HomeMy WebLinkAbout29430-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY -
No: Z-31292 Date: 11/21/05
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 450 OAK DR CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 104 Block 5 Lot 29
Subdivision Filed Map No. Lot NO_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 28, 2003 pursuant to which
Building Permit No. 29430-Z dated MAY 28, 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 FRONT & REAR DECK ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to BRIAN R & MARIANNE MCCAFFREY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2076526 10/24/05
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
ry.:V_fC /00-k d(4jr 2 6 2005 ' Form No.6
�� TOWN OF SOUTHOLD �Q3'7
L V7.-- BUILDING DEPARTMENT
i1)1-0 TOWN HALL
765-1802
APPLICATION 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
Date. &0 d.ST�� ZOD�
New Construction: Old or Pre-existing Building: (check one)
Location of Property: ysd 17.2///f C(/TC//O(v Uf
House No.
{� p A� Street Hamlet
Owner or Owners of Property: ,8gm?-n/ ,` - /'I C`elick£V —
Suffolk County Tax Map No 1000, Section h9 y-ekl -Ao29 Block Lot
Subdivision Filed Map. Lot:
Permit No. M Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
4le 2�4/
1 p ap,� Afplican Siq
C, (3 9a
1LIFE7 AtE ERS
PAGE 1
' `PGi.TON ST•R£` Y ( E:MtI`ORK, NY 10698 ,.
tzare AUGUST 23,2001 t !r n'No an' 1296460"1/01 N 567708
� �e ...
THIS V F'lTiF1r-S THAT .
only[He F(€€dYcal ogujpment tis described:b#aw and iwrrodnoed'by A"'spp8€dnr named on Ike above apphcaden mmumber b in thrprMKei-So
BRAIN MCFAFFREY, 450 OAK, Ci1TCHDGUE, 11^-NY<'
in the I�NFK'ur io€ariaa, Basemeirr L.1 Ist Pt. L.['anfi Fd 1T Recdon Block Ler
was examined on AUGUST 06,2003 anti feurrd 1a be i" compliance wub the National Slecuical Code. „n
f'XnkMkAUGES I COOKING DECKS I OVfNS :Dmw.w ExNA8B1;
O1 rLm EPTACCFS `SV/ITCHES N * RIIOOC-4ENT'. Wiffi .
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�U BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
C5 40 FULTON STREET — NEW YORK, NY 10038
CERTIFIES THAT 5
5 Upon the application of upon premises owned byBRIAN 5
5
5 FFREY BRIAN McCAFFREY
450 OAK DR. 450 OAK DR.
5
�+ 5
f5 CUTCHOGUE, NY 11935 CUTCHOGUE, NY 11935
C5 Located at 450 OAK DR. CUTCHOGUE, NY 11935
SApplication Number: 2076526 Certificate Number:
C 2076526 e
Section: Block: Lot: Building Permit: BDC: 5
5 ns11
5 Described as a Reside�tti 1600b1�b9 s�uar R. occupancy, wherein the premises electrical system consisting of
5 electrical devices and wmn r�escri e e w,located in/on the remises at: S
55 5 Basemen[, First Floor,Attic, �5
5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed S
Sherein, was conducted in accordance with the requirements of the applicable code and/or standard 5
Spromulgated 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 5 Day of 5 24th October,2005. �+
5 5 Name � Rate Ratin Circuit Type ttr5+++
Miscellaneous
5 as built 2001 5
5 rough inspection done in 2001 5
fj when work was started 5
5 alterations to 1st floor 5
Alarm and Emergency Equipment
5 Sensor 4 0 Smoke C
5 Wiring and Devices 5
5 Outlet 13 0 Fixture 5
SFixture 13 0 Incandescent
5 Outlet 4 0 General Purpose
5 Switch 4 0 General Purpose 5
5 Paddle Fan 5 0 5
5 Receptacle 2 0 GFCI
5 An as built inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to
5 be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system.. .
seal 5
5 I of I C5
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
rol,lnr-pLrEIRL W0111
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. 29430 Z Date MAY 28, 2003
Permission is hereby granted to:
BRIAN R MCCAFFREY
BRONX,NY 10470
for
ALTERATION & ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. THIS PERMIT REPLACES BP#26488 .
at premises located at 450 OAK DR CUTCHOGUE
County Tax Map No. 473889 Section 104 Block 0005 Lot No. 029
pursuant to application dated MAY 28 , 2003 and approved by the
Building Inspector to expire on NOVEMBER 28 , 2004 .
Fee $ 297 . 00 Authorized Signature
ORIGINAL
Rev. 5/8/02
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. 26488 Z fenQ�✓ f_� Date MAY 10, 2000
Permission is hereby granted to:
BRIAN R MCCAFFREY
450 OAK DRIVE
CUTCHOGUE,NY 11935
for
ALTERATION & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
at premises located at 450 OAK DR CUTCHOGUE
County Tax Map No. 473889 Section 104 Block 0005 Lot No. 029
pursuant to application dated APRIL 28, 2000 and approved by the
Building Inspector.
Fee $ 173 . 00
Authorizeff Signat Vle
ORIGINAL
Rev. 2/19/98
30 2004
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F COMMENTS
=!tK -YjION REPORT DATF
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FOUNDATION OST) 0 6
FOUNDATION (2ND)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE FNERGY
CODE
it
it
--41
--lot
FINAL
ADDITIONAL COMMENTS:
As
M-1802
BUILDING DEPT.
SPECTION
FOUNDATION i ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY y
REMARKS: �
DATEV �3101 INSPECTOR
M-1$02
BUILDING DEPT.
INSPECTION
[
FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ) FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
,DATE �� ®� INSPECTOR
78S-1802
BUILDING DEPT.
INSPECTION
( ] FOUNDA IST [ ] ROUGH PLBG.
[ ] F DATION 2ND [ ] INSULATION
[ FRAMING [ j FINAL
[ ] FIREPLACE & CHIMNEY "
REMARKS:
G
DATE INSPECTOR
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: g`tla�
DATE Y� K INSPECTOR
765-1802 ", t
BUILDING DEPT.
INSPECTION `
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING FINAL a ;
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE �� � �� INSPECTOR ''i
/c n TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ✓! ^� VILLAGE DISTRICT SUB. LOT
ea, Mananne.. ar l�Psc,
e daK b►-eve C � f� �� • v�
FORMER OWNER N Dd K E �,/�d ACREAGE
e I T
IN
r d S yy TYPE OF BUILDING
RES.7_ SEAS. VL. FARM COMM. I IND. I CB. MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS Ld.r, r L T, We CdW 41 W 000
yea ydd /1 �' ' ro Qoa
L 771.
no q 7-aRr'o 41
Ya D 3 0 0 03ya a s- �a �2 a - 0 - -{D YYl e
00 3e, !�" 3V9 Q 1 .
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 DOCK
LA &0
Tillable 3
Woodland
Swampland 5 .
Z �rjZ 3� 39
Brushlond /
House Plot
Total
i !
I i I
q�-
Fo ndotion
M, Bldg. a tl `� �+_ -__ -__ � •�S _a_ .5 CC V%4` Bath
i
Extensionosement 11,0 Floors
ExteExt. Walls Interior Finish
nsions
Extension Fire Place Heat O
! _ Porch Root Type
a 1 !0X 1 �_ ✓ Porch Rooms l st Floor
Breezeway - _- Patio �� �/ �g _ Rooms 2nd Floor
Garage Driveway _ Dormer
O. B.
Z
Il V BOARD OF HEALY'B . . . . . . . . . . . . . . .
FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
R EI; TORN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
{1 RR 0[ r BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . .
gBDGiD�RL. SOUTHOLD, N.Y. 11971 � �
l�LtltNt]HF9R4IlTli@11BD TEL: 765-1802 NOTIFY:
99 CALL
Examined. .... ...l.•..., � a��3D MAIL Tb
Approved.. ... ..9....... Permit No. tP ...
Disapproveda c .................................. ...................................
(Building Il�)
APPLICATION FOR BUILDING PERMIT d �]q
Date.APRIL . . . . . . . . . , 19!. ! .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and admitted to the Building Inspector w.
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 promises or public
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of
this application.
c. The work covered by this application my 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
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 whatever until a Certificate of
Occupsucy shall have been granted by the Building Inspector.
APPLICATION IS LILY MNL to the Building Department for the issuance of a Building Permit pursuant to the
Building Tone Ordinance of the Tam of Southold, Suffolk County, New York, and other applicable Laws, Ordinamms 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 i tions.
.......................
(Signature of applicant, or name, if a corporation)
el38S /i¢E o Tj vE A,-r
.. ...................../3emt It ctv.y! /0'/70 6E
(Mailing address of applicant)I!
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OWr.)is 9—
••••••••••..............................................................................................................
Name of owner of premisesl�e/At J K , & 1�lA R fl ti N E MC ttE t/
....................................................... .....................................
(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. .........................
PlumbersLicense No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on which proposed work will be d......1.5.v 01?k Pe rVf ` UTCH06U£
............................
.......................................................................................................................
Nouse Number Street [� Hamlet
County Tax Map No. 1000 Section ...! ex..... Block .....�....... lot .......a/..
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...y ...................................................................
b. Intended use and occupancy -S
.............................................................................
3. Nature of work (deck wlhirih applicable): New Building .......... Addition .......... Alteration .....y......
Repair ..Z...... Removal ............. Demolition ............ Other Work ...................................
(Description),
4. Estimated Cost ......................... fee ..............................................
(to be paid on filing this application)
5. if dwelling, number of dwelling units ............ Number of duelling units on each floor ................
Ifgarage, nidber of cars ......................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
7. Dimensions of existing structures, if any: Front..Z.7........... Rear ...3-7........ Depth ..2.57 ..
S
1@igbC ...�y................... Tt�aat.^.S �E Si3r �a .�................... �
Dimensions of same structure with alterations or additions: Front ... .�........ Rear .3............
Depth �5........... height .....?1?'.
........ ........... Number of Stories ...1.....
8. Dimensions of entire new construction: Front
3 l.'....... Rear ..:3-? . ....... Depth .a S.I.
Height .......P 0............... Huber of Stories ...�.................
9. Size of lot: Front ..... :5........... pear .......7:I.m.......... Depth ...< .g............
10. Date of Purchase ...ve.(: q?....... Name of Former Owner .......ft 7-D
.........................
ILZone or use district in which premises are situated ..............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: P.0....................
13. Will lot be regraded .../1.Q............. Will excess fill be removed from premises- YES ND
14. Names of Owner of premises k" p-8 *P"wvf Address Aj/3d'S✓/2to �"LE !q�3a -3 s3.h.
--...... ........................ Phone No�1......Y.......
.......(.CA�Qy
Name of Architect ........... .......... Address .............................. Phone No.
..............
Name of Contractor ................................... Address ...............................Rhone No. ..............
15. Is this property within 300 feet of a tidal wetland? * YES .......... NO . ....
*IF YES, SWMD TOM 1XISIFES PERMIT MAY BE REQFIRED.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions.
from property lines. Give street and block nuber or description according to deed, and sbow street names and indicate
whether interior or corner lot.
t
SIAIr OF /'/� S4
Wry �//�/
...!`1.� ,f.�J.. ..being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named,
Ileis the ........... .......................
(Contractor, argent, corporate officer, etc.)
of: said owner or owners, and is duly authorized to perform or have performed the said woo and to make and file this
appl.icatioh; that all statements contained in this application are true to the best of his knowledge and belie F; and
that the work will be performed in the manner set forth in the application filed therewith
Sworn Co befpre me this
.......—t . ay of ... .rf 1...19..(.✓, / � /
Notary lin ... �, ..... .. .. .... l � h
Na 1iikA87995%
QuMBNdinahhffmlk (Signature of Appl . t)
Comnmlwbn Emmpka Dec.a,
BUILDING PFRMIT REVIEW CHECK LIST
Applicant/ C Date
Owners Name: Reviewed: 9
Architect/ Date
Engineer: Submitted: ,:gf o0
SCTM #: 2g
District: 1.000 Section: �10YBlock: Lot:
Project4�0 0- Subdivision
Location: 7 _ d..Name:
=ion:
separate Required
certification: (Yes/No)
Ta+
R� Q Req.
Zoning District: [Lot size: Actual: 1 [Lot coverage Proposed:__]
Req. Req. Req.
[Front Yard Proposed: I [Side Yard Proposed: 1 [Rear Yard Proposed:
Project Description: dzlt i
A049041-
AGENCY PERMITS Permit
RE2UIRED FOR REVIEW NO YES Number
Suffolk County Health Dept. /
New York State D. E. C.
Town Trustees ✓
Town Zoning Board approval: v
Town Planning Board approval:
Flood Plane Elevation???
Flood Zone:
Notes:
N 69'23
93 150 E
OAK DRIVE
N 9'12'10"E 71,90' TIE-150.04'
a BLOCK
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CEAGEEW NL"NE75 05 [c¢
N_
GUARANTEES INDICA TED HERE ON SHALL RUN
GAIL Y TO THE PERSON FOR WNW THE SURVEY N/F KRUG
IS PREPARED,AND ON HAS BEHALF TO THE
PRE COMPANY,GOVERNMENTAL AGENCY,
LENDING INSTITUTION FLEETED HEREON,AND
TO THE ASSIGNEES OF THE LENDING MSTITURON.
GUARANTEES ARE NOT TRANSFERABLE TO
ADO/TONAL INST/TUOONS OR SUBSEQUENT OWNERS.
SURVEYED: 23 AUGUST 2005
UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A V hD ATKNI OF SECTION TTSB OF
THE NEW YORK STA TE EDUCA TION LAW. SCALE I"= 30
COPIES OF THIS SURVEY MAP NOT SEARING AREA = 12,471 S.F.
THE LAND SURVEYORS EMBOSSED SEAL SHALL OR
NOT BE CONSIDERED TO BEA VALID TRUE SURVEY OF 0.286 ACRES
COPY DESCRIBED PROPERTY
SITUATE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: BRIAN R. McCAFFREY
MARIAONE McCAFFREY
TM# 1000-104-05-029
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SUFF LK. N.Y. 11956
631 -73 5835
GUARANTEED TO:
BRIAN R. McCAFFREY CENSE D S YOR
MARRIANE McCAFFREY
NYS Lic. No. 492 05R 1433
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