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HomeMy WebLinkAbout31644-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31344 Date: 12/21/05 T~IIS CERTIFIES that the building3 ACCESSORY Location of Property: 2300 MAPLE LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 9 Lot 1.2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 30, 2005 pursuant to which Buildin~ Permit No. 31644-Z dated DECEMBER 1, 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" ACCESSORY ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to BRIAN K KAVANAGH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALT~APPROVAL ELECTRIC3%L CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£~3 Rev. 1/81 N/A 2078009 11/23/05 N/A '~/ ¢/r~'~ ed Signature Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL APPLICATION FOR CERTIFICATE OF OCCUPANCY " This application'must be filled in by typewriter or ink and submitted to the Building Del~r/ment with the following: .A. For new building or new use: 1. Final stuwey of property with accurate lo~ation of all buildings, property lines, streets, and unusual natural or . topographic features. · 2. Final Approval fromHealth Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder u~ed in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a ce~it~ieate 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 Occupanoy is denied, the Building Inspector shall state the reasons therefor in writiug 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, Access~ory building $25.00, Additions 1o access6ry buildhhg $25.00, Businesses $50.00, 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificat~ of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Conuner¢ial $15.00 New Construction: X Location of Property: ~Z House No. Owner or Owners of Property: ~"~/t~t/~t Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: Street (check one) Filed Map. __ Healer Dept. Approval: _ ~- Underwriters Approval: Lot Lot: Planning Board Approval: _ Requ~!ot for: Temporary Certificate Fee Snbmitted: $ Final Certificate: (checkone) 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 PAUL R. BURNS P.O. BOX 1061 SOUTHOLD, NY 11971-0932, BRIAN KAVANAUGH 2300 MAPLE LANE EAST MARION, NY 11939 Located at 2300 MAPLE LANE EAST MARION, NY 11939 Application Number: 2078009 Section: Block: Lot: Described as a .Res[denti~ 120p-l,799,square t~ , occupancy, wherein the electrical devices ana wiring, aescnoea oelow, ~ocatea in/on the premises at: Certificate Number: 2078009 Building Permit: BDC: ns11 )remises electrical system consisting of Basement, First Floor, Second Floor, Outside, Pool/Spa, 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 23rd November, 2005. Nam(: QTY Rate Rating Circuit Type Miscellaneous includes house and 1 GFIC receptacle for pool as built1935 with some minor upgrades Appliances and Accessories Exhaust Fan Furnace Dish Washer Electric Heater Unit Wiring and Devices Outlet Fixtura Outlet Receptacle Switch Receptacle Dimmers 1 0 F.H.P. 2 0 Oil 1 0 1.2 KW I 0 1.2 KW 19 0 19 0 39 0 26 0 16 0 3 0 2 0 Continued on Next Page I of 2 Fixture Incandescent General Purpose General Purpose General Purpose seal GFCI 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 PAUL R. BURNS P.O. BOX 1061 SOUTHOLD, NY 11971-0932, BRIAN KAVANAUGH 2300 MAPLE LANE EAST MARION, NY 11939 Located at 2300 MAPLE LANE EAST MARION, NY 11939 Application Number: 2078009 Certificate Number: 2078009 Section: Block: Lot: Building Permit: BDC: ns11 Described as a . . . . Res~dentml 12Q0-1,7P9,square ft. , occupancy, wherein the premises electrical system consisting of elec[r cai dev ces ano w r rig, oescr Deo DelOW, iogateo in/on the premises at: Basement, First Floor, Second Floor, Outside, Pool/Spa, 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 23rd November, 2005. Name QTY Rate Rating Circuit Type Receptacle I 0 30 amp Dryer Paddle Fan 4 0 Service 1 Phase 3W Service Rating 100 Amperes Service Disconnect: 1 100 cb Meters: 1 (Swi~nming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. No visual defects: an elctrical survey has been made of the exposed electrical equpmant in the premises indicated. No obvious unsatisfactory cond]tlon was found. Defects previously reported, as items of non-compliance, have been corrected. A visual inspection made of the exposed electrical equipment in the premises indicated found no obvious unsatisfactory condition. seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 31644 Z Date DECEMBER 1, 2005 Permission is hereby granted to: "AS BUILT" ABOVE GROUND FOR FENCED TO CODE BRIAN K KAVANAGH GREENPORT, NY 11944 SWIMMING POOL IN THE REAR YARD AS APPLIED at premises located at County Tax Map No. 473889 Section 038 pursuant to application dated NOVEMBER Building Inspector to expire on JUNE 2300 MAPLE LA GREENPORT Block 0009 Lot No. 001.002 30, 2005 and approved by the 1, 2007. Fee $ 300.00 / Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [~. ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR ~''''/~ '~-' FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMENG & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE DATE COMMENTS FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX:: (631) 765-9502 www. northfork.net/Southold/ Examined / '~/1 , 20 Approved f Disapproved adc Expiration ~// ,20 O7 3 0 21: PERMIT NO. 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 Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector Phone: APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sqts 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.~j~F,j:jl/~jJTERS C~RTJ~JCI~ /~~.,~'( > ' J~EOUJJ:J, ED (Sqg~h~ire'~of applicant b'l~ame, if a corporation) "IMMEDIATELY" ENCLOSE I~OOL TO CODE ALL CONSTRUCTION SHALL 8TdO ~/',4/~//e/~r. ~.~.~'-~,,~',~,~"7- ~ IUPON (~OMPLETION M~L=I' THE REQUIREMENTS OF THE (Mailing address of applicant) BEFORE "WATER' CODES OF NEW YORK STATE. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ,t,r APPROVED AS NOTED DATE: /'4~/q' · B.P.' "~/~ q~gvr~ Name of owner of premises '~/~ /~ ~'/~¢~ a.~ BY./~ (As on the fax roll or Ia~U~DiNG DfiPARI~E"T If applic~t is a co~oration, silage of duly authorized officer 7~5-1802 8 AM TO 4 PM FO~ THE (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. OCCUPO, qCY OR US= IS bNLAWFUL WITI tOUT CERTIFICATE gL ,.;UI.'ANO¥ FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW Location of land on which proposed work will be done: .~ YORE STATE. NOT RESPONSIBLE FOR ~,~'~0 '~,,.,~-/~/'~ Z.-./,.., ~~[ D~OR CONSTRUCTION ERRORS. House N~ber S~eet H~let County Tax Map No. 1000 Section Subdivision C ame) Block ~ , ,:. 'Lot Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy ~bo~, e ~°~o'.~4 /7a~O[ b. Intended use and occupancy ~ ~ {ga~ O Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Sizeoflot: Front Rear Depth 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 13. Will lot be re-graded? YES__ NO ~ Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises '~d~t~ If//~//~tCS~ddress2?cvc '~4~,/~ Ltv Phone No. Name of Architect 'Address Phone No Nan~e of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__NO g * 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~.'- ' ' ' ' ~':: ;71.! - ' 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 topogr ~aphical damon survey. STATEOFN WYO ) O N*Y ~'~{~ (/~/'~ ~"/(~ L//4/~/~ ,~' ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) al~6ve flamed, (S)He is the (~ ~G9 ~ '~ fi~" (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or hav~ ~erfpr~ned the said w~and to make and file this application; that all statements contained in this application are tree to the best o[j~s~knowledge and'be'lief; and that the work will be performed in the manner set forth in the application filed therewi~h~ ¥¥~.: ! '. i Sworn to before me this, ~1343a dayof Notar~F~c 20 MEL^NIE DOROSKI NOTARY PUBLIC, State of New Yo~ No. 01D04634870 Qualified In Saffolk County ~_ Corem ss on Expire~ September AREA = 42,~2~ aq~ ft~ SURVEY OF PROPERTY AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. ~00- 38-09 :. 1.2 SCALE.. 1"= 40' JULY17,2003 ~'LOOD ZONES X FROM FTRM 36103C0t 76 1998 03- 182 ~'l~t ',. '-~, Kavenagh. Brian K 2300 Maple Ln Owner 4'/:Iii09 ~.imJthald AcI[YL; Roi[Year: J2BOG NextYr 1 Family Res Land Si~e: 6:9G ~6~ ~ :~'~ ~ ~):~:~ :, TotaL: 1 Ta~ble Vdiue Coc~nty: 3.300 Muni: 3,300 School: 3.300 Name: Brian K Kavanagh Addl Addr: Street: 2300 Maple Ln PO Box: City: Greenpo[t. NY Zip: 11944- Schf after Star: 3.300 Sale Total: 2 Sit~;1 o! 1 ~ook Page Sale Date Sale Price Owner Prpcis: 1 Famil~ 1215~ 579 10/24/01 I Kavanaqh. Brian Nbhd Cd: 0 12068 773 OG/2O/OO I KavanaQh. B[ian S~ver: Utilities: Exemption T o~el: O Term Bwn Building Code Amount Year Pct Land AV: 1.1100 oral AV: 3.300 Miscelland:~ou~ Book: 12151 Page' 579 Acer No: ~7 Land 0 o! 0 Special Dixtrict Total 3 Cede U~t~ Po/ Type MeveTa~ it'~.' Typo Name D~I Dim2 SOFT YrBuiJt FD031 E-~W' Protectio .O0 ,O0 .00 SW011 Solid ",Vao/e