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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