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Home My WebLink About33225-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32551 Date: 08/22/07 THIS CERTIFIES that the building ALTERATION Location of Property: 375 JOCKEY (HOUSE NO.) County Tax Map No. 473889 Section 70 CREEK DR (STREET) Block 2 SOUTHOLD (HAMLET) Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 6, 2007 pursuant to which Building Permit No. 33225-Z dated JULY 6, 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 ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING (CLOSE IN PORCH) AS APPLIED FOR. The certificate is issued to LAURA ANNE DIXON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3042805 08/16/07 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 f' 0, 6!xn< (p ~iYJ,~,llnl Form No.6 TOWN OF SOUTHOLD __ BUlLDI:O~E::~TMENT [&- -~~ w ~ 1"' 765-1802 U ~, \\ l\.ll2.3 \ APPLICATION FOR CERTU'ICATE OJ' OCCUPANCl\ ' \ ~~~ -, ~~ji'H9'2-- 1 Ills applIcatIOn mllst be filled m by typewnter or mk and submItted to the BlIlldmg Oepartn~%lfoWlng A. For new bnilding or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unnsual natural or topographic features. 2. Final Approval from Health Oept. 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, 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, COIurn::ti:l $15.00 7 J ;:;J.:3)O 7 I New Construction: (check one) L'~ ~C0c 01) Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section IG Subdivision 53 ;;;::;S' Filed Map. Lot: Pcnnit No. Date of Permit. Applicant: Health Oep!. Approval: ___ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Cl-,<-, 7J 12/ co .:c !:::l.SS I 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. 33225 Z Date JULY 6, 2007 permission is hereby granted to: ANNE T DIXON PO BOX 6 SOUTHOLD,NY 11971 for : CONSTRUCT ALTERATIONS TO EXISTING ONE FAMILY DWELLING (CLOSE IN PORCH) .THIS PERMIT REPLACES BP # 17338 at premises located at 375 JOCKEY CREEK DR SOUTHOLD County Tax Map No. 473889 Section 070 Block 0002 Lot No. 016 pursuant to application dated JULY 6, 2007 and approved by the Fee $ 50.00 Building Inspector to expire on JANUARY ORIGINAL Rev. 5/8/02 @).@) ~ BY THIS CERTIFICATE OF COMPLIANCE THE Jd. - 2. - I t, ~ ~ 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 ~ ~ ~ ~ ANNE T. DIXON ANNE T. DIXON ~ ~ 375 JOCKEY CREEK DR. PO BOX 6 ~ ~ SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 ~ ~ Located at 375 JOCKEY CREEK DR. SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 3042805 Certificate Number: 3042805 ~ ~ Section: Block: Lot: Building permit:33a;;2.5 BDC: n511 I ~ 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, Porch/Deck, ~ ~ 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 ~ I a~::rity having jurisdiction, and found to b~;yC:t~lianC:a~~n:eWi~~rc~: th~vDel6th Day of August, 2007. I ~ Miscellaneous ~ ~ enclosed rear porch ~ ~ as built 1988 ~ ~~~~ ~ ffil Outlet 4 0 Fixture ~ ~ Fixture 4 0 Incandescent ~ ~ Outlet 6 0 General Purpose ~ ~ ~:~~::cle ~ ~ ~:~:~:: ::::: ~ ~ An as built inspection, of the delineated electrical iostallation, 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. ~ ~ ~ ~ ~ ~ ~ ~ H~ ~ ~ ~ I 1 of 1 ~ 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 @).@) 33 )-).5 NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE Building Address: 375 Jockey Creek Drive Southold, NY Design Criteria: Non Electric Heat 6,000 Degree Days O.A.tO Degrees F LA, 70 Degrees F o f'l d II' c:-~ Per: Existing Condit Dated: 7/17/07 U 1 ~ D W ~ Gll JlL U 1lJC' \W Bl..D,~. DEPT. T WN F S"'UTHOLD ne or two armlv we In!! SUBSYSTEM AREA DESIGN THERMAL REMARKS s.f. "U" RATING Exterior Walls 400 .047 44 R- 21 Insulation Glazing 150 .33 -31 Andersen HP or Equal Doors 17 .40 -8 U 40 Rated Doors Ceiling (flat) 300 .052 -2 R- 19 Insulation Ceiling (Cathedral) R- Insulation Skylights Andersen HP or Equal Floor 300 .05 -2 R- 19 Insulation Foundation Walls R- Insulation Slab Insulation R- Insulation Total: +1 (Complies) NOTES: Building Envelope System to meet requirements of 7815.2 HV AC Equipment to meet requirements of7815.11 HV AC Systems to meet requirements of7815.12 Duct Systems to meet requirements of 7815.13 Ventilation Systems to meet requirements of7815.14 Insulation on piping systems to meet requirements of 8715.15 Domestic water systems & Equipment to meet requiremen 0 Electrical & Lighting Systems to meet requirements of7815. 1 To the best of my knowledge, and belief & professional judgement, this structure is in compliance with the code. Signed Date 332-LS TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] I~LATION ] FRAMING I STRAPPING [vrFINAL ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRlICnON [ ] FIRE RESISTANT PENETRAnON REMA?!:~,~~~~;i;:?~ t. v ;::;T /'1>;7 6.;")<1'7 fiy.,';'" ~M~-M. INSPECTOR ~ 37; 765.1802 ~~G DEPT. INSPECTION [ ] FOUNDATION 1ST [] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL h())/or C OIUT'I#f1L DATE i?jP INSPECTOR ~ J I :'L::LD - ,. c:: ., ~.'" ~ ~ 'I" 1.1..J~':'\"o ... .... V.t Illl!"7E II CCHM[NTS 1. .. FOUNDATION (1st) -----,- .. FOUNDATION (2nd) 2. ROUGH FRAl1E & PLUMBING 3. INSULATION PER N. y, STATE ENERGY CODE 4 . FINAL ",,/)J ",Uj ~9-J, ;::;SU >-l011 "" c::t) Ulf "'""'-i Z().I o-J .~ r ~ "<;:, r\ ~~ "'~ '" >-ll;) .~ :I:~ ." 2; C ---\ ,---I ~t- .. >-l r t7 ~ ><. o @,~ M~ :c~ "s .{'qi , . '" ><" ~. ""~ >, >-l,~ H ,,' o"'J Z , , ':I: '" ~~ ::c, o::p '" "" >-l "" 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 July 2nd, 2007 Laura Anne Dixon P.O. Box 6 Southold, N.Y. 11971 RE: 375 Jockey Creek Dr. (alteration) SCTM#70216 Dear Ms. Dixon, Please be advised that your Building Permit # 17338 issued August 22nd 1988 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $50.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. TWIN PORK SIDING CO. REFERRED BY: ROUTE 48 MATTlTUCK, NEW YORK 11952 Phone 298-5111 t'1/ () 19~ ') UnA_ 4^ . D" /. J L' -jf ,jJ '?7~ :T A/. (rt In) n/J . tfl., ~~AA I. H:. ^ .. j~ '^" PHONE - 1 I , , , . - tLe , -.. -. ./ V .-. ."" f.- --- t-- 7 _...... 17' "'- "-.. -+-- - " / ""- r--..... I - I II ! 1-- - . ,I-- 1--- .- IL - f'\ ---- - - ~ tl ~- ---.- f-- I - r- - I~.. --...- .- .- / " 1. ,,' f;: I -/ :'-- .- .1-"-. JI- L) 'J , .. I / - -- -- -.- f-. -..1 . .. I / . :1:' .---' 1"), tP rr ?/ tI ~ Ifl ~ l/ ~ ",",'" . .--+. - ' . "- I I . .-C -' .- 1~ -t . I "- cI T,;. . ~ J- iLA' e _U -T,l_- .~ " 1-- I--- -- -.- It-. .............1. - - 'x 7 ~'.n.. A './ ;/2; - . -Ff ; .~"". 1/ I-- --- / - +- I i -- ---, ~- -I - -...-. ~. ~~- -. _.. - .., .P .1-. " ~. ~ - --- I I ,f-j - 'J ! f.J , ... . . I-~ I(~ . , ly.... .00 I fill ~tIR .- IU5f i h ul~~FUl -- D ~ Ul ~ IT II" ~IFICj IE --. ~I.. -. - .. .. 'V I U" II L Jr 'Ll 'U r FORM NO.1 BOARD OF HEALTH ~......... 3 SETS OF PLANS ............ SURVEY ..................... CHECK ..~. .l~ l~.. . ... . . . . . . SEPTIC FORM................ Examined. .il::. ~......., 19~.?' Approved. ..0."2;-:.... . ., 19 f$Permit No./ ? ~~.$;t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY CALL MAlL .. .d.18.~. S:J J.I. . . . ... TO: .................. .............~~~~~.. APPLICATION FOR BUILDING PERMIT O .['"ir;:.':} T~ _:-:_~~\>.' '. i i ,!i'l I UI,,~ ;iU' II L____ IlidJ BLDG. OEf'T--" TOWN OF SOUTHOLD " Disapproved alc ..................................... Date. . . . ~.-.5.: . , . . . . . . ., 19 .?B 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, housinJ>; code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . . '(Sig~~t~;e'o.t"aj,plic~~t',~; ~;~e, ir"a' co~por:it;on')' . . .. ?:~?q. ~?U.~~. ~.8.,.. ~~:t:q t!l~.l~,.. ~~.\'(. Y9r.k.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........~~.n.~~?.1. .~~~:t.r.~~t?.r. ... .... ...... ...... ..... ...... .....:. Un '~I. DATE. o' T N fA" . . .r;:.o. 69- ame 0 owner of premises ..... (I fl.e. ." 11<.0.11 . . . . . . . . . . . . . . . . . . . . . . . FEE:, Q v. . .ft. . . ... . . . . . . . (as on the tax roll oNQIlF.,'( AT If r' .. . ffi 765-1802 9 AM 10 .. PM FOR THE app lcant IS a corporatIOn, signature of duly authonzed 0 Icer. FOLLOWING INSPECTIONS: 1. FOUNDATlOH . twO RIiQUIRED FOR POURED CONCRITE 2. ROUGH - FRAMING' PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION . ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSmUCTlON ERRORS 1. Location ofland on which proposed work will be done. ..3 Z 5. .J.Q C ~ ey. . ere e.k .1$0 a.d.. . SOl.l.t h old.,. . ~ y . . . . . . .......... '" ........... ... ... ......... ....... (Name and title of corporate officer) Builder's License No. .. ,7)?9:-JH .... ... ... .... Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. ..................... 375..................... . Joc.k.ey. C.r.eei(. .Road............. 5.nutho.l.d,. N.e.w. Yo.r.k............... House Number Street Hamlet County Tax Map No. 1000 Section .....7.f?......... Block .....~.......... Lot......f..(......... 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...... .~~~Ld.E;~tLa.l.. Dw~.U i [19......... .W!\Ii).j~.................. b. Intended Use and occupancy ..... .~es.i.d.enti.a.L. Dwe.Ll i 09... .1.!1.(~A'r.t!~............ l~. ,~,.; " ., . ,,' 3. Nature of work (check which applicable): New Building, ,'. , ,', , . . . Addition, . . , . . . . ,. Alteration ,.X......., Repair ,..",..."". Removal . . . , . . , , , " . . ,. Demolition .,.,........,. Other Work. . . , , . . , . . . . . . , (Description) 4, Estimated Cost, , . , . . . . . . , . /0; t ~V,.. . ~ . . . . . . , . . .. Fee..., , . . , , . , , . , , , . . . , , . . . . . . . . . . . . . . . . . (to be paid on filing this application) . 5. If dwelling, number of dwelling units. ,1 , , . . .. , . , . .' Number of dwelling units on each floor, , . . .. . . . . . . . . . . If garage, number of cars ........."....,.,.....,..,.......,.,..,....,...........,............... "6. If business, commercial or mixed occupancy, specify n~ture and extent of each t:r:pe of use. . . . . . . . . ... . . . . . . . . . 7. D~ensions of eXjs\ing structures, if any: F~ont , . . . C-, h-. . . . . . . Rear. . . 6. ;h-; . . , . .. Depth... .It:-f. . . . . . . . Height ......1.'";1...... Number of Stones. . . . . . . . . . . .I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~. . . . . . . . . . . . Dimensions of same.structure with alterations or additions: Front ...., 6 ..~. . . . . .. Rear.... b. .~. . . . . . . . . D~pth .,' .. . . ~ ~~. . . .. . .. . ~eight . . . .. . . . J. ,:1. . . . . . . . , . Number of Stories. . . . .. . .1. .. . .. . . . . . . . 8. DI~enslOns of ent! w constructIOn: Fro,nt . . . . . . . . . "l/: z) Rell[.:,~ Ii ./1. .^./ (.:...: ~h ............... Height.............. . Number of Stones ...... ...:................ f:1. 1.'1........ .'................ 9. Size of lot: Front . . . . . . :? .~.,: . .. . . . . . " Rear......;2. ~'. O. .. . . . . . . " Depth ..., " . . ~.L; "'! .. . . . .. .. . 10. Date of Purchase .... ./~!...Z:................. Name of Former Owner ...... .<.1. y'.J.'E.............. II. Zone or use district in which premises are situated. . Res i d en.t i a 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ... .no.......................... 13. Will lot be regraded .,....,. .-:1/:0.... . .. ... . . . . Will excess fill be removed from premises: , Yes V' No 14. Name of Owner of premises Anne. D.i.x.olJ. . . . .. . . Address .:U5. J.QC "elf. .Cr.eekPhone No. . 76.s.~3788.. . . . , ".---: Name of Architect ....... :1..:~1, t:' .~.; . . . . . . . . . Address. . . . . . . . . . . . . . . . . . . Phone No. .............. . Name of Contractor :r-w-i.n. Fo-r.k. S.i<Hn~....... Address .Rtf? 4-8 . Milt.t.i.hckPhone No. . 29a-511:1/7" 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.~. *If yes, Southold Town Trustees Permit may be required. PLOT DlAG RAM 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. Pi:.i1~'AI; jf'JCiJJDFS APl>r.OWot. TO R:::MOVf t:XCf% flU, FROMABOV[ PREMISES 8Y ,- -------. REGRADING L01' --_ 1/ / L' DflIVf.WAY COIIISTi-lUCT!ON ,- I ~ / CESSPOOL CONSTRUCTION --- ___ r /"' CdLAR CO;Z~U~~ . . - - U' /' ,/ // / . I "'TMf." . .~ /,/ / j;/U/~,//t/~< / / /' j t7 "y. /' /.'--- / /' / ; L 1---.-----'- -_______ / '------ ~ J ------_1. '_.~.___ "_ arm" ,. O~'.,)D''i~ r-- I I i " J' I ~__.._.. ..8.....__.....-... .-::; 1t""i ..~ ~... h"lllMm;;14o,i,",-;.".-" 1<01 r.<<; .. f!1 M ~----~_._.._-----_._-----_.__.__. :......... ~. . . 'ij'o c I[ '/ ( II) f;; h 1)IJ, :-0.:. .JJIftVO:iA ~ir "Ul.,;J~-'l-....,.' 3'T1stJ J"' I)".~ '. y: ,~; ,:,,~,;,\t' I .' ~;-l..- '.." ." > "q Hi': -_._~--- STATEOFNEW~O~~_OLl1 'S.S COUNTY OF.. .~)?Lr.....,.... . . . .<;?t. PHi: f'.f. . /. J.t? E ,&'f//. . c.'.'!t::~ . . . . , . . " being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, (' ;-;:-) i (~;-;,!,) , He is the, . . , . , . . , . . , . . . .. . . . . . ,,9.1.-:((. f.:t.. .. /. ,C. .! ~. .', . . . . . . . , . . . . .. .. . . . . . . . . . . . . . . . . . .. . . . . (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 II . . . .. , . .. . . . . . , /)'0'; ,.daJof.. . Notary Public, ....~. .., . . . ., 19 .f.:1:-- a.MlIL ... ....,...~...=....YGIll Qualified In Suffolk County nP / ~omm;ssi0n ~'l(pil"l:'s Oecember B. 19![l ./~~~;;;,;,;;) FOBlII NO. . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT '10- 0~ 1; <THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017338 Z Dote .........'Z!?:..f.-::.............................. 19.Q.~ Permission is hereby gronted:? . ,;::::? ~ el/ . ~~~/;;..~...;:.'-.......~~ ~ ....2~Z(!......~....j(r................................. ............ ~AL~.........././...1.~ \~ -;;r ~~...... .W~..... . ....~~.....~......~.~ ~~r:. ...c;:..~~~........~....... ....... ..J....................................................... ot premises locoted ot .....3.Z.s........ ........ .....d~~.L......~................................... ..............................................................~.~.............................................................. County Tox Mop No. 1000 Section ...........7<P....... Block ...............;;?;.. Lot No. .........L?...... :~~:i::t 1::P:::~otion d/.!~;7i8.............................. l~o... ond opproved by the ~~ Fee $.~/%.... ~~.~4...................... / pdlng Inspector f.0 Jyrv f; Rev. 6/30/80