HomeMy WebLinkAbout32183-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32079
Date: 12/15/06
THIS CERTIFIES that the building
ALTERATIONS
Location of Property: 330 MAPLE
(HOUSE NO.)
County Tax Map No. 473889 Section 17
LA
(STREET)
Block 2-
ORIENT
(HAMLET)
Lot 2
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 3, 2006 pursuant to which
Building Permit No. 32183-Z
dated
JULY 3, 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 INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to BARBARA JEWLER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3011521
12/07/06
PLUMBERS CERTIFICATION DATED
07/18/02 PECONIC PLUMBING&HEATING
zed Signature
Rev. 1/81
~'-fa ()~
Form No.6
TOWN OF SOUfHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
-tJ,,,r
nEe ,~ u
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to tbe 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 Healtb Dept. of water supply and sewerage-disposal (S-9 fonn).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying tbat tbe solder used in system contains less than 2/1 0 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 nses, 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 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
New Construction:
./
370
Date.
(;'-0-'"
._---..~-_..
House No.
Old or Pre-existing Building:
~~ L.iT-
Street
(check oue)
O((It:::j,J"(""'"
Location of Property:
Hamlet
Owner or Owners of Property: __.'i3 ~f.:> ~ ~'(..J Lt::~
Suffolk County Ta\, Map No 1000, Section ___(!')_~ 1_ Block Doo,3 _
Lot ce2-
-----
Subdivision____ ___ _.. _.___________ Filed Map. _____
Permit No. 3::L1 83__ Date of Perlllit...J.1'2-k'=---- Applicant______
Health Dept. Approval: ___ fI -!tr.-- Underwriters Approval: ____
-----..-----
Plamllng Board Approval: /'
Request for: Temporary Certificate Final Certificate: V (check one)
---
2.-s-..
Lot.
Fee Submitted: $
l
Applicant Signatur
O("..R.-C.. .11 515
e.tl-L 3.:1071
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)
3, 2006
PERMIT NO.
32183 Z
Date JULY
Permission is hereby granted to:
BARBARA JEWLER
40 HARRISON STREET
NEW YORK,NY 10013
for :
INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. THIS PERMIT REPLACES BP #28316.
at premises located at
330 MAPLE LA
ORIENT
County Tax Map No. 473889 Section 017
Block 0003
Lot No. 002
pursuant to application dated JULY 3, 2006 and approved by the
Building Inspector to expire on JANUARY 3, 2008.
Fee $
150.00
tho .
ORIGINAL
Rev. 5/8/02
/7. - 3 - ~
l!I.l!I
I BY THIS CERTIFICATE OF COMPLIANCE THE I
I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
!, ~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ JIM SAGE ELEC. INC. JAY KENNEDY ~
~ PO BOX 38 330 MAPLE LANE ~
~ GREEN PORT, NY 11944-0038, ORIENT, NY 11957 ~
i, ~ Located at 330 MAPLE LANE ORIENT, NY 11957 ~
~ ~
~ Application Number: 3011521 Certificate Number: 3011521 ~
~ Section: Block: Lot: Building Permit: BDC: ns11 ~
':,1 ~ 3;il./~3 ~
~ Described as a occupancy, wherein the premises electrical system consisting of ~
i' ~ electrical devices and wiring, described below, located in/on the premises at: ~
~ First Floor, ~
~ 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 be in compliance therewith on the 7th Day of December, 2006. I
~ Name OTY Rate Ratin2 Circuit IYm;: ~
~ Miscellaneous ~
~ modenize kitchen-bath+others ~
~APPlianc~andAc~ssori8 ~
Fo!J Dish Washer ] 0 1.2 KW ~
~ Exhaust Fan 2 0 F.H.P. ~
~ Range I 0 40 Amps ~
~ Wiring and Devices ~
Fo!J Outlet 9 0 Fixture Fo!J
~ Fixture 9 0 Incandescent ~
~ Outlet 27 0 General Purpose ~
~ Receptacle 13 0 General Purpose ~
~ Switch 151 00 General Purpose ~
ii!] Dimmers ~
I ~ Receptacle 4 0 GFe] ~
I ~ ~
I seal ~
~ ~
~ I of I ~
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. I
l!I.l!I
I
I
.
-----
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
-,f I.,
Date: " I? 0......
Building Permit No.
2-'8'31 L,.
Owner: %t&~ ~\AJLeIL I ~ I<I::::.II.JJGO"/
(please print) I
Plumber: p Cc () n j C pc:t-. H
(please print)
lead.
I certify that the solder used in the water supply system contains less than 2/10 of 1 %
:dj~ 12,*
tun ers 1
Sworn to before me this I If
dayof J0Lf
,20~
~ # MRMAA~~~
Nola Public, Sta18 of New Yolk
((. \, ~" " ^ y~~ IYNO.om4844752
- ~ . I Qualified in Suffolk ~ ')"" ;-
Commission ElqIires Sept 30~
NOtaryPUbliCS~ J( County
, .
3J-1f3~
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PlBG.
[ ] FOUNDATION 2ND [] IN~TION
[ ] FRAMING/STRAPPING [~NAl
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
~
-
.
DATE
INSPECTOR
~
.
~
7f3r;6 ~
765-1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION 1 ST [ :::}1IO~ PLBG.
[ ] FOUNDATION 2ND [ Ly1NSULATION
J2A 0RAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
~c~~
DATE
o ~SPECTQ
I
765.1802
BUILDING DEPT.
INSPECTION
[ ~GH PLBG.
[
[
[ ] FOUNDATION 1 ST
[ ] ~DATION 2ND
[ -(FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS0c;~J ~~7-~
~ (j)~ ~c;;)~ r;BlN/J#~ - ?--l:x'~
/I ~ A-I-~ V- ZJuJ/<.. ;:7PdJ j c)l V ---'
tV~/'1e;1J~ ~
] INSULATION
] FINAL
~--
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jvn..e ,~ A~~_ ~~~
DATE t)Y INSPECTOR
,hi
",
FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
------------------------------------
FOUNDATION (2ND)
~:(;:""
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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COMMENTS
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ADDmONAL COMMENTS
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
30
\2 :\F'
K
STREET
VILLAGE
DIST.
SUB.
LOT'
o
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1(
Ho;"r
,S
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ACR.
1.00
TYPE OF BUILDING
\
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RES. d;O
LAND
SEAS.
VL.
FARM
IMP.
TOTAL
DATE
REMARKS
I-l+ -Ie ::SHYI--l Ha H(; 25 Cioo
c r E-C -;?' '-:::.
61.2, IN; \l (r<>y H d'+e,)
(I ;2.., .qi{~' ".." -1<:, Je.w lelj!c:,{.((. '~77?> 500
AGE
NEW
FARM
BUILDING CONDITION
Acre
Value Per
Acre
Value
(+c ("
t: .
" .
....."." ,1... ; , " ,
.-~ :~: 'v
";/>.! Ii
./ ; I' I
.
NORMAL
BELOW
ABOVE
Tillable 1
Tillable 2
Tillable 3
Naodland
--
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
/0.00 _ ~ ~ 00
;wamplond
3rushland
-louse Plot
"
~
---
fatal
-
DOCK
\' ~
, "~ . -;t.-.
r-
~
Extension
M. Bldg. Sf.. 3 ( -= ~ 0 ~ II
Extension
Extension
Porch
~
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~r:RQ;rg"~Q,lf
Garage
Patio
O. B.
Total
l'hJh-- I ^ (~
1,-(~ZI"'~"';I7
JDx/Y ''-'0"\ tS,~
6l<.1..3 - 7~/
~7'X o1..q-=- _{/",
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I COLOR
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i IUJUww
.
I J TRIM
i I ~o.t~
I
1
,
,
~
I L/.,,>, R'it7<! Foundation
I Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Driveway
Irl$/~q'l
~ .I!.--,
U. .M';;'O'O 11.0J---
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.
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tft_. ,_ Bath ;)K ? Dinette
f'" .
t AJ.JJ., Floors f-.+[)~-If" K I/A/
..v~..,.,.
,Lc lk> Interior Finish ~.; lR.
I I Heat /' (.+' . DR.
,Q,y
CrAB/'{J) Rooms 1 st Floor t BR.
Jo Rooms 2nd Floor 'J/ FIN. B.
k~."'<''''' -
f A./, Y' .1 0/1..'
PERMIT NO.
32/[[3 ~
~
c:2!331~
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOTJTHOLD
"
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
Examined
Approved
Disapproved a/ c
,20 2--
,20L
Mail to:
";:j R r,' "
i " i~' .
; ~. .'~ ;.-
~ \ 1
, .. ~
"n.r: hi
. I"] n.
-'.~:"!
,.
Phone: ')~ -I c; / lJ
. J
zXfllZf..- !17:(~?
I:: "
UL:
\v\f\R 2. 8 200l
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. ,.
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1
PPLICATION FOR BUILDING PERMIT
, l~_
L.
.,
;'0I,,'f;)
Date
,20_
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of/ot 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-sa-ever until a Certificate of Occupancy
is issued by the Building Inspector.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, 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.
sAtvJ C. U~ J:r~L,
(Signature of applicant or name, if a corporation)
f;) . (3a-,c IJ2-8 SCJ'lHD1..LJ
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~'\O-<L-
Name of owner of premises :SIt" MAunt..N\ t~tfJN ~ ~~ S"..)5:,+,J :::fI!1..J~
(as on the tax roll or latest deed)
ant is a c(p>oration, si ature of duly
(Name and title 0 c rporate officer)
r,l?7/).
I--Ir
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
:3 ?D t\1 f\1?l...€'" { ~
House Number Street
otl0J'1
Hamlet I'.".
"lhJi' ,':!.I:
'.
:'r:r::r:;.,t
/7
'. ..
Block 3>
Filed Map No.
'I' . Lot 2--
LOt
..,
County Tax Map No.1 000 Section
Subdivision
~
.
(Name)
2. State existing use and occupancy of premises and intended use and occupancy oflJfoposed construction:
a. Existing use and occupancy S I ~ c:. LU' ~fL'1 J)uJ l:f1..L- ~ .
b. Intended use and occupancy
~~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost~ .l~Oc>V---
I
Addition
Other Work
Alteration
~
(Description)
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. If business, 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
Depth
Rear
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:
13. Willlo! be re-graded
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.
IS. Is this property within 100 feet ofa tidal wetland? *YES NO
. IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE 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:
COUNTYOF~
r~.:ry-J <==- . L.~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~~
(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/Vl
J~ dayof 1LiJ~ 2002--
-d~ fYJ 13.JJ_-
~ubhc
LYNDA M. BOHN
NOTARY PUBLIC, State of New YOIlI
No. 01 B06020932
Qualified In Suffolk Countv
Term Expires March 8, 20 ~
Fax (516) 765-1823
Telephone (516jo765-1800
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
SOUTHOLD TOWN
LANDMARK PRESERVATION COMMISSION
TO:
Southold Town Building Department
ro1~ tty.~-,p
t <I ' "
UUj APR 23 200l }J
RLDG, DefT.
Tf)\','N O~ S ') n
FROM:
Landmark Preservation Commission - Herb Adler, Jr.
DATE: April 10,2002
RE: Jeweler/Kennedy Residence - 330 Maple Lane, Orient
SCTM #1000-17-3-2
We are somewhat bewildered. We don't know why the windows, which are our
only concern are to be replaced or what style of replacement will be used, but we
would hope that the new windows would match the existing windows, which are
so important an element of this house) design.
SURVEY OF PROPER1Y
SIlVA TE: ORIENT
TOWN: SOUTHOLD
SUFFOLK COUNTY, NY
SURVEYED 04-1<1-01
SUFFOLK COUNTY TAX #
1000-11-3-2
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LAND NOY'< OR FORMERLY OF
REID A MAHAFFY
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MONUMENT FOUND
PIPE FOUND
POST FOUND
CERTIFIED TO,
JAY MALCOLM KENNEDY
BARBARA SUSAN JE~LER
FIRST AMERICAN TITLE INSURANCE COMPANY OF NE~ YORf~
AGUE BOGUE ABSTRACT CORP.
NORTH FORK BANK
AREA ~ 46,206 SF OR 1.06 ACRES
GRAPHIC SCALE
~
" ~-B"~'''_O'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. Lie. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\01-156.pro
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PLUMBING
ALL PLUMBING WASTE
__& WATER LINES NEED
, ";f!G BEFORE COVERING
'Z
::r1)1M
110 BUILDING DEPARTMENT A
"11-1101' AM TO 4 'M FOR THE
FOl.I.OwJNa INSPEC11ONS:
" FOUNDATION . TWO REQUIRED
FOR POURED CONCRETE
J: BCWGH . FRAMING a PLUMBING
INsatATION
4: FINAL . CONSTRUCTI MUST
ALL ONST ON SH MEET I
THE U TLO TENY.
ITATE CONSTRUCTION E ER."
CODES. NOT RESPONSI L F R
DESIGN OR CONSTR
@
PROVIDE ANTI-SCALD AND/OR
THERMAL SHOCK PREVENTING
DEVICES AS TO PART. 902.6(K)
N.Y. STATE BUILDING CODE.
dr-Pice
OCCUPANCY OR
~~ USE IS HNlA\iJfUl
WITHOUl CERTIFIC;'lE
_ OF OCCUPANCY (~
~~ lD
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UNDERWRITERS CERTIFICATE
, REQUIfIEQ
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PLUMBER CkTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
rXCEED 2/10 of 1% LEAD.
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