HomeMy WebLinkAbout31611-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32339
Date: OS/08/07
THIS CERTIFIES that the building
ADDITION
Location of Property: 97S CRITTEN
(HOUSE NO.)
County Tax Map No. 473889 Section 70
LA
(STREET)
Block 11
SOUTHOLD
(HAMLET)
Lot 2
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
NOVEMBER 16, 200S pursuant to which
Building Permit No. 31611-Z
dated
NOVEMBER 17, 200S
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 SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to PATRICK J SINCLAIR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO_
106403C
OS/18/06
PLUMBERS CERTIFICATION DATED
04/19/07 K.REMPE PLUMB. & HEATING
~~~-
Authorized Signature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
r
I.IAY - 2"
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
APPLICATION FOR CERTIFICATE OF OCCUPANCY,
1_____
____.:._~.c~
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 I % lead.
5. Commercial building, industlial 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:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features .
2. A properly completed application and consenl to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall slale the reasons therefor in wriling to Ihe 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 - $5000
5. Temporary Certificate OfOccllpancy - Residential $15.00, Commercial $15.00
Aw~
New Construction:
v -- Old or Pre-existing Building:
Q'15" .c;.J.H:en_~
House No. Street
Dale Mil y I J 20()'1______
(check one)
qhlrt-~E'\Al1DrK 11<L71
Hamlet
Location of Property:
Owner or Owners of Property:
Pr, +.....5.I.n.C.lo:.u-_
Suffolk County Tax Map No 1000, Section ---'~-O---~_ Block
Subdivision_~___ .____ ___ Fried Map
/I
Lot
:2..
Pemtit No
31(,,11 z.
Lot:
Date of Permll.
Health Dept. Approval: _~_ /LJ fie ..___ _.__
PlalUling Board Approval ------J,..l.tr-: .____
Request for: Temporary Certlficatc ~ k
.-------.._-----
_~. Underwriters Approval:
-- ApplicantLhnr!e sM.
V
T/'"mnc;, Arrhlh:.ct
FlIlal Cel1ificate:
v
Fee Submitted: $
a 1\.00
R ~ldl{'b(
COi:..3;<339
.!AN I I 07 Electrical Inspection Certificate
-Issue Date
5/1812006
.---J
Electricallnspectlon Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 288-6642
Application
106403C
Issued To:
Street:
Village:
Section:
Mr. Patrick Sinclair
975 Criltens Lane
Southold
70 Block: 11
Zip: 11971
Lot: 2
Town: Southold
Contract'l(;D. LT. Electric_{lJ_.__ _.LJc.#_ 4966-E
Was examined and found to be in compliance with the National Etectrical Code.
Commercial
K Residential
NV Defects
Pool )< 1st Floor X Indoor
Basement . Hot Tub
Det. Garage
Attic
2nd Floor lr Outdoor )( Addition
Survey
-- --~--~--..._.-'_. .____~___._.____._n -- _.'.---------
Switches Receptacles Fixtures GFI Heaters
6 8 11 3
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps
AlC Fans
Microwaves
Furnace
011
Gas Circulators
Smoke Detector
Bell Transformer
Meter Amps Phase UG/OH Jacuzzi
Television
CO Detector
,
!
Bldg. Permit: 31611
Othe! Eqllipm~nt
Sunroom Addition
fI.:;e / ~< " eL'
Hugo S. Ii 1 ~
Presiden
Rough Inspection: 02116/2006
Inspector: John Mc Mahon III
Anal Inspection: 05/17/2006
Inspector: Dennis Brandi
_.______.__....__~_~_._ - _.-_0-- __'_"_
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
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
..y (/ ~I (j 0
I I
Date:
Building Permit No. '::5 ( 0t r
Owner: c'v Alcl A.t "-
(Please print)
Plumber: .t''tvJj\J ~V'1fQ. pi .Jf'\.k,w~ +. l~~l.. C00f.
(Please print) I ,-
I certify that the solder used in the water supply system contains less than 2/1 0 of 1%
lead.
L e~
(Plumbers "Si'gimture)
Sworn to before me this /9 ~
,
dayof~ ,200 r
~,f)~
Notary Public, S lA.-f ;::oCk: County
S. M hWIv//vV
"'*" '=Nolc. s=rL 'Ibrk
. 4948506
~~p!"lIled in Suffolk County....:l (
-..._ Elrpiqs March 20.-->.:::,4'
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.
31611 Z
Date NOVEMBER 17, 2005
permission is hereby granted to:
PATRICK J SINCLAIR
SOUTHOLD,NY 11971
for :
SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS AAPLIED
FOR.
at premises located at
975 CRITTEN LA
SOUTHOLD
County Tax Map No. 473889 Section 070
Block 0011
Lot No. 002
pursuant to application dated NOVEMBER 16, 2005 and approved by the
Building Inspector to expire on MAY 17, 2007.
Fee $
150.00
ure
ORIGINAL
Rev. 5/8/02
CHARLES M. THOMAS, R.A.
PO Box 877
t
~AMESPORT, NY 11947
(637) 727-7993 W~~ - 2.
,-
.-1
-
Building Department
Town of South old
53905 Main Road
P. O. Box 1179
Southold, New York 11971
Re: Sinclair Residence
975 Critten Lane
Southold, New York 11971
Permit # 31611Z
\
\ -------
\.---=c.-
May 1,2007
This letter shall serve to certify that I have visually inspected the
plumbing at the above referenced residence, and have found it to be in
conformance with the New York State Building Code. In addition, a
pressure test was done at this location, holding 50 PSI for 2 hours.
Please call the office with any questions or concerns at (631) 727-7993.
Thank you.
es M. Thomas, R.A.
CHARLES M. THOMAS, R.A.
PO Box B77
.JAMES PORT, NY 1 1947
OFFICE (637) 727-7993
FAX (637) 727-8033
Building Department
Town of South old
53905 Main Road
Southoid, N.Y. 11971
Re: Sinclair Residence
Southoid, New York 11971
Permit # 31611Z
Dear Building Department,
December 18, 2006
::l. '5
".__."_J
This letter shall serve to certify that I have inspected the poured concrete footings &
foundation, foundation damproofing, strapping, rough frame & insulation at the above referenced
residence, and have found it to be in conformance with the construction drawings.
The residence as constructed conforms to the standards of the "Residential Code of the
State of New York" and 1995 SBC High Wind Edition, WFCM Wood Frame Construction Manual.
Please call the office with any questions or concerns at (631) 727-7993. Thank you.
~....., , ~.,
3/(,\\ z
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
REMARKS: ~
Ir~ ~ Z4-
] FOUNDATION 1 ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
] FRAMING I STRAPPING t>4" FINAL I-e ~
] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
/JYV ~,
t)k_
DATE +-;)t; - 0 7
INSPECTOR ~~
31 ~ f/ ~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
,
DATE II~;-f -0 b
INSPECTOR
~~
..
-
,
mLD INSPECTION REPORT DATE COMMENTS
-- . lJJ;:ll
~'-~
FOUNDATION (1ST)
~o-l
---'It
-------~----------------------------
l}\
:pE ~
FOUNDATION (2ND) ?~
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ROUGH FRAMING & J,r:;
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PLUMBING o-l
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---- L--~
0'~
INSULATION PER N. Y. o-l
STATE ENERGY CODE
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
BUILDING PERMIT APPLICATION CHECKLIST
PERMIT NO.S/6//.z
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planuing Board approval
Survey /
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
/'
Examined
Approved
Disapproved alc
20 S-
, -----::----
,20~
I 6
Mail to{'hY~~N'O~
~D '?:o'/. "f:.Tl 3m,"'.Q\ \ \({"-II
Phone: U5\ ...,(rllqQ~
Expiration
,20~
.(
APPLICATION FOR BUILDING PERMIT
Date Oc..-\-o\:::er Ol~
, 20 oS
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 oflot 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 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, and to admit
authorized inspectors on premises and in building for necessary inspections.
C_Y\().X"\6 \-\mtJrM';J 'Pm'h\ \oc:\-
(Signature of applicant or name, if a corporation)
~D ~X ~" 3..ffi<~0. NY W:V-\l
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
CL9Q\iCa.........~ \5 G..,~', \eL+
Name of owner ofpremiseSVCL.Ir ~\'0C..\Q\ (""
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location ofland on which proposed work will be done:
C\i~en~ \ (\'('f I
House Number Street
~ j\\\D\r\
Hamlet
County Tax Map No. 1000 Section
Subdivision
10
Block \ \
Filed Map No.
Lot rY
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~\c\<?nm \ \:)....."1" \\\1\%
b. Intended use and OCCupanc~\af"(l\\n \ \)u- \ \\ \'I~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
/
Alteration
4. Estimated Cost
(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. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front '1 D ' Rear
Height Number of Stories \ ~.... u
.
10'
Depth c9~ 1
Dimensions of same structure with alterations or additions: Front r') D \
Depth '-II' \ 0 Height Number of Stories
I
Rear ~ D
\~'<U
.
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
i~O.\
Rear c0DO \
Depth
\l-\\). \
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ~ \ At' \\ \-i 0. \
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO v
13. Will lot be re-graded? YES_NO~ Will excess fill be removed from premises? YES_ NO ,/
14. Names of Owner ofpremis~fr\ 51<<\0.\ ('"
Name of Architect('lYrc~ ~cb
Name of Contractor
Address ~D\d
Address \')0", %11 ~~
Address
Phone No.
Phone No l &'1\ Irl'lC\C\ ~
Phone No.
15 a. Is this property within 100 feet ofa 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 )
~o...~ \....., ~ ~;z, being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing cont t) above named,
(S)He is the Q~ X"\ \-
try;: o..,,~, ~ (.>. .
(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.
20D5
c
LAURA J. DUBOIS
P"o,""... State 01 ...;:\
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