HomeMy WebLinkAbout30785-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31044
Date: 07/18/05
THIS c~TIFIES that the building ACCESSORY
Location of Property: 320 BROADWATERS RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 104 Block 10 Lot 6
Su]~division Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 22, 2004 pursuant to which
Building Permit No. 30785-Z dated NOVEMBER 22, 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 ACCESSORY SHED IN THE FRONT YARD OF A WATERFRONT SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to DOUGLAS & BARBARA KLEIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNT"f DEP;kRTMENT OF H]~kLTH APPRO~-AL
BLEL'~RICAL CERTIFICATH NO.
PLUMBERS CERTIFICATION DA'£~U
N/A
N/A
N/A
Authorized Signature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter o1' 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 Ibrm).
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 Pla~ming 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 sup,'ey of property showing all property lines, streets, baildiug and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by tile applicant. If a Certificate of Occupancy is
denied, the Building h~spector 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, Alteratious to dwelling $25.00,
Swhnming pool $25.00, Accessory building $25.00, Additions to accesso%' building $25.00 Businesses $50.00.
3.
4.
5.
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate o£ Occupancy - $.25
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy -Residcntial $15.00, Commercial $15.00
Date.
Old or Pre-existing Bnildmg: (check one)
Street Handet ~'~
Suffolk County Tax Map No 1000, Section
Subdivision
Health Dept. Approval:
Block ___[~ ____ Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Planmng Board Approval:
Request for: TemporaD' Certificate
Fee Submitted: $
C o ..-g. 310
//' ,~)p'[icant'glgnature
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.
30785 Z Date NOVEMBER 22, 2004
Permission
is hereby gransed to:
DOUGLAS & BARBARA KLEIN
CUTCHOGUE,NY 11935
for :
CONSTRUCT AN ACCESSORY SHED IN THE FRONT YARD OF A WATERFRONT
DWELLING AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED BP#24160.
at premises located at
County Tax Map No. 473889 Section 104
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
320 BROkDWATERS RD CUTCHOGUE
Block 0010 Lot No. 006
22, 2004 and approved by the
22, 2006.
Fee $ 75.00
ORIGINAL
Rev. 5/8/02
@) @)
I ! U4~~ ('vo~k T~7:,~;;~C~~ O~I~~L~~~~~WRITERS I
I \ ( 40 FUL ~~NR;~~EE~F_ ~;;C;OR~~,I:~ 1 0038 ~. 0-1 ~ ~" I
~ :J -'0~ ~
~ (ilL ~
~ ^'.o \ CERTIFIES THAT_...- ~
~ \' Upon the application of upon premises owned by ~
~ ~
~ DOUGLAS KLEIN DOUGLAS KLEIN ~
~ 320 BROADWATERS RD 320 BROADWATERS RD ~
I CUTCHOHUE, NY 11935 CUTCHOGUE, NY 11935 ~
~ Located at 320 BROADWATERS RD CUTCHOGUE, NY 11935 ~
~ ~
~ Application Number: 2098432 Certificate Number: 2098432 ~
~ Sod'," Bloc' Co, """"" "~b~3~~if",11 i
~ Described as a Residential 0-599 square ft. occupancy, wherein the premiJ~s electrical system consisting of ~
~ electrical devices and wiring, described below, located In/on the premises at: ~
~ First Floor, kitchen, Outside, ~
~ 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 31st Day of May, 2006. ~
mJ Name OTY Rate Ratine Circuit Iw mJ
~ Miscellaneous ~
~ as built-2005-kitchen ~
~ Appliances and Accessories ~
F.!I Dish Washer I 0 L2 KW F.!I
~ Exhaust Fan 1 0 F.H.P. ~
~~~~ ~
~ Outlet 11 0 Fixture ~
~ Fixture I I 0 Incandescent ~
~ Outlet 20 0 General Purpose ~
~ Receptacle II 0 General Purpose ~
~ Switch 4 0 General Purpose ~
~ Receptacle 51 00 GFCI ~
F.!I Paddle Fan F.!I
~ An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installatIOn is believed to ~
~ be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. ~
I seal I
~ ~
~ I of I ~
I T"; ,""""" "'" "'" '" """" '" oo,.~ 00' ,; ,,"'""" """ ~ ,", ,."""" , """ ~, " 'fi, '=fim '00''''''. i
@) I!l
qJLHII)~ [' t. Ull ~ 2tll))
.~ ~) 7 ~;~ ~ 765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIO/N
[ ]FRAMING ~/FI NAL ~ .-.~ ~'~).~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: /
iNSPECTOR~~-~' ~
DATE /'~'- 7~°:
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING ~. FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
· THE TOWN GAIL-kGE ]~ua~re~ 7' wall height and A-frame mo{
line wuh 4' rear loft, m,o Ia&m~ie windows [ath 3creens and 3huseers,
9'x5' steel garage 2oor. 12" 0 C. hem~ du~ ~T I~)~: 3m~le door
vented cupola. Aua~hble 12'x 12' and ~rgen
12'x24' shown ~n L~ghr Gray w~rh WNre mm. Black r,)ot~
optional weathervane and heart duw ramp.
· THE COUNTRY GAILY. GE features 6'6" wall height opening
rite spacious gambrel mo/u,,lth 4' lolt m rear, two jalousie windows
with screens and ~huaers, 9'x?' sled garage doo~ 12" O.C. heat?
duty P.T flatr, ang/e door and vented cupola. ,a,t,atlable 12'xi2' and
largez
12'x24' shown Ln Buckskin with Avocado trim and Earthtone
Cedar roo~i
TOWN GARAGE
Thc
COUNTRY GARAGE
· Good quality consttucnon from the pressure treated fouManon to the
20 year asphalt shingles. THE ECONOMY BARN is a wlnner,(or
the budget conscious. Ask your salaperson ,(or details.
tokiO' shown in Belmont Blue wtth White mm and White root~
Also available (not shownl THE ECONOMY COTTAGE.
//~e doesn't get an'~ prem, er than this! THE PORCH BARN
iZ~tCres three double hung umdows ,u/lth screens and shutters, smg/e
jg/,r, wide double doors, cupola. 4'x8 porch with PVC fading & posu
"-~."Ynd one flower box. Available 8'x12' and/urger
lt, xlo shown tn Whtte wtrh Belmont Blue mm. Black root;
optional window boxes and painted deck.
· - ~ q~dllll}[ltll ! '
The
~. ~-':;.-. >...,
PORCH BARN
-.--. ECONOMY BARN
· THE POOLHOUSE l~atures the nostalg~ ofoidfashloned
clapboard siding, o'4" front wail height with a hip roof Io a 5'10" back
wall, nuo waod j~rame windows aM arched doors.
8'x12' shown m Buckskin w~th Avocado trim. Earthrone Cedar
root, opuonal flower boxes and heavy duw ramp.
The
POOLHOUSE
225,~ - ZO year
guarantee asphalt self-
eang ~hingies
drip edge and
Nau old's
Country Sheds & Gazebos
Standard Construction & Features
1,2" C.D.X. plx-.'..ooa
roof sheathing
i6" d.C. double
~sseted roof wusses
for unmatched strength
Finished soffits for
beauty and weather
tighm7
Overhang on
all tour sides
eliminates
streaking ~i'om
water runoff
Aluminum jalousie
windows vath screens
& shutters, or choose
optional windows
Latex~acr~lic exterior paint in
your cho,ce of coJors
Matntenance
Duraremp~ 5/8" T L-il
fir siding, 25 year
Jacks & heade~ tn all
door ti'aming to meet
all Stare and Local
bmlding codes
*Duratemp' is genuine plywood siding but unlike
ordinary plywood Durammp' has a tough, natural
looking surface of oil-tempered hardboard. It will nor
~[it. check or crock: like' veneer products. Durar~-np's"
face is alwav~ 100% clear and tiee of patches and repairs.
.~6 is tough enough to r~.s-/st denrx and damage, resist
weadie= and_ temperature and keeps irs paint up to twice
as long as regulin- siding:. Warranmed for L5 years.
2'*The MinilSam. and-Hig~S~de Barn feamrefisll 2x4 sill
~lates on r. ih:ee sides:_ ..... -
~'- 'i' ' ~ ~"
Full 2x4
kito dried
imdwalls
16" d.C.
PRESSURE TREATED
4"x4" (oundation beams
PRESSURE TREATED
16" d.C. floor lo[sis
Full 2"x4" sill
plates on ail four
sides**
Pressure Treated Foundation Beams
All buildings are tully assembled and delivered to your
prepared s~te.
Kaufold's will deliver our th[Iv assembled
budding to your sccesstble firm. flat.
level 5tte. [f th~s ts not avat[ab[e we
suggest grave[ or crushed stones. Where
your stre is not truck &. cruder accesstbie
our protess~onal carpenters can issemDie
your storage unit ,m-stte. %k ':our
salesperson ({,r rhrrher Je':_atls.
Kau/old's highly ~atnet: proresstunat~
uali:e our ipec:ai~:ed equipment ~o
maneuver wKh the utmost care around
vour home md [andscaee.
%
lV~q $ s~q u ?OliV T
FORH NO. I
TOI4N OF SOUTHOLD
BUILDING DEPARTHENT
TOI~I tlALL
SOUTHOI.D, N.Y. 11971
TEL: 765-1802
Oisel~roved a/c ..................................
~P~hTIO~ FOR BHIL~I~G Pg~IT
INSTRUCTIONS
BOARD OF IlEAl,TH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORM ...................
NOT I FY:
CA~, .... ? Z .V:.?./..a..Y...
a. This application mast be c~pletely filled in by tyge~iter or in i~k and anl~aitted to the Building Inspector with
3 sets of plans, accurate plot plan to scale. Fee according to sche~le.
b. Plot plan .sho~ing lecation of lot and of buildings an premises, relationship to adjoining la-e~ises or public
streets or areas, and giving a detailer deseription of layout of property mint be dream on the diagr~ ~hich is part of
this al~licat ine.
c. The ~rk cover~l by this application ~ay not be os,~eaced before isst~ee of Buildlng Permit.
d. Upon al~k'o~al of this application, the Building Inspector will isst~ a Building Permit to tbe al~licant. Such
permit shall be kept on the p,~,dses availabte for inspection thr~he~t the ~rk.
e. l~ building shall be occupied or used in ~ole or in part for ~ry porpose ~daattw~r ontil a Certificate of
Occt~aney shall hav~ been granted by the Building Inspector.
APPLICATRlt IS t~g ~ to the Building Deparl~ent for the isst~e of a Building Permit perst~nt to the
Building Zone Ordinance of the ~ of ~uthold, Suffolk C~mtlr, ~ York, and other al~Olieable La~s, Ordinances or
Pegulations, for tbe construction of b~ildings, additions or alteratines, or for r~val or ~olitico, as berein
described. ~!~ applic~t agrees to c'~ply with all appllcable la~s, ord~mees, building code, housing code, and
regulations, and to ac~it anthorie~d inspectors on p~a,dses and in heild]d~g for necessary insl~etio~.
.. : .~:..t.t.t.t.t.t.t.t.~.. ~.:..~.. ............
(/Silgr~amre of applicant, or na~, if a corporation)
(flailing address of applicmt)
State uhether applicant is o~mer, lessee, agent, architect, engineer, general contractor, electrician, plt~nber or beilder.
If applicant is a corporation, signature of duly anthorizx~l officer. . :
........................... : .......................... ~:,~'-v ~uomt.o,N~ oak~_~t aT
(~ ~ title of ~rate officer) ~ s~ , ;.-I~02 ,. AM ~ 4 ~ FOR ~E
OOCl, IP~t~Cy OR FOLLOWING INSPE~ONS:
USE IS)~.. ~,¢.A~V~ UL'" ~. FOUNDATION ~O REQU)RED
~i~. ~i~.~ ~ .......................... WITHOUT CERTIFICATE ~ ~OUGH - FaAUI.G & PLUM~fNG
"~[~ ~'iee"~ ~ .......................... OF OCCUPANCY
El~trici~s Li~ ~ ......................
RE COMPLETE FOR C.O.
~r ~'s Lic~ ~ .....................
I. lati~ of 1~ ~ ~i~ ~ ~ ~ll ~ ~.. T~E RE~UIREMEN~ OF ~E N.Y.
.......................... ~' ~oNa~U~O~' ~"~v
..~. ~.~. ......... ~:.4~} ~4dy ...... tC~,,., c ~/a~/~ s.
~ T~ ~ ~. I~ ~ti~ ...,(~.~ ...... ~1~ .../~. ........ lot ...~ ...........
~i~isi~ ...................................... Fil~ ~ ~ ................ lot ...............
2. State ~sti~ ~ ~ m~ of ~i~s ~ inte~ u~ ~ ~ of ~ ~st~ti~:
a. F~sti~ ~ ~ ~ .............................................................................
~. ~,~ ~ ~ ~ ... .~... ~.~. ........................................
]. fill|tile of ',~a[k (d~-~zk ~lich applicable): ~ I~dhling .......... i~lditioa .......... Alteration ..........
[~l~ir ............ ~al ............. I~1 iti~ ............ Other I~[k ..................................
~ ¢ (~ripti~)
6. EsLiu~Jt~l C~st .' ~..~ ........ f~ ..............................................
(Io Im fid (~ filing this al~licat[~)
5. If ~lli~, t~ld~r of ~lli~g units .... : ....... }l~d~r of ~k~lling ~adt's ~ each H{~r ................
6. If Iami~mss, t~mercial or mi~l ~mq~r~, s~ci~ ~ture m~l ~tent of ead~
1. Din~nsimm of ~ist:i~ strictures, if an~: Fr~t .......... ~.. ~ar ...... ~ ...... ~pth ...... ~ .......
I~i0~t ............... /. ...... K~d~r of Stotiea ..
Ilinensi~m of ~a~ stnmmre ~ith alterati(~s or ~{~itions: Front ....... ~ ...... ~ar ..............
l~ptl~ ........... ~: ....... I~i0~t ....... ~ ......... K=dmr of Stories ..
8. Oi,ensi~m of entire ~ ~st~ti~: Fret .d~ ~
.......... ~ .. ~. ~ ....... ~pa, .. ~:4'. ......
I~it~t ~ /
......................... K;der of Stories ..... ~ .............. /
.................................. ~pth ....................
,,,. ......
II. ~ or u~ district in ~dd~ pr~i~s a~ si~t~ ..............................................................
12. I~s prol~l cmml'n~:ti~ ~iolate any ~ing 1~, ordi~me or regularly: ........................
13. ~ill lot I~ r~r~ .................... ~Lll,~ess fill I~ r~ rrm pr~i~8:
II~. ~a o[ ~ o[ p~l~a ....... g. ...............................................
~.,~ o~ a~.~:.~ ~/~.v. .................... n~ ~.~ ~..~W:..Z~& / ...... n~ ~~%~..
15. la this pm~rt~ ~ithin ~ f~ of a ti~l ~tlanl? , ~ ..~ .... ~ ..........
PI.OT l) [AGRAH
ltx:ate clearly alwJ distinctly all Ixdhli[~gs, whelher exiating or proposed, az~l il~(licate all set--Ik~:k di[~nsions
fs(m property lif~a. Gi~e street as~l I~leck [~[d~er or descriptitn~ accetding lo ¢lc~l, a~d ~v. x4 street ~u,[es a[~l inlicate
M~tlmr interior or comer lot.
.,~n~m, deln).o~s a[xl mqy,q that he is
HELENE O. HORNE
Notary P~: , c. ?'~ of New York
^ppi h'aul )
((i~t~actor, agent, corporale officer, etc.)
of .'~aid t~a~er or ~n~els, m~l is duly ;aflhl~riz~_M to Ix~rfmm or h~¥~! i~,r[m,~4 the .~aid ~n~lk a~l Io n~ke m~l file Ihls
alq~l ica! ilar; tha! a[I statements c~n~{ail~l in Ihia al~pl icat iCn~ are ~ n~e to Hm I~.qL of his kl~n~ltnll;e alii I~1 ief; nt~l