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Home My WebLink About31831-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No- Z-33063 Date: 06/05/08 THIS CERTIFIES that the building ADDITIONS Location of Property: 1400 STILLWATER AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 103 Block 7 Lot 9 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 7, 2006 pursuant to which Building Permit No. 31831-Z dated MARCH 8, 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 DECK ADDITION & OUTDOOR SHOWER STALL ADDITOIN TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY E of the aforesaid building. (OWNER) SUFFOLK CODNTY DEPARTIRTNT OF HEALTH APPROVAL, ELECTRICAL CERTIFICATE NO. N/A PLLIMBSR.S CBRTIFICATION DATBD Authorized Signature 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: 1. 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. Swom 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 Apri19, 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 New Construction: N I /, Location of Property: ~ ~QQ House No. Owner or Owners of Property: ~/i~- G Street (~~ Hamlet Suffolk County Tax Map No 1000, Section X0,3 Block (~ OQ 7 Lot D O 9 Subdivision Filed Map. Lot: Permit No. .3 14 3 / Date of Permit. 3 - 0 ' D ~ Applicant: `] %~~j'I'TY~- L/,I~/(~-,~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ °~"'~` ~~33b~ ~ c, ~ `~3~ 'Da/te. Old or Pre-existing Building: v Underwriters Approval: Final Certificate: 6-~-i~~ (check one) (check one) ~ ,cw pplicant 'nature 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. 31831 Z Date MARCH 8, 2006 Permission is hereby granted to: MARY E TRENTALANGE WILLOW STREET CUTCHOGUE,NY 11935 for n~ 6~N (UNHEATED PORCH~IND DECK ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1400 STILLWATER AVE CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0007 Lot No. 009 pursuant to application dated MARCH 7, 2006 and approved by the Building Inspector to expire on SEPTEMBER 8, 2007. Fee $ 150.00 ~w ~ ~i- Authorized Signature ORIGINAL Rev. 5/8/02 3t~3(z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION ( ]FIRE RESISTANT PENETRATION DATE (O - ~ r ~ g INSPECTOR /~ "~ ~°~ ~1g31 ~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: t~- ~ ~ o~ ~''ftT~S 7 ~i'~rt ~l~ l }T~L~ a~~ / / /~~ DATE 6 -' a ~ ~ ~ INSPECTOR ' ~ " 3131 ~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE & CHIMNEY ( ]FIRE RESISTANT ,~~tlCQ1 REMARKS: ~ ° ~ [ ]ROUGH PLBG. [ ]INSULATION ,~ FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION ./ .~i ~ . L.-~ ~ ~ . ~. a~.Q S-- o DATE ~ ~ ~ INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS _ ~ FOUNDATION 1ST ~ ~ ~ ~,r~ ( ) v.~ .~ ------------------------------------ ~ FOUNDATION (2ND) 'C ~/ ~ ~ ~' v z 0 r ~ y ~% ROUGH FRAMING & PLUMBING ~ i ~ «3 ~ ~ C r, ~'' ~ ~ INSULATION t" y PER N. Y. STATE ENERGY CODE -t , -F~ i k ~ r~ ~- fi .~_ ~_ a . FINAL ~ ~ l ADDITIONAL COMMENTS n o - -~. a.k- 3 b - ~~ o rZ -, m rt ~ r~~ ~ I ~ C .. ~ !~~y ~ - ( y C 0 z x ~. ~. ~ y - x ,d ro H C TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH'~LD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined J Y , 20~ Approved ~, 20~ Disapproved a/c Expiration, 20a~ (4 : i~~~ Building Inspector APPLICATION FOR BUILDING PERMIT ~~AR 7 _ _v-~ Date , 20 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 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. £ 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 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. ~ (Signature of app canto e, if a corporation) /f00s~//~/,r/~1~d,~uo ~U-k/ y(V ~y/r,tc~ (Mailing ad ess of applicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ u~ u Pie ~ 14~ s~6~~c~' Name of owner of premises fZJ/-Jr2 I/ [ , ~ ,oa T¢ L~ (As on the tax roll 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. work House Number Street County Tax Map No. 1000 Subdivision (Name) Section. /D 3, Block BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health PERMIT NO. f~~3~ 4 sets of Building Pluis_ Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Contact: Mail to: Phone: ~'~/- 7 3 y' 7 oZ~.r Filed Map No. latest deed) 11 Q3 Lot 2. State existing use and occupancy of premises and intended use and o cupanc of proposed construction: a. Existing use and occupancy _ ,5~ L P F/i~'tM i ~ _l~ G +~ 9 _ ~" ,/ i~f-/Jvl b. Intended use and occupancy S ~G (,(~ ~'/~ i Gt-r ~ 4.L ~~/N y ~ ~ T>;/1/J ~I iTLI 3. Nature of work (check which applicable): New Building Addition 1/ Alteration Repair Removal Demolition Other Work Estimated Cost ~~S ~C~6 Fee ~/S a (Description) (To be paid on filing this ap lication) If dwelling, number of dwelling units ~ Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 6tf ~ ! Rear J° ~~ S Depth Height Number of Stories I ~~ Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Reaz Depth Height Number of Stories 9. Size of lot: Front a 7 ~ Reaz ~ ~ ~ , 6 a Depth l7f,y7 10. Date of Purchase ~ C r , 1 /, ~ Q f 3 Name of Former Owner E G.S/~ ~ ~ ~.7 Lid//LO'~. rt 11. Zone or use district in which premises aze situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO 13. Will lot be re-graded? YES_ NO_Will excess fill be removed from premises? YES NO_ /Y1a~~2 ~, /ut».Sti//w.ETt~c~t. 63/ 14. Names of Owner of premisesTrt~ TL4 L~N+~Address ~C k 0 a one No. - 7.?d Name of Architect^nl'~1~ k~~.jLFR. Address ~ Phone No a9 -/3 t7 Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ,~ * 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) „_^,~ S: COUNTY O f'1`(j T~DS~I i93' /C ~ ~f2//'!~'/ r~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~/.SitJ~ (Contractor, Agent, Corporate Officer, etcJ 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 liiLiyCL~ 20O(,j I ~ `~~, otary Public Si tore plicant PENNY BEDELL Notary~bOli3E60993 N~ w lbrk Qualified in Suffolk County-. Commission Expires Sept. 29, ~ L ~~ PSE OF NEK, Y O 5~ OHO W. OpN9c'Pir * y~ Vii}, t~1 u, ~ Q i1~ IuZ z No~9 ~ CAND SV A/AP OF DESCR/BEO PROPERTY AT CUTCHOGUE TOWN OF .52~UTht~LO SUFFOLK' CO,N.Y. O..~53 ACRES ERT/F/ED T27 /R,ST AMER/CAN T/TL E /NS. CO. OF N. Y. ~/// - S• 6355 yARY E. TRENTAL ANGE donack associates 313 west main street river head ,new york 11901 (516)369-1717 (212) 746-3020 II Oct. 4, 1983 Job No. 83-342 1000-103-0'-09 Scaie I ~~ = 40~