HomeMy WebLinkAbout33049-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32523 Date: 08/10/07
THIS CERTIFIES that the building ADDITION TO ACCESSORY
Location of Property: 9180 NASSAU
(HOUSE NO.)
County Tax Map No. 473889 Section 118
POINT RD
(STREET)
Block 6
CUTCHOGUE
(HAMLET)
Lot 5.1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 17, 2007 pursuant to which
Building Permit No. 33049-Z
dated
MAY 21, 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 ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to MARIO & ILSE TROMBONE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3040937
08/02/07
PLUMBERS CERTIFICATION DATED
N/A
~iZ~
Rev. 1/81
(\[\C\.I
, Form No.6
TOWN OF SOUTHOLD R n WI ~ In'\\
BUILDI~G imPARTMENT IT]r ~ ~_~'l 'Ii ~! \
'TOWN HALL : J [ U \
765-1802 \ " .' 9 ';'
APPLICATION FOR CERTIFICATE OF occupi, , "-
[ . \..! ,OEf'.... ,
\ ('WN Q.f SA' THO ) ----
This application must be filled in by typewriter or ink and submitted to the Building De~ent with the following:
A, For new building or new nse:
I. 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, 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
New Construction:
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, COlmnercial $15.00
Date.-*/n-L
V (check one)
* 7) CL-L7 CffbGu r AJ j 1/""5 3J
Hamlet
Old or Pre-existing Building:
rr icY 0 AlII <;;sT/ f(! 7' I
House No. Street
Owner or Owners of Property: ~IJ t? /0 T It ~F
Suffolk County Tax Map No 1000, Section Cf 73 J" g<7
Location of Property:
77POifJ3D/V~
Block O()Oc,
Lot 06.t:, Dol
Subdivision
Filed Map.
Date ofpermit.-.I.jfl/.6-.l Applicant:
_ Underwriters Approval:
?l!M:J~.
t/
Permit No. '330 tf-ry z
Health Dept. Approval:
Plalming Board Approval: _.
Request for:
Temporary Certificate
Final Certificate:
v
(check one)
Fee Submitted: $
~5,oO
6Zll<.-- 7J 9 b '7
~ 0 ~3J5,,(3
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Applicant Signature
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.
33049 Z
Date MAY
21, 2007
permission is hereby granted to:
MARIO & WF TROMBONE
9180 NASSAU POINT RD
CUTCHOGUE,NY 11935
for :
CONSTRUCT AN ADDITION TO AN EXISTING ACCESSORY GARAGE.THIS
PERMIT REPLACES BP # 19224
at premises located at
9180 NASSAU POINT RD
CUTCHOGUE
County Tax Map No. 473889 Section 118
Block 0006
Lot No. 005. 001
pursuant to application dated MAY 17, 2007 and approved by the
Building Inspector to expire on NOVEMBER 21, 2008.
Authorize
)
/
/
ignature
Fee $
100.00
ORIGINAL
Rev. 5/8/02
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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
ILSE TROMBONE
9180 NASSAU POINT RD
CUTCHOGUE, NY 11935
ILSE TROMBONE
9180 NASSAU POINT RD
CUTCHOGUE, NY 11935
9180 NASSAU POINT RD CUTCHOGUE, NY 11935
Application Number:
3040937
Certificate Number:
3040937
Section:
Building Permit:
BDC:
ns11
Block:
Lot:
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Detached Garage,
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 2nd Day of August, 2007.
Name Ory Rate Ratine Circuit ~
Miscellaneous
addition to garage
as built 1990
Wiring and Devices
Outlet
Fixture
Fixture
Outlet
Receptacle
Switch
Receptacle
3 0
I 0
2 0
6 0
4 0
2 0
1 0
Fixture
Incandescent
Flourescent
General Purpose
General Purpose
General Purpose
GFCI
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.
JAMES 1. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
AUG-9 7
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Date: July 30, 2007
To: Town of South old Building Dept.
Re: Footing! Foundation! Framing Inspections
Trombone
9180 Nassau Pt. Rd.
Cutchogue, NY 11935
Permit# 33049
To Whom It May Concern:
After a footing, Foundation, and Framing inspections were preformed on the above
mentioned Garage addition, it is deemed that all work performed was completed to plans
and meets all state and local codes at the time of construction. Any other questions
please call.
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330 Lfj ;2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING ~NAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS:
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E.~ ce~,
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DATE t -Lf-o 1 INSPECTOR 4v.~
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FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
&OUTHOLD. N.Y. 11971
_/ TEL.: 765-180:!
Examined .7j'?:-f.........., 199.4' . /,
Approved. .7P.y......, I 97:0permit No. t1.4l.~fr
~.!'. . . . .
.II. I 61l8l
BOARD OF HEALTH
3 SETS OF PLANS
SURVEY
CHECK
SEPTIC
/
BLDG. DEPT.
TOWN OF SOUTH OLD
.J!:........ .
... .~l~~..
FORM . /. . . . . . . . . . :
NOTIFY
CALL
MAIL
TO: f. (j. eo-{. 2-
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Disapproved alc .....................................
APPLICATION FOR BUILDING PERMIT
Date.................., 19...
INSTRUCTIONS
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 of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 neces~~~. i~.SI1. .t~~~s. .. ~ . . . . . . . . . . . . . . . . . .
(Signatur f applicant, or name, if a corporation)
f3"~.~. .C:I.!-"f.q,c:>'{(.<e,... N.~ t.. .I).cpr...........
(Mlailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
............. .t3.,,:\.I.L!~r. ....................... .................... .... ............ ...... ...
Name of owner of'premises .m"" "(/.~ ,;,.. e.Ls.o... . Tr: ().k1.p, 0.10 :~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed) .
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR' S MYST,.JlJ;:. SUFFOLK COUNTY
Builder's License No. .. ;1,. '1. :r. ~. . . . . . . . . . . . .
Plumber's License No. .., t{ ,1.1/ . . . . . . . . . . . . . . . .
Electrician's License No. . ./)/../</. . . . . . . . . . . . . . .
LICENSED
Other Trade's License No. .....................
I. Location of land on which pr~osed work will be done. .................................................
a! l1(J~Q'7<" 0 ~ () N 117. 0
H~~~~L~b~r' . . . .. . ., .1. It. . .U.\.o ~rie;' . ... .q? 7.q,v., .V Q I"TH~;;I~t . .4.T." l"th-CIl~. ~.~.. . . '.
County Tax Map No. lOOO Section ... /. /. .<1. . . . . . . . .. Block ......~.......... Lot. :~.~.( . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
11. ' A << 11-
a E. . ~. ':;,"'[-\ 1..J ~J_ c.c....y L.n ~~c
. xlstmg use and occupancy... .. ....... .. ... ..' ~.......... ..... .. .l,.7.".'~ . '.,.....t:;:.,.............
b. Intended use and occupancy...... ~~~. ~ q~!l. j-;:,l,...;...~. .~~.~.. .~.J.-A.~'i) fho.,J.........
I
r;;u.,a..je- e"f!.e.t/l{fJ I (> h
3. Nature of work (check which applicable): New Building . . . . . '. . . . . Addition.. Y. . . .;~~teration ...'.......
Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Ot~ik!. JJt. . . . . . . . . . .
1. -Itr1) (Description)
4. Estimated Cost. . . . .3.). ~. ? ~ ... :-:-: . . . . . . . . . . . . . . . . . . . . Fee . . . . .::Jr::(. . . . . . . . . . . . . . . . . . . . . . . . . . .
, (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 rnd extent of each tlpe of use . . . . . . . . . . . . . . . . . . . . .
7. Dimensions off~jPg structures, if any: Front. . .. .Qt?-. . . . . . Rear . ~?. . . . . . . . . Depth ..;z.;7.. / . . . . . . . .
Height ..... ......... Number of Stories. . . . . . .::r::. . . . . . . . . . . . . .)'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of ~me structure with alterations or additjons: Front .,....;;;t.. 7. . . . . . . .. Rear .;z, .';'. ~ . . . . . . . . . . .
Depth. . . . . . . . ], ~ . . . . . . . . . . . Height . . . . /. s. . . . l' . . . . . . . . Num ~IJ>f Stories. . . r. . . . . . . . l' . . . . . .
8. Dimensions of en?e,new construction: Front. . . . . .5.. . . . .. Rear.. 6. . .. . . . . . . . Depth. . ~.~. . . . . . . . .
H.eight ..... 1. . . . . . . . . Nu~er of Stories. . . . . .z:;. . . "7 j' ( . . . . . . . . . . . . . . . . . . . . '," .....0'. r' . . . . . . . . . . .
9. Size oflot: Front.. . ..I.:h. .. .. . .. .. ... Rear.... /. .. . .. .. .. .. .. ... Depth .. 7 V. .'. .. . ~.. .... ..
10. Date of Purchase ............................. Nawe of Former Owner.. It .aC!'!'.'>:'-........ .. . .. . . . ...
II. Zone or use district in which premises are situated. . . . . .I\~ .S:f.~ ~"!<.T ~.l,-;.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: ... f';t. .~. . . . . .. . . . .. . . . . . . . . .. . .
13. Will lot be regraded ......... N. '7'. . . . . . q _' . . . . . . . Will excess fill be removed from premises: Yes ~
14. Name ofOwnerofpremises!M<?-1!'? :r~"'lfI.l7.q~LAddress a.....r'i'l<~J A-.~... . Phone No. ...............
Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. .... . . . . . . . . . . .
Name of Contractor .(}~o.~.r.e.... .P.9.H.1:\,,-/>. .. .. Address... .;. . ... ......... Phone No. (.3q._.s:~ <l, ~..
15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .')t... I
*If yes, Southold Town Trustees Permit may' be re,gu:j.,ed.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
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STATE OF NEW YORK,
COUNTY OF . . . . . . . . . . . . . . . .. S.S
..... ....-................,.-.....,....... .......
being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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
............... /.~...... .day of.. tJ:tl..........., 19?~
, Notary Public, ....~.. .;r.:. . . . ~. . .~. .. County /7
/IOfMY='~'1NewM .. .~. . if. ~;e'~i ~~~I;~;n't)
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TYPE OF BUILDING
IND.
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I MISC.
DATE
REMARKS
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Appt9~D AS NOTED
DATE: ~B.p."
FEE: R<; ~ BY:
NOTIFY llUlLDtNG DEPA T AT
76S-1802 9 AM 10 4 PM R THE
FOLLOWING INSPECTIONS:
1. FOUNDATION .. lWO REQUIRED
FOR POURED CONCRETE
2. ROUGH .. FRAMING" PLUMBING
3. INSULATION
4. FINAL .. CONSTRUC'(1ON MUST
~E COMPLETE FOR c.o.
AP-CONSTflUCTION SHALL MEET
.. ..<M 'REClUlREMENTS OF THE N.Y.
...JTATI'~ . ENERGY
.(:()Od'.NOr IIESfIOfllllLE FOR
. DESlGNOR COM~IRUCI1ON l!RIlORS
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OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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(r-c>'>t 1" V; c.v..J
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.0_ NO. .
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N. Y.
BUILDING PERMIT
1;?P~
<THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ ; 922/; Z
Dote ....~................................... 19.2p.
Permission is he~ranted to: ,C1 ~. 41/
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....x9~...~....................c::;......................
....U-~.rf;f.<,L/9.36
to.~~~...... . . ..~..... .......~...#?.................
"'~"~""'''''''''''''''''''~~'7''';;2;?/''''''''''''''''''''''''''''''.....
at premises locoted at .....~!.'~~.......~.....~!......................................
...................................................~~;~~.........................................................................
................................................................................................................................................................
County Tox Mop No. 1000 Section ....../L..J::..... Block .......lG........... Lot No. .~./..........
pursuant to application doted .........?r'l.~.....".........................., 19.Zi), and approved by the
BUilding~lnspector.
'tJ"
Fee $.. ~
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Rev. 6/30/BO