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HomeMy WebLinkAbout32329-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 09/25/06 No: Z-31840 THIS CERTIFIES that the building ADDITION Location of Property: 9275 NASSAU (HOUSE NO.) County Tax Map No. 473889 Section 118 POINT RD (STREET) Block 4 CUTCHOGUE (HAMLET) Lot 14.2 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 2006 pursuant to which Building Permit No. 32329-Z dated AUGUST 30, 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 WINDOW ALTERATION & ENTRY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOAN M KEATING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-481744 03/05/99 PLUMBERS CERTIFICATION DATED N/A ~iZ~ Rev. 1/81 NOV 18 '04 03:~:jI-'M ~tt'M-U DU.LLV.LI'U V..JA , i APPLlCATlON FORCERTlFICATE OF OCCUPANCY '.", .,- i j Thi; application must be filled in by typewriter or ink and submitted to the Buil~ing Department with ~. fOlloVi1n~:}'~: :,~,~ . lIoflll No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~.:--. .,\ " I 4 21'06 ;/ . '! A. For neW building or new lIse: I. Final survey of property with accurute locatioll of all buildings, property lines, streets, and unusual naWlal or topographic fcatUrCS. 2. Final Approval from Health Dep\. of water supplY and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. ~Wom statement from plwnber certiJYing Iliat the solder used in system contains less than 2/10 of 1 % lead. s. Commercial building. industrial building, 1nultiple residences and similar buildings and in$tl\IJations, a certificate of Code Compliance ti'om arcl1itect or engineer responsible for the building. 6. Submit Plamling Board Approvai of completed site plan requirements. n. For eJeI.tinl: buildings (prior to April 9, 1957) non-coDforminll uses, or bolldlngs and ''pre-existiDgN land ILles: I. Accurate S~lI'vey of properly sbowing all property lines, streets, building and \ll:lIl$Usl natural or topographic features. . 2. A p{tlpcrly completed appliclltion and consont to inspeot signed by the applicant If a Certificate of Occupancy is deuied, the Building Inspector sball state tbb reasons therefor in writing to the applicant. ij;, ~ J C. Fees 1, Certificate of Occupency _ New dwelling 525,00, Additions to dwelling 525.00, Alterations to dwelling 525.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Bu.inessea $50.00. 2. Certificate of Occupancy Oil Pre-ellisting Building - 5100.00 ' .H.~1;h,G\my,..~f~Stific.r:teof9ccupane>,,$t25. '.'.' . '/' .' . ...... .......' .. . . .. . ", '4"'!:U' '.~cd._~ 'C~fi:*'O::;o-"""~l;n'''j(5'5n:,,^',''':;' .,. "j," \i'Y'" "e"';"""""'''''''':' "., . : 'A',,,', "',,''''',, ',,' ',.,. .'" pW\,~ ~'" ""a_ I""'CU""",GY.~'W""""""""" """"""."""",''''''-i!';'-''''''. .,<li""""""'" ,,""",' '.if":'''''' .', '. , ." '1' "" ".' Cerdl little 0' C' ,.: ' "Re' 'liiiii\stS'O'O\'!C("""" '~f:$15~no':':\':" :i<,,~,l"";"YhVid: "t~t.;i",'<j~)"f""''''';.?''\ ':.;," j, emporary. I c 0 CCLlpancy - 51 n. . ':',' '~:." "'''9JiJd?''''':,,~?1~:t'l~;5i1:~'!:'''i;!::;:>\''~''';:;; Ncw Conslnlction: Old or Pr:-existing Building: Location ofPropcrty: ~ 1-)" N /}SSM 61. rfla/ House No. . Street Owner or Ownen ofProper\y: 'XOviJ ~. J;p~l.vi SuffllikCountyTax Map No 1000, Section ./ { ~ Block 00 cf Lot(J{'f. CV~ Subdivisior0~~.;l ~__~: Filed Map. Lot: PeJ1nitNo.~(, L _DaleofPcrmit.1'h.J9~ Applicantt!JJVIIiJJJ/fIIJOre:MF A txu.Nf7.... }.J I (A Underwriters Approval: tJ '-if, /7 <{V (oJ /~ (cbeck one) o..{_J-cA()~ ,<-L HlDIlet H~,aIU, Dep!. Approval: Request for: Temporary Certificate /]5~ Fee Submitted: S Gt- Final Certificate: L (check one) Plunning BOlll'd Approval: ftps, 6Z~.710If CC-'C .,1~V6 P.;f ~s I~/..p c:z- - - - --~ --- ------ 1001093 I THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Hl\PCH ()5/1999 Application No. on file 1.7::i90399/99 Date P,;CE .l Hel=:: 71j,:} THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of STANLEY KE1\TING, 9=75 Nl'.sSAU POINT EOAn, POLE 155B, CUTCHJGUE, NY in the following location; D Basement IX] 1st Fl. D 2nd Fl. OUT Section Block Lot 8"795 was examined on FEBRU.?I.PY 26,1999 und found to be in compliance with the National Electrical Code. FIXTURE OUTLETS FIXTURES COOKING DECKS AMT. K.W. OVENS AMI. K.W. RANGES AMY. K.W. RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER 6 4 4 2 4 1 6.5 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BElL TRANS. AMY. K.W. OIL H.P. GAS H.P. AMY. NO. A. W. G. AMY. AMP. AMY. AMPS. SERVICE DISCONNECT NO. OF METER EQUIP. l' 2W 1 e 3W 3' 3W 3 e 4W NO.OFHI-LEG R V S E NO. OF CC CONDo PER. A.W.G. OF CC. COND AMY. AMP. TYPE OTHER APPARATUS: MOVE }b\IN DISTRIBUTION-1 P.~L OUTSIDE -200A--1 G.F.C.I:-1 DOROSKI ELEC. INC. 425 HONSELL LANE ClJTCHOGu~, NY, 11935 LIC.#2941 DISH WASHERS AMY. K.W. EXHAUST FANS AMT. H.P. 6.0 1 1.2 UNIT HEATERS MULTI-OUTLET SYSTEMS AMY. H.P. NO. OF FEET DIMMERS AMY. WATTS C A.W.G. OF HI.LEG E NO. OF NEUTRALS A.W.G OF NEUTRAL LLL GENERAL MANAGER 11 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 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. 32329 Z Date AUGUST 30, 2006 Permission is hereby granted to: JOAN M KEATING 35 BRETTONWOOD DRIVE SIMSBURY,CT 06070 for : CONSTRUCT AN ENTRY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING & ALTER SAME REPLACES BP# 25186 at premises located at 9275 NASSAU POINT RD CUTCHOGUE '\...... County Tax Map No. 473889 Section 118 Block 0004 Lot No. 014.002 pursuant to application dated AUGUST 23, 2006 and approved by the Building Inspector to expire on FEBRUARY 30, 200 Fee $ 150.00 ORIGINAL Rev. 5/8/02 3?-J:J-{ Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATIO [ ] FRAMING I STRAPPING v>t'FINAL \ ~ ( [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ,F~ 4, L-<t- 01\, DATE ? r-I,l-()~ INSPECTOR ~ ~ (J~/ft f 765-1802 BUilDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] F~ATION 2ND [ c.y("RAMING ] FINAL ~ ~ /Y /C:c }<;\g~ 765-1802 BUILDING DEPT. INSPECTION [ ~UNDATION 1ST [ vi'" FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REdS~~~\~ 'F-~I7f DATE II II J fer?" INSPECTOR (' ! :1=:l:.D- I::S~;2:71()i~ I . ~OUUDA rION ( 1 st) .OUNDATION (2nd) 2. ROUGH FRAME & ,PLUMBING' 3. INSULATION PER N. Y. STATE ENERGY CODE It . FINAL /!) /F/-M ~A .L/ . -0. 9lU- tv COMMf.NT~ ,/ L ./ / -L' / 7..G.}"-- , f".;a;r r;J .~ , / A^'-/ /7 __, // /./ / 1I0;'';E ~ II/;Z ~ /'-;: I I ~A'7. 1/" ., 0____ / A. 1/ / h. LL / / r O/c' . . , . //'7// L ,L#!<<, ~~~ -4_ ~ //.A ~..- a;t Iq~3. (}h -y ~ /I lL - r- .41/ /X ~ ..... . f /f/1 (/ f':5' /. '-- .. -I . ADDITIONAL ~. dd:7C;-~. ~ /? A ~~ A COMMENTS: - ) "" ~ , P' OR- /A "3Fi:; ::.. \ " ?/ .~ i!.JI ) ~./. . .,,~ ~5l.) .,. \.N .... >-l ~ "" " ~* .~~ i~ ~ 't. (f)~ ~~ l'l ..>-l ~ ~ ~ :r I~~ 1 .~~ , z '> 'l<J ..... ~\.~ -~ t . . ----....... ~ H'~- .. 00- ~ He> o ,zOO 1- -41 :c ~ ~~ ;l~ o l':I ... -I ~~. .-' '. .... Ill' ~3#J1.~..~1&Cd~~~~5Jr(" WNi((1F SOUTH OLD ~OPERTY RECORD CARD D? S-' VILLAGE DISTRICT SUB. 17' ~ ACREAGE \. 9~ UM -if , .} LOT'/. ) (."'"'d . \,,!, ".I :,( '. 0/- 0'-/), E w TYPE OF BUILDING ~:-r, A /' If! :'-, ~\:.A<.... -t=1- .\:- . - . - !l(./, I MISC. SEAS. VL. '/ FARM LAND IMP. TOTAL DATE COMM. REMARKS l'l -" -y-y tf)~ ;;;t- g-. C' 0 6,)'66 r:; ~'i'V blOc} ~ .lJcfl/l-T:D~/', VorMJ/'/e, . := 2 d() " Form Tlllob'-~ 1<tJJ..~. ''fjllobm:-:r- /--.-- "Wt5BClllintr "'-0 ,2900 '~.2I(.,OO , ~ l:Mel- -- .-... ~ /~ 3 { ~ .. I~ 1 - - - ., ., " .,/, I tj I 'I 3 I'll I" ~ IE: j " "11' '" M. Bldg. Porch Attic Foundation Both' > '1q 0 .j /{"Jtt . Basement Floors Extension Interior Finish Extension Ext. Walls / .J1Mt. HeOlt Extension ~ .:l,L/lJ o Fire Place \' t , \ \ I, ~ ~t ~/' ' __7 i ) . : '-,/ 0. 10 ,x } Garage i} .3 (p .-. . O. B. I c ~ J/ , ^ f, Rooms 2nd Floor { Porch Rooms 1 st Floor ..., 'i.)(,' " "."r Patio l>'~ ~: 1 \ n l .....~ .~ ~~_D ....... I -"--T . ......._-;.f*\. ',' -- '-. ('- ,),f" 00. /( ~v /J 01'-11, [3/tA--W'"1.. ")J~~ ~. ill ~.. u w ~ It\ JULA- ~ FOltH NO. 1 TOWN 01' SOU1'IIOI.O UUII.DING OEI'ARTHENT TOWN IIAU. SOUTIIOI.O, N.Y. 11971 TEl.: 765-1802 80ARll OF 11Eh/:rn .~........... /.l SETS ~LANS ....... .'....... SURVEY ........................ CIIEC~........................ SEPTIC FORH ................... ",,,,",,,H fl./t'-::, H, ::J ~"""~. H H H H H H lli""l'l'mved ole...,.............................. NOTIFY: Ch/,L T3J -:.7 Y.7.1- .. .. .. HAll. TO:..... ...... ......... ................................... ................................... H.... H",H..H' 'H' H............ H: ~J:.,;~H' ^rrl.IC^1'ION 1'01 rEllHTT .llate.V~.~i. 28... .19.'1~ I HSTllUCTlllHS n. 'Ihla nppllcntl"" mlRt he eu1vletely filled ill hy tYf1C'.rlter or In illk nl.1 mdmltted 1:0 the I1l1l1dllll\ TllR(lec:tllr.- 3 ....ta of plana, acc\lrate plot plan to scale. Fee according to sched\lle. h. riot plan """,Ing locatIon of lot nod of h"I1<lIngs 00 premlseR, relntlooshlp to adjoining premises nr ""hi Ie slrectR or cu"eas, nod nivinn a detailed description of: luyout of property WlJ8t he drAWll on the diRgron which in JWut. of lhis 111'1'1 icntion. c. 'n", work covered by this oPl.licat Ion .....y 1I0t he ccmrenced I",fore iSSlwnce of l1uilding Pennlt. d. Upon approval of this application, 11", J~lldlng Inspector ..Ill les\le a fuildlng Pennlt 'to U", al'l'lkallt. Sll"h (lermlt shall bekept on t1", premises availahle for Inspection throll81lOl.lt tl", oork. e. No building ..",11 he ocCllpled or .......1 In ..hole or In part for any ",'rpose "!lIltever IlI1tl1 a l".ertlflente of OcC\lpnllCY ",all have heen granted hy t1", 1111lldlng InRpector. t\I'I'I.Ir.A1'IOlIS lEllEllY ~WE to t1", Ikll1dlng Department for 11", 1e8\IDnee of II J\,llrllng Pennlt "'1r1l\W1t to the lluilrllng ZOne Ordinance of the Too<n of Southold, Suffol~ County, New York, nod otl",r appllcahle I.....s. Ordinances nr Reg\ll at ions , for U", conntructlon of 1>..l1dlngs, addltlona or IIlteratlons, or for renoval or denolltlon. as I",reln described. 1\... applicant agreea to ~Iy with IIn applicable lawa, ordinances, building code, housing code. IInd regulatIons..",... to sUnlt authorized Innpectora 00 premises and In building for r>eeesR8ry Inspections. . rr EliIY.IRQNMEII1:I:. EAST. .INC........................ (Signature of applicant, or name, If II corporlltlon) . P.O. ..Box. .19.0..PEG:ONl.<;:. .N...Y...,.............. (Mailing addreas of applicant) Slate ~lelher applicant is owner, lessee, agent, architect, enntneer, general contractor, electrician, plurber or huih~ . . . . . . . . . . . S;!';~!';I,l.AJ;.. . 9QIJ:J:ll-A9:J:9R. . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ""'" of o<omer of pr...lses ...m ~:..~... f.Y\ ~.~:..... ~:.. ~t;=:~1:~~. ~:............................. ......... ." (as on the tax roll nr lotest deed) I IItloo, algnatuTe of duly nutl.,dzed officer. .... .Pete];. .S~.. Bt:ou,t:.enl3urgh, Pres. Ibre and title of corporote officer> ~Iilders T.icense NO. 5556..H.I............... PIlJTbers License No. ......................... Electricians I.icen.se lb. ........................................ Other Trade's License}l). .................... I. laelltion of land on ,.!.leh proposed work will be dood............................................................. ..... .€t1.?\ 9.. .9?J.5:... N.is~~.... P9.~~~.... .e:..'?:.......... ..C:-:>. :I~~.~.~................ lloose lUl""r Street llanlet . County Tax Map No. IO:XI Section... ..\.I.~....... Ulock .....1:....... Int ......1 +.:~':... &1IK1ivision ...................................... Filed ~"'p 110. ........;...... 1.ot ............... (Hare ) 2. State existing use and occupancy of premises and intended use anel occupancy of proposed construction: a. r",isting use nod occupancy ...:s.\~I.e....~.~t1......ct.W~~.U0........................ . h. Inte~ use nod occupnocy ...~('J~i~~/~.f~~jJ...~!..W:?:d............ 1. 1'..lure ot work (dleCk w.ld. applicahle), Ne\lllulldlng .......... Mdltion .../.. AIt~op ...~... " i llepuir ............ IlenlOl/al ............. lleloolitlon............ Other l-lock ..., ....... .tItII..t...........: .j. + 7. \.- j \nt~~!!:ti~~_....-J''-'l !!atl",ute" Cost..... /.J. .C} O.~.~...... fee ........... .............. .:..... ...,,,,,'... :.1;...3 I (to he paid 00 filing Ih'nr'jjPl'lic';tton}..'.4:":~_.1 If 1~...llina. lu,.",r of dwelling lu,lta ......1...... lllll",r of lk....lIlng IUllta IX. each floor ../:!-!t........ It Burage, ......:.er of cars .....N.f::............................. If huslness, com-erclal or mlxa(" occupancY', specify nature auc.J extent: of each type of use...................... 1I1",.nolona of exiftinl\ atmcturea. If any' Fr"nt....(.l.(e...~..... Rear ..1ff:.Iq.;.... Ilellth' ....~:~:..... Ik:illht ......~t.:Q...;........ !'l..I",r of Storlea ....~................ C;+;. Ulmenuioua of 8I:lre Btnw:ture whh alteratlona or additions: Front.... ..N. ~.. ~~!~ltea[' .............................. Ilcl'th .................... \Iellll.t ....10.'.-.9.......... Ib,.",r of Storlea ............... J.1-' 1 8" nillemiloCl.a of entire new constructiul: ll"ront...... .. .."(:J.~...... Rear............................ Depth...................... . \ l( j 1..IIll.t .........LQ.:R.......... Ib,.",r of Storiea ... ................. ) I 81... of lot; l'rUlt ...i.l?Q:!?~........ Rear ....J.C!?:~I....... Ilepthf.-.'?-4::?~..-::..1.z..g.44 ',. 5. 6. 7. n. 9. ilL iI. 12. n. IlrJl.e of P\led,oRe ......................................... li.'J:re of Jf'orll~r Cuner ...................................................... Zol", or use diatrlct In ..hld. pr..nlsea are aituated .... .~.:-. ~................................................. Ib,a pro(Xls,," oonatructlon violate any zoning law. ordinance or regulation: ......~.............. NO ~ Will lot I", reuraded .................... Will excesa .fllll", r,,"oved fran prE5l1lsea, YI!S e; . llillea of O...",r of I'rEIDlsea .~:.~.~:.l.~~......... hklreaa B.7.'1.~.f':J.~..f.T:.~~:... P11Ol..lb.1~".l.:-~!~:. 1'1. No.11e of Arcla lleel: ........................................................ Mlres8 .................................. P110lle lb. iii.... of r.ootractor Env1,rol'lment"Easb' '.Iil'lc..... ^,klreaa .P.~O.~. .1.<;I.U. ?e~oTlis<.... ..111000 lb. 7.~~.-; 7.4 7.4.,. 15. la Ihla pffit",rly wllhln 300 feet,of a tidal .....l1sn<l1 * YI;;S .......... It) ..).~?~~ *IF YIlS. SmnnD 1UIl1RJSTIlI!S I'IlItll'l' Ht.Y Ill! 11Ill~IIR1!ll. ., 1'1.0'1' III AGIIAM locale clearly and dletlnctly all bulldl"lla, ..t..L1",r exlatl"ll or propoaed, alld Irdlcate all set-back dhrenaiona frU11 property lines. Give street 81ld block h.-her or description according to deed. and SlOW street nones and Indicate ,"'.elher illt:edoc or COl'"ner lot. t Sl'/(m IJ' tI;W YI~lK. IUJNIY IX' . .S]..\f,1;oJ.l$.,........., ss .......... ..f.~t~+..i?... ~tRl}~",!!l?~;-~J:1.............. .beil1IJ dilly swurn, llelXlaes a.xl suya lhot he is Ihe OI'IlU"lIlt (lIille uf i1xlivilkll.l sl811111g clx.tract) uhuve "1A1ec.1. lie i8 Ibe ..General. .COo.trac.to.r:...................................................................... (ConLractur, Dgent,....corporate officer., etc.) uf "aid o.lner ur owners: mKl ill duly aUlhorized tu lX!rfonn ur hUVH perfoClIl(.,"() the said work oud tu noke atxJ fil.c lhiH "Wl kilt II.,; Ihat nil slolerenta cl..tained in this nl~.llcall(., are Ime 10 U,e hest of his knowledge and belief; lu.1 lhot the ",uk wi II be perfonned In the "'''''",r set fonh In lhe oPI'I.icotion filed tl",rewiLl.. ~)nl lo before Ire IJlis () .... .3/ ::-::..... .dllY of !;.~... ..'9.fc. IMary I\wllc ~..J4,4u.~.d2.~:-:e. . HELENE D. HORNE Notary Public, State of New York No. 4951364 Qualified in SuHolk County 90 Commission Expires May 22, 19..f..L /// G....... ... ~... (Sill.IlII""e of ^1~IUcllnt) II. ~ -. . j~" -- ',,, " " .-........ ...... - ./it: ,'_ '. 'I-.t~ . " ,~h~;: "', "'i, -.1,,- ,j'" ,y .'., ~, " ',to . , " .' " ;\ " ~,'::~' .. ..~. . ~~ ~; <" ......'tlri. " ':,'. . ," '0 ..' ...".... ~~.Y l~:~~: -'."~ . . ", ><'t', ",..- ",,"" ~ " ,-:'. . '~.' ",- , "",. '.. ., .,:\ '. ... :.. , , -~""--t. .:."i. ." .;;{-: ," .'> ,",' . . ''''~ '. .~ ';A., :. '. ',' '. "'\$\', 'f ~; ,,.,., t~. ...:. , ....., ; ;;: - .~. ; -. '. :~~;'~;j" . i. ..~'~~:~t:~.~~;;.:..'!~ ~ '" ,"-".',' :;':i'''jt.~:. . ; , ,'~' ,;,:)'i:>' ~~:: "- ,;',;'" :,) '\'1, .... ,': I_t.;.';:.,~ ';',' " .',. ," .' )'~;~1r~.rr)!~t~~~,~,,~~'~;~'h''''~'l:'-'~''': . '. . . . . .','" .' -~"', :'. . . ;.':1 ~F.. . ;:"~ ,!I....::.:~_::'~. . '&."~~)"; .. . i J".~~' ",j",- , ............... . " _' '- < i'. 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