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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~ I I I I I , , I I I %,,