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. Dormer Driveway
Total t/3~eJ
)
COLO~
/3row>1
TRIM 'W~ I h.
,
.., --'--'-~- ._._--~--..+-._.
.----- --.-----.
,/ { - .) - "-l/ u /'
"'k?;~~i~t,y"" , " , ;>:<,~:,
'":,;;:~~\:,2:\ , / .// '
:.1,:,' ,:\ '~'.II"~ q ~ ",J/ '0 j\ p
'.. I 1\ / ~ ..':,'_,
,.'<""ut" ;./ " "
.'v--r ~ ,
\'~, ~', \, \!:i'
. ~". ~ ;<s:~ 1,1;, " .' \ . '1', ,.
t: \' , !.: .~
/," "-t~~~I:>' <c,:"l
/' 'F IV /I,::".' ,", ,,', ,'<~'
r ~,€" ",' 'COUNTY, \lEALTII, DEr,~,R,,~,~,~,:"
~ ," :; SUI"FOLK
I'\"i. I.,"'," . ,', \1' ',' '#' J
"',:,' I':"';I)!:C,Q ,7 1981 , '\I"D: RE~\i
'.,~DAT~~_ -;:-~, "'-"1.', '~\:) ",:,. '
. :y"'t,"':'/-.: ~ . :.)-, 1 o~,' \l,:nter sUtJply
(.,.' ,I . '" i!"\'pll';n ('" \ b en
",' ,:,~:'The aowo.p,e It.. :. ,:' '. ",'~' t 0'1 hhve e
""taoilltlo9 for tI:i:;:l~:', \,j)it o';\l ~.<iun~,'
,,',1,,:;,,;, ~n9peoted by :l1I' c':~ u--~ U'jU
"",""to"b","stl9fneto1Y "" "
' ',\', "", U 0 ". {I ",
" OOlo'l'tEngineerinQ
\Y'8);,.}<.c, "Ch1er Of,G~~l,\~~,~,Jq,1 ':, <, \
-') ..(,',.,'
" "':>.'~ '\"",:':-'\ \'
"\~'~;~i~,' ..... . "C:iu:(
" ' '.' ~f,.( ."J. ~'i" ....\ ,.'-,' \ ,'_ '~'j '\;. .. '.', r
\,;";<:}'?J'J~~~r:hr";,;,:,:';':,~ ~',':;~::J.;,\~. \::: ,"
, ; >':;;~:i~i'i;"~;;;': \' \ .
, "
,
, -, ~
',<:,,-,,-
, ,
",
"
\ '
\,/1
.,,<S
/' '
i "
"
"'~ \",'
':s.\.,
.~~.\\
p;s..:- ,
,,:j,~<"'\"\~
't. \
'.' \,
\
\
\
\
\ ,
.\
\
\
\
"
"
t>
:;>:
<o:J
.
'"
'"
"
.. 'j.-
a
'l1
c:,
'"
If)
c
'<,
-1.
<.,
t'
"
)'::.",
,',
. ~ ",
("
. ,
" ,
,(
, { ,
\ I ,: '
\
,):>
Z
\T\
\
",
"
a
c
<'
--j
-<
:t:
,-
_J
...~"\. \
I.J'
r::'
,
,
'"
~
\
\
" '\
\
"
(Y)
, .
" '.
"
.'
'\l
,
\
",
, ,
"
\'-..;-1
'Q
~ _ . r '. I :
.. - r--'}
L,Jf""
~,
,- '..~
-",-,..--\-,.
<r
,L
ld
,,"
, '-'
'" J
J C.::.:;:J
;'~
.'
'. "
"
0'
,
'1
,'/'
'j'
;.
-'
I'
, ,
'.
-,/
..j,