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Home My WebLink About33240-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 08/10/07 No: Z-32524 THIS CERTIFIES that the building SECOND STORY ADDITION Location of Property: 1900 (HOUSE NO.) County Tax Map No. 473889 Section 80 PARADISE SHORE RD (STREET) Block L- SOUTHOLD (HAMLET) Lot 16.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 12, 2007 pursuant to which Building Permit NO. 33240-Z dated JULY 12, 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 SECOND STORY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM E & DOROTHY MARTIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3040481 07/27/07 PLUMBERS CERTIFICATION DATED 08/07/07 PECONIC PLUMBING&HEATING ~h,=- Rev. 1/81 4 -----v TOWN ~;~~U~HOLD r; , . '::.\ BUILDING DEPARTMENT \r\ ;, ~ . j\ TOWN HALL . , . 'a'S ' 765-1802 \. \ ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY r ~,. ~ ,CJ\ :h":::::':::i;:;:':~ b:,f:~: ::::' ''''=,''~ 0< h~ ~d ,,,hm'"'' m ilie ""'1db,, D,~"rtm'rt' whh ili i''''~'":_ ' I. Final survey of property with accurate location of all buildings, property lines, streets, and unusuahurrural 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 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 Date. Do ~ ;J (') IJ 7 New Construction: Old or Pre-existing Building: (check one) Location of Property t~ () fS}'J 1'6cRt',gp :ShlJf'<!.R fl-{} ,,,;()~j/ ouse No. Street \ amfet Owner or Owners of Property mt3 r-n-(f". f <>.f 0 l' .1// '<3 /11 jV] J f' hdl Suffolk County Tax Map No 1000, Section 60D Block 0 60 / Lot 6/ G' cJt:) / Subdivision Filed M~~~ Lot: Pennit No~.;2 /fO Date of Permit. 711;2 /07 APPlica~t/JI~:r-;~ .F, /l)r;) r- hl1 Health Dept. Approval: __.._. Underwriters Approval: .3 D?j.6 t.f.P i__ Plmming Board Approval: ~__ Request for: Temporary Celiificate . Final Certificate: (check one) Fee Submitted: $ ~. 771 (Or Co t:- ~25;)."f 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. 33240 Z Date JULY 12, 2007 Permission is hereby granted to: WILLIAM E & DOROTHY MARTIN PO BOX 1563 SOUTHOLD,NY 11971 for : CONSTRUCT A SECOND STORY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP # 17559 at premises located at 1900 PARADISE SHORE RD SOUTHOLD County Tax Map No. 473889 Section 080 Block 0001 Lot No. 016.001 pursuant to application dated JULY 12, 2007 and approved by the Building Inspector to expire on JANUARY 12, 2009. Fee $ 69.50 Authorized Signature ORIGINAL Rev. 5/8/02 n_ NO. . TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, N. Y. 33~<fD BUILDING PERMIT <THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED> N~ li17559 Z Dote ...L.~/.2.f?................................., 19.<5:.8 Permission is hereby granted to: ~,,. ~d.#~~....~.......Vl.d~ 01~ , '<9;Z(;~&;:~~~ .. I ~~~4<...~:../~.m. .:Ut..l.2~.n; !/.?tl.....~.~......~. ........~.......~4.....~............... ot premises located at ..../..9.p./),........... ~.......si./~......~~...................... .....................................................cj5.d.. .~........................................................................ ................................................................................................................................................................ County Tox Mop No. 1000 Section ...........j:,P...... Block ............1........ Lot No. .........../.k..... pursuant to application doted ......../.~~:;l..............................., 19ti:!J. ond approved by the Building Inspector. Fee $.......6..2~ Rev. 6/30/80 frJ, - I -/~ .., / l!I~~l!I I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ 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 ~ ~ ~ ~ DOROTHY MARTIN DOROTHY MARTIN ~ ~ ~WX1~3 ~WX1~3 ~ I SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 I ~ Located at 1900 PARADISE SHORES RD. SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 3040481 Certificate Number: 3040481 ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ 3302-'10 ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ ~~ ~ ~ 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 27th Day of July, 2007. ~ ~ Name OTY Rate Ratio!! Circuit IY.m;: ~ ~~~ ~ ~ as built 2nd floor addition ~ ~ ~ililm ~ ii!l Alarm and Emergency Eqnipment ii!l ~ Sensor 1 0 Smoke ~ ~ Wiring and Devices ~ ~ Outlet 5 00 Fixture ~ ~ Fixture 5 Incandescent ii!l ~ Outlet 13 0 General Purpose ~ ~ Receptacle 8 0 General Purpose ~ ~ Switch 7 0 General Purpose ~ ~ Receptacle 1 0 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 ~ ~ ~ ~ 1 of I ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I l!I.l!I Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date:-i!-U 1 71 ~ 67 Building Permit No. '~3 ~ L/-D Owner: ~ 0 N 111 I.( c. (V) C\J I' II ~ (please print) Plumber: Pe.cOV\; c.. pcj l-f /li (please print) (5J eO 'J e. ::f. fSe""y '<1lQ... I certify that the solder used in the water supply system contains less than 2/10 of 1 % lead. $~L~~ Sworn to before me this 7 30~~; fA'J:~ Notary Public, ~ -Ko\ ICCounty YICllIl.1.llI'EIl Nola" Public, SlIIIII Now ..... No.Oll06071lO81 QUalifiedinSuff~ Commissillll Expires ~ 10 :"" , \ \ , , ~ ~ C(JI"C#/ ~ ~ ~ Jl-l '1- \. r~_. ~ \~I c 18.?' ~ .~ "'- ~ 'j \ ~ ~ ~ , ~ ~ . ~ ~. .~ . ~ tl( ~ , ~ if! ~ \) ~ f t ~ ~ ,,:.oo/~ 7~.o/' 1 --,u /9.~~ ~Ne PAR./lpH& ~C R~ Mh -'E ,c,:N ' h'l"~ #A.e7/",t./ 4''::~//O^,'. oJClL./,#4::':j" M""""-"",,"'<- .::k:..-..-,:-y d ,> ----- / ,.....p~/~.'v JA./ ~EA/.4-</"a,I-Y."k; LA..v,,:> ~?lA"Y.: H::A::: :7,:0r~ -</. Y tJy,riE.c<7"-H.v;' /}/%8 .~.::'-sJ.(,~'. IV"';JE:; r (;I,...~~aa M. -()I-N -60/ ~'~JL~~ ' 332-rO-6- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONS1RUCTION REMARKS: [ ] ROUGH PLBG. [ ] I~TION [ rfFlNAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON DATE f'1If&? I INSPECTOR , , ,j , ~ '- , .,): "",).' , ~ ~0 '-.. '" ('-..',; . '\ ell \ . II Z , '>-, ... 0 - Z L - \ ~ '. III: 0 ... 0 . :::>> :::>> c g Ii - 0 tI) z I- 111:., Z - L ... sa ......., ......., tI) U Z ..ell '--' ~ '--' - .z III a e- I- t; z ~ ....9 A. " L N - .. " :::>> en z z \ II 0 0 'i) Z - - = = ell "'.., .\t - a a z .. - tI) " '. z z 2 :.c .... . :::>> :::>> = III: f f c ... ... !':' = ....., ....., ....., '-' '-' '-' III: ~ a , z .0 [- N~ ... ! C5 U .z III ! ~ A- icn Z - z o 5 ~ :;) C en z z - - II. z o - 'C C5 Q ! z :IE ~~ II. II. ...... ......, ~ ~ l.,.....J ~ llC ~ G. en z - - ... = Q '. . ,'ELD I;;S,':;C7Iu;J IIlJ,;;:: II COL"!MENT S 1. FOUNDATION (1st) ------ FOUNDATION (2nd) ., ~ . ROUGH FRAME /' PLUMBIN/ 3. INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL ,. .."w ~~ ~c3 ., c::.~~ .~ ;I , ADDITIONAL COMMENTS: :z: "- O~ III C/.I >-,l '" ~t :c~ --l~i ~l ::::. 'M "'~ '~ . . ..4_.... M X. ~~ :a .... "" '}J ~............. 8~ - 0 .. J . . - M "" ~ O~ '" .." >-,l . "" , . . -- .. · G:./"." - t",,. . ENERGY"CODE CALCULATION5 (,cOA. NOA}-ELEc..-rA..Ic.. ';/4A') f . ! . ;:OA.: (?;,-, f-o.....'.J . - p~A. ~W^U;:': Pe~~~ 1'~h- loG J,-r t:U;.$/<rJ LAITEA/:' . ~OOO DE'iAGE DAY-S . . - f '2-~' pi...... ,AJeI/'/I::J'" DA/IEt::. . O.A. : IO.,c I.A. : 70.;: , . _ 7/J;,/a~ - ( . i , , .jUB.5Y$TE;"~ - . A A.EA A DE.5I4t'J ALLOW EO /)EJ /4-AJ AUOWEO /LE ^ \..4I~.I<~ . '. . - -U- u B TU+l /3TUH 0 E XTE~/6A \VALL$ (4AO~.5) 0./7 EXTEA/oA \V.ALU ((::)PA~UE) (;;,/7 , ? O.OS / 8~.j ~~AZIA)4 ,8 % 12..-6 0.S8 '7'38-:> DDC>~ - O.qO - c.. E /.L I /V4-~ / A c:::L::>,t: e!1 I p 0:05 / B.30 ,,&:"~ e:.o A SO 17' o.oS ISJ .I"uJ:"IL -rAAT/6/V (Vo!..-rrv<) 5'700 0.016 (.ltO 0' ,AJt:) TE.5 . IOTA,!. 1'-/370 . '~~ 1) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. TO THE BEST OF MY KNOWLEDGE i ,-\.. """'"'" o~ ,I..J ".;>~,.~ M. rv -t "Ie - 2) HEATING CONTROLS TO MEET 7813.13 BELIEF. AND PROFESSIONAL . "'~ )' ! ~ { 1;. 1& RANGE 45 TO 75 DEGREES FAHRENHEIT. JUDGEMENT THESE PLANS ARE - ... ~.3 II r I 3) WATER HEATING PER 7813..31 THRU .38. IN COMPLIANCE WITH THE CODE. /J~ : ~ 4) PIPE INSULATION 7813.19 5) WINIlCMS - DOUBLE GLASS. /. ~ 032254-1 .# . 6) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE. ()p " I ;S>OFESS\O"~ . _ . - - 0 I - 7 ~t 1'8~~~ , - t FORM NO.1 TOWN OF SOUTHOlD BUilDING DEPARTMENT TOWN HAll ~OUTHOlD, N.Y. 11971 TEL.: 765-18Q.;! BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM................ Examined /~~......., 196.$ Approved -. /1.?~.. .~..., 19 .~Pennit No.. t7.p.~~r.f Disapproved ale ..................................... NOTIFY CALL MAIL ?~5-~Z 90 ............................ . TO: . ...... ........ .......... .......~~~::.,~~~ (B..{iding Inr~tor) APPLICATION FOR BUilDING PERMIT INSTRUCTIONS Date. . ./Q/: .I. 7. .. .., 1~~ 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 descfPtion 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 wiII 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. Th~ applicant agrees to comply with all applicabie laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in bUilding for necessary inspections. " .....~d.. ... .................. (Signature oj' app lca or name, if a corporation) " .Act. ~(~~. a .t!d:).AJ.t7dlf~q~~ (Mailing address of applicanty . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . .~,!.~I; 'P.~r:1f; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises ....~ !~~(1:/'!1.. ,/.I:1(1d(~ .'.... ." .. ..... ............... ...... ........ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............. ........... ... ......0............ (Name and title of corporate officer) Builder's License No. ..I.C-.. c;..~.1.-: .1:1. ( . . . . . . Plumber's License No. .....................~ AleE-/) Electrician's License No. .................. ~ ---- tI...rC-~ Other Trade's License No. ..................... I. Location of land on which proposed work will be done. ................................................. ..... .1.1.C::~... .~"'!(,t~~~-:<.. .~.~~. .'2'-'-"" .0~y.ot~<('."':':.-:.. s;..c.-rTr.J.(U...Q.......... House Number Street Hamlet County Tax Map No. 1000 Section .. ~ .qq. . . . . . . .. Block ...... .;. . . . . . . .. Lot...... ( ~ :. . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) 2. State eXisting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy... ... .<'7 ~.s. !p~? ~~.~.. . . . . . .. ...... ........................... b. Intended use and occupancy "j?{.'F:;5. !~r:::-('(7:q.~... ....... ............. ........................... Q....d 'STOa.../ 3. Nature of work (check which applicable): New Building...... " .. Addition.. .~...... Alteration .......... Repair .............. Removal.... . . . . . . . . .. Demolition .............. Other Work. . . .. . . . . . . . . . . 4( (DeSCription) 4. Estimated Cost. . .....'B '~/'~'~' .. .. .......... . . ... Fee.. ..... . . .. .. . ..... ........... ........ (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . .~ . . . . . .. Number of dwelling units on each floor. .. . ~ . . '. . . . . . . . If garage. num ber of cars ......................................................... '. . . . . . . . . . . . . . . 6. If.busin~ss. coml~erci.~l or mixed o.ccupancy, specify .:!:lture ;rnd extent of each ~P,c of use. . . . . . . . . . . 'q" . . . . . . 7. DimenSIOns of eXlstmg structures, If any: Front. . . . . . Go. . . . . . . Rear ...~.-of........ Depth... .~. . . . . . . . . . Height ....~~.:....... Number of Stories. . ..!.. ... .......... ............... ..................... Dimensions of same. structure with alterations or ad*-tions: Front ... .~. ~. :. . . . . . " Rear... 37.;. . . . . . . . . . . Depth. . . .~. t/ .f. . . . . . . . . . . . . . Height . . . . .;a, . . . ~ . . . . . . . . . . . Num ber of ;>tories . . . . . .'?-.. . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front. . .~.~. ~ . . . . . .. Rear... a...~. . . . . . . . Depth . .:'~ ~ . . . . . . . . . Height ...~ '3~ . . . . . . . Numbel of Stories. . . . ~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size offot: Front.. . . ?~. ~ ~ ! . . . . . . . . " Rear..... /..s. :. . .. . . . . . . .. Depth .. ,fie I.t;~..'. . . .. .. . . . 10. Date of Purchase ....:-........................ Name of Former Owner .... AVt~.~(~............... II Z d' t . t . h' I . . <7> fr:: $ to ,J T 4 . one or use IS fie In w IC 1 premises are situated. . . . ... ..... . . ! . ."!': . . . ."! . ...,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '12. Does proposed construction violate any zoning law, ordinance or regulation: .....,oJ. 9. . . . . . . . . . . . . . . . . . . ~ 13. Will lot be regraded .... fIi.9.................... Will excess fill be removed from premises: . Yes ~ 14. Name of Owner of premises .~f. ':-0:- !'?:". . t.'11~~~ . . Address (I?~,! l't~<f . ~"."'flP", ~ . . Phone No. ....... . . . . . . . . Name of Architect ....... ~ . . . . . . . . . . . . . . . . . Address . . . . . . . iI~ e: . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor ~o.4. . . J~~~~~ . . . . . . . . . . . Address .;:.::; ::""rtl:/fp,. S'"". Phone No. .7....(":-; f>.4 :~<?.. 15.Is this property located within 300 feet of a tidal wetland? *YES...~.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM . ... . .. Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dinlensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot.. SC-d I-~ACHV.r.> S.-;crd"T'S .' _1'::._, STATE OF NEW YORK, COUNTY OF . . . . . . . . . . . . . . . .. S.S (Name of individual signing contract) above named. ........... ........ .... .... ...... ..,.. .... ..0...0 being duly sworn, deposes and says that he is the applicant He is the ... ..0. ........ -.. ........... ...., ..0. ......0 ..... ......... ..... ......... ................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfornled 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 .............. /. r..... .day of... .Q~............, I9!f. Notary Public, ..... ~. . )(, . j)l.,.-!/.~. . . .. County H91Il K. DE VOf IlOJMY PUBLIC, Sl:oIlI of New YwIl No. 4701878, SulIuIII ~?? Term Ellpil1S March 30, '" .o/?&fr~............. (/ (Signature of applicant)