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Home My WebLink About24619-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32019 Date: 11/22/06 THIS CERTIFIES that the building ADDITIONS Location of Property: 3175 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 13 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 1997 pursuant to which Building Permit No. 24619-Z dated JANUARY 28, 1998 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 DECK & BRICK PATIO ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PHYLLIS KAUFER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A - -6 Aut orizod Signature Rev. 1/81 ' FORM NO.S TOWN OF SOUTHOLD BUILDING DEPARTMENT TONM HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) JANUARY 28 98 24619 Date.............................................................. 19........... Z Permission is hereby granted to: PHYLLIS KAUFER ......I............ ... ............................................................. 21 BEDFORD AVENUE .......................................................................................... ROCKVILLE CENTER,NY 11570 .......................................................................................... CONSTRUCT A DECK AND BRICK PATIO ADDITION TO AN EXISTING to.............................................................................................................................................................. SINGLE FAMILY DWELLING AS APPLIED FOR ..........................................................................................................................................................I....... .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. 3175 NASSAU POINT RD CUTCHOGUE atpremises located at............................................................................................................................... ............................................................................................................................................................ 473889 104 0013 012 County Tax Map No. .......................... Section ........................ Block ........................ Lot No. ........................ DECEMBER 15 97 pursuant to application dated .......................................................... 19................ and approved by the Building Inspector. 75.00 Fee$......................... ........... ..... ....... ........... .................................. uilding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDINO DEPARTMENT TOWN HALL Z 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tt A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey ofpropertywith accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval frq% 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. 'Fees i1. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - t .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .5� ./O .. . . . . . . . . . . . . . . . . . . . .. New Construction. ... V.. .. Old Or Bre-existing Bui�(Lng. .. . . . . . -. ...• . �'e6t111,W1)70� Location of Property. .:t�Z-6�.. IVys... . • . . • . . . .. . . G �• • . . . " . " " " " . House No. /{JStreet Hamlet Onwer or Owners of Property. . . . 1&'S /•,~ . . . . . . • • • • ' • • • " • ' • • " ' • • ' • " • 4 73 f1 9 �,[ County Tax Map No 1000, Section. �... .. .. ..Block . . . . . . . . . .Lot.�� . . . . . . . . . . . . . . yy��dd ` � PO(X// 5 lv Subdivision.LYJ.i . .?.... . . . . . . ... . . . . .o.Filed Map. . . L[o,t.-'. . . . . . . . . . .�./.�. .P�. . Permit No. . .Z:Ay6/LDate Of Permit. .!/'?O�g • . •Applicant. . /YSW/�� F. . ��'•ar: !�- • Health Dept. Approval. . . .. . . . .. . . . . . .. . . . . ... . .Underwriters Approval. . . .. . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . ... . . . . . . . .. . .. Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . ,lS• • - • • - Fee Submitted: $. . .�s . . . . . . . �� • Y ` \ t3 $' e0 Z3j6r9 765_1802 BUILDING DEPT. NSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY / REMARKS: DATE INSPECTOR *'1 Albert J. Krupski,President Town Hall John Holzapfel,Vice President 53095 Main Road P.O. Box 1179 Jim King Southold,New York 11971 Martin H. Garrell WOPeter Wenzel Telephone(516)765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES ��,', TOWN OF SOUTHOLD Iz. December 11, 1997 uvu4- F'� 4e Phyllis Kaufer 21 Bedford Ave. Rockville Center, NY 11570 - - RE: SCTM #104-13-12 Dear Ms. Kaufer, The Southold Town Board of Trustees reviewed your survey, and determined that your project to construct a deck and brick jpatio, is out of the Trustee jurisdiction under Chapter 97 of the wetland code. However, this determination is not a determination_ from any other agency. if you have any further questions, please do not hesitate to call. Sincerely, k • .1 Albert J. Krupski, Jr. President, Board of Trustees cc. Bldg. Dept. 1 11:1,11 Illfl{'1;1;1Hill-I!1t1'llllf••.• ._.._ ....___......__.._...._......_ lit lit ll__ !;vi!uun rig!!_...•_1?gill.•----- ' I 1111111:1I I'IUrIC A --�--- - oil I11!11ILA'I'lllll 1'1'.11 11. T _.�_ .Y----..-,-`._..`.,,,,,,.-,•'••Y.W�•�Yf 1`I ffl'A'I'1'. I1111'.IIIIY �--_•�- _------`--'----- �-_----.�— I•I - ...._ _. -' - •--'"' "---^^ A 11111'1'11111A1. Ch11111!II'I'lll ti BOARD OF HEALTH . . . . . . . . . . . . . . . II Vrjj FORM NO. 1 3 SETS OF PLANS . . . . . . . . .-. . . . . . , LS v _ TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . DEC 15 1997 ; TOWN {TALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . `1 SOUTHOL.D, N.Y. 11971 BLDG.DEPT. ' TEL: 765-1802 ,- NOTIFY: TCM N F OUTHOLD p 2 �4r �V U �> CALLEvn . . . . .✓. �j�. . . . . . . . O �`rT= MAIL. TO: . . . . . . . . . . . . . . . . . . . . Approved......//�A.....I IW� Permit No. ................ .................................... Disapproveda/c .................................. .................................... ...................................................... ............ .. .`. . may .. (Buil ns tor) APPLICATION F BUILDING PERHIT -7 Dale. . . . . . . . . 19.?. / INSTRUCTIONS / a. 1 his application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector will 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 giving a detailed description of, layout of property must be dram on the diagram which is part of this application. c.. The work covered by this application may not be ccmrenced before issuance of (building Permit. d. Upon approval of this application, the building Inspector will issue a Building Permit to the applicant. Such permit stall 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Tore Ordinance of the Tam of Southold, Suffolk County, Nen York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Tine applicant agrees to reply with all applicable laws, ordi building code, housing code, and regulations, and to admit authorized inspectors on premises and in buil ung for ` Xressary in tion:s. .... ...f lir .. .i fa.c............ . (Sigtueocaoorporation) ................................................... (Mailing address of applicant) State whether applicarA is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0 W AIV K.......................................................... .................. ..I......._..../. Nae of owner of premises ....!..� .«1.�...!a.f?.`�.F� ..... ..................................................... (as on the tax roll or latest deed) If applicant is a^^coJJrporration, signature of duly authorized officer. ............F`:�/!•................................ (Name and title of corporate officer) BuildersLicense No. ......................... Phnbers License No. .......................... Electricians License No. ..................... OtherTrade's License No. .................... 1. Location of Oland o�n/wihidn proposed work will be done............................................................... ................7S.../a! u U.. ,.tet........l=-JTS�rj2I0�i ( %. ...................................... House Ninber Street //// Hamlet County Tax Map No�./ 1000 lLSection ....../�7�.... Block .....1 3....... Int ....��....... Subdivision ...!(! �Sf.1:�.. ............... Filed Map No. .... Int ............... (Name) 2. State existing use and occupancy of premi,s[/� and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... /,lL.�_.✓.!`tA!�.....�?m ...........n....... b. Intended use and occupancy ....LF./S V 2E....."" K B c I `Yi9 ( ( O ................................................. 3. Mature of work (check which applicable): New Ikailding .......... Addition ......{, Alterat. .......... Itcpair ............ Removal ............. Dowlition ............ Other Work ..1'4 cL �,T.i�1.(A............ o6 (De9criptj4:M) 4. Estimated ...4 Cost .. ,_4 06� .....--. fee �...... ...................................... (to be paid on filing this application) S, if khoelling, nwier of duellingunits .. -.,. Herber of. dwelling emits on each floor .. L.�.... If garage, nnber of cars ....f ..,.�/......................... / ,,qq 6, if business, commercial or mixed occupancy, specify nature and extent of each type of use,,..al/,!,,.......,. 7. Dimensions of existing structures, if any: Front........./........ Rear Ileight ......................... Nnber of Stories ../V/1 . ................ Depth ................. SEE 106,q/-U Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... lleiglat .................... Nnber of Stories ............... 8. Dimensions of entire new construction: Front .................Rear..:.. .......... Depth .............. Ileight .......................,,.�//N, mber of Stories .o..... 9, Size of lot: Front ...,.?.9:.,� .'I -T:. Rear ...9.,9.:�..F*.. Depth ...... . .. ... 10. Date of Rarclase ......�a�l.(0....... Mm ?l Name of Former Owner ... e!LCs..................... . ........... 11. Zone or use district in which premises are situated ........�_40 d ................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .../VP............... µ 13. Will lot be regraded ...fl/A.,/....r...... Will excess fill be removed from premises: YES /,y�/'[� M. Nares of Owner of -exa7:.'�CyL!-(-i..t��t JF P?..... A(kiresaRt.DE'.�D.1^°.h2.�D��J£--�l��y.!VJJ��77//.. Pbone ;-,..`. =.,�J,�q_Od/(� Name of Architect pn1 -�,�n.5T,4 �✓ rjd.E......... Address��.yY31,,&F Name of CaotracC`or—_ — _..................... Ad&e.,T.::.=.........................Phone No. 15. Is this property within 300 feet of a tidal Wetland? * YES .......... Na .. ., *fF YES, SOLMEID IUAN IMSDZS PERKrr MAY BE 11134 IRFD. FI.OT DIAGRAM Iocate clearly and distinctly all buildings, wheder existing or proposed, and indicate all set-back dimensions from property linea. Give street and block ru ber or description according to deed, and show street nares and indicate Whether interior or corner lot. sE E PL�T 70C An) SUNIE OF NU VOI?K QXjN1Y OF L ....... SS r-r-....... --------I -i1q, duly sworn, depors s six] says that he is the appli(�jnt (Haire of indivi I signing contract) above named, Ikis the ......... '�J.Y. ................................ (CantracCor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perforin or have performed the said work and to make and file this applicaCion; ChaL all sCaCerenCs contained in this application are true to the hest of his knowledge and belieH and thaL the work will be performed in Lim imaner set forth in the application filed therewith. :worn to before ne this ~1 ,...-.,day of .................19..'91 .. Notary public ... -.., / ( ignature of Appl.itant) Il01AllYQM�Ub of 1 low York ,19ff 1`! It° 23� 'fOn'M I I I ,e'yr Iia+ 14- x,. t 1 � �� __ Ir+ _�_"� n ads• �,-+ . 1 1 � �`jiad •� "« I t regi I I1 f N yoof �iXl�.•'�, 1�7V� . rw iA&N PeZL 60 11"9-14 �,NN6v{•wi�ov cock -1- � - P1�lobWLK \ I d 2ic�th . Tiw v Ia�IIGh¢ YF�i QI.C7T MbIP4 609- NmW 6M, Y v� Hm 16, ` ,. .PIz.� ,qty► t1-( . ; I r�vzl h,qh wn+sr Ma.rIC 1, �^i��Wt-1G1�•. V'4�N T�YI.. --5how Ime �tv -Ale, �wP VO.'- :.'a. iMW /�..._.»:'C ra.."_.<...,.:-:: x,. .. _� .. .ri,..u/4 .:.:J�L,YI� .-z•..^. 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PN b arses �I•ASI�IN� i�V�CJ� �LUO �fiL (p1NIrdC� FioJr✓+� a II /^d Vm yy'�/a�R, W/ _�zrx�° pp� �51� DIG6aNbL�Y I I ' p�T �U� �b ,�10/G t7,�,GKlhk:•r .Q , n ` �wJ�Plw� ��I FI ��Ir= 2 X�4 R•DIL "3' %p 1>,L- woo n w o mo o� a o '04 /til pJvWi W/ WDhI �J - IIZ �►Slls � �r, I� �N ?� a , u rn ^— b- J�oHIQDe A VM +f p�{ Vrr2.1 r•'( GI/vY/ I REVISION �'K Gd✓ D Y7 IL- A� TOL RANGES �! N E / / -- ---- � {III G�buC ItiY P�' 4fp� �' i I,II'�I+' II-�— II e.eer, x. xoreo NO GATE BV Payr pGK I'pI K - � I O��k I�� rice �� V✓r�K" an 3 3 onxwx.r ZP�/ wut wnn. .. — - �/I��•' t I I.i- I I I✓' Ili I ��I - Now n 4 weam wn onxrnxc xa n 5 mxcco ,xmoveo ,,,+