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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23728 Date JUNE 21, 1995
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property 175 CLEARWATER LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 118 Block 5 Lot 2.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 15, 1994 pursuant to which
Building Permit No. 22006-2 dated APRIL 12, 1994
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 FLOOR ADDITION & ALTERATIONS TO EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to MARK & ELAINE MCDUFFEE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.-N-352760 - MAY 23, 1995
PLUMBERS CERTIFICATION DATED JUNE 5, 1995 - BRUCE TAYLOR PLUMB. & HEAT.
Building 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)
Date, 7 E 19..-
N2 22006 Z
Permission Is hereby granted to:
? ~~'~...A........................
-7 Y .6e
-OF
.Vww/' !G/p. w?'kaly . ..~~z....., t .Z "
to Z.~
...z
le2..................................................................................................................................................................
at premises located at..... .C~ ZeZ4..Gi~ ...1....l
K C
County Tax Map No. 1000 Section l. /f Block ar Lot No. .
pursuant to application dated 19~~......, and approved by the
Building Inspector.
Fee $ ...T2Yr.....
tor
.rAulldin e;tc-
Rev. 6/30/80
i
Form No. 6
TOD OF SOUTHOLD
BUILDING DEPARTMENT
Tots 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 He'nlth Dept. of water supply and sewerage-disposal(S-9 form),
3. Approval of electricml installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system cootairs
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.
d. 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 - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Q~d, tforl Date
New cons tructicu o0.. f g• lkyxio C1 h
, Old Or Pre-existing Build'- t^ ( 2 01( 16
Location of Property 1n. 17.... L~2Ct{1~ ~~Jry~v r (~/~3
House No. Y•••••
Street Hamlet
Onwer or Owners of Property i:.t.q.r`~(' ~~,,,,nn rn 4
County Tax Map No 1000, Section.........
.....Block ................Lot......................
Subdivision ..........Filed Map............ Lot......................
Permit No, Z, , , 6 Z p I `,.v~~.~e
........Date Of Permit Applicant.
•('~~.r~-~..:4..4la'~4L..l:!~
Health Dept. Approval.. ..........Underwriters Approval.......
Tanning Board Approval... 1.ry$'~", G-'~PIIGk:p}...
lequest for: Temporary Certificate........... Final Certicate....
'ee Submitted: $......C>0076
U............
co 3 VS"
C
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
111J092 BUREAU OF ELECTRICITY
F 83 JOHN STREET. NEW YORK. NEW YORK 10036
Date MAY 23 F 1999 Application No. on file 85315294/94 N 352760
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
MR. MCDUFFRE, 175 CLEARWATER I,ANE, CUTCHOGUE, N.Y.
El 2nd Ff. iFL/ATTICfOUT Section Block Lot
in the following locatioMnA~ 19 r 1s~5 ent isL Fl.
was examined on `1 and found to be in compliance Tvith the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEFTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER PMi. K W. AMT. 1K. W. PMT. K.W. AMT K.W. AMT. IT P.
20 40 28 20 1 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K. W OIL H. P. GAS H P AMT. NO. A. W. G. AMT. AMP. MAT. AMPS TRANS. WT H P SYSTEMS
NO. OF FEET "T. WATTS
SERVICE DISCONNECT NO.OF 5 E R V I C E
METER OF CC. COND. A. W. G. A. W G A. W. G.
AMT. AMP. LYPE EQUIP 1~6' LW 1,0' ~W 3.e' 3W 3,6' 4W PER A' OF CC. CON D. NO OF HI LEG OF HIAEG NO OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
G.F..C.It-3
SMOKFA DETECTORI-1
KRISTICFI ELECTRIC CO. LIC.#4313-E GJ/%
6 CAPUTO DRIVE
MANORV.ILLE, NY, 11949 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 COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
4 s
BRUCE TPLUM BIKG AKO NEAtING
ilchlield Ave., Babylon, N.Y.
(516) 661-6657
eu9u~r ~e9~T~f9c.P
P>- w Qv~~ , ~c cap T~
C~ tl4s& r~--
t-p
JUN - 7 lgg.5
L e t d'
Nomry Pub Ic. Sto of New York
No. OIS1491 Srf'blk County
Tans FsPk a-- 194L
1 LJ 1:: S: LNTC
a 0
® c ` y~
OUNDATION (1st)
OUNDATION (2nd)
o \
OUGH FRAME
-PLUMBING
ti
1, H
v m
c~
:IISULATI0;1 PER N. Y.
• •
STATE ENERGY I two
~rGC~E~ -
CODE
1 4.
1 z
5ki
FI:IAL
ADDITIONAL COMMENTS:
x
. vvv
CHRISTOPHER S. MCCARTHY
LICENSED PROFESSIONAL ARCHITECT
MEMBER AMERICAN INSTITUTE OF ARCHITECTS
183 OLOFIELO AVENUE
AMITYVILLE, NEW YORK 11701
TEL: (516) 598 - 3092 ` FAX: (516) 596 - 1223
April 19, 1994 (E
t APR p 11994
Town of Southold
Town Hall
Main Road- TO LD
PO Box 1179
Southold, NY 11971
RE: ADDITION TO McDUFFEE RESIDENCE
CUTCHOGUE, NEW YORK
BUILDING PERMIT FEE APPLICATION
Gentlemen:
I believe the fee for the Building Permit was incorrectly
calculated for the addition to the existing residence. By my
calculation, the total square footage added on the first floor is
322 sq. ft. heated space and 295 sq. ft. exterior covered porch.
I concur with your square footage on the 2nd floor.
Would you kindly advise this office of the status of the corrected
permit f e.
r you ,
Christopher S. McC hy, AIA
CSM:ri
3V L5 ~I
3 APR221:BLDG O- p7 _ j
?OWN O.. F SOU7HOtJ'~
OSpFFO(
o ~
Town Hall, 53095 Main Road y x Fax (516) 765-1823
P. O. Box 1179 - • g Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 18, 1995
Mr. & Mrs. Mark McDuffee
175 Clearwater Lane
Cutchogue, NY 11935
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) /
xx No Underwriters Certificate on file."
xx 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 # 22006-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
GH PLBG.
[ ] FOUNDATION 1ST /[NSULATION
FOUNDATION 2ND [ ] FRAMING FINAL
REMARKS:
DATE INSPECTO
a~aa~
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
FRAMING [ FINAL
EMARKS: d4.~
r
J ~/'spry ~e ~ j,
DATE :INSPECTOR
M-1N2
BUILDING DEPT.
INSPECTI N
OUGH PLBG.
[ ] FOUNDATION 1ST [ 4SULATION
[ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL
REMARKS:
12 -rv
i
DATE INSPECTOR
06 L
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ) ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION I t~ - )
[ FRAMING [ ] FINAL j j t36 REMARKS: A/4, 6 yl~64d - aliolk
/nv Qirldss `
ZY
DATE 6113
INSPECTOR
l1
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
v DATE INSPECT
BOARD OF HEALTH
FORM NO.1 3 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY
BUILDING DEPARTMENT CIICCF
TOWN HALL SEPTIC iFORN
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 t:OTIFY:
Examined~~. 191 CALL
Cy MAIL TO:
Approved , 19/.Permit No. °?l
y9 y _h
Disapproved a/c - - .
JJ m
(BuiVng I ctor) ~Q s-W
APPLICATION FOR BUILDING PERMIT ~ -
Date s 19
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
ets 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
r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
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 issued a Building Permit to the applicant. Such permit
fall be'kept 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
call have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
'egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
.unit authorized inspectors on premises and in building for necessary inspections.
_
(Signature of applicant, or name, if a corporation)
1.7r~ . cG Q w , Erz . I-AN ~_..QTr RMOE
(Mailing address of applicant)
Tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
:ame of owner of premises MAfZ-.,. A A4. AI.'M.e.. •MC-*P' 4 h. E~
(as on the tax roll or latest deed)
applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer . ) . . . . . .
Builder's License No .
Plumber's License No .
Electrician's License No .
Other Trade's License No .
Location of land on which pSr- oposed work will be done.
.
House Number Street Hamlet
County Tax Map No. 1000 Section T Block Lot......:
Subdivision AMMe,~p!~c) 1-iAr. K.A'! P1q..96iNriled Map No. . 1.%P Lot ....1®
(Name) " " " "
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . 1 N FAK I LY ~5 ` D~ N GE
b. Intended use and occupancy , . S,&ytil E
3, Repair Re air . of , work (check which applicable): New Building Addition V 2NL Alteration
l/.....
Removal , • • • . Demolition Other Work
4. Estimated Cost . a PO (Description)
~ Fee......................................
If number cars , (to be paid filing this application)
5. If dwelling, garage, number r of dwelling units Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specif nature and extent of each type of use .
' Height tfrexisting sttu NUres, if any: Front
.
. Rear .C P9 Depth .wry r
...7......
~p ber of Stories .......G .
Dimensions of same structure kith alterations or additions: Front ..60.6 do
U
Depth ..5.4!M't:V......... Height . Rear
8, Di mensions of entire new construction: N3 Number of Stories .
Front ....~.QTYl~. , . Rear ...~1,~,MAF.... Depth Depth ,
Hei-ht er of Stories .
9. Size of lot: Front Z..! . ult.......... Rear . x;° . 1.5 5 , . Depth ~PI . .
. • • • • * • • • • , , Name of Former Owner .
11. Zone or
P
12. Does pr use district i construction is violate are situated . , ~ ,4P • • , • • • • • , . • • , .
late any zoning law, ordinance or regulation: .
13. Will lot be regraded , 144[ 2 Will excess fill be r~gg~~poved from premises: Yes No
14. Name of Owner of premises AuA1N.1F MGW.~E~ddress H5. fill be .tl,.Phone No. . I? .q 5?2~
Name of ArchitectClJ kl j~C,Gla9:114Y......... Address Phone No.$(4.. rte`) 3dq a
Name of Contractor(i N, 9K. . Address . Phone No.$g2 5, 5 3
15. Is this property within X00 feet of a tidal wetland? *yes.
. .
*If yes, Southold ;Town Trustees Permit may be required. No.........
PLOT DIAGRAM
Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
~'a~~ t~2A~d1t~5
r
I
i
STATE OF NEW YORK, SJS
CO LUY n Q
• • • • being duly sworn deposes and says that !tc is the applicant
(Name of individual signing contract)
ibove named.
ilcis the .I' uWr.
(Contractor, agent, corporate officer, etc.)
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
]PPlication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
York will be performed in the manner set forth in the application filed therewith. -
iwom to before me this
........6..........day of. .'YY) C{ c d 19
dotary Pubnc,
e • County
v ? w LINDA J. COt)PER e
NN~o 48225¢3 Suff to kNCounork ' ' ' ' '
T®rm Expires peoernber21,18 Signature of applicant)
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M O I O`5
BLOCK Pi
A6ovE GCL,pE
SITE PLAN
P c FTG ~ _ O
+I GENERAL NOTES J
2-~ x8 " 2 -O r' 1. All Materials, constructions, and assembliiee shal
OD'r FTG To GQp l conform to the N.Y. State Fire 1 p£ Safety and Building Construction Code and Code of Town of Southold. i Fire
Kam" Ccq 5T4 ti1TcHio1.1 '
N~ /2-K GC.A I 2. Written dimensions take precedence over scale; notify the architect of any
Q :a J discrepancy. any
-'7 V
zxq c~.c,4 ~ i ro 47 3. Contractor shall verify all dimensions and conditions on the job and the Architect's PLUMBING
act's ALL PUASW yA!MM
office must be notified of any variations from the dimensions and condition shown on the drawings. Provided dimensions are subject to actual field condition. sown &-111110 1 tNMNM
NI N lEilt#q llitj011t I~ViMN
4. Contractor shall be responsible for adequately bracing and protecting all work PLU44BE19 CERTIFICATION
during construction against damage, breakage, collapse, distortion and vork ON LEAD CONTENT BEFORE
misalignment according to applicable Codes, Standards, and Good Practice. and CERTIFICATE OF OCCUPANCY
I ~I SOLDER USED /N WATER
5. Double all joists below parallel walls and around openings in floors. SUPPLYSYSTEM CANNOT
I I EXCEED 21j0 0F1%SAD.
6. Provide cross bridging in lines 8'-0" o.c, at the center of all spans over 8'.0" for all
CRAWL SPAGE joist framing. r all
7. Ali windows to be Andersen with low "E" glass; provide tilt double hung, screens, if capper bo~bb~~y ~N~ yaMnd
ms, for water bW di v~~ynp
and grilles as shown. Skylights by Insuladorne or Andersen. Skylights to,ponfomt to N.Y. State Energy Codde2 )rm aptem; pWM cMll be
of types K a L on
8. All Window hea era to a do le 2X8 unle s oth a %hown. i
9. All new exterior walls to be 2X6 studs with Rt-19 insulation. All footings tr 'bear on ~jlZHtrxixil~
virgin soil; assumed bearing capacity of 2 toms psf. Ste footings as re on '1 V~ Ate If ooppw tablM 15 "ad
I~ 9usad Wire rue for Wow dlsttibutln0
brush and dowel (2' o.c vertical) new foundations walls to old. ng all
10. All sills to be cca, anchored 8'-0" o.c. and 1"-0" from comers with 1/2" X 15" bolts.
Flash all sills and provide sill sealer. otWPNpi sh Its.
L 11. Exterior of all foundations walls to be damproofed starting at a point 1" baow fin.
grade to underside of footing. in.
I
2xlo@la" 4C. 12. Footings and foundations to be poured concrete or block, to dimensioned
I - - EY-A G E':; r1 T I drawings, with an ultimate compressive strength of 3000 psi min. at 28 days. ad r4 calif
13. All electric work shall conform to riles and rermlaticns of e,e W"-1
r~e_u_
Code and N. Y. State Board of Fire Underwrilters.
PAi2TiAL BsM'T i I tiIEW Z° CnNG SLAB I j
14. All Plurnbtng in accordance with the N.Y. State Plumbing Code and Suffolk County
(F- Ck VTl Ncj ) --I - - - - - - - Dept. of Health Services. ny t~lfi~l~tirt;
I
15. Design Loads: 1st floor 40#/s.L live load mom
2nd floor 30#/s.f. live load L,oC~ BOLT 'Z:O°6C CDpITIKIU0-IS Attic 30#/s.L live load
~I 2-(o LEDgF Roof 30#/s.L live load S 1CIF&S NOT D
9 a ®,R 4 p C7 DD
rEe -z~ asv:
° tumbe•' hem Fir fb=1200 psi (min) laW~'FY R411'MC BMPd4RT AT !ki°+'iW? sr AIM TO 4 PM FOR THE
'C-Mq EXISTIQ(:C DECK Joke alarmsin accordance with the N.Y. State Fire FOLLOH+VPG INISPECTIONS:
to t FOUNDAPoN - '11410aCQU1RER
tstruction Code. "Of" "OUNFU CONCRETE
S PJJrU€_U,00w, IiPJ,x: _ C N S-CRUCTION KrNST
I f / x 1~4 -r' o7 Frexn~iPl,rTEFI c.t.~
z7 n.l t. c°0t436FUC(ION HALL IlEET
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F "DOT. CONSTRUCTION & ENERGY
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ARCHITECT McD'UFFEE It9gibENCE
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