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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 ~ p.o.~o/" '3lf3 ~,7"1 ~( 97/ \]i.r . ~_~. ~ ~ _~7 \.1, . .\ ~i r , 10 I' L ~ ("' I CCG;CEP,..J \ \ T<:'\^lN Qf5."C!THO~ . 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 :A~ ~ I Authorlzed Signature ORIGINAL /8/02 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 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 ~ (f ~~ ~ 47 fax (631) 765-Y502 Telephone (631) 765-IS02 -'. --^ .~ ' '" I' n ~r, I . r I~ l.~[.! .~ 'I. ,,( .S L~ [~3o;~-1~: I bdJ , DW j I ~T("\WN OF S'" 'THO: '1.___. 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. /) J -r--Q/ ..--.A-ZX./n______~ --~,.,'-_..._._._".---.,'''-- (l'lulllhers Signature) SV,Ol'llld bd'-)r~ me lhi~ ~ ("'ynl_~~'20Q-7 Notary Publi _._~ CUlll]')' N JANET.N'lES . ~rdi~ .. New'''' ~~JulJ31. elf 3)Ji/~ 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 J;j;;/!:t ~ {'2 ~d.S:tJO h-,e DATE F/c21/PJ I / 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 " { INSPECTOR l q .3 ~'611 z.. 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: ~9L- ~ rf- , t? f ~A.R ~ ccn.e of\, j/ " ~~ ~~~ DATE or- ~ """4-- 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: ~ ~ r DATE 1-- 9-6~07 INSPECTOR ~ ~ ~. FIE.J) tN~PECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL DATE COMMENTS j.}jll.,,"1 '1 A-L '... {J .~. Dr!? ~ JrI. A L> " A. ./2../.J"./ L:J " .5 - J-?- 'D / -r: I' .1-:;: L .LY1. - ~ ....'h. /)/V; /J -# M... f/.;, (/ V V -,-"" 5- J V '1 ,'/\/. ~. - 1- '..Ai.. ::'-0*' T7 , - /J --zT7/1. '//'~//. ~?rtPP A ,..- UJ ~~ - -l I'\J"" !~ I"l ~-~). ...()-fj f; " Z o :Z' . - rJ _-r;: A. \,. . J . .c. V ()JI9..- oK: v ~'-G- u"' ~ G'>~ -I"l '<I ~ tVtL&tL g -l gn I . IJ-+;. A' L./(,,}.. lo-)I-o~ 0, -:n ~{, J1j.JdU LJ'A A V I . - >l - '^ Jo....a Il~ " L~ 1.712 J ~7 .,<::JL.., /J -1-:...:. rHt- --I 71/ -/ ' J Y..d .-:~ / !:: :::: - f" ..; /...Yu 17/ 177 ~ t ;:l Q. 7 -u / ~//# ./ -+- -- .. // ;r~. - {4 ~'/-' / /J J 77' ....# I 1. 1 /.... J .~ / V ADDITIONAL COMMENTS f-' r fo - ~ z ?g] I.r- f' r. ~ ~I"l I ~ - - r- ~ \ , o ::l 0 <>QZ :t rz-~ I.P ;; I"l ." ;3 '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~ /I1J)lt:::ApPl;~"' Notary Public : I . \ / '. \ / o KIERAN M. CORCORAN QUALIFIED IN SUFFOLK COUNTY NOTARY 'r-~-," ' ~/ MY COMMISbJ01\i t;:^r>IRI=S DEC~ 6, ~ ,.... 9 U'~ ~. Q~~ ~h~~ ' <<'<::> y~c a. 1\f/O/F "c' LAND OF DARr ~.~..'.~. 10.-...,/ _ r c. D Oc G'n,f" ~o" ----- oS: 17.1 LOr ,Q ~ 1! ---. .a,,c~ __ '"<><- ~~// o GL.ENN ~ I~ I......, I~ I~ I~ ,~. 35e.0,/, i ~ .--:.,;'~ -~-------,-,__--.J RO~~",(~'f ') o N<:'/I __-o:~~::_~____ e s -.;- ,Q .'5r~ .. , 76'~1c </Z3, ''75 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