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27480-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28728 Date: 08/22/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1245 SKUNK LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 4 Lot 7.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 2001 pursuant to which Building Permit No. 27480-Z dated JULY 17, 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 TWO CAR GARAGE WITH NON-HABITABLE ATTIC SPACE AS APPLIED FOR. The certificate is issued to WALTER PESTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1052455 07/26/02 PLUMBERS CERTIFICATION DATED N/A ".."L f - x4 /Ilu 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. 27480 Z Date JULY 17, 2001 Permission is hereby granted to : WALTER PESTER CUTCHOGUE,NY 11935 for . CONSTRUCTION OF AN ACCESSORY TWO CAR GARAGE WITH NON-HABITABLE ATTIC SPACE IN REAR YARD AS APPLIED FOR at premises located at 1245 SKUNK LA CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0004 Lot No. 007 . 003 pursuant to application dated APRIL 9, 2001 and approved by the Building Inspector. Fee $ 259 . 00 ??��Au-tho ' zed Si ature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLIZ', BUILDING DEPARTM�N� i 92002 --- —1/ / TOWN HALL 765-1802 S"ull�7 A APPLICATION FOR CERTIFICATE CCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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 I%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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 / Date. New Construction: V Old or Pre-existing Building: (check one)) Location of Property: /Z y S� 5G,_j k' Law t:u I c,"u Cr House No. St I-Tamlet Owner or Owners of Property: !CSS—/ " Suffolk County Tax Map No 1000, Section Block 0c f Lot 7, 9 Subdivision Filed Map. Lot: Permit No. `Z 7 Ll Date of Permit. 7Applicant: JAJ ak-tD!(L Health Dept. Approval: Underwriters Approval: 5:tt- Planning Board Approval: / Request for: Temporary Certificate Final Certificate: // (check one) Fee Submitted: $ Applicant Signature D cn�nrJ�i nrJcnr PrJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ��n�nrJEJ�rJ�rJ�rJ�rJ�cP�ncncnrJ ��PrJ�rJ�r Pr PLPLLprr PrJ�rJ F rrJ�r rar i , rPrJ�rJ��n�Pr r�P�PrJ�rJ��ncncnrJ�rJ�rJ� o 5 BY THIS CERTIFICATE OF COMPLIANCE THE � ' 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 SBUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT S 5 Upon the application of upon premises owned by 5 c5 55 G &S ELECTRICAL CONTR. WALLY PESTER 5 5 BOX 215 1245 SKUNK LANE 5 ..777C5J SOUTHOLD, NY 11971, CUTCHOGUE, NY 11935 Located at 1245 SKUNK LANE CUTCHOGUE, NY 11935 5 c7 Application Number: 1052455 Certificate Number: 1052455 5 5 55 ..7C7C7C5 Section: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Second Floor,Detached Garage,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 5 found to be in compliance therewith on the 26th Day of July,2002. 5 5 Name OTY Rate Rating Circuit Type 5 5 Panels 5 1 100 3 5 Wiring and Devices 5 5 Receptacle 9 0 General Purpose 5 5 Switch 5 0 General Purpose 5 5 Fixture 6 0 Incandescent 5 5 Receptacle 1 0 GFCI 5 5 5 5 5 5 5 5 5 5 seal 5 5 I of 1 5 5 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 O �PrJ�rJ�rJ:rJ:li Prr Z 1--1 11J�rP[.HE PrJ�1: 1 it r-11c..jr.I Jar I E ji. rJ�r15 1 PE.I I r.PrJPLLPd`&r rL3 PL J-PrJ@[Fall TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT------------ a 14r Pe-S4 r FORMER OWNER N EACR. y S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt'. Value LAND IMP. TOTAL DATE REMARKS C)(7) Yev Z4 0- I ra 0 5 '70 0 al i(olg? gp--m,,Q4R,I U, 9 c" tia 12(0 2A CDO k) +2 83*? r e— pe a 5 e,r- 4 70, 700 Tillable 73::) FRONTAGE ON WATER Woodland FRONTAGE ON ROAD MeadowlandDEPTH 1,600 1600 1; House Plot BULKHEAD Total Z 2337 ■■■■■■■■■■■■■■■■■■■■ 37-■i■■■■■nv �■■■■■ 3199 M. Bld 22 Y?z , s V7-7 Foundation �)C- , . Bath E:xtension 'S!!� ,► .. Extension 0, 14 Extension Y (4 Ext. Walls CCAq- Interior Finish Fire Place %OK Heat Parch7XZo 2 it ' Po' Deck Patio Rooms 1st FloorDriveway Rooms 2nd Floor T SAIti Rooms 1st F or jRooms 2nd F110oor 2 6F, OVj� Garage 2,2)( 24 • • QP q� BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Namne: (� OSTE2 Reviewed: Architect/ Date Engineer: IVIA Submitted: y- 09- D/ SCTN4 N: n �/ District 1 000 Section: 1 131ock f Lot: 3 Project atl5 SKU►JK LR OF Subdivision Location: __--- — Name: N/A Sin&le& separate Required ceritfication: tYes l�lo'l� A /) RcV� Kcy. �1 � ----- /_oning District A` R-�O) �I,ol size: Off/ U Actual: JO- 6.� o[G / 1 (Lo(Coverage o Proposed 290 Rcq. R** [Front Yard Pro(oscd [Side,Yard :2 Proposed: J (Rear Yard On D Proposed Project Description: n_ssoQ y /wee �'w- 6c,:,a ��°T ArrACHE� AGENCY.JERMITS 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: . /6� Notes.: 61 oh 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ j UNDATION 2ND [ ] 1 LATION [ FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: con DATE INSPECTOR 7GS-1802 BUILDING DEPT. ANSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( ] FIREPLACE & CHIMNEY REMARKS: DATE `� �� INSPECTOR FIELD INSPECTION REPORT bA COMMENTS FOUNDATION ( IST) IF 1 I II FOUNDATION (2ND) I n I� J11 �� � ROUGH FRAME PLUMBING B I '^1 II 11 INSULATION PER N. Y. p: STATE ENERGY CODE u H y bq FINAL _ -- ADDITIONAL COMMENTS: H fi\ z FORM NO. 1 3 SETS OF PLANS . .. . . . . . . . . . . . . . -, TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM . . . . . . . . . . . . _ p SOUTHOLD, N.Y. 11971 DEC TEI.. 765-1802 TRUSTEES. . . . . . . . . . . . . . . . . . . . . . v NOTIFY- CALL '1 *ac i�Q� MAIL TO: . . .ov ,�y/ Permit No. ................................ Disapp ............................ ... ................................ ...................................................... r ......... . ...... ...... (Building for APPLICATION FOR BUILDING PERMIT Date:y'. . . . . . . . . . , 200./ INSTRUCTIONS a. 'this application mast be completely filled in by typewriter or in ink and submitted to the Building Inspector 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 c this application. c. the work covered by this application may not be cormenced before issuance of Building Permit. r d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suc permit shall bekept 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 HE[dJ3Y 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 Lars, Ordinances or Regulations, for the caistr>.otion 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 neces i f��f 'nspections. ••v�• . Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee `A , agent, architect, engineer, general contractor, electrician, plumber or buil Ow.R .......... ^�.... ... ................... .................................. Name of owner of premises ... .14 � S.�C.P+,. ............. . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................6........ (Nalco 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 proposed work will be done.................. /�Y� ............. � ..,A!!e...........................uaber Street .............C.vtcAn'sto4.................. Hamlet County Tax Map No. 1000 Section .. 3.77......... Block ....�......... Lot --21 3 Subdivision ....., ....... (Name)......................... Filed Map.No. ............... Lot ............... 2. State existing use and occupancy of prem sea and intended use and Occupancy of Proposedconstruction: a. Existing use and occupancy ......... 0�A b. Intended use and occupancy ....... �,1+QP►� �-' ►...................... ........................ 3. Nature of work (check ubidh applicable): New Building + Repair. emoval ......... �. Addition .......... Alteration .......... ............ R e: . Demolition ............ Other Work .............................. (Description) 4. Estimated Cost ............ fee (to be paid on filing this application) 5. If &,elling, rudher of dwelling units ............ tlurber of dwelling units on each floor ......... If garage, rxnber of cars ...h45?(?.... ................ 6. If business, camiercial 'or mired occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ gear . Depth ...... Height ......................... Number of Stories ... Dimensions of same structure with alterations or additions: Front ............... Rear Depth .................... Height .................... Number of Stories ....... 8. Dimensions of entire new construction: Front ...3�>! 3��.... ... Depth ./....... Rear .. .. ... Height ..... ................... Nurber of Stories .L.. 9. Size of lot: Rant ...I 77......... Rear ...�� '... Depth O � 10. Date of Purchase ....©�R,/.q7...... Name of FOrner Owner 11. Zone or use district in vibich premises are situated .... i>QSf&'a►Z%Ph1................... ...... .... .......... 12. Does proposed construction violate violate any zoning lair, ordinance or regulation: .... /�Q.............. 13. Will lot be regraded .....!l!`''.... ` ��J.1 �ex_ceas fill be renoved from premises: YES �� 14. Hams of Owner of premises .XY!� lI.Q .rF:Sle7� Address ..� ' SJ�s t�1•►�W�-Plhone Nox�pr.: -- &are of Architect ........:. ....0--- Address ............................ PhoneNo )� � r_ Name of Contractor _.t(,(„(h4t12,,., S,`.C ..... Address /C ......Phone No.')Vt'*7.y. 15. Is this property within 300 feet of a tidal Wetland? * YES NCP-. IF YES, S0LM]C D M-N TRDSTEES PERMIT IMY Bc 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 rurber or description according to deed, and show street manes arxl indicate Whether interior or corner lot. r .SFIVIE Or taw Ylxut SS COUNrY OC .. ........ ...........................being duly sworn, deposes and says that he is the appl.icanL (Nam of individual signing contract) above armed, rt 1 ��..{{.. p lie is the .....W.f Lrt4t; .. '�+. ........... (Contractor, agent, corporate officer., etc.) or: said owner or owners, and is duly authorized to perform or have performed Lhe said work aril to hake and file this application; that all statemnts contained in this appl.icatioTh are true to the best of his knowledge arxi bel.ief; aril thaL the Work will be perforted in the manner set forth in the application filed therewith. Sworn to f re me this ... ay o 0. Notary Public ... D7�M.'BOW NO PUBLIC,State 0f VWm ftk No.01006020M (Sit�rt:ure 1F Appli.canL) Qualifiectq Suffolk Owqb- Term Expirst March a NN101F The locations of wells and cesspools NINGHAM I am familiar with the STANDARDS FOR APPROVAL shown hereon are from field observations PATRICA Cl1N AND CONSTRUCT/ON OF SUBSURFACE SEWAGE and or from data obtained from others. DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the cordillons set forth therein and an the permit to construct. W CONTOUR LINES ARE REFERENCED TO THE FIVE EASTERN TOWNS TOPOGRAPHIC A u MAPS Q� I LOT NUMBERS REFER To, MINOR SUBDIVISION P MADE FOR PHILIP V.SCIRE AT CUTCHOGLIE. c LOT 1 562.51• a, p A� N.Y." FILED IN OFFICEOF THE SOUTHOLD O TOWN CLERK. ?e N �� •m „ o nl of � c I 510, 5.--, y N. 76'2 J� W h --- —--- +� asp OT, 3(v 1� Qlylt� m P �0 W Qj D i s t o A 66' 584. o I Q s• � I n W I � ° CERTIFIED T0, !n" I 0 WALTER PESTER NANCY PESTER S.T.G. ASSOCIATES INC 2 FIDELITY NATIONAL TITLE INSURANCE S. 76-4ej0' w SOT 3 SURVEY OF PROPERTY OF NEW YORK i well°" A T PECONIC G P tw ti '4kno,vn TOWN OF SOUTHOLD OF NEW ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION SUFFOLK109COUN 73,N.Y. S�P�a� MEr?Cr09� OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW rr rr EXCEPT As PER SECTION 7209-SL6dVIS/ON 2. ALL CERTFICA TIONS SCALE I" = 60 HEREON ARE VALID FOR TM MAP AND COPES THEREOF ONLY IF � •_,s•;';,`s� +{c SAID MAP OR COPES BEAR THE MWRESSED SEAL OF THE SURVEYOR OCT. 28, 1997 WHOSE SIGNATURE APPEARS HEREON. - NOV. 24,1997 (CERTIFICATIONS) i J ADDITIONALLY To COMPLY MTN SAID LAW THE TERM 'ALTERED BY• JAN. 9, 1998 (1198. u/d. I � o N LIC. NO. 49618 MUST BE USED BY ANY AND ALL SURVEYORS UTRIZM/G A COPY AfroC. OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'M/SP£CTED'AND •BROUGHT-TO-DATE'ARE NOT w COWLIANCE WITH THE LAW. AREA = 98,657 sq. ft o. Box 9 Or 2265 8a 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 97 - 339 a At�v J N C R " x � Y e` � V � y 3 ge / i w � «. a / LY _L ' i Y / � I Z' / 2s4r 1 Im M J — .. _ «+•--,- �i -[.0. WWW ^j {'y G t r f'' r9 .:�,--Ate.«-' tX•-�«,.t...+'r"S '-. I ,wrR -.«-�->u,,;.,,Y, _ v _ OCCUPANCY OR 1 - _ USE IS UNLAWFUL cti - - T I WITHOUT CERTIFICATE OF OCCUPANCY -- - - - - - _ --_ PFR!".EZ AS NOTED r• _ - DATA_ �7 °� 13.P.N ETI ,q _ 4 1 NOTIFY BUILDING DEPARTMENT AT .� — :f hl 765-1802 9 AM TO 4 PM FOR THE <E OF NEW yo9 �y FOLLOWING INSPECTIONS: yy 7 1. FOUNDATION - TWO REQUIRED n s" FOR POUREd ION 4. A3. LAI CONS CONCRETE RUC ION MUST ' �o '2s+i f W 2. ROUGH - FRAMING & PLUMBING _ BE COMPLETE FOR C.O• p P� r-- ALL ALL CONSTRUCTION SHALL MEET 90FESS16N / (_+ 'p—p-'-- THE REQUIREMENTS OF THE N.V. fe. STATE CONSTRUCTION & ENE RGY / r�M _ CODES. NOT RESPONSIBLE FO _ I DESIGN OR CONSTRUCTION ERRORS hrlo� UNDERWRITERS CERTIFICATE w' REQUIRED K s z o a W 4 O m f" 119 E ' I i i I -- •o KII I "'c'tell , _ - --. 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