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Home My WebLink About30217-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30159 Date: 04/30/04 THIS CERTIFIES that the building ADDITIONS Location of Property: 6865 BRIDGE LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 84 Block 1 Lot 6.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 2004 pursuant to which Building Permit No. 30217-Z dated APRIL 5, 2004 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 "AS BUILT" DECK ADDITION WITH SWIMMING POOL TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION OF DECK CERTIFIED BY MARK K SCHWARTZ AIA. The certificate is issued to PETER G & DIANE G KARPOICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 86242C 04/01/04 PLUMBERS CERTIFICATION DATED N/A IJA,-4 - L /t7izeelSignature 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. 30217 Z Date APRIL 5, 2004 Permission is hereby granted to: PETER G KARPOICH CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN AS BUILT DECK AND POOL ADDITION AS APPLIED FOR. ADDITIONAL CERTIFICATION WILL BE REQUIRED. at premises located at 6865 BRIDGE LA CUTCHOGUE County Tax Map No. 473889 Section 084 Block 0001 Lot No. 006 . 007 pursuant to application dated APRIL 5, 2004 and approved by the Building Inspector to expire on OCTOBER 5, 2005 . Fee $ 600 . 00 t Authorize Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 _ 5 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$25.00,Alterations to dwelling$25,.. O, 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. New Construction: Old or Pre-existing Building: �_(check one) Location of Property: (e��S Beldit, � &- C1sceac+L House No. St eet Hamlet Owner or Owners of Property: S ,Ay &n 1` Dj gh_ t kA eF>n 1e_k Suffolk County Tax Map No 1000, Section o sq Block p/ Lot per? Subdivision :&j j&e j*+ Filed Map. Lot: Permit No. 3,02-12 Date of Permit. Applicant: ay(a, P�-1 -e, J Health Dept. Approval: N w Underwriters Approval: Planning Board Approval: A)jA- Request for: Temporary Certificate Final Certificate:_ C (check one) Fee Submitted: $ �E�°° Flo 2�:�)b�5 � ��c, Applicant Signature klawilim ♦ ' I:l INS 111 11 1 Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application 4/1/2004 375 Dunton Avenue 86242C East Patchogue, New York 11772 (631)286-6642 Issued To: Pete Karpowich ;._ Street: 6865 Bridge Lane Village: Cutchogue Zip: 11935 Town: Southold '' Section: Block: Lot: ` •��:� Contractor: Circuit Electric Inc. Lic. # 1218-E Was examined and found to be in compliance with the National Electrical Code. ❑ Commercial ❑ NV Defects ❑X Pool ❑ 1st Floor ❑ Indoor ❑ Basement ❑ Hot Tub >r X❑ Residential ❑ Det.Garage El Attic El 2nd Floor El Outdoor El Addition [:1 Survey ., w Switches Receptacles Fixtures GFI Heaters A/C Fans ,;• ° _ Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves s Asx; M Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: Other Equipment � � $ Time clock 0/220 specialty outlet Hugo S. Surdi President '. Rough Inspection: !4• +i♦. Inspector: Final Inspection: 03/30/2004 Inspector: John McMahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. sMINIMUM ELECTRICAL INSPECTIONSERVICE,INC.,is not responsible for the existing conditions at the subject premises. ELECTRICAL INSPECTION SERVICE, INC., is not responsible for corrections, upgrading or replacement of existing electrical violations at the subject premises. Any corrective work shall be solely the responsibility of the property owner. ELECTRICAL INSPECTION SERVICE,INC.,DOESNOT WARRANTYOR UNDERWRITE THEELECTRICAL CONDITIONSAT THE PREMISES. ELECTRICAL INSPECTION SERVICE, INC., only recognizes the National Electrical Code, the New York State Building Construction Code and Local Municipal codes. AN ELECTRICAL SURVEY, consists of a visual examination of the premises ONLY: Electrical Inspection Service Inc., will comply with the requirements of NFPA 73, latest edition Chapter 1, Section 1-1, 1-2. If violations exist a letter will be issued requiring correction by a licensed electrical contractor. After the violation has been corrected, a re-inspection will be conducted and if approved a certificate shall be issued. A SURVEY CERTIFICATE does not examine the actual wiring or devices unless all walls are opened and wires and devices are exposed prior to the survey being conducted. A CERTIFICATE is non-transferable. AN ELECTRICAL INSPECTION consists of an examination of wiring and installations during the rough stages ofconstruction. After completion of the construction a final inspection will be conducted at which time a certificate will be issued provided no violation exists. In the event no inspection is requested during the rough stages of construction ELECTRICAL INSPECTION SERVICE,INC., at the inspector's discretion,will handle the situation on a case to case basis. ELECTRICAL INSPECTION SERVICE, INC., shall not be responsible to remove any walls in order to conduct an electrical inspection. ELECTRICAL INSPECTION SERVICE,INC.,will only release information,certificates and reports to the applicant after payment for services rendered have been paid in full. ELECTRICAL INSPECTION SERVICE,INC.,assumes no liabilityfor the results of its inspections. The agreement may not be changed orally. Mark K. Schwartz, AIA —Architect, PLLC P.O.Box 933 Phone:(631)734-4185 Cutchogue,New York 11935 Fax:(631)734-4185 rsR 2 3 20 April 23,2004 Southold Town Building Department Main Roads " Southold,New York 11971 Re: Karpoich House y 6865 Bridge Lane Cutchogue,New York Bldg Permit#30100&30217 To Whom This May Concern: I have reviewed the garage conversion and the pool area deck. To the best of m-,y knowledge, I certify these areas have been constructed as per code requirements ;, en built in 2002. Please call this office if you have any questions or require additional information. Very truly yours, 1i a 1 » �► 0 Mark Schwartz Karpoichl.doc TOWN OF SOUTHOLD PROPERTY RECORD CARD7 . OWNER STREET b VILLAGE DIST. SUB. LOT 7 !�- r o� � i , ANS ICs;C140 21je FORMER O NER N E ACR. 1'(t�- E nd 4fc7X s <,-rbj # \A/-,r, S W TYPE OF BUILDING - LI-e-fickilve CNfN1�N RE . SEAS. VL. FARM comm. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 00 G00 �/b s/2%i�3 �CYnouB 1 Ae Necd f� 49-3 3'� 14,0-o 300 9 zs- 8 is E o5 1Few� &r- ac: lp: vo o ��`�►� c/9& !_1 t 01 UotI0i- I<►rwf 40 -KCt WofCh 106 Fillabie FRONTAGE ON WATER Noodland FRONTAGE ON ROAD /�d vleadowland DEPTH -louse Plot BULKHEAD "ota I 1 � ■ 3(02-17 765-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING [ INAL [ ] FIREPLACE 8 CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: (-94c. 4-r co DATE 1alo INSPECTOR r D INSPECTION REPORT DATE COMMENTS O FOUNDATION(IST) � y ------------------------------------ FOUNDATION(2ND) f�n 6� Z �0 O n ' (A- ROUGH FRAMING& PLUMBING y INSULATION PER N.Y. STATE ENERGY CODE `q FINAL ADDTITONAL COMMENTS %0 �z m X CIO, �b y o 0 z x . 1 y x C7 M b �3 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN FALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees _ Examined ,20� Contact: Approved i 20 Mail to: 96 Q.-01 160 Disapproved a/c .ily• 119 9 f Phone: 766'-A 117 Expiration Building Inspector 5 APPLICATION FOR BUILDING PERMIT 5 M Date INSTRUCTIONS a. Thk"-Tkation MUSS etely filled in by typewriter or in ink and submitted to the Building Inspector with 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 waterways. 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 issue a Building Permit to the applicant. Such a permit 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town 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 admit authorized inspectors on premises and in building for necessary inspections. 41- a (Signature 6fla-ppficifit or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises PeA-.er Rha INI Ane ew- o i (As on the tax roll or latest deed) 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 land on which proposed work will be done: -16A&9- QPIJeo— A, C e�,oq,uL House Number Street Hamlet County Tax Map No. 1000 Section Ogg Block B 1 ? Y `l i & 4� '$#-'�1 y---- Subdivision �t2r- 1�4 Filed Map No. ^r(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. sjuin& A'S dui '}- 3. Nature of work(check which applicable):New Building Addition Qaelg.p&&k Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 2,500 Fee goo 00— (To be paid on filing this application) 5. If dwelling, number of dwelling units l Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. See A--4&Jvd 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear " Depth Height Number of Stories 9. Size of lot: Front :5eG � 66,t-& Rear Depth 10. Date of Purchase /.1/3o q(o Name of Former Owner E-41%e� rC mob,/ 11. Zone or use district in which premises are situated VOLS, 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NOS 13. Will lot be re-graded? YES NOWiII excess fill be removed from premises?YES NO &96S' 6ndsciA- 14. Names of Owner of premises Address 0jAe-kjaLW Phone No. 794- #196 Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO�C_ * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO_X__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) b&.ua jir being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Ag tt4A— (Contractor,Agent, Corporate Officer, etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be Performed in the manner set forth in the application filed therewith. S to before me t day of (l 20 6� Votary Publicignature of Applicant IONNIEL DOR031 Notary Public,State Of Newft 'No.0006095328,Suffolk Coonly Term UpimJ*7.20, UTZ Mu I x_1485 a. D. Mr. * &;i$.:�' The sswadr disgoeaid wtsr ammlift raoilities ror this ieeatios AVIO DMM► laapeoted by this departu@at W d tOX04 to be ss*44ftstoi Chief of eral Inoaeerine Sernioea R , ' ..o . { "ItIMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE"WATER~ REQUIRED # APPROVED AS NOTED 6865 Bridge La. Cutchogue,NY J2233 G DATE:` B.P.# 1000-08n-AM ? UUD ONE FEE: A g Y COMPLY WITH CHAPTER "46" NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO a PM FOR THE House FLOOD DAMAGE PREVENTION FOLLOWING INSPECTIONS: SOUTHOLD TOWN CODE. 71 1. FOUNDA self 4" :144 ONCRETE Iat�hi� ou - 7r F ING & PLUMBING self latching door 4. FINAL - fiwaT DN MUST a BE COM ETE FOR C.O. Old Deck ALL CONSTAUCTION SHALL MEET THE SheREQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN 0 CONSTRUCTION ERRORS. Elevation=10----� 41' 4'6" New Deck self closing/self UP 9'7" latching gate 6'3" 21' 30' Fence-48"high 7'7" N 6' Pool-48"deep 0 0 4'6" 8'2" 2x10 frame 12"oc 81 1 w/joist hangers footings-8"x48"+ Trex 5'5" 3'4" 87 7'9" '1" 3'6" Elevation=12"-----> ®e@ 0 =16" CC)MPLY WITH € OR NEW YORK D ANS CONDITIONS OF OCCUPANCY & TOWN CODES AS REQUIRE USE IS UNLAWFUL c TnwN ZEA WITHOUT CERTIFICATE PN PLANNING BOARD OF OCCUPANCY SOIJ7mOLD TOWN TRUSTEES N.Y.S.DEC