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HomeMy WebLinkAbout31620-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31388 THIS CERTIFIES that the building ALTERATION Date: 01/13/06 Location of Property: 4425 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 111 Block 9 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 18, 2005 pursuant to which Building Permit No_ 31620-Z dated NOVEMBER 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 ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAULINE STARK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2084475 01/06/06 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A .� "3iL Authorized Signature Form No. 6 TOWN OF SOUTHOLD AUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 3 a0o� Ok 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. Temporar}vCertificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: (alteration) Old or Pre-existing Building: Date. December 29, 2005 (check one) Location of Property: 4479 Narcan pni nt Rnad Cutcbngue House No. Street Hamlet Owner or Owners of Property: Nicole D' Emo Chambers Suffolk County Tax Map No 1000, Section Subdivision Permit No. 31620 Health Dept. Approval: Planning Board Approval: Block o Lot Filed Map. Lot: Date of Permit. 11/18/05 Applicant: Request for: Temporary Certificate Fee Submitted: $ 25.00 Underwriters Approval: Final Certificate: x (chec ne) OLSEN & OLSEN LLP 82495 MAIN ROAD PO BOX 706 Applicant Signature MHOGUE, NY 11985 I1C.I�C.IL11 rc iC.Ii :: - l 111 LILI-LIiCPC.nCn1�C,1�C.�C11: 1:1 �C.1nC�LnCPC.ICnLfC.nC.ILn1: 1! nCPLnLnLPLlL3PLPLC.I�CP 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 SBUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 �5 CERTIFIES THAT 5 r1 Upon the application of upon premises owned by GERALYN NICOLE CHAMBERS 5 5 5 BOX 81 PO 102 CANAL STREET 5 5 CUTCHOGUE, NY 11935 FORT PLAINS, NY 13339 4425 NASSAU POINT RDCUTCHOGENY Located at . U, 11935 ICCS 5 Application Number: 2084475 Certificate Number: 2084475 Section: Block: Lot: Building Permit: BDC: ns11 C� �5 [S Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: C5 First Floor, kitchen, Outside, L� 5 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 5 5 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 6th Day of January, 2006. 5 5 Name, 2 Rate Rating Circuit Type 5 Miscellaneous LJ 5 as built -1984 5 Appliances and Accessories Dish Washer 1 0 1.2 KW 5 Wiring and Devices Outlet 5 0 Fixture Fixture 5 0 Incandescent 5 5 Outlet 13 0 General Purpose 5 5 Receptacle 11 0 General Purpose 5 Switch 6 0 General Purpose An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in for c5 515 comformance with the applicable reference standard the estimated period of construction of the premises wiring system. 5 5 5 I7 sea/ I of I 5 �+� 05 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S O LI@PCPLnLI�LPLfLI@PLPLI@PLPLPLI�LTLPLPLPCPLJ�LPCJ�LPLPCPLPLI@PLJ�LJ�LTCPLPLPLPLPLPLI�LJ�LTLPLTLPCJ�CPLPLJ�LTLPLPCPLPLPLPLPLPCPCPCPCPCJ�LP C° 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. 31620 Z Permission is hereby granted to: PAULINE STARK PO BOX 733 CUTCHOGUE,NY 11935 Date NOVEMBER 18, 2005 for :: MAKE ALTERATION TO EXISTING DWELLING. THIS PERMIT REPLACES 14548. at premises located at 4425 NASSAU POINT RD CUTCHOGUE Country Tax Map No. 473889 Section 111 Block 0009 Lot No. 007 pursuant to application dated NOVEMBER 18, 2005 and approved by the Building Inspector to expire on MAY 181 2007. —\ Fee $ 150.00 Rev. 5/8/02 ORIGINAL Authorized ure 1E'L� INSt E CT1.1JN iiDATE COMMENTS .j 1 ( 6i FOUNDATION (13t) FOUNDATION (2nd) I I 2. ROUGH FRAME & PLUMBING 3. I14 ULATION P N. Y. STATE ENERGY CODE /U NSv ia� � S'�r,�rTaz-c 4. FINAL —� ADDITIONAL COMMENTS: F f r h TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING XFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION RFMARKS! DATE 1 a / INSPECTOR w '' ''O� awes-isa BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE �� a1H INSPECTOR Az!!-A� ev%Pa . 2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ J FINAL REMARKS: DATE Z"7/� INSPECTOR C FORM NO. 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) jun "/- �To 14548 Z 31)6d -O Date ....&-64 4.Y....... .1....., 19.49 Permission is hereby granted to: ..............l.X....i/..(..1................................. �y� / AA..y ;G�IQ..r../ .T., .............. to ......ri�". t ....��..e '.! ./.....�T�Q.......4�r. .,�s.�rl.- -�- .... .(l�f........ ....................... fl.4..............�t / / of premises located at ....... ......l..�Gl!.S.Q Ci......`. ....... t.................................... ...................................... .......................�..tN.. ... ....J...,�t.c�.../..0/.r../..........................................................q.....Zjc��... .... x...7.--................ County Tax Map No. 1000 Section—.... ///........... Block ...�...(........... Lot No. Q.l............. Pursuant to application dated ... 1./..iE,(:r........ 4Q ...................... 19 and approved by the Building Inspector. Fee 5....^... Rev. 6/30/80 F26NIZTIAL FLOOD f LAN - EX15►10U C0"DI rloNS j 4 4Z 5 Nq 55AL 1'o 1N -r Pp MAC K K. ScHWA KTZ � A 0 - AkfG1 EITl! GT-) e ox 9 3 3 C✓TG4MGvE, NY 71935 (a51-734-4185 r �LnG Mlem rr 31 G 2 O �S --- j 4 4Z 5 Nq 55AL 1'o 1N -r Pp MAC K K. ScHWA KTZ � A 0 - AkfG1 EITl! GT-) e ox 9 3 3 C✓TG4MGvE, NY 71935 (a51-734-4185 CUTctioGuE 1q6vj `(o ICK �LnG Mlem rr 31 G 2 O xi5'1'ING PLAN 5 --- r y A i a �� kit ! A -L�—FXo.7_-- —G'a..s ,44.. --- i f � - I Y�"TGNItAY4i9nJtG'R X.i s'Tt . 4 CjAR44c* +i C _.Wi9RtC SNat+ -i X1 STtittAwc +I OJv..r STettw�4•�; Y i AJ.f !t �*ri J C; A y.a .H ti ✓ -r 7-11.17 c1,,.,•.. �CLOit= l=xicT pppg� C'ELD AS NOTED �aTEZ z� B. P. # NOTIFY BUILn!NG DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLO` "!CN';: I"•!c,^ci'T! n� IS: I. FOUN,flAT `•'N REQUIRED FOR G ^,!Cr -TE �. SOUGH -FRAM:?, PLUPABING 3. INSULA' ON MUST A. FINAL - BE C`."P' 'Tr FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQI Ij°, V, -NTS OF THE N.Y. STATE CONSTRUCTION & ENERGY OE©DESIGN OR CONSTRUCTION ERP(" E P�12T1.4L FL-OORz F�'-AN - Ex►STIrJU CONP.►_T_1_or.1S r M6EI2 f G, -0005 442.5A I'oWT Pp M4C_K K SCHWAIeTZo ,4IA - ----- . A�c++ITF�G% P� 1. G - ro. gox 933 G✓>•�+MG��, NY X1935 &51-,734-4185 cuTctioU�E, iJE� 'f o I� �. 5LnG f1512M IT 1_G 2 0 FIX15TING �L-ArJ 5 - ---- PA1,T►q L Fl --001Z, ALAN - E/\0sTItjU CoN4IT Oo JS 1GcrrM6Ei2 Z(,, 2ov5 X425 NgSSAy i'oINT Izt� M/at;K !C ScHu/ARTZ iQ1A- -- - - ALZc44iTFCn PLL G C✓>•r,+MGvE, NY 1 1935 CuTz—HOGuE, NIFVj `(01zK 15L-L)G mlem rr # 3 i 2 0 i-'ApLA�15 E�K5 NG Mark K. Schwartz, AIA - Architect, PLLC P.O. Box 933 Phone (631) 734 - 4185 %•�'� Cutchogue, New York 11935 Fax: (631) 734 - 2110 Mr. George Gillan I Southold Building Department 2 9 Main Road Southold, New York 11971 Re: 4425 Nassau Point Road Cutchogue, New York 11935 Building Permit # 31620 George, Enclosed please find the Existing Conditions Floor PIan for the Kitchen and Dining Room areas, as requested. Please review and call me with any questions you may have. Thanks, A ott LangNassauPomtRdHouse.2dm 1 ROMEO BUILDERS, INC. JL ✓' ?: Mo t'" "ll 14-5-4Q Z L=1 L v L -M A -c- fi o —( L—S BOX 1111 (516) 765-1"4q SOUTHOLD, NEW YORK 11971 DESIGN - - - - RESIDENTIAL CONSTRUCTION - - - - CABINET WORK Examined . ,�/2i ........I 190' Approved .2(. .......... 1R7'?/.'. . FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 �TEL.: 765-1802 JJ 1�4t.Vh z �Ib�(i Permit Disapproved a/c..................................... .......................................... ....... (Building hrspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS D Received ............ 19... �Gi'Y1'J Date ... !.g7tr?......... lsqSr a. This application must be completely filled in by typewriter 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 premises 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 appli- cation. 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 issued 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 Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issance 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 dem 'tion, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housi cod , and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio ..........V'••... ....... cr-- -J ............. (Signature of aapplicant, or name, if a corporation) ..... ................. L ............. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. L��=N r.,.-.j�.,�� A.� �.,� .............................. Name of owner of premises 6<w�� ........ ............................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ..................= ....................... (Name and title of corporate officer) Builder's License No. ........ !1.1 .............. Plumber's License No. ... ................. Electrician's License No. ..Z � Other Trade's License No. .............. 1. Location of land on which proposed work will be done. .......................................... . Z' .:../......................... ... House Number Street Hamlet County Tax Map No. 1000 Section ........ C� 1i \......... Block .................. Lot.....(. Subdivision Y\� ?C`1 .P ................ Filed Map No. .............. Lot ... .L ....... . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy "� �.`.« ..................................................................... b. Intended use and occupancy ............. �=?' 7 is sev r. °,.Y .x....., ..f.: ...:............ . 3. Nature of work (check which applicable): New Building ........... Addition .......... Alteration .......... Repair Removal ..... . ........ Demolition .............. Other Work .............. . �/ T� _ (Description) 4. Estimated Cost ....... e'J thou .................... Fee . +4t • .!......................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number 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 . :'k. ... Rear ....... Depth .4? ' ... , , , , , . Height .. z °. f..... Number of Stories........?'............................................... Dimensions of same structure with alterations or additions: Front .. ?.:.......... Rear ..T -. L ......... Depth .....:40"at ,4Z- S. „Height Y .............Number of Stories ... ............. 8. Dimensions of entire new construction: Front .. 7 3 77-r ...... Rear . "1 }r,'......... Depth . 4Zc" i....... . Height . 1-5-w. 17 ..... Number of Stories.....7--................................................ 9. Size of lot: 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: .... P V ......................... 13. Will lot be regraded ........04P ................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises 7�k� kx. M? .... Address ................... Phone No. Name of Architect ........Address ................... Phone No............... . Name of Contractor . A :.�.e . * , , , . , , , .. Address_b!r!si-. �+�++�. r s+e�a .. Phone No. -I 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 number or description according to deed, and show street names and indicate whether interior or corner lot. 12 ICS STATE OF NEWOR, S.S COUNTY OF . �Q �.... .... XXIC; F =L . , 3F U/ ,G. p . . .... . . . . . . ... . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........ pec Ztn (Contractor, 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 true 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 ........... day Of .At_�{ � :Yl zL1...,19f'� Notaty Public, ..�� LX40A A 000FI N NOTARY ALALIC, Sols 40 Raw Nm 4822863. S~ Oou�tya--N ' Term Expires Mach County n �� �. (Signature of applicant) i IJ�3W �A-i W Ila hD W `I�1o27N i=tic"Via -(Ir„.�— 7[hc[: alt I_n ilA�r-(l�,a�1 .+r A Sov N �L YATI _ 14C/iLta Sitt., - l-.^ /J %ZLrta.,z A�,q��yXI *T 1,a r., Lo, ,w,-riM \ (�N:Dl,a"R f. tfw c:,ASfYMki r., -f6 Z- STlrocco lfxYti�'tl on.. 3- IN 6Yiit4 �.16L's-.T�i w"IuaaP ,a. T�-'rcu/a cis is"7S.e. 5'i11Tur lt.rro i.a l,.r�o " Z'A& tIS MS