The URL can be used to link to this page

Home My WebLink About27077-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28878 Date: 09/19/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 270 COUNTRY CLUB DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 3 Lot 2.7 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 2000 pursuant to which Building Permit No. 27077-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 SINGLE FAMILY DELLING WITH ATTACHED TWO CAR GARAGE, REAR PATIO & REAR SCREENED PATIO AS APPLIED FOR. The certificate is issued to THOMAS G & TRACY NOLAN (OWNER) of the aforesaid building. SUFFOLK COU1TTY DEPARTMENT OF ~ALTH APPROVAL R10-99-0234 08/27/02 ELECTRICAL CERTIFICATE NO. 1061215 06/24/02 PLUMBERS CERTIFICATION DA'r~3 08/15/02 PERFECTION PLUMB.&HEATING 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. 27077 Z Date FEBRUARY 15, 2001 Permission is hereby granted to: THOMAS G & TRACY NOLAN 41 DOUG'S LA~E SOUTH JAMESPORT,NY 11970 for : CONSTRUCTION OF A NEW TWO STORY SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE, REAR PATIO & SCREENED PATIO AS APPLIED FOR. at premises located at 270 County Tax Map No. 473889 Section 109 pursuant to application dated DECEMBER Building Inspector. COUNTRY CLUB DR CUTCHOGUE Block 0003 Lot No. 002.007 7, 2000 and approved by the Fee $ 1,256.40 r Authorize~ Rev. 2/19/98 COPY ..... , 0~: c!m !r~GLD ___.J Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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: 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. Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fxom 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 the applicant. C. Fees 1. Certificate of Occupancy - New ~welling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuuing 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: (check goe). LocationofProperty: '7~0 ~~. ~'[~- ¢ ~'L~ House No. Street Hamlet Owner or Owners ofProperty: ~--'-~c4_~ r- ~ c,~C~ Suffolk County rax Map No 1000, Section [ ~ ~ Block Subdivision Filed Map. Lot: PermitNo. ~-?O "~"-~ DateofPermit. ~Cfl)tq',2-Oot Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~/' ' ~(check one) Fee Submitted: $ ~ ~ (~X,t~., ~ ~L[/~ ] / Ai~plica/~t Signature ' BY THIS CERTIFICATE OF COMPLIANCE THE ~ NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU Of ELECTRICITY ~ 40 FULTON STREET- NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by g & S ELECTRICAL CONTR. THOMAS NOLAN BOX 215 COUNTRY CLUB DRIVE SOUTHOLD, NY 11971, CUTCHOGUE, NY 11935 Located at COUNTRY CLUB DRIVE ..U, ..HOGUE, NY 11935 Application Number: 1061215 Certificate Number: 1061215 Section: 109 Block: 03 Lot: 02.7 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 24th Day of June, 2002. Name QTY Rate Rating Circuit Type Additional Charges LIC NUMBER# 578-E Alarm and Emergency Equipment Sensor 1 Carbon Monoxide Sensor 7 Smoke Appliances and Accessories Oven 1 5 Dish Washer 1 1 Exhaust Fan 4 F.H.P. Furnace 1 F.H.P. Pump/Motor 1 H.P. Hydro Massage Tub, Residential 1 Wiring and Devices ~ Outlet 58 Fixture ~ Receptacle 62 General Purpose ~ Switch 73 General Purpose ~ Fixture 56 Incandescent seal r~ Fixture 2 Fluorescent ~ Continued on Next Page 1 of 2 r~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, g. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU Of ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by G & S ELECTRICAL CONTR. THOMAS NOLAN BOX 215 COUNTRY CLUB DRIVE SOUTHOLD, NY 11971, CUTCHOGUE, NY 11935 Located at COUNTRY CLUB DRIVE CUTCHOGUE, NY 11935 Application Number: 1061215 Certificate Number: 1061215 Section: 109 Block: 03 Lot: 02.7 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 24th Day of June, 2002. Name QTY Rate Rating Circuit Type Receptacle 12 GFCI Receptacle 1 20 Special Receptacle 1 30 Special Paddle Fan 5 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 CB Meters: 1 seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-18C BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Permit No. ~L)'7 ~7 Owner: /PZ~ (please print) Plumber:('~o~ (please print,)" Date: I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~lumbersSignatti~e) Sworn to before me this ~or' day of Q~.. , 20 O'~-~ Notary Public, County JOYCE M. WILKINS Notary Public, State of New Yo~ No. 4952246, Suffolk County T~,~rm Expires Jone 12, Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/12/01 Transaction(s): Septic Permit - Construct - Resid. Receipt~: 0 Subtotal $10.00 Total Paid: $10.00 Name: Nolan, Thomas 41 Dougg Lane South Jamesport, NY 11970 Clerk ID: LYNDAB Intemal ID: 27026 BUILDING PERMIF RE\qEW CHECK LIST Applicant/ Owners Architect/ Engineer: $CTM #: ,,,,,r,c,:, ,000 Single & separale cerlificalion: IFrom Y~d O R Project Description: AGENC~'J?ERMITS REQUIRED FOR REVIEW NoA. Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: NO YES Permit Number ,eva- ~-a Notes: 765-1802 BUILDING DEPT. /. INSPECTION [~'"']~ FOUNDATION 'fST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ I FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMA~K~ :~ DATE INSPEC~I'OR ~ 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ,DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTIO/N ] FOUNDATION 1ST [ ,,~ ROUGH [ [ ] ~N2ND []INSULATION [ ~]~FRAMING [ ] FINAL --- []FIREPLACE&CHIMNEY DATE//~/////~~ IN SP~~ ~ INSPECTION [ ] FOUNDATION I ST [ ] RO~Gf~PLBG. [ ] FOUNDATION 2ND [,~ INSULATION [ ] FRAMING [ ] FINAL [ REMARKS: ] FIREPLACE & CHIMNEY ~o7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] INSULATION i i ~IRRA;j;;CE & CHIMNEY [ ~J' FINAL DATE ~~,2,~ INSPECTOR FIELD [ON REPORT II II FOUNDATION (IST) ~- II II II II II FOUNDATION (2ND) II PLD'I~BING {{ , . II II II II II II II ~s~o~ p~ N.y. " - ~ ~ ~ STA~ E~R~ ~ CODE i! II Il II II II II I1 --I FORI4 NO. I TONN OF SOUTHOLD BUILDING DEPARTNENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 FICATION FOR BUILDING PERI'lIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORN ................... DEC ........................... TRUSTEES .... NOTI~:_~~ .... CALL .. i~.~ I L TO: ................... Date. .'. .0 2C.. a. This applicatitm -,tqt be cc~upletely filled in by typewriter or in ink and s~itted to a Building Inspector 3 sets of plm~s, ac~wate plot plan to scale. Fee accordin~ to schedule. b. Plot plan sho~ing location of lot and of buildings on praises, relationship to adjoining pr~ni~es or public streets or areas, and giving a detailed description of layout of property mint be dra~n on the diagr~n ~nich is part of this application. c. The ~ork co~red by this application ray not be cc~mLmced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector ~ill issue a Building Permit to the applicant. Such permit shall be kept tm the premises available for inspection thmuglx~t the ~ork. e. lto building shall be occupied or used in ~,~nole or in part for any ix~rpose ~&atever ~til a Certificate of ~ shall have bee~ r,~r~t by the Building Inspector. ~-ClCA~io~ IS tmm~ mm to the Building Departn~nt for the ismmnee of a Building Pern~t pursuant to the Building ~ Ordin~n~m of the To~n of Southold, ~uffolk Count~, Ne~ Yor~, and other applicable I~s, Ordinm~es or l~mlatioas, for the onnsmtion of building-% ~4ditions or alteratioas, or for r~v~l or den~lition, as herein ~descrihed. ~he appllt'~nt ngrees to ~,,-~,ly ~rith all applicable 1~, orditmnges, building eede, housing code, regulations, ~d to ~i~it nuthoriz~d imspectors on pr~ni~es ~ed in buil~li~g/for necese~ry inspections. m, ~f a corporation) (l~lailing aam'ess of applicant:) State ~aether applic~lt~_o~e~s~.~, agent, architect, engineer, general contractor, electrician, pl, nt~r or builde ...................... ~.. 1 .~,~/~-~z~'~7~-" ........................... '? ........... . .............................................. (as tm the tax rollor latest deed) ................... If applicant is a corporation, signature of duly anthorized officer. (Nam~ and title of ~orporate officer) Builders Lice[me No .... J.I.LY. ..H.Z ...... Ph~'~ers License No .......................... Electrici~_~ Licease No ...................... Other Tr~i~'s License 1~ ..................... I. I~cation of land on ~hich proposed ~ork ~ill be done .............................................................. ~use t~n~er Street H~nlet ~ Tax r~ 1000 ~ "~ ~. ~tion ..... JD.~ ..... Blo~ ................ ~t ...... :..~ ...... ,iled ................ ............... ........ ........ b. ~~ ~~ ......... .~ ..... ~, ................................... ~zJture or ~[K t~=cll ~nch appllcaDle): ~ ~lldl~ ..... ~. ........ ~itl~ ...... Alteratim .......... l~ir ............ ~I ............. ~litim ............ Otber Esti~mt~ ~st "~ O00- (to ~ Did ~ fili~ this a~li~)~ If &~lli~, ~mr of ~11i~ ~mits ............ ~r of ~lllng onlts ~ e~ fl~r ................ If ~r~e, ~r of ~rs If ~imss, ~rcial or ~ ~, ~i~ mture ~ atent of ead~ ~ of ~ ...................... Di~nsi~s of ~isti~ st~a~s, if ~: ~t ................ ~ar ............... ~pth ................. lbi~t ......................... ~r of Stories ...................... Dimmi~ of ~,~ stature ~th alterati~ or ~iti~s: ~t ............... ~ar ............... ~pth .................... ~i~t .................... ~r of Stories ............... ,i,~..~ o~ ~.,~ ~ ~.,=,i~: ~, ........ ~ ..... ~.l ...... ~ ..~ .... I~iO~t ......................... ~r of Stories.. ....... ~ ............ ......... - -- a.5 ~ or m district in ~i~ p~i~ m si~t~ .......... { ..... ~ ............................... ~s ~o~ mt~ti~ violate ~ ~i~ 1~, o~i~e or r~latlm: . ~ ................. Will lot ~ ~ .................... ,Will mss [iii ~ ~ o[ ~it~t ..................................... ~res~ .......... 2 ................... ~ ~ ............... PLOT DIAGRAH locate clearly and distinctly all buildings, ~lmther existing or proposed, and indicate all set-back dimensions an prol~rty lines. Give street and block t~mher or description according to deed, and ah~ street ms and indicate ether interior or corner lot. ~ of individual signing contract) _' is the ............... ~.~- .................................................... (Contractor, agent, corporate officer, etc.) f ,~aid owner or owners, and is duly authori~l to perfom or have perfonmd tim said work and to make and file this ppi ication; that all stat~nts contained in this application are tree to the best of his knowledge aM tmliefi and hat the ~rk will be perfot~ in tim manner set forth in the application filed tbere~th. s~ LOT 27 VACANT TE$T HOLE PROPOSED WELL · I I I I I I I I I I I 25' / PROPOSED 4 BEDROOM RES. PROP. ASPH. DW PROPOSED SEPDC TANK PROPOSED CESSPOOL N 79' 55' 10" W STK SET 161.40' LOT 29 VACANT TIE= 169.27' COUN TR¥ CLUB DR/VE SURVEY OF LOT 28 IN MAP OF COUNTRY CLUB ESTATES ,5 ¢ TU A TE CU TCHOGU£, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR DAWD McELROY NORTH BAY PROPERI1ES, INC. 2~ 00 ' ,lt.,TO' Found NO IkELLS OR CESSPOOLS WITHIN 150' OF THIS SITE. ZONE R40 FOR S.C.D.H.S. USE ONLY TEST HOLE DA TA TEST HOLE ~4 AS SHOWN ON FILE MAP TM 1000-109-03-02.7 FM // 6736 FILED: OCT. 17, 1978 0.5° 14' TOP SOIL LOAM SAND AND GRAVEL EX/STING GRADE SURVEYED 27 OCTOBER,' 1999 SCALE I "=40' AREA= 41,297SF OR 0.948 ACRES guarantees indicated here on S~oJJ ~ old'/ to tko person for whom the surv~'y is prcpcred, and on his behalf to the t~l~: ccrnpcn": Govermental Agency, icn:'.;u~; ;ns¢;l~t;cn, if tisted hereon, and to the assignees cf Ihe Jending in,tituS;On. Ouc;rantees c~re not trcn:fcrobl~ to additional ins;itcticns c~ s.b~ ~u~:~t owne~ GUARAN TEED TO DASD ~cELROY NOR~ BAY PROPERtiES, INC. CO~NANT ABS~ACT CO. INC. TO~I OF SOU~OLD Unauthorized 91terafi°n or addition to thb survey is o viclc~fion of Section 7209 of ~h~ t~ew ~(ork ~tate Education Low. Copies of thls ~u~Vey map not bearing llt~ Land Surveyors e~bossed seal shol~ ~ct ~: cc, ns~dar~'~ la be r~ v~!jt;! SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BO;'( 294 ~ ICENSm f~N~R N YS ~,U'C. NO. 99C8Z7 SUR VE Y OF LOT 28 MAP OF COUNTRY CLUB ESTATES SITUATE CU TCHOOUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. LOT 27 24.0' s' POURED ~'~'~12'0' CONCRETE · ~.7' FOUNDATION ~'°' z~:,.s; 4~'°' §3' ~..~. ~2.4' 26.0' 411 00' __ FD N 79' 5.5' 10" W 161.40' SURVEYED FOR THOMAS G. NOLAN TRACY C. NOLAN LOT 29 VACANT 25.00' 41.30' TIE= 169.27' COUNT/FY CLUB Df?/VE ZONE R40 ~ucrc:.tt-.~.s indicated here on shaJJ tL,~ ":::d, c!;,J on his beho~ ~o the Ccr'b~ of th;s survey mop not beadng the L,'". ,gu~v::Tr~. err bossed seal shali net i~c considz;zd to be a valid Iru~ copy. TM 1000- 109-05-02. 7 FM ~ 6755 FILED: OCT. 17, 1978 SURVEYED 04 JUNE, 2001 SCALE 1"=40' AREA= 41,297SF OR 0.948 ACRES GUARANTEED TO T~.fOM.~S G. NOLAN TRACY C. NOLAN PINNA~L~ FINANCIAL A DiVISiON OF PA TRIOT NATIONAL BANK COVENANT ABSTRACT °lteratt°"'-~-'-r ~d'c~itt-(~fi-~:'fh~EUR': VE YED B Y s~rv~-;~ k a v]cIcficn of Section 7209 o~ *he h,'ew York S~=le Education Law. STANLEY d. /SAKSEN, JR. P.O. BOX 294 NEW SUFFOLK, NY 11~' ~~0 LA~D ~RVEYOR ' N YS ~C. NO. NOTE,' 04 JUNE, 2001 LOCATE POURED CONCRETE FOUNDATION. 01C1016 SURVEY OF LOT 28 IN MAP OF COUNTRY CLUB ESTATES SITUATE CU TCHOOUE, TOWN OF SOUTHOLO SUFFOLK COUNTY, N.Y. LOT 27 COVER'ED PORC/N -- 24.,5' GARA~ 28. I' LOT 29 VACANT 161.40' SURVEYED FOR THOMAS O. NOLAN TRACY C. NOLAN R- 25.00' TIE= 169.27' L,j ~ R~-uEIV~D _~ SUFFO[K Cn~I~Ty !;L~:~T OF ttEALIH SERVICES ~:~P~CE WASTEWAIER MGMT COUN TIC Y CLUB DICl VE ZONE R40 IM 1000-109-03-02. 7 F~ //67~6 FILED: OCT. 17, 1978 SURVEYED 04 JUNE, 2001 SCALE 1"=40' AREA= 41,297SF OR 0.94,8 ACRES GUARANTEED TO TOM G. NOLAN TRACY C. NOLAN PINNIGAL FINANCIAL A DIVISION OF PA TRIOT NATIONAL BANK NOTE.. 1. 04 JUNE, 2001 LOCATE POURED CONCRETE FOUNDATION. 2. 06 JUNE, 2002 FINAL SURVEY. 2$JUNE02 SNOW 14/ELL LOC_~rlON. SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK, N Y 11 ~rs ~c. NO. ~'~ 01C1016