HomeMy WebLinkAbout30898-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31279
Date: 11/17/05
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: 205 CARRINGTON RD CUTCROGUE
(ROUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 111 Block 11 Lot 27
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 11, 2005 pursuant to which
Building Permit No. 30898-Z dated JANUARY 14, 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 FIRST ~ SECOND FLOOR DECK ADDITIONS AND ALTERATIONS TO AN EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to HARRIET STARK & JOSEPH LIPOFSKY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2044828
PLUMBERS CERTIFICATION DATED 08/10/05 DAN HELLER
08/09/05
uhor
Rev. 1/81
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
Located at
REP ELECTRIC HARRIET STARK
P.O. BOX 635 602 CARRINGTON ROAD
MATTITUCK, NY 11952, NASSAU POINT
CUTCHOGUE, NY 11935
602 CARRINGTON ROAD NASSAU POINT CUTCHOGUE, NY 11935
Application Number: 2044828
Certificate Number: 2044828
Section: Block: Lot: Building Permit: 30898Z BDC: ns11
Described as a Residential 600-1199 square fi. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, 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 9th Day of August, 2005.
Name QTY Rate Ratin~ Circuit Type
Appliances and Accessories
Exhaust Fan 2 0
Dish Washer 1 0 1.2 KW
Range l 0 12.0 KW
Air Conditioner I 0 40 Amps
Furnace 1 0 Oil
Wiring and Devices
Outlet 38 0
Fixture 35 0
Fixture 3 0
Outlet 57 0
Receptacle 25 0
Switch 26 0
Dimmers 6 0
Paddle Fan 4 0
Lighting track 20 0. fi
Lighting track (head) 14 0
Disconnect I 0 60 amp
Continued on Next Page l of 2
Fixture
Incandescent
Flourescent
General Purpose
General Purpose
General Purpose
Air Conditioner
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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
Located at
REP ELECTRIC HARRIET STARK
P.O. BOX 635 602 CARRINGTON ROAD
MATTITUCK, NY 11952, NASSAU POINT
CUTCHOGUE, NY 11935
602 CARRINGTON ROAD NASSAU POINT CUTCHOGUE, NY 11935
Application Number: 2044828
Certificate Number: 2044828
Section: Block: Lot: Building Permit: 30898Z BDC: ns11
Described as a Residential 600-1199 square fl. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, 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 9th Day of August, 2005,
Name QTY Rate Rating Circuit Type
Receptacle 5 0 GFC1
seal
2 of 2
This ce~ificate may not be altered in any way and is validated only by the presence of a ~ised seal at the location indicated.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (631) 765-9502
~t~l~i~hone (63l)765-1802
CERTIFICATION
Building Pemfit No. ~ 0~_~
~Please print)
Plumber: ~b~. 8}Jer
(Please print)
I cmtify that the solder used in the water supply system contains less than 2/10 of 1%
~ (P~ign~ature)
Sworn to before me this / 7
day of ':~(,7, , 20 OJ-
Notary Public, ~t~:Wot.4<L._ County
~.~,',' 2 " ~ ~ ~
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. 30898 Z
Date JA/qUARY 14, 2005
Permission is hereby granted to:
HARRIET STARK
250 W 94TH ST 12D
NEW YORK,NY 10025
for :
ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 111
pursuant to application dated JANUARY
Building Inspector to expire on JULY
Fee $ 257.40
205 CARR INGTON RD CUTCHOGUE
Block 0011 Lot No. 027
11, 2005 and approved by the
14, 2006.
~ ~_~~z / S~ig~ature\
ORIGINAL
Rev. 5/8/02
To: Town of Southold
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattimck, N.Y. 11952
(631) 298-7116
Re'
Window Shutters
Stark
Nassau Pt. Rd.
Cutchogue, NY 11935
To Whom It May Concern:
Since the structure was designed as a "Partially Enclosed Structure", according to
the New York State Building Code Sec. 301.2.1.2, it is not necessary to have window
shutters for the window areas of the Structure. Any questions feel flee to call.
~c~rely
To: Town of $oulhold
JAMESJ. DEERKOSKI, P.E.
260 Deer Drive
Maltituck, N.Y. 11952
(63 l) 298-7116
Re:
Insulalion Inspection
Stark
205 Carington Rd.
Culchougc, NY 11935
Pernfit# 30898Z
To Whom It Ma5' Concern:
An Ii~sulation Inspection was preformed at the above ~nentioned property, all insulation
was installed as per Plan and meets all Stale and local BuiMing Codes. Any questions
please teel fi'cc to call.
xm'.5 rcly
ce E.
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of Southold Building Dept.
Re:
Deck Certification
Stark
205 Cardngton Rd.
Cutchogue, NY 11935
Permit # 30898
To Whom It May Concern:
After an inspection of the cantilever deck was made at the above-mentioned property, the
way the deck is now supported, with angle braces bolted back to tile house, is sufficient
to support the deck above. Any questions feel free to call.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ]INSULATION
[~FINAL
REMARKS:
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMAR~KS: ~~' ~~.~
/) .~. ~> ~u,<,' . ' .>,~ ~;~./
DATE ~ "~ ~"-~ "~'~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND f~ INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE 3 '~'~' "' 0 ~-- INSPECTOR~'~'~--
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
~,%~ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
~>~RAMING / STRAPPING [ ]FINAL
[ ] FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
DATE
INSPECTOR ~'-~
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
FOR YOUR
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
STOP WORK ORDER
To: HARRIET STARK
JOSEPH LIPOFSKY
250 W 94th Street
New York, N.Y. 10025
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
205 CARRINGTON ROAD, CUTCHOGUE, N.Y.
TAX MAP NUMBER- 1000-111.-1-27
Pursuant to Section 45-8 of the Code of the Town of Southold, New York, you are
notified to immediately suspend all work and building activities until this order has
been rescinded.
BASIS OF STOP WORK ORDER:
CONSTRUCTION BEING DONE WITHOUT A BUILDING PERMIT.
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
WHEN A BUILDING PERMIT IS OBTAINED.
Failure to remedy the conditions aforesaid and to comply with the applicable
provisions of law may constitute an offense punishable by fine or imprisonment or
both.
DATED: January 18, 2005
(Cert. Mail)
GEORGE GILLEN
BUILDING INSPECTOR
FOUNDATION (1ST) ~ ~
FOUNDATION (2ND)
ROUGH FRANIING &
PLUMBING
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY ! 197!
TEL: (631) 765-1802
'FAX: (631) 765-9502
www. nor thfork.net/Southold/
Examined
Approved
Disapproved a/c
Expiration '~[j q ,20~(~
PERMIT NO. ~Oc~c~%~55
BUILDING PERMIT APPLICATION CHECKLi
Do you have or ueed the following, before applyi
Board of Health_
3 sets of Building Plans
Planning Beard approval
Survey~
Check
Septic Form
N.Y.S.D.E.C._
Trustees_
Contact:
Mail to:__
APPLICATION FOR BUILDING PERMIT
Date ,i P~/4 tJgd~4~.I
INSTRUCTIONS
,200S
a. Tiffs application MUST be completely filled in by typewr/ter 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 prenffses or public streets or
areas, and waterways.
c. The work covered by this application may not be corm~enced before issuance of Building Permit.
d. Upon approval of this application, the Building hlspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the prenffses 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 pernfit shall expire if the work authorized has not cormneuced 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 Inspectot 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 Bnilding Permit pursuant to the
Building Zone Ordin&nce 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 of~licant o ~2, ,fa corpor tlon)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
-
Name of owner of premises_ ' ~¢~Z4¢'T ~>¢ IL~g~
()kS on the tax roll or latest deed)
If applicant is a corporation, signature o f duly authorized officer
(Name and title of corporate officer~-
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Locatiou of land ou which proposed work will be done:
House Number Street
0,tr~Ob0~
~ Hmnlet
County Tax Map No. 1000 Section_
Subdivision
(Name)
Block Ii Lot
Filed Map No. Lot
' '2J ~Sthte existing use and occupancy of premises and int.ended use and occupancy of proposed construction:
a. Existinguseandoccupancy (~il,3~b[~ ~-~IAIL.,'J ~-%iD~3C~
b. Ifftended use and occupancy f~i/'O~b~ ~-~(AILcl
3. Nature of work (check which applicable): New Building Addition
Repair Removal Demolition Other Work
Estimated Cost ~ ./././././././././2~, Oc")O Fee
If dwelling, number of dwelling units
If garage, number of cars
Alteration ~
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. 'If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ~ ~ '- 0 ' Rear
Height Q :~'- %" Number of Stories ~-
Dimensions of same structure with alterations or additions: Front (~ (~ - 0
Depth ~ ~; (~" Height ¢-3 ~ '~ ~" Number of Stories
Depth ~
Rear
8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. Size of lot: Front Rear _Depth
Depth
~o~ I~-~
10. Date of Purchase
Name of Former Owner _
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 'x~
13. Will lot be re-graded? YES NO ~( Will excess fill be removed from premises? YES NO -~
14. Names of.Owner of premises ~-W_~w~ -w~'~kr--~- Address LJ ¥&, ~ Y
NameofArchi~teot qk41At~_~ T~g'lff~V-¢(>~-~ Address L~)dg-~,N)7
Name of Contraet~or Address
PhoneNo. 0-1~ - 5il,,- %_'2qq
Phone No oaa)f~) -
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:
coum'y OF 6
d~,4J&-1 ~a~-]l~_. ' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~l,
(Conffactor, 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 tree 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
// ~ dayof ,._.~"/},O~.xt~:'-] 20~,..5
SURVEY OF: LOT Dq5
]"lAP OF= SECTION iD, NA~B PROPERTIES, lNG.
,C::U~¥EYE[D ~/24/Iq2[2 tD¥ OTTO VANTUrCL FILE[2 IN THE OFFIC.~E OF THE COUNTY C, LERI<. AS FILE NO, ~06
SITUATE, NAS~ POINT
TOI'~ 5¢::2UTHOLD
501=~OLt<
N
~' E
s
GRAPHIC. SC.ALE I"=DO'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAiN STREET N~Y.S. LIC. NO. 50202
RIVERFIEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.\~-Ip scr~er\cRPROS\04-186.pro