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Home My WebLink About32038-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31579 Date: OS/26/06 THIS CERTIFIES that the building ALTERATIONS Location of Property: 595 ROGERS (HOUSE NO.) County Tax Map No. 473889 Section 66 RD (STREET) Block 2 SOUTHOLD (HAMLET) Lot 43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 24, 2006 pursuant to which Building Permit No. 32038-Z dated MAY 24, 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 "AS BUILT" HEATING AND AIR CONDITIONING UNITS, MINOR REPAIRS AND OUTDOOR SHOWER TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & LINDA KOHUT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2099070 OS/23/06 PLUMBERS CERTIFICATION DATED OS/26/06 RICHARD KOHUT '- ~4 Authorized Signature Rev. 1/81 FOR,M NO. 3 - TO~ 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. 32038 Z Date MAY 24, 2006 Permission is hereby granted to: RICHARD & LINDA KOHUT 70 EAST 10TH STREET -18F NEW YORK,NY 10003 for "AS BUILT" HEATING AND AIR CONDITIONING UNITS, MINOR REPAIRS AND OUTDOOR SHOWER TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 595 ROGERS RD SOUTHOLD County Tax Map No. 473889 Section 066 Block 0002 Lot No. 043 pursuant to application dated MAY 24, 2006 and approved by the Building Inspector to expire on NOVEMBER 24, 2007. Fee $ 300.00 7U<-~~ Authorized Si ature ORIGINAL Rev. 5/8/02 1(7- '65/7 --I ~~ D .. Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r'-; -p"'''':, 1 l~ I ;..,' ,,' IYI~ 2 4 Ol, APPLICATION FOR CERTIFICATE OF occur ANCY ~ This application must be filled in by typewriter or ink and submitted to the Building oepart~ent ;ith' ih~ fOllO:i~V) 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 Oept. 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 nses, 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. Location of Property: ~9S House No. Old or Pre.existing Building: I2cJfr ~~ > Street 1< ,'e.. t,"'1'l. I) ... 1-,''''-0 ~ (, c.. ,,/' (check one) New Construction: /2f1A- !> Stf"'- ~ t.~ L.cf Hamlet /.4 ~.... ( :L Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Lot "f 3 Block Subdivision Permit No. 3 d 03 X' Date of pennit.SpV 10 (" Filed Map. Applicant: Lot: Health Oept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: v (check one) Fee Submitted: $ ,,)V ~~ \$J9 i6Lc (Od-~O ~~~ Applicant Signature 1!l~ ~ ~ ~ ~ ~ ~ ; ; ; ~ ~ ~ ~ Located at I Application Number: i Section: ~ Described as a Residential 1200-1799 square ft. occupancy. wherein the premises electrical system consisting of ~ electrical devices and wiring, described below, located inion the premises at, ffii Basement, First Floor, Second Floor, Detached Garage, Outside, Attic, ~ ~ I I ~ I ~ ~ ~ ~ ; ~ ~ ~ ~ I ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ 05(24(2005 09:41 PAGE 01 17184945829 ~ 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 B.J. ELEC. CO. 4300 STillWATER AVENUE CUTCHOGUE, NY 11935, RICHARD KOHUT 595 ROGERS RD. SOUTHOLD, NY 11971 595 ROGERS RD. SOUTHOLD, NY 11971 2099070 2099070 Certificate Number: Block: Lot, Buiiding Permit BDC; n$11 A visual inspection of the premises electrical system, limited to electriC. I devices and wiring to the extent detailed herein. was conducted in accordance with the requirements of the applicable. .code andlor standard promulgated by the State of New York. Department of State Code Enforcement and ii~ministration, or other authority having jurisdiction, and found to be in compliance therewith on the 23rd Day Of May,2006. Name QIT ~ Ratin. ~ ~ Miscellaneous as built about 1930 with some up grades-well maintained Appliances and Accessori.. Dish Washer ",' .'.) 1.2 50 KW Amps F.RP. Oil 1 0 I 0 I 0 I 0 Ovt:n Exhaust Fan Furnace Wiring and Devle.. Outlet Fixture Incandescent Flourescent General Purpose General Purpose General Purpose 32 0 31 0 I 0 SO 0 33 0 24 0 I 0 I 0 3 0 seal Fixture Fixture Outlet Receptacle Switch Paddle Fan Receptacle Receptacle 30 amp Dryer GFeI Continued on Next Page I of 2 ~ ; ; ~ I ~ I I ~ ~ ~ I ~ ~ ~ ~ I I ~ ~ I I I ~ ~ I ~ ~ I ~ ~ I ~ I ; ~ ~ 19j 05/24/2005 09:41 PAGE 02 17184945829 ~~ ~I!I I ~ ~ I ~ ~ I I ~ ~ i ~ ~ I ~ ~ i ~ I I ~ I ~ ~ ~ I I I ~ ~ I I I I ~ i i ~ ~ ~ i ~ ~ ~ ~ ~ ~ Located at ~ I ~ ~ i ~ ~ i i ~ ~ I ~ ~ = ~ i ~ ~ ~ ~ i ~ ~ I I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT U pan the application of upon prem ises owned by B.J. ELEC. CO. 4300 STILLWATER AVENUE CUTCHOGUE, NY 11935, RICHARD KOHUT 595 ROGERS RD. SOUTHOLD, NY 11971 595 ROGERS RD. SOUTHOLD, NY 11971 2099070 Application Number: Certificate Number: 2099070 Section: Block: Building Permit: Lot: SDC: ns11 Described as a Residential 1200.1799 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inion the premises at: Basement, First Floor, Second Floor, Detached Garage, Outside, Attic, 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 applicai:>le. ,.code andlor standard promulgated by the State of New York, Department of State Code Enforcement a.rid 'Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 23rd Day 01 . May, 2006. ~ QU ~ &ling Circuit ~ Service I Phase 3 W Service Rating 100 Amperes Service Disconnect: Meters: I I 100 cb ; An as built inspection, of the delineated clcctrical installation, ddermined that an obviQUS hatatd i:s not present and tho installation i5 bolieved to be in eomformance with the applicable reference slOIJdard for the e,timated period of construction oflbe premises wiring System. . . No vi,ual defectS: an .Ictrical survey has been made oflhe exposed electrical equpment in the premi'.. indicsted. No obvious unsatiSfactory condition was found. ,"'. seal 2 of 2 This certificate may not be altered in any way and is vaiidated only by the presence of a raised seal at the location ind'itated. Town HaB, 53095 Main Road P.O. Box 1179 Sonthold, New York 11971-0959 Pax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 5'(;}~ ID&7 . Owner: 3:20.31? l<'-,-hfl-~'t> ko 1.."" ( (Please print) Building Permit No. P\ttm.b.er: ;\/ / If , (Please print) I certify that the solder used in the water supply system contains less than 2110 of 1% lead. ~t'.~ .~ Sworn to before me this ~~ dayo;in~ ,20~ &~ (P4HmlleFS Signature) OCu~ ~r?~ Notary pUblicQ-W \~ounty BARBARA ANN RUDDER Notlry Public, State of New York No. 4855805 Qualified in Suffolk Coun~.1I _ Commllllon expires Aprill~ Richard and Linda Kohut 595 Rogers Road Southold, N.Y. 9178591380 May 21, 2006 Tax Map No 1000, Section 66, Block 2, Lot 43. Improvements and repairs Heating: Furnace replaced aprox 1993 Peerless Boiler Model # WBV - 085W Installed by Burts Reliable Air Conditioning: Central air installed 1989 Trane model # TWV 739P150CO Installed by East End Sheet Metal Bathroom first floor: Repair and replace waste lines - Greenport plumbing Replaced fixtures Work completed 2004 Clothes dryer: Replaced plastic duct lines with metal- 2006 Outside shower Installed outside shower Work completed approx 1980 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans PlarUling Board approval Survey Check Septic F onn N.Y.S.D.E.C. Trustees Contact: Mail to: TOWN OF SOUTKOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthoId/ PERMIT NO. Examined Approved Disapproved aI c ,20_ ,20_ Phone: Expiration ,20_ Building Inspector (/". '.,\. J t1- ~?.tl. \ \APPLICATION FOR BUILDING PERMIT \c~--' Date INSTRUCTIONS S'/~~ 206 G- '- '..-/' a.'rIiis 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 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 ofthe 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. ~ I ~ ~ (Signature of applicant or name, if a corporation) 7 0 L,HT 10 ~sv IfrF /f..y^y /()tJtJ3 (Mailing address of applicant) , State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder a vvlVlfL Name of owner of premises ei"h~o.l) ,."', [.-",1)A ;2, hlA.. T (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland on which proposed work will be done: 5' <; > tZo~(lLj ;2'~l) House Number Street >~...f{..gu Hamlet County Tax Map No. 1000 Section Subdivision '" Block ~ Filed Map No. Lot Lot ~3. (Name) ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructinn: a. Existing use and occupancy :; ,~ / '( 1 A-1tA. :L'1 jI/? t' S , d. ~ "- ~ f!. b. Intended use and occupancy 5 . . 'I. &-1 't. lA-n1; ~ ,A?~ S ,Pt'.... e e 3. Nature of work (check which applicable): New Building Repair -'" Removal Demolition ~~(, II-Trl/-et.~ d. 4. Estimated Cost Fee Addition Other Work Alteration - (Description) 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, 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 Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO v - - 13. Will lot be re-graded? YES_ NO -- Will excess fill be removed from premises? YES_ NO_ a. /,,..,e,, .. L.,It..DA ~ /f~ tv-/Ily 1000'$ 14. Names of Owner of premises I ... K,/J..<AX Address7If"sIIP-ST Phone No. c,/'J f5<; /S'i"e> Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ -- * 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. 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) SS: COUNTY OF Si~t:+=diJK ~!1'~ +:;'ht rt- being duly sworn, deposes and says that (s)he is the applicant ame 0 individual signing contract) above named, (S)He is the (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. 20 -L1o I Signature of Applicant EL:.oLi'':''j.;., i j J. FARRISH Notary Pi.!:}:ic Slate of New York NQ. 01 FA4973285 . /'r 1_ Qualified il! Suffolk County --lJ-l,P Commie-sian EXOlres Oct. 15.20