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Home My WebLink About29046-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29828 Date: 11/10/03 T~IS CERTIFIES that the building ACCESSORY Location of Property: 640 LESLIE RD CUTCHOGUE (HOUSE NO.) (STREET) (H~kMLET) County Tax Map No. 473889 Section 97 Block 9 Lot 5 Subdivision Filed Map No. -- LOt No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26, 2002 pursuant to which Building Permit No. 29046-Z dated DECEMBER 31, 2002 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 BARN/GARAGE AS APPLIED FOR. · ~ne certificate is issued to DONALD E SCHILLEY & WF. (OWNER) of the aforesaid building. SUFFOLK COUlfI~f DEPART~ENT OF ~IEALT~ APPROVAL ELB~-r~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION Da'~'~a3 N/A N/A N/A 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. 29046 Z Date DECEMBER 31, 2002 Permission is hereby granted to: DONALD E & WF SCHILLEY LESLIE RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN ACCESSORY GARAGE/BARN IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 640 LESLIE RD County Tax Map No. 473889 Section 097 pursuant to application dated DECEMBER Building Inspector to expire on JUNE Fee $ 330.00 CUTCHOGUE Block 0009 Lot No. 005 26, 2002 and approved by the 31, 2004. COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN 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: A. For new building or new use: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natuf,al 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 plmnber certifying that the solder used ~, system contains less than 2/10 of. 1% lead. 5. Commercial building, industriz~ building, multiple residences llnd ~4milar buildings and installations, a certificate of Code Compliance from arc~tect or engineer responsible for the bml&ng. 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 consent to inspect signed by the applicanL 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. ~...~ 4. Updated Certificate of Occupancy - $50.00 ', 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision /'~X¥ Permit No. _.~c) r_J ¥ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,:2 Date. Date of Permit. Jt ,~,: r.)t~ Old or Pre-existing Building: (check one) Xesz,e. Street Hamlet A, ~7 Block ? Lot Filed Map. ,3~?,2 ~ Lot: ~ Underwriters Approval: __ Final Certificate: // (check one) Applicant Signfitur~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 November 5, 2003 Donald Schilley 640 Leslie Rd Cutchogue, NY 11935 BUILDINGDEPARTMENT TOWN OFSOUTHOLD To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 29046-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 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 SABAT ELECTRIC DONALD SCHILLEY 50 PAT LANE 640 LESLIE RD MATTITUCK, NY 11952, CUTCHOGUE, NY 11935 Located at 640 LESLIE RD CUTCHOGUE, NY 11935 1185926 1185926 Application Number: Certificate Number: Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: First Floor, garage-shop, Detached Garage, 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 therewith the 16th December, 2003. compliance on Day of Name QTY Rathe Rating Circuit Type ~ Appliances and Accessories Exhaust Fan 1 0 F.H.P. Wiring and Devices Receptacle 17 0 General Purpose Switch 10 0 General Purpose Fixture 5 0 Incandescent Receptacle 2 0 50 amp Appliance Receptacle 1 0 GFCI Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 seal 1 of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. · ._ .... ~/~._// /~o-~,7. ?-..~ TOWN OF SOUTHOLD PROPERTY ~E.~,~RD CARD OW",ER STREW& "/0 V,L~,GE D,ST. SUB. LO* ~ y '"__~ FORMER ~NER N E ACR. ~ / S W ~PE OF BUILDING / : /~ , RES~/~:~ SEAS. VL. CO 'M~. CB. MICS. Mkt. lalue , ~ .~'~ YJ '.. .u" LAND 7~ //-/o o TOTAL FARM Tillable FRONTAGE ON WATER Woodland flAeadowland House Plot FRONTAGE ON ROAD BULKHEAD T~al BUILDING DEPT. INSPECTION [,;/]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2NO [ ] INSULATION [ ] FRAMING [ I FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [~FRAMING [ '] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~/,...~r~,~ 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] FRAMING [,/,/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR ~-' ...~ YOUNG & YOUNG ' -- ~ .... I 400 OSTRA'NDER AVENUE, RIVERHEAD, ALDEN W. YOUNG SURVEY FOR:,' :-~.: . , ., .DONAL:D E. SCHILLEY.: ~ .BARBAR, LOT NO 'PECONIC '"." 1 TOWN OF SOUTHOLD .... SUFFOLK CO., N.Y. TOWN OF SOUTHOLD BUILDIN~ DEPARTMENT T O '~X~N HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 F.A~X: (631) 765-9502 ~n~w. northfork.net/So uthold/ [xammed /'~/~f~/ .20 Approved /~/'~/ ,20 ~ D~sapproved a.c E×pn'ation fi' '~/ ,20 ~ ~-- ~, ~-' :~- ~ ; Do you have or need the following, b~fote applying? Board of Health 3 se*s of Building Plans planning Board approval Sm'vey_ Ch~k Sc-pile Form N,Y.S.D.E.C. Trustees Co~tact: ~~.~ Phone: Building Inspector 2 6 2002 APPLICATION FOR BUILD/NG PERMIT ' J Date · '-L~_ INSTRUCTIONS ,2 6 ~2eC_. ,20 a. Tins 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 on premises, relationsinp to adjoining pr~ni,ses or public stre, e~ or areas, and waterways. c. The work covered by tins application may not be commenced before issuance of Building P~mit. d. Upon approval of tins application, the Building Inspector will issue a Building Permit to the applicant. Such a pm-mit 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 the Building Inspector issues a Certificate of Occupancy. f. Every building perrr,/t shall expire if the work authorized has not commenced w~thln 12 months after the date of issuance or has not been completed within 18 months fi.om such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector ma>' authorize, in writing, the ext~ion of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pm-mit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicabl6 Laws, Orrllnane, es or Regulations, for the construction of buildings, additions, or alterations or for removal or demol/tion as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit author/zed inspectors on premises and in building for necessary inspections. (Signature of appllcant or name, if/a corporation) C~,Tcblog~,~ , /.,'. ,J. (M~m~ ~dd~ of applic~m) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder / Name of owner of premises (As on the ta~ roll or latest deed) If applicant is a corporation, signature of duly authorized officer ,5¢/-4//ze ;/ (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 proposed work will be done: f, 5, o Xosx~ ~o. House Number S~eet , ,~,.Y. Hamlet County Tax Map No. 1000 Section Subdivision ",~,~y /'.tom~5" (Name) C~ '7 Block q Filed Map No..5' ? 2 ,-5 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,/-]~ ~ e b. Intended use and occupancy ~>z~,q. ~., /~,~/?_,~ ~ 3. Nature of work (cheek which applicable): New Building ~" Addition Repair Removal Demolition Other Work 4. EsfimatedCost //., Ooo Fee 5. If dwelling, number of dwelling units If garage, number of cars ~ Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. 8. Dimensions of entire new construction: Front ~ oc' Height /~: / Number of Stories 9. Size oflot: Front /LS~" Rear /C35.7o / Number of Stories Rear z~ ~' / Rear Depth Depth ,3 30. ~ 10. Date of Purchase ~/,,~ ~.'q lq ? 3 Name of Former Owner 11. Zone or use district in which premises are situated .~e~/~..yJ~k ..."/.-~ 12. Does proposed cons~action violate any zoning law, ordinance or regulation? YES __ NO 13. Will lo, be re-graded? YES __ NO t/" Will excess fill be removed from premises? YES __ NO 14. NamesofOwner ofpremises . 5 ' fi&ess e Name of Architect Address Phone No Name of Conitaetor ~3~ ~/,4F/~ev Address bqa 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet Or below, must provide topographical data on survey. STATE OF NEW YORK) cotnvrv OFs: ~ c~ .~"~ ,t.~ ~ ~/4//~ e ~ b~g d~y sworn, d~oses ~d says that (s)he is the applic~t ~e of ~d~ si~ing c~) above ~, (Cenmaor, Ag~t, Co.orate Office, ~c,) 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 that the work ~vill be performed in the manner set forth in the application filed therewith. Signature of Applicant