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Home My WebLink About28459-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPD~NCY No: Z-29098 Date: 12/02/02 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 2625 WEST CREEK AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 5 Lot 2 Su~ivlsion Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 2002 pursuant to which Building Permit No. 28459-Z dated JTJNE 13, 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 DECK ADDITION, ADDITION AND ALTEP~ATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRISTOPHER & AIDA KUEHN ( OWNER ) of the aforesaid building. SUFFOLK COUNT"f DEPART~4ENT OF ~ALTH APPROVAL ELEt-~'KICAL CERTIFICATH NO. PLUMBERS CERTIFICATION DA'£~U N/A 1073673 11/13/02 N/A d Signature Rev. 1/81 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 DOROSKI ELEC. INC CHRISTOPHER KUEHN P.O. BOX 781 2625 WEST CREEK AVENUE CUTCHOGUE, N.Y. 11935, CUTCHOGUE, NY 11935 Located at 2625 WEST CREEK AVENUE CUTCHOGUE, NY 11935 Application Number: 1073673 Certificate Number: 1073673 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 13th Day of November, 2002. Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 1 0 Smoke Wiring and Devices Receptacle 12 0 General Purpose Switch 6 0 General Purpose Fixture 1 0 Incandescent Paddle Fan i 0 Lighting track 12 0 FT ~ Receptacle 1 0 GFCI ~ seal ~ 1 of 1 r~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~_ BUILDING PERMIT EXAMINER CHECK LIST SCTM# DISTRICT: 1,000, SECTION: PROJECT DESCRIPTION: ESTIMATED PROJECT COST: DATE REVIEWED: ~"//~ t02 DATE SUBMITTED: ~ //,t./02 ~/ENGINEER: 6'~.t,t~, ~ SUBDIVISION: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? ,oo NOTES: ----- LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83 CONFORMING? ACT. LOT SIZE: ~.,I/,~ REQ. LOT COV. PROP. FRONT ~ ~ REQ SIDE PROP. REAR ~£ REQ. HEIGHT ACT. LOT COV. ACT. SIDE PROP. HEIGHT ZONING DISTRICT: ~.~ REQ. LOT SIZE: ~/~10a0 REQ. FRONT ~go- WATER FRONT? PANEL #: DESCRIPTION: FLOOD ZONE: ~' , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or~, (BED #): TOWN SEPTIC RECEIPT: Y or~ NEW YORK STATE DEC: P~-n~c 9/1/7s YES or~ SOUTHOLD TOWN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES or.~ TOWN PLAN. BOARD APPROVAL: YES or~) TOWN HISTORICAL PRE (SPLIA): YES NYS ENERGY: YES OR ~: __ EGRESS (18 H min.? 4 sq total) ,,/~ VENT (SQ. FT. x 4%). BUILDING PERMITS OPEN/EXPIRED: BP HAVE PRE CO'S: Y ORN BP NOTES: DTE: / / PERMIT #:R10- LIGHT (SQ. FT. x 8%) -Z/C/0Z- I~qlo , ~ a.~ -Z / C/0 z-~lo~.3 , ~,.L~ ~,t~/,~rt,~ ! FEE STRUCTURE: FOUNDATION: ff, O~ SF FIRST FLOOR: ~'~::2 SF SECOND FLOOR: SF OTHER: SF TOTAL: ~ ~' ~ SF 1.(q~, SF)-(~ SF)= //~ SFX$-~o =$ 2. ( SF)- ( SF)= SF X $__=$ INIT OTHER TOTAL FEE FEE FEE +,/so +$ =$ +$ +$ = $ TOWN OF SOUTHOLD FORMER OWNER AGE NEW Farm Tillable 1 Tillable 2 Tillable 3 Wcodland Swampland Brushl~'l~ ~ Houseei~t..~ IMP. NORMAL Ac re Total PROPERTY RECORD CARD VILLAGE DISTRICT I SUB. TYPE OF BUILDING VL. TOTAL .-?',.:.7: ,~ ~ 6~ ~-~ ,~ LOT FARM COMM. IND. DATE REMARKS ~-/~ /. , ; //4' BUILDING CONDITION ABOVE Br:,,LOW ._ V]~ue_ Value Per Acre ...... r ! M. Bldg, Extension Extension Garage Foundation Basement Ext. Walls Fire Place Extension Porch ,,- -~ Porch Breezewa Patio Z Z _:, ~,Driveway Bath Floors Interior Finish Hec~t Attic Rooms 1st Floor Rooms 2n8 Floor _/ I 7654802 BUILDING DEPT. [ N 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND[ ] INSULATION [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: INSPECTOR / I 765-~.802 BUILDING DEPT. INSPECTION [ ?]~iDATIONIST? [ ] ROUGHPLBG. [ /~F~DATION 2ND [ ] INSULATION [,/] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE ~NSPECTOR ~~/~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ ~GH PLBG. [//] INSULATION [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~~-~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ]/~JLATION [ J,~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~/~-- '~-~- FO~ATION (2~) ROUGH F~G & ~S~TION PER N. Y. STATE E~RGY CODE BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~/1~ , 20 /,..-- Ap~p.ro_v,e~d _ -{~///~l/ , 20 ~" PERMIT NO. .~,ULL.,.~.LL'qg Fl:glVlli At'IaL'ICAflON CHECKLIS' Do you have or need the following, before applyin~ Board of Health 3 sets of Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: ']~g~ ~2~/Y'lS1/D - Mail to:~ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 2 ,20v_g / 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 building* 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 througho.ut'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 Occupan 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 Regulations, for the c'onstruction of buildings, additions, or:a'lterations or for removal or demolition as herein described. The applicant agrees to coinply with all applicable laws, ordinandes, building code, hobs)rig code, a94 regulations, and to admit authorized inspectors on premises and in building for neee!sa'r'{ inspectio~j j~ ~ / ~ (si~tUre of applicant or name, ifa corporation) .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of pi'cruises (]~F~~ & AIK30(~'.~CkZ~ID (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. Location of land on whiqh proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet /- · Block ,.~ Lot Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed constructiofi: a. Existing use and occupancy .. b. Intended use and occupancy. 3. Nature of work (check which applicable): New Building· Repair Removal Demolition 1. Estimated Cost ~ ~:~'Ot ~O~ Addition ,/X( Alteration Other Work Fee (Description) (to be paid on filing this application) If dwelling, number of dwelling units ~ ] _Number of dwelling units on each floor -- - If garage, number of cars ~ If business, commercial or mixed occupancy, specify nature and extent of each type of use. - Dimensions of existing structures, if any: Front w3r~' Rear -,~?' Depth Height '2-/ ' Number of Stories 2__ Size of lot: Front O. Date of Purchase /O~lr~ ~ 1. Zone or use district in which premises are situated Dimensions of same structure with alterations or additions: Front Depth ~,~ '--~" Height 2_.) ' Dimensions of entire new construction: Front ,,---- Height -- Number of Stories 7 q ' ± Rear 7' *- Number of Stories Rear --- Depth /,~ t 4-_ Depth Rear Name of Former Owner 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded /'~o Will excess fill b- removed from premises: YES NO 4. Names of Owner ofpremisesCJ~r~&A,2,o, k't.~,/~ Addresso~[~2,hO)e~--rF_~Jg_P,z_! Phone No. 7&~ Name ofMchitect ~m~l~ ¢ ~1~ Ad~ess~~~/ Phone No 754- Name of Contractor ' Ad&ess-~~ ~ Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO .,,~ · ~ YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. OF NEW ¥OP.K) :OUNTY OF o0~'~ ]J~--S)S: P~/,2/gt"Zd -~/Dg~.,O being duly sworn, deposes and says that (s)he is the applicant '(Name 9ffindividual s]gning contract) above named, (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 application; mt all statements contained in this application are true to the best of his knowledge and belief', and that the work will be zrformed in the manner set forth in the application filed therewith. worn to before me this }0 day of ~'Og, Jl._. 2~)0~)~ Notary Public PATRICIA RICHARDS Notary Public, State of New York No. 01 RI6042467 Gualified in Suffolk County Commission Expires May 30, // xZ' ~g~a-~re-ofApplicant