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Home My WebLink About25239-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26131 Date: 11/25/98 THIS CERTIFIES that the building ADDITION Location of Property: 3175 NASSAU POINT RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 13 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 24, 1998 pursuant to which Building Permit No. 25239-Z dated OCTOBER 19, 1998 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 AND EXTERIOR SHOWER STALL ADDITION TO AN EXISTING ACCESSORY GARAGE "AS BUILT" AS APPLIED FOR. The certificate is issued to PHYLLIS KAUFER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED 11/19/98 S & L IRRIGATION Xctz Bu lding Inspector 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. 25239 Z Date OCTOBER 19, 1998 Permission is hereby granted to: PHYLLIS KAUFER 21 BEDFORD AVENUE ROCKVILLE CENTER,NY 11570 for CONSTRUCT A DECK ADDITION & EXTERIOR SHOWER STALL TO AN ACCESSORY GARAGE "AS BUILT" AS APPLIED FOR. at premises located at 3175 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0013 Lot No. 012 pursuant to application dated AUGUST 24 1998 and approved by the Building Inspector. Fee $ 35 .00 Buildi g Insp for ORIGINAL Rev. 2/19/98 DrrQPr n�ncnLPrnrJ@J:III::?I:I ENVEJ�r�rJM I i::I i: , i: I irnrJ1rJ1 :! 1�l f 11 1 : 1:11�rJ�13ffIrJ: VIER r irJprJ�r-3 01: :11:1 :,1 l i 3rJ�rJ��PrJ�rJ�cPrJ�r�rJ�rJ� o C5J BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 r5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5[D' GOODALE ELECTRIC CONT INC STU KAUFER 5 PO BOX 1190 3175 NASSAU POINT RD. c 5 MATTITUCK, NY 11952, CUTCHOGUE, NY 11935 5 e5 5 Located at 3175 NASSAU POINT RD. CUTCHOGUE, NY 11935 c5 5 Application Number: 3036985 Certificate Number: 3036985 5 5 5 Section: Block: Lot: Building Permit: BDC: ns11 5 5 5 5 Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Detached Garage,Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other S 5 5 authority having jurisdiction, and found to be in compliance therewith on the 5th Day of July,2007. Name (QTY Rate Rating Circuit Type CLC 5 Miscellaneous 5 Ij as built-1997-outside walls of 5 5 garage deck area 5 5 5 Wiring and Devices [Dj7 Fixture 2 0 Incandescent 5 5 5 Switch 2 0 General Purpose 5 Receptacle 1 0 GFCI 5 Paddle Fan I 0 5 An as built inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to 5 5 be in conformance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5 5 No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory 5 condition was found. 5 5 5 sea/ 5 5 I of I 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL �� 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - _ .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . . . Old y�/ Or Pre-existing Building . . . . . . . . . . . Location of Property. . .:3 .7o6 : .1:��. . . .. v* . . . . .q House No. Street Hamlet JlI/ B Onwer or Owners of Property.. . . . . GcI . . . . . . . . .! 414..//. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .///.Q.y... . ..Block. .0 0.[.� t . . . . .Lot. . . .V./.L. . . . . . . . . . . Subdivision. . .... .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . .. .`...1. .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . . . . . . . . . Fe�e ,/submitted: �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . SnIO zl �-CG SS�ISU APPLIC o��g�FFO��-co o� Gyp H Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 �?. `� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 10, 1998 Phyllis Kaufer 21 Bedford Avenue Rockville Centre, New York 11590 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file. )$25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25239-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road .' J -- y Fax (516) 765.1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N ) �/ - -DATE0-�-�.-If- -- -- — Building Permit No. (' 6--F - 2 Owner: (Jn" (\1f( ( 1"s I 1q-u1C1?4 (phase print) C" . "Y/� Plumber: J .�j��,DO I r�7{g"7 c 0 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. C� (Plumbers Signature) Sworn to before me this / 9 day of ocl( -� 19��' Notary Public, _ OLAdCi'� County MAuamr L CAMBA NomIvV ofNswYak Commaw OEM 3 ,r�nloff O`�gpFF01/( o� Gyp N Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 Oifi O�� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 10, 1998 Phyllis Kaufer 21 Bedford Avenue Rockville Centre, New York 11590 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : / XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 25239-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. a M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH CBG. ( ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ---- � An DATE % 1 INSPECTOR COFfMENTS -1aLD Ii.S:"-�l S(JiY "Uh a u .a m �J C roUNDATION ( 1st) ti m � ?OUNDATIOW (2nd) �• z 0 ROUGH FRAME & J -PLUMBING .. Z P CA H g m 13. y -�j INSULATION PER N. Y. STATE ENERGY x CODE r 4 . FINAL of 0 x m ADDITIONAL COMMENTS: x V3 o G z -------------- ------------------------ ------------ . _ • % m m r�.� o� m .a .a BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . .. . . . . . .. .. ... TOWN OF SOUTHOLA SURVEY . .. . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK ... . .. . . .. .. i q TOWN HALL SEPTIC FORM • . . . . . . SOUTHOLD, N.Y. 11971 TEL: 755-1802 NOTIFY: { CALL 13xaeinecS.4.Y'../'' ••� 19.... MAIL TO: . . . . . . . . . . . . . . . . . 19... Penni 1: No. ..: :5.e7.. ....................... .. . Disapproved-a/c ..... ................................... . . .. .. ........ ........ (wilding Inapec or) APYLICATlo FOR ISl1ILI1TNO PE101I'C Date. . . . 8.lA 7 ((//. . . , 19QQQQ7 ? . INSTRUCTIONS a. 'This application must bre completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans,,accurate plot plan to scala. Yee according to schedule. b. plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pnbrlic streets or areas, nrxl giving a detailed description of layout of property Mist be drawn.on the diagram which Is part of this application. c. The work covered by this application may rat he commenced before issuance of Building Permit- d. Upon approval of thin application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be,kept on the premises available for inspection throrglaut the work. e. No building shall be occupied or used in whole or in part for any purpose 4wtever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPI.ICI:CIM IS IE-wM 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 neve, If a corporation) al.6 �1�R2..A.✓ ,�.A........�e .T Iy (Hailing address of applicant) � State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pludrer or builde OUJn12...................................I.............. �/(� ........ ......................................... Hare of owner of premises ..�N.�u-1 J .....�.../.[ 6C.. ............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ............ . .J7..........I..................... (Name and title of rporate officer) Builders License No. ......................... plumbers License No. ......................... \ Electricians License No. ..................... Other Trade's License No. ...........•........ I. iUcotion of lard on mulch proposed work will berkxne.............................................................. 3L� ..N.As.SAu...PT.... D:..........................r.(4a 1.6-.4..................................... Ilouse t1u nber Street liistalet County Tax lisp lb. 1000 Section ...... Y 13 .... Block .....f 3...../. bot .... a.......• Sulxlivision :/r A tJ.A y...t T. .................. Filed flap No. ....F.J.�'...... I4t ............... (Hare) 2. State existing use and occupancy of premiseses and untended yse and occupancy of proposed construction' a. Existing use and occupancy ....... .' . .`I Vh 1•I......."... 1 r) ............HD ' .....•J..................... �lL......NCt...�r�/�/ b. Intended use aril occupancy ... . 1. Mature of work (dmk*nidi a l,l, �cahle)t New Building .......... Acdltion ........., Alteration ............ .,....... Repair Betiovel . .'......... Demolition ............ Other Work .�241.1".�QO,� .. �dN,h�tt !...... f 0 (Description) 4. Ratiwated Coat ....} a v ........ fee ...............................I...... ........ (to be paid da filing this application) �^! 5. 1f A-ralIIng, adnber of dwelling,)nits ....��.... llnl>er of. dwelling units at each floor ...!''``I?',. ...... Ifgarage, iwnber of care ..!:�j9.............................. nn 6. If Ixielttess, ocmtercial or mixer)occupancy, specify nature and extent of eadi type of use.....N.�n........... ), Olumnslons of existing stnrcturpa, If any% Idront................ Rear ............... Depth ................. Ikil '�aen Ione of mans structure wI' alterations io Stories ....✓st�(Pront ....... f!I tit alteraClnne or'ttdlt•lonet Pront ............... hear ......... ... ,., p .................... lielgitt .................... Rxi er of Stories ............... S. INtnenafo a of entire new constructiont Pront ................ hear ............... Depth ... ... ... . .... l,alght .............. cc . .�. Mnher of Storiesp 9. Size of lops t*Rxit ...[ /�''.1//. .. 7. hear ... [.L. .t. . �Dp. Depth x ,717.. ....... . fO. Ilate of Pur(liase ...IP-1Lh.i.......,Ham of lronner Owner ..jT./�'.�jY.�?.................... ..... . II. Zoixi or use district In ,hid% Premises are situated ..../pop......................I............I............... 12. Ikea proposed construction violate any sorting law, ordinance or regulation% ........................ 1:1. Will lot be regraded ..... Y......... Will excess fill be removed from premtseat /YDS NO a/ 14. Bares of Owner of premises �I��rtf�1.S...�iA.►� 2.. Adklresa�f$"PPR .(�� JJCj�'`.l�� llidx>e No+/6'�!b:d�j� ✓ . None of Ard%ItectRDNI.' 0r�. T NZ%Ai ............. Mdresa !t?W��.P�E)Z D.jl �.. [Tans l4io .. .. ..?, Mine of Contractor .... Fr�i4........................ Address ........... .................11tone lb. ........... 15. is this property within 300 feet,of a tidal wetland? * YRS .......... Ii0 k ....... *IR YRS, swil 1D Taal msilms miurr MAY Sip mpinim. i PLOT DIAGRAM - Locate clearly and dlstincttylall buildings, cdtetl%er existing or proposed, and Indicate all setback ditrenalons fent property lines. Give street and block nutibar or description according to deed, and slow, street narea aril indicate tAiedier interior or corner lot. 4- 9 t 91-Alit Olt flit YIXtK, I S•4 (UIIN (1Ir .................... /J� ..'..r./�.jJ 1.� .�. / �� .. .......................belfig duly morn, detxtses atop says that• he Is the appl.iamit (Nnic of cxllvidtutl sl nLi cantrrct) ahcrve corned, fie is the ................. /. ...... ............................................... (Cmitractor, agent;corporate officer, etc.) or said cwsxir or owners, ntxl is duly authorized to perform or have ixirrornc•dl the said work nix) to nmke and filo this altlillcatitiq dint all sLateitients Mitained in this nppficat'ioti are tnte to the heat of his knowledge atxl Ixitlef; atxf that the work will be perfonmI.10 the manner net forth in the appl.iention filed therewith. ;;txtrn to before me circa .•.•.. . ........ of 19. ..L Ii Notaryt'tiblic ✓:.:i'. ... (Sttnl:ure c Ap)llcmit) J YCE M.,WILKINSI Notary Public,Stato of No'York No.4882248,Suffolk Cou Term Facpires June 12,1I18�j rrrly f%U114":" R.9fip - I�y PLUMBER CERTIFICATION I ON LEAD CONTENT BEFORE U I�� CERTIFICATE OF OCCUPANCY t $ SOLDER USED IN WATER w I SUPPLY SYSTEM CANNOT u EXCEED 2/10 of 1% LEAD. OCCUPANCY OR USE 1S UNLAWFUL I1�I WITHOUT CERTIFICATE OF OCCUPANCY DATEffAD NOTED 15 765-1802 BNFY BUILDII AM TO 4 PM FOR THE FOLLOMNGFOUNDA ION -TWO � U FOUNDATION - TWO REQUIRED FOR 2. ROUGPHRED FRAMNG &PLUMBING 13 �I rash I Ft7 ~ ON 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR n . .,}• � <7I'b✓`I I � DESIGN OR CONSTRUCTION ERRORS .- pn+.o -rpltEN Fvo 01,.k re v[e✓ fo - 67 4" evrc.K VAN -ruy P6 . r ^ 6amK 7I Q J( f i-tzeowl v' c' e- GveYr✓1�ov'l' h' y, �� ra r V I --....,___._ ' Shove line pkv llc°eI b i II I OPPP 7 � �'eck —5� tnrAlvFtaiz�3- , _x v �1 f �� M