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Home My WebLink About36340-ZTown ofSoutholdAnnex 54375Main Road Southold, New York l1971 5/23/2011 CERTIFICATE OF OCCUPANCY No: 34961 Date: 5/23/2011 THIS CERTIFIES that the building OTHER Location of Property: 1350 West Cove Road, Cutchoguc, NY 11935, SCTM #: 473889 Sec/Block/Lot: 111.-5-2 Subdivision: Filed Map No. conforms substantially to thc Application for Building Permit heretofore 4/13/2011 pursuant to which Building Permit No. 36340 was issued, and conforms to all of the requirements of the applicable provisions of thc law. The occupancy for which this certificate is issued is: "as built" pool fence and fish pond with fencing to code as applied for. Lot No. filed in this officed dated dated 4/22/2011 The certificate is issued to Gluckman, Thomas & Gluckman, Roby (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36340 Date: 4/22/2011 Permission is hereby granted to: Gluckman, Thomas & Gluckman, Roby Attn: Fownes 16 E 34th St New York, NY 10016 To: permit "as built" fence for pool and "as built" fenced pond, built to code At premises located at: 1350 Cove Rd SCTM # 473889 Sec/Block/Lot # 111.-5-2 Pursuant to application dated To expire on 4121/2012. Fees: 4/13/2011 and approved bythe Building Inspector. CO - SWIMM1NG POOL SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE CO - SWIMMING POOL Total: $50.00 $250.00 $150.00 $450.00 / Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN APR I 2 2011 BLDG. DEPI. I'OWN OF SOUTHOLD 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 from Board of Fire Underwriters. 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 thc 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: (check one) Street Date of Permit. Hamlet Filed Map. Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ _ Final Certificate: (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN I~ALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c Expiration /-0/02-20 ] z..- APR 12 201! BLDG DEN. PERMIT NO. 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 N.Y.S.D.E.C. Trustees Flood Permit Stom~-Water Assessment Form Contact: Mail to: ICATION FOR BUILDING PERMIT INSTRUCTIONS Date ,20 /I filled in by typewrite]- or in ink and submitted to the Building Inspector with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relatioaship 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 Pemait to tile 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 pan for any purpose what so ever until tile Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized bas not commenced within 12 months after the date of issuance or has not been completed within 18 months ft-om such date. If no zoning amendments or other regulations afikcting the propetXy have been enacted in the interim, the Building Inspector may authorize, in writing, the exteusion of the permit fbr an addition six months. Thereafter, a new permit shall be required. ~PLICATION IS HEREBY MADE to the Building Depamnem fbr the issuance ora Building Perlnit pursuant ~o the Building Zone Ordinance of the Town of Southold, Suffblk County, New York, and other applicable Laws, Ordmalmes or Regulations, for the construction ofbuildings, additions, or alterations or lbr removal or demolition as herein described. The applicant agrees to comply witb all applicable laws, ordinances, building code. housing code. and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. "IMMEDIATELY" OOC HNGLOSE POOl. TO ~OD~ (Signature of applicant or name, ir a co~oration) UPON COMPL~ION USE tS bNz A ROVED AS NOTED . BEFORE"WATER" VtTklr bulmer N(F;~;F~ 'qNG ~~:F 7 N3 D_ Name of owner of premises 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. 4 FINAL-CON~%ocTION ¢, ELECTRICAL MUST BE COMPLETE FOR CO ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, Location of land on which proposed work will be done: GSb ¢3e5"c House Number Street q:~nalet Itl County Tax Map No. 1000 Section~~/ Block _(~)~ ~ .~- Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use arm occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal 4. Estimated Cost Fee ~To be paid on filing this applicatign 5. If dwelling, number of dwelling units Number of dwelling,uni.ts on each floor · If garage, number of cars Addition Alteration Demolition Other Work 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height_ Number of Stories Rear Deptl( Dimensions of same structure with alterations or additions: Front Depth_ Height Number of Stories 8. Dirnensions of entire new construction: Front Height 9. si ¢ 10. Date of Purchase Number of Stories Rear Name of Former Owner Rear: Depth Rear .Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any ZOl~'law, ordinance or regulation? YES 13. Will lot be re-graded? YES NO w" Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE.~QUIRED. b. Is this property within 300 feet ora tidal wetland? * YES NO / * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 1 6. Provide survey, to scale, with accurate t'oundation plan and distances to property lines. STATE OF NEW YORK) SS: COUNTY OF 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO / · IF YES, PROVIDE A COPY. cONNIE D. BUNCH Notary public, ~ M ~ Yo~ ""~f2 ~c, iM~} being duly sworn, deposes and says Ibm (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Co~nporate 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 hue to the best of his k2~owledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn t9 before me thisl , ,,. I ~D"~ day of ~ 20 J I Netary Public N t79'5s'20'' Z 0 F li:B