HomeMy WebLinkAbout32955-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 06/22/07
No: Z-32424
THIS CERTIFIES that the building ALTERATION
Location of Property: 3020 BRIDGE
(HOUSE NO.)
County Tax Map No. 473889 Section 85
LA
(STREET)
Block 2
CUTCHOGUE
(HAMLET)
Lot 21
Subdivision
Filed Map NO.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 24, 2007 pursuant to which
Building Permit No. 32955-Z
dated
APRIL 26, 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" INTERIOR ALTERATION AS APPLIED FOR.
The certificate is issued to RICHARD & KAREN A CAPPELLO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3034624
06/11/07
PLUMBERS CERTIFICATION DATED
N/A
~ $6,-
Authorized Signature
Rev. 1/81
06-21-2007 12: 17
SOUTHDLD BUILDING DEPT 16317659502
.
t"orm No.6
TOWN OF SOUTH OLD
HUIl.mNG DF.PARTMJ\NT
TOW'" IIAU,
765-1802
PAGEl
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APPUCATION FOR CF.RTIFICATE OF OCCUPANCY
This application mus< he tilled in hy typewriter or ink and submitted to the Building Depm1111"1l1 with tlK: f,.lll.lwi"g:
A. )ior new buildinll or new use:
I. rinal ,urvcy of pmperty with accurate location of all huildings, pl'Opel1y lines, streets, and unllsllalnatural or
H)p()g;r~plli(,; rcaluT(,::),
2. .hnaJ Approvallrom Health Dcpt. ofwaler supply ""d sewerdge-,lispos"l (R-9 rom.).
3. Approval of electrical installation from Board or Fire: Underwrile:r>.
4. 'Sworn "Bremenl limn plumher celtitying that the solder used in system contains less than 2/10 of I % lead.
5. Commercial building. industria] building, multipk r"S;d~7)ec, 'iIld simil:1t b,"ldi[)~s and ;"'l~lIali"T1s, a certificate
of Code Compliance from architect or engineer respon,iblc for the building.
6, Subrni I Planl1in~ HO~iT(.1 Approval f,)r completed Hite plan requirement~_
n. For existing buildings (p,;or to April 9, 1957) non-"onforming "",, or bllihling. and "pre-oxi.ting" land II.e.:
I. ACC\Jmle ~urvcy of 1"'Ollerty .howing all property lines, streets, building and unusual natural or topographic
fl,:ttlufi;S,
2. A properly completed applicatioll and eonsent to insp""t sib'll"" by the appli"allt. If" Certificatc of Occupan.ey is
denied, the Duilding Inspector .hall state the reason, therefor in writing to the appli"anl.
c. Fees
I. C"rtitlcatc of Occupancy - New dwelling $25.00, Additions to dwclling $25.00, .'I.Ilcration. lo dwcllmg $25.00,
Swimming pool $25.00, Accessory huilding $25_00, AdditIons to accessolY building $25.IJll, \.lusinesses $50.()(),
2. Certificale (lfOccupaTlcy on Pre-exisling Building - $100.00
3. Copy orC"rlifie"l~ ,-,fOccupancy - $.25
4_ Updated Certiticate of Occupancy - $50.00
5. Temporary C"rlir.catc "rOccupancy - Residential $15.00. Commercial $15.00
New Constmction:
"...___ Old or Pre-existing Building;
3 0')0 ffrt{'tlf ~A-- Cvt~l/e.
lIouse No_ Street
(VCklttc{ r katc~__~~p~/!Q___
473 ?oq ~k COO:A
Dy__.GltLo7
(check one)
t/135
Location of Property:
!JY
Hamlet
Owner nr Owners of Property:
Sulfol k County Tax Map No 1000, Section
Lot
o;L1
Suhdivi~irln
P(:l1I1I1 No. ?y... q 5 5 - Z. Dale ofPerlllit- -V1J670f)
hied Map.
Lot:
Applicant:
J Icallh Dcpt. ^Nlroval:
Plarming Hoard Approval: ___ _un
Underwriters Approval:
Final Certificate: ~ (check one)
RequeSl tilL Temporary Celtitkate ______
ree Sub",itl"d; $;J.-5 ,C;J:J
C0 '3 ")..'-'\ ;).. '--I
e..e G 'I d--y5J...
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
40
BUREAU OF ELECTRICITY
FULTON STREET - NEW YORK, NY
10038
CERTIFIES THAT
Upon the appl ication of
upon premises owned by
RICHARD CAPPELLO
3020 BRIDGE LANE
CUTCHOGUE, NY 11935
RICHARD CAPPELLO
3020 BRIDGE LANE
CUTCHOGUE, NY 11935
3020 BRIDGE LANE CUTCHOGUE, NY 11935
3034624
3034624
Certificate Number:
Block:
BDC: ns11
Lot:
Building Permi!:
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor,
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 lIth Day of June, 2007.
Name OTY Rate Rating Circuit ~
Miscellaneous
as built 2006
convert garage to living space
Wiring and Devices
Outlet
Fixture
Outlet
Receptacle
Switch
Dimmers
5 0
5 0
10 0
7 0
3 0
1 0
1 0
Fixture
Incandescent
General Purpose
General Purpose
General Purpose
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.
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.
32955 Z
Date APRIL
26, 2007
permission is hereby granted to:
RICHARD CAPPELLO
3020 BRIDGE LANE
CUTCHOGUE,NY 11935
for :
INT. ALTERATION "AS BUILT" TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
3020 BRIDGE LA
CUTCHOGUE
County Tax Map No. 473889 Section 085
Block 0002
Lot No. 021
pursuant to application dated APRIL 24, 2007 and approved by the
Building Inspector to expire on OCTOBER 26, 2008.
Fee $
400.00
fzJ~~ C~.
( Authorized Signature
ORIGINAL
Rev. 5/8/02
3-r95S 7-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONS1RucnoN
[ ] ROUGH PLBG.
[ ] INSULATION
[{)(FINAL
[ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT PENETRATION
REMARKS: -1 _ _ 1-
~ ~ -z;:; fYD~
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DATE S-~7-p7 INSPECTOR~~
3J-95S2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
t>( FINAL
[ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT PENETRAnON
REMARKS:
/l/~~~. ~
\~~~/
DATE 5;:-1-1> 7
INSPECTOR ~ ~
",
FIELD INSPECTION REPORT DATE I
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
COMMENTS
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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/
$4cz:;O.
PERMIT NO.
'B;)q,.t;" b
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
~ ,20 07
"0,20.EL
Examined
Approved
Disapproved ale
Mail to: At.4,.(fl:: S'Cf/4J/I/Z Tz-
,
Phone 7.J1-~ 1-/?.>
Expiration
Ifx-, 200%
~~
Building Inspector
'K, 2. 4(
APPLICATION FOR BUILDING PERMIT
Date C) 1- /7 1- /07
I .
,20_
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
!treas, 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 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 lations, and to admit
authorized inspectors on premises and in building for necessary inspections.
v.c
(Mailing address of applicant)
fblJ
State whether applicant is owner, lesse , agent, architec engineer, general contractor, electrician, plumber or builder
C/f1:J.PEL,t 0
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
P/C~D
Name of owner of premises
(Name and title of corporate officer)
Builders License No.
Plumbers License No,
Electricians License No.
Other Trade's License No.
I. Location ofland on which proposed work will be done:
'lo3tJ IJIZIO?~ c..-~E
House Number Street
County Tax Map No, 1000 Section
Subdivision
8:;
Cu"(CrpCvE.
Hamlet
Block 0 L "~ijlLIA.
Filed Map No, ~
(Name)
2. State existing use and occupancy of pre
a, Existing use and occupancy
J);f11IL-
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work Iff - PI./ If<' ll....J;~ K-
VA/(stre/) &{fIIZ ~M-~ E: (Description)
Fee 1'jTt/&14 Fe/!. p~
(To be paid on filing this application)
Number of dwelling units on each floor
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7 D' , f' S~ ~f~AvF if R D h
, lmenSlOns 0 eXlstmg structures, 1 any: ront ear ept
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Depth
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
9. Size oflot: Front
~b
Rear
Depth
10. Date of Purchase
Name of Former Owner
.-
11. Zone or use district in which premises are situated ;e.. ?6
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_
13. Willlotbere-graded? YES_NOX-Will excess fill be removed from premises? YES_NO_
It / /t1?PEc-t..-4
14. Names of Owner ofpr~es (-;C~O G' Address
Name of Architect ~ ~,.4?t.$'iffikss
Name of Contractor / Address
Phone No.
PhoneNo 7..;1 ~
Phone No.
4-rt:r-r-
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 l3~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:
COUNTYOF~
fVtt;e t:.. J C I/u/M t-z- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contr~ct) above named,
(S)He is the
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 ~ore me this
.;z,'1 dayof Af,;,L 2001
cI~ f: e...doyO
Notary Public
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JeO(J
OWNER
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:L,P, krv s/':/
RES. c:;2/ 0 SEAS. VL. (]
TYPE OF BUILDING
.
FARM
COMM. CB. MICS. Mkt. Value
LAND
'It!)
f'o 0
IMP.
TOTAL
DATE
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P ""'"
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rulable
FRONTAGE ON WATER
FRONTAGE ON ROAD
iVoadland
louse Plat
'otal
DEPTH
BULKHEAD
v
/35
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COLOR
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