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Home My WebLink About27874-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin9 Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28849 Date: 09/09/02 THIS ~TIFIES that the buildin9 ADDITION Location of Property: 26760 MAIN RD (HOUSE NO.) County Tax l~ap No. 473889 Section 109 Subdivision Filed Map No. CUTCHOGUE (STREET) (HAMLET) Block 5 Lot 2 LOt No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 5, 2001 pursuant to which Building Permit No. 27874-Z dated NOVEMBER 7, 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 FAMILY ROOM ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JEANNE MINERVA & MARLAND HENDERSON (OWNER) of the aforesaid building. SUFFOLK COUITI"fDEPARTMENTOF~RALTHAPPROVAL N/A ELR~-rKICAL u~TIFICATH NO. 1063661 08/05/02 PLUMBERS ~TIFICJ%TION D~'~U3 N/A Rev. 1/81 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREEt - NeW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by SCHARADIN ELECTRIC P.O. BOX 1077, MAIN RD. CUTCHOGUE, NY 11935, MINERVA/MARLIN HENDERSON MAIN ROAD CUTCHOGUE, NY 11935 Located at MAIN ROAD CUTCHOGUE, NY 11935 Application Number: 1063661 Certificate Number: 1063661 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 5th Day of August, :2002. Name QTY Rate Ratine Circuit Type Wiring and Devices Receptacle 8 0 General Purpose Switch 4 0 General Purpose Fixture 7 0 Incandescent Dimmers 2 0 Receptacle 1 0 GFC! seal i of ! This ce~ificatemay not be altered in anyway and is validated only by the presence of a raised seal atthe location indicated. Owners Nmne: Engineer: Date Reviewed: Date Submitted: SCTM t/: District: 1,000 Section: t/O? Block: ..~ P,-ojec, /o~ Subdivision Single & separate Require~tx-~ cemfication: (Yes / ~_9/ Rcq. Req, Project Description: ~, ~ / AGENC~,J?ERMITS REOUIRED FOR REVIEW N.A. NO 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: //°/__~ Permit . YES Number Notes: STATE OF NEW YORt( ) COUNTY OF .SUFFOLK ) L~:;~'4,-~:~O ? ,b~ ", being duly sworn, deposes and That deponent ~s over ~e age of 18 years, and resides ~ Thatonthe iff dayof.O~ ,2001 deponenta~englne~, Ii.need by the S~te of'N~ Yo~ hereby s~tes ;that S~e a~p~ full '~onslbili~ for the ac~mpan~ng plans ~mpliance with ~e New Yo~ S~te Fire Preven6on and Building C~e (9 NYCRR); said plans pekin ~ pm~ ~tedatSCTM~ ~O~-Io~ 05-0~ , ?~orn to t~e~.g~e me. this .day of ~.J ~J k"Y_....~, 200t, Notary Public ' ~: Applicant MEI.ANIE V. BROWN No. ,4~06712 765-1802 BUILDING DEPT. //INSPECTION [ //]' FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &~ CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ]~ATION 1ST [ ] ROUGH PLBG. [ ~ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~ REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~iDATION2ND [ ]INSULATION [L~/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ _ DATE INSPECTOR .-~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] ~U..GH PLBG. [ ~']"INSULATION [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: '~~~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH P_LBG. [ ]FOUNDATION 2ND !) ] I~O~ON [ ] FRAMING ~ FINAL [ ] FIREPLACE REMARK: EY FIELD INSPECTION REPORT i /DA~J~ I ~' J ~ COMMENT-~7 & FOUNDATION( 1/ ~'~ ~ ~~~ ~ ROUGH F~ING & PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE ~DITION~ COMMENTS BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ///;> ,20 tSt} Approved //~ ,20 O/ Disapproved a/c PERMIT NO. '22 ~ 2~ ~' Do you have or need thc following, before applying Board of Health 3 sets of Building Plans Survey Check Septic Form N,Y.S,D.E.C. Trustees Contact: Mail to: ~ Building Inspector i3~t _;Z-- t~}'~PPLICATION FOR.BUILDING PERMIT ~~ INSTRUCTIONS ' a. This application ~ST be completely filled in ~Y ~e~ter or in ink and submi~ed to the Building ~spector with 3 sets of plans, accurate plot pl~ to scale. Fee according to schedule. b. Plot pl~ showing location of lot and of building~ ~n'premises, relationship to adjoining premises or public s~eets or areas, and wate~ays. c. ~e work covered by ~is application may not be co~enced before iss~ce of Building Pe~it. d. Upon approval of this application, the Building ~pector will issue a Building Pemit to the applic~t. Such a pe~it shall be kept on the premses available for inspection t~oughoct'~e work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what-so-ever until a Ce~ificate of Occupan is issued by the Building ~spector. APPLICATION IS HEREBY MADE to the Buildi. ng Depmtnlent 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 Laws, Ordinances or Regulations, for the c'onstruction of buildings, additions, orCa'Iterations or for removal or demolition as herein described. The applicant agrees to coinply with all applicable laws, ordinandes, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for ne¢¢s.s~ry inspections. ' - ffl (~ ~ ' (Si~i~ture of applicant or name, ifa corporation) (Mailing address of applicam) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of pi'emises \J 1~ 0 l'1 ~ ~ (~s o~ the t~x roil 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. Location of land on which proposed work will be done: . House Number ~ Str~et ' O H~l'et County Tax Map No. 1000 Subdivision ame) Section / otto Block / o f Filed Map No. Lot 05' 02.. State exist!ng, use and occupancy of premises and. intended use and occ anco · a. Ex~st~ng use and occupancy_~..~(~4~ .z~ _ __ :c~p Y f proposed cqnstruet~on~ b. Intended use and occupancy ~ ~--~_ Nature of work (check which applicable): New Building Addition x....~. Altera~/on R, epair Removal Demolition Other Work I. Estimated Cost J~"% o,gD Fee (Description) If dwelling, number of dwelling units If garage, number of cars (to be paid on filing this application) Number of dwelling units on each floor I If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front_ ~'c]. / Rear Height. Number of Stories [ Dimensions of same structure with alterations or additions: Front Depth Height. Dimensions of entire new construction: Front Height Number of Stories , · . Rear Number 9f StOries Rear '. Sizeoflot: Front [oL[. ol Rear _,-2.r~.3 - 0"7 Depth.. c:~ o,b-- O 0. Date of Purchase ~2]qO Name of Former Owner P~uc c~o 1. Zone or use district in which premises are situated .D~pth ' i': ......... Will excess fill be removed from premises: YES (~ Address Address Address Phone No. Phone No · Phone No. 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Wilt lot be re-graded ~ 4. Names of Owner of premises Name of Architect Name of Contractor 5. Is this property within 100 feet ora tidal wetland? *YES NO · 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 OF ) /~l.-~,aJp ~/~ ~tc~ efSO t--t being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ~)He is the (~)~-~om ¢ (Contractor, Agent, Corporate Officer, etc.) fsaid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; 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 · )yo0f , 20c,/ Notary Public "ELENE O. HORNE ualified in Surfak ~u~ Commission Expires May 22, Signature of Applicant APPEALS BOARD MEMBERS Gerar~ P. Go[hringer, Chairman .~ydia A. Tortora George Horning Ruth D. Oliva Vincent Orlando TOWN MEMO TO: FROM: DATE: SUBJECT: BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 http://southoldtown.northfork.net ~chael Verity, Principal Building Inspecto~ Town Building Depa~ment ~ ' Je~ Goe~nger, Chalm~ ~~ Southold Tom Bo~d of App~s~ C ~ May 29, 2002 Front Y~d Setback (~ne~enderson, Your File 27874) Mr. Donald G. Feller, Architect contacted our Department regarding whether or not the ZBA interpretation under//4836 (Koch) should be applied to the right-of-way along the east side of property known as 109-5-2 of Jeanne M. Minerva. In reviewing the deeds and the December 27, 1990 survey, revised April 24, 2002, by Stanley J. Isaksen, Jr., L.S., this will confirm that this Department agrees that the easterly yard of ~09-5-2 is not a front yard, and that the neighboring right-of-way, which l~rovides legal access to other properties rather than the subject property, does not meet the definition of"street". M,4 IN IV 76° ~5 ' E RD, l RTE. 25} 10,I. O I SToN£ Mil £ M,~ RK~'R ' ' 12 Mi CH- 637'L 59. I 100 STORY WOOD FR~/~E ~% ~4.0 RESIDENCEs~7 t J ~Conc. TM 1000-109' 05- 02 SURVE¥ OF Guarantees ~ncllcaled here an shall nm c~ly ~o the pe~:m for whom Ihe survey b Wepo,,d, ~d ~'m, b.~ ~ ~ CUTCHOGUE, ti~e ~pany, Govermental A~, lending institute, ff listed here~, a~ SUFFOLK to ~e assignees of the le~ing Guarantee are ~1 transfcruble to addilional Imt~l~ or s~bseque~ o~ DESCRIBED PROPERTY Si TUA rE TOWN OF SOUTHOLD COUNTY, NY. SURVEYED FOR JEANNE bl, MINERVA SURVEYED 27 DEC~'tI~ER 199r $C,~I E : I': 30 ' GUAR~NT£ED TO J~ANN£ /~ A~INLRVx~ C{NT{RBAN~ MORTGAG£ CO/WPANY ~QU£BOG()£ ABSTRACI TUWN OF SOUTHOID Unauthorized alteration or addillon to Ibis survey is a vk>lafion of Section 7209 of Copies of Ihls survey map nol bearing Ihe Land Surveyors embossed seal shall SURVEYED BY ~0 80x 294 NEW ~'UFFOLK, IV Y. //9~ 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. 27874 Z Date NOVEMBER 7, 2001 Permission is hereby granted to: JE~/qNE M MINERVA CUTCHOGUE,NY 11935 for : NEW CONSTRUCTION OF A FA/~ILY ROOM ADDITION AS APPLIED FOR. at premises located at 26760 County Tax Map No. 473889 Section 109 pursuant to application dated NOVEMBER Building Inspector. MAIN RD CUTCHOGUE Block 0005 Lot No. 002 5, 2001 and approved by the Fee $ 150.00 Authorized Signature Rev. 2/19/98 COPY 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: 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. 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, 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, Cormnercial $15.00 Date. New Construction: Location of Property: Owner or Owners of Property: ~uffoll~Gq3unty TanMa~ No i 000, Section Subdivisiou Permit No. X7 Tq Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: (check one) C House No. Street ~ Ha~et Request for: Temporary Certificate Fee Submitted: $ ~X~5' ~0 Date of Permit. ///7/o / Filed Map. Lot: Applicant: ~-ea.~t ne' Underwriters Approval: Final Certificale: ~ (check one) dS~ Applicant'~e ONE' sTORY REsIDENGE POURED CONCRETE FOUNDA~ON '~0 C/"SF-'S FD CM LOT 5 MAP OF FAIRWAY FARMS FM#6066, FILED FEB. 15, 1974 GUARANTEES /ND/CA'FED HERE ON SHALl. RUN ONLY TO THE PERSON FOR HtHOM 7HE 51JRVEY SURVEY OF co~ ~ r~,s su~ ~, NOr SE~R~,~ DESCRI[3ED PROPERTY CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNt, TM# I000-109-05-002 SURVEYED:27 DECEMBER 1990 SCALE 1"=30' AREA = 31,107.56 S.F. OR 0.714 ACRES SURVEYED FOR: JEANNE GUARANTEED TO: JEANNE M, MINERVA CENTERBANK MORTGAGE COMPANY AQUEBOGUE ABSTRACT M. MINERVA SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK. N.Y. 11956 631-734-5835 2, 25 APRIL 02 corm R/W WIDTH PRAITY LANE. 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