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Home My WebLink About38288-Z �}rl:2u[ J Town of Southold Annex 7/1/2014 P.O. Box 1179 54375 Main Road "✓ � Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36997 Date: 7/1/2014 THIS CERTIFIES that the building WINDOWS Location of Property: 635 Strohson Rd, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 103.-10-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/19/2013 pursuant to which Building Permit No. 38288 dated 8/28/2013 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: WINDOW-REPLACEMENT TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kenney,Robert&Linda (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED orizid Si ature (APP., 40 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY 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#: 38288 Date: 8/28/2013 Permission is hereby granted to: Kehle, Grace 53 Old Hill Rd Westport, CT 06880 To: Replace windows as applied for r At premises located at: 635 Strohson Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 103.-10-12 Pursuant to application dated 8/19/2013 and approved by the Building Inspector. To expire on 2/27/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Building 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 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 New Construction: Old or Pre-existing Building: (check one) 1 Location of Prope0 CIA oco,y Q House No. Street `` Hamle Owner or Owners of Prupady) V\r,%�aerA O_iv% l��V-% 0— e hv1 k_. Suffolk County Tax Map No 1000,Section Block Lot Subdivision j Filed Map. Lot: Permit No. O $ Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval:. Planning Board Approval: Request for: Temporary Certificate Final Certificate. (check one) Fee Submitted:$ Applicant Si ature i 36 66�?— riF SOpryo � e co � TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROIJG PLUMBING [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING / STRAPPING [. FINAL [ ) FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 3 Le DATE Q INSPECTOR FIELD R`P DATY CONIlVDCNTB Wb FOUNDAMN(IST) oQ FOUNDATION(2ND) O ROUGH FRAMTNQ& PLUMBING Cq INSULATION MN.'Y. STATE ENERGY CODE . Y FINAL ADDITIONAL C+OMN3NTS x- m c . z d TOWN SOF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Door or need the following,before applying? TOWN HALL oard of Health SOUTHOLD,NY 11971 4 sets of uilding Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3$�$$ Check a00 4— Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 Storm-Water Assessment Form nContact: Approved b ,20 13 D Mail to: Disapproved a/c �— 19 2013 Phon2—S-9 3 . Expiration 20 (5- c `'•. A BLDG DEPT. �UC,� lw l/Wh TOVIN OF Ei Building Inspector APPLICATION FOR BUILDING PERMIT Date / , 206 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 on premises and in building for necessary inspections. >E (Signature ofapplicant or name,if ncorporation) (,35 ,Aryo`Nsoa. U a 116%js (Mailing address of applicant) State whether applicant i owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises �o�i er� &A,&— L%r&.o- Y-1 (As on the tax roll or latest de d) 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 which proposed work will be done: r0 s O C_ 0 CX12. House Number Street Hamlet County Tax Map No. 1000 Section 103.00 Block l0 . o O Lot O�a . 0 0 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 b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work V%e u.) W%yN&ow S (Description) 4. Estimated Cost Fee (To be paid on filing this application) S. 1f 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 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 Rear Depth 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?YES NO 13. Will lot be re-graded?YES NO Will excess fill be removed from premises? YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. %this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NOS, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. his 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 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 nan%e I (S)He is the 8��+� (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perforin 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. Swobefore me this / day of 20 �f— 4,4 .llle��Zzl�� — Notary Pub is S nature of Applic Nwfy W161 TOTH w * Qusll�d iln Suffolk Or1111115SIM a*tis lu V 28 2p� �' - t t +. X - AL—lm- vow .. _ v- A ; Z ��- r. . wwY �6y o *alp* mo loaft- a we*A*ftft*~a ftW a►+i Moft n yj w l&K vow r for Oft a Two I 2 x 4 S-ry r: onAw _ 4' Ett�sT!nth it£Rr.:•iEfK--- -- Li '.,-450 Ar H 2-450 •. ., I `' �>F--1 "E. Lok -E4 1NSl,4�T� �`'it-Cf�. -- -- -- -- ,_ _ — _--�_ — ___ _. �IMti s`�� C 1 •✓�r_:�G t.161�!' - 3�" "�I,�.t.S WCtMNOY OR USE IS UNLAWFUL 0 C) ,. s s V APPROVED AS NO i�i"r� Z DAT. —B.P. #3 FEE: BY �- .� NOTI Y BUILDING v S :Nkil T r'>.' Lij765-1 02 8 AN1 TO 4 r'-R THc � J FOLL WING INSPECTIC)'< > 1. F C UNDAT 10N=TW( Q !RCD A I�iNQDk► CI'.�ta • F R POURED CONC TE ..r- r•�M 2. R GH-FRAMING,PLL'. NG, 7'�"r �w�L S APPING, ELECTRICa� &CAULKING Qqp e-tlp A"Z M 19'I _.3 CATION ! . 't$ '-MAL &ELECTRICALS �� 4 x 4 NEt-o MUST BE COMPLETE FOR C 0. LD r/:Z-k` dyW;l�GtiT- SG.µ fEk4l V Al CONSTRUCTION SHAL' r r ET THE ,� x 4 Muw�N QUIREMENTS OF THE CODES OF NEw7d Y RK STATE. NOT RESPONS'BLE FOR 1-l1S'TofitiG S ti.a. - SIGN OR CONSTRUCTION ERRORS. t�Zrh- Gq.>�o Lj z