HomeMy WebLinkAbout32810-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 03/16/07
No: Z-32253
THIS CERTIFIES that the building REPAIR/ALTERATION
Location of Property: 500 VILLAGE
(HOUSE NO.)
County Tax Map No. 473889 Section 25
LA
(STREET)
Block 1
ORIENT
(HAMLET)
Lot 10
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MARCH 16, 2007 pursuant to which
Building Permit No. 32810-Z
dated
MARCH 16, 2007
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 REPAIRS/ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CYRIL KNIGHT LUKEMAN & MARY LUKEMAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
ed Signature
Rev. 1/81
;, 3/- If 15 - 0 1'6';2
.AR I 3
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~, n
'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 trom Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swam statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead.
5. Cotmnercial building, industrial building, multiple residences and similar buildings and installations, a celiificate
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:
I. Accurate survey of propetty showing all property lines, streets, building and unusual nalural or lopographic
features.
2." A properly completed application and consent to inspect signed by the applicant. If a Certificate ur Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
,
C. Fccs
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, AJtcratium tu dwelling $25.00,
Swinuning pool $25.()O, Accessory building $25.00, Additions to acccssory huilding $25.110. BusI/lesses $50.110.
2. Certificate "rUccupancy on Pre-existing Building - $100.00
3. Copy ofCcrtificate "fOccupancy - $.25
4. Updated Ccrtifiulte of Occupancy - $511.00
5. Temporary Cerlilieatc of Occupancy - Residential $15.00, Commcrcial $15.011
t' ,'" -, '7
Date. _'-'-'\_~G'0~
New Constlllction: ___~_ Old or Pre-existing Building:
Location ofPropcrty: ___ -lee _V\ll~l<:,_-L""""':L 0 ,~ '. "'\
House No. Street
Owner or Owncrs of Property: _~_~~~, LM~V'.
./
(check o/lc)
,
fbll1lcl
Suffolk Count)' Tax Map No 1000, Section
2 1------
mock
'lx'-___ ___
(
Ll)t
/0,_
Subdivision
Filed Map.
Lot
APplicanl_(~y(LK_L.J"'''''3Y'- "-:-JI~,__
Permit No.
Datc of Permit.
Hcalth Dept. Approval
Underwriters Approval:
Planmng Board Approval
Request for:
TcmporJI)' Certificate
/.'1'
L S / lit;
hnal Certilicate:
(check o/le)
Fce Submitted: $
Co ?:}d-63
(UC I (J75D J-
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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.
32810 Z
Date MARCH
16, 2007
Permission is hereby granted to:
CYRIL KNIGHT LUKEMAN & MARY LU
PO BOX 274
ORIENT,NY 11957
for :
EMERGENCY REPAIRS AND ALTERATIONS TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 27586.
at premises located at
500 VILLAGE LA
ORIENT
County Tax Map No. 473889 Section 025
Block 0001
Lot No. 010
pursuant to application dated MARCH
16, 2007 and approved by the
Building Inspector to expire on SEPTEMBER 16, 2008.
Fee $
75.00
. /}; . ")'..
/ :d~ lA'J.Jii<-.:--
, Authorized Signature
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.
27586 Z
Date AUGUST
29, 2001
Permission is hereby granted to:
CYRIL KNIGHT LUKEMAN
PO BOX 274
ORIENT,NY 11957
for :
EMERGENCY REPAIRS AND ALTERATIONS TO A SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
500 VILLAGE LA
ORIENT
County Tax Map No. 473889 Section 025
Block 0001
Lot No. 010
pursuant to application dated MAY
3, 2001 and approved by the
Building Inspector.
Fee $
75.00
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ORIGINAL
Rev. 2/19/98
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~ATION
[ ] FRAMING I STRAPPING [ vrFINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: 6z6I.-,.-d{ (V
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DATE.3 1'5101
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INSPECTOR
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INSULATION PER N. Y.
STATE ENERGY
CODE
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
BUILDING PERMIT APPLICATION CHECKLIST
PERMIT NO. e2 7 S8~ ~
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
Approved
Disapproved ale
, 20 f) /
,20J!.L
Mail to:
Phone:
~or
APPLICATION FOR BUILDING PERMIT
Date-M'1
'3
,2oll
INSTRUCTIONS
a. T,his 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 oflot 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 Occupancy
is issued by the Building Inspector.
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 regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. ~
(
f"'G '5:)'1 8 ~ 6iie.'f\.~ ~1 \ \0?S'1'-
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name ofown~fpremises Ci~1 \ r.
i)...-\~"v'\) rbv1; y Lo 1'4-"",<>. v\. + Ct./I \~. i }uU.ev-.<,0.c
(as on the tax 11 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 wj;lic\rroposed work will be done:
50\:) V \ ""y. &-U"-Z
House Number Street
f) V .~ ",-,V\-r1-
Hamlet
County Tax Map NO.1 000 Section iJ S
Subdivision
Block
Filed Map NQ.
l .
Lot~\:J
'Lot.
(Name)
2. State existing use and occupancy of premises and int
a. Existing use and occupancy t-\~ ~
b. Intended use and occupancy ~'--'wV- c\'" /}'1!'G'~e
ed construction:
3. Nature ofworJs.{eheck which applicable): New Building
Repair V Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost
II.. ~
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
I
(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
Height Number of Stories
Rear
Depth
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
Rear
Depth
9. Size oflot: Front
Rear
Depth
-~e c".t*lCk~_
10. Date of Purchase f'1t).s,'
Name of Former Owner f!.fk'l'
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: ~I)
13. Will lot be re-graded j^-':1 Will excess fill be removed from premises:
14. Names of Owner of premises COop" '1) t. G...):'.."","^,~fciress ~" D\ )~ I,Ctv'.. Phone No.
Name of Architect .f } JI~ Address Phone No
Name ofContractor(y~~ ( k..,!..MILo....."""'- :s- f- Address SO\) 'y \") \~yLkVC'" Phone No.
IS. Is this property within 100 feet ofa tidal wetland? *YES rNO"'\~
. IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MA ~EQUIRED
(~
YES ~"
':?;,Z"J::"S i-~
Z?~.- '~"1- b
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~.k.- )
-GV\ \ }l, Lu..../[f2J\(Vl'>vY\ ~li.: being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
C(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 this
4,- da .of
Notary Public /
ROB~ I. SCOTT. JR.
NOI8ry Public. State of New York
Qualified in Suffolk County
No.01SC47250B9
Term Expire. May 31, CMl"'<2-
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Sign e of Applicant
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LAWRENCE M. TUTHILL
PROFESSIONAL ENGINEER
P.O. BOX 162
GREENPORT, N.Y 11944
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---~-.:~~
(631) 477-1652
August 21, 2001
Peference
Cyrus Lukeman - Residence
Village Lane
Orient, NY
Replacement windows
To Whom It May Concern.
On August 21, I inspected the replacement windows at
the Cyrus Lukeman residence on Village Lane, Orient, NY.
It was noted that there are total of 24 windows, ( 10 downstairs
and 14 upstairs ), neplacement windows with clear opening of
25J," wide and 25J," high that meet the New York State Code
requirement for egress. These windows are in all of the
bedrooms upstairs and the major rooms downstairs.
~CerelY, ~ I I.I
/__~ /A J~1vr(
Lawrence M. Tuthill, P.E.
Fax (516) 765-1823
Telephone (516) 765-1800
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
SOUTHOLD TOWN
LANDMARK PRESERVATION COMMISSION
TO: Southold Town Building Department
FROM: Southold Town Landmark Preservation Commission
DATE: June 19, 2001
RE: 500 Village Lane, Orient
SPLlA #OR-28
Tax Map #1000-25-1-10
The Landmark Preservation Commission has reviewed the submitted plans
ror the "emergency home repairs" applied ror the above rererenced property
and does not grant its approval. As a contributing property to the
Orient Historic District and a designated building on the National Reuister
or Historic Places the replacement or the windows and the installation of
vinyl siding on the house is not in keeping with this houses's historic
nature or other buildings in the Orient Historic District. In addition, it
is the belier or the Commission that the installation or vinyl siding on this
house could be detrimental to the building's structural integrity.
The Commission would welcome any rurther discussion on these issues with
the owner.
a d- /.r-/- /0
TOWN OF SOUTHOLD PROPERTY RECORD CARD
M -1...r
WNER STREET Cle>o VILLAGE DIST. SUB. LOT
(''-In I l(rJ/ fiJht Lu!rem({ftfor. lit 'II <l- Cf2 ,L.~ A e.. () !-I ~ /1 I- ..L ./]e..rc,
J'RMER OWNER" NC Yvebh E V, 'lid 9 e i' ACR."
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lnl LuKemOn S jl1, Db r.... d.11 W.----. TYPE OF BUILDING
0.6 E: lC,tllES
;.1/0 SEAS. VL. FARM COMM. CB. MISe. Mkt. Value "
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LAND IMP. TOTAL DATE REMARKS ,vie t/ /712 ()
Yd6 29tH J7drJ Lj /2...D/06 -L'/Lo5tJ,p "g';2fJ -LrAk~mttJ1 fv LtjhlJ1;Jl1~:{'=--
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AGE BUILDING CONDITION
EW . NORMAL BELOW ABOVE
A.RM Acre Value Per Value
Acre
lable 1
lable 2
lable 3
,adland
amp land FROt<lT AGreN-WA+ER-. qro' ,..;;:). ~ .s+'o
"-- L.
Jsh land FRONTAGE ON ROAD "-
use Plat DEPTH (Jv' 1)('
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tal DOCK
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<tension J 3';(J .; ! Basement F' f- Floors ') K.
, -,J '71. a. v-. ! I
j__.f'i , I ,I It)'.")' .. j)j" 5 ),
<tension -, "'0 V /6, '2/- ," .s Vi) :;"/65 Ext. Walls Interior Finish ? LR.
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><tension 'lx 1<-1 ./.i .z 2'- erO ~ "2J Fire Place Heat \ ., k DR.
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Type Roof (;:"<;) ! } \'" Roams 1st Floor ? BR.
t) / "'.
)rch b 'I-. ;l-t> /2,-0 ') I Recreation Roarr Rooms 2nd Floor '7 FIN. B.
,
)rch 7~ lS'" / ~-')6 ,
7X2- :3 16; ..3 f' ~ ~ ' /' .1 Dormer
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:reezeway Driveway
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arage L'-/X N' - ,,' :"7 S'D .;.,
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DATE: JOB:
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990 Uu...u:\-q E-~E-
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re.'. Tl\Y.. HAP~ Z51.lb
- "'3-t<i'?~ (l q e~cltnq roof et (epac.wq wtth r-ed
~€O'"91a() bric\4. - Ce(--l-eUtI T-eed (4rnQqe h<XJ5e "Dhinqle.
-'Repee:e ~ re{Xltr '(Qi\hee. C{O tt.ers. Qs req,uH-e;l.
- ~IS-tillq '51dinq $1lrqtes have a.\readc.J been remcJJed
--\tOtn 3/4 0+ --t\le rbJse. I. Qm wai-\lin9 Oil a cio<np:sk:r.
-1\Jer-e are -pUllS -to.. fe{:!a(.e ~)l winctofl5 tl resIde. ~)e..
err\-lre. PaJ~. (See. ~t ceh-hnG-\ ')
- Ml re()OJ:ltt Of) ~ wl ~ ffleer loca \ ~ UJde..
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GROVER
HOME HEADOUARTERS
577 Route 112. Patchogue. New York 11772-1393' (631) 475-3500 __ . '_'___
Fax # (631) 475-3569' Email: groverhome@portjeff.net ESTABLISHED 1956__
. .
New York City L1e.# 906036
Nassau Lie.#H1843270000
Suffolk Lie. #518.Hi
Date L\1\;i,\C\. C
" '----. "-""- ustomer Order No.
Customer's Name LI..J V"" vY'''''-~,. C'-\ r\ L
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Address '5 CD \);\ f',~ e.- \. '-' O".'\e",,+
(~"'~ -,
Telephone No. (Days( -;:) C} '::"- ;:) ':~ { ~ (Nights)
SALES AGREEMENT
OFFICE
Premises where work is to be done :SA rAe:..
Work
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N\\ . r'- -1 ~o.. 'X. '83
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Description of work: '_._,_.
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EST~BU6HED 1956
"'"....-,~ I Sunrooms, Awnings, Enclosures: 'Windows and Siding
, ,
Total Cost of Labor/Materials:
Payment Terms:
Upon signing contract
\>,y: . Upon
~")~OTE~~cel1tag~-f~U~~ ~~:-~~~~::"relat~ to ~
Approximate (I I \ 0 .
Start Date .--""~ ...-
YOU, THE BUYER MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD
BUSINESS DAY AFTEflTHE DATE OFTHISTRANSACTION.
SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
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'\ Sale Repres lj,fIV~ Custome'r Signatur~(s) I
2122 'PLEASE SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS. f\ 1/ Lf
'CUSTOMER HAS RECEIVED ONE FULLY FILLED.IN AND SIGNED COPY OFTHIS SALES AGREEMENT. (.~
. . ')z. Intials
ALL FINAL PAYMENTS MUST BE CASH, CERTIFIED CHECK OR MONEY ORDER.
-.:; "~
-,-~
MICHAEL MARZIGLIANO
Sales and Marketing Manager
577 Route 112
Palchogue. NY 11772
(631) 475.3500
FAX (631) 475-3569
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