HomeMy WebLinkAbout29186-Z FORM YIO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPPIJCY
No: Z-30493 Date: 10!08;04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 8869 OREGON RD CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 83 Block 1 Lot 33
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 4, 2003 pursuant to which
Building Permit No_ 29186-Z dated MARCH 4, 2003
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 TENNIS COURT IN THF. FRONT YARD AS APPLIED FOR.
The certificate is issued to JOSE SUQUET
(OWNER)
o` the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATE) N/A
c
thq ized 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. 29186 Z Date MARCH 4 , 2003
Permission is hereby granted to :
JOSE SUQUET
22 EAST 82ND STREET
NEW YORK,NY 10028
for
CONSTRUCTION OF AN ACCESSORY TENNIS COURT AS APPLIED FOR. THIS
PERMIT REPLACES BP#27876 .
at premises located at 8869 OREGON RD CUTCHOGUE
County Tax Map No. 473889 Section 083 Block 0001 Lot No_ 033
pursuant to application dated MARCH 4 , 2003 and approved by the
Building Inspector to expire on SEPTEMBER 4 , 2004 .
Fee $ 75 . 00
t i z e d ature
ORIGINAL
Rev. 5/8/02
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_ 27876 Z Date NOVEMBER 7 , 2001
Permission is hereby granted to :
BAY PROPERTIES INC NORTH
32645 MAIN ROAD
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN ACCESSORY TENNIS COURT AS APPLIED FOR
at premises located at 8869 OREGON RD CUTCHOGUE
County Tax Map No. 473889 Section 083 Block 0001 Lot No. 033
pursuant to application dated MAY 14 , 2001 and approved by the
Building Inspector .
Fee $ _ 75 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
Gone No.6
TORN OF SOUTHOLD
BU ILDDiG DEPARTbIENT
TOWN BALL
1 6 765-1802
r
�d PDD
PLICATION 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 ucw building or new use:
I Final survey of properly with accurate localionbf 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 elcctn•cal installation from Board of Fire Underwriters.
4. Sworn statement from plumber eenifying that the solderusrd 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 Codc Compliance, from architect or engmeerresponsible for the building.
6. Submit Planning Board Approval o:completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-exfating" land uses:
1. Accurate survey of property showing ull property lines, strecls, building and unusual natural or topographic
features.
i A properly completed application and consent to inspect sighed by the applicant. If a Certificate of Occupancy is
dented, the Building Inspector shall slate the reason therefor in writing to the applicant.
C. Fees
I. Certificate of Occupancy-New dwelling$25.00, Additions io 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 Pro-existing Building- $100.00
Copy of Certificate of Occupancy- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certrficute of Occupancy- Residential$15.00, Commercial 515.00
Date. Sept. 13, 2004
New Construction: (Tennis Court)_Old or Pre-existing Building: (check one)
Location of Property:_ 8869 Oregon Rd. , Cutchogue, New York
Hcusa No. Street Hamlet
Owner or Owners of Property: Jose Suquet
Suffolk County'rax Map No 1000, Section 083 Block 01 Lot 033
Subdivision— _ _Filed Map- Lot:
PermitNo.- Jtit 8 _Date of Permit, 3/04/U3 AppBcant; Jose Suquet
Health Dept. Approval: N/A _ _Underwriters Approval: N/A
Planning Board Approval:
Request for: Temporary Certificate_ Final Certificate: g (check ane)
Fee Subrrtted: $25.00
Applicant 9igpature
David N. Altman, Esq. , Arty.
for the Applicant, Jose Suquet
raFcy� 3
TOWN OF SOUTHOLD PROPERTY RECORD CARD Ma
OWNER STREET �g 609 VILLAGE DIST. SUB. LOT
..'" 'T L1 Ci •s
FO E N 6� F t:5 ACR._
A b bo S W TYPE OF BUILDING
LILe 4-
RES. SEAS. F�TOTAL
. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. DATE REMARKS
2200) CI .2CJ[ s T T o -�
3 9 L 1132 8 - b o1� �o Su�Itic L' k�xg�lle
- v _ & I bbd
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH j8 4V
House Plot BULKHEAD
Total
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: (/ -�/01
�
APPLICANT NAME: � n o DATE SUBMITTED:_ /_/O1
J�_
SCTM# DISTRICT:
li00 SECTION:03 BLOCK: LOT: �3 /
STREET: �e 62, 1,0
CITY: SUBDIV. NAME:
PROJECT DESCRIPTION:
ARCHITECT/ ENGINEER: N FAST TRACK? o
SINGLE & SEPARATE CERTIFICATION-REQUIRED? tJ ° NOTES:
IDTS 40,000SF.100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/8:
ZONING DISTRICT: K'®o CONFORMING? W-5
0
REQ. LOT SIZE: y0'��� ACT. LOT SIZE: Y, REQ. LOT COV. o�,"/o ACT. LOT COV. 6 °o
REQ. FRONT Co PROP. FRONT_dR5� REQ SIDE ACT. SIDEgg'
REQ. REAR -4 f PROP. REAR 04–
WATER FRONT? VES DESCRIPTION: C, IG
PANEL #:_ i(t-_ FLOOD ZONE:
AGENCY PERMITS REQUIRED FOR REVIEW
APP.49ES REQUIRED:
SUFFOLK COUNTY HEALTH DEPT: YES. NO ED #): DTE:—/—/-- PERMIT#:R10-
NEW YORK STATE DEC: PRE-DEc Sans YES oO
SOUTHOLD TOWN TRUSTEES: YES or
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES or
NYS ENERGY: YES OR ro :
EGRESS (18 H min.? 4 sq VENT (SQ. FT. x 4%) LIGHT (SQ. x8%)
BUILDING PERMITS OPEN/E)TIRED: BP 6SbC -Z/C/0 Z-
HAVE PRE CO'S : Y OR N BP -Z/ C/0 Z-_ _,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR SF
SECOND FLR : SF INIT OTHER TOTAL --
TOTAL: SF FEE FEE EE
'OT( SF)- � _SF)= SFX $ _$ +$ +$ �$ ��
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ v]�FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: (- o
P
DATE �� v INSPECTOR � ,
BIELD INSPECTION_REPO..T DATE COMMENTS
F'OMATION ( IST) ` I
tJ
J
CS
WUNDATION (29D)
ROUGH FRAME 6
c
PLOMRING
INSOLATION PER. N. Y.
STATE ENERGY �}
CODE
— r
— . -- — -- c
c
0ov LZS
' o
FINAL o
- - T
.ADDITIONAL COMMENTS:
0
t
J.
1
i
O �{
lOWH OFSOUTH Lia ldU1L1J11NL7PhI(MII APPL1C,AilON C-'HEC;KL1S
BUILDING DEPAR T Do you have or need the following, before applying
TOX'I'N HALL ,�� Board of Health
SOUTHOL D, N-1" 11971 3 sets of Building Plans
TEL: 765-1802 Survey
PER T N0. �B � Check
- Septic Form
N.Y.S.D.E.C.
� Trustees
Exanuned_ . 210 Contact:
Appro%ed_ // 20 Mail to:
Disapproved a c
Phone:
DBuilding Irt=r
&'im6y GiK Cwn Lu el/
BLDG Li"PT.
n PPLICATION FOR BUILDING PERMIT 'r
Dater) �`1 �� �0
INSTRUCTIONS
a. This application MUST be completely tilled 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, 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.
I
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Buiiding Zone Ordinance of the Town of Southold, Suffolk'County, 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.
(Signature of applicant or name, if a corporation)
�i21vN5 ^ wr eef. 0,"tCjo�,AAI -
(Mailing address of app icant) '//V S
State whether applicant is owner, lessee, agent, architect, enginee , general contracto)electrician, plumber or builder
, A G�--fes-� ✓���-
Name of owner of premises i /c-GrrLS 14
�7 (as on the tax roll or latest deed)
If applic t is a co oration, signature of duly authorized officer
nes
e and title of co rate 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 d ne:
N P�uo�2 Jar f w�fi Imo".L
House Number I St et Hamlet
County Tax Map No. 1000 Section OB 3 Block 621 Mot" �3 '
Subdivision 00oP-` Ab Ott. Qwlog-7 Filed Map No. Lot
(Nam6)
i. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy <Gwn t5 tl' c�
Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work l
(Description)
Estimated Cost 2a' "0 Fee
(to be paid on filing this application)
tf d%kc1ling, 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 existing structures, if any: Front 4P Rear 401�e Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Dimensions of entire new construction: Front 5-01
Rear 501 Depth 1 O'2
Height Number of Stories
Size of lot Front Rear Depth
0. Date of Purchase Name of Former Owner
1. Zone or use district in which premises are situated 26;6,i Dcti.>'n ,e<
Does proposed construction, violate any zoning law, ordinance or regulation:
3. Will lot be re-eraded Will excess fill be removed from premises: YES
qq�� 4- 1
vfl�ld
4. Names of Owner of premises ND Address N6h Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
5. Is this property within 100 feet of a 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.
'. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
TATE OF NEW YORK)
SS:
OUNTYY OF i
Y/ l:_ L. Cgrt4l.AO being duly swom, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
i1He is the �Gt��' -
(Contractor, Agent, Corporate Officer, etc.)
t said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application,
,at 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.
noir to efore me this
da,: of 200 j
Notary Public ignature of Applicant
ELIZABETH A STATHIS
NOTARY PUBLIC,Slate of NewYor%
No.01576008173,Suffolk County
Tann Expires June 8,20S Z
SURVEY OF
LOT 1
IN
A MINOR SUBDIVISION
/SL PREPARED FOR HENRY D OMA L SSKI
�T� -'0 AS NOTED
DATE.- B•P+ CU TCHOGUE, (OREGON)
,/ � TOWN OF SOU THOL D20TIFY UILDINEPAR DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE SUFFOLK COUNTY, N. Y.
FOLLOWING INSPECTIONS:
BOTT s°qrF 1. l-OUNDATION - TWO REQUIRED URVEYED FOR NORTH BAY PROPERTIES, INC.
END OF FOR POURED CONCRETE
FE
W 3.3' Z ROUGH - FRAMING & PLUMBING
V & INSULATION
4 FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. ELEVA TIONS 1N 1929 NA VO
o I °F\\BZc MAPAW jTjRI N SHALL MEET
W' oo END FE 0-p X0 ZONED.-OF THE N.Y.
0.3 m Z ST�TE CONSTRUCTION i ENERGY ZONED: R-80
ce° ld Rl � S GN. NOT RESPONSIBLE FOR
I OR CONSTRUCTION ERRORS 50' DETAIL
VACANT
I
LOT 2 Q BRIG POOLNOUSROOVER ;i; _
VACANT END 4.5 4" OOD DEC i \
FE 14.1 \\\ W/RICK <v.....,, \ \•°�
E 0.4' 'n 4 BRICK U DER \
N 5. 4. \
5.1 \
2 STORY N 6 2' RICK FORM , °° \\
RESIDENCE "Q 11. x'44.2' G' ERLy'..
I END
Tl TANK FE
o
s 0 g�
a) - � I PROP. Cs.K���Gi Oily
r TENNIS rz IS UNLAW i
�I OP
COURT RE I /fJ \ ERT 1`1 A
N"o WIPA�� d A
N W 20 � �r
co
N
WELL ry O
s~ END F
RI H WA Y I
STAKE S 5 � I ' O» W
e '
145. 75 I I I
N/F I I I
BIGGANE I �---N 37° 33' 40" WI W
TOO'BLU 4.6" I 2
I j 464.26' S I L
2.8'
I 7 6, 36J122 �- 8X8 HOT TUB I Z
IM 4 , FOOL -ON CONC. SLAB
I I I
BRICK POOLOUSE ' v
i I-'N 37. 5Z2' 10" W '
I I 1876.23' woo,: DECK ROOF ODER BRICKWALL
W/ AILING CONC. STEP
BRIC UNDER STONE'/ROCK
y STONE ROCK
147
o
O d 094.9' I
Ito
�� 14. 4.5 1 .64 X16.6' WOOD PS I_ N 42 29 20 W C
-E=E U'I SHALL RUN I I n 2 sTOR Y
Ohs THE suRVEr o 260. 73 6
'RESIDENCE RR i�Es
rAL,= TO THE 6.0 X
A GENC! I I RR RES W
HEREON, AND I I AC UNITS
INSTITUTION. Tf o i1.7' 5•
2.5
RA ERABLE TO I I O M N 5.0 2.0'
TONE WALL
S GR SBSEOUENT OWNERS.
0 BRICK4.0'
14.4'
ADDI TiO,N TO THIS
_ - - Cr SECTION 7209 O I I-N 37' 22' 40" W
-- _=- EL�C�,/ON LAIti' I I 476. 75' �7
I I O
h'AP NOT BEARING
E^,'BOSSED SEAL SHALL I I FD SURVEYED 10 FEBURARY, 2000
TO Sc- A l'ALID TRUE I CM
SCALE 1"=100'
--- TIE= 5251
ROOR/1 D AREA = 84,880.843 SF
I
1000-083-01-033 OREGON 1.9499
ACRES
C,vARANTEED TO SURVEYED BY
NORTH BAY PROPERTIES, INC. STANLEY J ISAKSEN, JR.
COVENANT ABSTRACT CO. INC. P.O. BOX 294
TOWN OF SOUTHOLD
NEW SUFFOLK, NY 11956
631-73 -58,35
1. L OCA TE POURED FOUNDATION 5 JUNE, 2000. /
2. 02 MARCH, 2001 LOCATE WELL, POOL, SANITARY LOCATIONS BY SIGNATURE HOMES.
3. 04 APRIL, 2001 TOP OF BLUFF REMEASURED.
4. 24 APRIL, 2001 ADD PROP. TENNIS COURT. n
5. 22 JUNE, 2001 L OCA TE FENCES, POOL HOUSE, DRI VEWA Y. /c CEN SE U A% SUR
UV
6. 21 AUGUST, 2001 FINAL SURVEY /NYS C. j 0l 49273
7. 17 SEPTEMBER, 2001 UPDATE TOPO AND SHOW WELL DIST. TO RES,
8. 12 OCTOBER, 2001 UPDATE TOPO. 0OC867
9. 6 NOVEMBER 2001 MOVE PROPOSED TENNIS COURT,