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Home My WebLink About29691-ZFO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA2qCY No: Z-29709 Date: 09/12/03 THIS CERTIFIES that the building ADDITION Location of Property: 1045 BREAKWATER RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Coua%ty Tax Map No. 473889 Section 106 Block 8 Lot 47.2 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3, 2003 pursuant to which Building Permit No. 29691-Z dated SEPTEMBER 3, 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERALD P & MURIEL CUTTRELL (OWNER) of the aforesaid building. SUFFOLK COH~T~f DEPAR~2~T OF ~{~2%LTH /~PPROVAL EL4~C~I~RIC~%L CERTIFIC-AT~ NO. PLUMBERS CERTIFICATION DAT]~D Rev. 1/81 N/A N 569976 09/21/01 07/25/03 NORTH COUNTRY PLUMBING Signature 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. 29691 Z Date SEPTEMBER 3, 2003 Permission is hereby granted to: GEP~ALD P CUTTRELL 17 BRIXTON RD GARDEN CITY,NY 11530 for : CONSTRUCTION OF A TWO STORY ADDITION AS APPLIED FOR. REPLACES BP 25063. at premises located at County Tax Map No. 473889 Section 106 pursuant to application dated SEPTEMBER Building Inspector to expire on MARCH 1045 BREAKWATER RD MATTITUCK Block 0008 Lot No. 047.002 3, 2003 and approved by the 3, 2005. Fee $ 330.60 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. 25063 Z Date JULY 28~ 1998 Permission is for : hereby granted to: GERALD P CUTTRELL 17 BRIXTON RD GARDEN CITYtNY 11530 CONSTRUCTION OF A TWO STORY ADDITION AS APPLIED FOR. THIS BUILDING PERMIT REPLACES BP#23287-Z. at premises located at 1045 County Tax Map No. 473889 Section pursuant to application dated N/A Building Inspector. BREAKWATER RD 106 Block 19 MATTITUCK 0008 Lot No. 047.002 and approved by the Fee $ 195.40 ORIGINAL Rev. 2/19/98 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAIJ. SOUTHOLD, N.Y. ~ BUILDING PERMIT ~--~ ~(.~ i~HIS PERMIT MUST BE KEPT ON THE PREMISES UNllL FULL COMPLETION OF THE WORK AUTHORIZED) /,,, N-~ 23287 Z Rte ................. ~.~....'i ............................ Permission Is hereby granted to: .... .~..:.x.~......~ ..z:...::~../...,: ........................... ..... ./..:.... ~>....,..-:.~...:.. ........ ~ ........................ to.....~.:..:.:.~.~.. ................ ~ .............. .,.:..:~. ........ '....:.:..:~. .......... ~:.......::~ ..... ...~...:.. .......... ~:..:. ........ .~.~..: .......................................... :,. ................................................ Coun~Tox Mop NO. 1000 Section ......Z..~...~.. ......... Block ........ ..~...,~.,, ........ Lot No ........ ...~..~..~....'~... ..... pursuant to appllca,on dat~ ........... ~......~.:~ .............. ] 9....~.., and app,ov~ by~e Building ~nsp~t~. ~../~'...~.. Rev. 6130180 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 O/o APPLICATION FOR CERTIFICATE OF OCCUPANCY --~e, 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. 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 tbe applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning 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 . Date. New Construction: Old or Pre-existing Building: ¢'"" (check one) House No. Street ;'-Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. r~ ~,t9 ~3~ _ Health Dept. Approval: __ Plarming Board Approval: Date of Permit. [ 0 (~ Block d> ~ e:, ~5 Lot Filed Map. Lot: Applicant: __ Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~ (check one) Applicant Signature Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765~1802 BUILDING DEPARTMENT TOI, IrN OF 8OUTItOLD CERTIFICATION Date: Building Permit No. Owner: ~~ (Please print) Plumber: /[/at~./~.. ['~r~/a/'~" I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn tg.~efore me this ~,~ ~-~ day of~ , 2012 ~ (Plumbers Signature) r JOYCE M. WILKIN$ Noteq~ Publl~, S'mte of New Yo~ No. ~.952246, Suffolk County Term E.xplre~ June 12, ~0¢) Notary Public, County THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRiCiTY (~ 40 FULTON STREET, NEW YORK, NY 10038 Date Application No. on file THIS CERTIFIES THAT Otlly the electrical equipment as described below and introduced by the applicant named on the ~bove application number is in the premises o/ GERALD CUTTRELL, 1~45 BREAkq~ATEg RO~~, ~£4TTITUCK, in tne following location; [] Basement [] 'st Fl. [] 2nd Fl. OUT Section Block Lot was examined on AUGUST 3]. r 2L~ l and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING BECKS OVENS ~ DISH WASHERS EXHAUST FANS SERVICE DISCONNECT OTHER APPARATUS: WHRILPOOL BATH-. 1 G.F.C.I:-iO SMOKE DETECTOR: -4 S E R V I C WILDWOOD ELECTRIC PO BOX 808 WADING RIVER, NY, 11792 GENERAL MANAGER COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT SE ALTERED IN ANY MANNER FO R; hNLRG~ CODE CALCULATIONS (For No]l-Electrlc lleat) Design Criteria 6,000 Degree' O.A. IO°F i.A. DESIGN TtlI.'] IIME L SUBSYSTEM AREA "U" RAT1NG REMARKS Exter.i. ol: Wails {Opaque) Doo~,, I g . Fo - 8 Skyligllts % . 0 Floor l;oundatio ~ Walls Slab Insulation TOTAL Building Envelope Systems to meet requirements of 7815.2 IIVAC l.]qulpement to lueet requirements of 7U15.11 IIVAC Systems to meet requirements of 7815.1'2 Duct Systems to meet requirements of '18.1.5.].3 Ventilations Systems to meet requirements of '1U15.14 insulation of Piping Systems to meet requirements of 7815.15 Service Water Heating Systems & Equipment to meet requirements olJ '1U15.2.1. Electt'].cal & Lighting Systems & Equiplnent to meet requirements of 7U].5.31 2'0 the best of my knowledge, belief, & professional judgement, these plans are compliance wlti~ the code. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION I , [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FQUNDATIONIST [ ] ROUGH PLBG. [ ~UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE _.w765-1802 · BUILDING DEPT. INSPECTION [] FOUNDATION 1ST [ R~~OUGH PLBG. [[ ] .~N~ FRAMiDNAGTION 2ND [[ ]] IF~NSAU~ATION [] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND [ ~UGH PLBG. [,~/] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. [ ] FRAMING [ ]FINAL INSPECTION 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/~JSIJLATION [ ] FRAMING [ ,,/] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR...+ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [. __,,~_._,] INSULATION [ ] FRAMING [ ,~I=INAL [ ] FIREPLACE & CHIMNEY ~REMARKS: ~ DATE I;OU III)~'1' I (}11 {;DIIIII:II FIt^HI': II Fill^l, FORH NO. I TOldN OF SOUTIIOLD BUILDING DEPARTHENT TO~IN IIAI,L SOOTIIOLD, N.Y. 11971 TEL: 765- lB02 Disapproved alt .................................. ( Bui~d[.(g Infipector) APPLICATION FOR BUILDING PBRHI'r INSTRUCTIONS BOARD OF IIEAI,TII ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... NOTIFY: d.-/_8 HAIl. TO: .................... a. ~his application n~st be co~letely filled in by typevrriter or in ink and anh~itted to the Building Inspector will 3 sets of plans, accurate plot plan to scale. Fee according to sche&de. b. Plot plan sl~ing location of lot and of buildings on premises, relationship to adjoining pronises or public streets or areas, and giving a detailed description of layout of property rmst be drawn on tim dlagrma which is part of this application. c. 1be work covered by this application my ant be ccnmenced before issuance of Building Permit. d. Upon approval of cilia application, the Building Inspector will issue a Building Permit to tim applicant. Such pemit shall be kept on tim pronises available for inspection thmughont tim work. e. No building shall be occupied or used in ~ole or in part for any purpose ~hatever until a Certificate of Occupancy shall have been granted by tim Building Inspector. AITLICATIflq IS I~tm. mf ~ to tim Building Department for the issuance of a Building Permit pursuant to tile Building Zone Ordinance of tim Toga of Sontbold, Buffolk County, New York, and other applicable I~wa, Ordinances or Regulations, for the consttuctlon of buildings, eddltlcus or alterations, or for r~oval or demolition, as berein de~cril~l, llm applicant agrees to eo~ply with all applicable 1~, ordinances, building code, Imosing code, and regulations, and to admit anthorlzed inapactors an preraises at~l in building for necessary inspections. . ............ (Signature of applicant, or name, if a corporation) ........ ..... (t4ailing address of applicant) State ~d}etber applicant is o, mer, lessee, agent, arddtect, engineer, general contractor, electrician, plud)er or builder. ........... ~L/~ eYa/~..., z .~.. ~&~A/.e:&... ~. .... .C~..~. ~.~. ¢..ZC~.< .................................................. (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly anthoriz~4 officer. (l~ae and title of coq)orate officer) Plmbers License No ....... ~C~ ....... 2. State ~istlng ~ ~ m~my of ~i~s ~ int~ u~ ~1 m~y of ~ cmst~tim: t. I~;]tme e[ ~,o,k (dmck ~hidx al,lflicalHe): 14c. u I~dl,li~ql .......... ~li~i~ ...~'.... Mter~tion .~ ...... I~qmir ............ I~al ............. I~ml iti~ ............ OIIm~ I~rk .................................. /~. Estiu~l~l C~sr .. ~ ......... f~ .............................................. (lo Im ~qid t~s filinfl this ~l~licoti~O 5. I~ ~llins, x~l~r of (~lli~q~ units .... ~ ....... lieder of ~lling units ~ e~ flor ................ ~e ~,,.,~, ,,,,~r o~ .~. ......... ~..(~ ................... 8. If I~nsi~ss, ~m~ercial or mi~l ~oq~, Sl~eif~ i~lure m~l egtent of em~x t~ of u~ ...................... ~. IH.~ntH~m of ~isl:ing strictures, if any: l~tmt ................ I~ar ............... ~pth ................. I~i~nt ......................... ~vi~r og Stories ...................... Din~nni~m o~ sine strxmture ~ith alteratit~m or ~litions: Front ............... I~ar ............... l~plh .................... I~i~nt .................... ~,~l~r of Stories ' ~. l}i.~nsi~ o~ e~tixe s~ ~st~l:i~: I~t ................ I~nr ............... ~plh .............. I~i{~t ......................... ~s~t~r o~ S~orie~ ..................... ~. ~i~ ,,~ ,.,= ,.~ .... /~.E~ ......... ~ .................... ~.., .................... ,~.t~,~ ,,r a,,~h,~ .... ~.~.%....~E~s~,~ .r ~,,,,,~ ~ ........... ~/~ .................. II. Yz~ or u~ di~lric~ in ~idn pr~ni~ are~l~t~l .............................................................. 12. Ik~ prol~l ~s~ti~ ~iolote any ~i~g 1~. ordh~s~e or regu]atJ~: ..... ~ ............... I]. ~ill loc I~ retrial ........ ~*~e o[ ~rd~itect .................................... ~lresn .............................. Ilmt~ ~ ............... ~s~e o[ C~trnctor ..... ~.~ ................... ~lress ............................... II~ ~ ............... 15. Is this pml~rry within ~ f~t of a riehl ~mtlm~17 ~ ~ .......... ~ / ~IF YES, ~II1HI) PI,OT I)IAGIIAH It~ate clearly 8nd distinctly all lpalhlings, ~mtl~er existing or proposed, m~l isxlicate all set-lmck dinenslons f~. prolmrty li~s. Gi~ st~t mgl bl~k a~l~r or ~scripti~ ncco~ling to ~1, a~ Mt~ street m~ms a~l i~licnl'e *~;I'A'IE OF tl~ ¥OI~K, 'Ii,NIY ,]F ..... ~.~J..~.~.J~. ......... ..... ~~ .................. duly m, rn, delX,~s a,.I .ay. Ihat he ia the ,qq,lica,d: (H;ma~] o~ in~livi{hml signieg cCmtrael:) t~ is the .......... ~l~ ........ ((iml:ractor, agmlt, cora}rate officer, etc.) appllcati.n; Ihat all stato~entn cimtahal Ilmt tine ~nk will le i~rl:om~l in lira n~n,¢r set forlh ie the application [il.I tlermith. (SiR~H:m:e of Appl