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HomeMy WebLinkAbout32607-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32148 Date: 01/19/07 THIS CERTIFIES that the building ALTERATION Location of Property: 12555 NEW (HOUSE NO.) County Tax Map No. 473889 Section 116 SUFFOLK AVE (STREET) Block 2 CUTCHOGUE (HAMLET) Lot 13 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 2007 pursuant to which Building Permit No. 32607-Z dated JANUARY 2, 2007 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 CRAWL SPACE & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD B & BARBARA J. REILLY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3020470 01/n/07 PLUMBERS CERTIFICATION DATED N/A Signature Rev. 1/81 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. 32607 Z Date JANUARY 2, 2007 Permission is hereby granted to: RICHARD B REILLY PO BOX 1072 CUTCHOGUE,NY 11935 for : CONSTRUCT A CRAWL SPACE AND ALTER EXISTING ONE FAMILY AS APPLIED FOR. REPLACES BP # 15763 at premises located at 12555 NEW SUFFOLK AVE CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0002 Lot No. 013 pursuant to application dated JANUARY 2, 2007 and approved by the Building Inspector to expire on JULY 2, 2008. \ Fee $ 50.00 A e ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ d.~cy/ o/~ L2 V ~ ttJj1 US /Y / ~ / / /r<'::i'$ - 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: 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 (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 2/1 0 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 nses: 1. 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 $1.5.00 / / /07 New Construction: Old or pr~ting Building: (LCk one! . Location of Property: / d-S-5$/X:/'J C/"hL,~.c. ~u ~~c.Je 1;/ / ~"~~. How, No. s._ ~ H., ct ownerorownersofProperty:,~;/ . ~'7'-/ ~e., L/."'/ Suffolk County Tal' Map No 1000'Section;.Jj;~/ ~B10Ck 0;;;,:1 Lot 0/_-? Date. Subdivision Filed Map. Lot: Date of Permit. / i< /07 APPlicant'/-?; ,(4,'>Jd~. ~/ ',L"t..../ / / . / Underwriters Approval: Permit No._~-<6/") 7 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: /' ( check one) Fee Submitted: $ ~ts~atur~/ ~-eA' 71 ~g' Co~ 3.21'1<( l.!I~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I l.!I~ ~~~l.!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~~~l.!I 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 RICHARD REILLY PO BOX 1072 CUTCHOGUE, NY 11935 RICHARD REILLY PO BOX 1072 CUTCHOGUE, NY 11935 12555 NEW SUFFOLK AVE CUTCHOGUE, NY 11935 3020470 Certificate Number: 3020470 Block: BDC: ns11 Lot: Building Permit: Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, 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 11th Day of January, 2007. Name OTY Rate Ratin. Circuit ~ Miscellaneous enlarged basement as built-1987 Appliances and Accessories Clothes Dryer Pump Motor Wiring and Devices Receptacle Switch Fixture o o 30 1 Amps H.P. 3 0 1 0 5 0 General Purpose General Purpose Flourescent An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 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. 32607 z-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PLG. ] INS AT ION INAL ] FIRE SAFETY INSPECTION V:J ... INSPECTOR / z ~ Z I. 0 - ~g z 5 ~ ~ ~ ... 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FI;l A L I 0 ..~ :z: ADDITIONAL COMMENTS: '", '" .. .., . -,. . . p - '" >< '" . . H "" ~.~ H 0 (\ :z: , ., 1 - . - '" :=0 c-- ..., :I: I::l '" .." ..., .. . "" (jI },l. f" (Y ~ t ... '";J s;: ~ ~ ~ f f f 04- .! ~ ~. jJ f9 r- f " ~.~ '-.: ':1l ~ - :b Cd w~~ FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ...... 3 SETS OYPLANS ....... SURVEY. . . . . . . . . . CHECK . 1/.*.3Y-:}. . SEPTIC FORM .............. NOTIFY CALL MAIL .~. -:-. 73~ -; 5.9..15' TO: Examined . .Yi)~.!.~.., 1~.1.. Approved . . Yt1.~. !.~ . ., 19~! . Permit No. /.9:" .? ~ ~-?: . ...... ........ ... ........ ........ ...:. .......f). /I . .y~.~..... (Building Inspector) . APPLICATION FOR BUILDING PERMIT ; 'l! ~ !: .11' I L/r'i l,fj WiU 21981 J~!_ BLDG. DEPT. TOWN OF SOUTHOLD ~:_:~] \ f\ , ..r'.!I'. Ii'. :, Il! lLU} Disapproved ale . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . , Date. . . . . . . . . . . . . . . . . ., 19. . . 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 snowing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the 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 co~e, a d re u1ations, and to . admit authorized inspectors on premises and in building for neces~~~. ~~~~c~s~ J. f! a: . . . . ... . . . . . . . . . . . . . (Signa~~t, or name, i a corpytiOn) .. 1!.~.~~~ .!I!?~.c;i!r:<::I/.~i!!.. .~.~ /!?~~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..& .'!(":I.(~..................................................................................... Name of owner of premises .1l.'.c-."l!-l.~~. .~.tI;.$!?IJ.l$.-9~~. ~ .1?I.!~~l.. .. . ...... .. . ... .. . . .. .. . .. . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . ....... ........ ..... ...... ............... .... (Name and title of corporate officer) , ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ......................... Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. . J3. f 7 S#.1. . . . 1. ~ocat~;:/ ~al;r!t ;:;;: work will;e ;ne.~ . . 'R;' . . , , . . . . . . . . .; #;~ . ~. . . . . . . . . . . . . . . . ,M",......"..,.......... H<. .4Y..... .rl1..f............ ,c,id1...... .P................... House Number Street Hamlet County Tax Map No. 1000 Section ..... I j IP. . . . . . . .. Block ..... .:.2... . . . . , . . ., Lot... /:-J. . . . . . . . . . . . . Subdivision, , , , , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot. . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupan,\ of proposed construction: a. Existing use and occupancy , , . . . , .I!. ~ ~;? . . . { lJ. t( ~. ~h~ ~ ~ /. . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . b. Intended use and occupancy ..............................,.,.......,.............,............. 3. Nature ofwork.ftheck which applicable): New Building... . ..... .. Addition..... ..... Alteration .......... Repair ...1/.'......... Removal. . . . . . . . . . .. .. Demolition .............. Other Work. . . . . . . . . . .. . . . " (Description) 4. Estimated Cost.. ... .~.I"P. .t. /7J.. ... ..... ........... Fee.. ... ...... ... .... .. ... ............... '" (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each !ype of use . . . . . . . . .. . . . )" . . . . . . 7. Dimensions of existing structures, if any: Front. . . . . J. II. ... . . . . Rear ......$ (J. ~ . . . .. Depth... ~(J. . . . . . . . . Height ............... Number of Stories. . . . . . .~. . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ... .f.AJ.':1..f-. . . . . .. Rear.. ~1':~ . . . . . . . . Depth. . S-9.I':f.\G,..~ ., .,.. . . Height. . . So -.0 i'f.{. . . . . . . . . . . Number of Stories. . . . .~ . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front. . . ..J11 '1~. . .. Rear............... Depth ............... Height ............... Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front.. 00 /. #.'. . 'J'" .. 00' Rear.....1 N. ~....... .... D~pth ool.lf':P..~.. 00...00... 10. Date of Purchase ....... .'ij.;!,:!. f:(!. . . . . . . . . . . . Name of Former Owner . V. ItS e,p.'!; :11f.~G?:'K ,(~ . . . . II. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ... AI. Q... . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded .............. "'........v:. . Will exce~fiIl be remo~m premises: .~ No 14. Name of Owner ofpremises?~.~~..Q: 'Xtz.JJ,.+.I. Address F:. ...lJ.lo:<lltl;.... . .~e No. . .1$.'1. .oI:".;l...),r ~:~ ~~~:~~~~~~~r'S~';": ~l&i..P.t:: ~;#.~::: ~~~~~:: ~ji7: ~;j:.f7.tkr~~ ~~ ~~: iii7.::t.:~("~: 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .~.. *If yes, Southold Town Trustees Permit maLbe re~u~,ed. PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. " , , .... OCCUPANC'1' OR S UNLAWfUL ~~~OU1 CER11f1Cr>.lE Of OCCUPANC'1' APPROVED AS NOTED ..J<1,Ti::: 3.)~B.P * /~7/P3..c FEE ~U. ---__._By.. V G:.L. '~OTIFY 8UltD'~l:; \)i.'PA.RTMbNT AT '7f!j.' 802 ~\ 0',,, Hi .. ~hII fOR THE rOll OWINH 'M",'.~CTlONS; FOUNOA q,)y. 'iwa k"OUIRED "01' POUP,f0 .,r;~\CR.' no !'IOuG'" H(~.h'iN(- ~l ~!..UMBING :1 IN$uL.J~ /""H J~ .. J;.it'... :-\, l..:i ,.)'~';;:;1"niJCTi:'l\' ~",1UST :j:: i :/; / ';-. I:' 't ,.~l.'P C 0 '\)..1. .!',' '~.'II~U(." \:':~".' ~"","LL \~.q-:]=T tl.h:: ~:.qLj\i>;:--:~ ~J :~" ~J~ H:.tf N't f; T ~ 1". :.:nNf~ (kt 'c rtON & ENERGY C;JOE~ ;,,'"';~ ;.f\:",;,sP(l".J~:,~Hctz; ~OR f":t"L!~.. ..;_..;~ '::L '.~~~Htt".;L i' '(:""'. f:~RORS, .OR~~..~/~ ~t?h... ame of individual signing co~~~ being duly sworn, deposes and says that he is the applicant ( ,bove named. Ie is the............................~.................................................. (Contractor, agent, corporate officer, etc.) Jf said owner or owners. and is duly authorized to perform or have performed the said work and to make and me this iPplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,york will be performed in the manner set forth in the application filed therewith. oworn to before me this . .......... oo!.cJ.~.... .dayoL... .Mrr.y.cA........, 19 &'7 'O~;liC, r,,;Jt;?). ~ .. . .... ?J.lt.... "county,.lf1.;L/ c::? d ft ~ Nota~Ub~:::~~ork .., .'.................. .v.~~~~'~i~;;li~~;t) t'n:e:rr~~t.~~ . 4<.O.cB -~ . F: poleck" .CHICAGO rlTLnNSURJ~NCE tOMl'f\NY . (515) 12],4455 TITlf , ?lO()3"-O[)(o 95 .s.'" . S8'.zO"E". - /0 .0 " t4;rA ~ ~ ~#i ~ ~ ~ \S ~ ~ 'f.: Ii( ~ ~ ct u llj FVI-1.. ~ V) ,. c,tl-i- -. ; ~ .~ I () >- V .<M, .... .... - -.....'.54 ... ~ Q .... . Q Q:) . ~;{ ~ ~ MA P 0,1="' PR>OPER-r-Y .sURVEVED FOR Jose,""'// B-1 M4/?}./ E. W4GNER' r7lcflA~'; 13,A g/v(.!PPA.,). XL)). L t. /1. AT CUTCHOGUE", N V \:;\ zt:rH(-/OO.0 NEVV SUFFOLK AVENVE ..sNAUTHORrUD AtTE:tATIOH 0:1 AoelT' TO THIS SU:<VEY IS A VI8tAT:ON '.Jf SECTION 72::19 OF Tm 1";:"'1 yc,,,-': 51-V fDUCATI'.JH LAW. COP1{S OF U% S~:"i."!~'( .'~A:> ,..)T ~;,,,' THE tA:-,::) 5'....':i,Y,;:,~C3 L .::":_' :;~l,L (,~ Ef,~CCSSE" $~'\l ::,':.','.~ r:.::.r ~"i C., ':>'j. TQ ~~ A VAUD (;.1-': c':;'f. GUA''!.A~~r:E~ ;~!J!;:Aj': };;~~::~: ~:".h'.l Ot-!tY TO Hi:: ~...Y:':. f;...~, ",'c ,- , '_" IS PRf~Afl.ED, k~<.1 0: I' .:,:i-'L:- .~ : :rITlE COMPJ..:-;'f, C:::'V~;, ,,'::>. -,\~ ,c.", UND1NG INSi;iur;-:), Li~:.i'~ ;~_'_;":;,<. TO THE ASSIG"E~S CF 'f: ': ~;::<;~ ,';'; ,;'_ TunON. GUARANHES ,ld :',:';1 r,,\:..o( TO AvClflONAL INS,lIur::,;;s C~ SUII OWN~RS. GUQ;-4n-l~~d -fo +ho/!!! Gua~e;r,..,-I-eed 71'-f/~ .;Morl-g""9~ CO. 45 $arYe!l~d "'" n"..o -.".,.- ."C' ......, ".;..;,~, ,~,bf Z.-" /9..59.. I ""I.......,... 1(~i6)LJ>':':.~;,:; "'..'~l,!" Of--I-o W Va,.,"n/q a-SQ-,? TITLE '" 8 {; D f- G &. ~ 7 L R. . V <>-- 'l ~ L ,c::e,..,-s~d Lp,.,d Sv,.-vegor C;;y<:c:-,.,p?>rf, N~/o'V YOrk J Scale 40'-/' a = mOf1l.(m~nf T'/I-Ic= No. 141-3+8-S I'OBII NO. . TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, N. Y. 01 o ,.fi BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15763. Z Date .......'hf~..!fR................... 19J.1. Pennission is hereby g~n~!~~..:t.~.~~.i~..... ..~.e.~..l..I?J..?::-............................................. ...~.1~.~.........~.:~.:..U.~~....... to .~!:f.:.....~~....~~.~....~...9-J2.tJ.1I1..r.:~.!::~....~ i 'Q ~~ ov.,--. ,.,- .....~...,......1......~....~ .............. .......~::'if.J .~~.~..f"\................................................................ at premises located at .I..?::.r.f~"""""""'~D~'''~'::'ii.~.~.ICA......~~ ................................................................................'................................................................................ ................................................................................................................................................................. County Tax Mop No. 1000 Section ......1.1..1;;,........ Block .......~..=..... Lot No. .......J..~.......... pursuant to application dated ........Iq.~.J.~................ 19.~.1.. and approved by the Building Inspector. Fee $..~~.:~ ~ ~ .......~.................................................................. Building Inspector Rev. 6/30/80