HomeMy WebLinkAbout36459-Z s�pFpt,f O Town of Southold Annex 6/16/2011
54375 Main Road
2 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 34987 Date: 6/16/2011
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1350 WEST COVE RD CUTCHOGUE,
SCTM#: 473889 Sec/Block/Lot: 111.-5-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/13/2009 pursuant to which Building Permit No. 36459 dated 6/7/2011
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 tennis court as applied for.
The certificate is issued to Gluckman,Thomas&Gluckman,Roby
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aut ed S' ature
�goFEoa TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • 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#: 36459 Date: 6/7/2011
Permission is hereby granted to:
THOMAS & ROBY GLUCKMAN
411 FIFTH AVE - 2ND FLOOR
NEW YOR, NY 10016
To: INSTALLATION OF AN ACCESSORY TENNIS COURT IN THE FRONT YARD AS APPLIED
FOR. REPLACES EXPIRED BP # 31871
At premises located at:
1350 WEST COVE RD CUTCHOGUE
SCTM # 473889
Sec/Block/Lot# 111.-5-2
Pursuant to application dated 3/13/2009 and approved by the Building Inspector.
To expire on 12/6/2012.
Fees:
PERMIT RENEWAL $50.00
CO -ADDITION TO DWELLING $50.00
Total: $100.00
Building Inspector
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. �344- Z Date MARCH 13 2009
- I
Permission .is hereby granted to:
THOMAS & ROBY GLUCKMAN
411 FIFTH AVE - 2ND FLOOR
NEW YORK,NY 10016
for
INSTALLATION OF AN ACCESSORY TENNIS COURT IN THE FRONT YARD AS
APPLIED FOR. REPLACES EXPIRED BP # 31871
at premises located at 1350 WEST COVE RD CUTCHOGUE
County Tax Map No. 473889 Section 111 Block 0005 Lot No. 002
pursuant to application .dated MARCH 13 , 2009 and approved by ,the '
Building Inspector to expire on SEPTEMBER 13, 2010
Fee $ 100 . 00
Authorized Signature
r
ORIGINAL
Rev. 5/8/02
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. :��371 Z Date MARCH 28, 2006
Permission is hereby granted to :
T & R GLUCKMAN
C/O C. ARM-P.O. 1254
SOUTHOLD,NY 11971
for
INSTALLATION OF AN ACCESSORY TENNIS COURT IN THE FRONT YARD AS
APPLIED FOR
at premises located at 1350 WEST COVE RD CUTCHOGUE
County Tax Map No. 473889 Section 111 Block 0005 Lot No. 002
pursuant to application dated MARCH 22 , 2006 and approved by the
Building Inspector to expire on SEPTEMBER 28 , 2007 .
Fee $ 75 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD. U E C E V
BUILDING DEPARTMENT
TOWN HALL
765-1802 JUN - 9 2011
APPLICATION FOR CERTIFICATE OF OCCUP C
BLDG. DEPT.
This application must be filled in by typewriter or ink and submitted to the Building D WI SOT OLD.
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 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$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- $100.00
3. Copy of Certificate of Occupancy-$.25 ��,,1 S CZ)
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: �`sv 4/75 i CJ'lrz 'AD �v% f e ✓�
House No. Street 14amiet
Owner or Owners of Property: 740 0 Al,j-5
Suffolk County Tax Map No 1000, Section L I Block Lot
Subdivision c� Filed Map. Lot:
Permit No. `� I Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
P
Appli Signature
(��--, - *
OF SOUT,y�lo
�V- • �o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ 1 NAL� �j f cg-"
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIR7 ,7
STANT ION
6
REMA KS:
DATE I INSPECTOR !
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
------------------------------------
Q
FOUNDATION (2ND)
O
H
ROUGH FRAMING&
PLUMBING
H
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t
INSULATION PER N.Y. y
STATE ENERGY CODE
V
FINAL
ADDITIONAL COMMENTS
O
Z
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1
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x
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying"
TOWN HALL Board of Health
SOUTHOLD, NY 11971 , f 4 sets of Building Plans
TEL: (631) 765-1802 . `[ Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. 3 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined C.7 ��,20 0-6 Contact:
Approved ,20_0�_ Mail to: (,Q,&.AL-, AW-*-,
Disapproved a/c
Phone: Cv31-7ras-J8(- --
Expiration 20�
Building Inspector
MAR 2 LDS 'j
APPLICATION FOR BUILDING PERMIT
Date j'►1 Arecit-+ 2,�i , 200w
LO
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted.to the Building Inspector with 4
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 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 throughout the work.
e. No building.shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months.Thereafter, a new permit shall be required.
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 code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
ALL QMTRUCTION SHALL
MEET T `R OUIREMENTS;OF THE (Signature of applicant or name,if a corporation)
COD1t0' ;I' K.STAIE ?o - JcpIs , s�--rNo"0>
RETAIN STORM WATER RUNOFF (Mailing address of applicant)
�1 UANT -
State whether applicant is own PU tS I@R 4Pnq eer, general contracto electrician, plumber or builder
NOTED
DATE •9 Lel ILL
-
7
Name of owner of premises �or►�a-s 1 w FEE: BY: LIC__DEPARTMENT AT
(As on the tax roll or lataf _ )
If applicant is a corporation, signature of dulyauthori ed officer $AM TO 4 PM FOR THE FOLLOWING INSPECTIONS:
� 'A '-O:R I. FOUNDATION - TWO REQUIRED
(Name and title of co t o c r `'' FOR POURED CONCRETE
�. VLAWFUL 2. ROUGH - FRAMING & PLUMBING
Builders License No. 1�runl IT rF'�"TlFI�:ATE 3. INSULATION
1111
4. FINAL - CONSTRUCTION MUST
Plumbers License No. BE COMPLETE: �t, O
Electricians License No. OF COUPAIVil ALL CONSTRUCTIUfv
sH'ALL MEET THE
Other Trade's License No. REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
1. Location of land on which proposed work will be done: DESIGN OR C
q NSTRUCTION �
House Number Street Hamlet
County Tax Map No. 1000 Section Block C-)S Lot c:>2, '
Subdivision Filed Map No. :`a :.Lot-
(Name) _..._._.._...._
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy -!5:4►-iLg .F^101%1`Y ZG�.,I--->eE>--e L5-
b. Intended use and occupancy yiuc-7L FA-MIL,'C' + T1 aMIS Go.zfr
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work ' ' FtE
(Descrip ion)
4. Estimated Cost 30,oc�n. Fee 76,
. (To be paid on filing this application)
5. If dwelling, number of dwelling units o j� Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N tA,
7. Dimensions of existing structures, if any: Front N/p, Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new'construction: Front NA Rear Depth
Height Number of Stories
9. Size of lot: Front 2G71 4/_ Rear 307 '7 Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-Al
13. Will lot be re-graded? YES 4,tr NO Will excess fill be removed from premises? YES NO .4Z
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_ NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. J.JAB Vh j�;")'j R T8=i IA,
16. Provide survey, to scale, with accurate foundation pla • eime wow AVya3)U*nes.
17. If elevation at any point on property is at 10 feetT- �Jqo data on survey.
tit.M-1-18 CST TIAAU8RU9
STATE OF NEW YORK) .3010�) V111,NO i HT 1
SS:
COUNTY OF )
CAR-AALm being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the Aea, �-r At) VOLAAM MO
(Contractor, Agent, Corporate Offc� t .
of said owner or owners, and is duly authorized to perforW,•orrhave perfgrmed.thpsaid work and to make and file this application:
that all statements contained in this application are true tu'the best of his knowledge and beliirf,'and that the work will be
performed in the manner set forth in the application filed therewith. ".. to- .
Sworn to before me th' (^
day Af 20 U/'�
tary Public Signature of Applicant
BONNIEI.DOROSKI
Notary Public,State Of New York
No.01006.095328,Suffolk County
Term Expires July 7,20�_
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OCTOBER 25, 2006 ADDED TOPOGRAPHICAL SURVEY
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NOTES:
STONE , srArUE a 1. THIS PROPERTY IS SHOWN AS PART OF PROPERTY
Fa�AG�_
OF CLARA BARCLAY & PART OF PROPERTY OF C.H. MUNCIE
C� I_� // / / / I I °p '� srP% �yF pRAIN F9 oN Qtiti a a a AMENDED MAP A OF NASSAU POINT
Z \ 1 / 2�.s x�s.s/ / �• FAQ tir METAL M �+ FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY
I \ I�8//// / / I /, e 2s �� y0// S GRATE \ GO J� ° a d a
,�L ON AUGUST 16 1922 AS FILE No. 156
0 o \ N� ����i Ili 2sa /�,:( Lam/% / / /DMA m 9�F o 2 \\ 2. ELEVATIONS ARE REFERENCED TO 1929 N.G.V.D. DATUM
\mo 'IIIJ T�''l It I I l / 1 9'0 1 /Y061, IQ I EXISTING ELEVATIONS ARE SHOWN THUS: .25.0
N� codo I 1 I 111111ll1 � I I / / / I I I / � 1 ° 0 .1. \ EXISTING CONTOUR LINES ARE SHOWN THUS:— — — — 252,6
— — — —
I�I-_tt 1 I I 1 I�I I I I I I I I / / I I ' v�°2 '%.
C P.l�J O N A O W O N A Ol V N �p O w w w ` .,.:1,;.�.,.�..'...., C?,p06 �• \ GNP\N
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TEST HOLE DATA BLoc.DEFT.
V I 100' S BUDDHA� a, r'Q
W SETBACK STATUE B�°ti \ G °
UEE
N mF
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IS �? E
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cN < F TO MEDIUM SAND SP
WOOD PIER y F 0 N N�G PREPARED IN ACCORDANCE OR TITLE WITHTHE MINIMUM
EYS
RAMP wf 1 �3y�F F�oNG.�"° ON�ME BYATHERDS.AFL..S. AND APP1�gVELT pDO EED
moo `A FOR SUCH USE BY T �PV, ##TE}{Q
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D o r^2 AI < O TITLE ASSOCIATION. ��q.
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s, 50451 i
�tAND�V �
N.Y.S. Lic. No. 50467
UNAUTHORIZED ALTERATION OR ADDITION Nathan Taft Corwin III
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW. Land Surveyor
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S.
ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S.
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
OFFICES LOCATED AT MAILING ADDRESS
THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
21-559G