HomeMy WebLinkAbout28189-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28325 Date: 04/08/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 940 WEST CREEK AVE CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 13 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 19, 2002 pursuant to which
Building Permit No. 28189-Z dated MARCH 19, 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 GARAGE WITH NON-HABITABLE STORAGE ABOVE AS APPLIED FOR.
The certificate is issued to ALEXANDER C & MARION WIPF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H 074479 02/26/02
PLUMBERS CERTIFICATION DATED N/A
)- IXAI�e
A horized 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. 28189 Z Date MARCH 19, 2002
Permission is hereby granted to:
ALEXANDER C & MARION WIPF
940 W CREEK AVE
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN ACCESSORY BUILDING AS APPLIED FOR. THIS PERMIT
REPLACES PERMIT# 26046
at premises located at 940 WEST CREEK AVE CUTCHOGUE
County Tax Map No. 473889 Section 103 Block 0013 Lot No. 007
pursuant to application dated MARCH 19, 2002 and approved by the
Building Inspector.
Fee $ 115 .40
U
Auth ized Signatur
('.
ORIGINAL
Rev. 2/19/98
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)
d -4P4
PERMIT NO. 26046 Z Date OCTOBER 20 99
Permission is hereby granted to:
ALEXANDER C & MARION WIPF
940 W CREEK AVE
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN ACCESSORY GARAGE WITH 2ND FLOOR STORAGE AS
APPLIED FOR. NON-HABITABLE.
at premises located at 940 WEST CREEK AVE CUTCHOGUE
County Tax Map No. 473889 Section 103 Block 0013 Lot No. 007
pursuant to application dated AUGUST 12 99 and approved by the
Building Inspector.
Fee $ 64 . 60
Author' z Signature
ORIGINAL
Rev. 2/19/98
• Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTME
TOWN HALL. 5 zo? �
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP
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)
JJ
Location of Property: c"'"e STC p`e-e f\ t.�.Q �`-�(�l d C V
House No. Street r t� Hamlet
Owner or Owners of Property: !/ L q(- t D w
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 Cert' ate Final Certificate: (check one)
Fee Submitted: $ —X:; —
a,S3a-T
G t 3(0 Applicant Signatur
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '
8080261 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
cote FEBRUARY 26,2002 Application No. on file 10314300/00 H 074479
THIS CERTIFIES THAT
only 4W ekoft io#1 equoment as described below and introduced by the applicant named on the above application number is in the premises of
ALEX WIPF, 940 WEST CREEK AVENUE, CUTCHOGUE, NY
in the following location• ❑ Basement .GARIOUT
® lst F� ❑ 2nd Fl. Section Block Lot
was e**000*ad on FEBRUARY 19,2002 and found to be in compliance with the National Electrical Code.
FIXT�RE" FIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
RECEPTACLES SWITCHES INCANIMCOM FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P.
11 10 5 11
DRYER$ FURNACE MOTQRS FUTURE APPLI_AACE FEEDERS SPECIAL REC-Pr. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. QIL M,.P. QAf H.►. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V 1 C E
No OF CC GOND. A.W. A.W.G. A.W.G.
AMT. AMP. TYPE IP. T ,2W 1 �W 3 JW K IW PER a OF CC.COND. NO.OF XI-LEG OF NI-LEG NO.OF NEUTRALS OF NEUTRAL _ ...
1 200 Ca 1 X 1 1/0 1 1/0
OTHER APPARATUS:
G.F.C.IL-2
1,0 �� � 3 ' �
(�p �
ALEX WIPF L
P.O. BOX 421
CUTCHOGUE, NY, 11935 GENERAL MANAGER
11
Per
Thio ajl►fll"myo not 49 alglred in any manner,retum to the office of the Board If Incorrect.Inspectors may be identified by#*Ir areclentlals._
CU1 "DING',,"'DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER
New York State Department of Environmental Conservation
Buildin�54(�6LWylStjo �rook, New York 11790-2356
� e ' y! Thomas C. Jorling
Date:
I ,, d- �{ l 1 J Commissioner
I
1/73 Re: /-y73 00( S-0/0006 l- 6
C,vP -
r 4 �-
qyo
near
/ Q 9(- M /060 -/d3-/3-�
Based on the information you have submitted, the New York State
Department of Environmental Conservation has determined that:
1z 7, 'r %
Therefore, in accordance with the current Tidal Wetlands Land Use
Regulations (6NYCRR Part 661) no permit is required under the Tidal
Wetlands Act . Please be advised, however, that no construction,
sedimentation, or disturbance of any kind may take place seaward of
the tidal wetlands jurisdictional boundary, as indicated above,
without a permit. It is your responsibility to ensure that all
necessary precautions are taken to prevent any sedimentation or
other alteration or disturbance to the ground surface or vegetation
within Tidal Wetlands jurisdiction which may result from your
project. Such precautions may include maintaining adequate work
area between the tidal watland jurisdictional boundary and your
project (i.e. a 15' to 20' wide construction area) or erecting a
temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of
the responsibility of obtaining any necessary permits or approvals
from other agencies.
Very truly yours,
Deputy Regional Permit Administrator
t,yMteO a..recycie0 wOe
70-ieoz
BUILDING DEPT.
INSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: r/'o��- �•
op,
DATE � i/ °a INSPECTOR __��2 ��
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: foxl f /h1�0...
DATE �� INSPECTOWIA/,Y�
suaoINa DE".
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [✓]ANAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
/Z
Z5
DATE INSPECTOR -�^�
LD INSPECTION REPORT DATE COMMENTS
Ar===I=__REPO====R-== -_---�----- --------- ---------- ERRE
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`NDAT ION OST) — — —
II
FdDATION OND)
__________________ --------
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IGH FRAME &
PLUMBING
N II
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3ULATION PER N. Y. , N H
STATE ENERGY
CODEif
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FINAL � -- if
ADDITIONAL COMMENTS:
---- _______________—________________ 7C1
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BOARD OF HEALTH .......... . ....
FORM NO. 1 3 SETS OF PLANS ........... . .. ..
TOWN OF SOUTHOLD • SURVEY ...... ... . ......... . ....
BUILDINGDEPARTMENT CHECK ................... . . .. . .
TOWN EAU :SI<i rip VOW . . . .. .. .. .... . . . .. •
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: �b
Examined....... MAIL T0:
........... 19.... �y •:
... 19�� Permit No. .. �t ....�`�V�•�:pr...........
Approved....��.��.......
Disapproved a/c .................................. ........ .�...
....................................... ........
•(Building Inspec
906 1 2 1999 t_.j APPLICATION FOR BUILDING PERMIT
1 ., INSTRUCTIONS
a. This application must be•completely.filled in by typewriter or in ink and submitted to the Building Inspector
3 sets of plans, accurate plot plan to scale' Fee according to schedule. premises or lir
b. Plot plan ahow3rg location of lot ac>d'of buildings on premises, relationship-to adjoining pub
streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram Which is part o1
this application.
C. The wo* 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. Sud
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.
IS �MAS to the Building ilding Department for the issuance of a Building Permit pcncsuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lawn, Ordinances or
p&gulations, for the construction of buildings, additions or alterations, or removal or demolition, as herein
to with all applicable laws, o lding housing code, and
described. The applicant agrees Ply premises and in building r
regulations, and to admit authorized inspectors on
.......... . ..............
........... ...... ....
(Signature of icant, o if a corporation)
/3 ox o Q'-0.. W .
. .�1'.4. !! •.jj�Gl.?"�.11.Q �1=
• (bailing address of applica6t)
State whether applicant ie
owber lessee, agent, architect, engineer, general contractor, electrician, plumber or buil
.............................
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 which proposed work will be done............................................................
.....`� o.... 57.'.� .K.lual..... 4t.T.�h!oG:.4l:�.......................................
House Number Street/ Hamlet
County Tag Map No. 1000 Section ....1 q,3..... Block ....l•.:J........ Lot .....Q.�....
Subdivision ...................................... Filed Map No. ............. Lot ...............
(Name)
and inteEKW'AM and 1E` construction:
2. State existing use and occupancy �° pacemises A
..1.. Q Car- - .....................
a. bdsting use and occupancy . ••:••r3 .... .. ....... ...,.F.;�. ...... -.-.......
b. Intended use and occupancy ..�aA. &I ':a...�•.. 5 t? ..• .R��'eT•�e� +.........
Repair ............ Rmml• ............. Demolition ............ Other Work .. .�'.�s N .T.�/�y... �✓
(Description)
Estimated Cost .. ®............. fee ..............................................
(to be paid on filing this application)
If dwelling, number of dwelling units ............ tkmber of dwelling units on each floor ................
Ifgarage, number of cars .... me..........................
If tusinest+, commercial o: mixed occupancy, specify natua-e and catent of each type of. use......................
Dimensions of e2dsting structures, if any: Front.•...1 2' •..
:. .. Rear ...�2:....... Depth :A............
Height ........1 ............ Number of Stories A...................
Dimensions of some structure with alterations or additions: Front ..:77:......... Rear . .............
Depth .................... Height ....:77............ Number of Stories ...............
Dimensions of entire new construction: Front .� 1.�.... Rear Depth ..............
Height .......I q.i.............. Number of Stories ..............
Size of lot: Front ...� ......... Rear ....J3060.
p4.! q..... Depth .......... ....
.:.
Date of Purchase ...1.9..L�........ Name of Former Owner ..ah:'�`?Ttc...1.�
Zone or use district in which premises are situated ..... R�1 -4 y-ij...10. ••ivu��
Does proposed construction violate any zoning law, ordinance or regulation: .•..
Will lot be regraded ......IEZ'SIA.
� ..... Will excess fillpl be renewed from premise -Y-ESS,y
Names of Owner of premises �.l:.�lr.ld iLwApdres"s ..� Q. `.��f.4 .�•:�• done No.?`.3 ..
Kane of Architect ................................. ~ .. .. .. Phone No.
Add ..
Name of Contractor .!�!.4:.�.Nk ./.9 .. :�Z.7:. Addre `.'. � .. .
* .
Is this property within 300 feet of a tidal wetland? YES ..... NO ..........
*IF YES, SOlfliitlD WM 1RDSI W PffiiMIT MAY HE R17Q[I m.
PLOT DIAGRAM � � � c lo,,5ed
locate clearly and distinctly all buildings, nhether existing or proposed, and indicate all set-back dimensions
on property lines. Give street and block ember or description according to deed, and show street names and indicate
ether interior or corner lot.
a
. .
A1E OF NW YD[�
UNIY OF .d.. �.......
i
..... .. ........�. ... .. .........being duly sworn, deposes and says that he is the applicant
ame of individual signing contract)
ave named,
isthe .................l:�.�. ...........................................................................
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to 0 or have performed die said work and to make and file this
plication; that all statements cont in this 1' tion are trine to the best of his knowledge and.belief; and
at the work will be perfnx:ned in ie r
for in the application .filed therewith.
a • r
;orn to before me this • • ,
.................day of ... .19..J�� .
Notary Public ......... ••••••
...... ....•.. ......... . ... ......
Stat ote�Waw Yak (Signature o Applicant
O+ NoIn New York 94354
InCarnmi ion Expires March 30.2001
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Education Lax�
Section 7208. :c ati'-c.v York Soft.
n
a C Boa«a th?� map no
m n X00 ad seal or
m bewft
(toe E °C a be
:�:rpt be considered
cy,s copy.
Duarantsee lr�heron ehed run
Q*to the person fa whom the swvey
k Moved.and on his beW to#0
00 company,MSV kWA fico s ro
hen&-aWW
MAP o f P p�;)PE P--rY � �'�lo Me
own«ad scorn"etwnlnne tw w6m '
ALEXANDER C. 4 MARION WIPP
eAlo We C
AT C.L'-ft:h10ef t'4 II93s
FLEET 'S NE\:k.
CUTGH4GUE , N. Y.
.:evit;ac! Mori t3,4993
SCale : 54' = t" Guarar+tsed t'o GuatibKtdsd Trt(s Dtvis iar�t
Ahncricar+ Tit�t Ih>r4rQrsct Corn�any �ri3
to Sou?hoi� Savings gdaK e3 SUiNCI-t#1
t s arl4nut>nsnt June 3 , 1949
• is AXtt VAN Tu YL E 50N
60"+0UM ffCM Su4-Co. 0.9-W- aerial 15LW%n;
3- crfunl = erteart xa iev*i , NGVD. t,lcepSe E.�nd fwrvCyorS
5uff• CO-Tax Moto No- 1000- 103- t3--T• brtsin�tori'. N'. Y.
Titin HIL 0"#L 3393. '
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YC<�� T
� e A'� a'T
t b� Rve —
�� UC?.tin 7Sc j�
—`� - - - - -lUOs 9 AM TO 4 PM FOR I"HE
,
;"UUNDAUON - TYVOREQUIRED
FOR POURED CONCRETE_
. .. - I 2.. ROUGH - FRAM114G @ FLUMSMG
A 'hl ALT ';)I ;dl II :,z5 R. INSULATION
a. BE CO - CONSTRUCTIONMUST ,
f •. IXL, ' I- �' F, t ;r J..-h���`.l f� -Ik'£' �L� .ALL BECOMPLETE
SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION h ENERGY
/
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_ -Y-- CODES. NOT RESPONSIBLE FOR
DESIQN OR CONSTRUCTION ERRORS
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UNDUBVIRIEIISCOMFUTE
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OCCUPANCY OR
G„ sXs �am USE IS UIMWFUL
��
t WITHOUT CERTIFICATE
OF OCCUPANCY
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