The URL can be used to link to this page

Home My WebLink About27167-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27904 Date: 08/30/01 THIS CERTIFIES that the building ADDITION AND ALTERATION Location of Property: 1800 WUNNEWETA RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 4 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 27, 2000 pursuant to which Building Permit No. 27167-Z dated MARCH 27, 2001 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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN C SCANLON & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 567061 08/15/01 PLUMBERS CERTIFICATION DATED N/A ). /v' ut orize Signature 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. 27167 Z Date MARCH 27, 2001 Permission is hereby granted to: JOHN C & WF SCANLAN 1800 WUNNEWETA ROAD CUTCHOGUE,NY 11935 for ADDITION AND ALTERATION OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1800 WUNNEWETA RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0004 Lot No. 023 pursuant to application dated DECEMBER 27, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 7 'v l ' TOWN OF SOUTHOLD 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: I. 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 Pre-existing Building. . . . . . . . . . Location of Property. . .f .�Q. . . . . . . . . . . . . .`. . . . .C.. . .. . . `:�. . . . . . . .�(1.!�1; ' House No. • . •Street • . Hamle,� Onwer or Owners of Property. . Jl7 M. ,!l, , , �( (j c? , , , /1/ , tn/kj. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .0!. . . . . . . .Block. . . . .Lf. . . . . . . . .Lot. . .y Subdivision. . . . . . . ../. . . . . . . . . . . . . . . . . . . . .. . . . . . .Filed Map. . . . . . . . . ././.Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . 2%71!! 1.?:. . .Date Of Permit. l: ? 7/p p , , , , .Applicant. .1.�/ G:�::�: , , . . . < <r Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . .. . . . . . . . . . . . ' . . . . fw [. ..c; . ' . . . . . . . . . . . . . . AP C v.•... ,.riR 1185077 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date AUGUST 15,2001 Application No. on file 12531201/01 N 567061 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JOHN & CAROL SCANLAN, 1800 WUNNEVETA RD, CUTCHO¢UE, NY in the following locati Y (ABgs�g��nt In ]st Fl. El 2nd Fl. OUT Section Block Lot was examined on ,7UL .3�0 L�0(0 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS I OUTLETS RECEPTACLES SWITCHES INCANDESCENJ FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 _ 5 2 2 1 L DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC-PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS K.W. OIL M.P. GAS N.P. AMT. NO. 1 A.W.G. AMT. AMP. AMT. AMPS. I TRANS. AMT. M.P. NO.OF FEET AMT. WATT SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND, A.W.G. A.W.G. A.W.G. AMT• AMP. TYPE EQUIP. 1 12W 1 1 SW J•SW J O!W PER R OF CC.COND. NO.OF HIAEG OF HI-MO NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FAN F-1 G.F.C.Ir-1 ROSLAK ELECTRIC LIC.#3677 F ( L P.O.BO% 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER Per TMt aeriftate must not be altered In any manner;return to the office of the Board If Incorrect.InSpectors may be Idenflfled by their credenHab. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ,2-7/C1;_1 zZ • BUILDING PERMIT REVIEW CHECK LIST // DATE REVIEWED: 3 1.?c /o 1 APPLICANT NAME: DATE SUBMITTED: /2/1,, /o/ SCTM# --- DISTRICT: 1,000 SECTION: l// BLOCK: f- LOT:_23 PROJECT LOCATION / STREET: /�o� (�1��.��c 1040j- CITY: C.-/.h 1SUBDIV. NAME: ARCHITECT/ENGINEER: FAST TRACK: YES oRNO SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o9 NO NOTES: ZONING: PERMIT ESakMATE AMOUNT:-$-/4C4 .00 ZONING DISTRICT: 40 R80 AC CONFORMING: YES o NO REQUIRED LOT SIZE: SQFT. WHERE ACTUAL LOT SIZE FRO Ax CARD S ACTUAL LOT SIZE:,S6 f,> SOFT. REQUIRED REQUIRED REQUIRED FRONT;9S 'PROPOSED: SIDE YD: /a '/ _' PROPOSED:/Z '/-36 ' REAR: 'PROPOSED:,/O::5' LOT COVERAGE: ALLOWED: 2-6 % EXISTING: sf % NEW: sf % TOTAL:3073 sf /Z% CORNER? YES OR O WAT ER FRONT? YES o 6) O DESCRIPTION: LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at any time after July 1, 1983.) PROJECT DESCRIPTION ADD i CC OR N/D: <</� �� AGENCY PERMITS REQUIRED FOR REVIEW NEEDE TOWN SPETIC PERMIT: YES o SUFFOLK COUNTY HEALTH DEPT: YES or , (BED #): DTE:—/—/ PERMIT#:R10 NEW YORK STATE DEC: PRE-DEC 9n/75 YES or SOUTHOLD TOWN TRUSTEES: YES o NO TOWN ZONING BOARD APPROVAL: YES r NO TOWN PLAN. BOARD APPROVAL: YES NO FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 L #: G FLOOD ZONE:, NYS ENERGY: YES O NO EGRESS: VENT: LIGHT: NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR 3 SF SECOND FLR SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE TOT( SF)- ( _SF)= SFX $ =$ _+$ +$ _$ BUILDING PERMIT REVIEW CHECK LIST Applicant/ / Date Owners Nam f l ) Reviewed: / Architect/ / Date } Engineer: Submitted:�a t �� SCTM M District: 1.000 Section: Block: Lot: Project Subdivisio Location: /O �/J//f/el f �Q y Name: Single&separate R certification: Y /Nol _ Req. ' Zoning District: [Lot size: Actual: --�� 1 (Lot coverage -,-- -Proposed: 1 Req. Req- A /� eq. (Font Yard Proposed: [Side Yard /!/��Popos-:!l//(Rear Yard �Propos(4:� 14 Project Description: , j�L�1yl� AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: _ g PP Flood Plane Elevation??? ' Flood Zone: Notes-z At� C 765-1802 BUILDING DEPT. NSPECTION 1/1"FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY zi REMARK ,DATE j Q INSPECTOR I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ J INSULATION [ RAMING [ J FINAL [ ] FIREPLACE & CHIMNEY REMARKS ,DATE Q INSPECTOR, 716 -,-? --z JC� 70-11102 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ CATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [;INSATION FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: v Q� l0 09 -/ DATE I INSPECTOR .w't FIELD INSPECTION REPORT _ DATE _ COMMENTS saa=xaxxx-x=xaxaa=x=cs== x==s/`-= xos=as= x=_as a ===aa==aa^== =aaaa- as==ax==cas=a= • � H FOUNDATION OST) FOUNDATION (2ND) I - -- -------- ---=v-------- ------------ ---- I II c ROUGH FRAME & = u �001— PLUMBING II �- 11 II INSULATION PER N. Y.' H STATE ENERGY p . CODE a . a o a a H a I a FINAL ADDITIONAL COH14MS: --- =xma J � � N H �N 'Zi BOARD OF HEA FORM NO. 1 3 SETS OF .AYS �• - - - TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . BUILDING DEPARTMENT 4 • • • • - - . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . j - SOUTHOLD, N.Y. 11971 TEL.. 765-1802 r,OT I F Y Examined CALL .��y��V. . . . . . . . . . . MAIL TO : Approved . . .3��. . . . . . . .,;10I. Permit No. .2'�� LZ . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT T."��Date . . . . . . . . . . ., INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets f plans,accurate plot plan to scale. Fee according to schedule. l . 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 appli- cation. 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 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. 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 Laws, 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i" (Signature of applic ame, if a corporation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . 6.�t./zip . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises G.l) .'f. �GriJ �j ./!A/. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. .� : 9.9 . , -� Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . .X . . . . . . . . Block . . . . . . . . . . . . . . . . Lot .O� 3. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . (Name) . . . . . . . . . . . .. . . . . . . Filed Map No. Lot . . . . . . . . . . . . . . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . b. Intended use and occupancy . . . . � 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . .rl.Qod. . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . .(Description) . . . riptio . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling 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 structures,if any: Front . . . 5. . . . . . . . . Rear .�G . Depth Height 17. . . . . . . . . . . Number of Stories . /. . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear 1,'6 . Depth . .��.�.� . . . . . . . . . . . Height . l7. . . . . . . . . . . . . . . . . . Number of Stories .f . . . . . . . . . . . . .l. . . 8. Dimensiops of entire new construction: Front . . . . . . . . . . . Rear 43 . . . . . . . . . Depth Height Y. . . . . . . p Number of Stories . ./. . . . 9. Size of lot: Front . E. a Rear . . a . . . , , . . . . . Depth a? 4?4,?)10. Date of Purchase . . ./1PAF X, -IMP. . • • • . • . • . • • . . . Name of Former Owner 11. Zone or use district in which premises are situated . . k--T'P,r�n g 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded !`_:e�. . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises dPhA!KAM' f66*1 -" . . Address • • , . Phone No. ,; Name of Architect . . . Address . Phone No. Name of Contractor .kdi`/ , . Address s�O DG .L '!� . . .Phone No.73,y!-:� !S: 15. Is this property within 300 feet of a tidal wetland? *YeS. . . . . . . . No.A4 *If yes, Southold Town Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. \\^ J P/d T V !f STATE OF NEW YORK, S.S COUNTY OF/� • • % • • • • • • . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . . . . . . . . . . . . . . . . . . . . c!/./ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) )f 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 statements contained in this application are true to the best of his knowledge and belief;and that the •vork will be performed in the manner set th in the application filed therewith. iworn to before me this j7 . . . . . .day of. . . . . . . . lT.�. . . ., i�} Q o O �otary Public, ... . . . g . . County \ ELIZABETH•A STATHIS • . . .aleA! ��'ti• • . • , �A NOTARY PUBLIC,State of New York . ' ' ' ' • • • • • No.01ST6008173,Suffolk County (Signature of applicant) Term Expires June 8,20. ,� so �vatorr# IL Pool Ak Ar. a 0► z lit- AlASV -to driv�sa►i� �� woll so PRS Ste'N w �V+4a,sq , t �Q. 0 N %1uRrIy,ECD Fore CAROL A. .SCA1`� rkuwsz;rlow Ar coe+�s a .� On uuo NAS 5 A U ftmosw* TO*AV Co. MAJp -NO. 1j06, ti'Yf MARAMtc f� . asav�rrs� +�Jrrv. �s p. ., ...._. 40/ �+►rimloc:. �d ` t APPROVED AS NOTED DATE: °/ B.P.# 27/.6OR 7-k FEE: 7-' BY. NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS PROVIDE SMOKE-DETECTING ALARM DEVICES AS TO PART. 721.1 N.Y.S BUILDING CODE. UNDERW REQUIRED CERTIFICATE PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. IV v 40,0 Way D C- vxt3r-#-A4 A) e W LU S c lrT o 6 WILLIAM J. JACOBS 5 5 0 DEPOT LANI'll CUTCHOGUE., NY 11935 734-5815 .......... ............. .................................... .............................. .......................... .......... ................. Carpenter& Builder dQ (,U', 16 dip ;x N 032254 0 ESS 1 11, k C� J 1 ?+y U Ize ffitf-17)`tv ?d fNr S 8 `,xsgyay �►yam Fsi k T a � w � 1 LZ Ar eA t 4 p Ir,4, c�+e +�"Ce NCS :fib SWO F+1i ca1�Y" �l f w ( spwc S Co T-C Ipt � T Tic obs Cell,�y eo c1�1C rsl� ` � V �,y� nff� ,r [ =12171 �N .,�,a _•, _ _ Cres._, _. . 032254-1 --- A k o D so� � s orc �= xAr7 cx ,�rh pa tS� 6 Get c,r�lrok a+ cd s�kf e`Q - " y• <<<" FTC, a�' � 6i�NTY HEALTH DEPAgTN[ENT sury fJ40 The sewage dispo aectc insp to be, 2 a� u. u ve 9,7 f = 3 , F .J, ,. 04,1 14 Witt �N 10 - s _ a f , UNAUTHORIZED ALTER A.T C a�914WIn Ae`s • �' X 'CAPOLE • �. � f To THIS SURVEY IS AV!, Au OF c4E �!t Q �s€cno72c9 t/ I"f.zS .r - - EDUCATION L 4 1 - - (715 ye V t�p 'Jti t! -- 45 - N`.. _ corl s OF ("t ti,J ' M .,T EAPNrJ. . THE LA l, � .V ] OR " O�.if t - - - - EA$50UcD SEA C:NSIDERE17 #♦i TO BE A VAL 77 0041 GUARANT::S ONLY TO TH C 3c EY -, IS FR€ASEC. P 1 _ + � TITLE - _ _ / t TITLE ccn+ a�Y r .0 AND �.�iw�'�► +>��' ` - - LENDING uas,i, ,v ca- '•,.D - TO THE ASSIGNEES ..r 1:� t� y ,.... - 7t4TfON..GU,Rf:JTZ:CS A".:: .;. w.-�.n:.:.. �,...�"..�....:.�:....-w--.,,:...w...��..��. ..•�ww.t.-3+.e-:: fix."-w-"��'1!Ko " > ,