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Home My WebLink About31778-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 10/20/06 No: 2-31927 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 26760 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 109 (STREET) Block ~ Lot 2 CUTCHOGUE (HAMLET) Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1, 2006 pursuant to which Building Permit No. 31778-2 dated FEBRUARY 6, 2006 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JEANNE M MINERVA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 06-6496 09/25/06 PLUMBERS CERTIFICATION DATED 09/19/06 AN-DE PLUMBING ~izi::!::- Rev. 1/81 - Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO\VN HALL 765-1802 Gji/} ~/b)2 5'D ~ 1/?3 . 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. . . (!) Final Approval from Health Dept. of water supply and sewerage-disposa\::@-9 forll12~ 3. Approval of electrical installation from Board of Fire UnderwIiters. .'.....-- 4. Swom statement from plumber certifying that the solder used in system contains less than 2/l0 of 1% lead. 5. Commercial building, industIial building, multiple residences and similar buildings and installations, a certific 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 us. I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent tb inspect signed by the applicant. If a Certificate of Occupan, 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 $25.0t Swinuning pool$25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. IO/IO/()(,p , New Construction; -- Old or Pre-existing Building: (check one) LocationofProp'erty: 2."1~o Ihl+i/J tCiJ. e'{/rcl(c)c;cl6. House Nel, Street Hamlet Owner or Owners of Property: I1J I N6/ltl A- / Ii 6# j)6bDAJ . . Suffolk County Tax Map No 1000, Section 1.0 9 Block 0 5 Lot P 0 z.. Subdivision Filed Map. Lot: o u,.;t.A..t-~.<4uv.- ( Permit No. 3/71 f Date of Permit. 2. /" /0," Applicant: Health Dept. Approval: Planning Board Approval: - Underwriters Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ '#2.5 \\ A ____ ___ ~ -----'" ~ant Signature ) ..~ 7rt75 Co-l3r~J7 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. 31778 Z Date FEBRUARY 6, 2006 Permission is hereby granted to: JEANNE M MINERVA CUTCHOGUE,NY 11935 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at CUTCHOGUE 26760 MAIN RD County Tax Map No. 473889 Section 109 Block 0005 Lot No. 002 pursuant to application dated FEBRUARY 1, 2006 and approved by the 150.00 6, 2007. Building Inspector to expire on AUGUST Fee $ c -- ORIGINAL Rev. 5/8/02 8:7 l~:: , ~: ~ ~"f'_' , ~ II' ". 'e,~.,:,,"._,<,,_'_~_'W """"'I' Fax (5 T alopholll" OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTH OLD C E R T I F I CAT ION DATE: 4./ [<t to b . r:G/vsef/fll! 3f~RRffJ.ZIl A/V-Ot fJ.C/f1{Jl',.JV (please print) I certify that the solder used in the water supply sYl5lli.L ins less than 2/10 of 1% lead. ~~ ~orn to before me this a3~day ~MQ6' Notary Public . .' , County Sv~f--/t::- FRANK A. POKORNEY NOTARY PUBLIC, Slale 01 New York No.01P04642145 Qualified in Suffolk County Commi55ion Expires /' 7";>J - c;>. cJ/6 '} /179 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [){FINAL Il.", ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: )( F~ ~~O . {o-( I--~~ DATE INSPECTOR * ~ 3/17r z TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATI [ ] FRAMING I STRAPPING J>4 FINAL "'" ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION . REMARKS: ;1/~~.~. ~~ , f::::, ~ ~ DATE ? ;- J-1" tJ {. INSPECTOR ~ ~ 3117 <j z TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND J><!NSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~ koK. ? - -;..J - d h DATE INSPECTOR ~ ~t~ }/77t Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [P(ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~~vf;:. 'i?,,- It{ _____U b DATE D INSPECTOR ~/ #L J/77f z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION ~JlAMI~G I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS. ~ ~. I L4-- [) k DATE ?"'- 3 -'0 t INSPECTOR ~~ 3(17r :L TOWN OF SOUTH OLD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND [] INSULATION pq FRAMING I S~RAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ,~ DATE 1" ~ ? - 0 , INSPECTOR ~~~ 3/77f Z-- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [0FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: JJ-~~ lA.- () It --tF- ~ ' DATE 7"- / I -(J~ INSPECTOR ~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ~ FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION . ~ DATE 1-5 -fJt INSPECTOR ~,~ "' FIELD-!t6PECTION REPORT DATE !i~o~ FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE J~ A V COMMENTS " ?AJ nit' CAt \. .' " ~ IJ,J.." I/-;P- -J ~ -J::l o<!"" x '" J -, 'i, .Jt:.t.. t2.- ~ v Y (7 4 //7/.~ . lj., . 'k1. /)f(./~? y" , z C\ J P ~ ;:}rJ> .., ~ [;j I':l r ~~ t"' I':l .., ~ f j 4 \1J -..0 i\ r f.. L' 'J'y ~(J . ~ ~.~ T,~ v -/A ~Jf -'" '1-1I/a 'J.v.J J ~ o~ -be;:- - .-. 'r/ i~:;'7rlJt. J1 flU _1' .n -V.........J VI A ' :;,L P=" "~d- nJ I. /_A_'l<-A.~\ c/ ~.L ff"O/l...a, ~ . 'I'~ ~p1 . \. ^ ... A FINAL IID11/~1 1'::.1-~() JLJ? ~LlJ OJ;: '/,,1' .IV) I , , "', R. V ~-.J -1. I~ A of<\: /'...1' ""'OV' 'v1.n /.f1rj::" ....". 1...... /V c; f\>-) J), 0{) l fJ A .~ J R,V . U ,<:-.. ,.b/'ZPl " t '^t.~ ~J'\ 0 Jl1J;> .-Ar'ill(''L~Orf . c;/ {/ 17 ''!; ~~J..," JJ... .0 -Loa- nit: I ./...........'7" ADDITIONAL COMMENTS 3 Z- .'. ~~ );~ q H ---.}.~ == I':l ;?i-f: -..., ..... == e I':l .." ~ - TOWN OF SOUTHOLD BUILDING DEPARtMENT TOWN HALL ,. SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/S BUILDING PERMIT APPLICATION CHECKLIST Examined PERMIT NO. ~/f1!1P Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Expiration ,20--+ T"'ClYlrI" ,.I..1,"erv'14 Mail to: 2(;760 nA,Ail?d ('vrCI1"6)~N)f Phone: (~5{)'7?</57?~ Approved Disapproved alc APPLICATION FOR BUILDING PERMIT --,""' 1 .\ )1' . ,I a. This apPMs~ion \:lUST be com' letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accur~t'e' plot plan to sc>tJe. F e according to schedule. b. Plot plan showing'loc;ation oflo and of buildings on premises, relationship to adjoining premises or public streets or :- " . '"'"LO areas, and watelWays. "; I. I c. The~k co erect 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 South old, 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. r c I. Date S"e 07 .if'S- f ,20 <IS' r.':: r \', ' , \ '\ INSTRUCTIONS (Signature of applicant or na f a corporation) ,;<b76o .fi1d/AJlZI) (!VTC/lo(;.v<?, flJt 1/955 (Mailing address of appfican State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder . \.O.lie iZ- Name of owner of premises ear1t7t' ftdl-€ II l",dt(~~ (As on e 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 land on which proposed work will be done: .?c, 7(;,0fi1A,N /Cd Core t./oC;<.J<? Ai '/ House Number Street / Ham'let County Tax Map No. 1000 Section l at; Subdivision Block . .:5 Filed Map'No. Lot Lot d- (Name) J \ '- 2. State existing use and occupancy of premises anq int~nded use and occupancy of pwposed constrtction: a. Existinguseandoccupancy [;.Y'(,-!'"'J!tOV>tJ? C:/njfJ ::f::g..."ly b. Intended use and occupancy bed roe WI 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost It 70 ( (')80 Addition Other Work v Alteration (Description) Fee 5. 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 ( " 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 51' /'1 Height ( 5 -r fJ/l1 Number of Stories ( Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Rear 5"7"1" Depth 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size ofIot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO l/" 13. Will lot be re-graded? YES_ NO V Will excess fill be removed from premises? YES_ NO V" ~ fltltit.-IlHf) /-I(.J('~t7'1. O,J1"CUD6o(>,v! 14. Names of Owner of premises ;e""II( /1,11"",1>1 Address ";('760 /1,4,,,,;tJ Phone No. 7.11-5'7<;? Name of Architect ])"" F~;ler AddressDle,7,,/~L",,)1Jti1,,-<k..PhoneNo P.fff.<:;-Z'?o Name of Contractor :J 0 4~ K'rY>1 ;~h Address JI1""'T.J<'/t.. Nt Phone No. otf'i' 195 t- IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO J-- * 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 S"fLlh) (Y\ AIL IA_ J H~~ d e--.,ro:v" being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the o LA..k...J ~^- (Contractor, 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 4"/-t.,. day of 0 <- -/-.)~"" 20 ") ~.~t'-~ Notary Publi Signature of Applicant John M. J~8~t,c Stata of New York N~T~flu6059406 ~ualified .In SEu~poil~~~~9, 20 92 commiSSion . - JV RO~D ~~s R1 25 035.8' /.?' 32." Vl ~ V\ Z. .\> (J\. ---- 0 """ o. M o' "" 3 rn ~ ~ !p ~ 0:: i:!" A i! ~! ;.....,. b ;$Q ':'I If ~ ~ ;;;. ell '>>. ONE STORY RESIDENCE N en 'en. . vER PAllO ROOf 0 59.1' POURfD CONCRETE: FOUNOA nON ~ ~ ~ <:j<<' ic-<V ,,0 &, t..> o (J\ '0 o. K; fD CM 220.07 LOT 3 MAP OF FAIRWAY FARMS FM#6066, FILED FEB. 15, 1974 S 85'11 00 W / GUARANTFES INDICA lED HERE ON SHALL RUN ONL Y TO THE PCRSON FOR 'frH()M THE SUR~Y ,S PREPARED, AND ON HIS BEHALF 10 THE T17LE CONPANY, GOI,ERNUENTAL AGOley, LENO/NQ INSTlTU110N. IF' USTCD HEREON, AND TO THE ASSIGNEES OF' THE LENDING IHS71TVT1ON. GUARANTEES ARE NOT 71lANSFERABLE ro ADDiT10NAL INST17V71ONS OR SUBSCQUENT OKNERS. TM# 1000-109-05-002 UNAUTHORfZfiJ AL 7rRA T10N OR ADDITION TO THIS SURlEY IS It \<fOCA T10N OF SECl10N 7209 OF' THE' New )'OW( STA1F EDUCAT10N LAW. SURVEY OF DESCR/BED PROPERTY SURVEYED:27 DECEMBER 199D SCALE 1 "=30' AREA = 31,107.36 S.f. OR 0.714 ACRES COPIES OF THIS SUR~Y MAP NOT BEARING 'THE LAND SUR~S EMBOSSED S!"AL SHALL Nor BE CONSlOCRED '" BE A VAVO 1RUf SITUATE ""'Y. CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: JEANNE M. MINERVA SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK. N.Y. 11956 631-7 --5835 \NTEED TO: lNE M. MINERVA ~RBANK MORTGAGE COMPANY 'lGUE ABSTRACT FROM :D0NALD G. FEILER * ARCHITECT FAX NO. : ,~31 298 lJ80 Feb. 07 2006 10:22AM P2 Pemlit Number RE&heck Comptianet! Certifkate n-hd ByIDate New York State Enel'l)' Conservation Coastruetioa Code REScMc.I:Software Version 3.5 ..".....-1 Data ~. Untitled.n:k Tl11.E: MlNER.V!\IHENDl!lSONBESIDENCE COUNTY: SuffhIk STATE: NewYod: HOD: S7SO CONSTRUCTION TYPE: .............. lor 2 Family HEATING TYPE: NoII-EIecIric DATE: 07/28/05 DATE OF PLANS: 7/29/05 COMPANY lNFORMATION: DoDa1d G. Feiler - AtdJitect COMPLIANCE: Pssses . Maximum UA - 103 YourHameUA-I01 1.9% Betta" Than Code (UA) Gross GIaziDg AmI or CaviZy Coat. or Dooc Perimeter I.-Value I.-Value U-Factoc ~ CeiIiDa I: C'.arhedTal CeiliDg (00 mlc) wan I: Wood Fnune, 16" o.c; W"mdow: 1: WoodFP"'C':DoubIeP8M'lllilhLow-E Floor 1: All-Wood JoistIrrusa:OverUIIO"'"...it....... Spa<:e 405 5S6 117 405 21.0 21.0 0.0 0.0 19 2S 0.330 39 18 21.0 0.0 COMPlJANCE Si'ATEMENT: lhe proplIIed bI~ItI;." repp:seaIId in this \Wo- is lX)ftWt""" with the buildiDg pIaDs, specificaIions.aDd otber QLo..!.,;""" .."-'-' with this pamit wp...v.... The propclIe4 ~br;e been ~ ID meet the New York StateEmqy Ccmserva!iolI CoaslJuclionCoderequiremcms. WbeIl a ~Desip Pro" "-..I baa cf_,,'t-:d aDd . sigDed tbis JIIF, tbey are ""~ 1IIa to the ofbialber ImowIedge, bdicI; aDd pro"" i-"'r-. such plm1s or ~p,monuroiD co'. ." . Dare '/111 105 BuiIder~