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.
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