HomeMy WebLinkAbout32811-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32589
Date: 09/10/07
THIS CERTIFIES that the building
ADDITIONS
Location of Property: 1445 GLENN
(HOUSE NO.)
County Tax Map No. 473889 Section 78
RD
(STREET)
Block 1
SOUTHOLD
(HAMLET)
Lot 23
Subdivision
Filed Map NO.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MARCH 9, 2007 pursuant to which
Building Permit No. 32811-Z
dated
MARCH 16, 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 ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CATHERINE M WESCHLER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3034613
07/17/07
PLUMBERS CERTIFICATION DATED
08/28/07 RBT.VAN ETTEN PLUMBING
Rev. 1/81
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
This application must be filled in by typewnter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. Final survey of prope11y 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) lion-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
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 of Occupancy. $50.00
5. Temporary Certificate of Occupancy . Residential $15.00, COImnercial $15.00
Date. O:J. S; E Pi 01-:.
New Construction:
x
Old or Pre-existing Building:
( check one)
Location of Property: 13a.5 ..
House No.
Glf'NIv Rop. D
Street
.so"...1,r>1 D
Hamlet
Owner or Owners of Property: _. CA,..I\'l
Suffolk County Tax Map No 1000, Section
WE:SH L~ (1....
7 B Block
ell
Lot_~.
Subdivision_~~..-( '-REEl-<-. Ef:.7A-r:SS
Filed Map.
38if8 Lot:
(\'\\L\...~"'\ DPr1
.3{,
3~ B II Date of Permit.
3-1"- o}-
Applicant:
Permit No.
Health Oept. Approval: _'__,_..
Underwriters Approval:
Plarming Board Approval: _.___..'-_
Request for:
Temporary.Certificate
Final CeJ1ificate:.. )(
(check one)
Fee Submitted $ F~c.. IJPlI0eJ
<:'0 '2.3;2 5 S~
JOEL DALY HOME IMPROVEMENTS
205 BOISSEAU AVE.
P.O. BOX 343
SOUTHOLD, NY 11971
~~re
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.
32811 Z
Date MARCH
16, 2007
Permission is hereby granted to:
CATHERINE M WESCHLER
1445 GLENN RD
SOUTHOLD,NY 11971
for :
ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR;
FEE WAIVED
at premises located at
1445 GLENN RD
SOUTHOLD
County Tax Map No. 473889 Section 078
Block 0001
Lot No. 023
pursuant to application dated MARCH
9, 2007 and approved by the
Building Inspector to expire on SEPTEMBER 16, 2008.
Fee $
0.00
iLQ
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I Authorlzed Signature
ORIGINAL
/8/02
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BY THIS CERTIFICATE OF COMPLIANCE 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
CUSTOM LIGHTING OF SUFFOLK INC
PO BOX 1698
MATTITUCK, NY 11952,
CATHY WESCHLER
1445 GLENN RD.
SOUTHOLD, NY 11971
1445 GLENN Rf1 SOUTH OLD, NY 11971
Application Number:
3034613
Certificate Number:
3034613
Section:
Building Permit: 32811
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:
Basement, First Floor, Outside,
A visual inspection of the premises electrical system, limited to electncal devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or
promulgated by the State of New York, Department of State Code Enforcement and Administration,
authority having jurisdiction, and found to be in compliance therewith on the 17th Day of July, 2007.
Name OTY Rate Ratinl! Circuit ~
standard
or other
Alarm and Emergency Equipment
Sensor I 0
Sensor 3 0
Appliances and Accessories
Exhaust Fan 0
Wiring and Devices
Outlet 14 0
Fixture 14 0
Outlet 21 0
Receptacle' 9 0
Switch 18 0
Paddle Fan . 2 0
Receptacle 4 0
Carbon Monoxide
Smoke
Fixture
Incandescent
General Purpose
General Purpose
General Purpose
GFCI
seal
of I
This certificate may not be altered in any way and is validated only by the presence of a raisec seal at the location indicated.
Town Hall, 530lJ:. Main Rl)ud
P.O. B(lx 117t)
SoutholJ, Nl'.W York 1]Y71~Ot)5'J
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fax (631) 765-Y502
Telephone (631) 765-IS02
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BtlLDlNG DEPARTMENT
TO';vN OF SOUTHOLD
CERTIFICATION
Date Q..u..{.f- Z ~(_/Ll___
Building Permit ND. 3~-Jt II-------m-----
Owner ___.-We s_ili_ \ e.('___
(Please prinl)
Plumber: H~Ob.U+ JLa.-nEtten
([']case prini)
I c(Tlify (halthe suld(-r use,! inlh8 walcr supply ,ysiCIll cl1JJtains kss than lilO of']%
kad.
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(l'lulllhers Signature)
SV,Ol'llld bd'-)r~ me lhi~ ~
("'ynl_~~'20Q-7
Notary Publi
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CUlll]')'
N JANET.N'lES .
~rdi~ .. New''''
~~JulJ31. elf
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] ~ULATION
[ y(FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE
F/c21/PJ
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INSPECTOR
'~2-f'II~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ~ATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~~~ ~
DATE b //3 Ie 7
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INSPECTOR
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST
] FOUNDATION 2ND
] FRAMING I STRAPPING
] FIREPLACE & CHIMNEY
] RRE RESISTANT CONSTRUCTION
Ii ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
REMARKS:
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DATE
or-
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6-11-07
INSPECTOR *~
3Q5611 Z--
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
t>{'FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
tA FRAMING/ST~NQ [] FINAL
..: .::. c;:;>
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRlICnON [ ] FIRE RESISTANT PENETRATION
REMARKS:
,
~
6
Cf-
~
DATE S ~ ')...7)...- 0 7
INSPECTOR ~ ~4..-
)9-<lIl2-.
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
.k[FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONS11UJCTlON
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
])~~,
DATE S ~ 3 - 0 7
INSPECTOR * ~
3 '1-1 I / :2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
if><{ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
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DATE
1-- 9-6~07
INSPECTOR ~ ~
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FIE.J) tN~PECTION REPORT
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
DATE COMMENTS
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ADDITIONAL COMMENTS
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'tOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
BUILDING PERMIT APPLICATION CHECKLIST
PERMIT NO.
;; ,~,f / { r::
Do you have or need the following, hefQre applying"
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
~
.31 II:, ,20 0"1
3/1~, 204
Examined
Approved
Disapproved ale
Mail to:
Expiration
Ij iI0,20~
'J
Phone:
-,
fc~
Building Inspector
~'I\R - 9,-1
APPLICATION FOR BUILDING PERMIT
Date Oq (Y\\>.R ()7f-
,~-
____J
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.
f. 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 South old, 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.
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Gc.n't.f"c..L r Qf"'l-rC-f),L""t'e!\..
Name of owner of premises CA-rl~ t W"'-SLh\c (L
(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. 13 0 b p, - H
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
/3& Ii GI.M Rn"n
House Number Street
So 0 T\o-,o I 0
Hamlet
\\l-\.., \
County Tax Map No. 1000 Section 78
Subdivision WC5"\ C.RFC k. ES-rA"Tf t
(Name)
Block 0 \
Filed Map No. .394 e
~1JiI,i;
Lot .;2,,?l lilt'
Lot .3 h
2. State exi$!ing use and occupancy of premises and intended use and occupancy of proposed construction:
.3..' Existinguseandoccupancy j;\>1ah ~~'\'1 Dl.o)ol\'o.lS
b. Intended use and occupancy AD01-r,o"'l"l. 1..1''''''5 SrA~1t R,""fO<~~'cl
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
00
~ r:ro,OOo
Addition
Other Work
'j..
Alteration
(Description)
4. Estimated Cost
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
d..
NIl'.
(To be paid on filing this application)
Number of dwelling units on each floor N J A
I
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front If I:, I
Height Number of Stories
N/A
.
Rear
.1..
Ill.
Depth 013. ~
Dimensions of same structure with alterations or additions: Front 'I ~
Depth ~ 3.5 Height Number of Stories
Rear '1 ~ I
j..
8. Dimensions of entire new construction: Front 5 B I
Height SI'Ir<1L Number of Stories
Depth
.60
9. Size oflot: Front
110
Rear
liD'
Depth
~IO'
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated
RC.SIO'I\l-H \
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
- -
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES ~ NO_
1:a~5 GI~~.~o"D
14. Names of Owner of premises w, !or.hlr~ Address eM.."... "'1 1111 \ Phone No. 71:,S" -I. B6&
Name of Architect Rob.,\- O\'r"~ Address ~~,"'r~..; ~...,'\'a Phone No .:2 'Ie -G.;tS.=L
Name of Contractor ,.... \ tll"\.. Address Po 0.... .1.1 Phone No. '11. ~- 1'2 'Z. ')
7 50<l-r\,J~i"7 IIPt
15 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:
COUNTY OFSvf'fi>L--kL.
<<Id( J.Jj
(Name of individual signing con
being duly sworn, deposes and says that (s)ag is thE applicarn-
ct) above named,
(S)He is the
CJ BiJb(V!'r:1.- CorviC--AcTo \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.
20~
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Notary Public
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KIERAN M. CORCORAN
QUALIFIED IN SUFFOLK COUNTY
NOTARY 'r-~-," ' ~/
MY COMMISbJ01\i t;:^r>IRI=S DEC~ 6, ~
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The locations of wells and cesspools
sho wn hereon are trom Held observations
and or from dolo obtained from others.
{ t,.i
t 'ELE"VA TIONS AR€ RF;FE;RENCED
TO AN ASSUIED DA TtAL
ANY A( TERA noN OR ADDITION TO THIS $(.fiVEY IS A V1Of..A T10N
OF SECTION 720S OF THE NEW YORK STATE EDUCA T10H toA W,
EXCEP~ AS F'ER SECT1ON7'209-SUBDMSJON 2. ALL CERT1F1CA nONS
HEREO/I ARE VALID FOR THIS MAP AND COPIES THEREOF CHL Y F
SAID "."p OR COPIES SEAR THE IJrIPRESSCD SEAL OF THE SURVO'OR
WHOSE SIfJNA Tt.JRE APPEARS HEREON. ,
ADOITlDNALL Y TO COllF'L Y WITH SAID LAW THE TERM -AL ~ BY.
MUST iJC USED BY ANY AND ALL SURVEYORS UTlLJZI<<j A copy
OF ANa THER SURVEYOR"S It/AP. TERAIS SUCH AS "INSPECTED- AND
"SROUIHT.rO-DA TE- ARE NOT '" COUl'LJANCE WfTH THe LAW.
AREA = 23,100 sq.ft.
SURVEY OF
LOT 36
"WEST CREEK ESTATES"
FLEOAUG. ~71J63 MAP NO. 3B48
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 78 -01-23
Scale: 1"= 30'
Jan. 3, 1995
(9
CERTIFIED TO'
JOHN D'AL~SSANDRO
CA TH~RIN~ D'AL~SSANDRO
USDA FARMERS HOME ADMINISTRA TlON
SC TIC, INC.
3m lamiHar wilh Ihe STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFAC~ S~WAGE
DISPOSAL SYSTEMS FOR SINGL~ F AMIL Y R~SlDE:NCES
and 'If HI abide by the condlllons sel 1000Ih therein and Oft Ihe
pa,.,.'" 10 cons/ruel.
~r;OLK COUNTY DEPARTMENT OF HEALTH SERVICES
~OR APPROVAL OF CONSTRUCTION ON!.. Y
cl'-- ),,__ N. y,.s. LlC. NO. 49618
PECON/C . SURVEYORS, P.e.
15/6) 765 - 5020
P. O. BOX 909
MAIN ROAD
SOUTHOLD, N. Y. 1197/
JATE
P 10-45'-00/')
HS. REF. NO.
.loPPAOVED
94- 376