HomeMy WebLinkAbout32765-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33518
Date: 01/28/09
T~IS CERTIFIES that the building ALTERATIONS
Location of Property: 32945 MAIN RD
(HOUSE NO.)
County Tax ~ap NO. 473889 Section 97
Subdivision Filed ~ap No.
CUTCHOGUE
(STREET) (HAMLET)
Block 5 Lot 3
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 21, 2007 pursuant to which
Building Permit No. 32765-Z dated MARCH 1, 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" ALTERATIONS TO AM EXISTING REPAIR SHOP AS APPLIED FOR.
The certificate is issued to DANIEL A KAELIN II
( OWNER )
of the aforesaid building.
SUFFOLK COIINTYDRPARI~ENT OF~EALTHAPPROVAL
ELECTRICAL C~TIFICATE NO.
PLUMBERS CERTIFICATION DA'I~U
N/A
N/A
N/A
Rev. 1/81
Form No. 6
TOXVN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUP
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 fi.om Board of Fire Undenvriters.
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:
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, Aceessory 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
Construction: Old or Pre-existing Building: /~ (check one)
New
Location of Property: ,f~qq~
House No. Street Hamlet
Owner or Owners of Property: ~10~,l tL~(~
Suffolk County Tax Map No 1000, Section
Subdivision
Date of Permit.
Permit No. ,~o
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Block 000~- Lot ~3
Filed Map. Lot:
Applicant: b~t,'Ut~C ,4. /~/]Z-t~
Underwriters Approval:
Final Certificate:
(check one)
~,-~'~App ~l~cant 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. 32765 Z Date MARCH 1, 2007
Permission is hereby granted to:
DANIEL A II KAELIN
54 TUTHILL LANE
RIVERHEAD,NY 11901
for :
AS BUILT ALTERATIONS TO AN EXISTING SERVICE STATION/REPAIR SHOP AS
APPLIED FOR
at premises located at 32945 MAIN RD CUTCHOGUE
County Tax Map No. 473889 Section 097 Block 0005 Lot No. 003
pursuant to application dated FEBRUARY 21, 2007 and approved by the
Building Inspector to expire on~~~ ~Fee $ 500.00
~--~L~orize~ ~gnature
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/
Examined 3 /// ,20__
Approved / ,20
/
Disapproved a/c
Expiration ,20
BUILDING PERMIT APPLICATION CHECKLIST
PERMIT NO.._~'~'~-~
APPLICATION FOR BUILDING PERMIT
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone: ~-~
Date ,20 0?
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building hlspector with 4
sets of plans, acchrat~'~¢ 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.
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 amen&ncnts 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, housin~c~e, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. ~//~
~S~nflCtu[e of applicant or name, if a corporation)
(Mailing address of qpplicant)'
Al.q, /1q37
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises %,~ M nE,-(.. ]~. ~,q ~L,,t'~ ~
(As on the tax roll or latest deed)
If~t is ~o~ion, si~ature of duly authorized officer
~ ~ ~Nme ~d title of co,orate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
County
Tax Map No. 1000 Section
Subdivision
Lot
Lot
Block (~,5'
Filed Map No.
(Name)
State existing use and occupancy of premises and intended use and occupancy of ixopo.~ed construction:
a. Existing use and occupancy _q,-r, ~,%, ~ ,~ ~/Sp~ ,!t, ~ ~-l,., ~,
b. Intended use and occupancy ,~7-ort-OzlA
3. Nature ofwor/k (check which applicable): New Building_
Repair / Removal Demolition
4. Estimated Cost ~ ~O, ooD ~ Fee
5. If dwelling, number of dwelling units
If 9arage, number of cars
Addition Alteration
Other Work /~mov~ t/ (g~o~c~
(DescJption)
(To be paid on filing this application)
Number of dwelling units on each floor
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of e~isting structures, if any: Front ~'~. ~' ' Rear ~o~. ~5'
Height. ]~' Number of Stories I
Dimensions of same structure with alterations or additions: Front ~o~. {... '
Depth
,~O. I ° Height / 6 ' Number of Stories
8. Dimensions of entire new construction: Front ~o~ ~ ' Rear /oO~'
Height ] (. ' Number of Stories
9. Size of lot: Front ~/~', 35 ' Rear ~7 ~'$ '
10. Date of Purchase
Name of Former Owner
Depth ,5"0.
Rear ~.
/
Depth ~.~o.
_Depth jog}
11. 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 ,,~ Will excess fill be removed from premises? YES NO ,X
Address
Address
Address
14. Names of Owner of premises
Name of Architect
Name of Contractor
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 ora tidal wetland? * YES__ NO __
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
Phone No. (_,o~1 -
Phone No
Phone No.
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:
COUNTY OF.Su (:}?o ~-}c )
(~ ~. t.-(So,:'/ /~/lii= I-I~ being dnly sworn, deposes and says that (s)he is the applicant
(Name or'individual signing contract) above named,
~)He is the
(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 tree 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 .Z.//~/'V" 200 7
N~ta~y Public
Signature of Applicant
///~ ILDING DEPT.
~~.~ F 765-1802
INSPECTION
[ ] FOUNDATION l ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
REMARKS:
DATE
/~L~ ~_Q~ iNSPECTOR ?_~_____~~
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York I I971 0959
Fax ~631 ) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF 8OUTI-IOLD
Januaw 11,2006
Daniel Kaelin, II
54 Tuthill Lane
Riverhead, NY 11901
RE: 32945 Route 25, Cutchogue
S.C.T.M. #1000-97-5-3
Dear Mr. Kaelin:
The Building Department has received a complaint that construction is being
done on the above premises without first obtaining a building permit.
According to the code of the Town of Southold, a building permit is required
before any construction can be undertaken.
Please contact our office as soon as possible so this matter can be resolved.
Respectfully,
Southold Town Building Dept.
George Gillen
Building Inspector
GG/cb
(Cert. Mail)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING / STRAPPING [~/FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS~? ~ ~ ~
FOX.nON (lST)
PL~G
~SULATION PER N. Y.
STATE E~RGY CODE
~DI~ON~ COMMENTS
N
SURVEY 01~ PROPERTY
AT CUTCHOGUE
TOWN O? $OUTHOLD
$Ui~i~OLK COUNTY,. N. Y.
1000-97-05-03
SCALE: 1
MA Y 9, 2006
AREA=8,645 SO. FT.
· =MONUMENT
ANY ALTERATiON OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW,
EXCEPT AS PER SECTION ?209-SUBDIVISION 2, ALL CERTIRCATiONS
HEREON ARE VALID FOR TI'IlS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
14'HOSE SIGNATURE APPEARS HEREON.
P.O. BOX 909
12,30 TRAVELER STREET
SOUTHOLD, N.Y. 11971
06-160
COMPLY WITH ALL CODES OF
APPROVED AS NOTED NEW YORK STATE & TOWN CODES
FLEe''~ BY."~-- _.~/...__ SOU~hCLD TO',%'~!ZBA ( EXtSTINO ROOF TO ~HAIN
NOTIFY BUILDING DEP~R~M~T AT ~ SOL,?~n~gTO~WNP~NNINGBOARD
FOLLOWING IN8PECTIONB: ~ ~.
1, FOUNDATION - TWO REQUIRED . N.Y.S. DEC ' ~ ~ - ,
FOR POURED CONCRETE '
2. ROUGH - FRAMING & PLUMBING /~. ~I I I i I r
4, FINAL - CONSTRUCTION MUST ALL CONSTRUCTION SHALL / . I I ( PR~O~E~ HA~NRY~O~K~LL
REQUIREMENTS OF THE COOES OF NEW CODES OF NEW YORK STATE. / ~ I
YOR~TAT~. ~O~R~SPON~,~L~ F~ I I I ~ ] I ,; I ~ ~
DESIGN OR CONSTRUCTION ERROR~ // ~ ~ 1
~O0~ZO~ ~ ' / ,( , ~ x ~ ~ , , ~ , ~ ~ ~ ~ , ,
cOMPLY WITH ~p~ER "46~ / / , ,
FE~D DAMAGE pREVENTION / ; ~
80~HOLO ToWN GoDE. ~ / X ~ DASHED LINE DENGTE5 AREA OF
OCCUPANCYusE IS UNLAWFuLOR / / , , / , / , [! ]'~,x'' 'x.x ~SALE..//4"~/-O" ~,
WITHOUT OERTI~,I~AT~ ~ A~A ~ ~K
OFOCCUPAN~ , / / I ~ [ .-, ,
,xu/ /' ', ~ / /. x,~,,, . ,~ ,
~ % /' II 5TORY CON~TE ~LO~K I J ' : ~ ')' ~ ~P TO REMAIN % ~
%.~ z', ,:: I I ] I I I
56AL~.. //~"~/-~"
~ ~ CAD FILE NAME
CUTCHOGUE, ~Y
735 DEERFOOT PATH ~ DISTRICT SEOTION BLOCK LOT' DRAWN
CUTCHOGUE, NEWYORK 11935 ~
Phone: 63J 784 7007 Fax: 631 734 0007 ~.ns-arch.~m ~ co~,~ ~ ~sc~c~ ~w~ ~,~cr?c 1000 97 05 O~
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