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29080-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29755 Date: 10/02/03 THIS CERTIFIES that the building ADDITION Location of Property: 2715 NASSAU POINT RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 13 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 31, 2002 pursuant to which Building Permit No. 29080-Z dated JANUARY 7, 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 SECOND STORY DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT G SULLIVAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 75907C 08/26/03 PLUMBERS CERTIFICATION DATED N/A Au o zeq Signature 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. 29080 Z Date JANUARY 7 , 2003 Permission is hereby granted to: ROBERT G SULLIVAN 111 CHERRY VALLEY GARDEN CITY,NY 11530 for SECOND STORY DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2715 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0013 Lot No. 008 pursuant to application dated DECEMBER 31, 2002 and approved by the Building Inspector to expire on JULY 7, 2004 . Fee $ 150 . 00 4A orized Signature ORIGINAL Rev. 5/8/02 Form No.6 BUILDNOF SOUTHOLD GDEPARTMENT 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: �tttt� 1. Final survey of property with accurate location of all buildings, property lines, streets, and`tt?stial or, - topographic features. - 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 forr$h). 3. Approval of electrical installation from Board of Fire Underwriters. 1 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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 musual natural or topographic features. 2. A pi operl} completed application and con.seut to inspect signed by (lie applican if it Certificate of(kctillancy is denied, the Building Inspector shall state tine 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 Date. aS A) Z' New Construction: Old or Pre-existing Building: ✓ _ (check one) Location of Property: ,,;��.�G Cu &A n A House No. Street Hamlet Owner or Owners of Property:_��1x�Y� <Srw��� (/Q >✓ _ _ _ ._ Suffolk County Tax Map No 1000, Section f_C1 e� Block Lot o 8 Subdivision _Filed Map._ _Lot: Permit No. 08 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) U Fee Submitted: $ p !� 0� YApplicant S*nature co -Z � 9 ?55 Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application Number 8/27/03 375 Dunton Avenue 75907C East Patchogue, New York 11772 (631)286-6642 Issued To: Sullivan Street: 2715 Nassau Point Road Village: Cutchogue Zip: 11935 Town: Southold Section: Block: Lot: Contractor: Lademann Electric Inc. Lic. # 4141-E Was examined and found to be in compliance with the National Electrical Code. ❑ Commercial ❑ NV Defects ❑ Pool ❑ 1st Floor X Indoor ❑ Basement ❑ Hot Tub x❑ Residential ❑ Det. Garage ❑ Attic [X] 2nd Floor x❑ Outdoor ❑X Addition ❑ Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 7 8 10 1 Dishwasher Washer/Amps Dryer/Amps Oven RangalAmps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: Other Equipment �Fv HU9d S. Surdi President Rough Inspection: 05/20/2003 Inspector: Ed Scavelli Final Inspection: 08/26/2003 Inspector: Ed Scavelli This certificate must not be altered in any manner. Inspectors may be identified by their credentials. TOWN OF SOUTHOLD PROPERTY RECORD CARD ----------- =----- -- ----- OWNER STREET !� VILLAGE DIST. SUB LOT 1'0 ,dor ICd t ho ( c t j ;41t5 G� l�Grfi ACR. REMARKS TYPE OF BLD. `-r C LIY !� 0)41' PROP. CLASS I l� 120D 00Q t Qji)to 3/G t`✓' S4 -/C? n C( D' - f I d - 1 ( UU (►2+ - LAND IMP TOTAL DATE FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT - -- TOTAL I BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: APPLICANT: v a J DATE SUBMITTED: g /3_L_/02 SCTM#DISTRICT: 1,000, SECTION: (c) , BLOCK: 3 , LOT: F) STREET ADDRESSa?1 5- 1O(. CITY: Cu 4,,ti -jUe SUBDIVISION: PROJECT DESCRIPTION: — r ESTIMATED PROJECT COST: CHIT T/ENGINEER:Wit., —?.FAST TRACK? 14c, SINGLE & SEPARATE CERTIFICATION-REQUIRED? Ne' NOTES: '---- LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/8: ZONING DISTRICT: 12_g 0 CONFORMING? n/() REQ. LOT SIZE: Cto,000 ACT. LOT SIZE EQ. LOT Cy. � d ACT. LOT COV. REQ. FRONT f _PROP. FRONT ✓ Q SIDE !J/ ACT. SIDE c/ REQ. REAR a PROP. REAR REQ. HEE�IGHT PROP. HEIGHT WATER FRONT? y� DESCRIPTION: L. (r Ce-;-7 16 A&-Li PANEL #: FLOOD ZONE: , – <--::r– APPROVALS REQUIRED SUFFOLK COUNTY HEALTH 9 T: YES or8O BED #):_DTE:—/ / PERMIT#:RIO- TOWN SEPTIC RECEIPT: Y NEW YORK STATE DEC: PaIE-DEC9/1/75 YES ot(D SOUTHOLD TOWN TRUSTEES: or NO (")::4 1C;)O 6a, TOWN ZONING BOARD APPROVAL. 06D TOWN PLAN. BOARD APPROVAL: YES ofIMD TOWN HISTORICAL PRE��(SPLIA): YES O NYS ENERGY: YES O as EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: -Ic T– SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE f� FEE 1. (—SF)- ( SF)= SF X $ 2. ( SF)- ( SF)= SF X$ _$ +$ +$ _$ r _Albert J. Krupski, President VFFD( Town Hall James King, Vice-President $ i{'C 53095 Route 25 Artie Foster ,r0� P,O. Box 1179 Ken Poliwoda Southold, New York 11971-0969 Peggy A. Dickerson Telephone (631) 765.1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 16, 2002 Mark K. Schwartz, AIA. P.O. Box 933 Cutchogue, NY 11935 RE: ROBERT SULLIVAN 2715 NASSAU POINT RD., CUTCHOGUE SC'TM#104-13-8 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 16, 2002 regarding the above matter: WHEREAS, Mark K. Schwartz, AIA on behalf of ROBERT SULLIVAN applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 25, 2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 16, 2002, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, z WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ROBERT SULLIVAN to demolish an area of roof over single-story room(s) and add new second floor roof dormer with French doors to new deck. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$5.00 per inspection. (See attached schedule.) Fees: $5.00 VVener truly yours, ' 'j` o z / ' Albert J. Krupski, Jr. President, Board of Trustees AJKllms ���' �''� ��:r''�' 'F l��Sj� � {r�v.�.`�Y���,sw"�>,X j� -`.4/.. � � s�Y'e�✓ f �� � .=//:/'ice"- ' ,'.!`." i"' - i�"%'.�'.• �'. �i� _ YA t < , c Vi AK VV r ��-i' `4 p • �a_1 F..: 7 - �, �� •�}/'� T.a �` CI,.1�•�i,. ,,.1: y.1 yi,..>iv>^!i"".. .�,.,,w, ... ,w• �..., �'. yj�',""{7rh ��i�. 4✓ �,,,.�' '`\\.. _/��� ` _�� ,_\✓/_ � �O __.fes_/��`fir _ ,� M-1802 BUILDING DEPT. INSPECTION [ ] FOU ATION IST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ J FIREPLACE f& CHIMNEY REMARKS: DATE �J INSPECTOR C;;�09102�7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY / REMARKS: 7 �C c= DATE INSPECTOR B765-1802 UILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�INATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY n REMARKS: ea2 �;-�_ DATE © INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARK7: ✓, 44 4 DATE 91e INSPECTOR FIELDINSFECTION REPORT DATE CobnEff TS ro FOUNDATION(1ST) � C FOUNDATION(2ND) z O _ 0 , ROUGH FRAMING& y PLUMBING INSULATION PER N.Y. STATE ENERGY CODE c Co FINAL ADDITIONAL COMMENTS i 3 O z. rn O O x I � 0 BOARD OF HEALTH . . . . . . . .. . . . . . . FORM NO. 1 3 SETS OF PLANS - TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 DEC . . . . . . . . . . . . . .. . . ....... . . . TEL: 765-1802 TRUSTEES . . . . . . . . . . . . ...... . . . . NOTIFY: q CALL . . . . . . . . . . . . . .. . . . Exmuned......./.(...., 2(x....3 Q MAIL TO: . . . . . . . . . . .. . . . . . . . . Approved....../.�l..... .;i Permit No. (�®.�Ti ............................... Disapproveda ..... ............................... ..............C-•• .. ?. .. ........................ ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 2C. . . . INSTRUCTIONS a. 'Ibis application mLst be completely filled in by typewriter or in ink and'auhnitted to the Building Inspector wit 3 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 giving detailed description of layout of property must be drawn on the diagram which is par-6 of this application. 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 permit shall bekept 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of dte Tam of Southold, Suffolk Canty, New York, and other applicable Laws,ordinancesor 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 inspections. .Z_.._......... (S' tune f applicant, orname, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............................ ......�....t......................--..//............................................................ . Z Name of owner of premises 6UIC T;V11 ILYA& ........................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. / ......................................................... (Name and title of corporate officer) Builders License No. ......................... . Plumbers License No. .......................... Electricians License No. ..................... Other Trade's License No. .................... ,Q 1. Location of land on which proposed work will be done..7!.S N'J.S:f��....-- /e # G ,,. J7.......................... House Number Street JJ 22 Hamlet Canty Tax Map No. 1000 Section ...].�.4.... Block ..L 1.......... Lot ....�?.e....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of pr ''ssees and intended use andoccupancyof proposed construction: a. Existing use and ocaupa<ncy .. (�G.:.•17µI.�✓v�jN. !7..4. ............j....... ................ b. Intended use and occupancy ......... !:. (4�� ................................................... 3. Nohure of work (check which applicable): New Building .......... Addition .......... Alteration.. Repair............ Removal ............. De ol.ition ............ Other Work .................. .. � ��77 //jj (Description) 4. Estimated Co 5 .ao'!. ......... fee .............................................. (to be paid on filing this application) 5. if tkaelling, number of dwelling units ............ N ober of dwelling units on each floor Ifgarage, nnher of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......__...... 7. Dirnensions of existing structures, if any: Front...5 E.. SI� . Depth ................. Height Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .............. ... Naber rro//fStories ,,✓✓✓���}�............... 8. Dimensions of entire new construction: Front .. ./NEair/.S".J.......... Depth .............. Height ................... Naber of Stories ..................... ... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner .. ... 11. Zone or use district in which promises are situated ..._/v .............. ./................................ 12. Does proposed construction Vi to arty zoning law, ordinance or regulation: .../.K.�............... 13. Will lot be regraded ...) 1. V...........'lWill excess fill be removed from premises: YES 14. Nacos of Rorer of promises �10/u�[,,(\�, .,-l�Y��/.(/.�.V t... Address .....J......j.)....,...l................. Phone No. ............. Name of Architect .!l.K.,JVYC7�!.r/ .S"DJ✓.rr.7.../.. ........... Phare No.73kl�� ./.��iZ.(�. ..... Address .. Nam of Contractor ................................... Address .......Q/,l.t�//.°k :'::L/.Phone No. .... ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SQIIIIOID IDid1 TRUSTEE'S FMITT MAY BE RE¢J[RED. PLOT DIAGRAM Locate clearly and distinctly all buildings, wbether existing or proposed, and indicate all set-back dimensions From property lines. Give street and block number or description according to deed, and slow street names and indicate Awther interior or corner lot. CIE OF NS/ YORK, Urf OF ......(r�_/;?.JR\(aft? ........ >�/t!F�-:- . � � ..4,�............being duly sworn, deposes and says that he is the applicant f individua signing contracC ve named, isthe ................... ............................................................................... (Contractor agent corporate officer, etc.) aid owner or owners, and ms "r authorized to perform or have performed the said work and to make and file this ication; that all statements contained in this application are true to the best of his knowledge and belief; and the work will be performed in the..m apner set forth in the application filed therewith. n to be re nue this .. ........day of terry Public ........ . .... ... .................... ................ RO9ERT i.SCOTT J (Signature of Applicant) Notary Public,State of York Qualified in Suffolk unity No.01SC472508g Term Expires May 31,?���2 )INT 7 r s oy N OW O O N m G Im e not °"' , 30515 x—% 5 3 N o�M I`J tmbef WPII, /y1 re - los (3 lie cense ed o �' r1'Ig°3b _ - 91 77 _ — a r� � _ � ______ -- Y - V � " z -- - - - -- - s e P5 m£ 4 D 9 1 00 VAOU5e, � _ $ 9 � / Q 1l 1 I� 6 � A m \ \ Z9A \ '.' - - _ _ F�62r�a,meFF �e REmoveove eme-7- 1T�ccZµaytoo e ear �yfM CONS �� P1TcttEo , s+c� 311.69 rr�w v s� FL-A7OovF Fat N94d OEcK F�+ 3a� eb wlldl�9 Gqac-i5. oDRMEp- AT -91 STING 2NO 1ND 30 Oo3�g°3b,711wFi DDS (Zoog pF NEk, V ppM Ff, — yz � r.,,6ag0 4A�:S�,. CO IN sC+(y FIRM MAP 1 HSS sUIZVE� TIS GEES �6 �Y„�� �,\\` I - AGTE� y tit4✓2!c S'C8 /,f/L7Z. 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ATE . „ , DASN, r 86 USE IS UPJL. ! ' r -", ' ., a, 1' .„r„ . . , - p 5'B,a Ut C FI,C ,,” y ;ti s.� ,., a . t , DATE. pP/ hH,� ERTI t:11 y . ,a ;;t� 1 I"" r n 't`' FEEL "' 1, sr '� QF 'OGCUPAWCY,' . o', ,._, >., „✓ ' ', . . . -, r "-: ,.,�F' TME T r ^, t1 11 ^,r!%, , 'v ,,,.,- •F,r,, , 'I ,, In - NOT] �BUI P o .k,,, „_ .r. , ', .1, �.,: .e,. , <” : THE ' - .,, 'Si: ._,.,. , �ii : ,_ .., ; r, T.<, ': .ri ,,q ,.9'.AM T0'4'PM FOH ,�I�. .;. �I,J:V r Ir i., I c pf m "!' u,', s - :', '. : ., ,.,,Ffifi 1892 GINSPEGTIDNS: : _ .s ?,u'aj M .' .1,«` r ', ,, ` ,'a `< v : , _ 'r I. INATION', TWO REOUIRRO ' 5i ' 'i' r'k G , . a x.,,1<,, , .. -' . .,"� l - ,,, - . - 1, FOUND„ CRETE. ' � . ,. y ,.� r•: B,k,lq ,Vf; "... R, .. FOR POURED CON _ G :., 11 � �'�� 1 ,a.':'"4x '.6. :' r .'. .' ', a; ',..,. .,;� :. .. _ _ - - TROUGH - FRAMING & P,LUMIs . ,' 11 `. , t* - - ION 1 '. ;yr' : _ r; _ ''., a -`., , ', ' ',I T CONSTRUCTION MUST - ', 'r` ",iy I r ai S' I s i uT t , ', - 3. INSULA ! '1+ ;; r a, - 0. BE COMPLETE FOR C.O. 6K „ : .:I., ' ., :, ,,,, - _ - ALL CONSTRUC710N,SHAIL MEET . . I i i" r y, IF.I THE REQUIREMENTS OF THE N.Y. r. ' >�;^"" "",, .,;"' • t,. ,r, .1 STATE CONSTRUCTION & ENERGY '� },:`f Hh,, 4�,'.: 11 .� ". .. �, .' -, , CODES. NOT RESPONSIBLE' FOR r zt :.., r k 7 L,l.. , .,:; „'�,'. „ �i,•,r ..a ! t. . ,,,� i,. _ �I - DESIGN OR CONSTRUCTION'ERRORS '` �r' ` a ,7 ' ` fir+ . ^ ` „ . :� _ 11 1 f '�� . 1 e-O^Ham+r�;ILAmo� ISALLII " a�oft — �, 1 _. i - - t ` I ,r4. _ 41N6 E9P' ',ffhlCrTUIBELOW - - , . �� ' 1� t1.a 'VY ` r ly 1 - .. }� - _ - - 1 z R _ ,y ', NIN 9' STEE G I `, . -r _ '�F' .S i I!'31X �X 5 ISEL. 111LITpH PLATE _ ' r I ; _ .c r s . f 11 Y �, � II j . �111,I" ILI 1 _ L ( F§ Y• till I i,A;�,I �+ I + . - iYFi 6 - .'4 I i'' -,s L� 9 I _ .i vz _ I - - .. �� I, �. I I . � 'J�', 1 kw - �� I � , � � +E,, I'- 6,}� yLi , _ - „ r——�.�,., - 4� ,, r. 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