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HomeMy WebLinkAbout29468-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29691 Date: 09/08/03 THIS CERTIFIES that the building NEW DWELLING CUTCHOGUE Location of Property: 1700 WUNNEWETA RD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 4 Lot 24 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 2003 pursuant to which Building Permit No. 29468-Z dated JLrNE 6, 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH, WOOD AND BRICK DECKING, AMD TWO CAR GARAGE UNDER AS APPLIED FOR. The certificate is issued to CH3LRLES W & RUTH NOVEMBER & TRUSTEES (OWNER) of the aforesaid building. SNFFOLK COUlq~f DEPART~T OF }~ALTH APPROVAL R10-99-0155 02/04/02 ELEt-£~ICAL CERTIFICATH NO. 1134690 05/30/03 PLUMBERS CERTIFICATION DA'£F~3 06/07/02 ROBERT T DANOWSKI 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. 29468 Z Date JUNE 6, 2003 Permission is hereby granted to: CHARLES W & RUTH NOVEMBER 1700 WUIqNEWETA RD CUTHOGUE,NY 11935 for : CONSTRUCT A 1 FAMILY DWELLING W/ATTACHED 2 CAR GAP=AGE & COVERED FRONT PORCH AS APPLIED FOR. THIS PERMIT REPLACES BP#26235. at premises located at 1700 WUNNEWETA RD County Tax Map No. 473889 Section 111 pursuant to application dated JUNE Building Inspector to expire on DECEMBER Fee $ 1,316.70 CUTCHOGUE Block 0004 Lot No. 024 6, 2003 and approved by the 6, 2004 . 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. 26235 Z Date DECEMBER 30~ 1999 Permission is hereby granted to: CAROL A SCANLAN (NOVEMBER) 1700 WUNNEWETA RD CUTCHOGUE~NY 11935 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH AS~APPLIED FOR. at premises located at County Tax Map No. 473889 Section 111 pursuant to application dated NOVEMBER Building Inspector. 1700 WUNNEWETA RD Block 22 1999 CUTCHOGUE 0004 Lot No. 024 and approved by the Fee $ 852.80 Authori~a~d Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY i ~ j This application must be filled in by typewriter or ink and submitted to the Building Departme lhe 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 Undenvriters. 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 $25.00, Additions to dwelling $25.00, 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 - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / New Construction: 9/ Old or Pre-existing Building: Location of Property: /7~¥.2 //{/[J,k/A/w~-[f/r~.7/q ~A,~ House No. Street (check one) Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section /// Block Subdivi sion /~//~/ff~/~-~e'/z~/~l' ~'//E Filed Map. PermitNo. ~'~'-.~ Dateofe.~rmit. /o.~//~/~.~ Applicant: Health Dept. Appr?vaC~:t~ ~ ~'- ~rQ/xx}D~?~/ Underwriters Approval: Plamfing Board Approval: Request for: Temporary Certificate Fee Submitted: $/~-'~-~ Final Certificate: / (check one) Applicant Signature Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION (please prlnt) (please prlnt) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this r~ day of ~ , ~ ~)~-- Notary Public, . . _ __ County ~ P~blic, Sf3te of N~ 1~11 No. 01P.'5018469 ~ in Su~olk ~ 0 ~ ~ ~irm Jan. 11, ~ 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 C. NOVEMBER CHARLES NOVEMBER 1700 WUNNEWETA ROAD 1700 WUNNEWETA RD. CUTCHOGUE, NY 11935-2684 CUTCHOQUE, NY 11935 Located at 1700 WUNNEWETA RD. CUTCHOQUE, NY 11935 Application Number: 1134690 Certificate Number: 1134690 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Attached Garage, Outside, 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 30th Day of May, 2003. Name QTY Rate Rating Circuit Type Miscellaneous FINAL INSPC. 5/9/03 ROGER RICHERT Alarm and Emergency Equipment Sensor 5 Smoke Appliances and Accessories Range 1 12 Amps Dish Washer 1 I KW Exhaust Fan 4 F.H.P. Air Conditioner 1 5 TON Hydro Massage Tub, Residential 1 Pump/Motor 1 H.P. Motors 1 1 1 5 1 F Panels seal 1 60 1 Continued on Next Page i of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 1OO38 CERTIFIES THAT Upon the application of upon premises owned by C. NOVEMBER CHARLES NOVEMBER 1700 WUNNEWETA ROAD 1700 WUNNEWETA RD. CUTCHOGUE, NY 11935-2684 CUTCHOQUE, NY 11935 Located at 1700 WUNNEWETA RD. CUTCHOQUE, NY 11935 Application Number: 1134690 Certificate Number: 1134690 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Attached Garage, Outside, 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 30th Day of May, 2003. Name QTY Rate Rating Circuit T_yp~ Wiring and Devices Outlet 60 Fixture Receptacle 41 General Purpose Switch 45 General Purpose Receptacle 1 20 AMP Special I 30 AMP Special Receptacle Dimmers 7 600 WATTS Receptacle 22 GFCI Paddle Fan 4 F Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 CB Meters: 1 seal 2 of 2 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 REVIEW CHECK LIST Owners Name: Architect/ Engineer: SCTM #: District: 1,000 Section: Date Reviewed: Date Submitted: Project Subdivision,,~OOn~ Location: /7~)0 certification: Project Description: AGENCY PERMITS REQUIRED FOR REVIEW N.A. Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Permit NO YES Number 76.5-1802 BUILDING DEPT. INSPECTION ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [] .~OUNDATION 1ST [ [~ FOUNDATION 2ND [ ] FRAMING [ []FIREPLACE&CHIMNEY ] ROUGH PLBG. ] INSULATION ] FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ ]/~:)UNDATION 2ND [ ] INSULATION [ ~,,~/~MING [ ] FINAL [~/] FIREPLACE & CHIMNEY 765-Z802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~.~J~rou~GH PLBG. [[ ]~D,/j~ FRAMiNA~ION 2ND [[ ]~'INFiNS~U~ATION ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~JLATION FRAMING [/] FINAL FIREPLACE & CHIMNEY REMAR. KS, ~ ~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ].~JLATION [ ] FRAMING [ ~J' FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR /LATION PER N. Y. ,~TATE ENERGY II CODE FINAL FORM HO. I TO~N OF SOUTHOLD BUILDING DRPARTtlENT TO~I~ HALL SOUTHOLD, N.Y. 1 ]97 I TEL: 765-1802 .... ,gff Di~ a/c .................................. ....... '"'z .......... , ~ ~ ~ ~ ~ ¢~ ~ .... : ........ :..~ ...... __ ... ~ INSTRUCTIONS BOARD OF BEALTH ................ 3 SETS OF PLANS . .............. SURVEY ........................ CHICK ......................... SEPTIC FORH ................... NOTIFY: CALL J?b.-. ? .-~ .-. ~$'7~... HAlL TO: .................... a. 'Ibis application a,at be ccmpletely filled ia by t'ypa~iter or in ink and suhnitted to the Building Inspector 3 sets of plans, aa~ctrate plot plan to scale. Fee according to schedule. b. Plot plan sho~ng locatioo of lot and of b~ildings on praises, relationabip to adjoining premises or pablic streets or areas, and giving a detailed description of layout of property ramt be dra~ oo the diagram whith is part of this application. c. lhe ~ork covered by ranis applicatioo my not be cctamanced before issuance of Building Permit. d. ~ approval of this application, ~e Building Inspector ~ill issue a Building Permit to the applicant. 5ach permit shall be kept on ~ pi~=..:ses available for inspection throughout the work. e. No building shall be occupied or treed in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Ikdlding Inspector. API~ICATI~t IS ~ ~ to the Building Department for t~e iss~nce of a l~ilding Permit p~rs'uant to the B~ilding Zo~e Ordinance of the Town of Southold, Suffolk C~mty, New York, and other applicable La~s, Ordinances or Regulatian~, for the cor~stroction of buildi~s, additions or al£eratiorm, or for r~r~val or demolition, a~ herein described. ~e applicant agrees t~ c~mply with all applicable laws, ordinances, building code, ho~sing code, and regulations, ar~ to ~4mlt authorized inspectors on p£~ises ~ in building for necessary inspections. ....... ~,ture of applicant, or nane, if a corporation) .... ~-4< 2~ ................................................................................ ~ of ~.~ of p~ses ..4~.~...f.f.~.*z~/~:.~ ............................................................. (as on the tax roll or latest deed) If applicant is a co~poration, signature of duly authorized officer. (Na~ and title of corporate officer) Builders License No .......................... Plumbers License No .......................... Electricians License NO ...................... Orimr Trade's Liceuse NO ..................... I. Location of land on ~ahich propom,,d ~o~k will be doee.../-y2 ~., .~.t;'..~.~... ~O ~,/V/~/~ ~,~7 .~ ..~.X.P?~.~ ~ ~7 ~ 1~., ~. Oz, o /97e~,~..~..~/ ..................... ........................ /< ................................. ..................... House N~mber Street ltanl e t Cotmty Tax If,ap NO. I000 Section .... ./~../. ....... Block ...~.. ~f. ....... Lot .~..~. .......... s~ivis~o~ £~.~..~.,wz:.~?.& ff.~&/.z:/~-med ~ so....9._.~ ....... ,~ ..¥ y.:?. /~ (Nam) 2. State existing use and occupancy of premises and intended ase aed occtrpermy of proposed construction: a. Existing use and ocoJp~-y ...k/~..~..A/Z ~.~. ............................................................. b. n~a~ea ~se and occt~ncy ..~/.~d.©.+.C... ' :;~../?.'.<;/zd.~ .... / N~t,re of ~ork (d~ck ~i~ic/~ applicable): Ne~ Duilding ..]4'....... Addition .......... Alteration .......... l~epair ......... ... P~uvval ............. lk~olition ......... . .. OCher l~ork (Descri pt ion) Esrimeted Cost / ~..~.~ ~(?~. f (tO be paid on filing this application) If ck,elling, no~ber of d~elling ,nits .... .~. ...... t{umber of d~elling ~nits on each t'loor ................ If garage, ~,~{)er of c~rs ......... /. If business, c~ramrcial or mi~d nccol~ncy, specify natujce and extent of each type of use.....'~.L..~ .............. Dimensions of eocisting structures, if any: Front....A//..~. ....... Rear ............... I)eptl~ ..... Ileight ......................... Hmber of Stories ................... .;~. Dimensions of s~ strncrure vith alterations br additions: Front ..f~/./..~. ......... Bear ............... Depth .................... Reight .................... Nmber of Stories ............... Dimensioas of entire ne~ construction: Front ~-6 / ~" ............................. ................ Rear ~--L~/~ // P, ep~h ~ ..... ............... of Sto ies ..... ./ ............... Size of Ior: Front /o~,'7 / Rear /.~.. / Depth ~-~.~. / P~te of Purchase ..................... N~re of Former Oaner ........................................ Zone or use district in ~ich premises are situated .............................................................. I)oes proposed construction violate any zoning 1~, ordinance or regulation: ../k..~ .................... Will 1o~ be regraded ..~...~". ............. ~ill eaccess fill be r~moved from pr~nises: YES N~es o~ Oaner of W~ulses ........................... /VJdress .............................. Phone No .............. ~me o~ Contractor ...~..~:,.~. ......................... /V. klress ............................... lt~onc hlo .............. Is this property within ~0 feet o-~ a tidal rutland? ~ ~ .......... I~D PLOT DIAGRAH [oca~e clearly and distinctly all buildings, ~e~ber existing or proposed, m~d indicate all ~t-back dlmensio~s r~u properDy lines. Clve street and block r~uber or description according to deed, and shoa street ms and indicate ~e~er interior or corner lot. ~xJ ~.~-~/Y..? ~,~-~_~. ..being duly moon,, deposes 8~ ~ys ~ of i~ivi~l si~ing c~tract) (~trac~or, ~gen~, eo~ra~e officer, etc.) ~id ~r or ~rs, ~ is ~ly ~thori~ to ~rfo~or h~ ~rfo~ ~ ~id ~ ro~ ~ file this ~licati~; ~at oll stat~nts c~ta[~ in ~s a~].icati~ a~ t~ to ~e ~st of his ~1~ ,at ~e ~ will ~ ~rEo~ in ttm ~r ~t forth in ~e a~li~ti~ fil~ ~. ..... ~ .~. ~ ,:d...d~y o~ . .~.~.~. ;.~.~]9...~,~ UNDA J. COOPER Notary Publi~, State of New Yo~ No. 4~22563, Suffolk Ceunty _ ~ \ I o~ fe'nll~r wilt) the STAND,41~DS FOR APPROVAL AND CONSTRUCTION OF SUB.5'~RF'ACE DISPOSAL SYSTEMS FOR ,~NC.R-E FAJ~I.Y The locations of wells end cesspools sit~wn hereon ore from field observollons ond or from d¢lto obletned from others. NO TE, LOT NUMBERS REFER TO 'MAP OF SECTION 'D', NASE, AU POINT CLUB PROPERTIE~ INC-- FILED IN THE OFFICE OF THECLERK OF THE SUFFOLK COUNTY ON MA Y 7, 19E6 AS MAP NO. 806 AREA = 26,299 aq ft. to tie line TEST HOLE SW SURVEY OF PROPERTY AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000-I11-04-24 SCALE.. I" = 40' jUl~ ~O, legg fSI t ANY AL TERA TiON OR ADDITION TO TIllS SURVEY IS A VIOLA TION E~ic~SECTION 7~09 OF THE NEW YORK STATE EZ)UC,4 TION T AS PE~ SECTION 7~0~ - St. IBOIVI~tON ~. ALL CERTIFIC,4TION$ I"~ON ARE VALID FOR TPI~ MAP ANO COPIES t,4~P OR COPIES BEAR THE II~SSED SEAL OF' THE SURVEYOR R~ ..~ TCtRE ,~PPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW THE T~ 'ALTerED BY' MUST BE USED BY ANY AND ALL SURVEYORS UTIL~ A COPY OF ANOTHER SURVEYOR'S MAP. TERklS o-'UC.H AS "J~CT~ AND *~ROUEHT-TO-OA TF? ARE NOT IN COIVIPLIANCE WITI~I THE LAW. P.O. 1:230 TRAVELER STREET SOUTHOLD, N.Y. 11971 99- 234 ~,0O' ~"' ' ?'> / '~"~'r~ ~ '-' ~. ~ /.~j~ ~' _ ~ ~, ~ ~ C~AL TH LAND TITL~ ,. r,~ ~o~ ~ow~ A T NASSAU POINT ~m c~~ ~ ~~ ~,~ TO WN ~ SOUTH~D SUFFOLK COUNT~ N ~ permit The Ioceflons o! wells ond cesspools shown hereon are from field oflservellons and or from dalo~ofllmined from others. NO TE~ LOT NUMBERS REFER TO 'MAP OF SECTION 'D', N,~SSAU POINT CLUB PROPERTIES, INC' FILED IN THE OFFICE OF THE CLERK OF THE SUFFOLK COUNTY ON MA Y 7, 1926 AS MAP NO. 806 AREA = 26,299 sq. ft. to tie line ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION OF 3ECTION 7209 OF THE NEW YORK STATE EDUCATION LAIr. EXCF. PT A? PER ~ECTION 7~09 - SUBDIVI~ON 2. ALL CERTIFICAT~ H~R~ON ARC V~LID rOR ¢HI~ MAP AND COPIES T~R~OF ONLY ~ ADb/T/ONALL" -'. 9:,4P!'r W/TH ?AID LAW THE TERM 'AL TrcNED BY' ~4UST E~F_ ]' :, ~:: f ~,,'~f ,ertl ALL ?URVEYORS //TILIZING A COPY ~' A~40 THit.- /,H ,- /OFFS' MAP. ~R~IS ~UCH AS 'INSPECTED' AND 'BR'D IGH'-?, i .: '~ ' ARE NOT IN COMPLIANCF WITH ?'HE LAW. TEST HOLE SW ti" 1000- rtl- 04-24 SCALE.* 1" = 40' JUL Y I~, 1999 I prop. t~se. ) JU~. Y 19, 1999 (revised) JAN. /0, 2000 ( cerllflcoflon ) ~PRIL 17,2000 (prop. ~$e. ~ MA Y 15~ 2000 ~ sfk elewflons 1 FEB. 26~ 2001 (conc. foundation ) '.S. LIC. NO. 49618 P.C. 4X (~3/) 765 - 1797 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 I ~ femiller ~tlh lee STANDARDS FOR APPROVAL 4ND CONSTRUCTION OF SUBSURFACE $ET~A6E DISPOE~4L SY$1'EN~ FOR SIN6LE FAMILY RE,.~DENCE$ The Iocollons of we/Is ond cesspools · sl~Wn hereon ~re from field observe/Ions ond or from doto~o~t~leed from o/hers. LOT ~S ~F~ TO '~P OF SECT~N 'D', NA~U P~T CL~ P~RT~ ~* F[~ ~ ~ ~E OF T~ CL~K ~ T~ AREA = E6,299'eq ft. to tie lff~e ANY AL TERA ~lON OR ADDITION TO THIS SURVEY I$ A VIOLA TION OF SECT/ON 7209 OF THE NEW YOt~ STA~'~ EDUCATION LAW. TEST HOLE SURVEY OF PROPERTY A T NASSAU POSIT TOWN OF SOUTHOLD SUFFOLK COUIVT)~ N. Y. JUL Y 12, 1999 ( prop. hse. ) JU(. Y 19, 1999 (Cevlsed ) JAN. I0, 2000 ( cerf/flco//on ) 4PHIL 17,2000 ( prop. bse. ) MA Y 15~ ~000 t slk. elevo/Ions ) FEB. 26~ EO01 (conc. ~!~ ) AP~ 4, 2001 ( revl~ ) DEC. 5~ ~ ( f~ )  C. NO. 49618 765 - 1797 P. *o. 8ox"9~J..~' 123o TRAVELER STREET $OUTHOLD, N.Y. 11971 99- 234