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HomeMy WebLinkAbout28492-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30173 Date: 05/04/04 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 10455 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 5 Lot 20.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 24, 2002 pursuant to which Building Permit No. 28492-Z dated JUNE 24, 2002 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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES C & PATRICIA BOYLE III (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1196854 03/01/04 PLUMBERS CERTIFICATION DATED 04/27/04 HENRY P SMITH Authorized ignature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY of j This application must be filled in by typewriter or ink and submitted to the Building Department with the follov3ili 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 irr5tallations,!!a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 0 R , 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 25.00, 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. y. 02 l{ New Construction: 4oD(rCo*,__>`t/ Old or Pre-existing Building: (check one) Location of Property: 4w,,t 'd House No. __// Street Hamlet ,TQ Owner or Owners of Property: M e s d pn" a.l a mu e, Suffolk County Tax Map No 1000, Section r 7 Block 000 S Lot 50S_ Subdivision Filed Map. Lot: Permit No. `i 9 a Z Date of Permit._! LAql).00a. Applicant: cAtines w-Pg-�rjc la W iL Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ .v 3013 G' Applicant Signature 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. 28492 Z Date JUNE 24 , 2002 Permission is hereby granted to: JAMES C & PATRICIA BOYLE III 10205 N BAYVIEW RD SOUTHOLD,NY 11971 for ALTERATION & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#26500-Z. at premises located at 10455 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0005 Lot No. 020 . 005 pursuant to application dated JUNE 24 , 2002 and approved by the Building Inspector to expire on DECEMBER 24, 2003 . Fee $ 663 . 30 If Authoriz d Si0fature COPY Rev. 5/8/02 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. 26500 Z Date MAY 15, 2000 Permission is hereby granted to: JAMES C III BOYLE 10455 N BAYVIEW RD SOUTHOLD,NY 11971 for ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 10455 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0005 Lot No. 020.005 pursuant to application dated APRIL 18, 2000 and approved by the Building Inspector. Fee $ 417 .20 Authorized Signa re COPY Rev. 2/19/98 ` O f'rot Town Hall, 53095 Main Road ZZ Fax (516) 765-1823 P. O. Box 1179 ✓� Telephone (516) 765-1802 Southold, New York 11971 � ZI 4�• OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: `( If ? Building Permit No. 2 60 L2— Owner: Owner: �J-I M -- fDP T' '�) U� (please print) Plumber: P L'I" i"- SVS CT-H+ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Pl;�p6efs Signature) Sworn to before me this day of a". 349 loncq Notary Public, County LYNDA M.BOHN NOTARY PUBLIC,State of Now Yc>t, No.01 B06020932 Qualified In Suffolk County Term Expires March 8,20 ac BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF FIRE UNDERWRITERS 5 S . BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 S5 CERTIFIES THAT S S Upon the application of upon premises owned by S JAMES BOYLE JAMES BOYLE 5 10205 N. BAYVIEW RD. 10205 N. BAYVIEW ROAD 5 SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 S Located at 10205 N. BAYVIEW ROAD SOUTHOLD, NY 11971 Application Number: 1196854 Certificate Number: 1196854 Section: Block: Lot: Building Permit: BDC: nsl1 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: C5 Basement,First Floor,Outside,Attic, 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed rj herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 1st Day of March,2004. Name QTY Rate Ratin¢ Circuit Tyne Miscellaneous 5 1- lhp well pump Finaled 2-27-04 Inspector R.Richert ' Alarm and Emergency Equipment S Sensor 1 Smoke 5 Appliances and Accessories Dish Washer 1 1.2 KW Exhaust Fan 1 F.H.P. Pump/Motor 1 1 H.P. Wiring and Devices Outlet 28 Fixture Receptacle 29 General Purpose Switch 21 General Purpose Fixture 28 Incandescent Receptacle 1 20 a Special Receptacle 1 30 a Special Seal Paddle Fan 2 Continued on Next Page 1 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. BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY cS 40 FULTON STREET — NEW YORK, NY 10038 S S CERTIFIES THAT S 5 Upon the application of upon premises owned by 5 JAMES BOYLE JAMES BOYLE c 10205 N. BAYVIEW RD. 10205 N. BAYVIEW ROAD c SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 S Located at 10205 N. BAYVIEW ROAD SOUTHOLD, NY 11971 S Application Number: 1196854 1196854 Certificate Number: Section: Block: Lot: Building Permit: BDC: nsl1 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,Outside,Attic, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ] herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 1st Day of March,2004. Name OTY Rate Rahn Circuit Type Receptacle 6 GFCI C, S 5 5 5 S seal 2 of 2 S S This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I l 2 i DEC 1 9 M December 19, 2003 Town of Southold Office of Building Inspector Town Hall Southold, New York11971 Re: Permit #28492 Z Please extend our building permit at 10455 North Bayview Road, Southold. Thank you, James and Patricia Boyle Applicant/ J� � I)aIc OvAmcrs Namc Q RevIcwcd �//dm Architect/ Date -00 Engineer _ «_�Q 1 Submitted SC"rM 11: c t)istrict 1,000 Section 1 Block Loth• `J Project 1 .A n,1 G y�.�Q� Subdivision l"ocation LOy�� .1V j^��tf� 11C cl Ji7 U� Name Sin&le&. separa(c Required certification (Ycs / No - ti�q l�nmg(lttrict *4-e- �In(sn ,Req - Itcy Rcq �(Fronl Yard - !'rot>osc.d _. � IS'& Yard _ - - _.-.. ('rojx)%c.d 1 . (Rcai Yard _ I'mp<iycd roject Description: --- AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County p Health Dept. ✓ — New York State D. E. C. / Town Trustees Town Zoning Board approval: ✓ Town Planning approval: Board a l: y �i Flood Plane Elevation ??? Flood Zone: 765-1802 BUILDING DEPT. SPECTION [ OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: O r' DATE IN8PECTOR M-1802 BUILDING DEPT. INSPECTION [ ] F UNDATION IST [ ] ROUGH PLBG. [ UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• 02 � DATE INSPECTOR �//� rss•iaox BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY R RKS: rr � -t,.ro--T7 DATE ?tiff INSPECTOR ✓� me M•isox suiLuiNc DEPT. INSPECTIO [ ] FOUNDATION IST UGH PLBG. [ ] FO DATION 2ND ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLAC & CHIMNEY REMARKS: IL-P 0J7�' lea ,DATE 7 INSPECTO M-1802 BUILDING DEPT. ' INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION KING [ ] FINAL [ ] CHIMNEY REMARKS• L ,DATE �` 3 VV INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 10 &jj. G DATE !(O INSPECTOR yrs-iso2 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] GH PLBG. [ ] FOU TION 2ND ULATION 47[ ] F MING [ ] FINAL [ FIREPLACE & CFIIMNEY — REMARKS: )50t;c�� DATE I � � IN8PECT0 suaoiN6 DE". INSPECTION 7--� [ ] FOUNDATION IST [ 7- OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: 1/0 v1717 A�- 7 DATE � SP �Lfw; k suauiNa oar. INSPECTIO [ J FOUNDATION IST [ ROUGH PLBG. [ j FOUNDATION 2ND ( ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC 8 CHIMNEY REMARKS• �i9w" DATE 0 ef INBPE C 765-1802 BUILDING DEPT: INSPECTION [ ] FOUNDATION IST [ ] ROUGH BG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: / DATE � � INSPEC 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING ] FINAL [ ] FIREPLA 8� FIIMNEY [ ] FIRE SAFETY INSPECTION REMARKS rL- � Q i DATE INSPECTO L glow 4 VAM Wr A 0 1;l 11�5�1111��lll ldl!!JFA"ME ADDITIONAL COMMNTS-. O V f i� _ • /GumIMP �� i ___ • _ BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . .. . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: / J > g CALL . . .. . . .. . . . .`. .�. .� Examined.. .� ., 20.Q? MAIL TO: . . . . . . . . . . . . . . . . . . Approved...... .l` `'.�? Permit N,. 4✓�� .................................,. Disapproveda/c .................................. ............................... ...................................................... J (Building Inspector) APR 18 APPLICATION FOR BUILDING PERMIT _ Date. . . . .. . . . . . . . . . . 20. . . . 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 tray 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HESE[3Y NNE 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 buildi for necessary inspections. .... j .............� :=...................... (S' tune of applicant, or name, if a corporation) (Mailing ss of applicant) .. -.- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder • • • Name ofowner ofpremises. .. ... ?m e.$.:!: 4� f.cl G1...Bo.yj....................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~� ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. location of land on which proposed work will be done.............................................................. �OyS� .... "...Ae-T-.. /a.............. A . ld.......................................... House Number Street , Hamlet County Tax Map No. 1000 Section .--0 .1.1 ....... Block �..�........... Lot . ?:.S...... Subdivision ...................................... Filed Map No. ............... Lot ............... (None) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..J`'l yn)J&...�f. 1. .,d.f;: 0, :^e1 *, .... ; ......�. b. Intended use and occupancy ................................... R EYDON DR . - g� SHE LLFI SHER , ROAD µ ( PRIVATE ROAD ) PR 4000047 00 E. . 00 Y, .,a t71 N- 0 33./• � Q W / t o6y SO=OA TO 330 yy �1 * - SO•. � rnaro '� • 2 \ y � L� �o SURVEY FOR 90 q°/� �s E JAMES BOYL E mac', 3 0 2� Z a - �q 5PATRICIA BOYL E AT 8AY VIEW c N.Y. S. LIC. NO. 49668 F70 CERTIFIED TO ; TOWN OF SOUTHOL D LONG ISL AND JAMES BOYL' E P URV * R$ P. C. _ o" MORTGAGE CORP. SUFFOLK COUNTY , N . Y. ( 51 '9 ge�y� 20 PATRICIA BOYLE IOOO - 079 - 05 - 20 .5 P O_ FOREMOST ABSTRACT, INC. SCALE I "= 40 MAIN R D 093151 SEPT. 8 , 1986 SOU THOL D , N.Y. 11971 SEPT. 23, 19-8 6 APRIL 26, 1990(upcate S loc.pool) 86 - 510 - m y ;a �P D AS NOTED DA' s o Da&e { NO NOTIFY /BUILDING EP M T 765.1802 9 AM TO 4 PM FO THE \l - FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE .� 2 ROUGH - FRAMING i PLUMBING S INSULATION -; ,. 4 FINAL -BE COMPLETEORCOION MUST ALL CONSTRUCTION SHALL MEET _ - THE REQUIREMENTS OF THE N.Y. {{ CODESSTATE •NOT TR RESPONSIBLE ENERGY - DESIGN OR CONSTRUCTION ERRORS ' n OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE . . OF OCCUPANCY rr PLUMBING. UNDERWRRERSCERORGIE ALIPLUMBINGWASTE +° SIRED iLPLUMBINGWA TE 1 TESTING BEFORE COVERING m J PROVIDE SMOKE-DETECTING ALARM DEVICES AS TO PART 721.1 N.Y.S BUILDING CODE. NCopper tubing is used - _ - - for water distributing PROVIDE OPENINGS F R 11 tem;piping shall be __ tYP F is of es K or L on EMERGENCY ESCAPE S N . STAT .Y E BUROING E PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART.902,6(K),, ra" 8.1[ STATE 801LDIN6 CODE. PLUMBER CERTIFICATION ¢ " - J P._ �• -,...''.. -« . - i _ _ QN�l LEAD CONTENT BEFORE CERTIFIW4 EOFOCCUPANCYSOLDER USED IN,wATER p SUPPLY SYSTEM CANNOT' h ^> ' EXCEED 2/10 OF 1%LEAD. j1 rl � Y l opA0F�S51pN'y ,.e. l Y Y f i dTj d 1�.. „-ti v 1�..L,A x A 44. 1 F { y 3 h! ry .,,, !k 8 ��. x Y - -:+ a ci Lc + , k. .a. �I ,n;. . ,r { - �,9' t^^-' .M a � .h ✓`k r� -4,, .- 7. ,-'k 7v - - • � ,+.,-'s- . .. _«_ - _::i»,. v<#C_.,:;kT'n'. .i� 'ss 'A�rK .,,. .,,ef ,..ff..r..��' ,f'm"r 4„ 6�vvi8i fiTv 1 .....si, cw�'i�a )Y''�-.a�YJviv`,.��Y., n , t\ F - j 11 F'tr it ✓„ - 'i 4 j ��� �� ��.mu ,yip Wlur.:myl L f-� '� .,•r ,^o w v a KE „ r' �i l: o 0 r'Y.: _..._:.... _ �,..:_,__.-... .— �__,._...�v....,.,ti_..�. . 2l"1_..__..i,�,-3 -�.r.• � _u�_ z -_. _ ._.._,.r____—:,_'__..�sY,:�' ..d.,'.�,n.+�nj.:t'.x,.�c:,5�.r�d_.z_...,�_� ..u. � 7 s � s u^- � P• .�', + r< 4 � _ .s 4'S _. _ Its E3 V4 I {�1 LFE) f . 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