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HomeMy WebLinkAbout32572-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32192 Date: 02/08/07 THIS CERTIFIES that the building ALTERATIONS Location of Property: 5785 VANS TON (HOUSE NO.) County Tax Map No. 473889 Section 118 RD (STREET) Block 1 CUTCHOGUE (HAMLET) Lot 1.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 27, 2006 pursuant to which Building Permit No. 32572-Z dated DECEMBER 15, 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" BASEMENT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS & ANNE HIGGINS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. ll4408H 01/22/07 PLUMBERS CERTIFICATION DATED 02/07/07 THOMAS HIGGINS ~,.e~- Rev. 1/81 ~)'f- 7/6'B" Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 18 1 ?:},( 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 Dep!. 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 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 Certiticate of Occupancy is denied, the Building Inspcctor shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - Ncw dwclling $25.00, Additions to dwelling $25.00, Alterations to dwellir", $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Busincsscs'$50.00. 2. CCl1ificate or Occupancy on Pre-existing Building - $100.00 3. Copy orCertiticate or Occupancy - $.25 4. Updated Cer1iticatc or Occupancy - $50.00 5. Temporary Certiticate ofOceupancy - Residential $15.00, Commercial $15.00 ).. /7 It> 7 , , Date. New Construction: --' ___ Old or Pre-existing Building: t.- V II"...!';;. 7<> tJ I<c Ie 'j) Street (check one) .C U T C;1l~UL..... Hamlet Location of Property: __ <;- 711 s;- House No. OwnerorOwnersofPrnpcr1y:__ \t\<:>l"! f\ S' C>N-..~ 1'\ "-I"'\: \-( (C?rIct(N'::::: Suffolk County Tax Map No 1000, Section..J~ ~ 'is' '1' Block \ \ 't; , - I -l . ~ I.ot__ Subdivision Filed Map. t.;),. r.O:::;, '06 Applicant: l.ot: -.~..~._---~ Pennit No. '3:),:::; 7 :J.. Z. Health Dep!. Approval: Date of Permit. .:f~~\"\I::ill ,,~U> ~~ Underwriters Approval. Plmming Board Approval. Request for: Temporary Certi/lcalc Fee Submitted: $ 25 -1<ti.>______ Final Certificate: i/ (check one) Applicant Signature (pc.')(~iJ5 CO f: '3:) 19 J. 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. 32572 Z Date DECEMBER 15, 2006 permission is hereby granted to: THOMAS & WF HIGGINS 5785 VANSTON RD CUTCHOGUE,NY 11935 for : AS BUILT BASEMENT ALTERATIONS AS APPLIED FOR. ADDITIONAL CERTIFICATIONS WILL BE REQUIRED at premises located at 5785 VANS TON RD CUTCHOGUE County Tax Map No. 473889 Section 118 Block 0001 Lot No. 001.004 pursuant to application dated NOVEMBER 27, 2006 and approved by the Building Inspector to expire on JUNE 15, 2008. Fee $ 427.20 Authorized " ORIGINAL Rev. 5/8/02 Electrical Inspection Certificate Issue Date 1/22/07 Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631) 286-6642 Application Number 114408H Issued To: Street: Village: Section: Contractor: Mr. Tom Higgins 5785 Vanston Road Cutchogue Block: Zip: 11935 Lot: Town: Southold Lie. # Was examined and found to be in compliance with the National Electrical Code. Commercial NV Defects Pool X Residential Det. Garage Attic Switches Receptacles Fixtures 22 47 14 Dishwasher Washer/Amps Dryer/Amps 1 1 20 1 20 Furnace Oil Gas Circulators Meter Amps Phase UG/OH Jacuzzi Bldg. Permit. Other Equipment 1st Floor Indoor X Basement Hot Tub 2nd Floor Outdoor Addition X Survey GFI Heaters AlC Fans 3 4 Oven Range/Amps Microwaves Smoke Detector 1 Bell Transformer Television CO Detector Rough Inspection: 12/06/2006 Inspector: John Me Mahon III Final Inspection: 01/17/2007 Inspector: John Me Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials Town Hall, 53095 Main Road P.O.. Box 1179 Soulhold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ~ /7 /(J 1 . I Building Permit No. .3 ). :i 7 ;J-;Z Owner: 11/ {In /-1 S J-/ / I C I;'" 5' (Please print) Plumber: ~ . ~ c.J J'1 /1 l, !II t: b I/;'S (Please print) I certify that the solder used in the water supply system contains less than 2/1 0 of 1% lead. I /~ Sworn to before me this I day of r.. 1)('\Cj 20~1 r~~---- - --..-.. ...., ~L"", No. lWSullolA6140448k Co ... QuIIiljed in u,.., \l) Commission Expirlll January 3~() Notary Public, S-Ai=' r--o I ~ County ?J?-57') 7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [W-.FINAL ~', [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: r-:~ ~ ~f)k ~ftd ~ ,~1: 7 ~~rwf,y DATE ~~ 1 ~ 0 1 INSPECTOR k ~ I JJ-S-7:J- 2-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION rX FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION , ,4f~ DATE I~--~ ~ () 6 INSPECTOR ~.~ Boulevard Planning East, PC. Architects. Engineers. Construction Management www.blvdplan.com 32645 Main Road Cutchogue, N.Y. 11935 Phone: 63 1.734.20 II Fax: 631.734.2276 December 13,2006 Southold Building Department Town Hall 53095 Main Road Southold, N.Y. 11971 - 0959 Re: Higgins Residence, 5785 Vanston Road, Cutchogue, N.Y. To Whom It May Concern, I hereby certify to the Department of Buildings of the Town of South old that I have inspected the above locations; and am certifying that the finished ceiling height in the cellar is 7'-9". If you have any further questions, please feel free to call me at any time. . l ~l(ji \)t.c \ A ~( FIELD INSPECTION REPORT I DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLl'MBING INSULATION PERN. Y. STATE ENERGY CODE FINAL -------- - --------- --- - ----- ---- ---- --- f- ---- --- ----.... D (- r- 3' './l .-r~~ _~ .n .7727-l ,=::r ~'-"'D ~_v_/ ./IA~~:_, ':I _ IA. \ #V/L ~7 P..---:.::;F IT C:;;.., hA.IJ L:; J -; ~,.1J ) c> f/ (/ (j ~ ,.,4;174' ~ .... _., " '""' i/ ;./~ /J rf\ 11.... L ~ 'l ;..--, _1)b 0 m ~ f.:;h.7 JJ E'!/rJ------JL I-- -=J1177f _"..JJ A /\/2 ,J H>- tI./ v f--- ---- I uu___ f------ - f-- lJ.-t?-6- - -- ------ e-- OIA "'"'^ V,J2 V . '. COMMENTS \.)J 50;;; S~ ~~ tv I-\--'" - IJ ~' )> ~.~ __ ('00 J) -\- \ l"l ~ Ir f- tz + 4~ en .., 0'f;; 'l"l .-l.., .I:' J\ ---L "" ~- --- .J ... ...., ~ ~l"l --- .., iJ ---- --- ~ ~ L{ '7 -- -------- \J' 0 ~~ ADDITIONAL COMMENTS . ~ ~ V "l"l \\ ~ v~ , .., Gs cX'z -- -r = "--l"l -1: j>~ I:l l"l .. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. 8) 51:! 6)-C. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans /'/ Planning Boa;>l approval Survey ..-/ Check =I'- 17, f) Septic F onn N.Y.S.D.E.C. Trustees Contact: Examined /7 /5' ,20~ ! t2f; ,20 "..... Approved Disapproved ale Mail to: Expiration ,20_ ~Zoc Phone: 7'!/1' dO ! I NOV 2 J 20GS APPLICATION FOR BUILDING PERMIT Date /Vb V 27 , 20 P If '.__.' ~-.' ...... INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or area< and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval oftms 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 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, a 0 admit ,.lliorired ""_" 00 prem',,, Md m hill'''", fuc """"",, 'mp"ti"m~ (Signature of applicant or name, if a corporation) 32~#y M...m R,t (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ,4~~" f " Name of owner of premises Tj,t:)Ma,~ .1 An"" J.l1~.,/n.5 (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. ;,. 1. Location of land on which proposed work will be done: S'79'5 V4U1,J,,, Ad House Number Street ?I, f,Jp", e Hamlet 0/ County Tax Map No. 1000 Section IJ i' Subdivision Block / Filed Map No. Lot J,4- Lot (Name) 2. State existing use and occupancy of premise and intended use and occupancy of proposed construction: a. Existing use and occupancy ..: c:.. b. Intended use and occupancy Jt .e,~JAlI en c-t:- 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work l~c/I"t!. (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 Depth Height Number of Stories Rear i~ Depth 8. Dimensions of entire new construction: Front Height Number of Stories 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 1<-1}0 .--- 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 ofpremisesJ18_~ 1J~.,7/I" Address ~,~ V.an'/"n Phone No. Name of Architect 8/,,';' I'uIf,u4;1 Address32.6'~ 1M""" M Phone No Name of Contractor Address 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 ) R o6~1' I-- t-ehn el'" I- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the /J ~ If I- (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 ,.,f J '1..:; day of 0 ~~ 20 t)Co JOHN E. STUMPf . NOTA~ PUBLIC. Stale 01 Now VOlt< No.O,ST8,525/i' Qualified In _ COunIY { t:> ()omrnlaaion E>qlir8S ~ '8, 20_ -'"""! .7vt-y 1000 - II B' -I_I,'; OWNER "~ TOWN OF SOUTHOLD PROPERTY RECQRP CARD .. .. , - ,'/' . ~ ,../ . "\ ".,.f-I' FORMER OWNER C ICjy STREET;::;- ~, '-J -' VILLAGE DIST. SUB. LOT f1R6/1RflB. (!L"KKh~ ~ES21o SEAS. RtCfi of ])I'! VL. V rI.!] 'Cff,Rt> /) N NI'ISSA_ f'r. 5'<Je. LoT 250 S , fl. e..L/I!fKE FARM e:.UTcho iJ~ E W Li NNEyj r-II~N'.o W C,O.MooN;; COMM. @ MICS. ';) ACR. ,(,'35' TYPE OF BUILDING Mkt. Value LAND IMP. TOTAL J (10 /Poo 35o(j '7 0/) c:c / i) C' " 0 DATE REMARKS T;;l3. li. C L Ii f.,:J K";f S ','~ L S'z.(~? CLf';<:;(l' P 1'1 IS '?Zt,(fC"'[i ovD~ illable FRONTAGE ON WATER FRONTAGE ON ROAD 0.("" r j .--.~? DN / ~9; all '\,:~' I /,f". oF. - ;20. food land leadowland DEPTH !tv '/ '~II C / ('. ,1\.1' r ouse Plot BULKHEAD otal . I ,. ! ~...i .! COLOR nqj, I ' TRIM /.A./' ,'.j- -. ------- -- I--. _... +- .. -- .- - +--- -- 7, I I .6 , i ~ IV ~ V .+- \'t 1-. yjBr I'll I , \ ~ i ! , t-' 't \') II '\ ,''' .. M.~~f( ;;'''1.;27 ~ 702- ~J/3'1- .5-s iH1 II 1111 ~t~ ;;" -, ,10 .t ~ .. Ion /~-/. -;..1 , l/.32 \' "' }t. ( , I \~ EXft4if.tri" 1:;- t ), 1.-- ::. "?~-I 3..[,2 9;.-<1 -/,0. '>'\ Extension Foundation PC, Bath Z{r~ 1 !)if)J'~ I Porch ?,(.:;.t~ j.j/( -r ~/ t. ,~ 10 V Basement (.",)) I Floors r,. /'f!: K. ) Porch y (I:) -;;.. ~cJ ..". Ext. Walls W'. ('/ ^ , Interior Finish $, e, lR. / 1;>, ~.)( (, CJ; \?' {.> i , J /,. '/ Fire Place I Heat /J, 1.1 fA./. DR. / " ",f (,1. 2~_ ,-,.., /<! ,..; ~ / ..(;SI ~ge 't.. /2..;'- >:>1 - (.(C/C( i' Type Roof Rooms 1 st Floor '7 SR. '3 -, . - ...get1oU "" II" ... '" ~ H, 7 t/ fC J I 'F t.01 Recreation Room Rooms 2nd Floor L/ FIN. B ,,{J">! . /0 , 2. . O. B. .. Dormer Driveway - Total f,; ,/0 I L '_ --',..- -.- I~. . Iz ' >- :0", .~ lit 'LO ;~.., 1(' ',. > . 'h~ :r-' , 'I.' 'Z :< :l: ~ > :l: 2! " ... " . '- ~ If' j -------- {j,!, ;~Iml HllHlll' I 1 I't!f f" irE :r 'ifi lit '!l[ Itf (h i', lfhf;lf ('I , .. 3!:_~'.' .. !J :> ~ "l I~ II: I~ 10 t~ !7'I~:u 1~IP;J'o i)>,<'.., : u.m , '\:<,~, \. . 'n).':: .\;" "- ,-. , 0 .: 1 '-~".." ,\J . .....-:0 -il: ;(, ) 1t\J:F-e Ir, ,-'1 \J. '.<' I. ,...,.,. . ~~-..... ~ 'l _> -...40 . 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