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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