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HomeMy WebLinkAbout27012-ZFORM NO, 4 TOW~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No~ Z-20014 Date: 02/09/04 11{IS CERTIFIES that the building ADDITION Location of property: 43S WEST RD (HOUSE NO.) (STREET) Couxity Tax Map No. 473889 Section 110 Block 7 CUTCHOGUE (P~ET) Lot 11.3 Su~divlsion Filed Map No. Lot No. conforms substantially no the Application for Building Permit heretofore filed in this office dated NOVEMBER 9, 2000 p%Lrsuant to which Building Permit No. 27012-Z dated JANUARY 12f 2001 was issued, and conforms to all of the requirements of the applicable provismons of the law. The occupancy for which this certificate is issued is ADDITION ~O AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. %~ne certificate is issued to MARSPIALL FROST of the ~foresaid ~uilding. (OWNER) SUFFOLK CO~DEPDRtTMENT OF~ALTHAPPROVAL N/A EI~EC~ICAL CERTIFICA~ NO. 63460C 03/05/03 PLUMBERS CERTIFICATION D~rmu 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 COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL PEPL~IT 'NO. 27012 Z Date JANUARY 12, 2001 Permission is hereby granted ~o: MARSHALL FROST LEBANON, NJ 08833 for : CONSTRUCT AN ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. at premises located at 435 County Tax Map No. 473889 Section 110 pursuant to application dated NOVEMBER Building Inspector. WEST RD CUTCHOGUE Block 0007 Lot No. 011.003 9, 2000 and approved by the Fee $ 35.00 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled ia by typewriter or ink and submitted to the Building Deparanent with the following: A. For nerw building or new use: ~. P~hl sur~ey o f p~:~)perty with accurate location~o f all 15Ul*-l'l~s, p~-o-pe~'l~nes, streets, and tmusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 £orm). 3. Approval of electrical/nstallatio~t from Board 0f Fire Underwriters. 4. S~vora sraremerrt fi:om plumber certifying that the solder used ha system contains less than 2/I 0 of 1% lead. 5. Commer¢ial~b~?ing, indmtrial b~ding, multiple residences and similar buildings and Lnstallations, a certificate ofCode'~6mpii~r:e fron~ arch/teci or engirreer resp0nsSble for thee bmidhag. 6. Submit Planaing Board APProval ofcompleted site plan requirements. uses, or buildings and pre-ex~sting land uses. B. Forex · [[[glm[I l .gs (I}[' ' h~ ~pri19, 195T~non-c0Rfot'mmg ' ' ' "" " · 1. A,','.[[, ..'., "~ .', ,-,' >",,[:,'~, ,l',,wing ali property lines, s~raers~buiLd/ng.and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed, by the applicant. If a C denied the Build/ag Inspector shall state the reasons therefor in wriffmg to the applicm C. Fees 1. Certificate o£ Oc?~ancy - New dwelling $25.00, Addit/ons to dwelling $25.00, A1ter~ Swimming pool $25.00. Accessory building $25.00. Additions to accessory building $ 2. Certificate of'Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certfficate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residenti-al $15.00, Commercial $15.00 Date. / New Construction: Oki ,or Pre-exjs '~t~n. g B_ullding:t/ {check one) LocationofPr0p&rt~i. ' /'~*~'~":: ~)e-~'¢'~ ~:CO~e~,~q-r.~f~ ~ /Or House No. Street ~ OwnerorOwnersofLaroperty: ~/f~Pt.-t~ t c ~-~. Suffolk Coanty Tax Map No 1000, Section [Xo Block ~7 Lol Hamlet Subdivision Filed Map. Lot: Permit No. ~-"2F9 ~ 'Z -2~ Date of Permit. Applicant: Heal_th DepL Approval: Planniag Bom'd Approvah Request for: Temporary Certificate Fee Submitted: $ ~" U'gde~ters Approval: Final Certificate: ~/ (check one) Applicant Si~ature Issue Date 3/5/2003 Electrical ins? ection Certificate Electricallnspect[on Service, Inc. 375 Dunton Avenue East Patchogue, NewYork 11772 (631)286-6642 Application 63460C Issued To: Street: Village: Section: Marshall Frost 285 West Rd Cutchogue Zip: 11935 Town: Southold Block: Lot: Contractor: Modern Electric East Inc. (L) Lic. # 4253-E Was examined and found to be in compliance with the National Electrical Code. ~ Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] I~asement E~ HotTub [] Residential [] Der. Garage [] Attic [] 2nd Floor [] Outdoor ~ Addition [-- Survey Switches Receptacles 12 6 Dishwasher Washer/Amps 1 2O Furnace Oil Gas Meter Amps Phase UG/OH '1 200 1 [] / Bldg. Permit: Other Equipment Fixtures GFI Heaters A/C Fans 21 3 Dryer/Amps Oven Range/Amps Microwaves 1 30 Circulators Smoke Detector Bell Transformer Jacuzzi Television CO Detector. 1-SINGLE DEDICATED RECEPTACLE 1-JACUZZ GF HugO S. Surdi President Rough Inspection: 06104/2002 Inspector: Ed Scavelli Final [nspecti0n: 03/04/2003 Inspector: Ed ScavellJ This certificate must not be altered in any manner. Inspectors may be identified by their credentials. , . ,~p, ~,~ TOWN OF SOUTHOLD~ PROPERTY RECORD CARD OWNER .... STREET ~ ' ~ ~IL~GE DiST, s~. LOT FORMER OWNER N E C~ ~ ACR. : S W TYPE OF BUILD NG ~S. ~ ~ ~ s~s. VL ~ ~A~ CO~. C~. ~C~. ~t. V~u~ ~ND IMP. TOTAL DATE REMARKS rilbble FRONTAGE ON WATER ~o~lend FRONTAGE ON ROAD ~ead°wl°nd DEPTH ~ V ~ouse Plot BULKH~D Fotel 'OWNER FORMER OWNER LAND /';zoo NEW SEAS. NORMAL __~..~ RECORD CARD VILLAGE DISTRICT SUB. LOT OF STREET VL. FARM TOTAL DATE BELOW . 0 hl Tillable 2 Tillable 3 Woodland Swnmplond ~rushlond House Plot Foundation PC r CB bo~ ~/ Bath FULL ~;7 S~A.C"~'WL F'u fl Floors Ext. Walls ~,p~_ Interior Finish Fire Place ~/Z:5 Heat Dormer Woodstove 7.q..q q Attic Rooms 1st Floor Driveway Rooms 2nd Floor Qinette Kit, L.R. Fin. B M. Bldg. Extension E~tension Extension FoundaHon Basement Ext. Walls Fire Place Porch Bath Floors ~ ~ntedor Finish Hea~ Porch Rooms 1st Floor Patio Rooms 2nd Floor Garage Driveway Frost Christenson & · Associates Consulting Engineers, Planner January 17. 2003 Town of Southold Buiidi~qg Department SoutEold., NY 11971 Re: Garage Addition 110-7-11.3 435 W'est Road Cutchogue, NY 11935 Frost House\L030117A The contractor who ~)erformed the work on the above referenced addition to the garage at 435 West Road, Cutchogue, NY, modified the proposed roof framing from that shown on the onginal application for a Building Permit. I have reviewed the modified framing and find that it complies will all Code requirements of the State of New York. Attached please find two (2) signed and sealed cop~es of the applicable drawing revised to reflect the "As-Built" condition. If you require additional information, please contact me. Very~l~'. you rs, NY P.E. #54850 w/encl. 2121 Rt. 22 West · Bound Brook, New Jersey 08805 · (7321 563-9444 Engineers@ FCAConsultants.com Inst~ Sister _~"X6" R~'ters Existin9 R~¢tems 2"X4" Soldier Studs ~o 2"X6" Joists on 16" Centers SECTIBN A-A 2~'X8~' Roo~ RcCters Dn 24" Centers Instc/~ Sistem 2"X6" R~Ftens Existing Rc~ters 2"X4" Soldier Studs to 2"X6" Joists on 24" Centeps SECTIDN 3-B _~"X8" Roo£ Rc~ters Dn 24" Centers JA~I 2 I ?~ L ............. LO I II- 141 -- 21'-0' SOUTH ELEVATIBN SCALE~ 1"=4' S s~er B"XS" RcCters Existin9 Rc~ters a~X4'' Soldier Studs 2"X8" Joists on ~34~ Centers Bolt to existin9 Joists SECTION ..... a'XS" RooC RcFteps On a4" Centems Inst~/l Sistem 2"X8" RcFtems Existin9 RcFtems 2"X4" Soldier Studs to ,8 Roof On 24~ Centers 2"X8" Joists on 2~" Centers Bolt to existin9 Joists SECTION B-B SCALE~ 1'~=4' Remove Existing Roof Shingles Insto,[t New Roof Entire Go, r-o, ge ~--M~tch £xistlng -rim New Garage Doom--~ 6~ Comcmete Slab M~tch Existing Elevation 1~X6w Fccic Ext, P(ywd Soffit Mctch Existin9 2~X4~ Studs --~n 16' Centers 1/2 CD-X Shecthing Shingtes to M~tch Existln§ ~lock Fnd, ~tL M~tch Hr, to Exist, %,X_Concpete Footing C~NSTRUCTION. PLAN SCALE: 1~=4' Appi i can ~ Architect/ ]{nginccr- _ .................................. l)is~r~c~ 1,000 Sccmm 13lock Dam Reviewed cemficalion _( Y es / Nb Rcq [S~dc Yard {Rear Yard Project Description: A GENC'it'~t?ERM !TS REOUIRED FOR REVIEW Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: FIood Plane Elevation ??? Flood Zone: Notes: NO _YES Permit Number 765-1802 BUILDING DEPT. INSPECTION [ F~OUNDATION 1ST [ FOUNDATION 2ND [ FRAMING [ FIREPLACE & CHIMNEY ] ROUGH PLBG. ] INSULATION ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]~.DATIO. 2ND [ ]~ULATIO. [ ~RAMiNG [ ~ FINAL [ ] FIREPlACE&CHIMNEY REMAFIK~S. ~ * ~ INSPEOTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN.~T~ION [ } FRAMING [ ~NAL [ ] FIREPLACE & CHIMNEY R[MARKS: ~ ~ DATE: INSPECTOR FOUBIDAT:ON (JST)' II FOUNDATION ROUG~I FRAME & PLUMBING INSULATION PER N. Y. -FORH NO. ! TOWN OF SOUTHOLD EU][LDING DEPAgTPiENT TOWN HALL SOUTNOLD, N.Y. ] 197 I TEL: 765- 1802 Disapproved a/c .................................. }~; APPLICATION FOR ~U~DING PE~Ir ~?[~ ~0V - ~ ~0~0 ~,~ ................. ~o .... .......... INSTRUCTIONS ~cs of pl~, ~a[e plot pl~ ~o ~ale. F~ ~rdi~ ~ ~le. b. Plo~ pl~ ~ la~i~ of lo~ a of ~ild~s ~ pr~s, rela~iaip to Mjoiuig pr~s or ~lic s~raa or ~ea, a givi~ a ~ail~ ~ripci~ of lay~C of pro~ ~r ~ dr~ ~ ~ di~ ~i~ is ~r~ of ais c. '~ ~ ~r~ by ~i~ a~lia~im my ~ ~ ~ ~fore isae of ~ildi~ ~n~. d. U~ a~al of ~is a~lia~im, ~ ~ildig ~ctor ~11 i~a a ~ilding Pe~t ~ ~] ~ ~pc ~ ~ ~s ~ail~le for i~i~ tbrSt ae ~rk. a. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~r~ far g g ~t~r mtil a ~r{ifiate of ~m~ ~11 Mve ~n gr~C~ by ~ ~Idi~ I~tar. aI~I~ I~ ~Y }l to t~ ~ildig ~nt for ~e isae of a ~ildi~g Pe~c ~i].di~ ~ Ordi~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er a~li~le ~s, ~di~s or a~la~i~, for a~ ~tx~i~ of ~ildi~, ~i~i~ or al~era~i~, or for r~al or ~ti~ia, &~ri~. ~ appli~ ~s ~o ~ly ~ ~1 a~li~le 1~, ordms, hildi~ .............................. ~Si~e of a~li~t, or ~, if a ~ration) .~.l~ .~.~... ~.~ ~{~ ~q m.. ~g~{ ....... ~ili~ ~eas of 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM .................. . 'I'RUST~S ................... .. . NOTIFY: CALL ~... o ~ .... ./~ ... ~ St3k, . 'MAIL TO:.~...! .... ............... State wbether applicant ia c~ner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ Na~ of owl~r of premises .~..~./i~ff ./~?'~ ~'"'~'7'"' ......................................... (as c~ fi~e tax mi1 or latest deed) If applicant is a corporation, signature of d~ly enthorized officer. and title of corporate officer) Plmbers License 1{o .......................... glectricians License No ...................... Other Trm~e's License No ..................... ]. Location of land on ~a~ch proposed ~ork will be done .............................................................. q.~.s- ..~zx.~'~ .~..o..,t.~. de r~/~.~.~.~ ................................... tkause Nt~berStreet H~mlet c~ ~ No. !~ s~io~ .... ./../f ....... El~ ...Z:.. .......... ~ot ...g?.'.~ ....... ~ubdivision ...................................... Filed Map No ................ Lot ............... (~) State existing use end occupancy of premises and intended use and occupancy of proposed construction: s. ~,i~ ~ ~ se~ ..../..~..:...d~.~.<eC ...................................................... ,, neco , .................................................. . . . ~. ~. Nz~tnre of ~k (check ~dch applicable): New ~dlding .......... f~dltion..........// Alteration ~i~ ............m~al .............~utio~ ...... . ..... ot~r Wo~ .~.~.'~-'.~..~z.~..~.~ ........ ~st i~t~ ~.~.~. .............. f~ .............................................. (to ~ ~id ~ filing this If ~lli~, ~N~r of ~11i~ ~mlts ............ I~r of ~llimg ~its ~ ead~ ~r ................ 6. If ~i~ss, ~mial or ~ ~, ~ci~ ~ture ~ ~tent of ead~ ~ of u~ ...................... 7. Oi~nsi~s of ~sti~ st~s, if ~: ~t ................ ~ar ............... ~pth ................. t~i~t ......................... ~r of Stories ... ~ ......... ~ ....... ~im~i~ of m stx~e ~th alterati~s or ~itions: ~t ...... ~ ...... ~ar ~ t .. Z&~.i' ............ ~pth ...~ ............... ~i~t .. ~r of Stories ./. ..... 8. 8i~nsi~ of entire ~ ~st~ti~: ~t .... ~f. ...... ~ar ...~ ........ ~p~ }~i~t ..... ~.~.~. ~ ......... ~r of Stories .... f ................ ot: ...... ......... .... ,0. m~, o~ ~a~ ..Z~fm ............ ~ o~ ~o~ ~ ~,~.~/l.~.~ ........ I I. ~ or ~ district in ~i~ p~i~s a~ si~t~ .............................................................. 12. ~s ~ ~t~ti~ violate a~ ~ing 1~, o~i~e or re,latin: . .~ .................. 13. Will 10t ~ ~ ...~ ............ W~ess fill ~ r~ ~'~i~s: ~ o~ ~dL~ .................................... ~ress .............................. ~ ~ ..... ~... PLOT DI AG~M I~ate clearly ~ dlsti~tl7 all ~ildl~s, ~r ~isti~ or p~, ~ i~i~te all ~t-~ d~nsi~s ~ ~r~ li~s. Gi~ st~t ~ bl~ ~r or ~rlpti~ ~co~ing to ~, a~ ~ strut ~s ~] i~icate ~mr interior or ~r lot. 2 ~ ,~ ..~ ~. ......... (~ o[ i~ivi~ s[~ing c~tract) Ih is the .................................................................... (~tractor, ~nt, cor~rate of Eicer, etc.) of ~d ~r ~ ~rS, a~ is ~1~ ~tho~iz~ to ~rfo~ or h~ ~r[o~ ~e ~id ~ taxi to ~ke ar~ fi~e this a~llcati~; ~at all stat~nts c~tai~ in ~is ~llcati~ are t~ to ~e ~st that t~ ~rk will I~ ~rfo~l in the ~r ~t forth in the a~l.{cati~ fil~ t~ ,..<~31gnat~ire of ^gg i.cant) SU~¥E¥ OF P~OPEf~T'r~ SITUATE: CUTCHO¢UP_. TOWN OF: SOUTHOLO SUFFOLK COUNTY, NY ~U~OL~ ~OUN~ TAX MA~ GRAPHTC SCALE 1"= 30' 0 30 60 90 REFERENCE # 97-010i