HomeMy WebLinkAbout32997-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32371
Date: OS/28/07
THIS CERTIFIES that the building ALTERATION
Location of Property: 285
(HOUSE NO.)
County Tax Map No. 473889 Section 103
STILLWATER AVE
(STREET)
Block 1
CUTCHOGUE
(HAMLET)
Lot 9. 1
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 14, 2007 pursuant to which
Building Permit No. 32997-Z
dated
MAY 14, 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to KENNETH & PATRICIA HOMAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO_
N 368843
11/02/95
PLUMBERS CERTIFICATION DATED
N/A
~Od1:!!:::
Rev. 1/81
, .'
Form No.6
TOWN OF SOUTHOLD
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:
I. 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 certitying that the solder used in system contains less than 2/1 0 of I % 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:
I. 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
New Construction:
I. 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. s'/cl-I /1) 7
./ (chLkOne;
A.lJ. Cu7Z6f{)r;-v.5
Hamlet
Old or Pre-existing Building:
Location of Property:
::26 (
STIlL W~
Street
House No.
Owner or Owners of Property:
K'A/1JCfTli
J. l+O/'lA-tJ
ID3
Block
J
Lot
9. I
Suffolk County Tax Map No 1000, Section
Permit No.3;), 1'1 7 z..
Date of Permit.
Filed Map.
Applicant
Lot:
Subdivision
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
'1''-/
Fee Submitted: $ 0< .
Final Certificate:
t/
(check one)
~ 2: 3).3) \
k::e (. 7;;~ o~
~ature
WM.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1001093 BUREAU OF ELECTRICITY
r- 8ll JOHN STREET. NEW YORK. NEW YORK 10038
Dotf> NOVEMBER 02,1995 Application No. on Jill' 87304695/95 N 368843
THIS CERTIFIES THAT
only the electrical equipment.. de.cribed beloul and introduced by tM yplicant lMtmed on the above application. number in tM premiHa oj
JAMES HOMAN, 285 STILLWATER AVENUE, POLE 2A, CUTCHOGUE , N.Y.
in thefollou:inR location; o Buement rn htf'l. o 2nd n. .w("tion Block Lo.
U'O$ exomined on OCTOBER 30,1995 and found to be in compliance with the National Electrical Code.
FIXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPT AOES SWITCHES INCANDESCEN T FLUORESCENT OTHER "'T. IC.W. "'T. K.W. "'T. IC.W. "',. K.W. "'T. H.P.
16 7 6 16
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL IIC'PY TIME CLOCKS BEll UNIT HEATERS MUL n-OUTLlT DIMMERS
TRANS. SYSTEMS
AM'. K.W. OIL H.P. GAS H.P. AMT. NO. ".W.G. "'T. "'P. "'T. AMPS. "" H.P. NO. OF FEET "'T. WATTS
SERVICE DISCONNECT NO. OF S E R V I C E
"'T. "'P. MITlR NO. OF CC. CONDo A.W.G. A.W.O. A.W.O.
TYPE EQUIP. lA2W 1.3w 3.3w :Jjl4W PER' OF CC. CONO. NO. OF HI.LEG Of HI.LEG NO. Of NfUTRAlS Of NfUTRAl
OTHlR APPARATUS:
G.F.C.I:-1
SMOKE DETECTOR: - 3
-
OOROSKI ELEC. INC. LIC.#2941-E ~K-(
425 MONSELL LANE
CUTCHOGUE , NY, 11935 O..RAI MANAGII
11
p"
This certificate must not be altered in any mannerj return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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.
32997 Z
Permission is hereby granted to:
Date MAY
14, 2007
KENNETH & PATRICIA HOMAN
285 STILLWATER AVE
CUTCHOGUE,NY 11935
for :
ALTER AN EXISTING ONE FAMILY DWLELING AS APPLIED FOR. THIS PERMIT
REPLACES BP 22548.
at premises located at
CUTCHOGUE
285 STILLWATER AVE
Lot No. 009.001
County Tax Map No. 473889 Section 103
Block 0001
pursuant to application dated MAY 14, 2007 and approved by the
Building Inspector to expire on NOVEMBER 1
Fee $
75.00
ORIGINAL
Rev. 5/8/02
FORM NO.3
TOWN OF SOUlHOID
BUIlDING DEPARTMENT
TOWN HAll
SOUlHOID, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
3d-"'\ 9l (e.A....
N~ ~Z
Date .................:/p............................... 19.9..~
Permission Is hereby granted to:
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at premises located at...................e?r..$....J!.?.i.?..~~~~.......d~,..........................
..............................,.....,.........,...................C-t./...~a.~~.................................................
County Tax Map No. 1000 Secfton ../t?'3..,......... Block ......t:?/.......... Lot No. ...9./............
pursuant to application dated ...................../~I................ 19 ...ft,Y: and approved by the
Building Inspector.
"7$'; !!!--
Fee $....,I.'.':"....~...........
4/~~~m
Rev. 6/30/80
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
P<{ FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE S -/5-07 INSPECTOR~' ~t~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
rtX FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
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Town Hall, 53095 Main Road
P,O, Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 8th, 2007
Kenneth Homan
285 Stillwater Avenue
Cutchogue, NY 11935
RE: 285 Stillwater Ave, (Alteration)
SCTM: 103 1 9 1
Dear Mr. Homan,
Please be advised that your Building Permit #22548 issued January 6th 1995 has expired
According to the Code of the Town of Southold; a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of75.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT,
FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.Y. 11971
, TEL.: 765-1802
Examincd..... (/?.... .,199$" 3;:}<)q, (~
Approved.... r;I~......., I 9Y-he rm it NO.~c-.
Disapprovcd a/c .....................................
BOA~D Of HEALTH
) SETS Of PL.\NS
. :. . . i~._.;. .~_,~
SURVEY .................................
. ... ... -,- .',.. . .
ell [. C K ............ _ ... ... .. .. .. .. .. .. .. .. .. ~ ..
SEPTIC fORH
... .. ".. -. .. .. .. .. .. .," .. ..
NOTIFY:
CALL
HAIL
.'
.. .. .. .. .. ... .. ... .. .. .. .. .. .. .. .. .. ..
TO:
.................... -:-.. .~.~.....
./J.,< '.f.)
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
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...:................................A......:.1~
..... '(~~'I~S~~~t~~)""""
DEe I 3199/1 APPLICATION FOR BUILDING PERMIT
bate J?~.\~'.;..., 199'4-
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 giVing a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation. ,
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted 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.
. 8t,l.'l.q~~ ~':4-.~.~~T.. ~~~.. \~~:.....
(Signature of applicant, or name, if a corporation)
:P,O. 'Box l'fO ':pec.ol>{l<:.. N.Y
. . . . . . . . . . . (M~ilit;~ ;dd;e~~ ~f ~~~ii~;~t)' . . . i l q'S:~;
State whether applicant is owner, lessee, agcnt, architect, engineer, general contractor, electrician, plumber or builder.
GeNaRAL. CON.\~R.A.C\-oR.
'.' .....0.... ... .., ......... ....... ............ ... ...............................................
Name of owner of premises . ~f)tY]~.5: ~ . . tr/r:z:--p.-bM. . . . .140..:n ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
/j , (as on the tax roll or latest deed)
f/p"plic IS e of duly authorized officer.
/,"J '61
.. .. RR>.
,
, !
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.
.
.
;{
"{
,
Builder's Liccnse No. " ~~~~...~. I........
Plum ber's License No. ........................
Electrician's License No. ......................
!'
Other Trade's License No. .....................
Location of land on which proposed work will be' done. .................................................
. . . . . . . $. ~ ~. . . . . . . . . . . . . . . . . .~j J.I. W~v. . . 4.fJ!..:-. . . . . . . . . . . . . .C-d.#J(J.j r.<.!!.... . . . . . . . ..
House Number Street Hamlet ',"
/ 0 ~ . I r. l ,.,:. ' ,
County Tax Map No. 1000 Section .................. Block.................. Lot........ .........., ,
Subdivision.. . . .. . .. '" .. . . .. .. . . .. .. . .. ...... .. Filed Map No. .............. Lot...............
(Namc),
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... . ~ ~ ~l~ . . . ~ \ lJ . . . dw ~cl ~ 03. . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy....... .~.( ~(.~.. .fi.(l'j)..iU' .d..w~lli.~ .-:. .i!l:\-~<?~;l',<?,,;.l.N ~~O\A4
3. Nature of work (check which applicable): New Building. . . .. . . . . . Addition.. .. . . . . .. Alteration .v....,.
Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . ?
(Description)
4. Estimated Cost. . J 5f. C!?rf!!J. . -: . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. ( (to be paid on filing this appli~ation) . '
5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . .
. If garage, number of cars ........ .Nfh:. . . . . . . . . . . . . . . . . . .. . . . .. . . . .. . . . . . . .. .. . .. .. . .. . ....
6. If.busin~ss, co~n~er.cial or mixed o.ccupancy, SpeCiflo;-!1~ure and extent of each !ype of use. . . .1'J.1.11~. .......
7. DimensIOns g ~x~stlng structures, If any: Front. . . :-t. . .\ 1:' . . . Rear .. ~t.l:S: . . . . . .. DePth....:f.........
Height...l. . ........... . Number of Stories ......... .:~.. .\.... .~. ............. ........... .....J.....j
Dimensions of same structure with alterations or additions: Front .. .0..... .. . ~.Rear . . . . . . . . ; .. '. . .. .<';' .' "'
D~pth .,' .. . . . . .: . . . . . . .. . . . . ~eight .. . .. ....:.r l' .. .. . . .. . . .t Number of ries .. . . .. .. . .. . . ..". .. .... .. ~
8. Dimensions of entire new construction: Front. . . . . ~ A.: . . . " Rear............... Depth .. .'. . . . . . . . . .
Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;. . . . . . . .
9. Size oflot: Front. . . . . . . . . . . . . . . . . . . . .. Rear...................... Depth .................... ,". .~
10. Date ofPurch~se. ..... ..: ............. :'... ...... Name o~rmer Owner................:..:....... ;'. J"
II. Zone or use dlstnct In which premises are situated.. .... .. . .. ,~. " .. . . . . . .. . ... ... ;'. ..... ... "j
12. Does proposed construction violate any zoning law, ordinance or regulation: . ~.. . . . . . ... ...... . . ..... .. .
13. Will lot be regraded . tJA . . . . . . II: . . . . . . . . . . . . . . . . Will excess fill be removed from'premises: Yes . No ,..
14. Name of Owner of premisesS,:~ N'M"""; . . . . . . . . . AddressO({J{. f/J!!.~ . . . . Phone No. -: . . . . . .. . . . . . . .
Name of Architect ........................... Address ~ . . ?'Il':":~ . .:. . . . . . Phone No. ..... . . . . . . . . .. .
Name of Contractor t!jJUWA.J~~a: ~ . . . . . . Address~ ~ffr:D!-flf-~ v,~f'f' . Phone No.q,: !J/'I~...>~
15. Is this property within 300 feet of a tidal wetland? *Yes........ No..-.-:..... :i ' J't;{.,,,,,;
*If yes, Southold Town Trustees Permit may be required. . ,,7:
PLOT DIAGRAM ;. ....~
,. ' ,,' ,'I>:~~,,(';~:~
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fromr!i{~
property lines. Give street and block number or description according to deed, and show street names and indicate whether' . ,!
interior or corner lot. '
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He is the . . . . . . . . . . . . . . . . . . . . . . . . . . .
',"
~TATEO~~~~~l:... S.S
. ~-12.-;. "1.'. ~ov.S;J.-!..v:-A,:v.-vl1/'. :'. . . . . . . . . ., being duly sworn, deposes and says that he is the
(Name of individual signing coJk;~ct)
above named.
(Contractor,1I .nt, corporate officer, etc.)
of said owner or owners, and is duly au rized to perform or have performed the said work and to make' and file
application; that all statements contained in this app Ication are.true to the best of his knowledge and belief; and
work will be performed in the manner set forth in the application filed therewith. ' ";';:
Sworn to before me this .
......... .t.3~..... .day of. :$E'{.t;'.'?0!'*-...., I~
Nota ub ic, ........ . . .. ....... ~.r.r:-'. County
~ \
ELIZABETH NN NEVILLE
Notary Public. tate of r: 'w York
No. 52-8125850. Suffolk Copj'l)y
Term Expires October 31. 19U;2..
.............