HomeMy WebLinkAbout28002-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28189 Date: 01/29/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 225 HORSESHOE DR CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Nap 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. 28002-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 "AS BUILT" .
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
u orized 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. 28002 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 "AS BUILT"
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 $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
VORK xa s
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)
N° 1 S CJ Z Date ....00. .....,��................:..................... 19..X9..
Permission is hereby granted)o:
...... ..,� w . .
r
to `�'� .. .... .. ...... ...... .. ...�...1�.. ..... ...
.. ....... ......... .... ....... ..............................................................
of premises loccted at ... ... -s.�..... ,6�G,.....� ...............................................
. .. .................................... . ....... ................................................................................
................................................................................................................................................................
County Tax Map No. 1000 Section ......... ... Block ............. .. Lot No. .....If/.:,��..
pursuant to application doted ....... /,. /P
T....................................... and approved by the
Building Inspector.
o,
Fee s. .
... ..... . ............
. . »...
B Ina Inspector
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. a�
New Construction: Id or Pre-existing Building: (check one)
Location of Property: n1lu J_ ,//,
House No. Street D Hamlet
Owner or Owners of Property: S tl/( GOti P/7-/t��
Suffolk County Tax Map No 1000, Section BlockLz Lot
Subdivision Filed Map. Lot:
Permit No. - Date of Permit. Q Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
A icant Signature
6Z�c..• c�o�9�
Co-� � 818 �
)VpocY
M-lW2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ✓] FlNAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
o4
FOUNDATION(1ST) -- ------- �� y
{� it
-------------------------------
FOUNDATION(2ND) r#vl
z
� o
ROUGH FRAMING&
PLUMBING y
r
r
CrJ
INSULATION PER N.Y.
STATE ENERGY CODE --
r'
FINAL - r�
ADDITIONAL COMMENTS
O
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TOWN OF SOM, D BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPAR&VN 0 Luu.Je s Do you have or need the following;before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 1R97t RLohoFIRT.
3 sets of Binding Plans
TEL-- 765-1802 1 TOWN QF :IVMQLD Survey
PERMIT NO. Check 1�-
septic Form
N.Y.S.D.E.C,
Trustees
Examined 11 ,20(j-, Contact: G
Approved i 1 >20 0,;?- Mail to:
Disapproved a/c "
Phone: s-
Buildin
j�
APPLICATION FOR BUILDING PERMIT
Date 11104. 20
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 waterways.
1' 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 a Certificate of Occupanc3
is issued 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
ReWlations, 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, d to admit
authorized inspectors.on premises and in building for necessary inspections.
of applicant or name,if a corporation)
�5_yfjaressodds
�o�f_�cant)
State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician,plumber or.builder
Name of owner of premises
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on ch propo ed wo be done:
House Number Street HamloK
County Tax Map No. 1000 Section Block &ILot
Subdivision Filed Map No. 4' Lot
(Name) , ...
ses and intended use and occupancy of proposed construction:
2. State existing use and,00cupancy of premi
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work.(check which applicable):New Building Addition Alteration
Repair Removal=emolition 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.
7. Dimensions of existing structures,if any: Front . ear G 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 lS Rear Depth /
Height YG Number of Stories
9.- Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
Zone or use district in which premises are situated - --
11. Zon
12. Does proposed construction violate any zoning law,ordinance or regulation:
13.Will lot be re-graded JZj�� Will excess fill be removed.from premises: YES NO
14.Names of Owner of premises Address Phone No.
Name.of Architect T Address Phone No
Name of Contractor Address Phone No:
15. Is this property within 100 feet of a tidal wetland? *YES NO
--
e IF YES, SOUTHOLD TOWN TRUSTEES 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.
STATE OF NEW YORK)
COUNTY OF
f}/(1, 1 f/j5�Z_ being duly sworn,deposes and says that(s)he is the applicant
(Name of individual(S) signing contract)above named,
e is the /y
7ra
(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 in the application filed therewith.
Sworn to before me this
1 day of v 20 oy
o Pub1i Signature o licant
RUBt iT 1. ' T7,JFt.
Notary Public, a o1 New York
Qualified Put
uffolk County
No.0 C4725069
To Expires May 31..x:.
goh� Y R=25.00'
L=39.27'
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L
-�� NO 20 19 ��l,,ply q ti•
DATE and water been ,�
disposal tion rage
sewage is and d v n
The ides for to department touu N �` :
faCil thiS
N.,... ted by �
inspe iSi�°t0 I�� n ineerin8 �'►
to b� sateneral E
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Lac: cam' NOTES Or NQS/
r- •--MONUMENT
t-. c SUE01VISIONA/APF/LED INTHEOFF/CE
== OF THECLERKOFSUFFOLK COUNTY OV
APR/L 4,/973 AS F/LE N0.624/
TXE LOC11770N OF WELLS AND CESSPOOLS'
SXOWPI!. 11 AZZ FROM FIELD CESSPOOLS
IONS
•I AND/On Fi30M DATA OBTAINED FROM
OTHrRq
REVISIONS YOUNG & YOUNG
AW. 7,/975 400 OSTRANDER AVENUE, RIVERHEAD., NEW YORK
SEPT•2,/975 ALDEN W. YOUNG HOWARD W.YOUNG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
LAND SURVEYOR. N.Y.S. LIC. NO.12045 ,' 1 N. 46SSSI
INAUTHORIZED ALTERATION OR ADDITION TO SURVEY+ FOR. b S� P�D W y0,f,
PHIS SURVEY IS A VIOLATION OF SECTION LOU1J HODO/T
.AW. Of THE NEW YORK STATE EDUCATION L OT NO. 25, "OREGON VIEW ESM '��� y°� *,
:OPIES OF THIS SURVEY MAP NOT BEARING' .6.e► i O {
SNE LAND SURVEYOR'S INKEO SEAL OR
.MBOSSEO SEAL SMALL NOT BE CONSIDERED
f0 BE A VALID TRUE COPi AT GUARA EE T
CUTCHOGUE caws H �o ass9,
3UARANTEES INDICATED HEREON SMALL RUN F'
3HLY TO THE PERSON FOR WHOM THE TOWN OF '� IAND SU��E
SURVEY IS PREPARED,ANO ON HIS BEHALF SOUMOLD. , F� boa
TO TNF TITLE COMPANY,GOVERNMENTAL .
AND
HEREON,AND TO TIME ASSIGNEESNOFITHE -SUFFOLK CO., N.Y. BY��'/�� /K/�
LENDING INlTITUTION. GUARANTEES ARE
NOT TRANSFERABLE TO ADDITIONAL SCALE: /q �/1� DATE: AUG /.3/974 "0.74 - 536
INSTITUTIONS OR SUBSEQUENT OWNER; ��L/
nT
HZ7-1 l T�U� i T-' TL 1� �-1Z 7_ 1-I�j'–y N 1 I-
Applicant/ `` Date
'Owners Name: _ � t%Con (PC-C Reviewed: --)/l/ 2
Architect/ Date
Engineer: Submitted:
-h C
SCTN4 #: a _ _
Disvict: 1,000 Sec�on: l S Block: _ Lot: / aS
Project �r Subdivision
Location: ��• Name:
Sin&Ie &, separate Required y
certification: (Yes/No) Q ,
Req. Rey, T
Lrntiog District:_}l(�
(Lot Acuial: /ol-�' ( (u,coverage Prulxiscd
Req. Req.Side / Rey
(front Yard P /pos`ed: l [Side Yard �� Proposed: J (Rear Yard /0 Proposed-
Project
l�QD Proposed• "
Project Description: PV--L4j
A.GEN `N�' UERM TS Permit
R .nrilfRF>n rGR RESLY .W___ -Nd N(1 MRS wr.. .
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation???
Flood Zone:
N&e ,
225 Horseshoe Dr. I�'*
Cutchogue, NY 11935
a
N �•
Y �
Q
it 41 J223o
193
—�- u
.�� 5V1L-T
Framing: N
roof and wall:2x4 24"oc Shed A
2 plywood collar ties Built by North Fork
on every roof rafter Wood Design
Pitch
Sheathing: 6/12
co
518"Tex 111 m m
Flooring:
1/2"plywood ti front
NOTIFY BUILDING ARTMENT AT
7U-1802 9 AM T 4 PM FOR THE
Foundation: FOLLOWING INSPEC 76
none 1 FOUNDATION - WQ- RF-131 1w
�`► FOR POURED CONCRETE
Shed sits on 4 horizontal 4x4xl& L ROUGH - FRAMING & PLUMBING
& INSULATION
4L FINAL - CONSTRUCTION MUST
W3 BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
r STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
°a - ��j�F�Cr.YE DESIGN OP. CONISTRUCTION ERIW=
Of OCCUPANCY