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Home My WebLink About25855-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27966 Date: 09/24/01 THIS CERTIFIES that the building ADDITION Location of Property: 375 FAIRWAY DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 14.34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1999 pursuant to which Building Permit No. 25855-Z dated JULY 8, 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 GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DENISE CARDINALE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 09/24/01 PLUMBERS CERTIFICATION DATED N/A c or' ed 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. 25855 Z Date JULY 8, 1999 Permission is hereby granted to: DENISE CARDINALE PO BOX 595 CUTCHOGUE,NY 11935 for CONSTRUCTION OF A GARAGE ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 375 FAIRWAY DR CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0005 Lot No. 014 .034 pursuant to application dated MAY 13 1999 and approved by the Building Inspector. Fee $ 75. 00 Authorized Signature ORIGINAL Rev. 2/19/98 1 Form No. 6 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: 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. 'fopy of Certificate of Occupancy - z .25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .4-A. .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . Old Or Pre-existing Building . . . . . . . . . . . . . . Location of Property. . /'15:.. . . .440*1-f ic+, .l��i rt.. .. . • .e.6-4.-' e House No. �. • Street • . • Hamlet • • . • - Onwer or Owners of Property.}�!/t:f�. . . ,�!�Pi�er.ls(, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. ./A f . . . . . . .Block. . . T . . . . . . . . . . .Lot. . 5 . . . . . . . . . . . . : Subdivision. . . ,/llvs+� . . �45 . . . . . . . . . . . . . .Filed Map. 1004"'. . . . .Lot. . _? . . . . . . . . . . . . . . . Permit No. . . . . .Date Of Permit. !!:./. . . . . . . .App1icant.��t. ,�!.giZ�+;A., aZS'� Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval.41YI.fr.'0. . . .rA�/ . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. Fee Submitted: $.,,t,S elf . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: C49DIML6 . aNl5f, Reviewed: 'qi Architect/ Date Engineer: Submitted: SCTM#: 3 District: 1,000 Section: 164 Block: Lot: Project315 Subdivision Location: FIOIRWAy 1 ICLUt, Name: i41RWRY TAP'M S Single&separate Requirpd� certtfication: (Yes/Wo)/ &X IVAJ5 DJ4604 O Req Zoning District: [Lot size: Actual: �� 14G1GC Re'[Lot coverage Proposed: Req- Req. /` Rey. [Front Yard Proposed: (Side Yard J 3� Proposed: 1 [Rear Yard so Proposed: Project Description: 6AR A&6 C7 �lTim 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: Flood Plane Elevation ??? Flood Zone: Notes• SO rV eq /P46T6 Rl'S- 5C) ?-6RX-YffRD PeQO*6j� BUILDING DEPT. INSPECTION [✓J FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS• DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ 7FRAMING NDATION 2ND [ ] INSULATION v [ ] FINAL [ J FIREPLACE & CHIMNEY REMARKS r DATE L � INSPECTOR T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �5D ,DATE I INSPECTOR 765-3802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ 441'NAL [ J FIREPLACE & CHIMNEY REMARKS: ,DATE 31 01 INSPECTOR 6LD�INSPECTION�REPORT� _DA �s �=��v COMMENTS---------------: �fv 4 a H � XMAT ION OST) -----�" C:3 -----" tzl )UNDATION_ (2ND)------a M OTGH FRAME N j PLUMBING �u a " N ntSUi.ATION PER N. Y. H STATE ENERGY CODE N _a N " p a N no FINAL ADDITIONAL COMMENTS: e 0 1—I Cv. O� z F � 01 71 BOARD OF HEALTH . . . . . .. . . . . . . . . MAY A FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . J 1 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . .. . EPL TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . 5OUTHOLD SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: 2 CALL . . ✓. �.7 Examined.................. 19.... MAIL MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.......77!...., 19..[.1 Permit No. a Disapproved a/c .................................. .................................. (Building Inspector) PPLICATION FOR BUILDING PERMIT Date. . . . =- 3• - - . . . . . , 19 77 . INSTRUCTIONS a. lois application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be camienced 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 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 Canty, 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 inspections. ..................................................... (Signature of applicant, or name, if a corporation) ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build( ............................................................................................................., Name of owner of premises LvJ�t:sl .......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... L Location of land on which proposed work will be done.................................................. ................. �....67r,A............CaCAo�Q ....,..NY...... .......... ........................ House Number Street Hamlet Canty Tax Map No. 1000 Section ..Zqq 1......... Block ....5.......... Lot/y ......... Subdivision fP+lL.^!�iy.... -r......'........... Filed Map No. LAMP Lot ..3y......... (lie) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 1Pa. Existing use and occupancy .....51n6. ..... .....1477.4 ................................... b. Intended use and occupancy 1•..u,Re ui wuaac cuaeuc Mni(3i applrcauie): New building "�J. 'fAi Repair ............ Removal Addition ..... .... Alteration ...........•. Demolition ............ Other Work ----... (DescrtJ a. Estimated Cost .. ............... fee ............................ .... (to be paid on filing this applicatr rkr4 n i. If duelling, number of dwelling units ............ Number of dwelling units on each floor ......., t .. +.. If garage, number of cars ..�............... i. If business, commercial or mixed occupancy, specify nature and extent of each type of use.......••.••••••.1�� f. Dimensions of existing structures, if any: Front................ Rear ............... Depth ... ................. Height ......................... Nmber of Stories ...................... Dimensions of same structure with alterations or additions: Front ...•.••..••.••• Rear Depth P .................... Height .................... Nummber of Stories ............... 1. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Wight ......................... Nuuber of Stories )• Size of lot: Front R7:..... Rear ..... ... De pt}a .... ��S�C. 5� �? 4J 10. Date of Purchase ..................... Name of Former Owner ........ IL Zone or use district in which premises are situated ............. ............................................. . 12• Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO premises .ofi?;�r.. (ufrJ.....G...�./.. ress d� i.,.s� .n 77y- 97 i4. Names of Owner of i�' / ......G....... ......�:....�:..fr►.r...�.... Phase No. Name of Architect .................................... Address .............................. Phase No. ......... ........ . ..... Name of Contractor ................................... Address ........Phone No. .............. ......... 15. is this property within 300 feet of a tidal wetland? * YES ...•..••.• ND 0 O .......... *IF YES, SWM" MM Ti31SIMS PM41T MAY BE R&PIIsm. 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 amber or description according to deed, and show street names and indicate hhether interior or corner lot. MAZE OF N31 YORK, MIT OF ......�l!?��•, SS .....................being duly sworn, deposes and says that he is time applicant .Name of individual signing contract) above named, leis the ........................................... ............................................. ........... Contractor, agent, corporate officer, etc.) of 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 hat the work will be performed in the manner set forth in the application filed therewith• worn to before me this �3. ........day of 1*74. .... . 19.f9Notary Public�l/./ 7 c� MA IE .WOODS ...� Notary V 503 State of New York (Signature of Applicant) No.016V0503i660 Qualified in Suffolk County My COmm18SIOn fxplres Aug.15,20.49� m •1�MM6f IS q e,,zsQ ,860° D ENCLOSE OLTQ UPON CO rLET1ON R1vE c 5�3o42�O w- N c BEFORE ' A- 9 �ti wl IT Z3. .� 8 g9 � �4^OozO�' D rL loo'• Z 1 D s m V RL 0 q 0 \ .A��` •' � s / SUFFOLT COUM HEALTH DEPAETIMM. DAT3N DV O S 19T1 E. D. rt.�F H C�, 4r� .�oG c The X6Va9S-di.=ass_ ^-_d ea:2r supply } „ *LPA€ `� ;. ICD faciaties for this lacaticn have been -TEE LANE ±✓ ice' to by this de„artzect and fou.=a 0 o be salff3pto . '•. Vie. N /� G Chief ofGenaj> m ga Services. La o Lot 34 90' .70 Areo=4/,536sq.It _ o 13 7 N1 2 ehw.3 ' a. 70'i ; N.88o59'20"W. 253.38' �E LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE SAW FIELD - .. .. 1 I /fir—• I E OF Nf ` 36SERVATTONS AND/OR FROM DATA DETAINED FROM OjHERS. � Lot 33 O L�y,J/fff/ REVISIONS YOUNG 8E YO /F_ I , AUG 9,/976 400 OSTRANDER AVENUE. YO HE KQ'�`NKk .p 'HE WATERS THE SAND SEWAGE DISPOSAL SYSTEMS FOR THIS RESTENCE WI VOCOw} Illppp 0 Q LI.tt�� I ALDEN IO YOUNG .Y. r R Y NG SMORM TO THE STANMRDS OF THE SITFFOLK COUNTY DEPARTMENT OF MEALTM� SERVICES Pworesno«UAL Enm«cu AND w APFVCANT.-- — — — — — — — — — —— — — — —— - ADDRESS— "No cuwvcTow.N.T.S.ua No.Taaa > c > --- --- -------TEL -- ------ SURVEY FOR: URAAl._. ALTERATION OR ADDITION TD N TqE mAvcr W A vwL•n0N 0F SECTION EDWARD G. ABITZ kf 46893 1 - 1 TEES OF THE HER TORR STATE EDUCETbN H �I ~ NOTE•=MONUMENT - w LOT 34 FAIRWAY FARMS set CARD HE'LL SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK �Eub Twowave'IN�REA'�69-1" OF SUFFOLK COUNTY ON FEB.15,1974 AS FILE 6666 Elro m AAL c AAr K DDA RAMS, ; WATER SUPPLY-PRFVA7E WELL To K A VALID TTAN Don AT }� =7J I`zG_UARANTEFD TO: NEAREST WATER MAIN- 31 MILES _ I CU C Ob ouYANTE[E uANArSO HEKES DILL RDII ONLY To THE POISON FAR NHON THE TOWN OF SOUTHOLD- Sam"IG'"![PAVED,AND UN HIS KHALF TO THE-Ine WORMY.cwENwo ACENeT AMD=NG INSTITUTER,LATTm - REASON.AND To THE AaNThe OF TSUF�bLKT CO.;'N:Y: KNDING 0MJTVTVA. GUARANTEES ARE NOT MLEEWHDI�NTTa RS, SCALE: 1u=40, (DATE MAY 19, 1976 No. 76-358 TesldB^u w H el,zSD X86�0 D Cn R\vE 5�1044`O m -�(- N00 ° r �4 D N loo, •, z OD e W �{ - J - m O M E O •F SU770LX COUllm H 22 DEPART=S DAT*ML O S 1971 R. D. REV.CD u o The a6w"e-d:spcsa: and cater Supp:y, QJ vL'l{ OD faci.itPes for this iocaticD have been TEE LANE inspected by this depar•�ent and found c to be satxsftar�. „ Q � Chief of Besejj�z LL - . - u Service& ,. o Lot 34 90' 0 0 Area r 4/,536sq.ft p C5 D c o v Z ehzz.a - 70 2 u�.o. N.88.59'20"W. 253.38' `HE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELOI REVISIONS YOUNG R YO ZE OF-Ne FR MSESIVATIONS AND/OR OM DATA OBTAINED FROM OtHERS. Lot 33 - C NE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL vacant A41&9,/976 400 OSTRANDER AVENUE, RIV HEO open O -:r ZONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES I ALDEN W.YOUNG 'r R Y NG �,r�JCANT' PROFIESIIONAL EMGINLCR AND R ADDRESS— ---———— — — —— — — ——--- LAND lMRVlTOR.N.Y.S.UC.n0,12015 RJ IS --- --- -----=-TEL -- ---- -- SURVEY FOR: • VMIrTIiOOLCD ALTERATNNI 0R ADNmaH m4 TINA SIMVEY IS A VIOLATION OF SECTION EDWARD G. ABITZ `16 45e9j 712 OF THE NF.'TMx STATE EONNATION LOT 34 "FAIRWAY FARMS" NOTE:8=MONUMENT 4ND 50116 SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK W ES OF TWO SURVEY NA NOT BEARING THE LAND SURVEYOR'S IxNEA SEAL OR OF SUFFOLK COUNTY ON FEB.15,1974 AS FILE 6066 ENBOSSED UAL•WALL NNT EE CONSIDERED NEAREST WATER MAIN— 31 MILES ' WATER SUPPLY—PRIVATE WELL TO a A VkLM TVA COPT AT py ' ..J HaUARANTEED TO: CU C Oli Ey I-- ONLY"EE= MNCITEO MERINO SMELL RIM • • RBNElED,AND N IS PRETHE" QW,HisUNALFHis RSOW FOR GINOW THE TOWN OF SOUTtiOLD- TO THE'ITLE CNRNNT,GOVEMRIENTAL V ' AGEMNf ARO LENpYG INSTITUTION LISTEDBY HEREON.w TO THE Az=kttS w THE SUFI'OLK CO.;N:Y.- LENDING INSTITUTION. GOAAMTEES ARE rqT TRANSERABLE M AODnINNAL SCALE: DATE: NO. MBrlTlrraxs n weUGUENr ONxERs, _ III=40' MAY 19, 1976 76-358 c :2e° \9600 C7 W D DR1vE 913=air N -F 3 \2898 x155.4 Z. O,E N,aa pOZ 1oa" / V z 2 x162° Un u On O Q 0= _ m d JD F RFaTTR nEPnR' DJl*DV 08197{ R. n. S21'.SO ; C Th. Gad sed ,Dt, So 1 m Lea111t1ar for thio iacatCGG tw LANE Q r inspected by tMz de,,r Ccoo,, RE, �2 N O to be sasPnni.f Of , 7� OR s. LtieI Of Ce9eCffi$e51^f '^. Sarall:ea "' Laf 34 9a o0 Area=41,,536sq R 0 0 o_ P TO'e A 88'5920"W. 253.39' 10/M RIWI.I.Oali l x FA Fe E.GA`RNA I REVISIONS YOUNG L YO WE Lot 33 Y AND snxrvgUDE DISPOSAL sufmuSTEMSF R THIS REDDEN OF HEALTH vacant I d069,/9l6 400 OSTRAN°ER AVENUE, RIV HE If FOR THIS ERIT c[ wlM A...w YOUNG --------TEL -- ---- -- , SURVEY FOR^ x EDWARD G ABITZ k, w• lam.,e,.a'"' a "w LOT 34 "FAIRWAY FARMS "�n NOTEe:MONUMENT SU601VISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON FEB.15,1974 AS FILE 6066 1"" ."ma+o4Y5.1."IMT FAA'a WATER SUPPLY—PRIVATE WELL TY 11 AI- "'a¢.a m.voo CU`C O __a UARANTUOD NEAREST WATER MAIN— 31 MILES —11 HUFAICY.—II—ANH, TOWNO SOUTHOLD- ""/� SUFCOLKU_AND AN 16 RITHUTAW InTU ' 'N:Y: — - elyjy/(�di, . ,m ALt I•=40 ID MAY 19, 1976 rj Vic RtLneJ15 Lo ' (Iko;� 2a�3Lp�A�d! �(2aaFr�� 1/J", ADS PLY-Wmr I as 1144; #vLT rLN� �T'tiP Wau.',� aC+ ltrµIIC, 4L YI' nlr sHl>~w d° �?G. teary W UIw F1 { I _ 1'4'K$' } q �z:. t r v�7 o1 Wrf�l wvY } I11 - Tb,�Tar+� A10 -- (D _ _: n n e4ARocAr , I 1 I,al wp 1 a. •. C\ APPROVED AS NOTED '\_\ DATE: B-P.N o7STZ y FE NOTIFY BUILDING DEPARTMENT AT \; 765-1802 9 AM TO 4 PM FOR THE \ wagon=OlN1N'IpINF FOLLOWING INSPECTIONS: _ N 1 FOUNDATION - TWO.REOUIRED _ FOR POURED`CONCRETE _ I DO NOT PROCEED YVITN OCCUPANCY OR = ROUGH - FRAMING & PLUMBING - , 3. INSULATION FRAMING UNTIL SURVEY I 4. FINAL -CONSTRUCTION MUST _ OF FOUNDATION LOCATION USE IS UN BE COMPLETE FOR C.O. I „ WITHOUT CERTfFICATE ALL CONSTRUCTION SHALL MEET HAS BEEN APPROVED. /0 �f THE REQUIREMENTS OF THE N.Y. ' - 1 ' 'l ' ^ - C6R'fIFIGATI DN OF i OF OCCUPANCY STATE CONSTRUCTION I ENERGY - _ CODES. NOT RESPONSIBLE FOR Ingo -(6A( DESIGN OR CONSTRUCTION ERRORS - L� is RbQL3iKbn 1 F �f $X IR # I tJt + book; 501 MItJ. 'Rf�F1R�ARD ��BACKouj , , IL - ,