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Home My WebLink About39744-Z(Ir �uFEot,��aG�� No: 37569 Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building ALTERATION Location of Property: 2575 Skunk Ln, Cutchogue SCTM #: 473889 Sec/Block/Lot: 97.4-13 Date: 5/19/2015 5/19/2015 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/7/2015 pursuant to which Building Permit No. 39744 dated 5/7/2015 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: ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to of the aforesaid building. Dickerson, Barbara SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED —w--oo� 5� 4A A edAignatWe �guFFnt,��PyyTOWN 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 #: 39744 Date: 5/7/2015 Permission is hereby granted to: Dickerson, Barbara 2575 Skunk Ln Cutchogue, NY 11935 To: Construct Alterations to an Existing One -Family Dwelling as Applied for. Replaces BP 17007 At premises located at: 2575 Skunk Ln, Cutchogue SCTM # 473889 Sec/Block/Lot # 97.4-13 Pursuant to application dated 5/7/2015 and approved by the Building Inspector. To expire on 11/5/2016. Fees: PERMIT RENEWAL $100.00 Total: $100.00 FORM NO. 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 THE WORK AUTHORIZED) N2017007 Z Date .. ..7 ........................................ 19. grantedPermission is heE94y r J 10 -.4f W.-W-6c1l ....... ......... ....... ..8a4e . ......... ...................................................................................................................................................ff............. County Tax Map No. 1000 Section .......�......... Block .............. Lot No.f.,. .......... .... pursuant to application dated ......................... ............. 19450., and approved by the Building Inspector. 06 Fee $"'�. ....... ��...... d. ..... .... ........................... B it • Ing Inspe 'tor Rev. 6/30/80 05-18-'15 12:06 FROM- SUFFOLK DSS � E_ W El I i M AY 18 2015 BLDG. DEPT TO!"i�, OF SOU I HOLD 6318523695 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GALL 765-1802 �5p T-081 ATION FOR CERTIFICATE OF OCCUPANCY P0002/0002 F-189 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 I% 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) nonconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property shoaling 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. pees 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 1 ' .-Copy of Certificate of Occuparic� - $: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: House No. Street hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision _ Filed Map_ Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters. Approval: 'Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Ij OF SO(/ �i T � yo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION. [ ] FOUNDATIONAST [ ] ROUGH PLUMBING [ ] FOUNDATION' 2ND [ ] INSU ON [ ] FRAMING / STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ` [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE � l L '� INSPECTOR d m H , 'OUNDATION (1st) v x 'OUNDATION (2nd) z o TOUGH FRAME & PLUMBING cn • H CT] [TJ -14SULATION PER N. Y. -3 STATE ENERGY CODE x --I � FINAL o ADDITIONAL COMMENTS: x 5-�-15 re I-7 ncyl VcP 100.Oo 1t 'V�b 7"1 2207 ' H a ZO d m H BOARD 3 SETS FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY UOUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 MAIL Examinej...........; 19 Approved s/�' � 9 ... Permit No.. `�00? - f61 .............. ....... . ..................................... . "7., .... ........ n dn APPLICATION FOR BUILDING PERMIT INSTRUCTIONS OF HEALTH .....• OF PLANS ....... FORM .............. TO: Date ....... �l .�..... 19V . q 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 Inspector will issued a Building Permit to the 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 t`he Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for tliexons zu-ctxQn otbuildings,.4ad�diaipns or alterations, or for removal or demolition, as herein described. The applicant agrees to comply ,with all applicable, haws, ordinanc s, building code housing code, and regulations, and to admit authorized ins6pe�cto �soripremises and m`bttild�ng for necess inspectio (Signature, of applicant, or name, if a corporation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (M ailing'addres§Oflapplicant) . <,jv 6✓ � it ! ' ' 1+ {% _.;:'J f.. ,j .. State whether applicant is ownerlessee, agent, architect, engineer, general contractor, ,.,electrician,..,plumber or builder. P "12' -.7 6 jj A? : gip: ;11 U lJ'-%1.T },.11D 1__ 1 J �', / .. ........ . .. e sP' 1 s Ilr t�'d (� Name of owner ofpr 'mises,l:' .. \�� t � L .. l �-IL . L......... .................. er�J i c -a Yf...•°'1..e ie,•_../1 dl.. ..� "ry ' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'SM ST BE S FOL, COUNTY LICENSED Builder's License No. . &A44cz,.-f—. Plumber's License No. ........................ . Electrician's License No . ...................... Other Trade's License No . ..................... 1. Location of land on which proposed work will be done . ................................................. S� 5... S .... �-f� ..........................1� G utl_ ................... House Number Street 14 I Hamlet County Tax Map No. 1000 Section .......91........ Block ..... d. 4......... Lot ....... (3 ............ Subdivision ............... .. ........ Filed Map No. .............. Lot ............ . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .. ...L:.. ........................ . • • • • . • . . b. Intended use and occupancy .... ......................:: • • • • .... . 3. Nature of work (check which applicable): New Building ........... Addition .......... Alteration Repair .............. Removal ...... ..... Demolition Other Work �DD / ............... (Description) 4. Estimated Cost . T\)... �i/l!l L�� Fee ................................... . ` (to be paid on filing this application) S. If dwelling, number of dwelling units ..... 1......... 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 .. ��.o.... Rear'. . 3�•.�....... Depth ..�,.'�........ Height ............... Number of Stories ... 1) .............. ............................. Dimensions of same structure with alterations or additions: Front .... . Rear .. $,OYMF ........ Depth .... �q`(!M�.�............ Height ...:.................. Number of Stories .... �............... . —8. :Dimensions f entire' new construction: Front ............... Rear ............... Depth .............. . BH.eight ........ Number of Stories ........................................................ . 9. Size.of.lot: Front ... . ....... Rear Depth Y 10.` Date of Purchase ..'....:1 �� 1�.�......... ....... Name of Former Owner l�Sl 0,!1; VVI19�� 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 oNo 14. Name of Owner of premises .UA�1`i. L:.!1`��1�� Address Phone No.i�-.�5. ... . Name of Architect ........................... Address ................... Phone No. .............. . Name of Contractor . Address . Phone No..L� ....... . 15. Is this property located within 300 feet of a tidal wetland? *Yes No ..... *If yes, Southold Town Trustees Permit ma be reqgu�ired. PLO DIAGKAM 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 ................. APPROVED AS NOTED DATE e.P FEE: O ej BY: NOTIFY BUILDING DEKA T AT 765-1802 9 AM 7b 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING A PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that he is the applicant a`b`o`v'e*nam' Name of individual signing contract) ed. Heis the......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfonned 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 ................ ......day of......,19 9 Notary Public, ........ .^ :.,� Ir'�� County HELENDV� (Signature of applicant) NOTARY PUBLIC,. State off New York No. 4707578, Suffolk County, Term Expires E�€rth 30,19 INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH Mr. & Mrs. Dickerson 2575 Skunk Lane Cutchogue, N.Y. 11935 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD • 4 RE: B.P. #17007Z ALTERATION Dear Mr. & Mrs. Dickerson: SCOTT L HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 December 18, 1990 I am writing to you regarding the above building permit which has expired. You have never called for any inspections. Please contact our office regarding this matter. You are in violation of the Code of the Town of Southold. Thank you for your prompt attention to this. Yours truly, Secretary . Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 May 13, 2015 Barbara Dickerson 2575 Skunk Lane Cutchogue NY 11935 BUILDING DEPARTMENT TOWN OF SOUTHOLD Re: 815 Old Shipyard Rd, Southold TO WHOM IT MAY CONCERN: Telephone (631) 765-1802 Fax (631) 765-9502 The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: ►// Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 39744 - Alterations PIPE FNO. .O z �Q PR��E N�F�Y MAP OF DESCRIBED PROPERT Y S/TUATED AT PECONIC TOWN OF SOUTHOLD SUFFOLK CO., N. Y. AREA: 19,570 SQ. FT. (0.4493 Acres) 00' (DEED)L�No l 16.9.9.9 � (ACrUA � FE /.SS O / = d.Q'W O OF NFv O No. 4263 SFO LA ND SJR CER i /F/ED r0: LONG ISLAND SAV/NGS BANK EQUITY ABSTRACT, INC. FOR: BRIAN L. DICKERSON BARBARA A. DICKERSON n ■ ro Z S —15 N <— C. N L�dt� —E,9 c�� vsts) of cif ,v t ST l i+lCI WeN0O\.A/ vJt"- -C, t QolPQc-1) I I I � IN ,- - - -- - --i ®� mel �0 .w