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HomeMy WebLinkAbout27300-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28108 Date: 12/10/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 36225 MAIN RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 1 Lot 25.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 2001 pursuant to which Building Permit No. 27300-Z dated MAY 10, 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to BEDELL NORTH FORK LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Au 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. 27300 Z Date MAY 10, 2001 Permission is hereby granted to : NORTH FORK LLC BEDELL 36225 MAIN ROAD CUTCHOGUE,NY 11935 for DEMOLITION OF 201X20 ' ACCESSORY GARAGE AND NEW CONSTRUCTION OF 12 ' X 141ACCESSORY WITH NON-HABITABLE SPACE AS APPLIED FOR. at premises located at 36225 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0001 Lot No. 025 . 001 pursuant to application dated MAY 3 , 2001 and approved by the Building Inspector. Fee $ 65 . 00 Aut ori ed Signature COPY Rev. 2/19/98 Form No.6 l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 0 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN Y This application must be filled in by typewriter or ink and submitted to the Building De A. 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. L-3 D New Construction:� Old or Pre-existing Building: (check one) Location of Property: MKAli House No. Street H et Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block 1 Lot Subdivision Filed Map. Lot: Permit No. �� ©� Date of Permit. S' v Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitt : $ k&& C �O�plp(�j Applicant Signat i j Tom-- - STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: o'FAce_— That deponent is over the age of 18 years, and resides at 2_6 z25� - �r r��� Ct [zi /7 . 200 I That on the J day of 44995, deponent, being the architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and BuildiWCodeYCRR . ngineer Sworn to before a ttl,i day of 2;F?)/ Notary Public PATRICIA RICHARDS Notary Public, State of New York Nd. 01816042467 Qualified in Suffolk County Commission Expires May 30, 2002 cc: applicant r FOR OFFICE USE ONL CU-53 r BUILDING-STRUCTURE INVEN i ..RY FORM UNIQUE SITE NO. DIVISION FOR HISTORIC PRESERVATION QUAD NEW YORK STATE PARKS AND RECREATION.r SERIES ALBANY,NEW YORK (518) 474-0479 -- NEG. N0. a' YOUR NAME: Town of Southold / SFLIA DATE: March 11 1 6 J t YOUR ADDRESS:_.Town Hall, Main Road TELEPHONE: 516/765-1892 Southold L. I. N.Y. 11971 ` ORGANIZATION (if any): Southold Town Community Development Office IDENTIFICATION , 1. BUILDING NAMES): David house/ John Bedell 2. COUNTY: Suffolk-' : TOWN/CITY:Southold VILLAGE: Cutchogue 3. STREET LOCATION: ftin Road, Rte 25, north side 4. OWNERSHIP: a. public El 1x private 91 5. PRESENT OWNER: John Bedell ADDRESS: Nassau County G. USE: Original: Present: Residence 7. ACCESSIBILITY TO 'PUBLIC: Exterior visible from public road: Yes ® No ❑ Interior accessible: Explain DESCRIPTION t. 8. BUILIANG. r a. clapboard 0 b. stone ❑ c. brick' ❑ d. board and batten ❑. MATERIAL: e. cobble$(one ❑ f. shingles ® g.,stucco ❑ 'other: : le 1). STRUCTURAL a. wood frame with interlocking joints © - SYSTEM: b. wood frame with light members ❑ (if kn(wn) ` is i. e.: ma§o'nry load bearing.walls❑ r d. metal (explain) e. other . 10. CONDITION: a. excellent ❑ b. good © c. fair ❑ d. deteriorated ❑ 11. INTEGRITY: a. original site ❑ b. moved ❑ if so,when9 c. list major alterations and dates (if known): Some windows have been changed. It is reported that , f{r the house originally had a flat roof. +;' CU-rsm IX-13 12. PHOTO: From south 13. MAP: N.Y.S . DOT Southold Quad Front' .fagadp and Enlarged , past plpvation , %d �.•�� `� � r , }*: 4 •}alt> � F ��' 12, B M `clot D utchop 'Z r - Cu-53 14. THREATS TO BUILDING: a.nbnc known ® b.zoning❑ C. roads ❑ d. developers ❑ e. deterioration ❑ f.' other: 15. RELATED OUTBUILDINGS AND PROPERTY: 1 a. barn(N „ b. carriage hopse Elc. garage d.privy 10 3e. sheds ` f. greenhouse ❑ ' �r z. , f . g: shop,Q; h. gardens'❑ L landscape features: the open y IS a winery , 1. other: and vineyard 16. SURROUNDIIa]GS OF THE BUILDING (check more than one if necessary): 1,4:,ope.n land,®. ,b. woodland ❑ r'r. "rS i.' 4.r" V. C.Scattered buildings d.densely built-up e. commercial El f. industrial g. residential ❑ ,►`� �� r h.other: vineyards 1 r a k'" tid .17 :INTERRELATIONSHIP OF BUILDING AND SURROUNDINGS: (Indicate if building or structure is in an historic district) r.• The house is situated on Route 25, a dual lane, low density state road, which once was the historic King' s Highway. The property includes avast vineyard. 18. OTHER NOTABLE FEATURES OF BUILDING AND SITE (including interior features if known) 22-story, 5-bay, high hip:n:of house with fairly wide boxed overhang. SIGNIFICANCE ,19. ,.,DATE OF INITIAL CnNSTRUCTION.:. ? Prior to 1858 ARCHITECT: BUILDER: 10. HISTORICAL AND ARCHITECTURAL IMPORTANCE: Tho David barn, was rpportpd in the Tavps Barn Survpy;•of 1981. . 21. SOURCES: Belcher-Hyde E. Atlas of Suffolk County, Long' . Island. Vol Twos North Side. SoundShore. 19091 , 22. "rFiUM : Form prepared by Rosemary Skye Moritt, research , assistant. °'rk' 2��cxJ 6LL BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: 5/10/01 APPLICANT NAME: BEDELL DATE SUBMITTED: 5/3/01 SCTM#--- DISTRICT: 1,000 SECTION:_97 BLOCK:_1 LOT: 25.1 PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTION: ADD ALT CC R N/D: be,-o -- Z6 -f,.2-0 STREET:_36225 MAIN ROAD CITY:_CUTCHOGUE SUBDIV. NAME:_ —� ARCHITECT/ENGINEER: r�/ ����a FAST TRACK: YES o NO SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o NO NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LO OM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83 3 O0G ZONING: PERMIT ESTIMATE AMOUNT: .00 PERMIT USE: EXISTING: INTENDED: ZONING DISTRICT: R40 R8 AC CONFORMING YES9 R NO REQUIRED LOT SIZE: S-04, SQFT. HERE ACTUAL LOT SIZE FRO TAx cAAF ACTUAL LOT SIZE: I x'92 SQFT. REQUIRED REQUIRED REQUIRED IST FOUND:FRONT: 'PROPOSED: SIDE YD: '/ ' PROPOSED: '/ ' REAR: ' PROPOSED: 2ND FOUND:FRONT: ' ACTUAL: SIDE YD: '/ ' ACTUAL : '/ ' REAR: ' ACTUAL: ' LOT COVERAGE: OWED:_% EXISTING: sf %NEW: sf % TOTAL: Sf % CORNER? YES oR O WAT ER FRONT? YES o DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: /9-� FLOOD ZONE: x , AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APP CATION TOWN SPETIC PERMIT: YES o SUFFOLK COUNTY HEALTH DEPT: YES or(q, (BED #): DTE:—/—/ PERMIT#:R10- APPROVALS REQUIRED: NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or0 TOWN HISTORICAL PRE (SPLIA): NYS ENERGY: YES O NO EGRESS: VENT: LIGHT: BUILDING PERMITS OPEN/EXPIRED: BP -Z/ C/0 , BP -Z/C/0 , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND.FLR SF INIT OTHER TOTAL TOTAL: SF FEE AEE FEE T( Dov SF)- ( 306 SF)= /lS O SF X $ _$ �/S +$ 3S " +$ = s G,S M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY i REMARKS: DATE �/ � O INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS j II �d FOUNDATION ( IST) H Aar I; y 1 N � I� 1 It FOUNDATION (2ND) iIII ;; li II 1 ROUGH FRAME & i� o _ f, PLUMBING II U, II � INSULATION PER N. Y. $: -II H rJ STATE ENERGY I ;; t CODE 00, Ii I r FINAL # � II jN ADDITIONAL COMMENTS: r' H O W � H 1V,N'1V Or DVUiriULU • bUlL1ANU PhKMI1 APPLICAl'ION LHECKL15 BUILDING DEPARTMENT , TOWN HALL Do you have or need the following,before applying � '� Board of Health SOUTHOLD, NY 11971 `� � °� r 3 sets of Building Plans_ TEL: 765-1802 Serve PERMIT NO. -27.3 OQ 2- Check ,x Septic Form N.Y.S.D.E.C. Examined /6 , 20 Trustees —L Contact:. Approved . /V ,200 Mail to: Disapproved a/c Nayt Phone: ABuildin;geln ector APPLICATION FOR BUILDING PERMIT Date�j� in , 2001 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings o*premises, relationship to adjoining premises or public streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the BuildingDepartment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk; .ounty, 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. (Si a of applicant or name, if a corporation) (Mailing addre�ofplicant State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premisesa (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. 1. Location of land on which Broposed work will be done: House Number Street HamlrA County Tax Map No. 1000 Section 7 Block / Lot a5, 1 Subdivision � Filed Map No, Lot , (Name) ti ?. 'State existing use and occupancy of premises and intended use and occu ancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ;. Nature of work (check which applicable): New Building Addition Alteration Repair ,X Rtnratfa}- Demolition Other Work i. Estimated Cost (Description) ,Dyo Fee (to be paid on filing this application) If dwelling, number of dwelling units -- Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of xistin structures if Front 6A"e- l 4 _ 14 .-5� g Y �►�� . l4'3" Rear 5 -14'3" Depth S- /a�� Height_A 1 'X' � .1) Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories_ / Dimensions of entire new construction: Front Rear — Depth Height Number of Stories — Size of lot: Front Rear Depth 0. Date of PurchaseAigusr- a000 Name of Former Owner A,Jobn 1 - 642V) 1. Zone or use district in which premises are situated ,fit-G 2. Does proposed construction violate any zoning law, ordinance or regulation: no 3. Will lot be re-graded no Will excess fill be removed from premises: YES rlqo___`� 4. Names of Owner of premises AddressG225Nh' R�/ 1�, Phone No. 7; 7537 Name of Architect t5gM n Address 2,1;52;;V� NLtn Phone No 7 -( Name of Contractor_,)w, Address --7--- f7'r' i Phone No. _7?, - �2_ 7 5. Is this property within 100 feet of a tidal wetland? *YES NO X • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: 'OUNTY OFSo�%IL) being duly sworn, deposes and says that(s)he is the applicant (Na e f individual signing contract)above named, 3)He.is the -- (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; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be �!rformed in the manner set forth in the application filed therewith. worn to before me this C� day of /l 20_pt Notary Public S' ature of Applicant PATRICIA RICHARDS Notary Public, State of New York No. 01 R16042467 Qualified in Suffolk County Commission Expires May 30, 2002 STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: o�w That deponent is over the age of 18 years, and resides at 7!5 Z-3r'5 in �� c�t.� /T . That on the J day of A 4.9 J, deponent, being the architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code YCRR . rchi ec ngineer Sworn to before rne this (9 day of 2�/ Notary Public PATRICIA RICHARDS Notary Public, State of New York No. 01 R16042467 Qualified in Suffolk County Commission Expires May 30, 2002 cc: applicant I REVISIONS n 415/01 ALCE' RY 5JILDIN 5/2/01 ACCE50Wr SALDIN&S SITE DATA 360 00' (LINE OF DEVELOFEMENT RIGHT 50LD) SCTM # 1000-97-1-25.1 1000-85.2-10.3, 1000-85-2-10.2 � � I m m GRAVEL PROPERTY: 36225 MAIN ROAD EL DRIVEWAY ADDRESS CUTCHOGUE, NY 11935 OWNER: MICHAELLYNNE 888 SEVENTH AVENUE NEW YORK, NEW YORK 10106 Y I � O I SURVEYOR:Lo P O. BOX 1931GEGNO Z ti EE11901 LICENSE #E # 496666 8 DATED DECEMBER 23, 1997 Z aI- J ZONING: A-C H W U I I SITE: 49.42 ACRES / 2,152,735 SO. FT. Q W q I AREA Lu p� w r ' iL G P9Q iL Z F �/ z GRAVEL DRIVEWAY 0 w N QWJ LL 'o � � i J F t- wouj 1 I � Ext S' I Q L G WINERY GRAVEL PARKINGc� GRAVEL PARKING �HI REMO I; ` O FENCE CONG SLE ETIN6 6' k 4n Q r = -PER60LA DRY"IELL � 7 � H RCEHMFM EX15ey ryb I _ -__ _ __ •� �__— • SPp�0EXI5r, PORCH iRY I I- � L \ • _ p \ Q • ' � DRYy1ELL �i' I O I pE Exisr► O/ 6^ 6E CCArION AN, 0ER x 5 ANv EID M� 5LAaN6,, I RESIDENC �'v{ I� vf. ra Au,.<�,m NEWa6 I lL REMoyEn ACE N M Lc, EkN5TIN6 b �Sr/N6 Z ryvr(. `.A1ED 1(� EXISTING c" Ll l�'/ND I Ul VN�Y� I� ✓ - - 5 � + ST I PGGE55 �RTION W I FRAME I - -- - JI �LFc-CRs _R<� _ I G F�/e- °0 Z _ SHED tic,q y Q • F -�! 4 NSFORMER _�_ DRy �� LI A POLE 10217 p W J. �k � w FENCE IGH I W rc e W• u _�EkI5TIN6 -- - _ I I ���n•,,r ' ) Q f u u LIN`/EE5 q� POWER - _ DAre, N u)- P NEI' REMoyEpS y r, a �° ./ — (� PE.n�le r" r- 70 gE R LINES - 4f Q��pU Po d�•I�.: l NDER6RaUNDtEUSE IS U, ,&iG 0'G_ F I I .,UST tiaS� OF Nf* I -- - - - 6TH Z _L MEET F THE N.Y. UNDERWRITERS CERTIFlCATE z :N & ENERGY REQUIRED m m . TRUCNSIBLE FOR c 0179 &1 ti m m �uPJSTRUCTION ERRORS �, C�\,`4�' µ ``R fp I Ip FOUND t} PROJ T NO: , oNG. MON t0 I 9519, 5546644'25"E 1000 N546644'25"W 260.00 DRAWN BY: RJB I CHECKED BY: DATE: 10124/00 ' I SCALE: 1" = 20'-0" SHEET TITLE: PARTIAL SITE PLAN PARTIAL SITE PLAN SCALE: 1" = 20'-0" flllr' 'r�l- F SHEET NO.: 1 2 ,1300 , € " _ ..