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~/
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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
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] FIRE SAFETY INSPECTION
V:J
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INSPECTOR /
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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
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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
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. (515) 12],4455
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PR>OPER-r-Y
.sURVEVED FOR
Jose,""'// B-1 M4/?}./ E. W4GNER'
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CUTCHOGUE", N V
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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
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TITLE '" 8 {; D f- G &. ~ 7 L R. . V <>-- 'l ~
L ,c::e,..,-s~d Lp,.,d Sv,.-vegor
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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~.....
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...~.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