HomeMy WebLinkAbout38313-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
l #
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#: 38313 Date: 9/6/2013
Permission is hereby granted to:
Wilson, Minnie
240 Silver Colt Rd
Cutchogue, NY 11935
To: Construction of an "as built" shed as applied for.
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At premises located at:
240 Silver Colt Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 95.-4-18.38
Pursuant to application dated 9/6/2013 and approved by the Building Inspector.
To expire on 3/8/2015.
Fees:
AS BUILT-ACCESSORY $200.00
CO -ACCESSORY BUILDING $50.00
Total: $250.00
Building Inspector
Form No.6 ----
TOWN OF SOUTHOLD
BUILDING DEPARTMENT �� SEP - 5 2013
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:
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.
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$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. September 4 , 2013
New Construction: Old or Pre-existing Building: x (check one)
Location of Property: 240 Silver Colt Road, Cutchogue
House No. Street Hamlet
Owner or Owners of Property: Estate of MINNIE WILSON, Dec 'd. , Yvonne Crump, Executrix
p
Suffolk County Tax Map No 1000, Section- 095.00 Block 04 .00 Lot 018 .038
Subdivision Map of Oregon View Estates Filed Map. 6241 Lot: 038
Permit No. 162037 DateofPermit. 07/12/1987 Applicant: Roland Wilson
Health Dept.Approval: n/a Underwriters Approval: n/a
Planning Board Approval: n/a
Request for: Temporary Certificate Final Certificate: x (check one)Accessory Shed
16 .2 ' x 10. 3 '
Fee Submitted: $ 2 0 0.0 0
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pp scant ' ture
William F. Bates , Attorney for
Yvonne Crump, Executrix, Estate
of MINNIE WILSON, Deceased
F3 z �o��Of SOUj�o<o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR �+
r I• i
1NOULATION PEk N.Y.
STATE Mqmoy CODE
IF
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RMAWINNOWAN
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0
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 �3/� Survey
SoutholdTown.NorthFork.net PERMIT NO. � Check
Septic Form
- r ) N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 20 i 4 Storm-Water Assessment Form
1
SEPs 2013 t:
i r
Approved 20 i Mail to:
_ 3
Disapproved a/c
BLUG DJ'L Phone:
Expiration ,20
T "P, GF ;i10 D
ing nspector
APPLICATION FOR BUILDING PERMIT
Date Sept. 5, ,2013
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,ho ing code and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
((Si ature of applicant or name,if a corporation)
WILLI F. BATES AS AGENT FOR
Estate of MINNIE C. WILSON. Deceased
(Mailing address of applicant)
120 Court Street, Riverhead NY 11901-
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder 3003
Agent
Name of owner of premises Estate of MINNIE C. WILSON, Deceased, Yvonne Crump,
(As on the tax roll or latest deed) Executrix
If applicant is a corporation,signature of duly authorized officer
n/a
(Name and title of corporate officer)
Builders License No. Self
Plumbers License No. n a
Electricians License No. n/a
Other Trade's License No. 10.1a
1. Location of land on which proposed work will be done:
240 Silver Colt Road, Cutchogue NY 11935
House Number Street Hamlet
County Tax Map No. 1000 Section 095.00 Block 04.00 Lot 018.038
Subdivision Oregon View Estates Filed Map No. 6241 Lot 3
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Storage Shed
b. Intended use and occupancy Storage Shed
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work As Built Shed
4. Estimated Cost $700.00 Fee $ (Description)
(To be paid on filing this application)
5. If dwelling,number of dwelling units n/a 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. n/a
Hou
7. Dimensions of ekrs"Em9prnAures,if any:Front 22' Rear 50' Depth 45'
Height Number of Stories
Dimensions of same structure with alterations or additions: Front n/a Rear
Depth Height
� Number of Stories
8. Dimensions of entireAnewBconstruttios-F'ro�) 10.3' Rear 10.3' Depth 16.2'
Height Number of Stories 1
9. Size of lot:Front 1571 Rear 170' Depth 250 '
10.Date of Purchase 11/30/76 Name of Former Owner Oregon View Estates
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO n/a
13. Will lot be re-graded?YES_NO X Will excess fill be removed from-Premises?YES NO X
C. Wilson, eceased-
14.Names of Owner of premises E/o MinnieAddress Yvonne Crumviomm. Executrix,
Name of Architect n/a Address 18 Vi 1 7 age h, Calver—
Name of Contractor n/a Address Phone No. j ,-Qn Ny 11933
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NOx(631) 727-6852
* 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
* 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 x NO
* IF YES,PROVIDE A COPY. Telephone & Electric Easement Liber 7721 Page 457
STATE OF NEW YORK)
SS:
0 COUNTY OF SU FO .K
C Z WILLIAM F. BATES, ESQ. being duly sworn,deposes and says that(i�he is the applicant
O r. a (Name of individual signing contract)above named,
CZD >
Z�= )He is the Agent and Attorney
ov >f 6
ZO�z (Contractor,Agent,Corporate Officer,etc.)
m z o n s of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
c v� that all statements contained in this application are true to the best of his knowledge and belief,and that the work will be
n4A'>CD
-n cn—i> performed in the manner set forth in the application filed therewith.
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T 0 Sworn to before me this
0 5th day of Se tembel2o 13
o Lam'
b — --44�6 :54�
Notary Public Signa ure of Applicant
WILLIAM F. BATES, ESQ. , Agent
CYNTHIA GANNON for Estate of MINNIE C. WILSON, Dec'd.
NOTARY PUBLIC,STATE OF NEWYORK Yvonne Crump, Executrix
Certificate# 52107
Surrogate's Court of the State of New York
Suffolk County File#: 2012-526/A
Certificate of Appointment of Executor
IT IS HEREBY CERTIFIED that Letters fpr the:E ate�f tldet named below have been granted by
this Court, and such Letters are unrevo��ed are i ga neIAII II fq?be,as of this date.
Name of Decedent: M 1 n nl!,OYew 1 tsbn
Date of Death: S
Ole mb. r 2 , 2011X
Domicile: Countof Su of
Fiduciary Appointed: Y4ne Cru
Letters Issued: LETTERS T
Letters Issued On: Mal 29, 201 t'
r gg: r
ik 3
Limitations: NONE !
THESE LETTERS, grantod put t to-a e urt au e an empower the
above-named fiduciary ori uci s to performs-I s to hep rad nistration and disposition
K
of the estate/trust of the Deced qr��,accorda-' a wiK e ecr e and th aws New York State, subject to
the limitations and restrictions, atra set forth above.
and such Letters are unrevoked and in full force" svf-thirdafe
Dated: May 29,2012 IN TESTIMONY WHEREOF,the seal of the Suffolk
Riverhead, New York County Surrogate's Court has been affixed.
WITNESS, Honorable John M Czygier Jr,Judge of the
Suffolk County Surrogate's Court.
Michael Cipollino, Chief Clerk
Suffolk County Surrogate's Court
This Certificate is Not Valid Without the Raised Seal of the Suffolk County Surrogate's Court
WILLIAM F. BATES
ATTORNEY AT LAW
120 COURT STREET
RIVERHEAD, NEW YORK 11901-3003
TELEPHONE: (631) 727-0050 E-mail: batescourtst@aol.com
FACSIMILE: (631) 369-4080 batescourtst@gmail.com
September 5, 2013
Damon Peter Rallis, Plans Examiner
Town of Southold
Building Department
Town Hall Annex
54375 Main Road, PO Box 1179
Southold NY 11971-0959
Re: Estate of MINNIE C. WILSON, Deceased
240 Silver Colt Road, Cutchogue NY
SCTM #095-04-018.038
Dear Mr. Rallis:
As we discussed, enclosed find Application for Building Permit for a 10.3'
x 16.2' Storage Shed, As Built, along with a copy of current survey.
Thanking you in advance for your anticipated prompt attention to this
matter.
Very truly ours,
WILLI BATES
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TOV;4w G. SOUf�101_U
5 U RVEY OF LOT 38 N
A5 SHOWN ON"SUBDIVISION MAP OF OREGON VIEW ESTATES,
CUTCHOGUE,TOWN OF 5OUTHOLD, SUFFOLK COUNTY, NEW YORK'
FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON THE 4TH DAY e
OF APRIL, 1975 A5 MAP#6.241
51TUATE: CUTCHOGUE
TOWN : 50UTHOLD oti��T�ti°�o S
SUFFOLK COUNTY, NY SGS
5URVEYED 07-30-2013F8'83<,,'"o
SUFFOLK COUNTY TAX #
1000 - 95 - 4 - 18.38
CERTIFIED T0:
Deirdre Fedun X\ S%
Patrick Fedun \O
Tara Lane Associates Inc.
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NOTES: '•Unauthorized alteration or addition to a survey
mop bearing a licensed land surveyors seal is o
JOHN C. E H LE R5 LAND 5 U RVEYO R ��G EES yo vialallan of section York
sub—division io of the
CHAIN UNK FENCE New York State Education Law.'
—X--x— •(7�(I�
-0 VINYL FENCE "Only copies from the original of this survey
❑ MONUMENT FOUND — y 'Q r.11
marked with of original of the land volid t ue
V� stomped seal shall be considered to be valid true
copies"
6 EA5T MAIN STREET N.Y.5. LIC. NO. 50202 �r
Area = 40 796 Sq. Ft. � "Cerlificotions indicated hereon signify that this
survey was prepared in accordance with the ex-
Area = 0.93G5 Acres RIVERHEAD, N.Y. 11901 3G9-8288 Fax 3G9-8287 isling Code of Practice for Land Surveys adopted
by the New York Slate Associotion of Professional
GRAPHIC SCALE I"= 40 <. O Land Surveyors. Said certifications shall run only
lonagl5landland5urveyor.com �� ! to the person far whom the survey is prepared,
and on his behalf to the title company, governmen-
�p J tat agency and lending institution listed hereon, and
o the assignees of the lending institution. Certifica-
tions are not transferable to additional institutions
♦2 013 11:3'7:at A" C U.er.JOM1n 0ocummr. d Eoi�]t3-tat.ro
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