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Home My WebLink About28699-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28975 Date: 10/09/02 THIS C~KTIFIES that the building ACCESSORY Location of Property: 1325 LUPTON PT RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 11 Lot 9 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 27, 2002 pursuant to which Building Permit No. 28699-Z dated SEPTEMBER 27, 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 GAZEBO AS APPLIED FOR. The certificate is issued to JOHN J GUTLEBER & ORS. (OWNER) of the aforesaid building. S~FFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELEt-rRICAL CERTIFICATE NO. PLUMBERS c~TIFICATION Rev. 1/81 N/A 1077011 09/13/0~ N/A A~u ri/l~ature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIT~ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28699 Z Date SEPTEMBER 27, 2002 Permission is hereby granted to: JOHN J & ORS GUTLEBER 34 HARBOR HILL DRIVE LLOYD HARBOR,NY 11743 for : CONSTRUCTION OF AN ACCESSORY GAZEBO. THIS PERMIT REPLACES BUILDING PERMIT # 18350-Z. at premises located at 1325 LUPTON PT RD MATTITUCK County Tax Map No. 473889 Section 115 Block 0011 Lot No. 009 pursuant to application dated SEPTEMBER 27, 2002 and approved by the Building Inspector to expire on MARCH Fee $ 75.00 27, 2004. Rev. 5/8/02 COPY 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: 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. 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. 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. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision ?e t No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date. Old or Pre-existin(g.~uilding: House No. Street Date of Permit. (check one) Ham]et Block Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: Signature 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: Ao 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. For existing buildings (prior to April 9, 1957) hon-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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. October 9, 2fl02 Old or Pre-existing Building: 1325 Lupron Pr Rd (check one) ~attituek House No. Owner or Owners of Property: Gutleber, Jdm Suffolk County Tax Map No 1000, Section 115 Subdivision Permit No. 28699 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 25.00 Date of Permit. Street Hamlet Block 11 Lot 9 Filed Map. Lot: 9/27/02 Applicant: Underwriters Approval: Final Certificate: xx ~ ,(lh?ck one) Aplli~ar~ Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU Of ELECTRICITY 40 FULTON STREET ~ NeW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JOHN GUTLEBER JOHN GUTLEBER 340 HARBOR HILL DR 1325 LUPTONS POINT RD LLOYD HARBOR NY 11743 MATTITUCK, NY 11952 Located at 1325 LUPTONS POINT RD MATTITUCK, NY 11952 Application Number: 1077011 Certificate Number: 1077011 Section: Block: Lot: Building Permit:28698Z & 286 BDC: NS11 Described as a ResJdcntia! occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Porch/Deck, in accordance with the National Electrical Code and the detail of the installation, as set forth below, was inspected was found to be in compliance therewith on the 13th Day of September, 2002. Name QTY Rate Rating Circuit Type Amount Invoice Total $75.00 This is a statement of fees due for sen, ices rendered. This is not a certificate of compliance for any portion of the premises wiring system. seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. i! ,/~o° -//.~ ~//: ? TOWN ~NER k RES. LAND 3~ SEAS. IMP. VL. VILLAGE FARM TOTAL DATE "5 ~oo CARD ./ DISTRICT J ~'J_~. E ,A:CREAGEI / -rYpE oF BU'LD~NG LOT NEW NORMAL Farm Acre Tillable Tillable 2 Tillable 3 Woodland Swampland Brushland House PI0t Tara I BUILDING CONDITION BELOW Value Per Acre / ABOVE VaJue ~ COM~. I N D. REMARKS CB. MISC. Ext~en/~!on Exten)~pn Foundation Basement Ext. Walls Fire Place ?,,,/t Bath Floors ~ ~.,y, ? ~, ~..y Porch Attic Porch Rooms 1st Floor Patio Rooms 2nd Floor Garage /~' X ),-J'"~-- ~'~ I/ y~ Driveway 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]~JLATION [ ,/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C/~'/~ // ///,/// DATE FOUNDATION Ilst} ~O..UN D A.T I 0:~ ( 2nd } EOUGH FRAME & ,PLUMBING 3. INSULATION FER N. Y. STATE ENERGY CODE FI;JAL ADDITIONA'L COMMENTS: ,Ii Jt !~~ ~'~--~;'~- '~It ,I b 'FORM NO. 1 I - of sou'r, ot.D JUL 5 J~ ~i i? BUILDING DEPARTMENT ~ ~LDG. DS:'~ ~ , SOUTHOLD, N.Y. 11971 ~ TOW~ OF SOUT~~ TEL,: 765-1802 ... ~ , ........ ..... Disapproved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY ......... CHECK SEPTIC FORM ............ NOTIFY _~ MAIL TO: Date...07/¢..S' .......... , 19 .~.~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets 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 ~0r 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 issuanc//f a/uil~ing Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, a~d/othe~.ap~plicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for reft/opal o~tde,~oli~jt>n, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building co51e¢, houjfm~c~)~f, and regulations, and to admit authorized inspectors on premises and in buildhng fornecessary .... i:~:~t (Signature o/f'appfidant, or name, if a corporation) ........... ............ State whether applicant is owner, lessee, agent, architect, engineer, general~contractor, electrician, plumber or builder. Name of owner of premises ...... .~.O. (~..~...~'...~..u?.t7 .~...~,..' .O-...O..q._.3 .................................... (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'S HUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done~ .!.'~...Z.f ..~.o..~,.T~..~.~....'.'~.~.t.~,.C...(~.?.~' ...... House Number Street Hamlet County Tax Map No. 1000 Section ...tl~.~..'7.~... Block ....... t t ......... Lot...~. Subdivision ..................................... Filed Map No ............... Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy / ~0~ ~ ~:~-~o~ t r~g~ ~pe,~$ ~_ b. Intended use and occupancy (~'7.. / 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ... ~ ......... . Repair .............. Removal .............. Demolition .............. Other Work ............... ~o _ (D, escriplion) 4. Estimated Cost I$°° ~'- Fee " (to be paid on filing this application) 5. If dwelling, number of d~velling units ,--- o .-~ Number of dwelling units on each floor If garage, number of cars ~'° J 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 ...................... $. Dimensions of entire new construction: Front . ~]..F?...~.t.~. .... Rear ............... Depth ............... Height ............... Number of Stories ............. /. p ........................................ 9. Sizeoflot: Front . .1(3.~..,i~.. .... Rear '~lp~' :-C' Depth ' I ................................. 6 i'd,'.,; :c ...... D'E ..... I0. Dat. of Purchase ...... [~ .................... Name of Former Owner oo..¢.~ .......... (~',F .... ~.... 11. Zone or use district in which premises are situated ..................................................... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........... /J ?~. .............. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises D.~.l.q-~..2.?..~...w.'t-.L..~..f~ddress J ~ .Z-.~..L.?~..f~-..~?. ~ .{'-. Phone No... ~. ~ ........ Name of Architect ........ ~ ................. Address ................... Phone No ................ Name of Contractor ......... ~ ................ Address . Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yes ~.. No ..... *If yes, Southold Town Trustees Permit maybe 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. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OCCUPANCY AP PROVED AS NOTED NOTIFY~IUII~I~NG DEPA~ AT 765-1802 9 AM ~ 4 ~ FOR ~E FOLLOWING INSPEC~ONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCR~E 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL CONSTRUCTION MUST BE COMPL~E FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF ~E N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBL~ FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S.S ~OUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. te is the ......................................................................................... (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowl york will be performed in the manner set forth in the application filed therewith. ;worn to before me this ............... .'Q~. ...... day of....~ ............ 19.~.~. qotary Public,. · ~..~.-..~.&.&../. County m~!.~,/PUBLIC. State of NO. 4707878 Suffolk Couotlt q dge a d belief; and that the (Signature of applicant) 9A and 12A Elevations 9A and 12A Floor Plans Key 9A 12A A: Height, Overall 160" 166" B: Height, Grade to Peak 136" 140" C: Height, Max. Entrance 79" 79" D: Height, Railing 30" 30" F: Height, Trellis & Deck 131/2'' 131/2'' G: Height, Pyling to Deck 51/2'' 5%" H: Total Pyling (frostline) 7 exp. 7 exp. J: Minimum Entrance 35" 41 I/2" K: Minimum Interior 99" 120" M: Width, Point to Point 119" 144" N: Width, Flat to Flat 110" 132' O: Length, Side 451/2'. 55" P: Radius, Center to Pyling 501/.'' 621/2'' Q: Spread, Pyling to Pyling 38%" 48" R: Diameter, Pylin9 Max. 8" 10" A M USE IS UN ,WFUL '¢¢!Ti- OUT CERTIFICATE OF