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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 06/12/08
No: Z-33089
THIS CERTIFIES that the building ADDITION
Location of Property: 735
(HOUSE NO.)
County Tax Map No. 473889 Section 97
DEER FOOT PATH
(STREET)
Block 7
CUTCHOGUE
(HAMLET)
Lot 19.3
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 25, 2008 pursuant to which
Building Permit No. 33891-Z
dated
MAY 13, 2008
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" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to LISA V & RAYMOND W NEMSCHICK
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DBPARTME!lT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~or~
Rev. 1/81
,
4
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.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANC\'I'" . ') I
This application must be filled in by typewriter or ink and submitted to the Building Department with the following: ... -___I
/2
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. 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.
New Construction: ~f- Old or Pre-existing Building:
Location of Property: J~ ~ fuu.l.
House No. Street
Owner or Owners of Property: lJ ~ 1: /2A0Mo1\l~L
Suffolk County Tax Map No 1000, Section 41 B(ock
(check one)
CuIBI~
Hamlet
07 Lot~
Subdivision
Permit No.~8'1J ?-
Health Dept. Approval: fJk
Planning Board Approval: 't-J1x
Request for: Temporary Certificate
/"J,c. VO
Fee Submitted: $ -1-2
W -2- ""??o<6c,
\2.e c...- '1 '-/ '-I \:, ~
Filed Map.
DateofPermit.~ l?j c/b Applicant: Ohl~
Underwriters Approval: tlk
Lot:
Final Certificate:
is
(check one)
. nt 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.
33891 Z
Date MAY
13, 2008
permission is hereby granted to:
LISA V NEMSCHICK
PO BOX 918
CUTCHOGUE,NY 11935
for
"AS BUILT" SIDE DECK ADDITION ON CORNER LOT AS APPLIED FOR
at premises located at
735 DEERFOOT PATH
CUTCHOGUE
County Tax Map No. 473889 Section 097
Block 0007
Lot No. 019.003
pursuant to application dated APRIL 25, 2008 and approved by the
Building Inspector to expire on NOVEMBER 13, 2009.
Fee $
400.00
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,<7,.uA.-4. l.'~L
I Authorized Signature
ORIGINAL
Rev. 5/8/02
.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
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
Check
Septic Form
NYS.D.E.C.
Trustees
Contact:
33;; fI 'l
PERMIT NO.
Examined
Approved
Disapproved ale
s~ 3200/
,. r3..20QL
,
Mail to:
Expiration
1?,200/-
Phone:
1c.J.I .
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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Date: Apffl,zl, 2008_
.
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 101 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 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 applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
_OWNER
Name of owner of premises _Ray Nemschick
(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. Location of land on which proposed work will be done:
735 Deerfoot Path
House Number Street
Cutchouge, N.Y. 11935
Hamlet
County Tax Map No. 1000 Section _97
Subdivision
B1ock_07
Filed Map No.
Lot_I 9.3
Lot
(Name)
..
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy _Residence
b. Intended use and occupancy
Residence
Addition
OtherVVork___Deck
Alteration
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
(Description)
Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units_Nt A _Number nf dwelling units on each floor_ NtA
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. _ N/ A
7. Dimensions of existing structures, ifany: Front~ 57.3'
Height_29'-0" Number of Stories
Rear_57.3'
Depth_35.4'
Dimensions of same structure with alterations or additions: Front _57.3' Rear _57.3'_
Depth_51.3' Height_29'-0" Number of Stories_1
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
Depth _ 185'
Rear_125'
9. Size oflot: Front_125'/185'
Name of Fonner Owner _New Construction
10. Date of Purchase_6/2000
11. Zone Of ' use district in which premises are situated _R-40
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_
1.4. Names of Owner Qfpremises Ray Nemschick
Name of Architect Rav Nemschick
Name of Contractor
Address
Address
Address
735 Deer/oot Pat~ Phone No.
735 Deer/oot Path Phnne No
Phone No.
(631) 921-5701
(631) 921-5701
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? 'YES_NO ~
. IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE 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:
being duly sworn, deposes and says that (s)he is the applicant
(N c of i dividual signing contract) above named,
(S)Heisthe ~
(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.
LAWRENCE E. SILVER N
Notary Public, State of New York
Reg. No. 4977026
Qualified i" Nassau County
Commission Expires January 22. ~II
33'257/ z..
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
rX FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
,
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DATE
1,-9--0[
INSPECTOR
~~
,
FIELD INSPECTION REPORT DATE I
.
.
COMMENTS
FOUNDATION (1ST)
------------------_._-----~---------
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS
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OWNER
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W. Al.
ES. ..311
LAND
liable 1
liable 2
liable 3
'oodland
o'Omplond
ushland
,use Plot
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j\f a;/lu I.
~uJ~ 't 01-1
SEAS. VL
IMP.
AGE
NEW
NORMAL
Farm
kre
TOWN OF SOUTHOLD PlfOPERTY RECORD CARD
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/1-16
lC1T 'JI' 7
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DISTRICT SUB.
5
W
4?
ACREAGE , """~
0.5 I :.'06/..
TYPE OF BUILDING
~
CI€
9
FARM
COMM.
TOTAL
BUILDING CONDITION
BelOW
ABOVE
FRONTAGE ON WATER
FRONTAGE ON ROAD -I6v-' 185'
BULKHEAD
DOCK
Value Per Acre
Value
D"-ffh
125
e
I "J.r;r;
Est. Mkt. Value
*A
.Y.S.Trans
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$1.1-0
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Sundud N,Y.a.T.V. Fo.... 8001' \.71.10M_ lupllI uwlSale 0.4. Wkhec-..... opiAllC,IMCIC'. A..:t1~I"'Yid,"foi Calponilaia l'I-P....
COI8&&T YOW: I.AWY......OIlII..... ftIIIanfllUMINT-THIS ...nuMINY SHOULD" UlID n LA"'" olAV.
lIBEI7532 PACE476
THlSINDEN1'URE, made the 15th cia)' of November . nipdet:n hundred and Seventy-Three
,
WILLIAM M. BEEBE residing at (no number) Ne" Suffolk Lane,
tohogue, N. Y., FLORA B.'MASON, individually and as surviving
xecu'tor under the Last W~ll 8nd Testament of William R. Mason , deceased
. i-esiding at (no number) Old Harbor Road, New Suffolk, N.Y., and
NA V. JlC .JULTI individually and as Executrix of the Last Will and
estament 0 ry E. Mason, deceased, residing at (no number) Main
Road) Laruel, New York
~, potty of the finl port. ond
. EDNA V. MC JULTI , residing at
New York 1.1~8_, .'
#50 Main Road, Lsurel.,
.,
r...
....
.
party 01 the second port.
wrt"Nf,SSETH. that the party of the lint ..rt, in considerati.on of Ten Dol1.ars and. other valuable c:oosideraUOIl
paid by the party: of the .econct part. does hereby grant and release unto ,the p&!ty ~f the aecond part, the heirs
or $uecesson arid assigns of the party of the second part forever, "
AU. thai ~.~ ~ or _.91-. with tho buildi.... ond ...1"......... tho.- orooted. .i......
lyUocUld . at >last Gutcliogue, Town of Southcld. Suffolk County,
New York, known -end, des:I.gD.atsd as the Southsrly half of parcel
described as reserved for road between Lots 6 and ? on a certain
map::entitled, I'Map of Moose Cove at East Cutchogue, Town of Southold,
." .
County of Suffolk and State of New York", prepared by Otto W. Van Tuyl
80 Son, from surveys oompleted Juns 14th, 1960, and filed in the
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office of the Clerk of the County of Suffolk on August 30, 1960, .~
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a~ Map Number 3230.
to,
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REAL ESTATE ~ SlATE OF ·
TRANSFER lAX~~~NEW YORK: .
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TOGETHER with aU right, tide and interest, if any. of the pnrty of the l\rM part in and to an)' streets and
roads abutting the above described prenlises to the ~ter lines ther~f; TOGETHER with the appurtena:nct!l
and a1l the eata~ and rights of the party of the first part in and to said premisesj TO HAVE AND TO
HOLD the prerlll5e5 her:t:in gr,anted unto the party of the second put. the hei.n or IlUCCC:IIOrs and assips of
the party of the second par~ forever. - -, .
.~
AND the party of the first plirt covenants that the party of the first put: has not done or ,uff~ anytbing
wberdly the said -premises have been encumbered in any way whateveT, except all aforesaid.
AND tllepa-rty. of the. first part, i!, com.pliance w~th Section 13 of the. Lien Law, ~ta that the pl.rty,of
the first part win r~elve the conllderatton for this conveyance and will hold the rlght to receive .uch amild~
erationu a trust fuod to be applied first for the purpose of paying the cost of the i.mprovement and win apply
the same first to the payment of the cost of the improvement before using any part of the total of the same for
any other ~urpose.
The ~d "party" .hall be <<:on.trued as if it read "parties" whenever the sense of this indenture 10 requires.
IN WITNESS \VHEIlEOF. the party of the first part hall duly executed this deed tbe day aDd year fil'll abcwe
written.
IN rUUXa: 07:
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ora B. Mason
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19 1913 LESTER M. AL8ERTSON . .. " .. ."
,- , ..u.~~lk County "
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MO IIAI' CIt THE I#f/IE$!JED 5tAL "
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AID CON57RUCTION OF SlJBSURFACE "".AGF:
DISPOSAL SYSTEMS FOR S#4E FAML Y RES6JENCES
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r". locations 01 nI$ ond asspoo/$
shorm herefHJ .. from field obs.rvQfIons
lIIId or Irom data oblt1lned /rom other..
SURVEY OF
LOT 7
"MAP OF MOOSE COI'E'"
FlEDAl.G ~ .., Fl.ENO. -
A T EAST CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNty, N. Y.
1000-11 - 07-raJI
SCALE> Y' = 30'
APRL t ..
s.pt. ~ 1IItNI (cone. foundation )
Feb. 24, 1999 (Iino
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ELEVA TlONS ARE REFERENCED
TO AN ASSUMED OA Tf.M
AREA = ~rJ5 84ft
98 - 164
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PRELIMINARY SU8[)1V1>ION
MAP OF
UTTLE NECK PROPERTIES
EAST C(JTCHOGUE
TOWN OF SOUTHOLO
SUFF CO,NY
SCALE I"~/OO'
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