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