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HomeMy WebLinkAbout28878-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30516 Date: 10/26/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 933 NEW SUFFOLK RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 6 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 25, 2002 pursuant to which Building Permit No. 28878-Z dated OCTOBER 30, 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to ALAN C SANTOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A //Auth6rized Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30517 Date: 10/26/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 933 NEW SUFFOLK RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 6 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 25, 2002 pursuant to which Building Permit No. 28878-Z dated OCTOBER 30, 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 PERGOLA AS APPLIED FOR. The certificate is issued to ALAN C SANTOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A //Aut oriz 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. 28878 Z Date OCTOBER 30, 2002 Permission is hereby granted to: ALAN C SANTOS 2 HARBORVIEW ROAD PORT WASHINGTON,NY 11050 for CONSTRUCTION OF AN ACCESSORY SHED AND ACCESSORY PERGOLA AS APPLIED FOR TWO C.O. S REQUIRED at premises located at 933 NEW SUFFOLK RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0006 Lot No. 024 pursuant to application dated OCTOBER 25, 2002 and approved by the Building Inspector to expire on APRIL 30, 2004 . Fee $ 150 . 00 T--. Au orize gna ure ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 5 2004 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: 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 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 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. /10 Z/ 20 a New Construction: Old or Pre-existing Building: (check one Location of Property: House No. Street UU Hamlet 61 Owner or Owners of Property:_ per,( _ .2-ZJ Suffolk County Tax Map No 1000, Section �ao2_ Block 060 lam_Lot oZ Subdivision Filed Map. Lot: Permit No.r7 Date of Permit. b Applicant: Health Dept. Approval: �nderwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Z (check one) Fee Submitted: $ c v- _ Appl�t Signature f Form No.6 TOWN OF SOUTHOLD 5 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: 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. S-o,on, statement tl�oni plani?,cr certifying that the solder used in system contains less than 2%10 of 1°io 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 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- $100.00 3. Copy of Certiff'cate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. New Construction: Old or Pre-existing Building: �,.,� (check one) Location of Property: 9 [��D 1 Sup:PaL Rd /�, l Z�0_ ')nazg L� - - - House No. Street Hamlet Owner or Owners of Property: kaa s_a22r_&5 Suffolk County Tax Map No 1000, Section /0A Block 00067 Lot 42,24 Subdivision Filed Map. Lot: Permit No. Date of Permit. 043010D Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: v*/- (check one) Fee Submitted: $ 05, DO Applicant Signature Co 30 5 "1 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ATlrlNAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: /tic f DATE °�� � INSPECTOR '� t FIELD INSPECTION REPORT DATE CONIIVIENTS b FOUNDATION(1ST) ---------------------------------- r .0 y FOUNDATION(2ND) f, x O ROUGH FRANIING& y PLUMBING INSULATION PER N.Y. STATE ENERGY CODE X 1 FINAL ADDITIONAL COAGMMIfTS O z' m G o x d TOWN'OFISOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date /0 2 20 0 7/ INSTRUCTIONS a. This 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,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 the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension 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 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 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 re ations, d to authorized inspectors on premises and in building for necessary inspections. idatur ant or name,' co ration) address of licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Y- 61-7 / Name of owner of premises , ,�pJ G E,,q-AJ 1-5- (As on the tax roll 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. 1. Location of 1 onwhi pro ed wo ill be done: House Number Street Hamlet County Tax Map No. 1000 Section Block Ey Lot 2`y` Subdivision Filed Map No. Lot (Name) A t � 2. 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 G;z 14 PAQ> 8ff- 3. Nature of work(check which applicable): New Building X Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee _ (To be paid on filing this application) 5. If dwelling,number of dwelling units (9 Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth . Height Number of Stories r r 8. Dimensions of entire new construction: Front '19A Rear__Lt;t; Depth Height Number of Stories I 9. Size of lot: Front 3 2 O ,5 2 Rear , fD` Depth 1�p R 10. Date of Purchase 2 t,7,� a I Name of Former Owner 6 u 6 L hZ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13.Will lot be re-graded?YES NOX Will excess fill be removed from premises? YES NO 14.Names of fawner of premisesMt4IJ S'A IV�� Address 3 r�J Phone No.)-2)Q-,6Z3 Name of Architect Address Phone No 792k 732) Name of Contractor Address Phone No. 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) SS. COUNTY OF /�l (�'t✓�0 S being duly sworn, deposes and says that(s)he is the applicant (Name'of individual signing contract)above named, (S)He is;the O f-V N G (Coptractor,Agent,Corporate Officer, etc.) 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 will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of 0 20o1— Notary 0o1—Notary Public - Signature of Appli t -MARCIA BARNARD Notary Public,State of Now York No..,.01 BA603288s Cual iflod In Bronx County CommIssIon I November 08,.2005 KAUFOLD'S GUARANTEES YOU THE MAXIMUM VALUE STANDARD FEATURES �X4, 225 Ib.20 Year guarantee eted roof uss 16"O.C. Double asphalt self-sealing shingles /2"C.D.X. trusses for unmatched bless 4"Overhang on in your choice of 6 colors Plywood roof all four sides eliminates sheathing strength sidewall streaking from wat r runoff Finished soffits for �1 � ��, • �� beauty and weather tightness _. End Vents on Maintenance Free both ends aluminum drip provide proper edge or painted ventilation wood corners 2 Aluminum Jalousie windows with screens &shutters,or choose Full 2x4 optional windows. Kiln dried stud Custom placement at 681/2" walls 16"O.C. no additional'harge. Reinforced Double Doors LatWacrylic exterior pain painted on both sides Full 2x4 sill in your choice of 13 colors with 2x4 framing plates on all or clear-sealed PRESSURE TREATED B.C. PRESSURE TREATED four sides Maintenance Free Duratemp@ 5 ply plywood floor,secured 2x4 floor joists 16"O.C. 5/8"T1-11 Fir Siding or choose with ring shank nails PRESSURE TREATED 4x4 Optional Horizontal Wood Siding Jacks&headers in all door foundation beams 3 on 8',5 or Vinyl Siding framing to meet all State and . on 10'&12'and 7 on 14'wide Local Building Codes Duratemp@ 5/8" T1-11 Fir Siding Kaufold's Maintenance Free Duratemp@ 5/8"T1-11 Fir Siding: • Endures all temperatures and weather without cracking, splitting or checking • No boat patches • Keeps its paint at least twice as long • GUARANTEE 25 YEARS • Won't show dents or hammer marks • The Economy Barn: Lighter construction yet looks similar to The Mini Barn. Available in sizes up to 10'x14'with 2"x3", 16" O.C. construction and 1/2"T1-11 Duratemp@ Siding. Roof, doors and windows"are equal to The Mini Barn. Optional Horizontal Pine Siding is milled with 1/2" Decorative Ship-Lap Joint for maximum tightness and wafhrshed. Painted in your choice of 13 colors or natural clear sealer. Two tilt-in barn sash windows and screens are included, plus standard features listed above. Optional Maintenance Free 4" Dutch-Lap Vinyl Siding comes in 10 designer colors. The siding is installed over 1/2' CDX All-Wood Sheathing. Every piece of exterior wood is wrapped in aluminum (available in 9 complementing col- ors) creating a No Paint structure. Two Aluminum Double Hung Windows are included plus standard features described above. Kaufold's will deliver our fully assembled building to your 4s: accessible firm,flat,level site. If this is not available we- suggest gravel or crushed stones. Where your site is not truck&trailer accessible our professional carpenters can /►�,�„ assemble your storage unit on-site. Ask your salesper- ,, son for further details and pricing. Kaufold's highly trained professionals utilize our special- .;. ized equipment to maneuver with the utmost care around your home and landscape. A, Call 1 -800-HAV-WOODto Order • 13 - Dutch Pool House Lincoln Lincoln Porch Lincoln Patio Pine Cedar Pine Cedar Pine Cedar Pine Cedar 8'x 10' $2,750.00 $2,995.00 $2,650.00 $2,895.00 $3,360.00 $3,665.00 N/A N/A 8'x 12' 2,950.00 3,295.00 2,850.00 3,195.00 3,562.00 3,925.00 4,295.00 4,725.00 8'x 14' 3,185.00 3,495.00 3,085.00 3,395.00 3,785.00 4,195.00 4,500.00 4,945.00 8'x 16' 3,415.00 3,825.00 3,315.00 3,725.00 3,995.00 4,475.00 4,733.00 5,190.00 10'x 10' 3,275.00 3,550.00 3,175.00 3,450.00 3,695.00 4,165.00 N/A N/A 10'x 12' 3,450.00 3,750.00 3,350.00 3,650.00 3,890.00 4,300.00 4,525.00 4,950.00 10'x 14' 3,650.00 3,975.00 3,550.00 3,875.00 4,082.00 4,495.00 4,750.00 5,195.00 10'x 16' 3,850.00 4,175.00 3,750.00 4,075.00 4,300.00 4,765.00 4,935.00 5,411.00 10'x 18' 4,060.00 4,595.00 3,960.00 4,495.00 4,575.00 5,025.00 5,165.00 5,675.00 10'x 20' 4,225.00 4,830.00 4,125.00 4,730.00 5,025.00 5,530.00 5,425.00 5,945.00 ` 10'x 22' 4,632.00 5,258.00 4,532.00 5,158.00 5,530.00 5,975.00 5,655.00 6,295.00 10'x 24' 4,950.00 5,685.00 4,850.00 5,585.00 5,950.00 6,500.00 5,895.00 3,450.00 12'x 12' 4,450.00 4,950.00 4,350.00 4,850.00 5,025.00 5,465.00 4,995.00 5,425.00 12'x 14' 4,865.00 5,375.00 4,765.00 5,275.00 5,495.00 5,975.00 5,175.00 5,750.00 12'x 16' 5,185.00 5,645.00 4,995.00 5,595.00 5,895.00 6,595.00 5,425.00 6,035.00 12'x 18' 5,395.00 5,950.00 5,295.00 5,850.00 6,200.00 6,825.00 5,650.00 6,282.00 12'x 20' 5,965.00 6,525.00 5,865.00 6,425.00 6,800.00 7,395.00 5,895.00 6,550.00 12'x 24' 6,650.00 7,225.00 6,550.00 7,125.00 7,625.00 8,225.00 6,350.00 7,050.00 12'x 26' 7,245.00 7,800.00 7,135.00 7,700.00 8,265.00 8,850.00 6,585.00 7,325.00 12'x 28' 7,825.00 8,425.00 7,725.00 8,325.00 8,875.00 9,465.00 6,825.00 7,575.00 12'x 30' 8,495.00 9,000.00 8,395.00 8,900.00 9,425.00 10,000.00 7,100.00 7,865.00 s, i The Lincoln Patio 10'x 16' (Shown With Optional Cupola) Cedar.Dutch Pool House NOTE: Ask salesperson for quote a dow on screened in porch option. i, i The Lincoln Porch 10'x 16' The Lincoln 8'x 14' Prices Include: (' 1 Round Top Door, 2-9 Lite Windows,with Flower Boxes Standard 2-9 Lite Windows & 1 Round Top Door Vinyl add$10.00 per perimeter foot ;'.'. Add 20% for optional Cedar Shake Roof Call 1 -800-HAV-WOOD to Order - 12 - h S �l i 1 1 1 ' U f: F 11 r � C ©• , �' � �EA WIaoe T�ow A-E" A-q- 4s/D Y APPR YED AS NOTED DA • l0 2 B.P.#2-089 f-' FES V- U BY- NOTIFY BUILDING DEPARTMENT-AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING & INSULATION A FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS IPCCU ' ICY C IS 11INNLAWFUL Vi"THIOUT CERTIFICATE OF OCCUPANCY 0 Young & Young, Land Surveyors 1L ou 400 Ostrander Avenue, Riverhead, New York 11901 .�nyJ 516-727-2303 aaj: nun 3G415 Alden W. Maung, un & L.S. Surveyor 1994) 9 6a $ .. as C. o Young, Land Surveyor €i Thomas C. Wotpert, a � Engineer Kenneth dbra.zz.,o, Land S Surveyor, S yma�ing � John chnurr, Land Surveyor e,,...y.y `Sad /�- � cR`errnon 692 Or n°� O ° �e 25 pi sxo P a .a 0° E\\Z 322 CO. - �4 sag 6'F 0 Sods /i" anEE @ya ro 3 o s�a� 0 LD O regi U`. z- / e o< ,Dr11 ,eO N � ` '° 11 \\ ec°°\G Re° etC e<ky �y Z0 h5 N v z �orrf` e< e cE z m nog Or 9 G Cort aEFEN,� 0 lL oho � . ,yo I1 0 \ �s. E\e aeC\o g Io 'W FL Fre UIg rlu 'Lon N Z�02 rl (ot` '�e<\y a) S 13 O O OC \A P ff OC,Or% 0 2 }3 m E`EGSRIE r{ r\ � I A I ° /5 �,OTAe00e MEtE ofI N \ NOTES: = 1. ■ = MONUMENT FOUND I to �I er\y 2. A= STAKE FOUND ° Or Ok b°Ugh 3. AREA = ACRES NO. 2, T 4. RE: LOT N0. 2, "MINOR SUBDIVISION — HOWARD ROSENSTONE" v, R\ `� LAST DATED JAN. 2, 1985 O Y \ Dml zs � a a 65 nowCha over I �w SURVEY FOR: John JAMES MC BURNIE & MARILYN MC BURNIE " ooh' WAY �� N 00'O6'4. oF, -� At: CUTCHOGUE Town of: SOUTHOLD RIGNT "' oArv[w�v _� 'ONE eye, P� _�- Suffolk County, New York Suff. Co. Tax Map: 1000 102 6 24 ° DIsmst Semon eI-k Loi --� CERTIFIED P .41� FMC JAMES MC BURNIE MARILYN BURNIE COMMONWEALTH LANG TITLE INSURANCE COMPANY O €,'h5 MAY 22, 1997 y�6e FQ S Za DATE :NOV. 9, 1996 @ou: LAryD SCALE :1"=60' 6"k _ JOB NO. :96-0949 30 � O SHEET NO. :1 OF 1 "MCB96949.DWG" 60401 t