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Home My WebLink About26125-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28045 Date: 11/01/01 THIS CERTIFIES that the building ADDITION Location of Property: 1020 MANOR HILL LA CUTCHOGUE 1... (HOUSE NO. ) (STREET) (HAMLET) ` County Tax Map No. 473889 Section 108 Block 3 Lot 13 .8 ' Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8, 1999 pursuant to which Building Permit No. 26125-Z dated NOVEMBER 4, 1999 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT J SCHWARZ & WF (OWNER) of the aforesaid building. �. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A .3u, I. ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "�L V /"� ut oriz d Signature Rev. 1/81 e.. 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. 26125 Z Date NOVEMBER 4, 1999 Permission is hereby granted to: ROBERT J & WF SCHWARZ PO BOX 627 CUTCHOGUE,NY 11935 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING at premises located at 1020 MANOR HILL LA CUTCHOGUE County Tax Map No. 473889 Section 108 Block 0003 Lot No. 013.008 pursuant to application dated OCTOBER 8 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signa re ORIGINAL Rev. 2/19/98 N\rAf► Form No. 6 TOWN OF SOUTHOLD 0 3 BUILDING DEPARTMENT r TOWN HALL C 765-1.802 APPLICATION FOR:CERTIFICATE OF OCCUP'� m �9 A. This application must be filled in by typewriter OR ink a.d s the ui ding inspector with. the following: for new building ornew. us BIDO-oEPr 1. Final survey of .property with. accurate location of all buildings, l ties 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. Cotpmercial building, industrial building, multiple, residences and similar buildin; and installations, a certificate of Code Compliance from architect -or engineer ' -responsible for the building. 6. Subunit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9; 1957) non-conforming uses, or buildings .anc pre-existing land uses: 1: Accutate 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 ofOccgpancy 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 $25.90. Businesses $50.00. . . . 2. Certificate of Occupancy on Pre existing Buildinn - $160.00 3. Copy of Certificate of Occupancy - 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./ . ........ .. . .. /l. v'2�7� L. . . .. .. .. C .. .. . s . ..... House No. Street Hamlet c4 f � /Ciff fc92 Z Ouwer or. Owners of Property.. . ... . ... . . .. . .. .. . . ... . . . . . . .. . ... . .... . . d. : . . ... County Tax Map No 1000, Section4: .�: . .. . . . .81ock.��t�.�J.:3.. . . . . .Lat. U� . :.vva . . . . . Subdivision.. ... ...... . . . . . . . . .. . . ... .... . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . .. ... . . . . . . . . . . . Permit No.:C. �.��.�4.. .. . .Date Of Permit. .. . .... . ..... .Applicant. . . . .. . . .. . . .. ... . . . . . . . . . Health Dept, Approval. .. . . .. .. . . . . . . .. .. .. . .. Underwriters Approval, , ,,, . .. . 4 . . .... 4 . . . . . . . Planning Board Approval. . . . .. . ... . Request for: Temporary Certificate. .. .. . . . .. . Final Certicate. . . . . . . .. . . Pee Submitt d: .. . .. . . . .. .. . . . .. . . . . . : Z � I t 1020 Manor Hill Lane PO Box 627 Cutchogue, New York 11935 April 3, 2001 Town of Southold Building Department Box 1179 Main Road Southold, New York 11971 Re: Permit No. 261251- Dated November 4, 1999 Dear Sirs: Mr. Gary Fish of your department inspected our deck addition and found all in order, however I mentioned I would like to add a sun screen/trellis over a portion of the deck. Mr. Fish suggested I ask to amend the permit to show this screen. I have attached drawings which show the necessm y changes to the plan and elevation views. I understand there is no added fee to amend the existing permit in this manner. Please advise. Ve truly yours, A 1 7 Robert :`Schwarz BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: I poker'f SC��/�Z— Reviewed: Architect/ Date . Engineer: '5Prm Submitted: (Offlq(Off9 SCTM #: District: 1.000 Section: tR 8 Block: Lot: 3.0 Projectrr Subdivision Location: to 2 O 'MOY (`�c 1( L0.- Cf.d.�C.Y.. .Name: Single&separate Required certtfication: Yes/No Req Req Zoning District: [Lot size: Actual: ) [Lot coverage4 Proposed: 1 O Req. Req. Req. [Front Yard Proposed:_� [Side Yard Proposed: 1 [Rear Yard Proposed: ) Project Description: A r�� AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. A New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: _ Flood Plane Elevation??? Flood Zone: i Notes: 765-1802 BUILDING DE". INSPECTION [ j FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C7 A/0 zbe�,- DATE INSPECTOR � t,P T?rSPECTION REPORT DATE COMMENTS= INDATION_ OST) ------- -----------—---—---- u u -------------- rr— a------ �7 u n INDAT ION (2ND) A 1 C --- _ 1 JGH FRAME II----- II ---- — — — it PLUMBING — I� -JI a — ii 11 11 H SULATION PER N. Y. H STATE ENERGY I- — -- CODE II H it 11' 1 Q y u n FINAL II n —�1 M ADDITIONAL COMMENTS: z b 7;. _. BOARD OF HEALTH - . • FORM N0. I 3 SETS OF PLANS .. i TOWN OF SOUTHOLD SURVEY ... . ... . . . ... .. . ........ BUILDING DEPARTMENT CHECK ... ... .. ....... .. ... ...... TOWN HALL SEPTIC FORM . . . .. . .. . . ... ...... ------ -- -� SOUTHOLD, N.Y. 11971 E i_')G. _PL T,. TEL• 765-1802 NOTIFY: woKx Z V" 2YYV F�`� F-S LFHOLD I CLQ ZJ5 qd ,1.-d CALL . . ... . . .. . . . . . ... . . .. Examined..l ... .�..., 19.... MAIL TO:. . ... . .. . . ... . .. .. . . Approved..... /.1, 19.... Pernut No. ..: �. ................................... Disapproved a/c .................................. ...............,.................... ........................................... .. ....... ilding Inspector) AP CATION FOR BUILDING PERMIT. Date. .��. . . . . .. 19 INSTRUCTIONS a. 'This application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of pians, accurate plot plan to scale. Fee according to stele. b. 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 an the diagram which is part of/;• this application. c. lbe work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection thrw*mt 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 Tbwn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances-or Regcilations, for the construction of buildings, additions or alterations, or fo al or demolition, as herein described. The applicant agrees to comply with all applicable laws, ord 6, ing code, andel regulations, and to admit authorized inspectors on premises and in buildi tions. ..... .. .. . ............. ................. (Signature of licant, or name 'f a corporation) (Mailing address of applicant) State whether applicant i owns , lessee, argent, architect, engineer,.general contractor, electrician, plumber or builder .........................................................................,................................................... ZQ Name of owner of premises ... 0.9. `�' . ..r�� . we<' f!...:.::.....:r:::ffuJ/;t/lZ..................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. .........iK ...:BY,aGv/V�12 Plumbers License No. ........ ........... Electricians License No. ....� ............ Other Trade's License No. ... . ............ 1. Iocation of land on which proposed work will be done.............................................................. ..../Q4?_ . �0! . f�C G ..L: �U�s....................�f C'. ............................. House Number Street Hamlet County Tax Map No. 1000 Section ..../48...... Block .....d a...... Lot Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... �� e ....0. ../. ....� � ............... b. Intended use and occupancy ...... v .....443 .!G«?..A...CYR-qk............................. PW40 t We" OI WOR to stx12"Uq VWX0 Of 14W)a fo AN �rMYirs 1 1t' ngFi ns i?n 1!ifst� fee*? 1. Nature of work (check which applicable): New Building .......... Addition .. Alteration .......... Repair ............ Mmoval ............. Demolition ............ Other Work 10110/n/.�.. 1... ^mss ........ (Description) i. Estimated Cost ......ZA ........... fee .............................................. (to be paid on filing this application) 5. If dwelling, cumber of dwelling knits i........... tlurber of dwelling units on each floor ..........'...... Ifgarage, aurber 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................ Rear ............... Depth ................. height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Nu'rber of Stories ............... 8. Dimensions of entiU11 construction: Front .....f2.�..... Rear ............... Depth ..../2...... /V//� Height .......... ......... umber of Stories ......1.^............. 9. Size of lot: Prtint .......3..:5. ........ Rear ......?.��.7......... Depth d...... .r�. ........ 10. Date of Purchase ....../ .7.1�. ..... Name of Former Owner ..... ..!1 9�. ...................... 11. Zone or use district in which promises are situated r�4• /�s�:: ' ...................................... prep ...... 12. Does 1'ii'q*6ed cor structlonl 5ii3iQ7tc ..:.., za-ing lsc:, :sT'Aina::ce yr rr.uln.~.i�u; .......... .......... 13. will lot be regraded .......ek ...�...... Will excess fill be removed from premises: YES ND 14. Names of Owner of premises .IL::T°d.•.�2�:. C ! .�.L.. Address .............................. Phone No.?. .......... Name of Architect .................................... Address .............................. Phone No. .............. .Name of Contractor ................................... Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .. .. *IF YES, SOiTI11NaD WM WWI EES PERU MAY BE RDwmw- 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 mober or description according to deed, and show street names and indicate, whether interior or corner lot. / INC, �• c Voss 0 0 Oil JfV GJ"S �� 45 [ has to 2 story frome house sa3�9 g yoroye 526 E Q re//a P�BJ g 4 �A --------ick s'_ y`, s• _ * cessPoo/ �� o.-?p o to, j020� ---_-- �� ►►' Z � � ems` 4e� ^._'r� ��► c_ ,. h septic lbo* mQ t ,; N �...•, mop- �E V� 190 pf �• �3Z Q S.630404011W. d 50.00 u. �► ,`3� d26ej9 J► 0 J SfA1T OC' NV. YU K, f SSS tp�P"L OOUNIY OC .� �...... .......... b e ......SC, �,,l;�c�d;Z.............being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, Ileis the ............................&.7v-At. ......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or tame performed the said work and to make and file this application; that all statements contained in this application are true to the beat of his knowledge aril belief.; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to; me me this% ........ !1....day of .19..(..1... Notary Publi d . • Signa of- Appticant)�..... Ns.OIOW5066110 aalitN4 in Suffolk Colo Commission Expires October 6.199 � - SPP AU D AS NOTED 11B.P.# In BUILDING DE T AT 1 — c -1802 9 AM TO 4 FOR THE -FOLLOWING INSPECTIONS: �; I j 1. FOUNDATION - TWO REQUIRED r { i 8 $ FOR POURED CONCRETE 3 V 2. ROUGH - FRAMING & PLUMBING 3. INSULATION t 4. FINAL CONSTRUCTION MUST 6 BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET I ( j THE REQUIREMENTS OF THE N.Y. t j i , i STATE CONSTRUCTION & ENERGY { _f(WDES. NOT RESPONSIBLE FOR _ DESIGN OR CONSTRUCTM ERROR$ OCCUPANCY OR USE GSE IS UNLAWFAP.F- o �P-zAff � c��R� WITHOUT CERTl ; I k" ` g l -Aice/ D�-C.f�///'G -- ly - - 2X8 C G9__JOZSIS_ �� 131 S� OXY A /� it � i � `, - � _ t �� • � � �1 ' �jt _ ... .. _ i 5v�/epi I Nit Igi 1 SZ C CX//iG T3 �C'T THE LOCATION OF WELLS AND.CESSPOOLS.SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL.CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEP14RTMEN OF HEALTH SERVICES APPLICANT:-----�.---------- ADDRESS------------- TEL.---- . \ 5`'ter a9y 53 N rQ opt N o or � o nog' o � 0E c ,y13 %% o y9 v N _ me noJse �o 0sP001 Ce5 K 4 z tiC too N �}9�' o9 -' O �gI Ham' `r S"bo 04 OV. \p \ o o 1p �ope l,' m_ . L' ukU n mer f�r�yt g61 or f°r prm GN % T TEST HOLE 0.0 O �pto so#_ 4.6' /oam 9AW. 59, EL%✓A.V LANE. 5860010 ppi - sand /VIA/N ------- 73' ROAD (N. Y.S.� Rte. 25� sand 9/aY. 17.0 NOTE REVISIONS YOUNG & YOUNG a =MONUMENT 141LY/4,/977 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ELEVAT/0NS ARE SHOWN THUS 32.o SEPT-611-9,77 HOWARD W.YOUNG NEAREST WATER MANN 4 M11.ES f PRO EN IO YOUNG WATER-SER VICE=PRI VATE WELLS MAY 4, 1971 LAND SURVEYOR. ENGINEER AND LAND SURVEYOR NO.4 MAR. 4, 1911 LAND SURVEYOR. N.Y.S. LIC.NO. 12843 N.Y.B. LIC.NO.40iYi SURVEY FOR: UNAUTHORIZED ALTERATION OR ADDITION TO - /� a THIS SURVEY IS A VIOLATION OF SECTION ROBERT i SCHWA8 RZ PAIR/C/A A. SC 7209 OF THE NEW YORK STATE EDUCATION LAW LOT 4 "M/NOR SUBDIVISION Of WER o COPIES OF THIS SURVEY MAP NOT BEARINGqP�N W. YO`,I" THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. AT CUTCHOGUE UA SOOV;/ o Q d GUARANTEES INDICATED HEREON SHALL RUN - �i THE T/T VA ONLY TO THE PERSON FOR WHOM THE TOWN OF y ?, SURVEY IS PREPARED,AND ON HIS BEHALF SOUTHOL,D TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION'LISTED BY !s HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y. Qv LENDING-INSTITUTION. GUARANTEES ARE - NOT TRANSFERABLE TO ADDITIONAL SCALE: '��/00� DATE: B 28 191 0 INSTITUTIONS OR SUBSEQUENT OWNERS.