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Home My WebLink About32041-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-31852 THIS CERTIFIES that the building ALTERATION Location of Property: 195 VILLAGE (HOUSE NO.) County Tax Map No. 473889 Section 18 LA (STREET) Block ~ ORIENT (HAMLET) Lot 8 SUbdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 1, 2003 pursuant to which Building Permit No. 32041-Z dated DECEMBER 5, 2003 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 KITCHEN ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELIZABETH J PEYTON & ANTHONY JUST (OWNER) of the aforesaid building. SUFFOLK COUlilTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1191288 05/13/06 PLUMBERS CERTIFICATION DATED 09/11/06 KING PLUMBING ~~ h ~ze S1gnature Rev. 1/81 , 20 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 IDNi ~U5T -p 0 lJD y. 14,9 t>~1 Gl\J1 N J II ~ ~l rrrt ~~ p rc r " fC : I'" I l.__' , . n..__APPLlCATION 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 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 Jess 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: '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 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 - VILL1\-~t Street Date. ~ p+ i ~ f2D0 ~ "- (check one) tA-lVf" Of.fFnJT Hamlet New Construction: X Location of Property: --.1..1'5 House No. Owner or Owners of Property: . F\mHo 1\11 Old or Pre-existing Building: Suffolk County Tax Map No 1000, Section Subdivision dvH 0\'1II,A (;l.-I "'Z.. 14/3 t;TH P~Y7(j,J Block Lot Filed Map. Applicant: Underwriters Approval: Lot: Permit No. ,2.. 0 l/ I 7- Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $2.S GO Final Certificate: )( , (check one) ~~ ~. 110?>7 ~O !C'3f85.2- 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. 32041 Z Date MAY 25, 2006 permission is hereby granted to: ELIZABETH J PEYTON PO BOX 540 ORIENT,NY 11957 for : KITCHEN ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. (REPLACES BP #29904-Z) at premises located at 195 VILLAGE LA ORIENT County Tax Map No. 473889 Section 018 Block 0005 Lot No. 008 pursuant to application dated MAY 25, 2006 and approved by the Building Inspector to expire on NOVEMBER 25, 2006. Fee $ 150.00 /~<~f ~ j Authorized Signature ORIGINAL Rev. 5/8/02 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ First Floor, kitchen only, ~ 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 ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ authority having jurisdiction, and found to bEW/1compliance th~lVifR~ the Day of ~ Name OTY Rate Ratin. Circuit Im ~ Appliances and Accessories ~ Range 1 0 50 Amps ~ Wiring and Devices ~ Outlet 1 0 Fixture ~ Fixture 1 0 Incandescent ~ Outlet 10 0 General Purpose I Receptacle 5 0 General Purpose I Switch 5 0 General Purpose ~ Dimmers 5 0 I Receptacle 2 0 I I I I I I I I I ~~~~ I I ~ ~ ~ I ~ ~ I ~ I ~ I ~ I ~ ~ ~ I I ~ ~ I I I I I I ~ I I I I I I I I I I I I ii!Iimi! ~ 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 BRIAN BROOKS ELEC. INC. BOX 1001, 455 BEEBE DR. CUTCHOGUE, NY 11935, ELIZABETH PEYPON 195 VILLAGE LANE ORIENT, NY 11957 195 VILLAGE LANE ORIENT, NY 11957 1191288 Certificate Number: 1191288 Block: Lot: Building Permit: BDC: ns11 Described as a Resideptial occupancy, wherein the premises electrical system consisting of electrical devices and wIring, oescribed below, located in/on the premises at: GFCI seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town HalJ, 53095 Main Road P.O.. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 9)' /0 {p Building Permit No. owner:J;;^>? 0" t...s+- g'J~ P6.{ k-v (Please pnnt) Plumber: ~J~l PL6'~1- (please print) I certify that the solder used in the water supply system contains less than 2/1 0 of 1 % lead. ~II. ~ (Plumbers gnature) Sworn to before me this l \~ daYOf~ ' 20~ ~QQ~ Notary Public, ~ \..1>--' ~ ~ County IARBARA ANN RUDDER Notlry PubUc, SlIle 01 New YOlk No. 4855805 QUII"ild In Sullolk County ~"\ 0 Sommteefen hIlllI. "'~114, - J )-<J <f (-z:- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~IA [ ] FRAMING I STRAPPING [ ~INA /ciro/""..d [ ] FIREPLACE & CHIMNEY [ ] FIRE SA REMARKS: DATE 1.5/4 I INSPECTOR S I ( ~W::-- SD~~Zr ~ btJV/ -&- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS:---f1ci 0 ] ROUGH. PLBG. ] I LATION FINAL ] FIRE SAFETY INSPECTION ~U~3 DATE t-/~/r:J r; INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ,,...-.- [ ] FOUND ON 1ST [ ] F. NDATION 2ND ] FRAMING [ ] FIREPLACE & REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL IMNEY ~ ()~ CKb~ . , . \ :mEtD:iNSPECTION'R:imOJri' DArE , FOUNDATION (1ST) FOUNDATION (2ND) 'ROUGII jrJ> aJIo:(QiG & PLUMBING " . lNstlLA.TIONI'ER.N. Y. STAT.lI:~CO])E ,. .:: FINAL - ,., .~:. . A.!- ~ r...., ~J,: /"L. '""~ '" ~ , I' / ./ - ? l7'q) '" ./"/ ' ./ " ~" / ~ C, ./C&. , t:... /'''./IIoL. I I , AJ)])U'IONA COMllmNTs , .~ . w .. -:....- - -. - . coMMENts A - , " '- /? - '( / p , '"'// '/ "A^~ ./7 " " , .,'I<L~ bj :t>~ +~ -;;::: z p) ~ ;-.' ;:'j :> ; " "'l ~ ,~ .') . ~ .~ ~ "'l ~- .. ~ , " o ::s 1'1 ffi _ ::u ~ , ~ ~ -- ~~, ~~I <::>.. "'l V\ ~ H l:l ~ . . i. "i.ai; TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL SOUTHOLD. NY 11971 TEL: 765-1802 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Buildioa; Plans S~ Check Septic Form N.Y.S.D.E.C. Trust... Contact: PERMIT NO. .;l. "I q 0"1 'Co Examined Approved Disapproved aic ,2-/ ,- , 1-) , 20 " : 20lL. Mail to: r-.--....-.-..- --, a/i Building Inspector -" Phone: , 12003 APPLICA nON FOR BUILDING PERMIT Date April 28 .2003 i INSTRUCfIONS I a. Thi~ opplie~on MbST be completely filled in by typewrit... or in ink and submitted to the Building Inspector with 3 sets of plans, aocuriltc ptotphin 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 opplication, the Building insPoctor will issue a Building Pormit to the applicant. Such a pormit shall be kept on the promises available for inspoction throughout the worl<. e. No building shall be occupied or used in whole or in part for any p is issued by the Building Inspector. APPUCA nON IS HEREBY MADE to the Building D Building Zone Ordinance of the Town of Southold, Suffolk County, applicant agrees to comply with all applicable laws, ordinances, bnildi authorized inspectors on premises and in building for necessary inspecti J j:;~;;;;;~... /iO ~LJ (Mailing addms of applicant) State whether applicant is owner, lessee, agent, architect. engineer, general contractor, electrician, plumber or,builder Agent Name of owner of premises GJ,'J. P4-~ t"/I}'tt...,.JtJS ^ (as on ie tax roll ~la~s~ 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. I. Loi~srland on tJ.1fJ:J1"i-r;:;:j be done: Honse Number ~ County Tax Map No. 1000 Scctian-.1 8 Subdivision 011',.,,1- Hamlet s- Lot 8 Lot Block Filed Map No. (Name) I 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy nWAlling . b. Intended use and occupancy 3. Nature of work (check which applicable): New Building m~ Repair Removal Demolitioo :x= Dwelling Addition Other Work Alteration 3Qaz>c) (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (to be paid on filing this application) Numher of dwelling units on each lIoor 6. Ifhusiness, 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 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: no 13. Will lot be re-graded NO Will excess fill be remnved from premises: ~l! NO Phone No. Phone No Phone No. 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address IS. Is this property within 100 feet ofa tidal wetland? "YES NO . IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If clcvation at any point on property is at 10 fcet or below, must provide topographical data on survey. STATE OF NEW YORK) 55: 80UNTY OF ) Joseph Fischetti being duly sworn, deposes and says that (s)he is the applicant (Name of individual Signing contract) above named, :S)He is the Agent (Cootn.etor, Agent, Corporate 0 ;wom to before me ~ ^~ cd;YoZ~~ 2~ . ~ /'Vt.~ Notary Public LYNDA M. BOHN NOTARY PUBLIC, State of New Vorl( No. 01 B06020932 Qualified In Suffolk County Term Expires March.a, ,.) t.J:J '-- -s.~ TOWN OF SOUTHOLD PROPERTY RECORD CARD / /1-2. 00 - OWNER :o.!lzCtbet-h S- P-eyt-nn ~ STREET VILLAGE . C>'r.~ E DIST. SUB. LOT FORMER 0 DESC, ahdr N C;::.l.'"PAPA"-fli S Csf. 1'Afdof ACR. ,,930' TYPE OF BUILDING VL Jo'-'.to FARM 1'1&.- Mkt. Value ""~ 1::. ~o AGE.JJ"'" NEW NORMAL FARM Acre BUILDING CONDITION BELOW ABOVE Value Per Acre Value "~ "illable 1 "iIIable 2 iIIable 3 ~,..! <t.<Let-"t.- ~ ~& toodland - - FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD 30 ~-G ,.ro wampland rush land louse Plot I otal DOCK o vi. Bldg. :xtension :xtension :xtension - :)..R X q t/. :- "7 X 1'1-:. ) )( IV__ , ~'1; ;'. , \ ~\ ~ -::!hJ ....... .,c. 11 v / J.- 3 '),- 9ft I~\) / L/ o~ /3 lJ u -w1f ~s J\>1,,ruo.1 J'Yf~lt't> L..'.. 'orch' ( .. , J =- 7 () .. ., I I "!::- '-;~ch I LfXf/ ':- (y(, Breezewoy Sa rage Potio O. B. Total LIJ X)...C: .'f' .~~ 0'-.j '- lfo T) t~ :;;j ,~,,\....~ \ COLOR "'" TRIM '\ I~ Foundation Basement 4704-- Ext. Walls w-;;i Fire Place Type Roof .z..;f" / Recreation Room Dormer ~ Driveway .NfO I '- '~ht. .. ~~ 315~ \ ~ .~~ '\/~\ .~I j"I '1/ l' /~ ., ,If. .J. '" f..J...1 ,-0 . ..~ .A.r._ /(dL t/.J ~ I 9..J./, (j Sq'tO ('1~IJ - o::.lf.lf f If-~~k , " Bath / Floors (0 o.J.,_ Interior Finish 9,) ~ Heat I fU.- 1.1V t>.,. Rooms 1st Floor ,~ Rooms 2nd Floor Dinette K. / LR. / DR.; BR. 7-- FIN. B. - p 10' ~age '-Of" ~1"'"V"t"":"C..N'UlYlll 1~llill~IU rl",".~1I MMoIIWW i 0/ e-T / H (;:xp ~~fr~"t, .Yt~-eu~.J V PROFESSIONAL ENGINEER HZl HOIlAATROAD I PO Bo' 818, SOUTHOLD. NEW YORK 11971 TEL 631-765.2954. FA,)1631-614-3516 . e-ma~: jDsept'@flschtlti.ccm Date: Reterence: December 4, 2003 Paten I Village Lane Orient Southold Building Department Main Road Southold. NY 11971 ATT: Damon Dear Sir, Please be advised that th" one window relocated in the above referenced horn" renovation will have a wooden shutter to meet the windstorm section of the NYS Building Code. If you have any questions regarding this matter. please do not hesitate to call. ( / '010",.."4,.-.",'1,,