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Home My WebLink About31476-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31258 THIS CERTIFIES that the building ALTERATIONS Date: 11/04/05 Location of Property: 7075 GREAT PECONIC BAY BLVD LAUREL (HOUSE N0.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 126 Block 10 Lot 14 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 2005 pursuant to which Building Permit No. 31476-Z dated SEPTEMBER 28, 2005 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 "AS BUILT" ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARGARET MEINKE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2077033 10/28/05 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 _ Form No. 6 TOWN OF SOUTHOLD f r / BUILDING DEPARTMENT ' ` 1 fIvev,4V YV!EIN/� TOWN HALL . 765-1802 APP7LICATION FOR CERTIFICATE OF OCCUPANC ` r Y 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 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. /) r _3 New Construction: Old or Pre-existing Building: �_ (check one) Location of Property:%o %�lie 13AY &I0 kAltQF��_ House No. Street ' /,— (,/ / Hamlet Owner or Owners of Property: 6coy" la E�tt%!a- %�/�/ , Suffolk County Tax Map No 1000, Section ( 2.6 Block m d / O Lot (J Subdivision Filed Map. Lot: Permit No_ Date of Permit. S Applicant: MEND Health Dept. Approval: Underwriters Approval - Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ -2.5-- Vb 6),.� 69,260 Com 3055 rY Applic Si tune 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. 31476 Z Date SEPTEMBER 28. 2005 Permission is hereby granted to: MARGARET MEINKE PO BOX 78 CUTCHOGUE,NY 11935 for AS BUILT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ADDITIONAL CERTIFICATIONS MAY BE REQUIRED. at premises located at 7075 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 126 Block 0010 Lot No. 014 pursuant to application dated SEPTEMBER 22, 2005 and approved by the Building Inspector to expire on MARCH 28, 2007. Fee $ 300.00 t ORIGINAL Rev. 5/8/02 N BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by HOWARD MEINKE PO BOX 78 CUTCHOGUE, NY 11935 HOWARD MEINKE PO BOX 78 CUTCHOGUE, NY 11935 Located at 6955 GT PECONIC BAY BLVD LAUREL, NY 11948 Application Number: 2077033 Certificate Number: 2077033 Section: Block: Lot: Building Permit: BDC: ns11 Described as.a Residenti I 0-Sg9�cUua�e ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, ciescri e e ow, located in/on the premises at: First Floor, kitchen, 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 Day of 28th October, 2005. Name OTY Rate Raine Circuit Type Miscellaneous as built -2000 Appliances and Accessories Exhaust Fan Dish Washer Wiring and Devices Outlet Fixture Outlet Receptacle Switch Receptacle 1 0 F.H.P. 1 0 1.2 KW 4 0 Fixture 4 0 Incandescent 8 0 General Purpose 3 0 General Purpose 3 0 General Purpose 3 0 GFCI 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 conformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. 205 Bay Avenue Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 September 22, 2005 Mr. Damon Rallis, Permit Examiner Southold Town Building Department P. O. Box 1179 Southold, NY 11971 Re: Meinke Property 6955 Peconic Bay Blvd. Mattituck, NY 11952 Dear Mr. Rallis: Based on my visual inspect of the above referenced property on September 13, 2005, and to the best of my knowledge, belief, and professional judgment, the work described in the submitted as -built drawing, has been done in accordance with generally accepted construction practices, and that which I could observe appears to be in compliance with the New York State Building Code requirements at the time of construction. If you have any questions, or require additional information, please feel free to contact me. Thank you for your attention to this matter. Sincerely, Robert I. Brown, AIA -� 147 z TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING KFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE I _a o� INSPECTOR A4AP oFr PaOPEv4ZrY eujave'yev Rook- MAA26ARET MEINVAF AT LAUREL, Y. se.m.e: so"=/- lif 11, #04 Ca. 7-jwm Pifediitl: VAVdW4yhJferJ' ®/ 9oriovrle-4 '/eolco 4`1V X-ro' i to X21eaONYC SAY 4944:vb. IV ALITHORIZ" 1'0]N 01 ADDITIO. ro T I 5[ 7'1 SURyEY IS VIOLATION of 'V9 CF IN-' Hi1Vy dVUIYPW.ff ee d AP Cb4lCaftl 71-loHe Ind 4"t -of"" elo' atf d ti 'P w eAvold 6avi.-IfIcir Xo"k ata J&,-**Arymrcl AAe. ZV, P98Z. WoDLORICAC VAN 7-VV�- . C X/, —/ -1 - 1� k�9 __I QRK STATE f -i CF 1-W DEARING NCI C'Crjofuo =HALL RUN -'Mrs -ug,ly ,IF TCi j"Z A, A'4,Cy AND A11D dVUIYPW.ff ee d AP Cb4lCaftl 71-loHe Ind 4"t -of"" elo' atf d ti 'P w eAvold 6avi.-IfIcir Xo"k ata J&,-**Arymrcl AAe. ZV, P98Z. WoDLORICAC VAN 7-VV�- . C X/, —/ -1 - 1� k�9 __I FIELD INSPECTION REPORT DATE COMMENTS W FOUNDATION (1ST) u ------------------------------------- FOUNDATION (2ND) C 0 O V ' y ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS - Z m O :7 - V O z x -- y to TOWN OF SOUTHOLD+ BUILDING DEPARTNfENT TOWN HALL SOUTHOLD, NY 1171 F TEL: (631) 765-1802i_� _101 FAX: (631) 765-9502 www. northfork.pet/Southold/ Disapproved q /vi( p 2 2 2005 2 2 2005 S r "QLD PERMIT NO. 314!74 i 20� 20�_ 20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans-- Planning Board approval Survey Check 3i 3 Zt[ A .Septic Form N.Y.S.D.E.C. Trustees Contact: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 1 to: ne: Date 5 0-r. 20 D-�— a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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. (Signature ojraplicairtr name, if a corporation) P� �o 7A�411 IVY Ilq•Sr (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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. of land on which proposed work will be done: 5 firimN/G 9i91/ 15A IJP _ iW14 House Number Street Hamlet County Tax Map No. 1000 Section Block )Q Lot ) Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended a. Existing use and occupancy j. r'4m m—' y b. Intended use and occupancy occupancy of proposed construction: ,i p C- 3. 3. Nature of work (check which applicable): New Building Addition Alteration " Repair Removal Demolition Other Work (Description) 4. Estimated Cost 1 1, cit9 Fee 30� (To be paid on filing this application) 5. If dwelling, number of dwelling units___JNumber of dwelling units on each floor If garage, number of cars I 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories I 2-2— Dimensions Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories I Z_. 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase `/ 8 2 Name of Former Owner 4 A 'ice 11. 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 -graded? YES, NO k" Vill excess fill be removed from premises? YES_ NOV �1/3a �-v.�➢t�APe2s 14. Names of Owner of premises41 Phone No. Name of Architect Address Phone No 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 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 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 { _ being duly swom, deposes and says that (s)he is the applicant (Name of in ' 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 tobefore me this ir 1 LORI K.MONTEFUSCO Notary Public 02MO6iO9802W � Qualified in Suffolk CouMv Commission Expires May 24, *4nk Si ature UtApplicant R VED AS NOTED COMPLY WITH ALL CODES OF APP NEW YORK. STATE & TOWN CODES DATE: 9 B.P.# AS E U'R ,D A��) CONDITIONS OF j FEE: BY: ,,'r' I� "D NOTIF BUIL -DEPARTMENT AT NN!NG BOARD 765-1802 8 AM TO 4 PM FOR THE _ FOLLOWING INSPECTIONS: S,_ , _ i' iUSTEES 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Y.S. DEC 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST OCCUPANCY OR BE COMPLETE FOR C.O. USE IS UNLAeA/FUL ALL CONSTRUCTION SHALL MEET THE YV REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR WITHOUT CERTIFICATE,, DESIGN. OR CONSTRUCTION ERRORS. OF OCCUPANCY z-3 p L_� v'qT to r� i ,4 - r Lu -TIL f t &J J". v✓At.-, n j6 ,V p ".2; ("`5° . 3 - e-4-1 i i 44SOA� _FoWh 19A -TA J - JaW6,;P --