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Home My WebLink About26172-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28615 Date: 07/24/02 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 95 STROHSON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 10 Lot 15 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 25, 1999 pursuant to which Building Permit No. 26172-Z dated NOVEMBER 22, 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 A FIRST FLOOR ALTERATION AND A SECOND FLOOR ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KENNETH MARLBOROUGH ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~ALTH APPROVAL ELEctrICAL C~KTIFICATH NO. PLUMBERS CKKTIFICATION DA'r~u 06/17/02 N/A 1261 07/16/01 MATTITUCK PLUMB & HEAT / /Authorized 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. 26172 Z Date NOVEMBER 22~ 1999 Permission is hereby granted to: THE COMER FAMILY TRUST 95 STROHSON RD CUTCHOGUE~NY 11935 for : FIRST FLOOR ALTERATION & SECOND FLOOR ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 95 County Tax Map No. 473889 Section 103 pursuant to application dated OCTOBER Building Inspector. STROHSON RD CUTCHOGUE Block 0010 Lot No. 015 25 99 and approved by the Fee $ 383.40 COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ao 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 thc applicant. Ifa 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, 3. 4. 5. Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Photocopy of Certificate of Occupancy - $ 0.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. '--~,-]"~ ~0Ooq, Subdivision Permit No. ~-(o i~O~' - 7-. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 0~', C)O New Construction: Old or Pre-existing Building: Location of Property: t~' ,_~-J~0~N~O~tX, ~ House N~j~ Street 0~ (.._ Owner orOwnersofProperty: ~ "~o O.,~. ~--_t~t~ /{'. Suffolk County Tax Map No 1000, Section 10..~ Block (check one) Filed Map. Lot: ]~.]t~[ Applicant: ~"~. ~ Underwriters Approval: Final Certificate: (check one) 09/e7/2999 84:26 69~47~8'::J?.~ .............. SACHE~ ATHLETZCS PhGE 83 P.O, Box 1179 ~outhold, New York 11971,.0959 Telephone (631) 765~1802 BUILDING DEPARTMENT TOWN OF 8OUTHOLD c ;gTI¥ic T rols lead. I certify that the solder used in the water supply system contains le~s than 2/10 of 1% Sworn to before me this I ~ _ day of ~c/.. , 20 p~. ~lotary Public, ~~g~_County Term Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764 Application No: 1261 Date:7/16/01 Issued to: Marlborough Address: 95 Strohson Rd Village: Cutchogue Zip: 11935 Introduced By: EECO Electric Corp. Township: Southold License#: 2781-E was examined and found to be in compliance with the National Electrical Code P~.rc~l ~ floor [] Coii~ rial ~ Tub NV Defects Switches Receptacles Fixtures G,F.I. Microwave Whirlpool 51 50 57 5 1 Fans Dishwasher WashedAmps DP/er/Amps Oven Carbon Range/Amps Monoxide 1 20A 30A 40A 1 Furnace O il G as C irculalors Smoke Bell Detectors Transformers 1 yes 2 6 1 Other Equipment Meter Amps Phase Motors 1-Hood 1 200^ OH 1 2-Exhaust Bath -Air Handler -AC Compressor Out,Res Building Permit No.26172-Z This certificate must not be altered in any manner BUILDING PERMIT REVIEW CHECK LIST Owners Name' Architect/ ~ Engineer: __ ~ SCTM #: Dislxict:l,000 Section: /O.~Block: /O Lot: Single & separate Required cemfication: (Yes / No) Zoning Dis~xict: [Front Yard a~ Proposed: __ Project Description: Date Reviewed: Date. Submitted: Subdivision Name: Proposed: Proposed: __.1 AGENCY PERMITS REQUIRED FOR REVIEW Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ?.9? Flbod Zone: NO YES Notes: permit Number 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~/~ INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~UNDATION2ND [ ]INSULATION / ['~]~ FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: DATE 765-1802 BUILDING DEPT. INSP CTIO~I ~~ ~_~ [ ] FOUN/~TION 1ST [ ~ROUGH PLBG.~~~.._ [ .]~DATION~ -- 2ND [ ] INSULATION [ 't'J' FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY.,~/~,~_~ ~.~ ~...~ REMARKS: ~ -- DATE f INSPECT~~ 765-1802 BUILDING DEPT. INSPECTION [ ~/~INsULATION [ ] FOUNDATION 2ND [~FRAMING ~_._'~ [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~- o-~-- DATE //~/~ ~/C/~ INSPECTOR -~/"~~'/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[ ]];ORAUMNiD~ION 2ND [[ ] ~~iN~ATION [ ] FIREPLACE & CHIMNEY REMARKS-. ~ DATE://~//~/ INSPECTOR..~~ il)AT I ON ( I ST ) II ......... .... ~DATION ( 2ND ) ~,~ON PE~ N. II II STATE ENERGY CODE II II II FINAL ADDITIONAL COI~qENTS: i FOR~ NO. I TO~ OF SOUTHOLD - BUILDING D~-PARTISENT TOI~i BALL SOUTBOLD, N.Y. ! ]97 I TEL: 765-1802 Disapproved a/o'. ................................. APPLICATION FOR BUILDING PERHIT SURVEY .d.' ..................... CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL .................. HAIL TO: .................... State whether applicant is c~er~ lesc~, agent,, architect, engineer, "~~ ......... t ' _ ~ral ~tractor, el~trici~, pl~r or ~il~r. (~ m & t~ ~11 or latest d~) ~ ~} .................................. If ~lic~t is a ~rati~, si~e of ~y ~t~ri~ officer. (~ ~ title of ~rat~ offi~r) · ~il&rs Li~ ~..~ .......... ~ ..... ~l~trici~ Li~ ! .. ............... l. ~ti~of l~i~~~ll ~ ~ ......... ......... ................... &d .................. ........... ~ ~r S~ .............................. ~;~"U .... ~ .................. ~. ~ ~. ~ ~i~ .... l~3 ....... ~ ---~.~. .... ~ ...~Z ....... ~ivisi~ ........................ .............. ~il~ ~ ~ ................ (~) ............... 2.Cate ~sCl~ ~ ~ ~ ~ ~¢~8' ~[~'--'~ ' ..... ............................................... ([failing address of at~licanC) ....... INSTRUCTIONS a. ']his application ~t~t be c~upletely fil. led in by type~iter or in ,ink .and aul~itted to the Building Inspector 3 sets of plans, sceurate plot plan to scale. Fee according to schedule. b. ]?lot plan -~hc~ring lo6fit/on of lot and 6~ .buildings on promises, relationship to adj6ihing premises or public streets o.r areas, ~ giving a detailed description of layout of, property r~,sC be drmm on. the diagr~n which is part of this application. ' · c. abe ~ covered by this application my not be cce~eneed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sud~ pemit shall be kept on the premises available for inspaction 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. APPLICATI(I~ IS ~ ~ to the Building Depa~tuent for the issu~ee of a Building Permit pursuant to the Building Zone Ordinance of the To~n of Southold, Suffolk County, Ne~ York, and other applicable Laws, Ordinances'or Regulations, for the'eonstn,~tiOn of bgildings, ' ' · additions or alteracmns, or for ro,,~val or dereolitio~, as herein desc.rihe, d.. The appl. ic~t agree~ Go d,?l]~ ~rith ' ~1 ~pp.hcable.l.~s., .or~d_manees, building code, ho~g code, and regutatxons, and to ~l~it authorized inspectors . .~.7..~..-. ~ ,(1)escript ion) 4. Estimated Cost .~. -r..0~...:..G~.... fee ,(to be paid on filing this affplication) 5. If d~elling, r~ber of d~elling traits ....~ ........ Hcm~er of d~lling traits on each floor ...[ ............ If garage, r~r of cars ... ~.. ................................ 6. If business, c~merclal or mixed occupancy, specify nature and extent of ead~ t3q~e of use....~..~... ............. 7. Dimensions of existing stn~ctures, if any: Front..~.~, '~ ! ............ ..... ....... Beight ......................... l~r of Stories ...L... Dimensions of ~ structure ~-ith alterations or adaitions: ........ Front ............... Rear .............. Depth ....~0:.~ ........... ttelght .................... l~r of Stories ....~ .......... 8. Dimensions of entire ne~ construction: Front ...~..~t.~. ....... Rear .....'r~.:.~. ...... i)ep~h ....~.~:?. ..... .... ............ of Stories....g. ............... 9.si~ of ~ot: ~t .... /..~.~,...~..{.: .... Re~ .../..'.~9.oo: ~pth Formar'~ ---_~-- , -.,~................ I0. ......... ....... Il. Zone or use, district, in ~hich prmlses are situated ~! 12. Does proposed cormtruction violate any zoning la~, ordinance or regulation.' ....~.0. ................. 13. Will lot be regraded ..... ~;O...:....~... Will.,ea~efis fill be r~oved frem premises: YES _ ND ' "f" "t; "-" ",; ..... :' · '~" ....... x-- ess . .~-~. a: .,~..: ............. I ...... rnone ~ ~ ..... ~:.., ...... ~o~ ~)~..~.-....~..... 15. Is this property within 3~0 feet of a tidal ~etland? * YES .......... NO ·IF YES, SOJll~n ~ T~-im~ ~ ~ BE PLOT DIAGRAH I~cate clearly and distinctly all buildings, ~dmtber existing or proposed, and indicate all set-back dimensions f~cc~ property lines. Give street and block n~ber or description according to deed, and sh~ street na~s and indicate xd~etber interior or corner lot. ~FKIE OF I,l~ f (hS~ue of individual signing coatract)j is tile o[ ~id ~r or ~rs, ~ is ~ly ~thori~ to ~rfo~ or h~ ~rfo~ Om ~id ~ ag to m~ ~ file this a~licati~g ~at all stat~s c~tai~ in