HomeMy WebLinkAbout32152-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 07/12/06
No: Z-31676
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 245
(HOUSE NO.)
County Tax Map No. 473889 Section 70
LIGHTHOUSE LA
(STREET)
Block 6
SOUTHOLD
(HAMLET)
Lot 28
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 22, 2006 pursuant to which
Building pennit No. 32152-Z
dated
JUNE 22, 2006
was issued I and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ADDIDTIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to ROBERT F LANDHERR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
02/11/00
ELECTRICAL CERTIFICATE NO.
N-515213
N/A
PLUMBERS CERTIFICATION DATED
~~"'"~
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A; For new bulIdmg or new use:
I. 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 I % lead,
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a cetiificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existiug 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.
New Construction:
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, Conunercial $15.00
Date, b /}. R /0 l-
I /
( check one)
5tJcyf} cJ /,
Hamlet
Old or Pre-existing Building: V
Location of Property: :(4 r; AI b II T tiDe) se 1,/);1/ L
House No. Street
Owner or Owners of Property: l? 0 IS /:K'T F ,t..f} ;Vi) If Ef IL
Suffolk County Tax Map No 100;, Section 0 1 () Block {) 6
Lot
o.::?~
Subdivision
Health Dept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
. Ijed Map, Lot:
DateofPerrnitk,/Jt,/9i ~r~Plicant. if o0G~/ .L1J/'IO/fE~1l
~)~ Underwriters ApprovaL tV 5150(13 &/'/4/00
V'" (check one)
r{ 6 0 1-6
Permit No.
Final Certificate:
Fee Submitted: $ J.5 0 C>
.
/?#~/J~
Applicant Signature
~ ')D5~7
coi;;31fr;)'
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.
32152 Z
Date JUNE
22, 2006
permission is hereby granted to:
ROBERT F LANDHERR
75 CHERRY LA
SYOSSET,NY 11791
for :
CONSTRUCTION OF ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR. (THIS REPLACES BP#26076-Z)
at premises located at
245 LIGHTHOUSE LA
SOUTHOLD
County Tax Map No. 473889 Section 070
Block 0006
Lot No. 028
pursuant to application dated JUNE 22, 2006 and approved by the
Building Inspector to expire on DECEMBER 22, 2007.
Fee $
150.00
/
d Sig
ORIGINAL
Rev. 5/8/02
'2:
l::]I!\j~~L:" 1
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET. NEW YORK. NY 10038
PP/:E :
I
Date
FEBRUliE'r 1.:., :Xi00
Application No. on file
; f:;-~<:.el(l'~, . 'j0
N ~)_L52i J
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant nal11:ed on the above application number is in the premises of
EOBER"~' LANDHEPR. 2'[5 LIGHTHOUSE LANE, SOUTHOLD. NY
in the following location; 0 Basement ~ 1st Fl. [] 2nd Fl. Section Block Lot
was examined on FEBFJJ.!\RY gt,t ,2000 and found to be in compliance with the National Electrical Code. .
OTHER
RANGES
AMI. K.W.
COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
AMI. K.W. AMY. K.W. AMY. K.W. AMT. H.P.
FIXTURE
OUTLETS
RECEPTACLES SWITCHES
INCANDESCENT FLUORESCENT
FIXTURES
3
1
F
NO.
A. W. G. AMY. AMP. AMY. AMPS.
BELL
TRANS.
UNIT HEATERS MUlTI-OUTLET
SYSTEMS
AMT. H.P. NO. OF FEET
DIMMERS
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
AMT. K.W.
OIL
H.P. GAS
H.P.
AMT.
AMT. WAns
TVPE
NO. OF
METER
EQUIP. I If 2W 1 If 3W 3 e 3W 3 e 4W
S E
SERVICE DISCONNECT
AMT.
AMP.
NO. OF CC CONDo
PElle
R
A.W.G,.
OF CC. CONDo
V
NO. OF IiHEG
C
A.W.G.
OFIiI-tEG
E
NO. OF NEUTIlAtS
A.W.G.
OF NEUTIlAt
OTHER APPARATUS:
G.F.C.1:-1
PAUL E. BURNS
PO BOX 1061
SOUTHOLD, NY, 11971-0932
L1C.#3897
.
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GENERAL MANAGER
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Per
This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors 'may be Identified by their credentials.
I ATE MUST NOT BE ALTERED IN ANY MANNER.
"3 J-It'~f::
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] I~ATION
[ ] FRAMING I STRAPPING [;11ijNAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE b #fi!J(,
I
INSPECTOR
I
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SO~
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---.
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765-1802
BUilDING DEPT.
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
] FIREPLACE & CHIMNEY
[
[ ] FINAL
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.----.
....
DATE I J / prj
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765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST [] ROUGH PLBG.
[ ] .fOUNDATION 2ND [~SULATION
[j/f FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS~ /J/~ ~ ~
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DATE
.26076{
765-1802
BUI1.DING DEPT.
,/C
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY
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DATE r~/t/if
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1.0 INSPECTTON R!l.PORT DATE COMMENTS I
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JGH FRAME &
PLUMBING
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
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TOWN OF SOUTHOLD ~OPERTY RECORD CARD
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STREET
VILLAGE
DISTRICT SUB.
LOT
OWNER
S
E ACREAGE
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Moyc.\1ese W BIf () ER. TYPE OF BUILDING
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FARM COMM. I IND. I CB. I MISe.
DATE REMARKS
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FORMER OWNER/(arJr"n
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LAND
IMP.
TOTAL
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AGE
NEW
NORMAL
BELOW
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Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
BULKHEAD ;Vb
DOCK
Tillable 1
Ti liable 2
Tillable 3
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Woodland
Swampland
BrushlClll4
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House Plot
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.
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Extension!! I'I"-r~.l "- 4~J>-" - , , ,
, " , Bosement ~ If Floors I
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Extension)(! 1;2 I{J5'.~ !..J' ( ..9..J..."l- i Ext. Wolls I Interior Finish
liords Ii) ~ I
, .:. .2.76 I --r . Fire Ploce 19B r
Extension : IS-I( IP J I Heot
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1 . Porch Roof Type /?, K' . k
N0..J 11111"#/1..41-2 ,( f '? Aft) . I
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. 2. ~ i Porch Rooms 1 st Floor I
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Breezet;~jJ;::flB(o~~ ! "f~ I --I ;
.
11!i . Potio !JbJ Rooms 2nd Floor 1
, .
Goroge ! I.f)(;r~ ~'f~)..~ J..G.-P Driveway Dormer
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FORH NO. I
TOWN OF SOUTIIO/.D
BUILDING DEPARTMENT
TOWN IIALL
50\l1'1I01.D. N. Y . 11971
TEl.: 765-1802
BOARD OF UEALTlI .........:.....
3 SETS OF PLANS ...............
SURVEy........................
CllEClt ......................... ... ...
SEPTIC FORM ...................
l!lCDnined.................. 19....
^1~>rCN<'()...JD.~Z~...... 19.<=J?/ Pennie lb. ..J.k"-l0.~.
NOTI FY :
CAI.L ..................
HAll. TO:....................
...................................,
....................................
D '.:L~, i r , (J~J11dl"llln.l>ector)
1111.
;Ill.
, . t 2. 'L:: PI.ICATTON FOR IlUILDING PRRHl'r
'Date.. .?.I.\.~...... .19~!.
s. 'n,l. application uuat be co",letely filled In by typewriter or in Ink and "'~J1Iitted to the nuildlng Tl1fIpe<:tor ..j
3 set. of plans. accurate plot plan to scale. Fee according to schedule.
b. Plot plan .howlng location of lot and of buildings on premises. relstloashlp to adjoining prenlseR or Id.lic
Rtreets or oreSR. and Giving a detailed des<:r1ption of layout of property mllst be (lr~ on the dialVan ....ich IR port of
this nPl.licotion.
. c. nil! '-Ork covered by this oppllcatloo ....y not be c:<mrenced befor!! Issunnce of Ilulldlng Permit.
d. Upon approlTal of this application. the llulldlng InRpector "Ilt I.sue a Ilulldlng Permit to till! appllcont. Such
permit .hall be ,kept on the preulses svallable for Inspection throughout the loIOrk.
. e. No building .holl be occupied or used h, "'101e or in part for any purpose wtever until a Certificate of
Occupancy .hal1 have been granted by till! nullding Inspector.
fIPI'I.lCA'nrn IS IERnIlY tllllE to till! ~.ndlng IJepnrtment for till! issuance of 0 fulldlng Pennl t pur8UlU1t to till!
llulldlng Zone Ordinance of the Town of Southold.&Jffolk County. New York. and other applicable I......s. Ordinance. or
l!egulations. for the construction of bJlldings. additions or alterations. or for nsroval or denolltlon. as herein
described. n... applicant agrees to ~ly with an applicable laws. ordinances. building code. housing code. oncl
regulations. land to ..anlt wthorlzed inspectors on premise. and In building for necessary inspections.
KC?'P.<?r.'.. J?~~ .~r;~~J.~:..............
(Signature of applicant. or J1SI1I!. If a corpor.tion)
f..O. P.:P.i. ;?9...f.( ~Y.1i~1 N.Sl.. .t.L9.~<9........
(Hailing address of applicant)
BLDG, DEPT.
TO\~!N OF SOUTHOL::l
INSTRUCTIONS
Stote "'1l!t1ll!r applicant Is owner. lessee. ~ orchltect. engineer.' general contractor. electrlclon, plumer or Ix.lI,le
............ 'TJf?f:\~. ,:; .~~..........................,....... ................................
Naoo nf ........r of prenises .1~h~~tT. .~..Jp1.\;f;1..lo..t\d.6exx: ,....... .... ..... ..............................
(as on till! tax roll or lote.t deed)
ture f duly wtlx.r1zed officer.
.......................
/
Iluilder. I.icense No. .7;:i~ 1.-:..1:1 +:.......
PIUli>et'8 License lb. .............................................
Electricians J.Icense lb. .....................
Otlll!r Trade's License No. ....................
I. IDeutlon of land on ....leh proposed work will be done..............................................................
...... /?H.!?............... ..41'-f;:.b.I!fI.g .li?/J.?-.... ........ ......... .~/:f!'f>81.....................:....
Uouse IUtller Street llaa1et
County Tox Hap No. ICXXl Section .....~.Q....... BlOCK .......(.q....... IDt .z.~..........
SulxIivi.ioo ...................................... Vlled Map No. ........;...... IDt ...............
(Nane )
'-,
2. State existing use and occupsncy of premise. and Intended use and occupancy of proposed con.troctlon:
a. oo.ting use and occupancy .....O.N...~.~\1;:..~~\l.\.\ct::.......:..................
b. Intended lIse and occupancy ..AJ..J..l.--h..'!:0..f,.........9.(~A~lsf!.i[!}..............
." _AIlDeI&l2 ,:)IJ6U'l Yl'lATOM
~:~~'IfId/Iue .tH6000TZ 10.aM
.8 IIIWt. ....iQ.l3 IIl18 T
1.
'..
5.
~
/
./
/
It.lllre of work (dleclt wild. appllcablela Ilew ~l1dlng .......... IIddI t Ion .......... Al terat ion ..........
IlclNlir ............ Ilenoval .............: llenolltlon ............. Other Work ..................................
,f ~Descrlption)
Kat ill..te" Cost .. IJ;<??!? : ~. .. .. .. .. . fee ..............................................
(to be paid on flllnn this ul'PlIcetlon)
I f ,~...lllnll, ,,,,her of dwelling .a.lts ............ tblher of ,k...lllng units on each floor ................
If guroYae. I..l.~r of care .......................................
6. If I_,slness, can...rclal or ml_foccupsncy, specify natura snd extent of euch type of use......................
7. lIimon.lons of existing structures, If sny. l'ront................ Rear ............... Depth .................
l"'lllht ......................... Iblher of Storlea ......................
III.en.lolI. of ...... atmcturevlth alteration. or 'addltlon.. Front............... Rear ...............
· lleplh...... .............. llell!l.t .................... tiJlher of Stories ............... _____. h_. .....
II. IIlmonslolls of entire ~ con.tructlon: l...ont................ lleur ............... Depth ..............
11018''t ......................... thlher of Storie. ..................... .5 t.
SI... of to~: l'root.................... Rear.................... Depth .................... j
)lute of P\lrt:ll88e: .......................................... ~ of )I'onner ().loner ............................................................................... .
Zooe or use dlatrlct In Iohld. prenlses are situated ...........................:..................... :.:::..... ...
9.
In.
II.
12.
n.
Does proposed collatructlon violate any zoning law, ontlnance or regulation. ........................
will lot be regraded .................... Will exce.s fill be rEnOVed fTan prESOlses: YIlS N)
Na,.... of OoIner of premlse;R~..~n~~~. Addres.1~~.~er!JJ{ppt.)j.I?'?{~!;/.!!A. ~IOlle lb.~~(:.~~~t
. tI'791
lI",e of Architect ......................,............. Address ....................\......... I'hone lb. .......~....
lI....e of r.ontr8Ctor12<;>h;..r:T..~().............. Address-:1~. .':Ium(h~l.. fW~.... .l1lOne lb.1!;;.;?:-.( 1./.9.
,
1'1.
15.
Ts Ihls property vltlaln 300 feet. of a tidal wetland? ,. YIlS .......... N)..........
,. I F YIlS, fnJ'nlID 'lUll 'ltlllSl1!llll PIlllHI'f H<\Y 00 RIlC~IRIlIl.
I'J.OT DIAGRAM.
l.ocate clearly and dlatinctly all buildlnga, ,,{Hlther existing or proposed, end indicate aU set-back dlmen.lons
fmll I'rO(",rty lines. Give atreet end block CUlber or descrlpt Ion accordlllg to deed, and .how street nares .nd Indicate
\.A~lher Interior or comer lot.
f~ML fw- a.1tQJd ~. ~ jW.uJ (]
l
Sl'lim (X' t'o\iW YIXlK,
SS
(UINIY (X, .......................
C-, ~ v'
.~eJ.lW......r.\O'~.:.J.leh.L................heillll dilly SW<101, delXlSOS and says Umt he is Lhe appl.i'~lI11:
(Ilnl" lIf ia_llvl,kJ81 slglllng contract)
nbove 1'Rlled.
Sic> is Ihe .......((.;.~~~;;0~.~;~;~~;.~f.fi~;;:.;~~:).... ...... ....:... .... ....... ............ .......
lIf said ''''"l,. or ownern, ...1lI is ,hlly 8ULhorlzecJ to perfonll or hllYe I",rfllnlled Lhe nald ..ork und to moke und file II';.
"w1Icltioll; Lhllt aU statell!llta cOlltalned in thin Ill'l,licutlon lire tnX! Lo U,e hent of hln knowledge ulld \><ilief; llIKI
IhllL Lhe wurk viII be perC'onred In the .llOner llet furLh in U,e applic.ntloll filed therewith.
~lm 10 before me U,ls
....../.OL......dlly of ~.:;.~!;1 .
Ibtery I\JbllcC&:"r:*rI. f!.~'
....~Amm.
. ~~~.
Term ExpiNI.ble..
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)
?:;lIS;; L
PERMIT NO.
~60'''6--Z
Date OCTOBER
26, 1999
Permission is hereby granted to:
ROBERT F LANDHERR
75 CHERRY LA
SYOSSET, NY 11 7 91
for :
CONSTRUCTION OF ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR.
at premises located at
245 LIGHTHOUSE LA
SOUTHOLD
County Tax Map No. 473889 Section 070
Block 0006
Lot No. 028
pursuant to application dated AUGUST
Building Inspector.
12 1999 and approved by the
Fee $
75.00
ORIGINAL
1/19/98
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APPROVED AS NOTED
DATE: .IO'U,'l'l B.P'#~OI"&
FEE:..!.1S!-BY:..J . R.c.1I ~~
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING .. PWM8ING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION 8< ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
UNDERWRITERS lD11fICATE
REQUIRED
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PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
REQUIRED BY PART. 714 OF
N. Y. STATE BUILDING CODE.
PROVIDE SlOrt-DmcnIlG
Wit" DmCQ
AS 10 PARt 721.1
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