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HomeMy WebLinkAbout32506-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32525 Date: OS 10 07 THIS CHRTIFIHS that the building AS BUILT SHOWER STALL Location of Property: 3175 NASSAU POINT RD CUTCHOGUE (HOUSE N0.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 13 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 8, 2006 pursuant to which Building Permit No. 32506-Z dated NOVEMBER 21, 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 "AS BUILT" SHOWER STALL ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to PHYLLIS KAUFER (OWNER) of the aforesaid building. SUFFOLK COUNTY DHPARTMENT OF HSAI,TH APPROVAL N/A HLHCTRICAL CHRTIFICATB NO. 3036985 07/05/07 PLUMBHRS CBRTZFICATION DATBD N/A Au o zed Signature Rev. 1/81 ' Form No. 6 ~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT I TORN HALL 76s-lsoa AUG - 9 Z , ! APPLICATION FOR CERTIFICATE OF OCCUPAINCYI-- - _ t'? J 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 al] buildings, property linos, 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. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of I % 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, 19s7) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing al] 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, 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 ofOccupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commnercial $15.000 / --7 11,~.,, Date. O lG V / New Construction: N O/ld or Pre/e~xistin/g Build~i7ng: (check on^e) 7- Locatiai of Property: 3 l ~ S~ ~"~SShI I") f`®• C i(1 `1 ~UG~~ House No. / / Street Hamlet Owner or Owners of Property: yC~G l,S fZ Suffolk County Tax Map No 1000, Section '7 7.3 ~O~ Block l~ ~3 Lot _ Subdivision _ Filed Map. _ Lot: _ Permit No. ~ Date of Permit. ~ ~ ~ Applicant: 1~ ~ ~S ~ ~l t"G Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~C, _ (check one) Fee Submitted: $ (~q Ap icant S gnatur co ~ 3~5aS 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. 32506 Z Date NOVEMBER 21, 2006 Permission is hereby granted to: PHYLLIS KAUFER 21 BEDFORD AVENUE ROCKVILLE CENTER,NY 11570 for AS BUILT CONSTRUCTION OF A SHOWER/SHOWER STALL AS APPLIED FOR. at premises located at 3175 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0013 Lot No. 012 pursuant to application dated NOVEMBER 8, 2006 and approved by the Building Inspector to expire on MAY 21, 2008. Fee $ 300.00 Authorize gnature ORIGINAL Rev. 5/8/02 . f3Y THIS CERTIFICATE OF COMRLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ;NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by S .GOODALE ELECTRIC CONT INC STU KAUFER PO BOX 1180 3175 NASSAU POINT RD. MATTITUCK, NY 11952, CUTCHOGUE, NY 11935 3175 NASSAI~POIhiZR0.-G•kJTTF~HOAt?E;"iVY 1'835 3036985 Certificate Number: 3036985 Application Number: Section: Black: Lot: Building Permit: gpC; ns19 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inlon the Rremises dt; Detached Garage, Outside, A uisual 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 EnforcemhntDand Administration, or other auNtamerity having jurisdictionrand.tound to be in compliance therewith on the y of July, 2007. _ ZTY Rate RSIIfIY Circuit Tvoe Miscellsaeons as built-1997-outside walls of ' garage deck area _ _ W iriag and Devices Fixture 2 0 ~lnr~~,;;,gc~r_e_ut _ - _ Switch _ - 2 0 ,-.General Purpose- . _ ReCEptStzte -`""z,~~----- I 0 GFCI Paddle Fan 1 0 - An as built inspection, of the delineated electrical installation, determined that art obvious hazard is not present and the installation is believed to be in comfotmance with the applicable reference standard for the estimated period of wnstruction of the premises wiring system. No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory condition was found. 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.... C 3~~~5~ ,rt.n. n~4 A.UL3T" Way De~rField B~aob.,ilorido:3T~MR JUL - 3 7 { June 12, 2007 Re: Shower Deck & Enclosure for the Kaufer Residence 3175 Nassau Point Road Cutchogue, New York 11935 Per my inspection, this letter is certification that the "Shower Deck & Enclosure" was constructed according to my drawing dated October 31, 2006. Please contact me should there be any questions. ~~~E.D AqC erely, .;o eP AL co A~ ° 'z ~1 2 ~ S` ~ ~ R k n Constantine e- ~ Architect, ~~yJ, p2382A'~' yOQ~ ~ OF NE~'~ 3y'~~~~~ ~o~y~OF SO(/Tyo6 # ©'F ~~ibUNl'1 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU TION [ ]FRAMING /STRAPPING ( INAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ] FAIRE RESISTANT PENETRATION REMARKS: ~~y~b=t ~9-i7Ctii 1`{,~~~-~c~S ..t. ° -7 o~..J r ' t ~ s w ~ ~ - ~~u,~.~5 DATE ~ ~ INSPECTOR e - ' FIELD INSPECTION REPORT DATE COMMENTS U ~ i ~ FOUNDATION (IST) U ~„„~rr ~ \1J FOUNDATION (2ND) ~ ~ t~if i z 0 - y cif ~ ROUGH FRAMING & - - - h7 PLUMBING _ _ _ _ ~ - y - - - j~ - - _ Vq~, r - ~ INSULATION PER N. Y. - - - ~ y STATE ENERGY CODE ' k f l ~ ~ rn~ _ ~ ~ ' r~ - - C FINAL r~ ADDITIONAL COMMENTS ~ 3/ o ~ Cc,~,~-~,--_ ~ cam, I - _ - _ - p rZ m - - - - -t 70 - - - ~ - - ~a _ CJ ~ - ~'Cz ~ _y ~ d Ci7 y - H Q , . , a, , , ~ ~Y~ QTY ~ BAR OWNER STREET) < °t T I Vii_LAGE ~ T DISTRICT SUB. 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Wuls r , t interor ~ : h - i ~ ~ • I ~ Fire Place Heet s ~ ~ r , ~ J m ,xtension ; _ a l.~ .r-" v Porch ^.ttic fu m Ilk„ - - _ Y ~ ~ `~"x'°` Porch Rooms 1st Floor ~ m ~yq rye>c.~. ,n ~ ' ~ 5 ~ a3 rI2.- Rooms 2nd Floor A P Breezeway a'= t+u.r r; r "i'x ~ a, olio i---- - - - - _ _ _ ( ~ ~ ^rI„~woy ~ ~ z ~ - - _ _ _ - ~ I'I 3~. i~ j.>F~f° ~ - TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEP[LRTMENT Do you have or need the following, before applying? TOWN HALL Boazd of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. ~ Check Septic Form II ~ N.Y.S.D.E.C. Trustees Examined , 20 ~ Contact: Approved , 20I/ Mail to: Disapproved a/c Phone: Expiration , 20 _ Building Inspector _ _ . , I' APPLICATION FOR BUILDING PERMIT i 8 -.~J Date ~ , 20 O (a 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 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. £ 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signs a of applicant name, if a corporat~Qo~~n(~)~/ 2~ cKv e~'~- (Mailing address of applicant) / ~.~70 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder l Name of owner of premises IS (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 work will be done: ~s Nf~_~/~. C.c ~~4, Luc. House Number Street `I ~ Hamlet County Tax Map No. 1000 Section D T Block 13 Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premi es and intended use and occupancy of proposed construction: a. Existing use and occupancy /?~i~ b. Intended use and occupancy ~ 0 old. S t) Ld 2!~ 3. Nature of work (check which applicable): New Building ? Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost O . ' Fee ~3a~o (To be paid on filing this application) 5. 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. ~ K}- 7. Dimensions of existing structures, if any: Front_~Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front d / ` Rear~Depth o~ ~ Hain~ht Fe°n/C2 p Number of S(t~ories - 9. Size of lot: Front ~ 9 / Rear (9- ~ / Depth % ~ ~ / 10. Date of Purchase 1 Name of Former~~O,^w//ner ~~'Yl~-l1l 11. Zone or use district in which premises are situated l~ ~ ~ I 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~ 13. Will lot be re-graded? YES NO~WiII excess fill be removed from premises? YEC~~NO J5 GSS,Gli i4. Names of Owner of premises I i 5 ddress RU lone N ~ $~b~-~e~ Name of Architect ILCAddress ~{/t{ A/I?,3Jt~ ~(v/ ~ o ~ zf~ Name of Contractor P Address Phone No. I S 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 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: COUNT/Y////O//F doddtL ) LV/1 y~~~S being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ C!J IV~~(1 (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 this lp~1 ~ ~ day~of 9Yp~/~j/1/1~~~ 20 ~(o 12'UtP~~h - (2`t--~-- Notary Public ! Signature pplicant MAUREEN E. OAMBA NOTARY PUBLIC, State of New York No. 31-8361035 tlual'rfied In Nassau County Commission Expires December 31,~d~,1(~