HomeMy WebLinkAbout32060-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: 2-32186
Date: 02/06/07
THIS CERTIFIES that the building ADDITION & ALTERATIONS
Location of Property: 430 SKUNK
(HOUSE NO.)
County Tax Map No. 473889 Section 97
LA
(STREET)
Block 3
CUTCHOGUE
(HAMLET)
Lot 8
Subdivision
Filed Map NO.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 23, 2006 pursuant to which
Building Permit No. 32060-2
dated
MAY 31, 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 CHERRIE NANNINGA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~~
Authorized Signature
Rev. 1/81
-
~
.
Form No.6
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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.
L Final Approval from Health Dept of water supply and sewerage-disposal (8-9 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 2/1 0 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.
f~l
(checko e)
5
House No.
Owner or Owners of Property: C~ ( " .,
v
New Construction:
Location of Property:
HamIet
Suffolk County Tax Map No 1000, Section
DIJD3
Lot 6 0;
Subdivision ,of ,Filed Map. , Lot:
Permit No. 3'20J~O C Date of Permit ~,& //JI Applicant: tftdt/l--- ;1,,;1#'1 r!<ifr
Health Dept Approval: Underwriters Approval:
Fee Submitted: $
Temporary Certificate
A~
Final Certificate:
/
(check one)
Planning Board Approval:
Request for:
x
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(J.,L( .7178 q
C 0 :c:1-< I ~()
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.
32060 Z
Date MAY
31, 2006
Permission is hereby granted to:
CHERRI NANNINGA
250 WEST 24TH STREET
NEW YORK,NY 10011
for :
ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR. (THIS REPLACES BP #29295-Z)
at premises located at
430 SKUNK LA
CUTCHOGUE
County Tax Map No. 473889 Section 097
Block 0003
Lot No. 008
pursuant to application dated MAY 23, 2006 and approved by the
Building Inspector to expire on NOVEMBER 30, 2007.
Fee $
150.00
~
J
Authorized Signature
ORIGINAL
Rev. 5/8/02
3d-O~O Z-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRucnON
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
~FINAL A:
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRA110N
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DATE /-1-01 INSPECTOR ~r~
3;-OC, 0 'L
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~FINAL A:
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: p ~ ~ ~ J.-- P
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DATE /~~1-4/J
INSPECTOR ~~
3~ok,O Z-
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
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REMARKS: f ~ ~ T:i::- P--
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] FOUNDATION 1 ST [] ROUGH PlBG.
] FOUNDATION 2ND [] INSULATION
] FRAMING I STRAPPING [,KFINAl ~ ~
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY I~
fo- 'f-o t
DATE
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INSPECTOR - - r ~
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ~DATION 2ND
[ 0RAMING
[ ] FIREPLACE & CHIMNEY
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[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
REMARKS:
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DATE
INSPECTOR
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765.1802
BUILDING DEPT.
INSPECTION
[~ATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
REMARKS. 6~;J ~l 14
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Fax (516) 765-1823
Telephone (516) 765-1800
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
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SOUTHOLD TOWN ,APR j 5 .
LANDMARK PRESERVATION COMMISSIOl'f
L__--' ,__~
TO:
Southold Town Building Dept.
FROM:
Southold Town Landmark Pres. Comm. - Herb Adler, Jr.
DATE:
April 15, 2003
RE:
Nanninga residence at 430 Skunk La., Cutchogue
Tax Map #97-3-8, SPLIA No. CU78
With respect to the above referenced residence, the Landmark Preservation
Commission has reviewed the plans for the additions and approves the same.
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2..-'ne.x..(\.~ 'NQhn,.n
FORMER OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
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FIELD INSl'ECTION REPORT DA~
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FOUNDATION (1ST)
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FOUNDATION (2ND)
ROUGH FRAMING &
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INSULATIONPERN. Y.
STATE ENERGY CODE
FINAL
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BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact: n .
. ~-':l Mail to: f1ArlL . )C/IWAI'(TZ-
. I f~ b 977 Cqt;tkl'~
I Phone: 734-1185 II"1Jr
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
PERMIT NO..,,21..2 '1)-2=
Expiration
Examined
20 3
,-
,20 f
Approved
Disapproved ale
--
Inspecto'r
APPLICATION FOR BUILDING PERMIT
Date
,20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in itik 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 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.
t or name, if a corporation)
fb6JJ 9}3 ~fhlJ'" tlfl;
(Mailing address of applicant)
State whether applicant is o'wner, lessee, agent, architect, engineer, general contracto'r, electrician, plumber o'r builder
Name of o'wner o'fpremises C!fIElf~/E. N4NNIIIl(;.IJ
(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.
I. Locatio'n o'f land o'n which proPo'sed wo'rk will be do'ne:
-4-30 SfC()tJ I< LAt/E.
Ho'use Number Street
Cu Ie Irk 4<.IE--
,
Hamlet
Co'unty Tax Map No'. 1000 Sectio'n
Subdivisio'n
~7
BIo'ck 03
Filed Map No'.
Lo't 08
Lo't
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existinguseandoccupancy St,uC.LE:- FA-A1./L'1 rZe.SIOfA.JyrA-C '
b. Intended use and occupancy S ~ ~L
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
~
Alteration X
4. Estimated Cost
41(){ tJoO
(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
~~ r., .
6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use.
7 D. . f" ~€:E.c ~<"'-f~FJ R D h
. lmenSlOns 0 eXlstmg stnlctures, 1 any: ront ear ept
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
9. SizeoflotFront S~ S()~~~
Rear
Depth
Depth
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated
[e. 4- 0
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO.k::-
13. Will lot be re-graded? YES NO' /" Will excess fill be removed frmn premises? YES NO
- IS.- "Z50 ....eST Z"+-I4.'j --
14. Names of Owner of premises flW"'.I.l.._IJ'IAWI~61.ddress AlY NY I O~ II Phone No.Z' Z- Zo7 - 6tX)(,
Name of Architect )lAta. G#W~7 Address/ff~K/jJ7 C'fUJIr-Phone No 7.14 -41/' /"
Name ofConlractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO X
* 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:
COUNTYOF~
.11 /fItlf( Jc l"'fl-vltn- r-c . being duly sworn, dep,?ses and ~ays that (s)he is the applicant
(Name of individual signing contract) above named,' .
(S)He is the
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.
sW?'to before me this..
<Ii. day of 'Y) )cvi.ek
)tVI' u/ ~ (!t.~
Nota Public
20~
LINDA J. COOPER
Notary Public, State of New York
No.. 4e22563, Sulfolk.C("~'!.ty -J Do ,6
TGrr., b:~liGS DeCGilIL<;:;!" ,,1, ~_