HomeMy WebLinkAbout32897-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP/kRTMENT
Office of the Buildin9 Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33440
Rte: 12/15/08
THIS ~TIFIES that the building ALTERATIONS/ADDITIONS
Location of Property: 1230 CASES LA
CUTCHOGUE
(HOUSE NO.) (STREET)
County Tax Map NO. 473889 Section 109 Block 5 Lot 13
Filed Map No. __ Lot No. __
subdivision
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 10, 2007 pursuant to which
Building Per, nit No. 32897-Z dated APRIL 11, 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 ALTERATIONS AND ADDITIONS, INCLUDING PERGOLA COVERED ENTRY AND ATTACHED
TWO CAR GB~RAGE AS APPLIED FOR.
· ~ne certificate is issued to KARA M LAUINGER
(OWNER)
of the aforesaid building.
S[/FP~)I=K CONI~Y DEPART~T OF }~%LTH APPROV2kL N/A
RT.Rt-i-~ICJ~L C~{'rlFIC~AHHE NO. 126142H 12/05/08
PLUMBERS CERTIFICATION DATED 05/22/07
CUTCHOGUE EAST PLUMBING
Rev. 1/81
~;~ ~ Form No. 6 ,
BUILDING DEPARTMENT
TOWN HALL
l ~o_[. ?~,,, ~ I 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 accm-ate location of all buildings, properly lines, streets, and unusual naturalor
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 plmnber certifying that the solder used in system contains less than 2/10 o£ 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a cm~ificate
of Code Compliance £rom architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plau requirenlellts.
B. For existing buildings (prim' (o April 9, 1957) uou-couforming uses, or buildings aud "pre-existing" land uses:
1. Accurate survey of properly showing all property lines, streets, buildiug nod unusual oatural or topographic
features.
2. A properly completed application and consent Io respect signed by the applicant. If a Celtificate of Occupancy is
· denied, the Building Inspector shall state tile reasons therefor iu writing to tile applicaut.
Ct Fees 1. Certificate of Occupancy - New dwe ling $25 00, Additions to dwelling $25.00, Alteratious to dwelhug $25.00,
Swi~m]~ing pool $25.00, Accessory building $25.00, Adclitious to accessory building $25.00, Businesses $50.00.
2. Cm~:ificate of Occupancy on Pre-existing Building - $100.00
3. Copy ofCertificateofOccupancy ~ $ 25
4 Updated Certificate of Occupancy - $5000
5. Temporary Certificate of Occupancy - Residential $ [500, Conm'~ercial $15.00
New Construction:
Location of Propeay:/o~3~
House No. Street
Owner or Owners o f p,-op~y: 1~
Suffolk C6unty T~ Map No 1000, Section
Subdivision
Old or Pre-existing Building:
Dale of Pem~itSt- //-O"7
Date. //' Lq.
-- (check one)
Final Ce~<ificate: z,/
_ (check one)
Block ~ --Lot
Filed Map. ~_ Lot:
Undew, vriters Approval:
Peru"dr No. 372%97
Health Dept. Approval:
Plmming Board Approval:
Request for: Temporary Certificate
Fee Submitted: $_ c~-~-~ oO
Hamlet
Issue Date
12/5/2008
Electrical Inspection Certificate
Elec~icallnspection Service, Inc. Application Number
375 Dunton Avenue 126142H
EastPatchogue, NewYork 11772
(631)286-6642
Issued To: Kara Lauinger
Street: 1230 Cases Lane
Village: Cutchogue Zip: 11935
Section: Block: Lot:
Contractor:
Town: Southold
Lic. #
Was examined and found to be in compliance with the National Electrical Code.
[] Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] Basement {~ HotTub
[] Residential [] Der. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
13 15 12 2 2
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
1 200 1 /
Bldg. Permit:
Other Equipment
1-200 amp M/B Panel/1-Garage Door Opener
~,ecept.
Hugo S. Surdi
President
Roug~].[nspecUon:
,/R~ln,~ lnspect:~..~{~h: -~j o2/hOn3~MOc'; a h on ill
This certificate must not be altered in any manner. Inspectors may be identrfied by their credentials.
Town Halt, 53095 Main Road
P. O. Box1179
So~ho~, New Yom 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
(please print)
Plu~er: ~i~L
(please print)
~ 7 7-/°
I certify that the solder used in the water supply system
contains
less than 2/10 of 1%
lead.
/i_umbe~s~£gnature )
Sworn to before me this
~ - day o~
Notary Public,
,, ~Joo7
County
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL
COMPLETION OF THE WORK AUTHORIZED)
FULL
PERMIT NO. 32897 Z Date APRIL 11, 2007
Permission is hereby granted to:
KARA M LAUINGER
P.O. BOX 1170
CUTCHOGUE,NY 11935
for :
CONSTRUCT AN ALTERATION & ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR. THIS PERMIT REPLACE BP # 25751
at premises located at 1230 CASES
County Tax Map No. 473889 Section 109
pursuant to application dated APRIL
LA CUTCHOGUE
Block 0005 Lot No. 013
10, 2007 and approved by the
Building Inspector to expire on OCTOBER 11, 2008.
Fee $ 243.40
~ev. 5/8/02
ORIGINAL
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. 25751 Z Date MAY 26~ 1999
Permission is hereby granted to:
KARA M LAUINGER
P.O. BOX 1170
CUTCHOGUE~NY 11935
for :
CONSTRUCT AN ALTERATION AND ADDITIONS TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR.
at premises located at 1230 CASES LA
County Tax Map No. 473889 Section 109 Block
pursuant to application dated APRIL 13 99
Building Inspector.
CUTCHOGUE
0005 Lot No. 013
and approved by the
Fee $ 168.40
+ 75.00
243.40
Auth6riz~d ~ignature
/
COPY
Rev. 2/19/98
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING [~X~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE ~- ~ ~ ~ 7 INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] ~LBG.
[ ~}/INSULATION
[ ] FRAMING [ ]FINAL
] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~ROUGH PLBG.
[ ~IUNDATION 2ND [ ] INSULATION
[~] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIM~NEY
DATE
INSPECTOR /~/~/~.~ '/~"~
765-1802
BUILDING DEPT.
[ L,] FOUNDATION 1ST [ ] PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR~--
STATE ENERGY #
#
CODE {4
W
Il
{4
ADDITIONAL COl~4gl~S:
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
I SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined. e ;; ....
Approved ...... , ........ , 19 .~.. Permit No..~. ~ .~/~..~./..~
Disapproved a/c .....................................
Received ........... ,19...
~.[ ~ I ~.-!5..? ~lr: .}!j: ._ 't(~ ~ ~I I~ ,f (Building Inspector)
- ?: ~ ~ i. Ar/v/LICA'flON FOR BUILDING PERMIT
I ~' d~ ~;0 ~0~ INSTRU~IONS
a. T~s application must be completely fi~ed ~ by ~pewfiter or ~ ~k ~d submitted to ~e B~d~g Insp~tor,.~ 3
sets of plans, accmate plot pl~ to sc~e. Fee acco~g to schedule.
, b. Plot pl~ show~g location of lot and of b~d~gs on prem~es, mlafion~p to adjo~g premiss or pubic steers
or ~eas, and giv~g a det~led desc~ption of layout of prope~ mint be d~wn on the diag~ w~ch is pa~ of ~s appli-
cation.
& ~e work covered by ~s application may not be commen~d before i~u~ce of Bufld~g Pemit.
d. Upon approv~ of t~s app~cation, the B~ld~g hspector will i~u~ a B~d~g Pemit to the app~c~t. Such permit
· ~ be kept on the pre~ses available for ~spec~on ~mu~out ~e work.
e. No bufld~g ~all be occupied or u~d ~ whole or ~ p~ for ~y purpo~ whatever unfl a C~ificge of Occupmcy
shall have been grated by the Build~g ~spector.
~PLICATION IS HEREBY M~E to ~ Bufld~g Dep~ment for the ~ce of a B~d~g Pemit pumu~t to the
B~ding Zone Ordinance of the Town of Southold, Suffolk Cowry, New York, ~d other app~cable ~ws, O~ces or
Regulations, for the construction of build,ss, additions or alterations, or for removal or d~o~fion, ~ hem~ described.
The app~cant agees to comply with a~ app~cable laws, ord~ces, bufld~g code, hous~g c~e, ~d regffiations, and to
admit authorized ~spectom on premises ~d ~ bufld~g for nece~ ~specfiqns. ~
....... ...........
(Signature of applicant, or nme, iffa corporation)
(Mail~g address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ...~f.~..~.F)..../~...:..~. 0..~..t .A/..G?. ~ ..........................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber s Lmense No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
Z)O CnSE.S g CbtTC HOGU¢-_
House Number Street Hamlet
County Tax Map No. 1000 S ...... 0. c] _~-. J3 Block zO~' Lot ....
~t?o~n~3~ ~ [ ..........................................
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...~/3ff)~ / .~..b'/~).~. ?~/~/Et
use and occupancy... ~)J~ ././/. U././~/.~..]~.l.C~. (J../?.(. ~ ..........................
b.
Intended
3. Nature of work (check which applicable): New Building ..... '~ ....Addition ....~.. .... Alteration
Repair .............. Removal .............. Demolition .............. Other Work ...............
~0 (Description)
4. Estimated Cost ...................... /. ~ ~) (~ Fee
· "~' (to be paid on filing this application)
5. 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..'3 .~) .......... Rear . .7.~.. ~. ....... Depth . ~ O .....
Height ....I .~ ......... Number of Stories ........ ] ........................................... ' ....
Dimensions of same structure with alterations or additions: Front ................. Rear .............
Depth ...................... Height ...... Nu~be~ of Stories ...........
' 8. Dimensions of entire new construction: Fr~t' i iii~.' iiiii.. Rear. t.~'.c~ .......... ~e'p't~ i ~ .i.~ .........
9. Si~,e. of lot: Front ................... Rear ...................... Denth ......................
10. DaLe'of Purchase .~(~C,.~.1.~..c2.'~ .............. Name of Former Owner . .~,(~.O.L.t?.~ 13¢cZ.~a-
i 1. Zone or use district in which premises are situated /~ ~ t~{~/3 ~/'CC f. i "i .....
12. Does proposed construction violate any zoning law, ordinance or regulation: ....A/.Q .........................
13. Will lot be regraded ............................ Will excess ~l be removed from premises: Yes No
14. Name of Owner of pr~mises ...... .~ ............. Address .................... Phone No...:~ ............
Name of Architect ~.".o..~.~...-~..,.~..O.F.~ .... Address~.a~//0J'05~/~ ~/Vla~tcP~,,~o ~,, ~
Name of Contractor /V~.T..S~/C¢.P_~d Address "- "
........................................ rnone ~o.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fr~m
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
.........~ )~ '-~ /~.r/. (~?...2. .~.. ~f. 9! .('.{ . ./~. .................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
of s.~id~or owners, and is duly authorized to perform or have performed the said work and to make and file this
appncation,~Tthat 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. ~ ........... , 19 ~.?
/ ..
Notary Public, .
.... ~ .............. County t~ ~
s,,,, ,,,
No. 4822r~3, Suffak ~ntV_~,~c) ' ' ' .' ................
Tram Expim~ December $% ~ (S~gnatare of applicant)
OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET
VI
FORMER OWNER J
RES. ~[./O' SEAS. VL. FARM
LAND
IMP.
TOTAL
DATE
//.,
~t~/~ ~
VILLAGE
W
///,~...DIST.I SUB. LOT
ACR~,G~ ~
TYPE OF BUILDING
FRONTAGE ON WATER
FRONTAGE ON ROAD
BULKHEAD
Tillable
Woodland
Meadowla~d
House Plot
Total
iCOLOR
TRIM
EXt 'n , T'
Extension
Foundation Both
Porch Basement ~// Floors C~:;/~
Porch Ext. Walls .~ ~c/~, 7, Interior Finish ~,/,~..
Breezeway Fire Place Heat
Garage
Patio
Type Roof
Recreation Room
Dormer
0o Bo
Rooms 1st Floor
Rooms 2nd Floor
Driveway
Total
LR.
DR.
j SURVEY OF
PROPERTY
~ ~ /~ ~~.~ /~ Ar CUrCHOGUE
~-.~ ~ ~~ ~ , ~ I.' TOWN OF SOUTHOLD
-- ~ -. ~ ' ~ ~ ~ ,- S~FOLK COUNTY, N
/ ~,~-~ ~ ~,.' --~.__ _ ,.~ ~ ~ - ~ - O5-
Me~ ~, 1999
AREA = 20,291 eq ft ~ ~ ,-- / ~
. . ~ ~Ay
~,~ ~ ~ ~r~~v~ -- / CEDARS ROAD
~T ~S ~ ~C~ ~ - ~ ~ ~ ~~ ~ i lC. NO. ~9618
SOUTHOLD~ N.Y. 11971 -
99 130