HomeMy WebLinkAbout38148-Z Town of Southold Annex
lUI~~ r 7/26/2013
s'.~ P.O. Box 1179
_ ~ 54375 Main Road
'i3 Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36419 Date: 7/26/2013
THIS CERTIFIES that the building ACCESSORY
Location of Property: 13370 Oregon Rd, Cutchogue,
SCTM 473889 Sec/BIocWLot: 83.-3-7.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/26/2013 pursuant to which Building Permit No. 38148 dated 7/2/2013
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:
16' X 26' ACCESSORY PERGOLA AS APPLIED FOR
The certificate is issued to IJhlinger, Thomas & Uhlinger, Karen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
t ze Signature
„ayjFF~y~~.~i TOWN OF SOUTHOLD
~ BUILDING DEPARTMENT
~ TOWN CLERK'S OFFICE
'a~~b SOUTHOLD, NY
~,~qy! * ,~a,:~
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 38148 Date: 7/2/2013
Permission is hereby granted to:
Uhlinger, Thomas 8~ Uhlinger, Karen
13370 Oregon Rd
PO BOX 1025
Cutchogue, NY 11935
To: construct a 16' X 26" accessory pergola as applied for
At premises located at:
13370 Oregon Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot # 83.-3-7.1
Pursuant to application dated 6/26/2013 and approved by the Building Inspector.
To expire on 7/2/2014.
Fees:
ACCESSORY $266.40
CO -ACCESSORY BUILDING $50.00
Total: $316.40
J~ _ _ _
Building Inspector
Form No_ 6
TOWN OF SOUTHOLD.
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICt1TE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new buildipg or new use:
1. Fi~l 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.
4. -Sworn statement from plumber certifying that the solder used in system contains less than 2110 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.
b. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 4, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I . 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. Certifteate 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, Commercia{ $15.00
Date. -S
~ y
New Construction: ~ OFd or Pre-existing Building: (check one)
Location of Property: / 3~ 3 7J ~ (zc~ o r.+ {2,~ ~ ~CkE-ay o z , t/J L(
House No. Street Hamlet
Owner or Owners of Property: ~t~ i*+~S ~~dtR. ~ r• ~ w~ C
083
Suffolk County Tax Map No 1000, Section Block o~ 6 S Lot ~ ~ ~ .
Subdivision Filed Map. LoL•
Permit No. ~f Date of Permit. % - 2- / Applicant
health Dept. Approval: Underwriters Approval•
Planning Board Approval: `
Request for. Temporary Certificate Final Certificate: (check one)
.=v
Fee Submitted- $ S~. :T~
-
Applicant ignature
V c ~ j ~ `o~,pOF SOUly~6
t T lXl
~~bUX1'i;~~
TOWN OF SOUTIiOLD BUILDING DEPT.
765-1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH P
[ ]FOUNDATION 2ND [ ]INS TION
[ ]FRAMING /STRAPPING [ FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
DATE ~ INSPECTOR
FIELD ~ Rs4bfCi' D COMM8NT8 .
b
' ~
80UiVDA~'ION (tST)
00 ~
. Po
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FOUNDATION (2ND) t~1
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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 Survey ~f64W`~~1-~~w'y ~J ct~
SoutholdTown.NorthFork.net PERMiT NO. ,j 8~/~~_ Check_
Septic Form
N.Y.S.D.E.C.
Trustees
C.O. Application
~ S ~ ~ Flood Permit
i_
Examined 0 ~ Y, 20/.J ~ { `t' ~ ~ ~ Single & Separate
~ D Storm-Water Assessment Fonn
~'~~'ll MAY 2013 ~ ntaet:
Approved 20~_ Mail to: Ql.y ~ ` -zO~n t ~ o~
u!G. f
Disapproved a/c Tn in. ;'i X1;01 D l.F-ag J C, tl S ~ 1
_ Phone: CD31 ' -7:; 5`'S.~ 1.
Expiration d~-, 20~ ~
rig ~ ~ P, ~i~° Building Inspector
I ~_-_--_---1~
PL[CATION FOR BUILDING PERMIT
i JUN 2 6 2013 ,S 2013
Date
I INSTRUCTIONS
e: ~r- r~~ ~~r
1~~
T-his-epp~icaTion 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 on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
p U, ~b ~ /Ct~S~cl~~Jc VUj
(Mailing address of
applicant) ~ 3 j'"
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~r~~
Name of owner of premises l ~ °~'v` r'~ ~ `f- ~s'~ft-Cr` ~ fry, C~t}-~- ~v,~"
BAs on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and tit]e of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which roposed wor will be done: ~ "
133Z~ ~~E'~o~ r~-~ ~e1TLl~4~~~ ~ ~I
House Number Street Hamlet
County Tax Map No. 1000 Section ~ ~ 3 Block O Lot ~ 7. O /
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 ~5 r..C
b. Intended use and occupancy ~ ?~1-nn
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work cY2~ o«
ti (Description)
4. Estimated Cost ~ ~ ~S lT~ 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. ~r!!--
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
~ _
9. Size of lot: Front ~ 7 ~ Rear j ~ ~ Depth ~ ~S
10. Date of Purchase ~ / Name of Former//Owner ~ ~ ~
1 1. Zone or use district in which premises are situated Y~ ~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~
13. Will lot be re-graded? YES NOS' Will excess fill be removed from premises? YES NO
14. Names of Owner of premises I
tK ~ ~ 4 W~ ~-Address t'~7~ ~ ~ r~5a w hone No. ~
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 REQUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES NO~
* [F 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 ] 0 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) 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 application filed therewith.
Sworn to before me this
~dayof iM~l/1 N~ TOT~NewYwk 1
~ No.01 190686
~ / ~~Quafl6ed in $uflplk County
_ 'l ~,~~C,1 °-Ires luN 28, 2D
Notary Public S' nature of App ' nt
_ _ _ _ _ _
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SURVEY OF
DESCRIBED PROPERTY
slrunrE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
GUARANTEES INDICATED HERE ON SHALL RUN SURVEYED FOR: THOMAS J. UHLINGER
ONLY 10 ME PERSON FOR WHOM THE SUR LEY
IS PREPARED, ANO ON NTS B£NALF >n THE KAREN UHLINGER SURVEYED: 19 DECEMBER 2002
RAE COMPANY, GOLERNMENTAL AGENCY,
LENDING INSRIURON, IF LISTED HfREON; ANO
TO RIE ASSIGNEES OF THE LENOTNG TNSnTURON.
GUARANTEES ARE NOT TRANSFERABLE i0 SCALE 1 = I L~I ~
ADDITIONAL INSRNn0,N5 OR SUBS£OUENT ONNERS. F'~
AREA = %F35 0 S.F.
UNAU MOR/ZEO AL7ERA RON OR AOOInON TO INIS OR
suaLEr rs A HoLAnav of s£cnoN nos of 1.000 ACRES
THE NEW YORK STA 7£ EDUCARON LAW.
CDPIfS OF MI5 SURLY MAP NOT BfARING
THE LANG SURL£YORS EMBOSS£0 SEAL SHALL
NOT BE CONSIOfREO ro Be A vaua TRUE SURVEYED BY
COPY.
STANLEY J. ISAKSEN, JR.
7M// 1000-083-03-07.1 P.O. BOX 294
NEW SUFFOLK. N.Y. 1190
631-734--5835
GUARANTEED T0: t -`yF--.Yt/
THOMAS J. UHLINGER
KAREN UHLINGER c
tICEiJSE~ !D SUR Y R
NYS Lr~: Nc. 4927
02R1198
REVISIONS:
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SCALE: 1/4" = 1'
APPROVED AS NOTED
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DATE~i3 B.P. # ~ _ Q
FEE- ~z(~`4o gY G ~ ~ ~
NOTIFY BUILDING DEPARTC"EN'
765-1802 8 AM Tv 4 PM FGR a
FOLLOWING INSPECTIONS'. Q
1 FOUNDATION-TWOREGUIREO ~
FOR POURED CONCRETE a+
2 ROUGH -FRAMING. PLLIriBI^JG.
STRAPPING. ELECTRIG~L & C^,'-iLY'~^.
3. INSULATION
4. FINAL-CONSTRUCTION&ELE;;Tr'..-_
MUST BE COMPLETE FCR ~ 0
ALL CONSTRUCTION SIa~LI '~".EG r THE ~
REQUIREMENTS CF TFiE ~~'~_,E . OF NEVJ ~
YORK STATE. NGT E~S'~G 5._L ~ O a
DESIGN OR CONSTRUCT!01~ tr.~:Cr^,S x" ~ a
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SHFFT NUN9ER
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REVISIONS:
WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS
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