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HomeMy WebLinkAbout28000-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28188 Date: 01/29/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 225 HORSESHOE DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 95 Block 4 Lot 18.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 10, 2002 pursuant to which Building Permit No. 28000-Z dated JANUARY 11, 2002 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 ACCESSORY SHED IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to SUK YOON PARK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ut rizvd Signature Rev. 1/81 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. 28000 Z Date JANUARY 11, 2002 Permission is hereby granted to: SUK YOON & WF PARK 225 HORSESHOE DR CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR (THIS RENEWS PMT. 19410) [5hej g) at premises located at 225 HORSESHOE DR CUTCHOGUE County Tax Map No. 473889 Section 095 Block 0004 Lot No. 018 . 025 pursuant to application dated JANUARY 10, 2002 and approved by the Building Inspector. Fee $ 75 . 00 i Authorized Signature ORIGINAL Rev. 2/19/98 FORM NM 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF nTHE WORK AUTHORIZED) N° Z Date .... .. .. ................................... Permission is hereby granted .... .. .... .. ................ ........ .. ... . . .......... ..........� . ..,..... � r tod4olpo4 .. .... .. ...... ...... . ........G.. ........ .. ....... . ,� ......... -... ....... ........................................................... ofpremises locatedat ... ... sRL...... i............................................... .........................................0^G. ......... . .. ... ....................................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ......... ... Block ............. .. Lot No. ..... (.R../.:,r.?.4� pursuant to application dated ....... ��.. ./.,?.`.....................................1 19.70, and approved by the Building Inspector. D� Fee05 ng I rB1 hi � r Rev. 6/30/80 Form No.6 TOWN OF SOUTHOLD 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: 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 a 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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00,Accessory building$25.00, Additions to accessory building$25.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: r �S M, A�&� House No. // 4,zlv Street Hamlet Owner or Owners of Property: EQ!\ Suffolk County Tax Map No 1000, Section ��� Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Yve,44" Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Gag 9 6 *Applic-antSignature .2i)ou �P&oo 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: P DATE /�S O� INSPECTOR '�j FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(1ST) - - ---- - ---- - - - - -- 3 ------------------------------------ - ---- - -- -- -- - - - -- - - FOUNDATION(2ND) - _. - — ---- -- -- - -- — --- - - Z O ROUGH FRAMING& -- -- -- -- — - — - PLUMBING r INSULATION PER N.Y. STATE ENERGY CODE � d FINAL QJ ADDITIONAL COMMENTS 7t' 0 m a ro - - - - ----- --------- - - - - -- ----- y d b BOARD OF HEALTH .�, S j FORM NO. 1 3 SETS OF PLANS P�K., , , . . . . . 1 41� � � SURVEY . . !'J. . . . . . . . . . a j, TOWN OF SOUTHOLD CHECK ,f,o 3 BLDG. _ Lir BUILDING DEPARTMENT SEPTIC •FORM . . .. ,Q, K , aC�;_.T,,�y . . . . . . . OWN TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY o� TEL.: 765.1802 CALL Examined �. /.: , . . . . . . ., 19�. . ?wn� MAIL TO . . . . . . . . . . . . . . . . . . . Approved . .�� . . . . . ., 19U Permit No. . �.� . . . �"- . . . . . . Disapproved a/c . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Buil in In/,LD,NG or) APPLICATION FOR B PERIV11T 1 p, Date INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building o Inspector will issued a Building Permit tthe applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 inspect* ns. (Signatur t applicant, or�name *, if—a-corporation) (Mailing address of applicanty � State whether applicant is owner, less e, agent, architect, a ineer, -eneral contractor, electrician, plumber or builder. Name of owner of premises . . . . . . . . . . . L.(, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _y( . . . . . . . . . . . as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. • . . • (Name and title of corporate officer) Builder's License No. ... . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. 1. Location of land on which proposed work will be done; House Number Sttree.L HamleV'4� . . ' County Tax Map No. 1000 Section . . . . .` . . . . . Block . . . . . , ,;/ , � . • . Lot . Subdivision &.Z � .�7;L.. . . Filed Map No. . . (Name) . . . . . . . Lot . . . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupant Y of proposed construction: A. Existing use and occupancy. .i: . . . ' . . . . B. Intended use and occupancy. . . . ..5 . . .. . , . `, ��GS�, , . . , . . . , • . . r 3. Nature of work (check which applicable): New Building . . .: . . . . . . Addition . . . . . . . . , • Alteration . . . . . . . . . '. . Repair . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . .Stai:nciin;+ pool . . . .. . . . . . . . Tennis Court . . . . . . . . . Accessory Building. . . . . . . . . .Fence . . . . . . .Other Work . . . . . . . . . . . 1 ag 4. Estimated Cost . . . o . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling.,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor. . Ifgarage,number of cars . . . . . . . . . . . . . . . . .. . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . E . . . . . . . . . . Number of Stories . . . . . . . . . I. . , , , , , , , , . g, Dimensions of entire new constriction: Front , . . .C� . . . . . Rear . . . .��?. . . . . . . . . Depth . . i. . . . . . . . . . . Hei- . . . .I . . . . . . . Number of Stories t . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . o. . . . . . . . . . . . Rear . . . . . . . .. . . . . . . . . . . . . . Depth . . 1.0f P. . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . • . • • • • • • • • • • • • . • • • • • ; 13. Will lot be regraded . . . . .Will excess fill be removed from premises: Yes .. . No.. . 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . ... Nameof Architect . . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . t Name of Contractor . . . . . . . . . . . . . . . . . : • • . . . . . . .Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . 15.Is this property located within 300 feet ofa tidal wetland? *YES. . . .NO *If yes , Southold Town Trustees Permit may he required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heistile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . (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 Ellis . . . . . . . . . . . . . . /. . .. . . . . .day of. . . . . r. . . . . . . . . ., 19 .nto Notary Public, . . . . . ./:r` �-':`� . County HELEN K OE VOE . . . . NOTARY NBLK Sade at New Yult . . . . Zfili 4 Orj* (Signature of applicant) i S Xw Q� 4e. `4 0 a � • / .ins .p➢ �/ , 4• a '� � � . ;> •/ ,tom Topo ,� •• ' `s'" 22 'moo-`sem R=25.00' • �J• �^ �o L=39.27' ON `•:; / �`Qo �," cis 2� soo ��, Qo�7► G V JaDc ia� Q L1�T,i J,IEI S Q NOV,20 197M H• D- DATE water s�l�ply ,, and been aal �0 The sewage f oT�trii$ locale rid -found • ..�. sties this departm -faoil 0.- >: cv_` ted by :- insPea tis-facto� ineeriu& C_ - - to ID sa oY General En6 ; ci: ..1,� pieY. . $e .108% • =�T- cel `• torr cu' NOM •=MONUMENT i ,BUBO/V/S/ONA/APF/LED INTHEOFF/CE OF THECLERKOFSUFFOLK COUNTY ON U7 APRIL 4,/975 AS FILE N0.SZ41 THE LOCATION OF WELLS AND CESSPOOLS SN0/0, !:'.' ;I f7tIE FR0M FIELD OBSERVATIONS 'I AND/OR FROM DATA OBTAINED FROM REVISIONS YOUNG & YOUNG ALG 7,/975 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK sEpr 2,/975 ALDEN W. YOUNG o` HOWARD W.YOUNG '. "• PROFESSIONAL ENGINEER AND � - - LAND BURVEY0R •' LAND SURVEYOR, N.Y.S. LIC. NO.12040 1 N. 43093 SURVEY FOR: 5� y JNAUTHORRED ALTERATION OR ADDITION TO tv O. THIS SURVEY IS A VIOLATION OF SECTION LOUIS HODOR Rv jj. rf, ,7AW. OF THE NEW YORK STATE EDUCATION L OT NO. 25, "OREGON VIEW ESTA '�° �� COPIES OF THIS SURVEY MAP NOT BEARING' 1 THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL NOT BE CONSIDERED TO BE A VALID TRUE COPi AT CUTCHOGUE GUARA EE TQ: LCV H -10, �•YY� 4589 GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE TOWN OF . e4 4s 'L SJRVEY IS PREPARED,AND ON HIS BEHALF f�IAND SU19N Da TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED SUFFOLK CO., N.Y. BY�J__ �j HEREON,AND 70 THE ASSIGNEES OF THE �` n LENDING INSTITUTION. GUARANTEES ARE ' NOT TRANSFERABLE TO ADDITIONAL SCALE- /�F _ �/1F DATE: AUG /. <974 "��74 - 539 INSTITUTIONS OR SUBSEQUENT OWNERS; �/ ptRF_19 RIR• R.�� •nau• -a%0 AM 0, 225 Horseshoe Dr. �' Cutchogue, NY 11935 ►�. r 1 0 , T9 Framing: roof and walls: 2x4 16oc Shed B ti Sheathing: 5/8" Tex 111 Flooring: APPROVED AS HUED 1/2 plywood6112- ,# � side elevation ZD _ n Foundation: pEpA TMEI 74 none M • " TO 4 OR No MCI 1 TNNI • TWO REGUiRED COIMI •IM M & PLUMBING l FINAL • %AAWW'1l1'ICTM MUST 7'9 BE COM'l I PON CA ALL CONSTRUCTION SHALL MlET THt REQUIREMENTS OF THE NX STATM CONSTRUCTION i ENERGY USE IS UN-1 COOED. NOT RESPONSIBLE FOR WITHOUT CERTiFfCn:E sum OR CONSTRUCTION OF OCCUPANCY MENEM ■■ ■■■■■■■■ ■ ■■■■■■■■■■■■■■■ ■ ■■■■■■■■■■■■■■■■■■ k. . ■■■■■■■■ ■■■■ ■■ ■ ■ ■■N■■■■ME■■■ ■■■■■■■ilamm....►■_•m ■ ■■■■■■■■■w■■■■■ MINIMMISMISIMEMEN ■ ■■ ■■"■■11■■sl■■ 1!■■■� ■■■■■ ■■ ■■m■■i■■■■i■ F:l�■ ■■■�■ ■e■■■nimmilmoss ■ ■■■■■■N 1 ■■■ ■■■■ ■ ■ ■ ■■■ ■■fes am,■■■D■■ m■■■■ ■■N '�■ `� mom mmm ON fTR . 77lTiT�iZ offill no .29 ME ■■■■ r . r■■■■■■■■■■mmmwwmmwm ■■■ ��1_L�J-N' GI TJ V A/� T rN%IVW T T T l L�-T1-- Applicant/ Date "Owners Name: �n ooh �'�- Reviewed: Architect/ Date. Engineer: Submitted:Submitted: / O Az SCTM #: Cj Oistrict: 1,000 Section: ! 5 Block: _ Lot: Project Subdivision location: ��t _ Name: Sin&le &, separate Required q certification: (Yes J Nol _ (��iReq. Rey. T %rniing.t)is(ricci Il o(sizc: OAMOL Acuial;.4oC®/oa- ' l (IAl covcragc I'rulxised Tl Req, /pIrt Rcq• / Req. (f=romYard : J (Side Yard ^ Proposed: J (Rear Yard /D Proposed l' Project Description: AGENC'Set1 ?ERMITS Permit REGULRED UOR REVIEW N e stn v>�r Suffolk County Health.Dept. f New York State D. E. C. f. Town Trustees Town Zoning Board,approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes,