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Home My WebLink About33400-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32627 Date: 09/24/07 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 17325 CR 48 (HOUSE NO.) County Tax Map No. 473889 Section 101 (STREET) Block 1 CUTCHOGUE (HAMLET) Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 10, 2007 pursuant to which Building Permit No. 33400-Z dated SEPTEMBER 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 "AS BUILT" ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to FRANK KAUNECKAS (OWNER) of the aforesaid building. SUFFOLK COUllTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~~ thorlzed Slgnature Rev. 1/81 70S 5S-o r- Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT" "~' "',' ~ , TOWN HALL . :' flUe: rf n a7;-" 765-1802 I'i! I '-", c ~ I .,' . APPLICATION FOR CERTIFICATE OF6di~_AN~4 fb This application must be filled In by typewriter or ink and submitted to the tluilding l?ep~~tf\.~he ~/llOWing: '>10') i 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 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: 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 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. T =,m"y Cw;fi,," "f(k"",,,~y . "",;dM';" moo. c"m~;$15J(U,f f) 7 New Construction: Old or Pre-exi~ilding: ~ (check one) Location of Property "i:r:~8.-C;- .JS:L It->5 Cu1C Ii 6G1JE Ho se o. Street Hamlet ownerorownersofPropertyRft,tC(~) b,IJ--A4 ~'CK, ~iJl1 Y Suffolk County Tax Map No 1000, Section ~l () \ Block 0 0 0\ Lot 0 t- 0 Subdivision Filed Map. __'__ Lot. Pennit No33ltOO Date of Pennit. ? /I'll ~ 7 Applicant RlWCtJ) iJRllJ./I/, ~ 7Il:rCK a~ v' Health Dept. Approval: ____..AI III- _ _____ Underwriters ApprovaL AI III Planning Board Approval: __~__ /' (check one) Request for: Temporary Certificate Fee Submitted $ ~'I?> Ifj CCl~3;J.(PfA7 . . 11 APP~t Signature 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. 33400 Z Date SEPTEMBER 14, 2007 permission is hereby granted to: F KAUNECKAS (CONWAY) COUNTY ROAD 48 CUTCHOGUE,NY 11935 for "AS BUILT" ACCESSORY SHED AS APPLIED FOR at premises located at 17325 CR 48 CUTCHOGUE County Tax Map No. 473889 Section 101 Block 0001 Lot No. 020 pursuant to application dated SEPTEMBER 10, 2007 and approved by the Building Inspector to expire on MARCH 14, 2009. Fee $ 200.00 I!~ c::~ , Authorized Signature ORIGINAL Rev. 5/8/02 3~foD Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSlRUCTION REMARKS: ~ ~ 0 . [ ] ROUGH PLBG. [ ] INSULATION V(FINAL [ ] FIRE SAFETY INSPECTION [ FIRE RESISTANT PENE11lAnoN CJ4-, ~ DATE 7--;;0-- 07 INSPECTOR ~ ~ . . FIELD INSPECTION REPORT DATE I . FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING f-------- -______ ------ INSULATION PERN. Y. -- STATE ENERGY CODE FINAL COMMENTS . . . . , .~ 1.1- ~ ; 7 O-a.-. /I,.}lf . lJ .J ..;. . . ADDmONAL COMMENTS , . ... l }' lYt:l t~ c"" L~ ,~t? r::.-, L.... I' z 5:l - ..J", \.Y'"' o/e J\ () r~ ..L= o()~ l"i ..., ~? ,'. //1 -\ 8(r:"./dS. _;n'; '" 0 ~ (' !1) 7\ ?P """ ;>- () 2 ~ r\ ~ ,\ ~ f " z ^ h ~l J" J lJ-ll"i , ~ -~ -c..., - , 0 C: z -() ~ ~~ tii :-3 I\; / 11 " I ~ / I ,1 J 1 / \; . / /f / " \.. { ... 11 > t'" ' " ' )> i ;to : III --~~--~---_........_--_.- -~........- . ~ S-f-anle';J s imc: hie: k N.S9"Oo"O"E. - 10.0.0 --~- ... ~- ----- Mo~. I \ i I .\ ~ zJO' III ....;.:> ~. . ..~.:~..:':':~.:::;' ii' w . .~~. ..... \.J:.~ . ,: ~.:~~:: .:; . '~r. .".. .......:' ~'I '. . ~., . ~I N.... . .- 1. ," "'.':; .", ',', '!^.: ",,~ ~. 1\ II' l51~'":;"" ~. I'll I HdUSe-; .....It;.::..-l1i\ :r _. \ . s:.,.,u,-_lr:J.( '.f" . N. _.'., n o! .1;'. It 't~:" ..~ .' -,.: ~l I', :' ;:~.: I'll 'U' ~.'. ; .t I , .: ! . !~It ..... \ ~ : ~! .' l\" . t ! 1 ' I.,. . . J . ~ { I . ". 651S.3'i'. 'd ~. . "l~'.' MOM: -.-. ..,... -. ----..- --~---.:: ,'. S.S'9""06'~O"'w. I~.O.O' . . ... .' .~ OJ- E. n-Arl:: .-1r<. 0 A P~. _ .~"_:_.. 'c. . '~.' ,~,'~;~j:~:~ ....L/~ .- '". . ........ '''C . ",. "'_,::::. ,:. , '" .~:': ~:" '.~ . '. . ,..~~.\..:~,"~;~, . ", , " -<'. .._.:':-~-'-~ ".' M,6.,p OF PROPERTY . ", SURVEVEO FOR 'j' . ., FRANK KAUNECKAS ., . -'". - . AT CUTCHOGUE . 5UFF'Ol..K CO.;fl'V, t. . SCAlo.I!i, 40'''1'' GuGl........-tee4 to s.;~1d Savin44_ BOII'tk. t::lrldto Ho~e Ti'fte Diy; 5~ Cl-riG4j",1i'tte 1r1S\JranceCc:>mpar.y a15SUrVl;~ed ac.;t~.8,J'96$. . Otto. W. V4n TUl;j1 t Son '-1.1 ~~~~ Licet1sed !.C1nd' Surve~or.s cSreenpClr+. N. V. , 1". r : . )>. .~ Z ; ').pt 1 ~~--~ -.---- ..... '-.-', <..'--;---- ...:..--._~-~.. C.c R Zr .< .. "'.:-rq"", CJ /1""". 7 , ('. ''''l L , '.. ',' . . . . :-:'4d;,../:';:~':. . ~."~, . '. . . . ~~r."":"'"'-:::' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY.11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoId/ PERMIT NO. ~ 3 cjrJv c;- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval ~ Survey Cheek ~ 11 [) , 0 0 Septic Form N.Y.S.D.E.C. Trustees Contact: Examined ,202l , 20[):L Approved Disapproved ale Mail to: ~ 20 01 Phone: '/k:> -< - S ~ 0,\ Expiration f~ I Building Inspector APPLICATION FOR BUILDING PERMIT Date 9}107 , 20t? 7 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 ofthe 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. . "-\, .~. ' ;r. \1 ',\ . / I.I;\.-. Sri i JoE IS' UNLAWF (Signature,ofapplica name, if a corporation) . . UL r/U-,;t-:c-Is Ctl> t-</,4-y V'/ITHOUT CERT ~ ~~R~:J OF OC IFIC ~(~ilingadcjn,s~fapP'lie3Jlt) CUPANCY ()<-<. .r/~(,:JI',(/7 J/ <;;:' 7/ State whether applicant essee, agent, architect, engineer, general contractor, electricilm, plumber or builder . , Name of owner of premIses ?tS" z .. .. ( on the tax roll or latWElee ,~ :;,. If apphcant IS a orporatlOn, sIgnature of duly authonzed officer NmlFf Rll'::-- _.. '. tl{-A . " '-1T AT .J ;,:1 THE and title of corporate officer) 765.1302 FOL~C\ ' Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. J /1-4 A/ / 1. FOU: .D,\'Ii)I'; ~ :[~,~')i;"ED Fer) FOURE\..- t.",(-'i~V:)l~Tc 2. ROUGH - F.r \..'~ PLUj~Ei(~G -, '"'JI"':"kV,\u;J~~-H3. IN~ULATIO~\_"^_"" , CJlc:" I 'elL, '~"v,rL <...., i 0 OF "J'l.lIEINAL . Cv..." , . . ,(", ~IUST \,;UUt::> uF NEW YORK STATE BE COMPLEL'.,:, e.o. . i\LL CONSTRUC, ,IN SHALL MEET THE osed work WIll be done: f3,1;QUIRE;MEt)i.TS OF THE CODES OF NEW y(j t.t~. N ~a-J OR CONSTRUCTION ERRORS. I. Location of land on whi<;j1 pro 7'3 f<T House Number Street Coupty Tax Map No. 1000 Section t D I Subdivision Lot ~O Lot Block Filed Map No. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy <'f.1[ t) b. Intended use and occupancy ( PrE I) .. 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work <: q(b 4. Estimated Cost ~rLl' ?~ \ L>,e (Description) 5. If dwelling, number of dwelling units AJ/ n- If garage, number of cars Fee (To be paid on filing this ?;licatiOn) Number of dwelling units on each floor ~ ,1//1/ . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Depth IO)(I~=-Il.jo 'U 10 ;;-...23::- 1,"2. Rear 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear I Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X 13. Will lot be re-graded? YES_NO -LWill excess fill be removed from premises? YES_NO ~ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY ~EQUIRED. 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. 18. Are there any covenants and restrictions with respect to this property? * YES_NO ~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF~F.R.tK) being duly sworn, deposes and says that (s)he is the applicant . ng contract) above named, (S)He is the 0&(/ A/G~ (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 /~ day of .~ 20~ ~ ~ J? ALICE J KRAMER ~ary blic NUIARY PUBLIC, SI"'J' New York Res,d,np In Su"_,,, County ~u :i2.482d33 My CommissIOn Expires /- j,G'-.. ~7 ~, , 4 5 6 7 8 9 Town of Southold PROPERTY LOCATION: B.C.T,M. #: Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM District S8CiiOi1 Block ~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a WeUand or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Stenn-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of~Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark In the Box, a Stonn~Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Pennitl Ke: ~U:b:-~ ~~~:_ ~c~e: :a: ~~o~e:~ ~e~~i~R~q~~ :~C.:m~I~ ~~icat:~ _ _ _ _ _ _ _ _ _ ~-' _:_ 1 Willlhis Project Retain All Stonn-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? I n (This item will include all run-off created by site clearing and/or construction activities as well as all Site t I..=.J Improvements and the permanent creation of impervious surfaces.) _ ~ 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFk>wl 3 Will this Project Require any land Filling, Grading or Excavation where there is a change to the Natural n Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? L.=.I - [dJ [d~ [d;j [d- Cdl Cd! EXEMPTION: Yes / Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question. a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requiredl STATE OF ~~~N~~~~.:.~t.f~.,., 55 13t:!!tA;VC(' r;-a7h<.K. Cc:vv.......~. ~.p-IV . . Tha~E~.c4~;...C"""'''''.d~........................... bemg duly sworn, deposes and says that 1:rlhe applicant for Penmt, (Name of Individual signing;6o~menl) And tha~ is the '~'~~;;:";;;;;:~~;;;;"~"'~;~l:'~~;;';;;';;;~;.'~~;''''''''''''''''''''''''''''''................................... Owner~n..l.'Br FBFrf'r~Rt.1t;i"e shhe O....e.! of O....ef's. and ~uthorized to perform or have penormed the said work and to make and file this application; that all statements contatned m this application are true to the best of his wledge and belief; and that the work will be perfornled in the manner set forth in the application filed herewith. ~ ~~~:..~~.~~.~Z:.~;........ day of ~..................... ,20..rtl a "~ ALICE J KRAME Notary Public: _...~...... _..' .. .. ..~.tIOTAJl.Y.P.lJ/!Ll" State of .Ne\'(. ReSiding In Suffolk County .4 FORM - 06/07 My CommISSion Exp"es /-~ /- OJ ~.-"''!ij.<::.l<;':_~.!~. 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