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HomeMy WebLinkAbout29668-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29697 Date: 09/09/03 THIS CERTIFIES that the building ADDITIONS Location of Property: 3000 MOORES LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 1 Lot 8.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 2003 pursuant to which Building Permit No_ 29668-Z dated AUGUST 25, 2003 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 ADDITIONS AND INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARBARA A TYREE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 505908 11/05/99 PLUMBERS CERTIFICATION DATED /JN/A oriz d Sign ture 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) PERMIT NO. 29668 Z Date AUGUST 25, 2003 Permission is hereby granted to : BARBARA A TYREE ONE LOCUST ROAD OLD BETHPAGE,NY 11804 for CONSTRUCT ANADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. * CONSTRUCTION OF 5 DORMERS . REPACES BP 25203 at premises located at 3000 MOORES LA CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0001 Lot No. 008 . 003 pursuant to application dated AUGUST 25, 2003 and approved by the Building Inspector to expire on FEBRUARY 25, 2005 . Fee $ 391 . 80 �Auted Si�e COPY 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. 25203 Z Date SEPTEMBER 25, 1998 Permission is hereby granted to: BARBARA A TYREE ONE LOCUST ROAD OLD BETHPAGE,NY 11804 for CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. *Construction of 5 dormers for a one family dwelling as applied for. at premises located at 3000 MOORES LA CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0001 Lot No. 008 . 003 pursuant to application dated AUGUST 4 1998 and approved by the Building Inspector. Fee $ 236 . 20 -75.00 161.20 * $75.00 Additional Fee paid 3-30-99. Building Inspec r ORIGINAL Rev. 2/19/98 �2f46 6-Y Form No.6 TOWN OF SOUTHOLDh BUILDING DEPARTMENT TOWN BALL '-- 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY . i This application must be filled in by typewriter or ink and submitted to the Building Department wEfRh4 f§llpW�rg: 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, muhiple 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 plat) requirements. It. For existing buildings (prim- to April 9, 19-57) non-conformit)g uses, or buildings and"pre-existing" land uses: I. 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 bye 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. CCI1111Cate of Occup;mc% - Nero checlling $25.00, Additions to dwelling$25.00, Alterations to dwelling 525.00, Skimming pool 525.00, Accessory building $25.00, Additions to accessory building$25.00, Businesaes $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3 Copy of Cetlificatc of Occupancy - $.25 4. t1l)(LI d ('ertiticata of OccupaucN - $50.00 5. Temporal' UcIti(icatcof'OccupancV - kesidentialSIi.00, CommercialF,ti15.00 nate - - 03 New Construction: _ Old or Pre existing Buil/ding: �r(check/one) Location of Property: .9OQ_ fes �60 �� f G�d� C/l��G/7.4Gll�` House No. Street Hamlet Ownet orOwnersofProperty: _Q�9B�� �9l� �/� ,/ Suffolk County Tax Map No 1000, Section Block_� Lot Subdivision Filed FiledMap. Lot: Permit No. Rd'�.2 0 .3 Date of Permit. Applicant: Health Dept. Approval: _ Underwriters Approval: Planning Board Approval: i LI Request for: Temporary Certificate Final Certificate: I� (check one) Fee Submitted: $ r7_?CDqL Applicant Vpature 5a �3 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001156 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Dare NOVEMBER 05,1999 Application No. on file 18563099/99 N 505908 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of WILLIAM TYREE, 2280 MOORES LANE, CUTCHOGUE, NY in the following location; ❑ Basement ® Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JULY 09,1999 and found to be in compliance with the National Electrical Code.- FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCAN SCENTI FLUORESCENT I OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 28 22 15 28 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W J 0 JW J 0 4W PER 0 OF CC.GOND. NO.Of HI-LEG OF HI•LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: G.F.C.I:-3 TYREE CO. INC. LIC.#623 E l L L 208 ROUTE 109 IE BRENNAN FARMINGDALE NY, NY, 11735 GENERAL MANAGER 11 Per This certificate must not be altered In any manner;return to the office of the Board If incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS UST NOT BE ALTERED IN ANY MANNER. M-1802 BUILDING DEPT. INSPECTION [ NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM KS: l S� DATE RiSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK : ,.�,e DATE (f\ INSPECTOR JL 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO 765-1802 BUILDING DEPT. 1 NSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Q DATE ! INSPECTOR • i . � � • / � lig / � .� i � � �...��/ !moi �! 4 I_! BOARD OF HEALTH . . . . . . . . . . . . . . PORN NO. 1 3 SETS OF PLANS .. . . . . . . . .. ... TOWN OF SOUTHOLD SURVEY .. . . . . . . . . . . . . . . . . .. . . . . !BUILDING DRPARTHENT CBECR ...... . .. . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TCI.: 765-I802 NOTIFY% ./.,31 S�. lamnined.....( / 19 CALL X NAIL TO:N:: 7��fi>�. . . . . . . A14)rovLKI...... p.......,. 19 Permit No. ...4�5: 3 ,�OY..I D I:.�O9............. Disapproved arc .................................... ............... ....................................... /13 . ....... (Bu11d T )UUL:D:FPT APPLICATiON POING PERMIT J/, Date. . . . . . .. . .iJ. . , 19Pe. ,.., INSTRUCTIONS a. 'Iiia application must be completely filled in by typewriter or in ink and submitted to the Building inspector wi 3 seta of plans, accurate plot plan to scale. Pee according to schedule. h. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or ixArlic streets or areas, and giving a detailed description of layout of property meat be draan on tis diagrams.Anidn is part of this application. c. 'Ise work covered by this application ray not be cmmenced before issuance of Building Permit. d. Upon approval of this application, the lluilding inspector wil> issue a Building Permit to the applicant. Such permit alnall be,kept on the premises available for inspection throwughout the work. e. No building shall be occupied or used in whale or in part for any purpne 4tatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS IIMM MAIM; to Clue Wilding 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 Lwa, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Tne applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations,,wd to adnit authorized inapectora on premises and in builds r necessary Inspections. . ..... .......... Signature of apply, or rams, if.a corporation). 2,0-P Ar 1.4. .. (Nailing address of applicant State cinedwr applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plusher orlxrilde ...........fb11ZI,/iRd.T.,Z;r...� //4r�............................ ......................................... Nam of weer of premises ......4444fee' m ... .. (as on the tax roll. or latest deed) If applicant is a corporation, signature of duly authorized officer. /,�.19 .............. (N ) title title of corpora a officer) Anilders License No. ......................... Pluniners License No. ............p...?........... Electricians License No. .....&,F.......... � Other Trade's License No. .................... 1. location of land on Whim proposed work will be done. ......... ................................... ... kT.4�r�cy .............................. . :... �j . .. 1louse Nunber Street `` liemlet 5' a :fnrcd County Tax lisp tin. 1000 Section .../.1.�....... Block ..�........... Tot .. ..... �('. Subdivision ... r'�UI /i!'�..... Filed Nap No. ............... 1ot . ......... (Name) Z. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. misting use and occupancy .....elf'6....<��i!!l��t!.. Trv4rZ44.6..................................... m hfs,w . Intended use and occupancy ...... .A`�r. .. ��? , VpD.: " . . .... :......... 1. Mature of work (dtedt wtildt applicable): New Building .......... Addition ...)e"'... Alteration .......... Itetnir ............ Paroval ............. Bewlition ............. Other 14ork .... .......... .............. . .. ........(ikscr I pN.on) 4e[. LaCfunted Co . hap p:J....... fee .................... .....ipt .... .. (lo be paid on filing title application) 5. 1f d,elling, nud)er of dwelllttg unite ...../...... tkober of dwelling units at each floor ... .H/1.3...... Ifgurage, o nber of care ......Z.............................. A. if Ixheioess, comnerctal or mixed'occupancy, specify nature and extent of each type of use...... ��}.t 7. Binensiate of existing structures, If any, Front.. ........ Rear .IF?.Q.r........ rep[ , .. .11%f ......... .............. tirt er of Stories ....>?r................ Nlnenetats of nnm�atntcture with alterations or 'ncklitlonne Front ..��.�........ Rear .�ZG. Depth .......4-W.....I.. height ......ir Q.{......... Naber of Stories .....�'rx%.... ' pa R. Dineconstruction:of entire new natructiont Front .9.7.. ...... Rear .,f"./..l........ -I�-•--- ----�' IlelgitC .......1..7.....+..�....... Nninr of 8lartea ......0/Y.�:......... th .7. 9. Size of Iott tnt .. (}tXz.Y...... Rear .YZIp' 900......... Depth .t��-+l�.V17....... 10. 111:te of Purd%ase ...CP..4.......... llmre of Fonrer O.nec ...4Y/�.I.wi��!(.,�,�/!Y:�.�D•fp 11. Zan or use district in whist premises are situated ............................... .....' . ........._.,...::1.. .. ' f r 12. Does proposed construction violate airy zoning law, ordinance or regulations .../.y . - .,....... 13. Will lot be regraded ......A4......... Will excess fill be renoved from prentses: YRS 14. Nares of Amer of promises ��i�l ..ysl.��.... Address Kane Nof?Yep.-?/�D Nam of Ardtitect Tint.. .0.44"PP ........... Address 43V:iF..Y..tfrAV!(/.ARI plane No9OPL.AV?-: . N:ere of Contractor ................................... A(k)reas ...............................Igen No. ....... ... . . 15. Is this property within 300 feet,of a tidal wetland? * YES ...A e..... NO .......... *IF YES, li(' 11" MM I%%- Sia MIMIT MAY BIS RUVIRitm. ' PLOT DIAGRAM • locate clearly and distinctly all buildings, wltether existing or proposed, and indicate all set-back dimension from property lines. Give street and block nnber or description according to deed, and stow street nnrca aril indicate %Antler Interior or corner lot. SST A�N 51'A'11; Or NEW Y"X, WINIY Cllr .....I................. r ......... �!�!�#dm/r....� r`.4...................Ixing duty s%vrn, delx)ses atxi says that he is the appl.icjmt (tone of hdivithatl signing contract) udxrve hxned, Ile is the ....... .. y.`r� ............................................................................ .. .. (Contractor, agent,-corporate officer, etc.) of said uner or owners, and is duly sudlorized to per.fonn or have 1,erforned the said work mal to anke am] file this aig)Iicnticng that till atateaeots contained in title application are true to the beat of bis knowledge nod belief; mal that tin work will be perfortned In the nntnter set fourth in the application filed therewith. Elui)nt to befu- rR ne tJtis � "' . .......L3..........kin of .19. Notary Public .. yy.!.!'.`�........ BARBARA CANEROSSI (Sigunture of Appl.Icraot) Notary Public. State of New York No.O1CA5061595 Qualified in Suffolk Cbuntty�r Commi"on EgitiresJune IOlaaa- SUFFOLK CO. HEALTH DEPT. APPROVAL I�Ar7 t jGQT �I� I \ff H. S NO. Y 5-FJ719 50 E. 5 � � � '-f� •sty_ _. A. f A w cl AT STATEMENT OF INTENT Li 1 j THE WATER SUPPLY AND SEWAGE DISPOSAL (j acs SYSTEMS FOR THIS RESIDENCE WILL U. Av CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. Is) APPLICANT }` J SUFFOLK COUNTY DEPT. OF HEALTH iu / SERVICES - FOR APPROVAL OF TEST HGN.F ` CONSTRUCTION ONLY DATE: H. S. REF. NO.. 8'7-SO r57 '• 2!C?0 ! APPROVED: SUFFOLK CO. TAX MAP DESiGNAT10N: 2h(.8T'19 W f 38?.O S 1DIST. SECT BLOCK PCL. k 3 i $3� ��'� , ' ! I 1000 116 1 P/©8 OWNERS ADDRESS: 41 . a GEED: L !�530 P.490C.fZIEF•) 1i '^/ ✓i( `�$1 / TEST OLT STAMP LOAM m" 3 LOAM ti7AP_A-4ENQ(`U_ NOV 0 1987-Al2 -15 —8 35 FIVE y NAME @ Cr(JAf2ANi �� CUANC;1rL�',J,�N w r Yk SAhtD SEAL 1`•OTL � : _ 1 Of N6 5, 12F"Ff Q "f-0 A NEAP GF A MwlC3fL C FUIV151UN NIADE� FO(2 GLIA � �1� 1L71 _ _ �y VJ!NGS NvAt Kit.TANG GQP. 11 2 CaN ,QUFr 5 2EPLIQ � COUNTY 7WMAP, A . (► Aeerz, - — - . . . A StJ3 _ �ypg U CK t�,j JUN 2-9.1W sAran LICENSED LAND SURVEYORS 5 GREENPORT NEW 1h>RK TYREE RESIDENCE / addition • Proposed minor 1b dztzon 2880 Linden Avenue, Cutchogue / Town of Southold, New York Agustin L. Maldonado / Architect �" 325 East 41st Street, New YOrk, N. 1: 10017 (212) 986-8872 • ^/oRrtt ^O/W< coUtirer `«e d� �,T> Win.- � � 0q 0. RAO' ��� or 2-156%4 7 SCHEDULE OF DRA WINGS o2 i o E Title sheet, general notes, site plan A-1 Existing first floor plan showing propose, , extension A-2 Proposed elevation and cross-sections « Y and B-B 2 sT°nY w000 z°^ /�ousE w/RT/Ac,wE-p A-3 Existing second floorplan showing roof ref new extension 2- r�v ,cry M A-4 Reflected ceiling and electrical plans fo; new extension \ �" �- Q-i) A-5 structural feamin� plans W h II PR oPC�sF�r NEW S7" s �+l/ 1 A-6 miscellaneous details Z N 1� 6 SU/✓ ISI PROPOSED E/vL�aRGED n�Z,t W�DEf�i460VE, � \(� GENERAL NOTES: \ v I �t/.rT/n/G G.aRAGE. 1. All work is to conform to the New York .Mate Building Code and all local laws and regulations applicable to this job. No work is to commence until plans have been approved by the local building department. All work is I conform to the approved plans. S 2. The General Contractor will obtain all necessary permits and approvals and pay all required fees. Approvals and permits are to be turned over to the owner upon completion of the project. The General Contractor will be N 87 017 'so" W 38Z 03 _ responsible for obtaining the Certificate of Occupancy. o � 3. The contractor is to check and verify all conditions on this job and report any errors or omissions to the Architect be!bre any work is started. Z , � I m 4. Contractor shall provide all labor and materials necessary for a complete job, whether specifically noted or not. All tuork shall be finished and in W v proper working order and guaranteed for a period of one year from acceptance by owner. z S. Contractor shall carry proper compensation and disability insurance. " /h G. All electrical work to conform to the National Electrical Code, Underwriters Laboratory, and the National Fire Protectioia Association. All electrical wiring �0 shall be copper. 7. General Contractor shall be responsible for broviding heating and air conditioning in the new space such that the heating system will maintain � an interior temperature of 70 degrees whey the exterior temperature is 15 ` 51T� /�L/4/�/ �sa.,�b o/v sv/gv �ooER/� vaN yu L c. UNUERWIRIERS CERT RIX, �' degrees Fahrenheit with a fifteen mile per hour wind, and that the air L/cc=vscD �a,vt� sz�rg r✓ o Dam �UN� z 9� /9�7� REQUIRED conditioning system will maintain an interior temperature of 70 degrees Sc a�E % / Sb D when the exterior temperature is 95 degrees with a relative humidity of 80%. AtA4,4/o //O, /00 / =cT/oiv / OCO/ / EeN� d3 � /O N W//vos WAS LOT NO. O Z T 8. Z i' - 765-100��IJW W a M TNN FOR XW Z. 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