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HomeMy WebLinkAbout31379-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin9 Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31350 Date: 12/23/05 THIS c~KTIFIHS that the building ADDITION Location of Property: 1595 WATER TERRACE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 88 Block 6 Subdivision Filed Map No. __ Lot No. __ SOUTHOLD (HAMLET) Lot 13 . 12 conforms substantially to the Application for Buildin9 Permit heretofore filed in this office dated AUGUST 18, 2005 pursuant to which Building Permit No. 31379-Z dated AUGUST 18, 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF ROBERT A. WALZ, P.E. DATED 11/3/05. The certificate is issued to RAYMOND THUMSER ( OWNER ) of the aforesaid building. SUFFOLK COUNT~DHPART]4ENTOFHEALTHAPPRO~i~L N/A ELEC-£RICAL c~grIFICATH NO. 122566 PLUMBERS CERTIFICATION DA'r~D N/A 12/11/o5 ~h/o ' z/e~nature Rev. 1/81 ~om No, 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filiod in by typox'rite~ 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, properly 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 l~om Board of Fire Underwriters. 4. Swum statement from plumbea- certifying that the solder used in system contains less t/mn 2/10 of 1% lead. 5. Conunemial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Colnplianee from arch/tect or engineer re.s--ponsible for the building. 6. Submit Planning Board Approval of completed site plan requiremcuts. 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 linc,% streels, building and unusua! natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspentor shall state the reasons therefor in writing to the applicant. C. Fees .1. Certificate of Occupancy - New dwelling $25.00, Additions lo dwelliug $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, AeeessDry building $25.00, Additions to accessory builddag $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pro-existing Bailding - $ 100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certifical¢ of Occupancy - $50.00 5. Femporary Certificate of Occupancy - Res~dcnttal $15.00, Commercial $1_ .00 [)ate.__ 11/ll~ /O,9' New Construction: Location of Property: House No. Ownor or Owners of Properly: /~A'~r,/~ ~/.~.~ ,j. Suffolk County Tax Map No 1000, Section __ Subdivision .~N~'6L ~0~6 P~O~ No. Old or Pre. existing Building: SI,'c~ Block _ Filed Map. Heslth Dept. Approval: _ (cheek one) Hamlet Lot: Date of Permit. ~]~{_~/~(____ Applicant: ___ Undenvriters Approval: Plamfing Board Approval: Request for: Temporary Certificate _ Fee Snb~rfitted: $ ~.~ Final Ccrlificate: (cheek one) ~~ignature 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. 31379 Z Date AUGUST 18, 2005 Permission is hereby granted to: RAYMOND THUMSER 1595 WATER TERRACE SOUTHOLD,NY 11971 for : ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1595 WATER TERRACE SOUTHOLD County Tax Map No. 473889 Section 088 Block 0006 Lot No. 013. 012 pursuant to application dated AUGUST 18, 2005 and approved by the Building Inspector to expire on FEBRUARY 18~ ~__ Fee $ 150.00 ~e~ature ORIGINAL Rev. 5/8/02 LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. 670 MIDDLE COUNTRY ROAD ST. JAMES, NEW YORK 11780 (631) 265-3075 Fax (631) 265-6057 Application No.: 122566 Permit Number: 31379 Block: Lot: Section Agent: Owner: Thumser Residence Address: Address: 1595 Water Terrace Municipality: Southold NY License~: OwnerPhone Agent: No._.~.iTEM SIZE No. ITEM 3 Switches: 0 SubFsede: 7 Receptacles: 0 Timers: 0 GFCl Devices: 0 Transformers: 2 Dimmers: 0 ACEqulpmentCentrah 2 MedlumBaseFIxtures: 0 ACEqulpmentWlndow 0 FluroescentFIxtures: 0 MotcrsbyHP: 0 HID: 0 Generators: 0 RangeOvenCookTop:, 0 WhlHpoolHotTub: 0 .DryerEl~ctHc : 0 Microwave: 0 Exllau~tFana: 0 WaterHeaterElectrlc: 1 beiil~gi:a'h~! .... 0 ShlOk~D~tectors: 0 DW: 0 Trai:kLIghtlngStrlp: 0 Laundry: 0 ElectrlcHeat: 0 HeatlngEqulpMotom:' 0 PumpMotor: 0 ExltSIgn$: 0 Disconnects: 0 EmergencySlgn$: 0 FutureOutlete: LOCATION OF WORK: [] Basemen [] FirstFIoor North Country Electric Corp 11 Harmony Lane East Setauket NY nce 11733 SIZE No_~ iTEM 0 PoolU, bvBIo: 0 PoolslnC-round: 0 Pools Filter: 0 Poola Lights: 0 CO Detectors: 0 Disposal: 0 Metal Halide Lamps: 0 RefrlgUnlt~: 0 WalklnBox: 0 Exh~u~tUnlt.:: 0 SteamShower: 0 BreadWarmers: 0 GarbegoDIsp: 0 CentralVac: ' 0 ChandellcrL.Ifte: 0 ElevatorLIfte: [] SecondFIoo [] Outside [] Addition [~ Survey [] New Corot. Comments Sunroom Widng Final 12/08/05 / Additions ~OH [] UG [] Amp: Phase: I Volts: WireType: CU Conductor # Meters: MemberI.A.E.I. Electrical Certificate Certificate No. 122566 LONG ISLAND ELECTRICAL INSPECTION SERVICES, IN~-....~ THIS CERTIFIES THAT (~R LOCAL~),~T,{RICT Certificate Issued on: 12/11/2005 INSPECTOR CONDUCT~ED AN INSPr~CTI~N OF THE VISIBLE PORTION OF ~'HE ELECTI~CAL/ Issued to Thumser Residence INSTALLATION D~C¥1BED HEREIN A~D IS Address: 1595 Water Terrace COMPLIANT W~-I THE CURREN,~NA~IONAL Southold NY ELE~~~__~ North Country Electric Corp __ 11 Harmony Lane ~ IAEI Ce~fied Inspector East Setauket NY 11733 TEMO "~'z,ery Day is a Vacation" November 3, 2005 Bruce Wohlars Redwin Industries 1603 Lakeland Avenue Bohemia, New York 11716 RE: Thumser sunroom 1595 Water Terrace Southold, New York 11958 TEMO INC. 20400 Hall Road Clinton Twp., MI 48038 800-3444EMO 586-286 0410 FAX: 586-226 1706 Internet: www.ternosunrooms.com Dear Mr. Wohlars: Thank you for contacting me about the TEMO sunroom that is being constructed at the above referenced location. I hereby certify that the work being completed in conjunction with the installation of the TEMO sunroom is in accordance with the TEMO, Inc. specifications and general engineering. The TEMO specifications and general engineering and the construction of this sunroom comply with the current New York State Building Code and ASCE 7-98. Thank you for your continued use of TEMO sunroom products. If you have any questions or require additional information, please contact me. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~I. ATION [ ] FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIM.NEY [ ] FIRE SAFETY INSPECTION REMARKS. ~..~, .~- /~t..~ ~ ~. DATE 765-1802 BUILDING DEPT. _ NSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION,,, REMARKS: ]'~/'~*X~ c.~ ~"~,~ DATE INSPECTOR ,o INSPECTION RF~ORT [ DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMIVIENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. ~5 t~2-ct'~''' BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health J 4 sets of Building Plans Planning Bo~.,~Papproval Survey ~ Chectq..~ l'~00~~ Septic Form / N.Y.S.D.E.C. ,,*ct ~ Tmstees Examined u/ /5.~ ,20. ~ Contact: Approved '~//~", 20 ~ Mail to: Disapproved Wc ' ~ ' ¢ , "L,__ / % A~PLICATION, FOR BUILDING PE~IT W'~ ~ .... Date ,20 ~STRUCTIONS 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 wateiwvays. ~ 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 !2 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. State wheth (Mailing address of applicant) architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~ ~O,7[x'O/q ~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) BuildersLicenseNo. {0~- H Plumbers License No. Electricians License No. iPS'7'7 - E Other Trade's License No. Location of land on whi. cb prol~sed work will be done: 1,.55'S t /o r FexcctCe. House Number Street County Tax Map. No. ,1000 Section Subdivision ~ ~.~. a.. I ,~('~-3 (Name) Hamlet Block C Filed Map No. ~kq Ldt Lot 13 IO State existing use and occupancy of premises and int~,ded use and occupancy of proposed construction: a. Existing use and occupancy ~ [::o~ d~/t.~li~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If 9arage, number of cars Addition / Alteration Other Work (Description) Fee (To be paid on filing thig 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 o.r additions: Front ~ ' ',, Rear Depth I~, / Height cP '<2 ' Number of Stories ~ 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size oflot: Front bOO' Rear )2~''-~tt~' Depth ZOO 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 ofpremises ']-[¥,tlv,.,~.~" Address/5'q--C L,/¢[6-'-~[. PhoneNo. ~?". ~'qt'~ NameofArchitect [2~.h ~,tal~ Address[~O! L~t~t.. ehoneNo '-~t77-~'O2,t Name of Contractor-/~c~c~ ~x~co&ieo Address/~J2 Le~¢/o~,~ ,gl,,. Phone No. -~'CT-.CJ'? '~ 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES__ * 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. NO ~ 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) . ~q.,Cl[ ~k~ 6 ~x ~ C'v~.~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, .smTis the Q_ (Contracto~gent, 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 th/s 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 th/s~ (~ ~t~ ?~AtlBARA ANN RUDDER .,~;&o/PubUo, State of New York No. 4856806 Qualified in Suffolk County Commioslon Expires April '14, ~D THE LOCATION OFWELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. =./OZ. 37- :300.00  ATE: SCALE: CERTIFIED ONLY TO: DESTIN G. GRAF N.Y.S. LIC NO. 50067 ~~~ , ~,ONE {S~)~-~ TAX ~.~. ,o. 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