ink and submitted to Che 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 rn system contains
less than 2/10 of 17, lead.
s. 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 525.00,
Alterations to dwelling 525.00, Swimming pool 525.00, Accessory building 525.00,
Additions to accessory building $25.00. Businesses 550.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
Copy of Certificate of Occupancy - .25C
`~J' Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential 515.00, Commercial SI5.00
~~~-~f/ Date ......Mazch.25„.1994
New Construction~~G(.(TI~?1.. Old Or Pre-existing Buildin
Location of Property.., 7895 Skunk Lane Cutchogue, NY
House No. Street Hamlet
Onwer or Owners of Pro ert Dolores H. Kaller/Wendy E. Loewenthal
P y
County Tax Map No 1000, Section...104,,,,....Block......4.........Lot....24
Suodivision......NdSSau.FFti'IR6 ...............Filed Map...... .....Lot.....7...............
Permit No...1SS.6.1,,,,,,,,.Date Of Permit 10/5,/,$9, ,,,,,,Applicant RggeZ.~Z, S.AoIaTeS.H..Saller
Health Dept. Approval .....Underwriters Approval..
Planning Board Approval
Request For: Tempo~rarrypCe~r.Zificate. Final Certicate Final.._„
Fee Submitted. $ Z'~......
~~GY~~ APPLICANT
Ab gail A. Wickham, As Agent
TEL. 1G: -i 802
,~c,~?"rC:.~;'~~, TO\TJN OF SUUTEfOI.IJ
< OFc=tCE• O1• i3(JIF.DS; INSPECTOR
`i, ~ TO~YN I:..f,L
''4 ~ SOUTHU:.D, N Y I i97t
2
C E R T I F I C A T I O 't
Qate March 17,,,, 1999
t3uildanq Permit Na. 18561
OwttCr Delores ~a11er
(p ease print)
Pitan'~' 2r Hardy Plumbing and Heating
(please print)
I certify tnat =:~e solder used t:~e cater supply systsm
contains Less than Z; :O of 13 lead.
- (plumber's s a rc)
Swor to before t~is
day o f ~ `
L9~ t7otnry PubL1c
Nots:' Pvl^_ic, Coun'.y
EILEEN S77SA D
Na.OlSF60p149~~
~ > w i O" ~ 'a ~ o -1
m ~ C, "[i (D tX' * v ; ~ A ~ ~ 5 ? ~ Z ~ to
~ N T N~ v n ~ ym h ~ ~ N ~
9 ~ N f+ Iir ~ m x y ° ti~ n O C7 ~
q ~ ~ £ ~ r ~ m R 1p
m ] ti F~ f
7 ~ ; w o m E ;g n 47
a C o~ a r m a, t-~ Z ~ s a o A, m
m C U [h r: rr ro rz i m ~ 'sn? K ~e i t 1 +
z LT] "L'G 4 fD ~ ~ H Om0 n y ^ m
m r~c ~ rz ~c c~ cn ~ o N r- I~ F' y ~ r
m
~ ~o yyy E ~'crr a e ~ ~ a
n n 1/ U1 tO~S ~ ~SZ+ f ~ c E C ~ ~
y ~ tJ T r ® m C ti~ Q O
C. C 4' l~ F v ~i A .y. ~ T
CJ 7 11
m H.. z Z ~ 'a 1 W
o E m ~ r O C
n z m i = u~ ~ a Z D 0
v o £ o ° ~ a G A o 9 D a
^n ~ y s° a m c .~O
°m ; ~ ° ~ a m~
m ~ ~ z A ~ f m~
n ^f n a s ~C ~ a p 77
m z~ 3 3 A ~tl C $ ~ Z -i
n M f> i 0 a y A lro<K m
Z M O n d ~ a' tp Oho C
m Jr o F n a1' n Z
f H A m N
p ~ H .m- m ~ 0
x ~ i a A 17'1
~ ~ 2 ~ O t' ~ i0
-n 'n a
m a
m Oy ~ ~ 2 ny h O O
° m ~NO~~ i y ~ a O
~ mc~xoj H ~ a
2mmvm 9 > o ~ a -1
O Oi0-I 3 ; m ay c
y 9mDOm ~ m Om~ ~ ~ ry O ~ w
~ zoi; f m
m~ n
m mOm=~D o Om0 N o k y Ch N
~ ~nn~0 Z n3c £ m a 5 Sp
z nnm~C ~ ~ i i~
~ ~~mOm-Zi G ~ ~ ~ Gl
p r=orx m M
x mni0 ; ~ ; Z n
Z m`Gm9 ~1 ~ y G
C -iDmO m( ~ J ~n
m m
°o maim i~ s N x y r
~m < ~ ° Z
u N
rJ li II~IIau I li l.: t.'1LF1 {1
I . ` U ~ .C. ~
=0U11DATI0IJ
~ -
c
=OUtIDATI0II (2nd) ,
2. ~
'.OUCH FRAi~SE
PLUMBING
y
3, 3 ( a
m
II7SULATIOCI PER N. Y. I . • y
STATE EPIERGY
CODE 1
I I~
a . ~ ~G _J~
I v- _
FIIIAL
' ' o
ADDITIOPIAL COMMEIITS:
~ ~0.
m
x
^o
H
a
9
H
O
m
r~
! a
v
m
_ ~
I
765-1802
BUILDING DEPT.
I NS~ECTION
[ ] FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS: ~~I,~~G~?'~h.
DATE INSPECTO
~ 765-1802
BUILDING DEPT.
INSPECTION
(FOUNDATION 1ST [ ] ROUGH PLBG.
( ] FOUNDATION 2ND ( ] INSULAT{ON
[ )FRAMING [ ]FINAL
~
REMARKS:
DATE INSPECTOR
C l 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST (~130UGH PLBG.
[ ] FO NDATION 2ND [ ]INSULATION
[ FRAMING [ ~ FINAL
REMARKS: ~it-~''"'~-~-
P ~
DATE~Q 4 INSPECTOR
" - ~ - }
~ e
` 49 48 v'
H Q4'O~'OO~E !oo•oo
I ~ V
' I$ I I
I~ I I
I~ I ~
rr. I , "
I I ~ o
a
' aera9c I
I
I
''-CT 7 ~ I
( I
I
of i~ '
N j rYtlo ~ k
1 t
~ ,y story < • ~ I- MAP OF' ~zOPEf2TY
Q 3 I~ U tr~ti.c beast n' p *p -
Z SURVEYED FOR
~ ~ I~ I ~ i 9 "J y DOLOR ES `H. KALLER
I- o
~ n L Pewb p , StTUATt AT,
' d. ' , - t 4 ~ ' i - E.45T GUTCHOGUE
. sy ~ .Y X71' . ' 'SGA1G~30~_ 1' ,
va33s• .~r .G
t sE. LIB .at n~`i'3 `.'~u~MrM ~'Y ^'~'KgbY 1. >^Y}\ir
1+.~ } ~ SY eT ~COnCrGTG nlenYfnl. of
C ~ I ~ E• , ~I ~"b i i I
i "n 46L Pof OOO•e't'o P/ne V d _
S,S.A`~ow r(..ro S.BSe.+b'oaW. as so
t fix,
~ - ~ ,
' ,4 V E N U E ~
< $ A ~ - ~ Guars ntaed to lvtcr+CounYy Titfc Guaran!
' ~ ai.d, Mettdge'e CemPgny and Riverheq-
' Savingr Sank cts surveyed Nev 2, t9s4
q.. ~ OTTO W VAN TUYL f~ SoN
N ot¢: Lat' numbara rct~r fa `fvia~a of Liun.scd Land' Surveyor
f Grccn rtr N. Y.
Nxioauu Farms"Tilad rnS~foijtCounty P°
G4erk'a o~ce in Ffle No. tf79 '
ezs - -
ti~ b I v
r~
~ ~ ~ ~
r mm 'C/s V
C ~ ~ ~ ~ ~ ~ ~
x ~
O ~ ~ ~~~~A~
r ~4'N U
;mac ~ ~ ~''~^ryfl
_ ~ ~ ~
~ ~ _3. „
9
~
O ~ p ~ ~
?~o
z
3-e ~ ~
~
~ ~
n T • 'r' ~ ~ cam. ~ ~~G Nc ~ ~ 1
Inc R 'I _
N cq h ~ ` lI ~ ~ ~ a- pro
~~c m
< - ~ - ~
~ 0~~ ~ F ~ ~
1~~ Cpp~ x ~ ~ n ~
~o n goo ~ ~ ~
•
~j ~ ~ ~ ~
~ ~
~
~
~ ~ ~
_
~
1
~ fi~~' ~ ~
mac. ~ ~ A
~ ~
o~ ~ ~
C1}
- g
~ ~
~ p ~
C=
BOARD OF HEALTH
3 SETS OF )CLANS
CORM NO.1 SURVEY 1/
TOWN OF SOUTHOLD CHECK • - • - . .
BUILDING DEPARTMENT SEPTIC FORPI .
TOWN HALL NOTIFY .c~
SOUTHOLD, N Y. 11971 CALL - • f-~ 1 • ~O~l
. TEL.: 765 1802 - - ' '
MAIL T0:
Examined 19 ~ r
Approved . /:Q~S~..... ~pp~ ~t~~6~ ~ ~ ~ ~ ~ 'd~
19 O,IPei7ttit No........... O
Disapproved a/c ~i
(B mg Inspector)
APPLICATION FOR BUILDING PERMIT
Date ......j0...~~.., 19~!
INSTRUCTIONS
a. Tliis application must be completely filled in by typewriter or in ink and submitted to the Budding Inspector, with
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildin;s on premises, relationship to ad}ommg premises or public sttee~
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl
cation.
c. The work covered by ttus 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 perm
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 Occupanc
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmlding Permit pursuant to th
Building Zone O>~~a~~if~~o>,m of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c
Regulations, for o ruction of bungs, additions or alterations, or for removal or demohtron, as herein describe,
The applicant a tpinplg+.~+~+rtlrall''app~icable laws, ordinances, building code, housing code, and regulations, and t
admit aut..onzed inspect on premises anffi Sri building for necessary ty~}1 ~~e~cLOns. ~1n/(~"j,
v•-7 aCq ~ (Signature of applicant, or name, if a corporation)
,•r
d';}:t,K++;,: ...7F;C(Y,S/~v!:~1~.:`z,g.ct~ Fv~z1~Gv~
^1 '~i~ ~ (bfailing address of applicant) may' ~"Y3
r°ry~• rp~t a . '
State whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electrician, plumber or buiIde,
..1
Iv'ame of owntbr oremisas ~ ~ . /7` - h,!~~- ~ . .
. ,aYe. ^
i~ ? _ (as on the tae roll ar latest deed)
If applicant u a gaipara2fbn, signature of duly authorized officer
.
(Name and title of corporate officer)
pLL COt#TRACTOR'S MUST E S FOLK COUNTY LICENSED
Builder's License No. ..~/,~f /.~~e , , , , , , , , , ,
Plumber's License No . .
Electrician's License No . .
,Oilier Trade's License No .
1. Location of Land on which proposed work will be done P..9 S/...~'-'1'1.~~.
/'/~...1.0-!~~:'-~:....... -
..........~vrc,~c ~~~y./~q3.5~:......
House Iv'umber Street /t Hamlet
County Tae htap No 1000 Section . ~,d`?.. , , , , , , , , ,Block ...'7 Lot ::?,l„~, , , , , , , , , , ,
Subdivision Filed \lap No Lo[ .
~ (Name)
State crating use and occupancy of premises and intended use and occupancy of proposed construction.
t ~
a. Eraung use and occupancy k ,:z. .
n i~-~ 4~
b. Intended use and occu anc ...C?.!°~~ ...F lr--;~ #l+T'-;E rrartN' ; i"
P Y
3. •Nature of work (check which applicable). New Budding , , • . , • , , , , Addition Y
Repair Removal Alteration
• • • • Demolition Other 1Vork _
4. Estimated Cost ..~~,GG•'~ (Desenphon)
Fee.....................................
5. If dwelling, number of dwelling amts , . , ~ (to be paid on Glmg this application)
If garage, number of cars ' • • • • • • Number of dwelling units on each floor .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any Front ' ' ' ' • ' '
Hcigfit • Rear Depth..............
NuniberofStones _
Dune zoos of sam strati a wrt}i alterations or additions: Front • ~ • ~ ' ' • ' ' ' ' ' ' ' '
Dep>h~~f.~!!.~.:. Rear.................
~_,,R¢R¢ ,,.,,,Height , ....Number of Stones .
8. Dune siort~ of entire new cons rue on Front • •
Heigh Rear Depth .
•••••-'d'~s,Tw:cLMW. umbe ofStanes......
9. Size o ]
Rear.......
' 0. Date of Purcliase • • • • • • • • • • • • • • . Depth
•••...NameofFonnerOwner
! 1. Zone or use dislrict m which premises are situated
.
i 2. Does proposed construction violate any zoning law• ordinance or regulahon• .
3. Will lot be regraded . .
Will excess fill be removed from premises Yes No
4. Name of Owner of premises ,
Name of Architect • ..Address ...................Phone N'o.......... .
......Address
Name of Contractor • • • • - ...Phone No....... .
....................Address
.5. Is this property located within 300 feet of a tidal wetland? *Yes .'Phone No.......
*If yes, Southold Town Trustees Permit may be rey a~ired. No „
PLOT DIAG1tAM
iropertythnes. Give
tdreetsand b o klnumber or desenption accordmgPo deed land showistree namesand nd cote whether
ntenor or comer lot.
DATE: ~6/'
FEE'
NOTIFY S I INQ
765-1802 9 AM 'fb 4 PM FOR T~
FOLLOWING INSPECTIONS:
1 FOUNDATION Tyyip REWIRED
FOR POURED CONCRETE
2 ROUGH .FRAMING 8 ~•UMBlNG
3 INSULATION
4 FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL, MEET
THE REQUIREMENTS OF THE N Y
STATE CONSTRUCTION ~ ENERGY
~n~ES NOi RESPONSIBLE FOR
'SIGN OR CONSTRUCTION ERRORS
OL 1TY0 OF~E~`~c~Rtt-C~VZ'I I ~ `S~S
•~O.~:D. ~C~:G'4: ' Y ' ' • • • • • - • • • . being duly sworn, deposes and says that he is the applicant
(~amc of individual signing contract)
rove named.
c uthe ........~~£~,U
_
(Contractor, agent, corporate officer, etc) • ~ • • • ' ' '
-said owner or owner, and is duly authonzed to perform or have performed the said work and to make and file this
•plicauon; that all statements contained m this apphcauon are true to the best of his knowledge and behef; and that the
ork will be performed m the manner set forth m the application tiled therewith.
s•orn to before me this
day of 19
C /
D'
xa Pubh vL,~ , ,
~4- , , , • , County
GwllfNd~" ~C i (Signature of applicant)