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Home My WebLink About31921-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31548 Date: 05/02/06 THIS CERTIFIES that the building ADDITION Location of Property: 735 (HOUSE NO.) County Tax Map No. 473889 Section 70 SOUTHOLD (HAMLET) Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 2006 pursuant to which Building Permit No. 31921-Z dated APRIL 19, 2006 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. The certificate is issued to KENNETH & MARGARET HAGERMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H071292 05/04/01 PLUMBERS CERTIFICATION DATED 04/25/06 HENRY SMITH PLUMBING ~~~ Au rized gnature Rev. 1/81 Q28 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PPLICATION FOR CERTIFICATE OF OCCUPANCY ,~ . .- r:: !-, ~ 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 (8-9 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 I % lead, 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a cer1ificate 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: I." 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 hy 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 4/'1B/fij New Construction: Old or Pre-existing Building: Location of Property: 735 PAm( Wl\.Y :nJnull, N.Y. House No. Street (check one) Hamlet Owner or Owners of Property: KltNNETH & HARGARET HAGERMAN Suffolk County Tax Map No 1000, Section _. 70 Block 11 Lot 14 Subdivision DateofPetmit 4/19/06 Filed Map. Applicant: Lot: IWI HAGERMAN Permit No. 31921-Z Health Dept Approval: Planning Board Approval: ___ Underwriters Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 25.00 MARGARET HAGERMAN Applicant Signature 6-.,u:. 1 0 0 'VI coT:. :?15lfr 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. 31921 Z Date APRIL 19, 2006 permission is hereby granted to: KENNETH HAGERMAN & WF PO BOX 1176 SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FO. THIS REPLACES BP #27242. at premises located at 735 PARK WAY SOUTHOLD County Tax Map No. 473889 Section 070 Block 0011 Lot No. 014 pursuant to application dated APRIL 19, 2006 and approved by the Building Inspector to expire on OCTOBER 19, 2007. Fee $ 150.00 &~A~ ~~ I Authorized Signature ORIGINAL Rev. 5/8/02 .~."..,.'."~-c:-- '. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE , " 3083614 BUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK, NY 10038 Date HAY 04,2001 Application No. on file 12206301 /01 H 071.:1.92 THIS CERTIFIES THAT only the electrlc~t equipment as described beldw and introduced by the applicant named on the above application number is in the premises of KENNEl'H HAGERMAN, 735 PARKWAY SOUTHOLTJ t NY in the following location; O. Basement ITa 1st Fl. o 2nd Fl. OUT Section Block Lot II was examined on APRIL 20,2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS '~~."]I OUTLETS INCANDESCENl FlUOftESCENY OYHER AMY. K.W. AMY. K.W. AMY. K.W. AMY. K.W. AMY. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PY, TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS TRANS. SYSTEMS AM1. K.W. OIL H.P. GAS H.P. AMY. NO, A.W.G. AMY. AMP. AMY. AMPS. AMY. H.P. NO. OF FEET AMY. WATTS lSERVTCE DISCONNECT "NO. OF S E R V I C E METER NO. OF CC CONDo A.W.G. A.W.G. A.W.G. AMY. AMP. TYPE EQUIP. I' 2W 113W 313W 314W ".. OF ce. CONDo NO. OF HI-leG OF Hl.lEG NO. OF NEUYRAlS OFNEUYRAl Il ~,,_m~ "An electrical "NO VISUzu. LJt;tI:L'TS: sllrvey has been made of the exposed fdect.rical equipment in the premises indicated. " tlNo obvious unsatisfactory condition was fo1,J1'lC;i. " ! - AMOUNT FEE PAID ~ PLEASE REMIT BY CHECK OR MONEY ORDER TO THE ORDER OF THE NEW YORK BOARD OF FIRE UNDERWRITERS KENNEI'H HAGERMAN AS CASH SENT BY MAIL WILL BE AT RISK OF SENDER. P. O. BOX 1176 SOlfrnOLD . 1.'Y . 11971 V/l, 11 Per THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFIC~TE OF COMPLIANCE. THIS BILL PAYABLE AT THE NEW YQRKOFFICE. 40 FULTON STREET, NEW YORK, N.Y. 10038 ~--_._'-~ --~-"---- Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 1~-""'-:-;:~':;::::":==:;-- j:7':,\}HOL.r ~~-'-,- "(' ., ...v ~ '.:."..~ '. ;$-." i"s ,', ~'. '.' '.I) -. :::: ':. ..;.0: , Z;! , ,: c:>. ,.. .' :. -h iJ': ~:().{ .. f->- ~~...:;-;.:;[..-'- Fax (516) 765-'823 TelephOne (516) 765-1 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I FIe A T ION DATE: c..1_~ 5'-06 Building Permit No. ;(7;?,1/:<. z. Owner: ,{t'I'I/leTh' II tf tj~mq AI (please print) Plumber: !fr/V;L.<r ~/T"'" (please print) ." I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. \ (Plu 'worn Co before~, rhi' ~ 5' day of d Notary Public, RIlNllIrIMIlMIlI County lIo1a1y Public, Stam Of New ~rll No. 01006095328. Suffolk c,nty Term Expires July 7, 20 D , 1f~ J--7 (}-t 9--7- k~ ?:>1~J-\ TOWN OF SOUTHOlD BUilDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [J ROUGH PlBG. [ ] FOUNDATION 2ND [J INSULATION [ ] FRAMING I STRAPPING Ip<J FINAL [ ] FIREPUCE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~~/~7 p~' DATE r -# -?- 5d oJ'L ~~~~\~, , INSPECTOR ~ ~ J-)L-nt ~,3\cl~\ 765-1802 BUILDING DEPT. INSPECTION [ J FOUNDAnON1ST [ [ J FOUNDATION 2ND [ [ J FRAMING [ [ J FIREPLACE & CHIMNEY REMARKS: 1l2~ 5~fJd f!~ r JDATE 1)0/;; I INSPECTOR ../ ~ / /st'~ ~ Q,/,:) \ Cj ;}. \ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ~GH PLBG. [ ] FOUNDATION 2ND u.1iNSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ e;J((' .:t ~ INSPECTOR ~ DATE q/J-I!O] ( I , .~,-_....."",,"- ....~-~..,--- ---"7'"""_~'~ -~- '-'"~-~"'7" .'--"-- ..,-,~"---- __~~_ .._ .""._, __~~_.~___ ,'~_'_'~T"," --.- ,_....._~ 1f/ )JY~).. ,l'i'\ .:::' I Cj ~ I 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [] ROUGH PLBG. [ ] ~NDATION 2ND [ ] INSULATION a{F~MING [ ] FINAL ~ REMARKS: ~ ()~- DATE Wll INSPECTOR ___".___~~_.._~.'..."......._'"".~' .,._, .,..~.___"".__, __,~__,_,_~=.~,~,,___'.C"'r,._,,",~,- ',-' -,~- /~2- 765.1802 BUILDING DEPT. \2e-/\ :.? I C1 ').- ) INSPECTION [ ) FOUNDATION 1ST [~OUGH PLBG. [ ) FINAL DATE !alii? - .^....,- - ~- ~, -------- '?)\C)"&\ ~ 765-1802 BUILDING DEPT. INSPECTION [ ~ATION 1ST [J ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: t), " a- -U~)( _ tl DATE o;l;/r-;7 _.:.Lu .....:....:....... -"-,,, ". J OUllDATIO~1 -.~ ( , st J OUNDA nOlI (2nd) OUGH FRAME ~ nUl1BINV' , '" 'NSULATION PER N. Y. STATE ENERGY CODE FI;IAL (!o..I........:;.. Ii ...1..>........;......... I I I ~ ADDITIONAL COMMENTS: ~W~d "',.., <II ~-LI 1. :::vA - "" (-pC ~ e r<l 50 z o..J L>J tJ\ ~J ~f r<l -i ~r ~ ,---1 ~ -i ::t::: gi z r<l 1 '" - :. ;7\ t. r ~t t'1 >< .". H '" ...', -i H o Z , .. 1 .= - - t'1 C ~ ~. -i = ",. .t'1 ." -i "" FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765.1802 Examined.~ .t....., 19~!. Q~ /15\ '1 ~ \ Approved .~ .1....., 19~J. Permit No. .1.~~~.-?-.~ Disapproved a/c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BOARD OF HEALTH ...... 3 SETS OF PLANS .. ~. . SURVEY. . . . .~. .,.. . CHECK .../.13.:>53 SEPTIC FORM .......................... . NOTIFY CALL MAIL JkS.-.3.3J'~...... . TO: ...........................................2L.. .. ~ ~ .U......... .............. (Building Inspector) APPLICATION FOR BUILDING PERMIT DatekM~ . .~.~ . . ., 19 r INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with : 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 street 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 permi 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 Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 0 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, hous' g code, and regulations, and t. admit authorized inspectors on premises and in building for necessary' ections. ~ (Signature of apJllicant, name, if a corporation) ~.~. !/7.~.... .L~.~.. ./.l!f.?!.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ ~~~.e.~;~~~~~~~~~~~.i:e~. K~~;;~: #.: :~:~ ~:~~:~: :jk~~:~;~::::::::::::::::: (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . ...... '" ................. ....... ..........,. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No: -.-.......... .-'-.--::... .--::-. .~-- Plumber's License No. ........................ Electrician's License No. ...................... . Other Trade's License No. ..................... I. Location ofland on which proposed work will be done. ,,?r;>;~f/:.~~ n. . . . D.~9:-".c?~~ .~! . . . . . . . w... .J'!.V.T!~f;~... .I.~. .P~.H.... ............. )~.~rtf:qF.p;............ House Number Street I Hamlet County Tax Map No. 1000 Section .. .7.0. . . . . . . . . . . .. Block..I.I............... Lot.) 1. . . . . . . . . . . . . . _ Subdivision. . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . R e. . r. f). ~ <? ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy ...... " ....................... .... ... ........... .... ... ........ ~ 3. Nature of work (check which applicable): New Building. .. .. . . . .. Addition.. .. . .. ... Alteration .... Repair .............. Removal .. . . . , . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . (Description) 4. Estimated Cost. . . . . . f).'~.J P.QP . . . . . . . . . . . . . . . . . . . . . . Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . .I. . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . ... If garage, num ber 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. . . . . 4: ~. . . . . . Rear .. 4.- r. . . . . .. Depth..;2,.l..f......... Height ... IS.'. . . . . . . . Number of Stories. . . . /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ';.-0 . . . . . . . . . . Dimensions of same structure with alterations or additil>ns~' Front .... ~~. . . . . . . .. Rear..;" J. . . . . . . . . . . . Depth. . . . . 4-. { .'. . . . . . . . . . . . Height. . . . . .t:S":.'. . . . . . . . . . . . Number of Stories. . . ..1. .. . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front. . . ..:7-.l:f: . . . . .. . Rear.. . Z'Y.. . . . . . . . Depth . .1.7. . . . . . . . . . Height ..... ($". .'. . . . . . Number of Stories. . . . . . . . . .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front.. .I r-r. .... .. .. .. ... Rear..... .t.,!='.... .. .. .... Depth . .~.:l-.c..... .......... O. Date of Purchase .. !.9.&:Ca.................... Name of Former Owner .lC.t4:h~ ~.~~...... I. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Does proposed construction violate any zoning law, ordinance or regulation: .. .1:'1..0. . . . . . . . . . . .~.. .. .. . .. . 3. Will lot be regraded ...... N9. . . . . :; . }/ . . . . . . . . . Will excess fill be removed from premises: es No 4. Name of Owner of premises ~1 r. r. \1. .t.r-,f'.Mf!rtrdress . _ $.~.q:'t~. . . . Phone No. ? . . . . :19M. . . Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address .. . . . . . . . . . . . . . . . . . Phon~. .. . . . . . . . . . . . . . 5. Is this property located within 300 feet of a tidal wetland? *Yes ..... ~..... *If yes, Southold Town Trustees Permit may" be re~uired. PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and. indicate ail set-back dimensions from ,roperty lines. Give street and blotJe lI.i1l111lilr'Or destription'acoonling to deed, and sh6w meWlameund indicate whether nterior or corner lot. . t ....--1- ~ NeW y\-f>oM1 oil ;> -"------ '" 't:'/.lS, n ~ c; ~ tilvc.-TU p..... r r I I 1:.- 'fr;'f-? 1 So + ;TATE OF NEW YORK, :OUNTY OF . . . . . . . . . . . . . . . .. S.S ..................... .......-.....-.............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. Ie is the. .. . . . . . . . . . . . . .. . .. .. . ... .. iC~~tr~~t~r: ~~~~t, ~~;';'~;a't~ ~'ffi~~;"e't~b' . ...j................ . ,f said owner or owners, and is duly authorized to perform or have performed thli">>id work a,~_to m 'I'~d file this pplication; that all statements contained in this application are true to the best oflJl.~~~. "".:' . ljIId that the ';ark will be performed in the manner set forth in the application filed therewith. '" ,'.,':,,;:"~ .. :worn to before roe this . . . . . . . . . . . . ~ I. . . . . . . .day of . . . . trl ~ . . . . . ., 19'tl !otary Public, .... ~ .. A<.. to?-.?!~ County k ~ 4. .. ~* 7 . . .\&?f"f/ L. fl. .1. .t5:f;,;.:2;;~;;:;;; . . ... ... ... . . ... .;,;.~-~.. .-....~.. . :~ . . .. .. - .. .., ~ ENE.RGY CODE, _CALCU.L::&:rIO~S fOr.. : f'E.P.. PWG5: ~"].._t1~., . PATED:, ~.- :J7I~/~j-' --:~. . .. DE5IG~ CoRrfl:.RIA:: . . uQOO DE:6RE.E DA'(S , O.k. ~ 10D F ,I.A.. = lODF ------------.---..-. -.---- N 5UDSYSTEM AREA. 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