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HomeMy WebLinkAbout34811-Z Town of Southold 2/23/2018 �m P.O.Box 1179 k 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36100 Date: 1/4/2013 THIS CERTIFIES that the building COMMERCIAL REPAIRS Location of Property: 28195 MAIN RD CUTCHOGUE SCTM#: 473889 Sec/Block/Lot: 102.-5-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/24/2009 pursuant to which Building Permit No. 34811 dated 6/26/2009 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: re rt mintc�ior/exterior altew��lio�rs to�utl_c existing ct�s r��,c�°ci�tl �aijrl�d�r� s�applicdMfor. Corre ted 2/23/1-018 to rein v ,bare rep, it front this CIO. The certificate is issued to ALFRED J JR&MARIE TERP of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED .... _ ..... _.. ht1 Sigtialure m. Town of Southold Annex �tigFF6(� 1/4/2013 P.O. Box 1179 54375 Main Road Southold, New York 11971 It �i CERTIFICATE OF OCCUPANCY No: 36100 Date: 1/4/2013 THIS CERTIFIES that the building COMMERCIAL REPAIRS Location of Property: 28195 MAIN RD CUTCHOGUE, SCTM #: 473889 Sec/Block/Lot: 102.-54 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/24/2009 pursuant to which Building Permit No. 34811 dated 6/26/2009 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: Fire Repairs - Interior/Exterior Alterations to existing Commercial Building The certificate is issued to ALFRED J JR&MARIE TERP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED /Kuthori7d6d 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. 34811 Z Date JUNE 26, 2009 Permission is hereby granted to: ALFRED J JR & MARIE TERP PO BOX 325 CUTCHOGUE,NY 11935 for EMERGENCY REPAIR, INT/EXT ALTERATIONS. CERTIFICATIONS AND CONSTRUCTION PLANS MAY BE REQUIRED at premises located at 28195 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0005 Lot No. 004 pursuant to application dated JUNE 24, 2009 and approved by the Building Inspector to expire' on DECEMBER 26, 2010 . Fee $ 250 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN HALL 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: I. 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. A)proval of electrical installation from Board of Fire Underwriters. 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 I. 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. f'� q New Construction: Old or Pre-existing Building: Ll"*� (check one) Location of Property: I %- ) 9 S J-K' House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000,Section /d 2 - .5--' Block Lot Subdivision Filed Map. Lot: Permit No. 3 I Date of Permit. Applicant: Health Dept.Approval: — Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ ���� Applicant-Signature `AOF SDUIy�� f®� TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLOD. [ ] FOUNDATION 2ND ( ] IN LATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ) FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: d DATE 6 INSPECTOR DEODAT RAMSARRAN 285 Grand Blvd, Deer Park,New York 11729 Telephone 631/667/4539 D E C E I W E SEP 2 42009 D September 17, 2009 BLDG.DEPT. Town Of Southold TOWN Of SOUTHOLD Re: Cutchogue Drug Store, located on Main Road, Cutchogue, New York. Attached are the as built plans for a completed repair. The pictures attached, reflect the repairs as drawn by Design Den, Engineers and Planners of#6 Howe Rd., Coram , New York. Yours truly, SE �0* NEIyY h�P� Deo oFess�or'P FIELD INSPECTION REPORT DATE COMMENTS f _ FOUNDATION(1ST) y ac --------------------------------- FOUNDATION(2ND) � �O U\ lryv�f, ROUGH FRAMING& y PLUMBING x INSULATION PER N.Y. y STATE ENERGY CODE Q FINAL ADDITIONAL COMMENTS O z z m X s P � � b y� y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval _ FAX: (631) 765-9502 /j( f�l l Survey SoutholdTown.NorthFork.net PERMIT NO. pJ t l Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined �� , 20 Storm-Water Assessment Form ( Contact: Approved Mail to: Disapproved a/c 11\\ ,/ Phone: Expiration � ,20 V ,1/,L �1 Building Inspector APPLICATION FOR BUILDING PERMIT Date 6- 24/- D 206`1 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 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, housing code, and regulations, and to admit authorized inspectors onr ises and in building for necessary inspections. JNuERWRITERS CERTIFICATE • P16 ALL CONSTRUCTION SHALL (Signature of applicant or name,if a corporation) CERTIFICATION OF MEET THE REQUIREMENTS OF THE NAILING &:CONNECTIONS CODES OF NEW YORK STATE ba REQUIRED. Mailin address of applicant) APPS OVE6 AS NOTED State whether applicant is owner, lessee, agent, architect, engineer, genC64 : t� pQlec}i i 1 er or builder o Qm -en FEE:(90i 1FY BUILDING CFFARTMENT AT i /! / 765-1802 8 AM TO 4 PPS FOR THE Name of owner of premises e 0�,8^02 O 4 PS.M 1 (As on the tax roll q. FC3F� - TWO REQUIRED If applicant is a corporation, signature of duly authorized officer FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING (Name and title of coQQ0UMCY (DR 3. INSULATION USE IS UNLAWFUL 4. FINAL - CONSTRUCTION MUST Builders License No. BE COMPLETE FOR C.O. Plumbers License No. ITHOU I uERTIFICATE ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW Electricians License No. YORK STATE. NOT RESPONSIBLE FOR Other Trade's License No. DESIGN OR CONSTRUCTION ER RS. 1. Location of land on which propos W work il e done: CO V� >� as r eal I )— ��� ��T� /6 ve� &-4k-& co1s+rvx-h co*J House Number Street Hamlet bAAA Yvia.c -1 County Tax Map No. 1000 Section �o� Block Lot _ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 13U,</U t SS b. Intended use and occupancy ,Sk-lc 3. Nature of work eck which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (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. Sxd-e 7. Dimensions of existing structures, if any: Front Rear '33 Depth GJ Height %O Number of Stories rSaJP-, Dimensions of same structure with alterations or additions: Front Rear _ Depth Height D / Number of Stories 0 4Z- 8. Dimensions bentire new construction: Front /✓(/ Rear Depth Height / (J Number of Stories 9. Size of lot: Front Rear 35 Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated H 13 / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOy 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises ' 7-e4rll Address if X00/A&Phone No. 93 67 Y Name of Architect Address Phone No Name of Contractor Address Phone No. 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 RE ED. b. Is this property within 300 feet of a tidal wetland? * YES NO c> y. * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Q�A�uL�n 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 2•VtCMi' .:.3VMt J 17. If elevation at any point on property is at 10 feet or below, must provide topographical d/til 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTYOF f4) J4,� being duly swom, deposes and says that (s)he is the applicant (Name of f idual ing contra ) above named, (S)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 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the applicatio tio.Ol A615306N4"*� Sworn to before me thisQualified in Suffolk Counlv Z day of S�. 20 O Cgonnissloa Expires Sept.25.�q 494-14- '� �� b*14A 2'2/� No ary Public Signature o A plicant TOWN OF SOUTHOLD PROPERTY RECORD CARD � � r Z600 a OWNER STREET 195 VILLAGE DIST.1 SUB. LOT r)i /c/1 /n� /�Co-a `t� . Tr'X d vc /t- - � f /O C �RMER NER R . N E r ACR. �' 4 S n aW� Teh TYPE OF BUILDING , z W Wolg {Ja o d , / j RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARK SZ /k?5f -1014 k6 ocl pOle 1-f _ ,rcfiri,�9 p'- lc 000 0.0 0 d 1 Sl41AI- /d-Lrvd IIXI*V i),df W l� ,�a,� -f. TEr o' ,� �� N v-LIII S-�l' Cr 5 n9 /Y ors D D Oo� 3 9 0 0 A#*he0 App) l7/019 a17�epjelq Wro 4w. :b, -G+p4 wC - /y/C� u U - AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value , Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD a _ Meadowland House Plat BULKH D Total DOCK ■■■NONE■■■■■■■ ■MI■O■■E■■■■■■■■■■■■■■■E■■■■■■■ IM■■■E■■■■■NN■■■■■■■■■■■■■■N■■E F _ iii■■■■■■■■■..eE■■■■■■■■■■E■■■ -- = ME■■■■■■■■■■■■.■■EE■■ EEE.■ MEMO�■E■E■E■■■.■■■■■■■E=■■■E■ - o�■■■■■MEN ■■■■■■■■�■■■■■■■■■■■■■■ . KNEES m MEM■■■NEONNON■■■■■■.;■■■N■NEN■■N■■■ ZONE NNOME OEM !OE■BEEN ■■■■■■■N■N■■;■■■■■■■■■■N■■N .......................... �eeee.eee■.ee■■■.e■-ea.-�■■■■■ , . eeeseeeeee.�Q■���.------ ■s�rr rmiExtension ��r Extension Porch Porch Ext. Walls Interior Finish Breezeway Fire Place Type O� _® •, — RecreationS_ •.. • .. .. �� 0 m r� ry l y o rU C �2 K n) . �" VV I"C S2 '� a 1 l� I �� � v� C L► o � � � � ,� v �j S� 0 R ..e P c) YA (z u wt A ca t cl -e lvt , Caw (- 29--t DcK F o uwo wti on Cr, c, 1, SCe Sot- LI, ecQ , a — �'Q M U U -e x , Z 4 , pu y Lo F,L, 12 PJQ Cc.m 2 w o o c( Uap° R ,� fl � R . e OF SOUryolo Town Hall Annexy Telephone(631)765-1802 54375 Main Road H Fax(631)765-9502 P.O. Box 1179 • O Southold,New York 11971-0959 Q �y�OUNTV,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD October 9, 2009 Alfred Terp PO Box 325 Cutchogue, NY 11935 RE: 28195 Main Road, Cutchogue TO WHOM IT MAY CONCERN: �The following items are needed to complete your Certificate of Occupancy: V Application for Certificate of Occupancy. (Enclosed) \ 1 Electrical Underwriters Certificate. v A fee of $50.00 Final Health Department approval. Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit: 34811-Z repair pf SOUlyolo Town Hall Annexy Telephone(631)765-1802 54375 Main Road T Fax(631)765-9502 P.O. Box 1179 CA Southold,NY 11971-0959 CON% BUILDING DEPARTMENT TOWN OF SOUTHOLD November 18, 2011 Alfred Terp PO Box 325 Cutchogue, NY 11935 Re: 28195 Main Rd., Cutchogue TO WHOM IT MAY CONCERN: The ZApplication Following Items)Are Needed To Complete Your Certificate of Occupancy: for Certificate of Occupancy. (Enclosed) /Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4N/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. — Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT : 34811 - Repair pf SO!/TyOlo Town Hall Annex yy Telephone(631)765-1802 54375 Main Road T Fax(631)765-9502 P.O. Box 1179 Southold,NY 11971-0959 AOUNi'I,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD May 7, 2012 Alfred Terp PO Box 325 Cutchogue, NY 119 Re: 28195 Route 25, Cutchogue TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: ^� Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT : 34811 - Repair �o��pF SOpryolo Town Hall Annex yy yy Telephone(631)765-1802 54375 Main Road T T Fax(631)765-9502 P.O.Box 1179 A Q Southold,NY 11971-0959 :Z% Colvin N BUILDING DEPARTMENT TOWN OF SOUTHOLD December 26, 2012 Alfred Terp PO Box 325 Cutchogue, NY 11935 Re: 28195 Route 25, Cutchogue TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) ::R'A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT : 34811 - Repair d u i tl ' Iii �. r m 1 i+ R r M � ,