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HomeMy WebLinkAbout32908-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32324 Date: 05/03/07 THIS CERTIFIES that the building BASEMENT ALTERATIONS Location of Property: 1490 SKUNK LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~lap No. 473889 Section 97 Block 3 Lot 11.3 Filed Map No. __ Lot No. __ sh~bdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 2007 pursnmnt to which Building Permit No. 32908-Z dated APRIL 16, 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 "AS BUILT" BASEMENT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WAYNE J & MARY 0 MOTT (OWNER) of the aforesaid building. SUFFOLK COUIqTYDEPART~ENTOFHEALTHAPPROVAL N/A ELEL-rKICAL CERTIFICATE NO. 3029963 04/27/07 PLt~4BERS CERTIFICATION DA'r~u~ 04/02/07 CUTCHOGUE EAST PLUMBING Authorized 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, an) ~Usual naturalor 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 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 existiug buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 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 shMl state the reasons therefor il/ writiug to tile applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dweIliug $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 Cmtificate of Occupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $1 ZOO/ ] New Co ~stntc lou: Old or Pm-existing Bailding: ~ (check one) House No. Street IIamlet Owner or Owners of Prope,ly: Suffolk County Tax MaI, No Subdivision Filed Map. Lot: Health Dept Approval: ___~/~ Undem'riters Approval: _ _ Planning Board Approval: Request for: TempormT Certificate Fee Submitted: $ -~'~>~' Final Cerlificate: _ ~ (check Olle) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDINGPERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32908 Z Date APRIL 16, 2007 Permission is hereby granted to: WAYNE J & MARY 0 MOTT 1490 SF3JNK LANE CUTCHOGUE,NY 11935 for : AS BUILT BASEMENT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1490 SKUNK LA County Tax Map No. 473889 Section 097 Block pursuant to application dated APRIL 9, 2007 CUTCHOGUE 0003 Lot No. 011.003 and approved by the Building Inspector to expire on OCTOBER 16, 2008~'/ ~ Fees 4OS.OS ~lt ~/ Aut o~zed Sig ature~ Rev. 5/8/02 ORIGINAL Town Hall, 53095 Main Road P. O. Box 1179 Soulho~, NewYol~ 11971 Fax (516) 765-1823 Telephone (516) 765-t802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION, Building Permit No. Owner: (please print) (please print) I certl[y that the solder used in the water supply system contains less than 2/10 of 1% lead. r~ZStgna ) Sworn to before me this .,//_..3~ day of L .cary Public, County 6UaAN J. NAQY Notary Publlo State of New York No, 4f~96735 Qualified in Suffolk County _ Commleslon Expires May BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STRE~i ~ NEW YORK, NY 10038 CERTIFIES THAT CiO BILL GERMAN Upon the application of upon premises owned by WAYNE MOTTS WAYNE MOTT 1490 SKUNK LANE PO BOX 1447 CUTCHOGUE, NY 11935 MA']-I'ITUCK, Ny 11942 1490 SKUNK LANE CUTCHOGUE, NY 11935 Located at Application Number: 3029963 Certificate Number: 3029963 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, finnish 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 27th Day of April, 2007. Name QTY Rate Ratinu Circuit Type Miscellaneous as built 2006 Appliances and Accessories Exhaust Fan 1 0 F.H.P. Wiring and Oevlces Outlet 20 0 Fixture Fixture 20 0 Incandescent Outlet 28 0 General Purpose Receptacle 22 0 General Purpose Switch 9 0 General Purpose Dimmers 3 0 Receptacle 1 0 GFCI Paddle Fan as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to An be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [/~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRA'I1.0N REMARKS: ~ ~/~~) DATE INSPECTOR FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRA.WiING & PLUIVlBING 12'qSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS · N/F HOOP£R DE$CR/BED PROPERTY CUTCHOGUE, TOWN ~c' SOUTHOLD SUFFOLK COUNTY, N.Y. TOWN OF SOUTHOLD BUILDING~ DEPARTMENT TOWN HALL SOUI'HOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Binlding Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Bul lh/m~ng In~i~cto~' ~f'- ~ APPLICATION FOR BUILDING PE~IT Date ~ ,20~ ~STRUCTIONS ~ppScatlon MUST be completely filled in by t~ewnter or in i~ and submitted to the Building ~spector with 4 sets of plus, acc~ate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on promises, relationship to adjoining premises or public streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pe~it shall be kept on the premises available for inspection t~oughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eveu building pe~it shall expire if the work authorized has not commenced within 12 months after ~e date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the p~pe~y have been enacted in the intehm, the Building ~spector may authorize, in whting, the extension of the pemit for an addition six months. Thereafter, a new pe~it shall be requked. ~PLICATION IS HE,BY M~E to the Building Depa~ment for the issu~ce of a Building Pemit pursuit to the Buil~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces or Re~lmions, for the construction of buildings, additions, or alterations or for removal or demolition as heroin described. The applicant a~ees to comply with ~1 applicable laws, ordin~ces, building code, housing code, and re~lmions, ~d to admit aut hofized inspectors ~~~~~~ on premises ~d in building for necessa~ inspections. nt or name, ifa co~oration) (Mailifig address of applicant) [[~ State whether applic~t is owner, lessee, agent, ~chitect, en~neer, genial con,actor, electdci~, plumber or builder Name of owner of premises ~/~')~q~ ~ ~ ~,.(~'17'1-' (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 worl~ .wi.~ll be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block ~ Lot Filed Map No. Lot State existing use and occupancy of premises and intended rose and occupancy of proposed cons_Ltruction: b. Intended use and occupancy '~::fi~ ~t ~/,~-'~) Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost t/~-' I ~ Fee Addition Alteration OtherWork [:2dh-v,-a~i~"'K)W' ,~1 k)t~.4-, - (Description) (To be paid on filing this application) 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 type of use. 7. Dimensions of existinrg structures, if any: Front ~.~ '~ Rear ~,~ Depth Height ~' (> -- Number of Stories .~ Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories D imensionsofentirenewconstruction:Front /~,J/~ Rear Number of Stories Rear Height Size of lot: Front //8"~' l0 Rear /, ~--\. ~ ~ Depth .Depth 10. Date of Purchase Name of Former Owner 11. 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 ~'~ill excess fill be removed from premises? YES __ 14. Names of Owner of premises Name of Architect Name of Contractor Address [{~O $1~OtOff~ g.¢ PhoneNo. (,,FI 7t, Address ~-,3~;r.t~,~O~ Phone No Address Phone No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO f' 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 .S:,qfolk ) [,~~ ~Y, ~g:~01/l~l,r_~ J being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ (Cont"actor, 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 tree 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 q ~ day of (.44otary Public 20 o~ John M. Judge NOTARY PUBLIC, State of New York No. 01JU6059400 {~ualified In Suffolk County ~mi~s'_~z,n._ Expir~ May I~9, 20 ~ Unf'mished Space Exis Suspended Ceiling Bracket ~, 1/2" SheetTock 2 x 4 ACQ witli Rll Iusulation 7'-B" LI~" / / 4mil Vapor Banier Tile X Existh~g Poured Concrete Floor Const ru_cti on Section Scale: 1/4" = 1~ 0" g Foundation Wall PLUMBING ALL PLUMBING WASTE & WATER LINES NEBD TESTING BEFORE OOVERI,N~., Poker Room Floor Plan 21oset Rec / Medi:a Room Bathroom 3" 0 Roof Vent Scale: 1/4" = 1' 0" Wet Bar Cedar Storage Closet SLOPE 1/4" PER FOOT PITCH TO DRAIN PLUMBING SCHEMATIC Not To Scale Septic Pump APPP~VI~D AS NOTED 7$5-1BOB BAM TO 4PM FOR THE FOLLOWING INSPEDTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. OCCUPANCYOR USEIS UNLAWFUL WITHOUT CERTIFICATE OFOCCUPANCY UNDERWRtTERS CERTIFICA~, RmUaEO PL {';dBER CERTIFICATION ON z_~_AD CONTENT BEFORE C[:RT,[ /L,A TE OF OCCUPANt~y ; SO/PFc' USED IN WATER $/,pp¢ v SYSTEM CANNOT, ~ .*.$P[ 0 2'IS OF 1% LEAD,..