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HomeMy WebLinkAbout32542-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32049 Date: 12/04/06 THIS CERTIFIES that the building ADDITION Location of Property: 175 DIAMOND (HOUSE NO.) County Tax Map No. 473889 Section 68 LA (STREET) Block 2 PECONIC (HAMLET) Lot 14 Subd.ivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 30, 2006 pursuant to which Building Permit No. 32542-Z dated DECEMBER 4, 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" HOT TUB ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES & NANCY P ROSCOE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2059601 06/30/05 PLUMBERS CERTIFICATION DATED N/A Signature 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 building 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 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 I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelhng $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 Celiificatc of Occupancy - Residential $15.00, Commercial $15.00 Date. Id- '-/~~ New Construction: __ Old or Pre-existing Building: (is- D,'Ot.fV\.Cjy\d. ~~ House No. Street Owner or Owners of Propeliy: 7<. oS C-O e... Suffolk County Tal' Map No 1000, Section &, $ (check one) ~GOYlJ'C Hamiel Location of Property: Block .J. LOI_JLL. Subdivision _._FiledMap.___ Lot: Permit No. ~:::+.c,'t~_. Date of Permit. __.__ ~Applicant:_.~_..__ Health Dept. Approval: _~ Underwriters Approval: _. Planning Board Approval: Request for: Temporary Certificate Final Certificate: ( check one) Fee Submitted: $ 00 2- 3~oY <1 8-~- 7rYr) Applicant Signature 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) 4, 2006 PERMIT NO. 32542 Z Date DECEMBER permission is hereby granted to: JAMES & NANCY P ROSCOE PO BOX 485 PECONIC,NY 11958 for "AS BUILT" HOT TUB ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 175 DIAMOND LA PECONIC County Tax Map No. 473889 Section 068 Block 0002 Lot No. 014 pursuant to application dated NOVEMBER 30, 2006 and approved by the Building Inspector to expire on JUNE 2008. Fee $ 300.00 --- ORIGINAL Rev. 5/8/02 . -. 1iI~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at I Application Number: ~ Section: Block: ~ Described as a occupancy, wherein the premises electrical system consisting of ~ electrical devices and wiring, described below, located inIon the premises at: ~ ~ ~ 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 andlor standard ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ authority having jurisdiction, and found to be in compliance therewith on the 30th Day of June, 2005. ~ Name OTY Rate Ratio. Circuit ~ ~ Miscellaneous ~ supply power and disconnect ~ for hot tub ~ Wiring and Devices ~ GFC! Circuit Breaker ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 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. 1iI~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YQRK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~o FULTON STREET - NEW YORK, NY 10038 pO ~ CERTIFIES THAT Upon the application of upon premises owned by ~ BRIAN BROOKS ELEC. INC. BOX 1001, 455 BEEBE DR. CUTCHOGUE, NY 11935, NANCY ROSCOE 175 DIAMOND LANE PECONIC, NY 11958 175 DIAMOND LANE PECONIC, NY 11958 2059601 Certificate Number: 2059601 Lot: Building Permit: BDC: ns11 hot tub, Outside, PooVSpa, 1 0 30 amp Pooll Spa seal 1 of I ~1iI ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I I ~ I I I ~ I ~ I I I I I ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ FIELD INSPECTION REPORT DATE i COMMENTS \}) ~ - y~ ~.~ FOUNDATION (1ST) 9-' ..., "" ------------------------------------- .~ t FOUNDATION (2ND) - ~-iiiJ Ci' l"l ~ 0:..: 2: -;- 9 - -J .~ ------------ lfj ~ ROUGH FRAMING & 1:; b~ PLUMBING ---- ~.- ~ ~ -~-- -- ~~- :Y f-----~ - 3 , ---.~- -. '-'. ') ~ ~ - -- -. --- _.._-------~--------- == ----,,--- ---.- -- -- 5~ INSULATION PERN. Y. -~---- --'-- l"l ..., STATE ENERGY CODE - -~ " (t2, Itff7.J ./ dl n-""~ / 1r"4 . A --r- ~A .,_ J ~c f/ J / V '3 . A Y).L' - FINAL #' / (l _.~ ,y 1---- . 7\::) ADDITIONAL COMMENTS r;, ----- b I----.~---~ ----- - ~ 0 - ~_.._--._-~--.. - - :E z __'0- .. -------~_._,.. ~~ -c- ----- --~--_.....- ------ - - ..------.-.. ~ - - ~~ "'" ..--- ___n' 1-- ~- ~ l"l ;:< - ... - - -- ~ -L. _m - , ..., 0 - - 00 0 2: == :<-.l"l --~ p~ 1:1 l"l ... :-' PERMIT NO. 3::J.b"~ Z BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board ofRealth 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEP,iRTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ Examined ,20~ ,20~ Mail to: Approved Disapproved ale Phone--=1l.. S'. '1 ~ 9 9 Expiration ,20~ --..... Building Inspector ~. f P, \ ..~'"-., -' _~ \.......\S \~, r.' 1;\ \ APPLICATION FOR BUILDING PERMIT 'I.-'J'c, 'N,CN 'j () . Date /I/!/O I ,202b \ , , \"..~'1o,2~ \ a'\T~happliC1ttion MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets'af1'h!lls, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot 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. INSTRUCTIONS (Signature of applicant or name, if a corporation) Po. ~ q::;-5" PeCOJ1iL ;U y 1/ 95(f (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (3 L, , V\. "" y- Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, i ature 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. Location ofIand on which proposeq, work will be done: " ilS- V;'a 1"'70;"'.0 Lee House Number Street County Tax Map No. 1000 Section Subdivision ()6'; ?~COM/'C- Hamlet ~JKAAW AOIllTA~ Bl k' ,,' <d' i;!,stZ .Jii~1!9 vom"'L t 0 / t.j DC t'J ._' ~,uWfl) tlj'l 0 Filed Map' Nd'.' ~Z"' b9!',..( Lot . .-,' _~l ~'t~.il,. . tUY 1/'95([ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~-I -Clo "s t....o c-a.-td or-. It) i.VCy bec...E b. Intended use and occupancy t') Vl ~/'"' J co 1-11,0 >-- ,,-+- 1-1-" ~ s C" 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work Alteration (Description) 4. Estimated Cost Fee 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 Depth Rear 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 t, 9. Size oflot: Front Depth Rear 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_ 13. Will lot be re-graded? YES_ NO_Will excess fill be removed from premises? YES_ NO_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No 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&...ArR::l \ 4- :\ O{V'\"(~ \l.- 0"-,0 ne being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the n~1 (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. Sworn to before me this A:J day of 0'J...~he{ 20 --12io ~~t~~~bliC p NalIIy af New'tlllk au' k County Commission .' JInUIIY 3000 0 Signature of Applicant \ -" , Cltrl€.s nL FORMER OWl)IijR . /(0&0 dvJarcJ f(l'tA/t, fl wf' ~1I,i $'IJI<r.../ . cL4 .Ie. No d' ~N' RES. :2-/ 0 SEAS. LAND IMP. / sL TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET / 7 S L-CH1. SUB. ?Fe. / oc - ~ 9'- 2- OWNER (6C!- DIST. LOT Ie.. 1~ N ACR. S .t . S TYPE F BUILDING CO ~ A VL. kt. Value C^-tJol/ .J <7 J I i?'jioo soo l?- trO ./ 53th;; / 5' t/r-? , , 'I 3 /I.:-.l.- b t. 100 .,f"oo J>t:J6 16-.....~ Acre BUILDING C9NDITION BELOW ABOVE Value Per Value Acre AGE NEW FARM NORMAL House Plot FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD Tillable Woodland Meadowland - Total - DOCK /-Ie} v --- . t\. .., 'f' . I r I " ! , '- y l,...r. I - I HI . III I III . ii 1.- ,J, " I , I ,~'!!'-' I , . d ' '[6 -~ , --;j.~.- .- ,~ ~-:... 1/ I I M. Bldo/;c ~ it '2 y, 7 J'/ ) . , " Extensio'l/? J f'tlC/ 5~. L;' A :2, 01 !~ f. c3'Y /2- , G. It'- Extension ".. Extension I ..t5" Foundation p Both Dinette It;, ,,; '/1( 3), " ;.;f I 3~1 C 2.. Porch Basement FI/ If Floors 0",4. K. ~ . porciJl}:;.;:;.'I.. (t; X 27-- 7'"3...... as" /01 Ext. Walls ;;A 11/ Interior Finish 51.( LR. Breezeway Fire Place - Heat 1-14 if,,( DR. Garage Type Roof Rooms 1 st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. 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