HomeMy WebLinkAbout30221-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30201 Date: 05/17/04
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 16655 CR 48 CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 101 Block 1 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 6, 2004 pursuant to which
Building Permit No. 30221-Z dated APRIL 6, 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 DECK ADDITION, ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to STEVE C & HOLLY CAVALIER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1205539 04/23/04
PLUMBERS CERTIFICATION DATED 05/05/04 STEVE CAVALIER
//Au orizecf Signature
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. 30221 Z Date APRIL 6, 2004
Permission is hereby granted to:
STEVE C & HOLLY CAVALIER
6205 ALVAHS LANE
CUTCHOGUE,NY 11935
for
ALTERATION & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR; THIS PMT RENEWS BP#24667Z .
at premises located at 16655 CR 48 CUTCHOGUE
County Tax Map No. 473889 Section 101 Block 0001 Lot No. 018
pursuant to application dated APRIL 6, 2004 and approved by the
Building Inspector to expire on OCTOBER 6, 2005 .
Fee $ 646 . 50
r,
Authorized Signature
ORIGINAL
Rev. 5/8/02
i
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)
24667 Z Date.....F:EWWORY......11........................... 19...9.5....
Permission Is hereby granted to:
........N9!I; l�...G...41...H% r.X...G>RY.1C-kw.ER......................
..........................................
........ 1.1C?.35.....................................
to.....Q.QN5T.RW.QT...AN..AAA.I.T.I.AN...AND...ALT.BRAT.I.ON...T.R...AN..ZXJ5.T.JNG...51N1G X—FAMILY
.........P.W �4.�.N�..A ...APP!„�41 ?...F4R................................................................................................
...............................I...................................................................................................................................
..................................................................................................................................................................
.......... •....... ...........................................................................................................................................
at premises located 49
at..............1AC55 CR .................................................... UT.GN.Q�i.4l5.........
....................
.............. . ....................................... ............................................................................................
CountyTgx Map No. ....4738139 Section ...101 Block ....0001 Lot No. 018
pursuant to application dated ...JANUARY 26 19....1and approved by the
98
Building Inspector.
Fee$.....406.00.....
/ r.
.....................
Building Inspec
Rev. 6/30/60
cs
5 rd
BY THIS CERTIFICATE OF COMPLIANCE THE S
S NEW YORK BOARD OF FIRE UNDERWRITERS 5
S
S BUREAU OF ELECTRICITY S
5 40 FULTON STREET ~ NEW YORK, NY 10038
S 5
CERTIFIES THAT 5
5 5 5 .
Upon the application of upon premises owned by
STEVE c5 e5
5
6205 A VAHS CAVALIERIER STEVE
LANE 6205 ALVA SLANE 5
CUTCHOGUE, NY 11935 CUTCHOGUE, NY 11935 e5J
S
5 Located at 6205 ALVAHS LANE CUTCHOGUE, NY 11935 5
5
Application Number: 1205539 Certificate Number: 1205539
5 S
5 Section: Block: Lot: Building Permit: BDC: nsl1 C
5 �.Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at: S
5 First Floor,
5
5 Cj 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
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ;
5 5 authority having jurisdiction, and found to be in compliance therewith on the 23rd Day of April,2004. S
Name QTY Rate Rating Circuit Type
5 Miscellaneous
5 FINALED 4/23/04 rj
5 ROGER RICHERT
5 Alarm and Emergency Equipment ;
Sensor 2 Smoke
5 Appliances and Accessories
5 Exhaust Fan 1 F.H.P.
�5+ Wiring and Devices
5 Outlet 3 Fixture
C55 Receptacle 9 General Purpose
J' Switch 9 General Purpose
5 Fixture 3 Incandescent
5 Receptacle 1 GFCI
5 Paddle Fan 1 5
5
55
5 Sea.
5 1 of 1 5
S
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 .
o
i� Form No.6
TOWN OF SOUTHOLD bol 0
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 Occ�ancy-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. -61 f q 0 q
T
New Construction: // Old or Pre-existing Building: (check one)
7
Location of Property: C R �� ` 0
House No. Street Hamlet
Owner or Owners of Property: 1-�1 I V l��.l(,y&I i e r
Suffolk County Tax Map No 1000, Section U Block D 06 1 Lot C�
Subdivision Filed Map. cc rr__ Lot:
Z 54
Permit No. 30 a Date of Permit. y 0 b4 Applicant: Ve
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: x (check one)
Fee Submitted: $lee J`
C plc;J Applicant Signature
o�$uFFot,�oo
Town Hall, 53095 Main Road W Fax(631) 765-9502
P.O. Box 1179 Telephone(631) 765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: S 13-/O y
Building Permit No. O�--2 / '47,
Owner: STelie 6:#1,wA,e 9
(Please print)
Plumber:
y-'ease print)
I certify that the solder used in-the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signature)
Sworn to before me this
day of 200-_
Notary Public,_
DONALD G, FEILER • ARCHITECT
11725 Main Rd•Box 1692•Mattituck,NY 11952•631-298-5453•Fax 298.1380
June 23, 2003 _
' , 2
Mr. Mike Verity
Town of Southold Building Department
Town Hall, Main Road, Southold, NY
Re: Cavalier Residence
6205 Alves Lane
Cutchogue, NY
Dear Mr. Verity:
In regard to the 2-2x12 ridge and concrete block foundation installed at the above
mentioned project, I can certify that this is structurally adequate for its use.
Donald G. Feiler
Q Qo�ptO G
t
015SS6
Of K10
5L
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET 66 VILLAGE DIST. SUB. LOT
FORMER OWNER N— E ACR
Cc-,5n 4 1 -
S^ W TYPE OF BUILDING
19,1110(1-s k�4-i4�L Le, I I
RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
/,30
v
-4-Ica 0
Iq
2 812 L I I,&og vks'lo 64es c)rs -
co re c-h,o n cTe 4 ez c 00 1
AGE BUILDING CONDITION
-7'2 6A L I 17 6 jA i 1(1, L-Y4 e,5 L5 An CeA v,i
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable I
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER ;2
Brushland FRONTAGE ON ROAD
14-4
House Plot DEPTH X --
BULKHEAD BULKHEAD
Total DOCK
A
BUILDING DEPT.
INSPECTION
C�/ [ FOUNDATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMA S• �� �•
DATE 7 � INSPECTOR_����u�v�
tz 7e-
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ 7FRAMING
DATION 2ND [ ] INSULATION
[ [ j FINAL
[ ] FIREPLACE 8. CHIMNEY
REMARKS:jo
G
Sdt.�
DATE�� 1"'� INSPECTOR ti"�
suauiNa oar.
INSPECTION
[ ] FOUNDATION IST [ ] RO PLB6.
[ ] FOUNDATION 2ND ( INSULATION
[ ] FRAMING ( ] FINAL
[ J FIREPLACE & CHIMNEY
i REMA KS• Q �.
��- `�—• r�-G �22�( 'i ,) of.
DATE INSPECTOR .
r/
7ss.,soz
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS CATION
[ ] FRAMING [ FINAL
( ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
Ilk-
DATE _r INSPECTOR
1
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BOARD OF IIF.Ai.'I.11 . . . . . . . . . . . . . . .
FORM NO. 1 -3 SETS OF CLANS . . . . . . . . . . . . . . .
TOWN OF SO1 T11OLD �-SLIRVEY . . . . . . . . . . . . . . . . . . . . . . . .
BU 1 LD 1 NC, DEPARTMENT `CHECK . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC F011M . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765- 1602 NOTIFY:
�.._�.�...�� CA1.1. . . . . . . . . . . . . . . . . . .
MALI. TO: . . . . . . . . . . . . . . . . . . . .
Approved......°? ........, 19. .0 Permit No. � ( � ....................................
�Jr ti'I
Disaplrnuveda/c ........................ 2 6 ...................................
M �►
'
rilding Insix-c:tor)
APPi 1 .ATION FOR 111111.1)iNG PERMIT
Date. . . . . . . . . . . . . . . . . 19. . . .
I NSTRUCT I ONS
a. Ibis al4lication mist be c(vipletely filled in by tyl"-rriter or in ink 1110 sulrmittecl to the ikrilding inspector wilh
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan sliowing location of lot arx] of Ixrildings on premises, relationship to adjoining premises or lxlblic
streets or areas, arxl giving, a detailed description of laycxut of property oust be drawn on the diagrw which is part of
this application.
c. 'Ibe work covered try this application rvey riot ie ccnrrnced before issuance of Building Permit.
d. Ulxutr approval of this application, the lluilding inspector will issue a Wilding Permit to the applicant. Strci1
lxtnnil slral.l lue kept on the premises available for inspection throtrg otiL lire work.
e. No Wilding shall be occupied or nscal in wllc)le or in part for any purpose whatever until a Certificate of
(Xx•rllwrlx-y Aigll have Ixvn granted by the Wilding Inslx�.cl:or.
APPi1avricH IS 11w"1Y lwjf? to t.lx- 1Doilding Department for (lie isstfarwe of a ilcrilding Permit pursuant to the
Wilding 7,one Ordinance of t]re Town of SotrllwAd, Suffolk Cc-Aunty, New York, nix] other applicable l.U�uws, Ordinances or
Rcgulaticmis, for Lire constnrction of buildings, acklitions or alterations, or for retnnval or dernlition, as herein
clescrilx'cl. 11 re applicant agrees to comply with all. applicable laws, ordinances, building code, lxxusing code, arx]
regtrlalions, arxl to admit mAlrorized inspectors on premises arx] in lxuilding for necessary inspections.
...............` .................
(Sigrvrture of alrpl icant, or tk-r1re, if a corlxwat ion)
(Maility; address of applicant) i7
Slate whether a1>[)licanu is cxaier, lessee, agent, architect, engineer, general contractor, electrician, pludwr or Wilder.
�Wnv ............................................................................................................
K.'rme of otnrer of: premises .. ��e...C�.....+.... o 1. ...�:... C0.VA 1\ ,t�..............................
(as on Ilse t:ax roll or late. deed)
if applicant is a corporation, signature of dilly rxrt.lrorizccl officer.
.........................................................
(Name aril title of corporate officer)
Wi lders i.icense No.
P1lnirers License No. .........................
Electricians license No. AJHS! F........ FRAr✓er'5 /)ieeAAAAey
Other TrwW s license No. ....................
I. lcx-atinm of larxl on which proposed work will he dot)e...................................,.,cyq.,.�...................
20.,?............A�.vo ki5....Lc ne-.. �. C�'1 6 k- t° t4"�•.-/+``ll VVy
Ikxise Ntniler Street u IVvideL' ....•.....
Ccxrnty 'i'.ax Map No. 1(100 Section ..101.......... Block ....I........... it)t ...I .........
Scdxlivisicxl ...................................... Filf-A My No. ............... ivt ...............
Mime)
2. State existing use aril occitpaxy of prepmis-cis arx] inlerxkxi use alxl cx•cuparx-y of proposed constnuction:
a. F.xisl.ing n<:e aril rxxtq>rxxy .�� 1(��ilrli ....11�Yte.................................................
h. I nterxk'd use arxl o-cliparxy .�.l- �?!'`^.:!'^^..�jDMC....... ........... .............
...............
-- AIMIrMMII 0
1, Dilute of tx)Ik (clK:ck width all)11(:lthle): I'A:w Illlildinl. . ......... Nklilion .. . X... Alteration ....... . ..
Repair .. ... ....... 14:vlwal ............. I)tllr)I I iofI ............ Other We lk . ........... ... ... ...... . ....... ...
(Dencr ila icx►)
/I. Est.inkll ec) (:fist *H-5`1_50......... .... fee . ...... ................ .
(lo Ix! IWilid oil 17i I ing this alq)I icaf ion)
:i. I f 1kx!11 roll, l■nlx.!r of (k4ell int; units ............ l4+dier of (h4el l int; units on each floor ............. ..
If g,firfil,e, 1xllber of cures ..._... ......... ..: ... ......... ...
h. If lxi-nioess, t:OIIIIK'r'cial or Illixt-41 (X:(:111Will W.Y. HI)eC-i y na��ture 111KI ex(efit of each tylX: of Ilse... . ..... .... ......
1. Diotalcl oos of existing; str)xauren, if any: Front .. C3f77.- Rear ....3�J�:T... Depth ..:?15&.....
. . . IIJJ
Ik:ig;llt ...k�a;.Vst.'
Ntnlx!r of: Slurirs
.Y.DinkeIIlli(xlsllc;Ulre/°� Ih alC@rI` itx)s or .Kklilions: IrronL lteF)r �(,•,
Depth ._.. ....... Ikig1111 .....` .... ., l�A■ber of mor IeH .. . ........
Q�
B. Dillkm siool .'o IF entire oew coostrtl(Hoo: Frtxlt . . ..4- ? +... Rear .... Q. Depth ... C ..
J% �(
Ik!ig)1t ..... V•/�i) '.......... M■dx!r of Storiesp.. �. ................. LL //¢¢
O. Sire of lug:: I'loot ..l.�3+32.. . . . ... Itear ../.Y.� 1.(.7. .. Depth .1.4.4 .......
Ill. 11.11 a of Purchase ..7:?�4.7Y4........ mmt of Dorn■:r (X4t)er J qre,, .0F, dAfe.S . ... ...... ... .
I. Z(xK! or rise (list r it:(: in tAli(i► prullises Fire Hitlultecl ..... . ..... ... . . .... .. . .. ... ... .. ... ........... . ...... . .. . . . . .
11. IkK:H plu(x).:ed ctxlsl locticxl /�viiit (lite fifty •raxlingl how, oldiotuK:e tar reg,ulut.iun: ..1-40 ............ .....
I ). Wi1I lot Ix: reg,raKk'(1 .....416 .......... will excess fill 1)e rcyl■rved flan prclnises: YES NX)
tli■1■.H of (anKr of pr(�nisesvkl �.VS.Al1�. 4i'1 1IKxK' rk). -3
Halt! of Architect: ............ ... ............... Alit lresH
M-111(! of (cxlt ra(:for .......... ....... ....... ........... Atkh ess ... . .. .. ............ .... .... ...11xxx! rk)� . ... . .. .. . . ..
Is this prolteay will►io W) feet of a Tidal arel.latxl? * YIS .......... NX) .!1. ....
*ll' YNS. RXIIIIr)ID 'I AM 'IM):ill'.gt'S ITONII'I' tlAY IIIc Ill AIII(ED. •
PLOT D 1 AGRArt
lix:ole clearly allyl distirxa:ly all Imildings, wi)ell►er existing; or proposed, troll ilxlicate all set-Imx!k dint:nsions
fru" p►ulielly lirk:s. Give street aril h.l(x:k tr■d)er or descripticx) accotdiol, to deed, mxl thin sl:reet lunges unil i►rli(:ate
1J1ko lk:r interior of- c(Irller lot:.
.... .. . . . . ... ... . . .Ixrtng, (Italy rwcfin, doixlsec) o1Kl sfiyll that: he it; the appiitv1111
( AIK! of ilxiivitlu.11 sil,oing, cootrfic:t)
filxrvc! n;n■nl,
;t
Ik: irl II11! ... . ....� i�Pf�rK. .... .... . ... ... .. .... ... .... . ... . .... ..... .......... . .. ..................
(umt t►g,ant, c:or Ix)ral(t o(f icer, etc.)
{¢1r
ul, silid (h)IK!t of owlle!re, tiiltt is duly fiulhori•rttil to Ix!t lolul tar havc! lK!rltnn■:d the amid wotk mKI to a■►Ice olxl fill! (Ilia
fipplic:atioo; that fill slattmaents ccx►taitK!tl ill Ihiv tlpplicali•on the tilt! to the Ixu;t of his koowledl,e mol kdief; 'Pull
Ihaff lite knitk wi I I Im llerforu■!d in the ukonler net: forlh in Ilse appl icat ion filed theretititt►.
!A4U111 to I ,��' c■'��.� (Itis
L. .. ....day . 19.
Nk)I.Iry I Italic ...... ..
.. . . . . ..... . .. . . .......
(Sig,nalme of Appl icanl )
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EAST COAST PIZOPE12TIES BUFF. W. MAP NO,922S TO OF So HO
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TOWN OF SOU T HOLP N.Y
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-----------------
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
_ PFIP l+Ei2 AS NOTED
-
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GII Y BUILDING - ME FV 7� '�-ER029AMTO IR ',HEFOLLOWING INSPECTIONS:I I FOUNDATION - TWOREQUIRED
- �- FOrl POURED CONCRETE
2 ROUGH _ FRAMING & PLUMBING
--- - --. 3. INSULATION _
CONSTRUCTI
BE COMPLETE FOR C.O. ON MUST
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
m..�,�.-+;,:_ . Ek'ATE CONSTRUCTION IN ENERGY
- CODES. NOT RESPONSIBLE FOR 1
PFSIGN OR CONSTRUCTION ERROR$
PROVIDE SMOKE-DEDD.IING
' - - - AWN DEVICES _
1!4-Q G'L. PLUMBINGG�w»6T7oQ- AS To - - - - - - ,
_ � L4 %q ' m �'p'1 Lu BUILDING CODE MND ER AU LINN VpZM
NEEP
- �COMWAIE > alj
- - - - - - - - - - - - - - - -' NEQUIREp
PROVIDE A PLUMBER CERTIFICATIONIf
_
THERMAL SHpCI(CPREDVENTDINOG CONTENT BEFORE
CERTIFICATE OF OCCUPANCY sf ttubinp(s used �PZE D E NEw r
DEVICES AS TO PARL 902.6(8) distri6utin s aE 09�
N.Y. STATE BUILDING CODE, ystem,PIPInp Shall he
SOLDER USED /N WATER °f types K or L°n a
SUPPLY SYSTEM CANNOT w
EXCEED 2/10 Of 1% LEAD. nor, u, 254 o2
- Op9oFESSIONP\'� ,
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