HomeMy WebLinkAbout23306-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24968 Date APRIL 8, 1997
THIS CERTIFIES that the building ADDITION
Location of Property 3100 SKUNK LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 97 Block 8 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 14, 1996 pursuant to which
Building Permit No. 23306-Z dated MARCH 15, 1996
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 FOUNDATION UNDER AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to GEORGE & LAURA MAUL
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
�Z�4
BtilqUng Insp for
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)
Date ..................�.��........................., 19... ..
NS, 23306 Z
Permission Is hereby granted to: 6�4 Ji
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..................................................................................................................................................................
..................................................................................................................................................................
atpremises located at...............................................................................................................................
....................... .................................... .............................................. .............
County Tax Map No. 1000 Section .... ............ Block.......................... Lot No. ......./ ............
roved a
pursuant to application dated ........���..�/ .��.. .�.�........., 19.... . �... and pp by the
Building Inspector.
Fee$. . ............
............. .. .......... ...............................
B 'ding Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector 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.
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 dwellin �2
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 - .251c.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commerc.al $15.00
Date .1. . .f.7. . . . . . . . . . . . . . . .
New Construction. . . . . . // ��11Old Or Pre-exi ting B 'lding. . . . . . . . . . .
Location of Property.. .�(.�o . . . . ......5 .. . . .. . . . . .. . . . Q . . . ..... ...
House No. Street .• • •Hamlet
Onweror Owners of Property.. . . . . . L a k V`�. . .` `2 (. . . . . . . . . . . . . . . . . . . .. . . . . . . . .
County Tax Map No 1000, Section. ... .. . 17. . . :B1ock. . . . . . . . . . . . . .Lot.. . r.J . . . . . . . . . . . . . . .
Subdivision. . . . . . .rr1. .//��.,,. .. .. . . . .. . . .. . .. . . . . . . .Fileed Map.. . . . . . . . . . .Lot. . . . . . ?. . . . . . . . . .
Permit No. .3�!.Y. .Date Of Permit. . . ��. /.`.� .Applicant. �1���:`:�. .
/._.. . . .
Health Dept. Approval. . . .. . . `. . .1... . . .. . . . .. ..'Underwriters Approval. . . . . . . . l`:. . . . . . . . . . . . .
Planning Board Approval. . .l:. . . . . . . . . . . . . ..
Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . .'!. . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
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APPL
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ,INSULATION
[ ] FRAMING ( P/] FINAL
[ ] FIREPLACE & CFIIMNEY
REMARKS:
DATE � �� � INSPECTOR
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MAP DATA.
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Lawo SURVEYORS �f�PT�z
NOTICE
� . Police Dept. 4. Bay Constable,
Town of Southold
Peconic, New. York 11958
NOTICE OF VIOLATION
March 23 96
Date:- ---- ----- ----, 19-=
To: -------_`eora- *Raul ----- -=--- -- ---- -----
(Owner or authorized agent of_ owner) ------
Address:'---- lieWlett '-ve. natchoc{ue, F.�' 11772
2
-- -- -------------------=--- --------------------
' (Address. of owner or authorized agent of owner) --
Please take notice there exists a violation of the Code of the
Town of Southold; Chapter 97 Article------ =--- Section -= -------
vou are .cond.uctih(
at premises hereinafter described in that---==-----------------
' o-oera:tion:, wiC-11in '75' feet of a. wetland r.rithout. .first
---------------------------------,-----
---____ obtai:nin-, a ner_mit `.ro:!. the: Sout-hold Town. '.Crustee
--- ------------------------------------------------.-----------
' You are therefore directed and - ordered to copply with the
following:--cease gall further activities within 7� fee't of-ia_t?_,ands ----
----------------------------------------
----------__�1 ace .a roT,,, of bav bales .aloncr rear or66ertv: .1 ne.
i
r.>»l�, for "'r zstee -)e.riiiit for work already done., ------------------.---------------------------
-----------------------
-----
-------------------------------- --------------, -1--9----=_
---------
ATDril: 96 '
on or r ------day o ---
_ f .------------
The --=-------
premises -to which this Notice of ..Violation refers are tuated at..
-------_- -- 310±^_ Skun_L-Lane" ' ^u.tch-ocrue__------- --gown .or 5outhola,
Suffolk County,,:N 'Y,. (Suff. .,Courity' .Tax :I ap' DesiSnation;. Dist.. -1000
--y----Block:----�=---Lot:--"13---�
Failure to comply with the applicable provisions of the :Taw nay` .
constitute an.' offense punishable .by fine or :imprisori4nent or. both.
NOTICE: You have. the.- right to apply . for._ a hearing before the Bo.erd
of Trustees of the Town of_ Southold-,. .provided. that you file a written.
. .,request -with the, Clerk. of the Trustees within 10 'days after ' service` of
the Notice of Violation. Such request' shall have annexed thereto a
copy of the Notice -.of. .Violation..upon which a, Hearing is requested. and i
shall - set. forth the reasons .why such notice of violation 'should be
modified or rescinded
3
Bay ,CoInstable,. Town' of. Sour old,. .1vY
.. ,I
• I
' President O��gQFFO( 0 Town Hall
Albert J. Krupski, ht. Gy 53095 Main Road
John Holzapfel,Vice President c P.O. Box 1179
Jim King W Southold,New York 11971
Martin H. Garrell •
Peter Wenczel y?!�l � �.��! Telephone (516)765-1892
Fax (516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 28, 1996
George Maul 4
111 Hewlett Ave.
Patchogue NY 1177 2
Re: SCTh! #97-8-13 k eE
�TnWr!OF so
bear''Mr: Maur`,
The followings action` was. taken by the Board of Trustees at their
regular meeting of March 27, 1996:
RESOLVED that the Southold Town Board of Trustees approve the
request for a Waiver' to raise house and construct foundation.
As soon as foundation is cured dirt will be pushed `back. Dirt
is retained by a row of staked haybales. Located: 3100 Skunk
Lane, Cutchogue.
If you have any questions, please feel. free to call our office.
' .:. Very truly yours,
Albert J. Krup,ski, Jr.
President, Board of Trustees
AJK/djh ,
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BOARD OF HEALTH
FORM NO. 1 — 3 SETS OF PL 1aS
TOWN OF SOUTHOLD SURVEY
MAR 14 1996 r;; _ J BUILDING DEPARTMENT CIIECK . . . . . . _ . _ . . . . . . .
TOWN HALL SEPTIC FORM _ . . . . . .
_. SOUTHOLD, N.Y. 11971
iy3 r1�. L•t-�i_ .
TEL.. 765-1802 ,
r.t?TIFY , 1
Examined . . . . .31 . . . . 191. .�P CALL . . .eDr�� DNl . .
MAIL TO :
Approved . . . . . 1 . . . . ., 19�Y! Permit No. . 334(p� . . . . `./.
Disapproved,a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . .
�.
(Buu�c�rfia Ins ector
.. o P )
APPLICATION FOR BUILDING PERMIT
Date . . . . . . . .. . . . . . . . . . .,
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 street!
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 Orin part for any purpose whatever until a Certificate of Occupanc}
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 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 c de, housing co e, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspection .
(Signature of applican , or name, if a corporation)
(Mailing address of appliXt)
r
State whether applicant is owner, lessee, 'agent,.,architect, engineer, general contractor, electrician, plumber or builder.
0 . . . . . . . . . . .
u.h eir. . . . . . . . . . . . . .
Name of owner of premises . . . . . . . . . . , L, �I V a Na, ,`
(a's on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No.
Plumber's License No.
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
]. Lo . ... . . . . . . . ... . . . . . . . . . . . . . .
cation of land on which proposed work will be done.
e3
l. .. . .. . . . . . . . . . . . . . . . . . . . .5.1 6c. . .1. a -. :. . . . . . . . . . . . .0 . . . . . . . . . . . . .
I-Iouse Number Street Hamlet �1
County Tax Map No. 1000 Section . . . :. . . `.� . . . . . . Block . . . . ,� . , , , , , . ; , , . Lot . . . .r. . . . . . . . . . . . .
Subdivision . . . . . . . Filed Map No. Lot
(Name) . . . . ; . . . . . . . .
?: State existing use and occupancy of premises an intended use and occupancy of Proposed construction:
I Il
a. Existing use and occupancy . . . . . . . . . . V!t
. . . . . .
b, Intended use and occupancy (�4-.'
��, . ;� ll .( "•'',�~''6'�'� '�"� . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
wa..U, , P.n ..r •.
-3. Nature of work (check which applicable): New Building Addition . . . . . . . . . . Alteration
Repair . . . . . . . . . . . Removal Demolition 0th r Work .�;1!1S�
. . . 4"��p d"0 0 . y v5���C11 wceti reMcscription)4. Estimated Cost . . I
. . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If 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.eacli type of use
7. Dimensions of existing structures, if any: Front . . . .5' , �5ct�R17e a Depth Height . . . . . . . . . . . . . . . Number of Stories A`. . . . . .
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 f tones . . . . . . ./. . . . . . . . .
9. Size of lot: Front . . . 1" � Rear. . . . . /��• t . . . . . 1•e1•'3•.?/. . . . . , . , .
10. Date of Purchase d V , ,�,� , , Name of Former.Owner e-Je N. `'�
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 V1 O. . Will excess fill be r nrov rom premises: Yes .
14. Name of Owner of premises . eAd' �' ,1�a�',� � 1 � � o
G . . Address r et hone No. . .�E?S'.�+?Z3: ,
Name of ArchContract . . . . . . . .� : . , . . . Address . . . . . . . . . Phone No.
Name of Contractor �{�e.( �'?-' �, , , , . Address .�a .� . Phone No. . .
15. Is this property within 300`feet of a tidal 'wetland? *YeS. No .
*If yes,- Southold Town Trustees Permit may. be 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.
TATE OF NEW YOR
' S.S
OUNTY OF . . R.
a • • • , • . . . . . . . . , being duly sworn, deposes and says that lie is the applicant
(Name of indr ual signing contract)
)ove named.
isthe . ... . . . . . . . . . . . . . . . . . Na q-4nr. . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
plication; that all statements contained in this'application are true to the best of his knowledge and belief; and that the
zrk will be performed in the manne t forth in the application filed therewith.
:orn to before me this q
GA` o f. y ��. . . . . . . . ., 19
Mary Public, . . . . . _.;; County` `
ROBERT 1.SCOTT,
NOTARY PUBLIC, a of N.Y. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No.4725089.S olk Cou2�
,
Term Expire
�19 (Signature of applicant)
ay 31
OCCUPANCY
. R `
S UNLAWFUL
®�� �o��o
USE I
WITHDATE: B.P.#
OUT CERTIFICATE,
®� ®CC 1 A FEE: RY:
lJl- �CY NOTIFY BUILDING DE AR MENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
_ 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
.v. _,y`r LS, ALL CONSTRUCTION SHALL MEcT
'g E .:� THERE�'zVIREMENTS OF THE N.Y.
MAPIcy`' SiAT.E CONSTRUCTION 8t ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
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