The URL can be used to link to this page

Home My WebLink About28297-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32366 Date: OS/22/07 THIS CERTIFIES that the building ADDITION Location of Property: 4225 BRIDGE (HOUSE NO.) County Tax Map No. 473889 Section 84 LA (STREET) Block 4 CUTCHOGUE (HAMLET) Lot 11. 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 2002 pursuant to which Building Permit No. 28297-Z dated APRIL 18, 2002 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM W & TERRI L PARK (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 02/22/07 ELECTRICAL CERTIFICATE NO. 3023906 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 crv\//\; \ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ! 2 I 2C 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 slrrVey 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 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 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, Swinuning 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 $15.00 I Date. 5 FL\ \c5l New Construction: Old or Pre-existing Building: V (check one) LocationofProperty:------=ldaS" t:::>nrlr.e Ln. ~-u-t(l hf'\(")",>e House No. J Street ~ Owner or Owners of Property: WI II, Q m .. .~ rr I Po. r K Suffolk County Tax Map No 1000, Section Lj 7, 11S 8Cj Block ()' <-/ . - <-/ Lot Hamlet 1/, ~ Subdivision Permit No. .1 g Jq7 - Z Date of Permit. Health Dept. Approval: Planning Board Approval: Filed Map. Applicant: Underwriters Approval: Lot: v Request for: Temporary Certificate Final Certificate: v (check one) Fee Submitted: $ d-v:J --- c~~ c-(:::t<,;". . roo " l'- Applicant Signature 0:.-4:.' 7.2J 7 C. c.o ~~J-3CoC 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. 28297 Z Date APRIL 18, 2002 permission is hereby granted to: WILLIAM W & TERRI L PARK PO BOX 1089 CUTCHOGUE,NY 11935 for NEW CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. at premises located at 4225 BRIDGE LA CUTCHOGUE County Tax Map No. 473889 Section 084 Block 0004 Lot No. 011.003 pursuant to application dated APRIL 17, 2002 and approved by the Building Inspector. Fee $ 150.00 M:-. Aut or~ze S~gnature ORIGINAL Rev. 2/19/98 l!I~.l!I ~ ~Lf,-li-"'3 ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ COMMANDER ELECTRIC WilLIAM & TERRY PARK ~ ~ PO BOX 526 4225 BRIDGE LANE ~ ~ BOHEMIA, NY 11716, EAST MARION, NY 11939 ~ ~ Located at 4225 BRIDGE LANE CUTCHOGUE, NY 11939 ~ ~ ~ ~ Application Number: 3023906 Certificate Number: 3023906 ~ I Section: BIO~Ck: Lot: Building permit) 'd;,tJ 7 BDC: ns11 I ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Outside, ~ ~ 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 22nd Day of February, 2007. ~ ~ Name OTY Rate Ratin2 Circuit m. ~ ~ Miscellaneous ~ ~ 2 pole lights on rear deck ~ ~ Wiring and Devices ~ ~ Pole/Post Lighting Standard 2 0 Incandescent ~ ~ Switch 1 0 General Purpose ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 1 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. ~ l!I~~il!re!~l!I d-?J.- ~ 7 z- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [ .. ] ~ULATION [ ] FRAMING [K FINAL /V-l<. [ ] FIREPLACE & CHIMNEY /;;. (u REMARKS: ~ / ~.. . ) DATE -J, '9 ~...? ~ INSPECTOR I r f- - . (~ycr7~ v 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] JOUNDATION 2ND [ /( FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY ,.----- REMARKS: \ , - o /1 NSPECTOR .. FIELD INSPECTION REPORT '- . >to DA];E COMMENTS shL-.. r:-_,7, oL ~~ . ~ /.I .~ /I.d ~ ;;: / I l/l.d~J/."//L,~ -///' ~ ...t' #1. :~.'7'--10 ~ - j t/;'/ / I /J 4 I L/hL ~ ~ t/ // // '/7 J ~ ./ ~ r' i35 l'l ~, FOUNDATION (1ST) c____________________________________ FOUNDATION (2ND) r 2: ~ 9 M ROUGH FRAMING & PLUMBING "'" ~ ::; ~ ~ l'l r'~ . .-- t:> INSULATION PER N. Y. STATE ENERGY CODE .. ::c ~~ [) l'l .., FINAL ADDmONAL COMMENTS U I.f}~ Itr 1..1 @"R 0 /"Y' ~ ./ "tJ -;t;. 1.1 J If~l 04 _ J, 00 .:IILU " ~ :- , ~ J 0 :E b z m ;0 "' 1;, f-~ ~ ~ ~~ .., ~\ 8 2: :.: l'l I ~ ~ l'l ... ~ TOWN OF SOUTHOLD i BUILDING DEPARTMEN~ TOWN HALL i SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying') Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: PERMIT NO. :2- g ;2- 9 ?.z?:::- Examined Approved 01/la 6/)$ ,20~ ,2002- Mail to: Disapproved a.ie Expiration Of/I~ , 20 c.:l.3 '- ~B"ld' ill mg Inspector X Phone: t-l~..H 0 3 '\~ iiiI ~ ft D; Ii '(7 ~ r;;" i ili<~"_d -.---!i~li , - , I 7 :lll1 /~tPLICATlON FOR BUILDING PERMIT "'0'. Date INSTRUCTIONS .L:.\ \ \1 \m ,20__ 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 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 ifthe 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 heen enacted in the interim, the Builrling m<;:pector 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 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 code, and regulations, and to adiuit authorized inspectors on premises and in building for necessary inspe . ~ ~vu. ~ \--"0- I. \ (Signature of applicant or name, if a corporation) ~~"\ f\,,~ ~"-. n (Mailing ess of applicant) '-~ D~ \lQ2:5 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plum'i>er or builder Name of owner of premises (l -)\ \ \'n rn l t ') q~ r';, l . pn rK (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. I. Location of land on which proposed work will be done: I-l-'J.J.. S B R \1) 6- E.. L-M:>c... House Number Street C "'Ie t-\-c(:,t:l &.. Hamlet County Tax Map No. 1000 Subdivision ~l-.,ra'l (N ame) Section '8 Lf PRol'~IES Block If Filed Map No. S<<t7f> Lot--..1 \ .. :3 Lot ..:5 2. State existing use and occupancy ofprernises and intended use and occupancy of proposed construction: a. Existing use and occupancy :SIr\J(:,Lt: rrlMILY Ih~F. b. Intended use and occupancy t:>Ec::: (< 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. EstimatedCost#3LfDO.OO Addition Other Work Alteration i)G.C:::l<.. (Description) Fee '). 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 to'1. t.f Height Number of Stories Rear to'? '4 ' Depth I .;n.4 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories , 8. Dimensions of entire new construction: Front 2 '8 Height Number of Stories Rear .2. .;:..:8' Depth \S' 9. Size oflot: Front Ol'i~.BD Rear ,;)4'/,70 Depth 3 ~ '7. do L/ 11 BOi.-.INIl>S 10. Date of Purchase A-PR\ L \c(7 Name of Former Owner I I. Zone or use district in which premises are situated f<c$IDE"NTil4,t-. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO ~ 13. Will lot be re-graded? YES_NOLWill excess fill be removed fromprernises? YES_ NO~ Phone No. Phone No Phone No. 14. Names of Owner of premises Name of Architect Name of Contractor .:5 E L;:: Address Address Address 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 ofa 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. ~ elevation at any point on property is at 10 feet or below, must provide topographical data on survey. ls"i"ATE OF NEW YORK) ss: COUNTY OF ) ~c;:'Le.\ '9f'.4Z-1f( being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (:) ol\l25\.- (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 thi ! '7 ay of , Q~~\ \ - . Signature of Applicant Public JOYCE M. WILKINS N(rtary Public. Stat& of New York No. 4952246. Suffolk County Term Expires June 12, d.o 0:3 ... ~ ~t-I-::-'SZ II un A6- -.....- - / ','.- L-..,cp ((/Jv.)~.;2-Z7 /. (6 I , , , ~ ~~ (:', ~ r:' 'l.... ~~ \.I ~, :. ~ .~ ~ X ~ JI~'/a-3"" ~7f.7 -- ." --"'_ __ __ _ ___ ,J;- . -;111' fJt! Iflfll/::l;J"30 /, NY ~~ If"" W'Jjs.~5=- "- ~~~. ...... .. '. ., f,. . .... ~ . , '-It>.. . ~~ '- 1'.., r \....., ". ~ .: ~ . ..., ' ~. - olJ' 'i ~ .J' .lsf';i/;);Jlr-~;:) -- ~(7 t?J10> t;;lJ ~ )/ ~ \llll:l" ~~ s '" '" "\) . "'~.J< ~h~~ -;z V':c '-J 3 ~_~~\U , ~UlM - ..... -~It~ ! I . : It f~ 10"" ~'O ~~' , .~ i~ I 0-<<:;- N I 14l . ~------- - , I I ~ ~~ ~: ' \\ ~ ; " . , " (\ " " ("'r: c> @ c.o N 1- ~ t ~ : I ~ 0 Q -;I 5: tii fJ . ., ., "', ,.', ,~~ ~ ~ U\ -::- \J ;:) ~ ~Q ~ 1_ T --JV) -- ~ :J. (J \() i -l. V)' "II '<~ ~ <' , -y~ ,~ -$- wt-II ANY AL TERA TION OR ADDITION TO TIfS SIJlVEY IS A VlaA TION OF SECTION 7t09 OF TIE /EW YORK STATE: EDUCA TION LA W, EXCEPT AS PO? SECTION 7t09-SUBDIVISION 2. ALL CERTFICA TIONS 1ERE0N ~ VALl) FOR TIfS I./AP AM) COPES TIEREOF OM. Y F SAD I./AP OR COI'tES BEAR TIE _SSED SEAL OF TIE SUlVE'YOR It'HOSC SI6NA TtflE Al'f'EARS 1ERE0N. ADDITIONALL Y TO COIlf'l. Y It'ITH SAD LA., TIE TE:IIM 'AL TE:RED Br WST BE USED BY ANY AM) ALL SlRVEYORS UTL/ZIiG A copy OF ANOTHER SlRVEYOR'S I./AP. TERMS SUCH AS 'NSFf:CTED' AM) 'BROU6HT- TtHJA TE:' ~ NOT N COMf'UANCE It'ITH TIE LA W. ~~ . 0" <r/"'P., /"/ rflo ,;.." ,. ;/ f'>', ~ ~ / / ~'-' <5'. r:\ ~O ~. ~~ ~ ..- -:;. ? "",r 1111''\ ",r- rf , / > / / / / / / '\,"" / / \~ , Lot@ #' i' \ <>- vi \ ~ // \ \ OJ' / \-...:., / ' 40" - ,- ' '1:., Q., =-<' ~ ~. ~. ~ ~ O.~ ~ O~ ~ <> ~<: .,,~ ...,~ .,,~ '-S\ / , 1,0 ~/~~ ~ 0 /'//~O // .,/ t' l /~~ \.. .,' ~ \ /~ .,,0,.... ~ tl 0 S. t;9'A9 .' \ S \.. ,/ I; / IYv ~ ~? ~~ o. / tlG /\..0 CERTIFIED TO' WILLIAM W. PARK TERRI L. PARK LAKE SHORE ABSTRACT, INC. SUFFOLK COUNTY NA T10NAL BANK ~ ~ P6 15/6/ P. O. MAIN ROAD SOUTHOLD, N. Y. I am fam/Uar wl/h Ihe STANDARDS FOR APPROVAL ANO CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES and will abIde by the cond/llons sel forth !hereIn and on Ihe permil 10 cons/rue I. ~ ~w~11 The locations of wells and cesspools shown hereon are from field observations and or from do/a obtained from others. SCDHS REF. NO = R10 - 97 - 0088 /' /' / / _ / 4-" / __35 / , / / / / SURVEY OF LOT 3 FROM MINOR SUBDIVISION MAP OF "SHAL VEY PROPERTIES" FILED JUL Y 76, 7990 FILE NO. 8975 AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 7000 - 84 - 04 - 113 SCALE: 1" = 50' MARCH 27, 1995 April 15, 1997 (SCDHS INFO) Oel. 10,1997 {foundalion} May 13, 1998 ( final ) 1/97/ AREA = 2.0382 ACRES CONTOUR LINES ARE REFERENCED TO THE FIVE EASTERN TOWNS TOPOGRAPHIC MAPS 95 - 141