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Home My WebLink About37507-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 9/19/2012 CERTIFICATE OF OCCUPANCY No: 35963 THIS CERTIFIES that the building OTHER Location of Property: 7575 Skunk Ln, Cutchogue, Date: 9/19/2012 SCTM #: 473889 Sec/Block/Lot: 104.-4-27.1 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 8/31/2012 pursuant to which Building Permit No. 37507 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: pool fence for an existing accessory swimming pool as applied for. Lot No. filed in this officed dated dated 9/12/2012 The certificate is issued to Moiler, Gregg & Moiler, Leslie (OWNER) of the aforesaid budding. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 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 #: 37507 Permission is hereby granted to: Moiler, Gregg & Moiler, Leslie 7 Arosa Ct Date: 9/12/2012 Greenlawn, NY 11740 To: Replace a pool fence to code as applied for At premises located at: 7575 Skunk Ln, Cutchogue SCTM # 473889 Sec/Block/Lot # 104.-4-27.1 Pursuant to application dated To expire on 3/14/2014. Fees: 8/3112012 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: $100.00 $50.00 $150.00 Building Inspector Form No. 6 TOWH OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANCy This appiJo~tion must be filled in by type:writer or ink and submitted to the Building D~artm~nt with th~ following: A. For new b~i]di.ngo or newuse: 1. Fin~ mm-vey of prol~x~ with aooUrate'looafion of all buildings, prop~y lin~s, struts, and unumml natural or topographic features. 2. Pinal Approval from Health Dspt. of water supply and sewerages-disposal (S-9 fonn)~ 3. Approval ofelmtrieal imtallation from Board 0fFim Underwriters. 4. 'Sw. om g~t~nant from plumbes c~rtifying that the solder ~ in system ~ontains less than 2/10 of 1% lead.. 5. Comn~c~l building, industrial building, multiple msidan~s and similar buildings and installations, a oe~tifieate of Code Compliaac~'from arohit~t or ~ngin~r msponsibl~ for th~ building= 6. Submit planning Board Approval of completed sit~ plan r~luimments. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "Pre-existing" land uses: 1. Accurate surwy of pr°perrY showing all property lines, stm~ts, building and' unusual natural or topographic features. 2. A proparly ~mpleteA application and congent to inspect signed-by the applicant. If a Certificate of Occupancy is d~nied, the BUilding Inspector shall state the reasons therefor in writing to thc applicant. C. ]Fees 1. Certificate of Occupancy * New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $$0:00, Swimmifig po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.06. 2. C~rtificate of Occupancy on Pre-existing Building - $100.00 3. C~py of Ce~ficate of.Occupancy - $:25 · 4. Updated Certificate of Occupancy - $50.00 - 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction:. ~ Old or Preexisting Building: Location ofPmporty: 7~7Y t~I~)/,'~L"~ ~g*~i~t.~t.~ House No. Street or Ow er ogProp y.: p Suffolk Co?mty Tax Map No 1000, Section /0 ~ ' 8ubdJ. vi,ion (check one) Hamlet Block ~7~ Lot '~7' Filed Map. Lot: Permit No. Heallh Dept. Approval; Planning Board Approval: Request for. Temporary Certificate f~ Submitted: $ ,..~. 0o~ . _ Date of Permit. Applicant:. Underwriters Approval: Final Certificate: (check one) li&nt ~ignature- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRA~#G [ ] FIREPLACE & CHIMNEY ROUGH PLBG. [ ] IN~S~ATION FINAL [ ] FIRE SAFETY INSPECTION [ ]RRERESlST4HTCONSI~UCTION [ ]FIREIIESISTANTPENETRATION [ ] ELECTRICAL~OUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~/~// I TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUG~G. [ ]FOUNDATION 2ND [ ]I~I~U~ [ ] FRAMING/STRAPPING [~ FINial. ~ /~ [ ] FIRE ~ I~~ [ ] FIRE.CE & CHIMN~ [ ] R~ ~~ ~~ [ ] RRE R~ ~~ [ ] ELE~R~AL (~) ~ [ ~] E~~ (R~) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined Approved Disapproved a/c PERMIT NO. 37,6--07 Expiration ,20 2012 BLDG. DEPT. TOWN OF SOUTHOLD 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 C. O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Phone?~ APPUCATi 2ilFd~2 ~ZG PERMit ~'~~-cff/'' Date ,20 At- INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate 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 amendments 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 ora 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of ~mt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician~plnmh~r ~ builder - Name of owner of premises ~ ~ ~d~ ~J[~ , ~As on the tax roll or latest dee~3: W ~ - lw(, O~O~IR~D If applicant is a co~oration, s~ ~h~d Grocer e a (Nam nd title Builders License No. Plumbers License No. Electrici~s License No. Other Trade s License No. Location of land on which pr9oosed w~;&~b~e done: House Number S~eet ~ - , ,. '3~ED CONCRETE · , ,.~- ,-'RAM~NG vLUMBiNG, $~RgvPlNG ELECTRICAL g CAULKING $ 1NSU~TION 4 ~ 30~STRUCTION & E~O~ICAL MuST BE COMPLETE F~ ALL CONSTRUCTi~ SHALL ME~ REOu)REMENT8 OF THE OOD~S OF NEW YORK STATE NOT R~P0NSI~E F~ County Tax Map No. 1000 Section /O~ Block Hamlet Lot ..~ Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,~"~o~ac.~.~ b. Intended use and occupancy_ Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee -- ...~ ~.~.?~,lt e r at ion (Description) (To be paid on filing this application) Number of dwelling units on each floor 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 Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase /~/2,J,/o~, Name of Former Owner ~-,~/&" ~""~a-~,~-_15 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises Address ~' Phone No.>` Name of Architect Address Phone No Name of Contractor~ ~t~0.2~a~ ~'~O-~ ~'.~ Address x W"~.o~.~;O Phone No.~t~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland7 *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BJ~ REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ' * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO t/ ' ~ ~ being duly sworn, deposes and says that (s)he is the applicant CONNIE O. BUNCH (Name of individual signing contract) above named, Notary Public, State of New York : ~: No. 01BU6185050 (S)He is the Qualified in Suffnlk t";'.n,,nh.. ~ (Contractor, Agent, Corporate Officer, etc.) Comml*sion EKoiro*/kofi114, of said owq~or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all staf~r~flti contained in this application are true to the best of his knowledge and belief; and that the work will be performed h~,~{.[nanner set forth in the application filed therewith. Sworn to before me this/ Notary Public -~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ~TRE~r -7~'75 W~ ~ ~ ~. SU~. FORMER OWNER N ,. . _~ Jf~ E~ RES, ~.~ 5~S. VL FARM CO~. CB. MI~. Mkt. Volue ~6 ~6 9¢66 ~ ¢ 0~ ~ 1/~?/?~ ~Pt/TZZI~,~.~q~°z, Tillable FRONTAGE ON ~ IZ5 ¢ 11 ~ Hou~ Pbt BULKH~D Toro I COLOR ¢"r'~ "P--- ~ -/d,,//'4 / 7" ~.~ TRIM Extension Exfension Porchd'~te ~x) Breezeway Garage Patio Oo B, Total 'Tp 6 ~ Foundation Ext. Walls Fire Place Type Roof Recreation ROOm Dormer Floors Interior Finish -Jeat Rooms 1st Floor Rooms 2nd Floor Driveway Dinette BR. FIN. B j 09/12/2012 11:47 6317347782 DEBORAH DOTY ESQ PAGE 02 N 77'42'00" 120.00' $ 75'46'$0" F 125. 00' LANE SURVEY o~PROPERTY CER?IFIED TO: toy ~ ,~ ~&~ ELISE L, PARKIN w~ Pa~o SAN~ y,~, FZ~:A~, 20. 1997 - MAP ~.'~0047 MlCff,~EL ~ WICK~ LAND SURVEYING