HomeMy WebLinkAbout29952-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29944 Date: 01/06/04
THIS CERTIFIES that the building ADDITIONS/ALTERATION
Location of Property: 2760 LITTLE NECK RD CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 4 Lot 42
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 16, 2003 pursuant to which
Building Permit No. 29952-Z dated DECEMBER 16, 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 FLOOR ADDITION & ALTERATION TO EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to RICHARD & ARLEEN OLIVER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-590982 01/25/83
PLUMBERS CERTIFICATION DATED 12/30/03 MATTITUCK PLUMBING&HEAT.
�/ori ed S gnature
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. 29952 Z Date DECEMBER 16, 2003
Permission is hereby granted to:
RICHARD & WF OLIVER
BOX 37F LITTLE NECK RD
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF A SECOND FLOOR ADDITION/ALTERATION TO AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR. THIS REPLACES EXPIRED PERMIT #11543 /
at premises located at 2760 LITTLE NECK RD CUTCHOGUE
County Tax Map No. 473889 Section 103 Block 0004 Lot No. 042
pursuant to application dated DECEMBER 16, 2003 and approved by the
Building Inspector to expire on JUNE 16, 2005 .
Fee $ 150 . 00
Authorized Signature
COPY
Rev. 5/8/02
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. 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 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$25.60,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. /- .Z- U 3
New Construction: V Old or Pre-existing Building: (check
/one)
Location of Property: �] G U , 7-77� le pec Ic
House No. Street Hamlet
Owner or Owners of Property: f?��� Q,��/ �' 1�7. /��,� L/�d•�2
Suffolk County Tax Map No 1000, Section Block 041 Lot 0412-
Subdivision
41Z.Subdivision �' ��,„h, -�le.e�s Filed MapJZ3 1 Lot: /
iz-0,3
Permit No. // -
5 5'3 Z Date of Permit. /-// d'Z Applicant: 17,lee.., /,�.�
Health Dept. Approval: Underwriters Approval: 41` 5'y y i Z
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
FORK NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH'OLD, K Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N® 11543 Z Date ....✓., /.`.2!✓ 5? ... ...... ............. 194 tc
Permission is hereby granted to: ` c
........�.,.Grt.. l"?. 6e-c--7-Al-.L. ..............
to ....... ...... r...' ......:.....t.IC.�C►�E:�...f'SIC,?!t,:l?..,t�.lr"�.. c�.................
atpremises located at .......Z-7-40......G.l.... ..1 ..,�e/ ... ..............................
..... .................... .............................................................................l��G.? ./'g'�•fes / '
Gi.C9ar"J •`? ... .. ....- .. . G �...........7.... ../..�j......................................
County Tax Map No. 1000 Section .A; .r;�.......... Block ... ......... �LLot No. -0-.4-54.
pursuant to application dated .�GreC�.. .....Cl................... 19/&' , and approved by the
Building Inspector.
Fee $. .z ......
. . ... ....... ...... .. .. . .........
uilding Inspector
Rev. 6/30/80
J 11
Town Hill 511095 (Nimbi flood i �� r 1 nY (51r,) 7��•192
P.
i�, nix 1179 \ r(dap onq (515) 7r�,•1e07
Snull1u61, hJgw York 11971
OFFICE OF THE BUILDING INSPFCTon
TOWN OI' SUUT'I (OLD
C E R T I P I C A T 1 n N
DATE :
nu i l d.) n Permit No.
Owner: RICKA&V 0"VeR
( plaas3e print)
plumbers MATTITuCK PLUMISING
�(pletlse prinl.).._._ ..._......�.._.
I certify that the soldor used its the wziLer r>uJ.►pl.y sy:;tgM
rontnine lose than 2/10 of l % lend .
( (4 - )
Sworn to before me t)119
Of -12� ..�_ . 2 0 0 3
Notary Publics SL�I-> f c.;'tmilt'y
AMY F. RT
Notary Pc, State Pof New Ybril
No. 01W14884083
Qualified in Suffolk CountyL
Commission Expires April 13, ae.-7
ns
THE NEW YORK BOARD OF FIRm UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK,Ar W YO 10038
Date Jawaxy 25, 1983 Application No.on file 1s 750- 590-982
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
Richard Oliver, Uttle Neck Rd. 6 Wilson Rd., Cutchi s N.Y.
in the following location; ❑ Basement ❑ Ist Fl. 21 2nd Fl. Section Block Lot
was examined on Jijn6. 1], ],.982 anal found to be in compliance with the requirements of this Board.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT EICUR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT, H.P.
3 19 8 3 1 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PTj 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. H.P. SYSTEMS AMT WATTS
NO.OF FEET
I L
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER 10
4W I AV 3W 3 0 3W 3 X 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W NO.OF NEUTRALS G. A.W.G.
EQUIP. PER a OF CC.GOND. OF HIAEG OF NEUTRAL
OTHER APPARATUS:
1-G.F.C.I.
1-Swoke Detector
Richard D. G yddir
Vamtcn Road
Cutdtwol, N.Y. , 11935 Lic.#2002 01IM'u MAWPO
Per
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified b tkitrir;credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY At"
THE NEW YORK BOARD OF FIRE UNDERWRITERS (: : '
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date Uf`�'"OTik,.tt iK4 194. tiri2af;;'90i46
THIS CERTIFIES THATIor �o.o fj{ �hf4(I
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
k 1:Cf1ARD OLIVER, 37J! C.,i"i„1`1',F; NE;CY, lif), P1,45,
in thefollowingloca�rPU
as a 1st Fl. ❑ 2nd' Fl. i) Section Block Lot
was examined on and found to be in compliance with the requirements qthis Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS I DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES
INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS ULL UNIT HEATERS MULTI-OUTLET DIMMERS
Olt H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.- AMT. H P. SYSTEMS AMT. WATTS
s NO.OF FEET
SERVICE DISCONNECT NO.OF S E R V I C E
'It AMT. µ1P• TYPE METER 1 p sW 1 F 3W 3 B'3w 3 A'4W NO.OF CC.COND. A.W.G. NO.OF HIAEG A•W.G. NO.OF NEUTRALS A.w:G.
EQUI►. PER b OF CC.COND. OF HIAEG OF NEUTRAL
:I
r
OTHER APPARATUS:
DIX: UNIT P/P-1
a _
1411,ARY H. HOL680RAI &
102-5 CARLw,TON AVE.
I•S L T? TERR. , NY, 1 1.7 57 GENAL MANAGER
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 MANMER.
January 2,2004
Southold Town Building Dep't.
Att: Giorgia Rudder
Main Rd.
Southold,N.Y. 11971
Dear Ms. Rudder:
Enclosed is our Application for Certificate of Occupancy and$25.00 check. As per our
Final Inspection, I also enclose a Plumbers Certificate, you should have the Electrical
Underwriters Certificate on file. Please issue our CO at your earliest convenience. If you
have any questions or concerns,please do not hesitate to call me, either at home 734-
6744 or at my office 369-7345 ext. 131.
Thank you for all your help and attention in this matter.
Most sincerely,
Arleen Oliver
2760 Little Neck Rd.
Cutchogue,N.Y. 11935
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PL66.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CFIIMNEY
REMARKS:
DATE INSPECTOR
FIELD IN£PEC?ION JDATE COMMENTS •t '
�n
1 . H
__ FOUNDATION ( 1st ) _ � I
x•
FOUNDATION ( 2nd )
2 . Alli o
ROUGH FRAME &
PLUMBING
m
3 .
m
c�
INSULATION PER N . Y. y
w
STATE ENERGY
CODE x(�
4 .
FINAL zz
z
A//D""DITIONAL COMMENTS : x
x
v
H
H
O
z
' x
a
' r
H
x
d
H
FORM NO. 1
• TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
�- TEL.: 765-1302
ExaminedNA7./7 . l/. . . . ., 1 Application No.& ` . . . . . . .
Approved�� . . . e�. . . . .. I . ! Permit No. /z/ -V,,
"?
Disapproved a/c . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . ... .i
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
r
Date !�. . . ... . . . . . . .. 19 z-
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi
Inspector, with 3 sets of plans, acciirate 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 stref
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apf
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon apprc al of this application, the Building Inspector will issue a Building Permit to the applicant. Such peri
shall 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 Occupan
shall have been granted by the Building Inspector.
APPLICATION IS I-IEREI3Y h4ADE to the Building Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in buildings for necessary inspections. n
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, arc'iitect, engineer, general contractor, electrician, plumber or build.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . . . . 'i���� `�. . . e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tai roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . . . . . . ... . . . . . . . . . . . . . .
Plu►nber's License Nu. . f y. . . I
Electrician's License No." . :. . . , . . , . . .
Other Trade's License No.
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
T. 7 ,n �t,!c tF'. /: , . . . . . . . . . � L'.%e-`.. j e: . . . . . . . . . . . . . . . . .
House Number Street Hamlet
County Tax Map No. 1000 Section . . `� .f Block . 0 .' Lot . . .'. !. .( '. . . .
Subdivision . . .-. t . :i. ,. . . ^r V f:'. . . . . . . . . . . . . . Filed Map Na. -' ./. . . . . Loi . . I. . . . . . . . . .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . ... !./,! . . .-�/)���%/: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy . . . .Fa.„. /x. , .
. , �. .
_. _. ... ,.. _ - `•_. r\ ....... . . . . . . . . . . .�:�.. .�! . . . . . .�... . . . . . . ,
' � +l 1i
Repair . . . . . . . . . . . . . . Ren1oval . . . . . . . . . . . . . . Donlolizion . . . . . . . . . . . . . Other Work . . . . . . . . . . . . .
(Description)
Ij
(to be paid on filing this application)
If dwelling,number of dwelling units . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . .
If garage, number of cars . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . : . . . . . . . . .
i. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . .
/ :�.y.`:
7. Dimensions of existing structures, if any: Front . . . i. . l.`. . Rear .. . . . . Depth '9
Height . . .��.`.� ... . . . . . Number of Stories . . . . /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . .
Dimensions of same structure with alterations or additions: Front lo.�. .!.`, Rear . . %.may
Depth . . . .z.�s. . . . . . . . . . . . . . . Height . . . . . . . . .z.? ."G . . . . . . . Number of Stories . . -. . . . . . . . . . .
i. Dimensions of entire new construction: Front . . . , ... . . . . . . . Rear- . . Depth . . .G
. . . . : . .
Height . . �. :� . . . . :
. Number of Stories . . . . . ? . . . : . . . . _ :. . . . . . . . . . . : .
). Size of lot: Front . . . . _J_T� . . . . . . . ... ... Rear . . . . . . . . Depth
Depth . .1:=�:8. . . . .Date of Purchase . . . ./. ,9G.Y. . . . . . . . . . . . . . . . Own
Name of Former r : . .%✓% . ` r,� . . .T .T.� %. . . .
e „
I. Zone or use district in which premises are situated c<,.y ;��. . . . . . . . a . . . . . . . . . . ... . . . . . . . .
Z. Does proposed construction violate any zoning law, ordinance or regulation: . : J�V. . . . . . . . . . . . . . . . . . . . . : . . .
3. Will lot be regraded . . . . !e. . . . . . . . . . . . Wi11 excess fill be removed from premises: Yes1
I. Name of 0%vner of premises . . . . .. .P. . . . ... r' .f./. . Address :'-�Tr�� Ale-,.o(-.-'0C 6�' , Phone No. .7.
Name of Architect . . . . . . . . . . . . . . . .Address . . . . . . . . . . Phone No.
Name of Contractor ��6 . .% a�.!.z�;a �. . . . . . . . Address . . .:5.�L r.c� �°� . . . .'Phone No. . . . . . . . . . . . . . .
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
roperty lines. Give street and block number or description according to deed, and show street names and indicate-whether
aerior or corner lot.
�J
J
I
TATE OF NEW YORK, S.S
OUNTY OF . . . . . ..
. . . . . . . . . . . r`�`� . . . .
being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
)ove named.
eisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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
?plication; that all statements contained in this application are trete to the best of his knowledge and belief;and that the
*ork will be performed in the manner set forth in the application filed therewith.
wom to before me this
.C. . . . . . . . . . . .day of. . q . . . . . . .. 19 g`2'
L�
otary Public, . . . . . . . �nty
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OW York No, 5 New York
.C C�. :olk Co t
Term Expires b1arrh 30, 19 ..
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FOU-0 1NATION _O c?'fTE MgING
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GENERA. NOTES AND SPECIFICATIONS `3 ` ��
T'ev. �C DE9tON&t DRAl7'DI0
ALL WORK SHALL BE N ACCORDANCE WITH NEW YORK STATE ENERGY
CONSERVATION AND CONSTRUCTION CODES.
ALL STRUCTURAL.FRAMING LUMBER TO BE DESIGNED IN ACCORDANCE .w
WITH THE RECOMMENDATIONS OF THE NATIONAL FORESTS PRODUCTS DIVISION. ALL JOISTS TO BE BRIDGED AT 6'-0'O.C. AS BUUX
ALL FRAMING LUMBER IS TO BE DOUGLAS FIR i2 HAVING BEARING WALLS AND BALLOON FRAMING TO HAVE SOLID BLOCKING AT 4'-0' O.0 VERTICAL- N]ttl�
THE FOLLOWING VALUE fb-825 p.s.l a-1.5. (SkKoe rtw Am um) ALL HEADERS TO BE (2) 2x10 WITH S'PLYWOOD DOUGLAS FR AT 20 SND WALLS, U.O.N. LOLL E 16[10115INC6
ALL PLYWOOD USED STRUCTURALLY SHALL MEET THE PERFORMANCE STANDARDS PROVING SOLID BLOCKING BETWEEN POSTS AND THEIR SUPPRTS. CDICSOGU6,LL PLT
ANO ALL OYHER REQUIREMENTS APPLICABLE. COMMERCWL STANDARDS FOR CONTRACTOR IS RESPONSIBLE FOR ALL METHODS AND MEANS OF CONSTRUCTION.
THE TYPE, GRADE.AND SPECIES OF PLYWOOD TO BE IDENTIFIED BY AN APPROVED NO NOTE OR DETAE OR LACK THEREOF SKWl BE CONSTRUED AS RELIEVING THE
TESTING ANGENCf, CONTRACTOR FROM EXECUTING ALL WORK IN ACCORDANCE WITH LOCAL BUILDING CODES.
PROVIDE SMOKE DETECTING ALARM DEVICES PER N.Y.S. CODE IN CORRIDORS OUT SIDE ALL PLUMBING AND ELECTRICAL WORK TO CONFORM TO ALL N.Y.S. AND LOCAL BUILDING CODES :AD OF HABITABLE ROOMS. AND REGULATIONS. 1LALL WINDOWS, PATIO DOORS,AND SKYLIGHTS TO BE H.B. BONNEVILLE DOUBLE PANE, PROVIDE COL AR TIES AT ALL GABLE ROOFS, 2x4 O 16'O.C. 3'-0'MINIMUM FROM RIDGE. OR DEC 3
HIGH PERFORMANCE, INSULATED GLASS. CONTRACTOR TO FOLLOW ALL RECOMDED INSTALLATION METHODS OF TRUSS MANFACTURER.
ALL ROOMS TO BE FINISHED WITH 2 9'CLAM BASE MOLDING AT PERIMETER. SUMIT FOR APPROVAL SHOP DRAWINGS FOR ALL PREFABRICATEO ITEMS. 1/48
CONTRACTOR TO VERIFY ALL DIMENSION AND CONDITIONS IN FIELD. PROVIDE HURRICANE TIE DOWNS AT EACH RAFTER.
26'-0" 7r
28'-0"
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