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Home My WebLink About29807-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30785 Date: 02/24/05 THIS CERTIFIES that the building ADDITIONS Location of Property: 1605 MILL PATH SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 4 .2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14, 2003 pursuant to which Building Permit No. 29807-Z dated OCTOBER 14, 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 DECK & PORCH ADDITIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" . The certificate is issued to SCOTT R & PAULINE CARTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2040200 01/14/05 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 2 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. Swots statement from plumber certifying that the solder used in system contains less than 2/10 of I% 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 Date. I a OS New Construction: Old or Pre-existing Building: (check one) Location of Property: 61 A4 ZY—lGor /f/[C O&W) �OVTNOLG House No. .LIT Hamlet Owner or Owners of Property: oLIT ^` 4�;47c/i_ Suffolk County Tax Map No 1000, Section Q SE Block 61VL Lot ODY. w2— Subdivision Filed Map. Lot: Permit No. Z Date of Permit. /O j�jj/� Applicant: q/CO.T �CG Health Dept.Approval: A11 Underwriters Approval: e�oer 2agVZC0 Planting Board Approval: N17 Request for: Temporary Certificate Final Certificate: L/ (check one) Fee Submitted: $ 2_57X Appli�pdt Signature Ccs X30n13 l7 cPrPrJ�rJrJ� r11JIrrrill N Oil1 Pcf�r�rJt@PrJ�r1t?PrJ�rJ�r�iJ�rJ�r@PrJC O 15 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY C5 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 C5, CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 5 SCOTT CARTER SCOTT CARTER 5 5 5 61339 ROUTE 25 61339 ROUTE 25 5 SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 5 5 Located at 61339 ROUTE 25 SOUTHOLD. NY 11971 5 Application Number: 2040200 Certificate Number: 2040200 5 5 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and 5 wiring, described below, located in/on the premises at: 5 5 First Floor, addition, 5 c, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 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 authority having jurisdiction, and found to be in compliance therewith on the 14th Day of Januar-,,,200 . 5 5 Name OTY Rare Rating Circuit Tyne 5 Miscellaneous 5 5 AS BUILT-2003 5 5 Appliances and Accessories 5 5 Exhaust Fan 1 0 F.H.P. 5 5 Wiring and Devices 5 5 Outlet 6 0 Fixture 5 5 Fixture 6 0 Incandescent 5 5 Outlet 0 General Purpose L+ 5 Receptacle 1 0 General Purpose 5 5 Switch 8 0 General Purpose 5 5 Receptacle 1 0 20 amp Laundry 5 Receptacle 1 0 30 amp Dryer 5 5 Receptacle 1 0 GFCI 5 5 55 seal 55577 I of I c� 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. t7 rJ�rJ@PrJ rPrJ� rJ� rJrJrJrJrJcIII NffLLrPL LPLrL3r3PLffl ?PcP�PrJ@Pr��ftltJ@ltlrJiltJ�cPrJ�rJiJ�rJL3rpo2_30C0 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. 29807 Z Date OCTOBER 14 , 2003 Permission is hereby granted to: SCOTT R CARTER PO BOX 211 SOUTHOLD,NY 11971 for ADDITIONS AND ALTERATIONS (DECK & PORCH ONLY ) TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1605 MILL PATH SOUTHOLD County Tax Map No. 473889 Section 056 Block 0001 Lot No. 004 . 002 pursuant to application dated OCTOBER 14 , 2003 and approved by the Building Inspector to expire on APRIL 14 , 2005 . Fee $ 150 . 00 i r rized ure ORIGINAL Rev. 5/8/02 7 Z- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULA N [ ] FRAMING P<*Fd INAL DE� -- �/ec� [ ] FIREPLACE & CHIMNEY [ ] FIRE SA TY INSPECTION REMARKS: DATE ( � ��'"S INSPECTOR_'�`f""'L 2 °1�07 � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ij FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE �� 'O °'� INSPECTOR_1Y_�� 4^'� M-1802 BUILDING DEPT. N SPECTION [ OUNDATION IST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS- 96 �Z/ DATE- d` 0g INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: A A -G.4 DATE X � INSPECTOR '�� c 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ti= DATE c INSPECTOR � '�� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUN ION 1ST [ ] ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION RAMING [ ] FINAL [ ] FIREPLACE &�NEY [ ] _FIRE SAFETY INSPECTION REMARKS: DATE -9///j tP INSPE 0 aaJau asa tasal ii.i\JJLtyililVJLI."X.Ji DATE REVIEWED: L'q-/A/03 APPLICANT: v�ri' C� r DATE SUBMM.ED: Lo 1±tffia SCTM#DISTRICT: 1,000, SECTION: S�, , BLOCK: _j LOT: SUBDIVISION: */fi ADDRESS: 105 tAit-L_ CITY: ZONING DISTRICT: k.Kb CONFORMING? BUILDING PERMITS OPEN/EXPIRED: PRE CC:( ' R N 2'5 Z.`1') a17-aA f BP 7-1-LI 5--Z/ C/0 Z-OXW , INFO 0n /BP -Z/C/0 Z- , INFO BP -Z/C/0 Z- , INFO A- 411 /BP -Z/C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time aft( REQ. LOT SIZE:tOI�/ ACT. LOT SIZE: ( A . REQ. LOT COV. 2�� ACT. LOT COV. ✓ REQ. FRONT , PROP. FRONT leae- SIDE ACT. SIDE Q BAR_ PROP. REAR Z I REQ. fIEIGHT /PROP. HEIGHT PROJECT DESCRIPTION: lu Al L -/ ESTIMATED PROJECT COST: /ENGINEER: IIE�.-- WATER FRONT? _DESCRIPTION: PANEL # /Sr FLOOD ZONE,/ APPROVALS REQUIRED SUFFOLI{COUNTY HEALTH D 1 PT: YES OrD(BED #): DTE: / / PERMIT #: TOWN SEPTIC RECEIPT: Y or NEW YORK STATE DEC: PRE-DEC 9/1/75 YES oreb DTE: / / PERMIT#: SOUTHOLD TOWN TRUSTEES: YES or 10 DTE / /_ PERMIT #: TOWN ZONING BOARD APPROVAL: YES or 10 DTE: / / PERMIT #: TOWN PLAN. BOARD APPROVAL: YES orla DTE / / PERMIT #: TOWN HISTORICAL PRE (SPLIA): YES orr) NEW YORK STATE CODE COMPLIANCE (SEE PAGE ): r N NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: O SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( _--SF)- ( SF)= SF X $—=$—+$ +$ = $ 2. (_____—_SF)- (- —SF)= SF X $ =$ +$ $ = $ 3. ( SF)_ (-- SF)= SFX $ _$ +$ +$ = $ FINAL TOTAL: $ S0 NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: / Ground Snow Load: 45 / Wind Speed: 120MPH "/ Seismic Design Category:B t Weathering: Severe Frost Depth: 36" /Ter 'te:M-H ✓6ecay: S-M Design Temp: 11 /Ice Shield Underlay: YES /Y Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: i- L, TYPE OF CONSTRUCTION: ` DESIGN CRITERIA: ENGINEERE CRIPTIVE * w FULL FRAMING DESIGN ELEMENTS: /N HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: YIN / DESIGN LOAD CALCULATIONS�fN LIVE: Y/N DEAD: Y/N SNOW: Y/N SEISMIC: Y/N WIND: Y/N WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT S%: Y/N VENT 4%: Y/N N NAILING/CONSTRUCTION SC DULE: Y/N MEANS OF EGRESS: I/N - Z PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N / CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) I� • 1 . A 11 I_ r� /IST!' 47 LL ��iMM M J JAI 11101 ♦ I ADDMONAL CONMUNTSA 1 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying' TORN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Sun-zy _ www. northfork.net/Southold/ PERMIT NO. Check Septic Form NX.S.D.E.C. p Trustees Examined � / ,20 Contac[: .Approved . 20 Mail to: Disapproved a Phone: Expiration ,20 ) di p ctor APPLICATION OR BUILDING PERMIT Date G�� r /� 2099,? INSTRUCTIONS a. This application MUST be comp)^tely tilled in by typewriter or in ink and submitted to the Building Inspector with 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 waterways. c. The work covered by this application may 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 a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE 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 building for necessary inspections. ( gnature of applicant or name, if a corporation) A0 46 zi/ 46, N, y /1971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises C!/Co77 VW-- /Ni/(n✓e �,c erEi� (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: 6Y, .i e9 .yFv/y House Number Street Hamlet County Tax Map No. 1000 Section AAV Block Lot /- Z Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constfaction: a. Existing use and occupancy ./y✓C�F jAr7ic y ��l/OE.�cE b. Intended use and occupancy ti- sPRa% .�✓° fr/act BECK 3. Nature of work (check which applicable): New Building Additiom6 2�{ Alteration Repair—Removal—Demolition—Other Work (Degcription) 4. Estimated Cost A�000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units / Number of dwelling units on each floor If garage, number of cars 2- 6. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 6T Rear O � Depth R Height__----! 0O Number of Stories Dimensions of same structure with alterations or additions: Front /71- !Rear Depth //L' Height �` Number of Stories 8. Dimensions of entire new construction: Front / Rear Z Depth Height 14e Number of Stories / 9. Size of lot: Front Rear Depth StC 7 Auer /[OT icA� 10. Date of Purchase / l'7 fV Name of Former Owner 7EI FW7ej(K KED/ 11. Zone or use district in which premises are situated erapo 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO 13. Will lot be re-graded? YES_NO)(—Will excess fill be removed from premises? YES_NO� 44141.,XBLn foci 76S ysyy 14. Names of Owner of premises fA4&mAddress Po Phone No. MN-44A G rE"ztcR. Address//7ZF 4071 A�/(X Phone No Z4p- Name of Architect �/ Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MA 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 survey, to scale, with accurate foundation 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��Llt) Se,aT ?L. CA ZT671- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ( day of t R— 20 O 3 Co<E Notary Public Signature of Applicant ELOUISA EVERS bl�.State of New York o.01 EV62171 IS ied In Suffolk V�Ylulon Expires�_ pr';AcG 1 FLO N� AP ��([� PRED AS NOTED Cf ; OMPL WITH CHAPT R°46" �Itl! FLOOR` AMAGE PREVENTION DATE: B.P.y QQ m - f�� SOUTHQLDTOWN CODE. FEE: JI BY: L_ O NOTIF BUILDING DEPA NT AT fJ ---- -,6: _--e -- -- -- O - ,i", - - -:_I - --- ---- .,- - - "_. .. -. . ❑ � ,,, b 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE vl d O % _ 2. ROUGH - FRAMING & PLUMBING - -9 I _ 3. INSULATION P-1 L W pD<' C Fi v� 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OFTHECODESOFNEW ti -- ry r .4 0 YORK STATE. NOT RESPONSIBLE FOR _ _ _ _ __—�/ \\ _ — M DESIGN OR CONSTRUCTION ERRORS. yj N z ` a u j --- -- --- — _ � �� COMPLY WITH ALL CODES OF b V NEW YORK STATE & TOWN CODES A' AS REQUIRED AND CONDITIONS OF y- 0 k� ��>� SOUTHOLD TOWN ZBA - _ I �GNcr-a NEue�� SOUT4OLD TOWN PLANNING BOAAD r��°o ytiQ I a '1fl O N N J [Ofi" W I= T 6,, j CD r-t e-� o U T l-!- t— IyL--- T 1 c--) A 4.2 conFUoL wtio :nT,{ -- --- v Paz A we n-95 F}LCI+- "IMO GOD1110 r+ v I i Lso6aR 6D SMF mor + (2) t-so sccNsloe/epcp k� eR k`>PKo-�r SMINq�= — j G - Io d x 1'ra'• r tri J Rl F1 �• _To bF11\1 / v t --- �a11 ,r.,Ws 1 M ye Vtor e0I "�' - - R e'IDF wiEMCagvE t, ZI i I v - _ LYr-GiK �?IS7 TO�M \ \ H2.5b — �.2xHC57 - 14 Go 4 - sk To risk so sr vFC RcN lrs Toff f� a <<^t v slr-tP_�orl L�0NA0F" n- en � !4 — �M 'fo IP1e2 NEW r�L"K. / 4�ct H aF rs�.n z4 o�ct ^ tam. F� it, pT 1', :xe 4 " vraMc tA P�I 9 • I I I I II I I II ' I -I-) r to — �--i ry. TYPIcat LUS661ns1allHlon r '`• /� I a Standard LUS26 installation V p o0 0 o iOa p04 asa.146¢3"1760 common) or 14&6'H"(160 emaer)wit ... II - r' � H7Inelnlplmo Fltl allntltran holes l0,MAIIload UP L T c t