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Home My WebLink About37507-Z DguFFQ1, c Town of Southold Annex 9/19/2012 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35963 Date: 9/19/2012 THIS CERTIFIES that the building OTHER Location of Property: 7575 Skunk Ln, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 104.4-27.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/31/2012 pursuant to which Building Permit No. 37507 dated 9/12/2012 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: pool fence for an existing accessory swimming pool as applied for. The certificate is issued to Moller,Gregg&Moller,Leslie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 12 A o ed 5iinature TOWN OF SOUTHOLD ��o�g11FF0(,�cOG BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . �c 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 #: 37507 Date: 9/12/2012 Permission is hereby granted to: Moller, Gregg & Moller, Leslie 7 Arosa Ct Greenlawn, NY 11740 To: Replace a pool fence to code as applied for At premises located at: 7575 Skunk Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 104.-4-27.1 Pursuant to application dated 8/31/2012 and approved by the Building Inspector. To expire on 3/14/2014. Fees: ALTERATION OF ACCESSORY BUILDINGS $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 Building Inspector �ICJ O Form No.6 TOWN OF SOUTHOLD. ;ie 0 \ ' a,- 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: 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. "Swom statement from plumber certifying that the solder used in system contains less than 2110 of I% 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 con ent 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 4. Updated Certificate of Occupancy- $50.00 5. "Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date- v-(V New Construction: Old or Pre-existing Building:' (check one) /�� Location of Property: 7Y75' tpy'9� �SWuLllt L,4_e (�rGtt`jQ��.o House No. Street Hamlet Owner or Owners of Property: ,��/ ,. Ago_Jkgrx Suffolk County Tax Map No 1000, Section /® �f Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ P�� licant Signature ��, O �3 7 ti��OF S0(/r�o� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL OUCH) [ ] ELECTRICAL (FINAL) REMARKS: f , �� 1L1 Z�� ''� el 4S` kz- 1"ls 77�W -I /_ 7V 2 G-Z_- �Z61_ C_�L_ /Ja /vlo p DATE -7 7 ____r_ -� INSPECTOR 17' J " o��Y�OUMY,�c� TOWN OF-SOUTHOLD BUILDING DEPT. 765-1802 INSPECT10- N [ ] FOUNDATION 1 ST [ ] ROUG BG. [ ] FOUNDATION 2ND [ ] 1 LA N [ ] FRAMING/STRAPPING [° FIN L [ ] FIREPLACE A CHIMNEY [ ] FIRE SA INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROU ) [ ] ELECTRICAL (FINAL) REMARKS:- DATE ANSPECTOR FIELD ON REPORT DATE COMIENTS r FOUNDAMN(1ST) Q • •T•••rTr•..•pr.r••r••••rr••r••rr• FOUNDATION(2ND) O ROUGH FRAMfNQ& y PLUMBING - r MUL•ATION PER N.Y. H STATE ENERGY CODE CeQ YZ FINAL 1 ADDITIONAL COM YfENTS o z 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 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthForlc.net PERMIT NO. 7, 7 Check Septic Form N.Y.S.D.E.C. fTOINN C E Trustees `JC.O.Application Flood Permit Examined 20AUG 3 1 2012Single& Separate Storm-Water Assessment Form BLDG.DEPT. Contact: Approved � OF SOUTHOLD Mail to?e .� ACPSOL t;F Disapproved a/c e I I-I'GD Phoney'' Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date lEy � �® , 20 4, 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. Sucll 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. (Signature of applicant or name, if a corporation) (Mailing address of appant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician tplumbet-ol-builder Name of owner of premis6s _ � on the tax roll or latest deed),., N -TW(.- RtOURED If applicant is a corporation, s &Q-1e)(ff AI) i,hrdAld officer =,_ 'jRED CONCRETE , -;=RAMING nLUMBING, (Name and title of cor 14 S,R"ID ING ELECTRICAL&CAULKING Builders License No. All ��' �_S�T GEon IC'x�T ; INSULATION J J 4 FINAS �C)��STRUCTION 8 ELECTRICAL Plumbers License No. , MUST BE COMPLETE FOR C.O. Electricians License No. O ,,4" • ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. REQUIREMENTS OF THE CODES OF NEW YORK STATE E NOT RESPONSIBLE FOR ` P-VS DESIGN OR CONSTRUCTION ERRORS. 1. Location of land on which pr posed wGeilwi-l.Lbe done: House Number Street Hamlet County Tax Map No. 1000 Section /0 1� Block 0 Lot �� Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy �' ��c�, ,�icl aoe� ,prortai� po'e`.�.11e. 5�%�,�,%.u� 'Poo/ b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work rr✓'T (Description) 4. Estimated Cost Fee �DJ. �� (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 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 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase A �� O3 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 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address 5` Phone No.�` Name of Architect ' Address Phone No Name of Contractor` 7' �S Address " 4-cot-%c, Phone No��. 4--V- 73 66 t/ff 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 BCE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO V * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO L/ IF YES, PROVIDE A COPY. STATE OF NEW YORK) S: COUNTY;0T&A being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public,State of New York t .,.No.01 BU6185050 (S)He is the Qualified in (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14,2�(o of said owner-'or owners, acid-is duly authorized to perform or have performed the said work and to make'and file this application; that all siafements'contained in this application are true to the best of his knowledge and belief; and that the work will be performed iii.,tlae,hr annex set forth in the application filed therewith. Sworn to before me thi ,51 day of� 20 ►v—P Notary Public SignAure of Applicant of _ , TOWN OF SOUTHOLD PROPERTY RECORD CARD duo �' d , - , l OWNER STREET VILLAGE IST. SUB. L� FORMER OWNER N, l cs E J c�yl, ACR. S W ' TYPE OF BUILDING ` wr �� U@qV-e we /s, Ie �I l�fT0r fir/1Q w /mob--1' ^n RES. �� SEAS. VL. FARM COMM. CB, MICS. Mkt. Value. LAND IMP. TOTAL DATE REMARKS a Q / (/ Q Q ® / b l6 74 �CYC�, �J' Z, .(' J 7�a V'�t/t di, -��9 coa o f o D ' �? v�� 7-3 � r/76 EoL /7s-oo. fAM�t Fl ►<rIv VWr i o �. PAt'?ifIA/ P 3oe,� S(J I 1 0e V I-(4 1 YA c`r S fitb l/ U I Q aI . erred P n'na 'i i i 1 _ 11 Tillable FRONTAGE ON ,W Woodland FRONTAGE ON ROAD -, Meadowland DEPTH House Plot BULKHEAD Total lq- Nr,` 'iffii i`>.�{bde�•.;fiiP.t,.rs r.�-..,-«+T 1. 7 ' MEE sl,F`� \ <<! ,,, ��'-�� 2 ■■■■■■■■Now■■■■■■■■NONE■■■■■ ■■N■■E■N■E■ICU- NEON MOON EEO E■■■■ENN■N ■■NOON NONE mmommom ON 0 mom ■■ EEEOENEOEE MOON\EIS■"■■E■■E■■ ON MOM ME �� i. }.p. �—ram' +� ` ems• -.a.. , ate,. —r i ■■NNEE■1 N I n BNO■■E■I■■■■■■E ROMMOMME - . + ■■■■■■■■■i� . Its■�■■■ NOON■■ ■■E■NN■O■■EN■■■N■EE■EEN■■■■■E • i : 1 • •. .'fit �� • Interior / • : • I •• • ✓u J y 09/12/2012 11:47 6317347702 DEBOR4H DOTY ESQ PAGE 02 too 13. hap SKUNK (4-9-51.' WIDE) LANE TOWN OF SOUTHOLD ZOO UNA&Z VIZW AVENUE,