HomeMy WebLinkAbout32425-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 07/30/07
No: Z-32487
THIS CERTIFIES that the building ADDITIONS
Location of Property: 1710 TUCKER
(HOUSE NO.)
County Tax Map No. 473889 Section 59
LA
(STREET)
Block 4
SOUTHOLD
(HAMLET)
Lot 5. 1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
OCTOBER 13, 2006 pursuant to which
Building Permit NO. 32425-Z
dated
OCTOBER 13, 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 TWO CAR GARAGE AND MUDROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to LEE D & LINDA J COOPER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N 441993
01/06/98
PLUMBERS CERTIFICATION DATED
07/06/07 WILLIAM GREMLER
Rev. 1/81
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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Ii. OCT I 2 2"76 I
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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 naluralor
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installatiou 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:
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 Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. 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 - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
/v)>-/h
, ,
Date.
New Construction:
,/
Old or Pre-existing Building:
( check one)
Location of Property: \ 7 I 0
House No.
\;A~4D~ fa
Street
'S ~cL.
Hamlet
Owner or Owners of Property: {..... Ceo of
Suffolk County Tax Map No 1000, Section 5 7
Subdivision ~'''''''. A.~3:;' '4~ \'
Permit No. i ~L-- Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Block
t./
Lot
.:;-1
Filed Map. -~-"-' Lot:
Applicant: L, ~ ,L r nror---
Underwriters Approval: '--
Request for:
Temporary Certificate
Final Certificate: J
(check one)
Fee Submitted: $ .JJ:;:.
Co e ~,:).~~l
0.<:.- '1 ';). <is cg '1'
~ ~d",~ Ca..,y>P/U
pplicant ignature
07/05/2007 TRU 13:54 FAX Lewis Marine, Greenport
~002l002
Town Hall. 53095 Main Road
P.O.. Box 1179
Sonthoid, New YQrk JJ97J-IN59
Fax (631) 765-9502
Telephone. (6.11) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
'1. {p .07
Building Pennit No. '32.425 - "l..._
Owner; LEE; D L!.t~_..;r__ Coo'fcfL
(Please print)
Plumber: Wi I uaIVlClrc::rn/e.;-
(Please print)
I certify that the solder used in the water supply system contains less than 2/ I 0 of 1%
lead.
~
.---f
(Plumbers Signature)
Sworn to before me tllis ~ LA...
daYOfY:.UY__, 2001,
~;.J.r~
ELAINE T. VILLANO
Notary Public, Slate of New York
No. 01V16029229, Suffolk County q
Commission Explr.. Aug. II, ~ I
Notary Public, Ju. ff/J / GCounly
THE NEW YORK BOARD OF FIRE UNDERWRITERS
PAGE 1
1001381
I
Datf'
JANUARY 06,1998
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
15212397/97
Application No. onJil"
N 441993
THIS CERTIFIES THAT
only the electrieol equipment.. Meribed' beloUl and introduced by the applieanr. ...med on the above application. number in the prem.. oj
LEE COOPER, 1710 TUCKERS I.J\.NE, SOUTHOm. NY
O IV! 0 (~AR
in dteJoUorrinR '"cotion; Ba.ument ~ "', Fl. 2nd ,..,. .wtion Blode
was examined (In ~ER 29 I 1997 andfound to be in compliance with the National Electrical Code.
Lo.
FlXTUIE
OUTLETS
ICEPTAClIS SWITCHES
FI.XTU.ES
NCANDESCENT FLUOltESCENT
OTHER
IlANGES
AMT. K,W.
COOKING DICKS
AMJ. K.W.
OVENS
AMT. K.W.
DISH WASHEU EXHAUST FANS
AMT. l.W. AJAr. H.P.
11
6
12 .
9
2
""
H. P. GAS
H.P'.
AM'
A. W. G. AMT. AlA'. AMT. AMPS.
BILL UNIT HIA'.IS MULJI.QUTLET
SYSTEMS
TIANS. AMY. H. P. NO. Of FliT
DlMMEU
D.YHS
R1~ACE MOTOU
".nUll APPUANCI FlIDlIS SPlQAL ltC'" TlMI CLOCKS
AMT. ItW.
NO.
AMY. WAlTS
1
20
1
600
AM'.
A.W,G.
Of ce. CONO.
NO. OF HI.lEG
C
A.W.G.
Of HI-LEG
E
"'"
NO. OF
MlTtI
IQUI'.
S E
Iltw 1.3w 3.3W 3".W NO.OfPf~<j.CONO
R
V
SIIVICS DISCONNECT
AM'.
NO. Of NfUTlt...lS
....w.G.
OF NEun...l
OT"I ""AI"TUS:
SPECIAL RECEPT. ~W.30-1
G.F.C.I:-1
HODERN ELECTRIC EAST, INC
10470 ROUTE 25
PAT I.J\.NE
MATTlTUCK, NY. 11952
LIC.#2300E
DY PUNILLO
LLL
This certificate must not be altered in any manner; return to the oHico of the Boord if incorred. Inspedors
GENEne-JMANAGER --,.
. 11 I' '.,
lI:lP."
may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THI5 COPY OF CERTIFICATE MUST NOT 8E ALTERED IN ANY HANNER.
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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.
32425 Z
Date OCTOBER
13, 2006
Permission is hereby granted to:
LEE D & LINDA J COOPER
1710 TUCKERS LANE
SOUTHOLD,NY 11971
for :
CONSTRUCT A GARAGE ADDITION AND MUD ROOM ADDITION TO AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES 24204.
at premises located at
1710 TUCKER LA
SOUTHOLD
County Tax Map No. 473889 Section 059
Block 0004
Lot No. 005.001
pursuant to application dated OCTOBER
13, 2006 and approved by the
Building Inspector to expire on APRIL
13, 2008.
Fee $
150.00
,~{JL
Authorized Signature
ORIGINAL
Rev. 5/8/02
JrOBII NO. J
T~N OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
sOUTHOLD. N. Y.
BUILDING PERMIT
<THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~
3~\fd\
24204 Z
....2..3............... 19.'l...7
Permission is hereby gro"::JJ::.......Q!:::a.~7...................
...I..2LO'..../~...r7.~....
..~.o.~....;r.;..~.../1..f..7/
to~..{KL.~~.~.~~~
~~~.~L~~~~~
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County Tax Mop No. 1000 Section ....~9... Block ........'1.......... Lot No. ..:&..1...........
pursuant to application doted .....................~...?-::-tf:............ 19~.7 and approved by the
...............................~.................
Building Inspector
Rev. 6/30/80
J-- 1{J-01:p ~ c:,:>. 4-;).(
765-1802
BUILDING DEPT.
[LN~~~~EC~~~~ PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: .;;f~ ok..
C~~~;
* {~ ~~~~7~'-?-a~'
DATE !3kh7
I '
INSPECTOR ~
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765-1802
BUilDING DEPT.
INSPECTION
[ ] ~DATION 1ST
[uFOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
REMARKS:
O~~
OJ:..
INSPECTOR
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3~,--\ d-~'
~
765-1802
BUILDING DEPT.
[ ] FOUND~ 1 ST
[ ] F DATION 2ND
[
[ ] FIREPLACE & CHIMNEY
REMARKS: f(~<hrr2fu~{I:;-~~ w~ -
(j)~~//~j~ ~'1-~~ /.-d
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~-~~~,;~:~.
~4~~-r~z--
DATE~?P/
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N
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
k -:2ud-i~{
a79o~+
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[
REMARKS:
[
[ ] FINAL
tJ, --- tr
-
---::<--.-41("'" -_ ....:.
DATE r~i7
3 Uf LS-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONS1RUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] IN~TION
[t-1'1INAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
c
DATE V; It c1/~ 7
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INSPECTOR
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MAY 28. I'"~
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~. .., ]95.7 Permit lb. c?6/t?.rk
FORM NO. ]
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. ]1971
TEL: 765-1802
BOARD OF HEALTH...............
3 SETS OF PLANS ...............
SURVEY ......................._
CHECK .........................
SEPTIC FORM.. _.............. _.
NOTIFY:
CALL ..................
MAIl. TO:....................
..... ildi~'~~~
ATION FOR BUILDING PERMIT
Date.MA:Y .J.l....., 19~.l.
INSTRUCTIONS
a. This application nust be ~letely filled in by typewriter or in ink and subnitted to the fuilding Inspector with
3 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 Jd>lic
streets pr areas, and giving a detailed description of layoot of property nust be drawn on the diagnon which is part of
this application.
c. The lOOrk covered by this application l'B}' not be crnt1ElCed before isStJanCe of fuilding Permit.
d, Upon approval of this application, the fuilding Inspector ..ill isStJe a fuilding Permit to the applicant. StIch
permit shall be kept on the premises available for inspection throoghoot the work.
e. lb building shall be occupied or used in whole or in part for any JllII1lO8e whatever mtil a Certificate of
Ocropancy shall have been granted by the fuilding Inspector.
APl'LICATIrn IS IERE8Y }WE to the fuilding 1lepart:nEIt for the isStJanCe of a fuilding Permit JXIrStlant to the
fuilding Zone Ordinance of the Town of Soothold, Suffolk Comty, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for I"BOOITal or demlition, as herein
described. The applicant agrees to ~ly with all applicable laws, ordinances, building code, hoosing code, and
regtllations, and to acinit authorized inspectors on premises and i2aX~:~~~~:.................
(Signature of applicant, or llalE, if a corporation)
J.1JQ. J\K.~~~.. ~H'f.:.. ?9!-!fJK>!-Ar N.'t. fl9.7 J
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plllli:Jer or builder.
. . . .Q !J..>.N .t;:. IS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NalP of owner of premises .h~.<;...P... CQQ?~~. '/:\~P'...\-,I.t':.~P. 1':\.. .ToO ~f.~F.-:...... .................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.................~lf!>:...................................
(NalP and title of corporate officer)
fuilders License lb.
23 gD/-HI:
.. .. .. .. .. .. -/. .. .. .. .. .. .. .. .. .. .. .. . .. .. .. ~ ..
.. ~?~ I:: fly..........
Plmbers License No.
Electricians License lb. .....................
Other Trade's License lb. ....................
J. Location of land on which proposed work will be done..............................................................
... _ y"}. ~.?......... .'3~~.S?-.~.. .I.-At':-l.~.............. .~9~:1h9.':-D.......................................
lloose NlIIi:Jer Street lI<mIet
Comty Tax Map lb. ]lJX) Section .. ..'$.':1......... Block ...~........... Lot ...?, ~ L....
Subdivision ...................................... Filed Map lb. ............... Lot ...............
(NalP )
2. State existing u..... and occupancy of premises and intended tJSe and occupancy of proposed construction:
a. Existing tJSe and occupancy ...J?I3:\~.E'l~~...g~.~.I.R~./'!~~...................................oO
b. Intended tJSe and occupancy ..G~~0:'T.f...::.~y.1?~m...F.Q\?...~~~\9.~~.............
I,.
Nl..ow Building .......... l\tkJilion ...~... Alteration ..........
lJenvli tion ............ aliter Work ..................................
_rlf~on)
fee ..............................................
(to lte paid on filing this application)
5. If dl""lling, [u,ber of dwelling units ............ tb,lter of lkoelling units on each floor ................
2-
I f garage J IJ..I"Irer of cars ....... _ . . . . . . . . _ . . . . . _ . . . . . . . . . . _ . . _ .
'1.
~"I'''C of ",,,k (doeck ..!,id, applicahle);
llepair ............ Renoval .............
~ 00
Estimated r.ost ..3 "]).Q9.9 ~......
6.
7.
If husiness, camercial or mixed occuparx:y, specify nature and extent of ead, type of use............ _.........
Uimensions of existing strucl"res, if any: Front...5$..:..... Rear ..~.:iS: Ilepth ....'?:'-:I..~.......
I".'ight.....l~~..;...........:. IiJIber ~f Stories :.:..(............... '31-
UmenslOllS of Sate strqcture WIth alteratIon, or additionS: Front... _.. .sk..... Rear.... .f.Q.........
Ileplh .....2-.'f............. l!eight ........!.~......... tb,lter of Stories .J............
6.
II,.
ninension$ of entire new constfilCtion: 17ront.......... _..... Rear.. _............ Depth ............ _.
Height ......................... tl.,iler of Stories ....0.............._.
Size of lot: Front ...j5.0.~.......... Rear ../.5Q.'........... Ilepth .?:7.Q.~............
\late of Purd,ase . ..9. :h-.9. ~ B.'!.... NiIre of I'mmer (Mner . J .l;N.t:;.... (:;..,'.. X,:1F.F.~R...........
Zone or use district in ~lidl premises are situated ... ':R '": .Lf.Q.......................................... _". _...
lXles proposed constfllCtion violate any zoning lllW', ordinance or regulation: .NQ................ _ _.
Will lot be regraded ..':?9.~~.......... Will excess fill be rennved fTom premises: YES @
NiIres of (Mner of premises lE~f),.t4J.,.,pf!.T..~lress O/{).Tlx.t:fg.~.S!P.r.~. Hlone 1<<>.7.(,/1.-$(;1.2.,.
Na,e of Ardlitect f'(I.~RJ":.. K:.$.~HWf!l'?:r."f,...... Mdress ~1$::i. .Cf.,~ftI?y.I.~~ .~...... Phone 1<<>7ft>.$::n9.R.
o <.J'THO <-0
Nme of Contractor ~.~~$...T{:I.(f~K!!ii(,...rI...... A<klress Ps:J.f2a'.t<.1::i1.7..Il1flr!/.m~K..Phooe 1<<>.4.~.~;!1+.~.
Is this property within ](X) feet of a tidal wetland? * Yl'S .......... m X....,..
*IF YES, roman 'lUll 'ImsrnEs ffilMIT 111\'1 IlE \lE(~JlRlill.
9.
10.
II.
12.
13.
15.
P1.0T IlIAGRAH
l.ocate clearly and distinctly all buildings, ..!tetlter existing or proposed, and indicate all set-back dimensions
fTon property lines. Give street and block D.oi>er or description according to dee<l, and sJKM street nares and indicale
'Whelher interior or corner lot.
See. aH4-C!.../z4{
SI1'i1E (J' ~;w Y(~Q(
)'., JJ SS
IUJNIYLX' ~.
..._.........__...h..~.e.......~.....(..~.p{l.r::::-..t:......beillg duly ~)nl, delX)5eS and says that he is the appUccJnt
(Nate o[ individual signing contract)
alXNe Il<~ ~
lie in the
. ......... ..9. ~!r~.~... ... ... ... ... ... ........ ... .... ...... ..... ........ ...._........ .....
(C..ontraclor, agent, corrx)rale officer, etc.)
of said owner or uwners, md is duly aulhor.izecl to perform or have perfomro the said work and to make arxJ .fi Ie this
uppUcatioTl; that all state.rents contained in this applicalion are tnle lo the best of his knuwledge and belief; and
Lhat the ~Jrk will be perfoored in t.he manner set forlh in the application filed lherewi.th.
~>rn lo before Be this
....i!l:.??::....day of .%.~......19.9..7...
-qry l\IDlic1.~.;;).~
HELENE D. HORNE ~
NoI8IY Public. St... of - ,...
No. 4861384
~El~~2i'
/'~
. /
\ilL-
l..'. . ...... . .. ... . ........... . ..
(Signature of ^ppl icautl