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Home My WebLink About27078-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28537 Date: 06/24/02 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 29500 MAIN RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 3 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 27, 2000 pursuant to which Building Permit No. 27078-Z dated FEBRUARY 15, 2001 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 NEW ELECTRICAL SERVICE FOR AN EXISTING FARM BUILDING AS APPLIED FOR The certificate is issued to BARBARA LUTZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 069646 10/23/00 PLUMBERS CERTIFICATION DATED N/A A4uthored 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. 27078 Z Date FEBRUARY 15, 2001 Permission is hereby granted to: RICHARD R CIFARELLI SUITE 103 NEW YORK CITY,NY 10003 for . ELECTRIC ADDITION AND ALTERATION TO AN EXISTING FARM BUILDING AS APPLIED FOR. at premises located at 29500 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0003 Lot No. 010 pursuant to application dated NOVEMBER 27, 2000 and approved by the Building Inspector. Fee $ 50 . 00 Authorized Signature COPY Rev. 2/19/98 Form No. 6 TOWN OI SOUT HOLD BUILDING DEPARTMENT TOWN'HALL _ ✓: , otD 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: 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 certificat 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 Occupanc) 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. Photocopy of Certificate of Occupancy-$0.25 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:V—(check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: 7� /:V-3 PCV-A Lu TZ Suffolk County Tax Map No 1000, Section 3 Block t Lot 3. Subdivision Filed Map. Lot: Permit No. ;?-_70_7,? - _7 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V"�' (check one) Fee Submitted: $ Applicant Signature THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date '..T'_BER 23.20'NT Application No. on file 310001/0.11) H 069646 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of I') IIL FtLIF:u3JELL i. ROUTE 251, CUTCHCGUE. N'z' in the following location; ❑ Basemen�(t]/� Elist Fl. El2ndFl. OUT Section Block Lot was examined on CIL"TOBER 16 ,20-Y&I and found to be in compliant¢ with the National Electrical Code. FIXTURERECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVEN OUTLETS RECEPTACLES DISH WASHERS EXHAUST FANS INCANDESCE FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pf. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. SYSTEMS NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF METER S E R V I C E AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 R 31! S•4W NO.OF CC COND. A.W.G. PER 0 OF CC.COND. NO.OF NI-LEG OF NI-LEG NO.OF NEUIRAIS A.W.G. OF NEUTRAL 1 -00 CR k 2/0 OTHER APPARATUS: SERVICE ONLY- i RICI-LARD CIFARELLI . .^ LP. 0. BOX 389 CUTC'HOGUE, NY, 11935 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 FCR FJIL.^�!i >.r');{"p,1tf;T_ f{ �`.�� ,,,gTE MU6' PdCJT BE ALTERED UJ ANY MANNER. ✓r ✓ THE NEW YORK BOARD OF FIRE UNDERWRITERSPAGE 1 8081781 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 23,2000 Application No. on jUe 11138000/00 H 069646 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RICHARD CIFARELLI, ROUTE 25, CUTCHOGUE, NY in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd FL OUT Section Block Lot was examined on OCTOBER 16,2700 and found to be in complianbe with the National Electrical Code. . FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E METER NO. CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1•3W 3/SW 3•4W PER OF CC.COND. NO.OF HIAEG OF HI-LEG NO. NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: SERVICE ONLY-1 RICHARD CIFARELLI l_.. t P. 0. BOX 389 CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 Per 1" _ ! 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. 7WS3 COPY O" 0'ER T iM';ATE MUST INO T BE ALTERED IN ANY MANNER. BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: APPLICANT NAME:-no, rlz� �F' �r DATE SUBMITTED: // /z 2/oa SCTM# --- DISTRICT: 1,000 SECTION: BLOCK:_ LOT: 16 PROJECT LOCATION AND TYPE OF PROPOSED WORK: / PROJECT DESCRIPTION:(CDI At-7.ACC OR NSD: ,, �wl✓�,�g STREET: 29500 /c1*"A 46,00ACITY: (lG e-/I� SUBDIV. NAME: ARCHITECT/ENGINEER: ej4- FAST TRACK: YES OR900) SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES OR NO NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83 ZONING: PERMIT ESTIMATE AMOUNT:-$ 3K 00 PERMIT USE: EXISTING: INTENDED: ZONING DISTRICT: R40 R80 AC CONFORMING: YES OR NO REQUIRED LOT SIZE: SQFT. WHERE ACTUAL LOT SIZE FROM?TAxcARD SUrrey ACTUAL LOT SIZE: /O_2� ;,/�' SQFT. REQUIRED REQUIRED REQUIRED FRONT: ---'PROPOSED: ' SIDE YD: '/ ' PROPOSED: '/ ' REAR: ' PROPOSED: LOT COVERAGE: ALLOWED: % EXISTING: sf % NEW: sf_% TOTAL: Sf_% CORNER? YESORdqN WAT ER FRONT? YES o O DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: FLOOD ZONE: , AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APPL CATION TOWN SPETIC PERMIT: YES or SUFFOLK COUNTY HEALTH DEPT: YES or (BED #): DTE:_/ / PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES YES or NYS ENERGY: YES OR(NO� ✓ 8�---z£�P r=-- - - LIGHT: �/�' NOTES: �--� FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLR SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE s T( SF)- _SF)= SFX $ =$-+$-+$ Sy = $ � F a �q pGT ll 6, -I SURVEY OF PROPERTY �; SITUATED AT 0y I P Yry�a, G U� lyl3 CUTCHOGUE TOWN OF SOUTHOLD 'Q � SUFFOLK COUNTY, NEW YORK / � o S.C. TAX No. 1000-102-03-10 O� ! • SCALE 1"=30' �� m j NOVEMBER 19, 1999 �a J• �? ��\ / AREA = 102,717.06 q. /l. 2.355 ac. h � / crru� : Q• "c �. VENTUREA i ••pff (V\ '�1 4` '�' / RICNARO R.. CIPCIrAREREL'J ti T� r oo .•..f%— '� ..� / a,. 'mac• � � v vF �a3 x � � mna+aa,an,m,eae,Kuo • \ _i Kw mmmos�r�r�eKr. 1 ' \ .,j m.•or foK uR xwR°��iiwim. j Ate"'< Joseph A. Ingegno \ F K WLLi YO MtlO MO NOS \ ,q w 'K O'SYt f41r LiM Land Surveyor e I 7• �p _ ;; �'._ nn.A.�<•_srww..- sr rK,- n.�„y.,, ' 9n , moxE fsuym-tae r..Isu)7u-eau �' nnxf m1m r 11Ai1 4wYy r M FIELD INSPECTION REPORT_ DATE COMMENTS FOUNDATION OST) II it >r II j FOUNDATION (2ND)=----1 —�1 ROUGH FRAME h PLUMBING II ul d ri �I O u INSULATION PER N. Y. II G STATE ENERGY �I— �i H CODE n II H � II 11 P N 1 FINAL I n II _ ADDITIO_NA_L COMMENTS: H H O x Z c� ro H r 2 7 2000 BOARD of HEALTH . . . . ... .. . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . UAi,DEPT TOWN OF SOUTHOLD SURVEY . . - "` SOC'�FOGn BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . ... . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . .... . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . .. . . ... . . ...... . .. . S TEL: 765-1802 TRUSTEE . . . . .. . . . .. ....... ... . NOTIFY: CALL . . . . . . . . . . . . . . . .. . Eramined...A�11......... 10Q/. MAIL TO: . . Approved... ........ AQP./. Permit No. .................................. Disapproveda/c .................................. .................................. ............................................... ... ( ilding Inspec or APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . .. 2G. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 a detailed description of layout of property must be drawn on the diagram which is part of this application, c. The work covered by this application may not be cam enced 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 be.kept on the premises available for inspection throughout the work. e. No building shell be occupied or used in whole or in part for any purpose whatever uhtil 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 Zone Ordinance of the Tam 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 admitarrYhorized inspectors on premises and in build' fo s r} inspections. �.................. (Signature of appli or Wane, if a corporation) (Maili addre aof applicanQ lir � ! ODO3 State whether lirant is r, lessee, agent, architect engineer, genera contr tqelectrician, plumber or builde .. l .o":!!:`;4.. ....... ........................ Name of owner of premi .s .... .. .. .. .. ... .. ................... (as on the tax roll latest deed) ' 1 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. .................... .�� 1. Location of 1 which proposed wo will 1be done...... ?�..... .......... •..... . ........ .. ..• •e. .. , .,......Y.i..>,> . .• . rIle....I......>>r>,>.>>>>>,>,>>,>..>> House Number Street Hamlet County Tax Map No. 1000 Section ... ...... Block .... ......... Int .......+.�.... Subdivision ...................................... .... ........................ Filed Map No. ............... Lot ... (Name) 2. State existing use and occurpancy of sea intendodxse and occupan y of proposed construction: a. Existing use and ... b. Intended use and ocarpaxy 1rsd........ 3. 14�)Lure of work (check which applicable): New Building Repair ............ Removal ... .......... Addition .... � .......... Demolition .. a . ....•....... Other Work , 4- Estimated Cost ...... (Description) 5• if dwelli fee oto be paid on filing this•.......•.•....... ng, number of dwelling application) ng units ............ timber of dwelling g unite on each floor ................ garage, nuhber of cars ......• ..................... fi. If txhsiness ...... commercial or mimed occupancyspecify nature and extent of each type of use..... 7. Uihhensiahs of existing structures if any: Frcxht..•„ •••.... ........... Re , Height Number of Stories ........ , ........... Dept,, ..... Dimensions of same structure with alterations or Depth additions: Front ............... Rear ""'•""•••••••••. Number of Stories ...... ..' 8. Dimensions of entire ......••• new construction: Front ................ Rear ....... Heigh ........ Depth .............. t ......................... Number of Stories 9. Size of lot: Dont .... ..................... 10. hate of Purchase ...�!!8Z<helt!!e� X &me Dep { .. of Former Owner ... . II. Zone or use district in which .' �' V ... premises are situated12. ................ Does Proposed construction violate �� .... ' zoning law, ordinance or regulation: .... 13. Will lot be regraded A-147............... 14. Names of Owner of premises ......•.... Will excess fill be removed from Premhises: YES NO............ Address Name .............................. of Architect ................................ Address ..... Phone No. ............. Name of Contractor ..... ..............•........ Plane No. ....... ............... .. Address ............ ................. 5. Is Uhis p� HD property within 300 feet of a tidal wetland? * = 4,,.,, Ahone S(]LM 1Qd'1 T[d1S7FLS PERMIT MAY BE IMM 6A .......... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frau Property lines. Give street and block amber or description according to deed, and stow street Dames and inch whether interior or corner lot. rcate E APPROVED AS NOTED OCCUPANCY OR DATE: s/ /1 g.P# USE IS UNLAWFUL FEE:-fs.G ^O& By.zg-�- NOTIFY WITHOUT CERTIFICATE 765-1802 81LDING NT AT AM TO PM FOR THE OF ®C�UpAI�CI FOLLOWING INSPECTION& OCCUPANCY 1 FOUNDATION - TWO REQUIRED ��►' FOR POURED CONCRETE UNDERWRITERS(CERTIFICATE 2. ROUGH - FRAMINa & PLUMBING 3. INSULATION REQUIRED 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. 'rNir Or NW ' STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR umly or - l' SS DESIGN OR CONSTRUCTION ERRORS • •r ..............being du1 `lane of individual signing contract) y sworn, deposes aril says that he is the applicant )Ove maned, ) r„ ' is the ....... ... . . ...................................... Contractor, agent, corporate 'etcofficer, etc.).......... said owner or t m,ers, aix] is duly authorized to perform or have performed the said work and to make and file this hpl.ication; that all statehents contained in this application are true to the best of his knowledge and.belief; and at the work will be performed in the manner set forth in the application filed therewith, orn to beffo7re me thisWOLI� ......da of :2000 Notary is ........ .. ELtZABETHASTATHIS 4iture of Applicant NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk CguMy Tenn Expires June 8,20� -