HomeMy WebLinkAbout29533-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPD=RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30553
Date: 11/15/04
THIS U~TIFIES that the building ALTERATION
Location of Pr~erty: 1450 HORTON LA
(HOUSE NO.) (STREET)
County Tax Map NO. 473889 Section 63 Block 1
Subdivision
Filed Map NO. Lot NO.
SOUTHOLD
(HAMLET)
Lot 12.1
conforms substantially to the Application for Building Permit heretofore
filed in t~/s office dated JUNE 17, 2003 pursuant to which
Building Per, nit No. 29533-Z dated JULY 1, 2003
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 BATHROOM ADDITION (NO SHOWER) TO AN EXISTING ACCESSORY GARAGE AS APPLIED
FOR. (CORRECTED 8/31/10 FOR LOT NUMBER CHANGE ONLY)
The certificate is issued to THOMAS J & SUSAN L MCCARTHY
(OWNER)
of the aforesaid building.
~uFMOI~K CO~FI"f DEPAR~T~qT OF }~%LT~ AP~RO%5%L R10-03-0054 06/17/03
HL4~CTRIC2%L u~KTIFICATE NO. 3121 09/03/02
PLU~ERS ~KTIFICATION DA'r~ 07/13/04 BURTS RELIARLE INC
Rev. 1/81
~4. For new building or new use:
~ 1. 'Final. survey of property with accurate location of all buildings, propen'y line~, streets, and unusual natural or
topographic features.
.2. FinAl Approval fron~ Health Dept. 0f water supply and sewerages.disposal (S.9 form).
' 3. Approvalof~l~x~r~calinstatintion'frOmBoardofFireUndc~a. iters. '
'5. ~-.ommerc~u ommmg, maustrial building, multiple wsidcnces .and ~imila~ buildings ~nd installations, a Certificate.
· o f Code Compli~m~e from architect. 0~ cnginecr respunsibl¢ fer thc building.·
'6~ 'Submit Plnn,i,~ Board Approval of'~comPleted siteplan requh'ements.
B..Fo.r exist/n~ibulldinoe~.f, prior to April 9, 1957) non.conforming usez~ or buildings ~md ~pre'existing,, land uses:
1.. Accurate surv~ o~'proPCrtY, showi~g all property line~, strc~ts~, building ~m~ unusual natural or ~opographic '
2..A properly completed appl/cation and consent to inspect signed by thc applicanL 'If a Ce~ficate of Occupancy is.
· dcnied~ thc Building Inspector shall state thc re~ons therefor in Wfitiag to the'applicant.'
C. Fees
1..' Ce~fle~atc of Occupancy - New dwelling 52~.0(], Additions to dwelling 525.00. Alterations to dweil~ng $25 00,
· Swimm~n~ pool 525.00, Acf.~ssor~ building $25.00~ ^ddit~ons to. aef.~essory building ~25.00, Busincsse~ $50.00.
2. ~..~!fic~c ofO~upancyon Pre~existMg Building - $100.00 '
3. ' Copy of Cc~ficate of Occupancy -
4. Updated Cert~catc ofOccopancy - 550.00
5. Tcmpo~WY Certificate o~Ocoupancy _ Residential 51 $.00, Com~creial $ i $.00
~l~ew Co~straCtiun: Old or'Pre-eXL~ng Building: ' _ (check
:Dat~'~f Permit.
Request for:. .Temporary Certificate
Fee Submitted: $ 0 0
Lot
Filed Map. Lot:.
Appli'cane
Underwritera Approval: ·
Final Ce?tificate:. ~k one)
- ,[~p~icant Signature
FORM NO. 4
TO~ OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~:CY
No: Z-30553 Date: 11.,'15/04
THIS CF~RTIFIES that the building ALTEP~TION
Location of Property: 1450 HORTON LA SOUTHOLD
(HOUSE NO.) (STREET} ~H~ILET)
ColLnty Tax Map No. 473889 Section 63 Block 1 Lot 12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 17, 2003 pursuant to which
Building Permit No. 29533-Z dated JULY 1, 2003
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 BATHROOM ADDITION ~NO £HOWERI TO AN EXISTI~G ACCESSORY GAP2~GE AS APPLIED
FOR.
%"ne certificate is issued to THOtUtS J & SUSAN M MCCARTHY
~ OW~E R /
of the aforesaid building.
S[IFFOLK COU~Y DEP~kR~ OF ~{t~AL~q{ ~%PPROV~fL R10-03 0054 06/17/03
ELEC"FRICJkL CERTIFICJ%TE NO. 3121 09/03.'02
PLUMBERS CERTIFICATION DATED 07/13/04 BURTS RELIABLE INC
//~t ho/i z ed ~ignature
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. 29533 Z Date JULY 1, 2003
Permission is hereby granted to:
THOMAS J MCCARTHY
PO BOX 1266
SOUTHOLD,NY 11971
for :
BATHROOM ADDITION WITHOUT SHOWER TO AN EXISTING ACCY GARAGE AS
APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 063
pursuant to application dated JUNE
Building Inspector to expire on JANUARY
1450 HORTON LA
SOUTHOLD
Block 0001 Lot No. 012
17, 2003 and approved by the
1, 2005.
Fee $ 75.00
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HPtLL
765-1802
APPLICATIO, N 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 $25.00,
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
New Construction:
Location of Property:
Old or Pre-existing Building:
(check one)
House No. Street Hamlet
OwnerorOwnersofProperty:'"'l-fqQ/T}0t--~ ~P 5t-t-",.O-O~t-q~'l //~"I(~ ("~O~kx/'"/~
Suffolk Connty Tax Map No 1000, Section C~, (~: ';~ Block CC)C>] /Lot
Subdivision Filed Map. Lot:
Permit No. ~'E)55
Health Dept. Approval:
DateofPermit. 7/tLr/. . Al~plicant: "T~¢ry'l~'~ Underwriters Approval:
Planning Board Approval:
Request for: T~porary Certificate
.,~.~ x ~ LTL-
Fee Submitted: $ ,55~c~ 5X
Final Certificate:
check
OFFICE OF THE BUILDING INSPECTOR
TO?,'ri OF SOUTt-[OLD
DA'r~: 7-/~OY
i :'e:;::if': uha'; tr.e sol,2er ,asea ir', the ;.,'bEer
c,:n~ains _ess ~ilan '2 '10 :f 1~ lead,
{Pluiuber£ Szgh:~Ure,
HO~RY PU6LIC #4844893
Residing in Suffolk County
Nassau Suftblk Electrical Inspections. Inc.
5A Canal Street * Career Moriches. Next York 11934 * fei 631-878-3500 * Fax: 031-878-3764
Application No: 3121 Date:g,~3;02
Issued to: Mc Carthy Management
Address:. 1450 Hortons Lane
Village: Southold Zip: 11971
Introduced By: ZAR Electric lnc
Township:Southold
LicenseV;4808-E
was examined and found to be in compliance with the National Electrical Code
Altic lsl Roor[~] Residential [] ~ Der. Geracjel~l
Basement 2nd floor [] CorrmmSal Hot Tub PdditiDn
Switches
21
Receptacles
23
)ther Equipment
~etached Garage Renovation
Fixtures
27
GF4
Microwave
Whirlpool
Oven Carbon
Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoz,de
2-paadle
Smo~e Bell
Furnace 01~ Gas Circulators
Detectors frans[arrears
Meter Amps Motors
)nt,Res
Permit#:28460
This certificate must not be altered
in any manner
File ~5604
WARREN A. SAMBACH, SR.
CONSULTING ENGINEERS PLANNERS
Mr W~m'en ASa, nbach, SR
PO Box 791
East Marion_ NY 11939
Buildin~ Department
Town of Sou[hold
P.O. Box 53095
Southold NY 11971
RE: Tom McCarthy
1450 Hortons Lane
Southold NY 11971
BETH: 1000-63-!--~-~ ~-
To }~om it Hay Concern:
The plumbing fixtures and piping conform to New York State
Builing Code and the Town of South~L~There were no leaks of
the pipin~ under pressure
Sincerly,
Warren A. Sambach Sr. P.E.
BURT'SI
REUABLE
The Finest in ~ERVICE & INSTALLATIONS
August 26, 2004
Town Of Southold
Building Department
PO Box 1179
Southold, NY 11971
Dear Sir or Madam:
I am writing you in regards to plumbing work our company performed at the Mc Carthy
residence, located at 1450 Horton Lane, Southold, NY. As a Master Plumber, License #3819,
I hereby attest to the fact that all work performed was and currently is in conformance to all
town code. Should you need any further assistance in regards to the aforememioned work
please feel free to call at the number below.
Owner/Operator
· FUEL OIL · DIESEL FUEL · HEATING · PLUMBING · AIR CONDITIONING ·
· KITCHEN & BATH RENOVATION · CUSTOM SHEET METAL ·
1515 YOUNG'S AVENUE · P.O. BOX 696 ' SOLITHOLD, NEW YORK 1197 ! · (631 ) 765-3767
TOWN OF SOUTHOLD PROPERTY RECORD CARD
· : , ,,
OWNER
RES.
? 0
LAND
SEAS.
IMP.
/,:p oO
VL.
TOTAL
N
$
FARM
DATE
,/o "~,/
/.
VILLAGE DIST SUB.
W J / ? i TYPE OF BUILDING
/' :· ";'¢'.-;",'f i
(2~MM. CB. MICS. Mkt. Value
REMARKS
LOT
AGE BUILDING CONDITION
NBA/ NORMAL BELOW ABOVE
FARM Acre
Tillable FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
Woodland
Value Per Value
Acre
Meadowla,nd
House
Tota I
._~?'~ ~ ,~ BULKHEAD
DOCK
TRIM
Extension,0z .J
j 12;-<.,'.)
Extension
Extension '
Breezeway I
63-1-12 3/03
O. Bo
Foundation
Total
Basement
jExt. Walls
IFire Place
?ype KOOr
J Recreation
Dormer Room
I I
~/c /'~ Bath
/~,,,~ ¥ ~. F oars
Interior Fihish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
JLR.
JDR.
IBR.
FIN. B
Dinette
7G5-~.802
BUILDING DEPT.
INSPECTI
[ ] F/~JNDATION 1ST [ ~'] ROUGH PLBG.
[ ]/FOUNDATION 2ND [ ] INSULATION
[~,'~ FRAMING ,.--C~..._.(-~-~ [ ] FINAL
[]FIREPLACE&CHIMNEY
REMAR~KS: ~/~--
DATE
TO%~,qN OF SOUTHOLD
BUILDIN'G DF.PARTMENT
TO%YN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
~nvw. nor thfork.net/Southold/
Examined '~[ t _, 20 '~
Approved 7 ] I .20 ~
Disapproved a c
Expiration
PERMIT NO. OQ06~2~7~-
Building Inspector
BUll_DING PERMIT APPLICATION CHECKLIST
Do you ha,.e or need the tollow tg. betore applvmg'.
Board of Health ')
3 sets of Building Plans
Phmtm~g Board approval
Check
Septic Form
N.Y.S.D.F.C.
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS Date ~ ~¢.,P,. I ~ ,20/~' '3
a. Tiffs application MUST be completely tilled in by Lvpewriter or in il~k and suiffmtted to the Building Nspector with 3
sets of plans, dec,ate plot plan to scale. Fee according rd schedule.
b. Plot plan showing location of lot and of building~ on preImses, relationship to adjoiNng premises or public street~ or
areas, and watem'ays.
c. The work covered by fids application may not be cotmenced before issuance of Building Pen~t.
d. Upon approval oftNs application, thc Building h~spector will issue a Building Pem~t to the applicanL Such a permit
shall be kept on the pre~ses ax ailable for inspection t~oughout the ~ ork.
e. No building shall be occupied or used in whole or in pan for an5 propose what so ex er uutil the Building h~spector
issues a Ceaificate of Occupancy.
fi Eyed~ building pen~t shall exp~e if the work authorized has not conunenced witNn 12 momhs a~er the date of
issuance or has not been completed witiffn 18 months from such dare. If no zoning amendments or other re~lations aftbcting the
property have been enacted in the interim, the Building Nspector may authorize, in writing, the extension of the per~t for an
addition six months. Therea~er, a new pem(t shall be required.
.~PLICATION IS HE,BY M.~E rd the Building Depamnent for the issuance ora Building Pe~t pursuant to the
Building Zone Ordinance of the Town of Southold, Suflblk Count>:. New York, and other applicable Laws, Ordinances or
Re~ladons, for the construction of buildings, additions, or aherations or for removal or demolition as herein described. The
applicant a~ecs to comply with all applicable laws, ordinances, building code, housing code. and regulations, and to admit
authorized inspectors on pren5ses and in building tbr necessao' inspections.~ ~. ~
(Signature ~/c~nt or n~efi~m&ation~
{Mining address of applicant}
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
NaIne °f °wrier °f premises~' ')Dir~O-¢ "-'~J'q/)(n(~0g"l~-~'~z~(As on the tax roll or latest* 50 ~deed,)
If applic~t is a cmporation, st~ature ol duly authorized officer
(Name and title of co~orate officer)
Builders License No.
Plumbers
Licens, e No. ~,.. ~ .. ,.
Electricians l~e~se. Eo. ,_, .~ ~ ~' ~_. __
Other Trade's Li~3e,N~Z:" .' ..A ."~ *~ .~L?- ~"~"'
1. Location of lanf'O~which prmaosed x~ork will be done:
House Number Sn'eet
Hmnlet
County Tax iVlap No. 1000 Section G '~ Block ]
. ., Lot
Subdivision /' ' '
~9 ~ Filed Map No. ~.. :_ ,. Lot.'
(N rune)
/
2. State existing use and occupancy ofprem se~s and int~ed use and occup~ancv of proposed construction: ,. rD_ ,
a. Ex~snng use and occupancv%,,)Cl¢'~,.t,/~ I~(%, d., ,.,,e ~'[~e] ~ Oa ~ ( ~l IO(~ ~ ~C~%'C~IO~]~.r-, ,~
o wo k w ich .i ding Ada io.Ah a,ion
Repair Removal Demolition Other Work
{Description)
4. Estimated Cost Fee
(To be paid on filing this ~lication)
5. If dwelling, nmnber of dwelling units ~ ] lq Number of dwelling units on each floor D~//4
If garage, number of cars
If business, commercial or mixed occupancy, specit~, nature and extent of each ts?e of use. ~V~/~
Dimensions of existing structures, if any: Front 5 G ! Rear__ '~ (x- / Depth
Height l'-,~ ' Number of Stories
Dimensions of same structure with alterations or additions: Front ~C. t Rear
Depth 5~'-/ Height i $-t Number of Stories I '/,.'~
9. Sizeoflot: Front ](~ Q ,D/Q'
10. Date of Purchase ~/CI
Dimensions of entire next, construction: Front Rear Depth __
Height Number of Stories
/ I
Rear ~ '3;~.%'c/ Depth
Name of Former Owner ~'%--/-&qL( c4'
1 l. Zone or use district in which premises are situated ' ~,
12. Does proposed construction violate any' zoning law, ordinance or regulation': YES NO
13. Will lot be re-~aded? YES__ NO ,/ Will excess fill be removed from premises? YES NO -~
14. Names of Owner of premise~o5o..,, t3~, C~ t+ It~ddress ~t.q ~ ~,~L~ Phone No. V6'~- %~- / ~
Name of Architect -~ddress Phone No
Nmne o f Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater x~etland, x~ ES
* 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 ~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide sutwey, to scale, with accurate tbundation 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 )
I~,C,,]C~% \,~. }}~2(Jlt:llL./ , beinudulvswom, deposes and says that [s,he is the applicant
{Name of in~diviffual signing contrad) abex e named,
rS)He is the C~ ~--..','~1 C.L '1
(Contractor, Agent. Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have perforated the said work and to make and file this application;
that all statements contained in this application are true to the best of his k and belief: and that the work will be
performed in the mmmer set forth in the application filed therewith.
Swj;~cntt~j~..efore nle this 1~
~rl~day ° f~2t~ 20q5
Notary Public
NO. Ol LO~
Signature of Applicant
APPROVED AS NOTED
DATE:
NOTIFY BUILDING DEPARTMENT AT
765-1802 8AM TO 4PM FORTHE
FOLLOWING INSPECTIONS: .
I. FOUNDATION - ~ ~
FOR POURED CONCRETE
2. ROUGH - FRAMING &
3. INSULATION
4. FINAL - CONSTRUCTION MUET
RE COMPLETE FOR C.O:
ALL CONSTRUCTION SHALL MEET 11'1E
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
46
coMPLY WITH CHAFTt:I~
FLOOD DAMAGr: pREYENTION
SoUTHOLD ToWN coDE.
PLUMBING-
ALL pLUMBING WASTE
& WATER L NES NEED
TESTING BEFORE COVERING
PL IVIB[::, ~ CERTIFICATION
DA FAD CONTENTBEFORE
CER ,
7E
SOLDER USED IN WA TER
SUPPL Y SYSTEM CANNOT
EXCEED 2/1O OF I% LEAD.
,~ ~ COMPLY WITH ALL CODES OF
" NEW YORK STATE & TOWN CODES
,,,~,.;-AS REQUIRED AND CONDITIONS OF
' , /// SOLqHO. D TOWg ZBA
UNDERWRITERS CERTIF]CA,-
OCCUPANCY OR . REQUIRE~ ~ '
USE IS UNLAWFUL O
COD~S OF NEW YORK STATE. · / ~':,. ~ .~
/
~ PRO.DE NEW CON'Em ~RON
AND CONDI~ONS' PRIOR
TO GQNSTEUC'I1ON" :' -
798-200;2
" CMA, '
_,.~r~,, 05-19-02,
1/~-~ ~-1!-~0"' '
EoUNDAT, O "'
PLAN , ,''
FIRST FLOOR"
,
(~) COPYRIGHT 2001 EAST END DRAF~NG &: DESIGN
ALL FLOOR PLANS AND ELEVATIONS ARE 'PROTECTED
UNDER FEDERAL COPYRIGHT~AW;;,
PLANS MAY NOT BE REPRODUCED WITHgUT
WRI IbiN AUTHORIZATION. 'I~ ;!' - ~
ALL PLANS AND DESIGNS AR[' THE SOkJ~ PROPERTY OF
EAST END DRAFTING & DE,$)GN. , ,
THE RIGHT TO BUILD ONLY:,ONE :STRUCTURE FROM THESE
PLANS IS UCENSED EXCLUSIOn'El-')'i,.r.: TO. T,dE. BgYER.
,,
2
Ill 2xS-1S' ~c
o 8'-iJ~' ,~F
III
ROI)
e'- lY+"
NOTE: PRO'vlDE CONTINUO~S 2' SOFFIT VENT IN ALL
SOmTS ALONG ~Ti4 CONTINUOUS RIDGE VENT
/k TO INSURE pROPER VEN~I!.ATION. ( ALL RAFTER
/ ~ ~ ARE TO BE DRILLED WI1H (2) S/It" HOLES O 1'
~ BELOW UNDERSIDE OF ROOF SHEATHING AT
~N~V~LS.)
NO'I~:: PRO.DE CONTINUOUS 2" SOFFIT VENT tN ALL [
/ \ TO iN~JRE pROPER '~}ITILATION. ( ALL RA_E~R.. J
/ 4-"~ ARE TO BE DRIU.ED ~1~ (2) 5/8' HOLES O 1. I
~ BELOW UNDERSIDE OF.ROOF SHEATHING AT 16
,
.;:g I /
\ I
/ I
POOL HOUSE /
(2) 2xo COL~RI~r PACKED OUT
SECOND FLOOR PLAN
BUILDING CONSTRUCTION NOTES:
GENERAL NOTES:
CARP'ENTRY:
CONCEETE
ELECTRICAL:
PLUMBING.
(~ COPYRIGHT 2001 EAST END DRAFTING & DESIGN
ALL FLOOR PLANS AND ELEVATIONS ARE PROTECTED
UNDER FEDERAL COPYRIGHT LAW.
PLANS MAY NOT BE REPRODUCED WITHOUT
WRIT~N AUTHORIZATION.
ALL PLANS AND DESIGNS ARE TH[ SOLE PROPERTY 'OP
EAST END DRAFTING &: DESIGN.
THE RIGHT TO BUILD ONLY ONE STRUCTURE FROM THESE ~
PLANS IS LICENSED EXCLUSIVELY TO THE BUYER.
g
O
O
VERIFY ALL "DIMENSIONS
AND CONDITIONS
TO CONSTRUC~ON
798- 2002
CMA
'05-19-02
~ 1/4" '= 1'-0"
SECOND FLOOR
PLAN
r3Of4