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HomeMy WebLinkAbout32635-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32607 Date: 09/17/07 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 315 HORTON (HOUSE NO.) County Tax Map No. 473889 Section 104 RD (STREET) Block 2 CUTCHOGUE (HAMLET) Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 4, 2007 pursuant to which Building Permit No. 32635-Z dated JANUARY 11, 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 COVERED FRONT ENTRY ADDITION & BASEMENT ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARC & LAURA WAHL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 072607 07/26/07 PLUMBERS CERTIFICATION DATED N/A ~~ uthorized Signat~re Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ,!f WI' < -- '7},! [f ': :~;; 7 C 11 '0;' Jk.,.-,~,-,,_. Cf _ / -.....:.._- 'I' s,...,~ p. , :rHo.'J - '''---- .. APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 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 2/10 of 1% 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 Certiticate of Occupancy - $50.00 5. Temporary Certiticate of Occupancy - Residential $15.00, Commercial $15.00 Date. ((jVl}?) 1 ~;~,,~:;':~::;:"' 315 J:ri:::'IJ Iru;G:'0,~JU( (@m,,) House No. Street J Hamlet Owner or Owners of Property: JYlar-c. +- LO..uf-o... WClh L Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit NoBf ?, 7 1.0 35- :illate of Pen nit. . Applicant:l]af'C.. +- lctL.lv"t( lA....h-h.L Health Dept. Approval: Planning Board Approval: _. Underwriters Approval: ~______~_ Request for: Temporary Certiticate Fee Submitted: $ cx5. 00 Final Certificate: ./ (check one) ~. TJO?3 Q. 0 :t-3:2' ~ ? cRaWyj ~ 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. 32635 Z Date JANUARY 11, 2007 permission is hereby granted to: M & L WAHL 315 HORTON RD CUTCHOGUE,NY 11935 for : BASEMENT ALTERATION & COVERED FRONT ENTRY AS APPLIED FOR at premises located at 315 HORTON RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0002 Lot No. 002 pursuant to application dated JANUARY 4, 2007 and approved by the Building Inspector to expire on JULY 11, 2008_ Fee $ 200.00 /), . ~ iAC(;;f ( ~.~ -: -4-/ ~ Authorized Signature ORIGINAL Rev. 5/8/02 Jul 26 07 04:10p El~otrio81 In~p~etion 6312866683 p.1 Electrical Inspection Certificate _ Olde 71'1f1107 EIectrtcaIk ff tftln SerIice.Inc~ 375OUntonA_ EMt~._York 11772 l'311 2lIlI.a4Z .lIppI"'~ 117006C lasued To: street: Village: section: Mr. Marc Wahl 315 Horton Road Cutchogue Bloc:k; Zip: 11935 Lot: Town: SoulhoId ContrKtDr. ~nn EIKtric; IlK. Lie. . 4141-E W._....Ied__IGIlo 1n_........._..__COda " I eom..Ie'_ L I NVDIf8cW I I Pool 11I! 1"_ U!I _ IXI 8 1 ._ 1:-1 HotTIIb ixl ~II~ i: Dllt..0llnIge II AllIe 11__ IXI Ouldow 11- II Surwy - RKfp.....~ ",.".,. !JIll - AIC "- 2 4 DM/I__ _A_ OfJwfAJopt o.w. RangaI~ .- ..... -. 011 (1M ~ S__D.Il'''''' ... Tnwtar..... .... Ampe ,.".. UGIOH .-- Tar.tlaiOn COD - fIh Bldg. Permit; 32835 Other EQuIpment L~/? /II n, New BaMment Entrsnce. Added 3 I rt ,,/:4 ~ ay Switch for ExiBling Hi-hats. 1-Out8kte Lt.. j H...... S. tmli Sw. for it, Relocated Wiring for 2 exIIlting : -..- I front door added 2 lights ! Pruldent Rougti'i.~., In&I*%Of' finoI_, Oiiti_ I>~. John ..._., Th....._muotnGtbo_lnony_. ~...-._be_..,__. pooL- ~ ~ 3~3s~ ~-~ f ~ ~ -I:;s- ~~ ih-~ 1.~M ~ ~ IffTt?L'i. f TOWN OF SOUTHOLD BUILDING DEPT. ' 765.1802 L If -It h ~'- INSPECTION ::f/}j5:':l~ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~ ~ [ ] FOUNDATION 2ND [ ] INSULATION ~ ~ [ ] FRAMING I STRAPPING M FINAL jI [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONStRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: , ""- I e~ ~.~, ~~~ J"r-- ~ ~ DATE b-b ~D7 INSPECTOR ~~ 3~3.>Z. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION r><r FRAMING I STRAPPING [] FINAL , [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRucnoN [ ] FIRE RESISTANT PENETRATION REMARKS: f/)~i?k>~ ~ ~ DATE s -10 - /J 7 , INSPECTOR ~~ 3tt--b 3sz- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION tp<f FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ ---.., DATE 3..... '7-'J--- 0 '1 INSPECTOR ~~ - - ,~ 3> 'J--fo 3> 2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION ~ FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~~~~ ~~ / DATE 3 -/ 9 /' !) 7 INSPECTOR ~ ~ .. - 3~~JS- 2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~ F_RAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSlRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: '\/- ~-~ ok DATE 3- b--O 7 INSPECTOR ~~ FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FL1\fAL -. f DATE COMMENTS \N"C ~ 't9A""' ~ 7!A. Jt-;-~ ~ g ~ / [/fT ~ ~"I ~~ J-JOf-- ifJ 'F' j) / ,,714.t A..~77::.. JI:I-'( .~AAA /1. A~ 1~/?-.:L-'1 1 J ~ .:- J...j../_~ tiN';;:'-~-Z;;;:; ~:I.:bl ""ex- r/1iJ- ' . ~ S;~ r ~~ ~ '- . ~--h-11 r. rr .3 -t--'r>1 A:n~ ,~- ~ p,~ -- tPtR-- ok _ ~ v / A (,/ ...J-- ,"J.--- (j. -" . . j ...&'{ IU ~ V , Y ~g; i'l .., ~ .- .' 5 10- '(J 7 rJo '" '-_ ([If Y"""L-- A ~ ~ .A' t:f /. U~ ( _. v (! _ , v 12.. --T- /. _ '--- ~ .. '..--' #' '- VJ .- vI --- f S~ Z i'l ~.., - -....-- -- - .__._._~----- 1-------- 1----- A 11//1 ~ - ~ --D- r - .8 AL-. . -La. of pI. qj."".. ,-' _. f? ~,^ ~, :rI'J/Il~.AJj, /cL9 '. F '0 " ~. d -t;:.- r> ~.1/ B /~ /yJI. ~) S ~- - P.' k .m '..y ~/L? 0- "{/ v,,' ~ ADDITIONAL COMMENTS ~ ;r:. r I-- 0 ~~ 1- !a r ., -li'l , ~ ( ~ O::l o(l~ ~;J ~~ 0 i'l "C ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT IAN 4 TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. gel. t 3c;- b" BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health .....4 sets of Building Plans Planning Board approval " Survey , Check Septic Form NYS.D.E.C. Trustees Contact: Examined Approved Disapproved ale ,20])2 ,2001 Mail to: /' 7/f( ,2000 I ~ Phone: Expiration p~ . Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20_ 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. lJ;; . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder If) WrtP K- Name of owner of premises l^l\UK(' u(\cl G.I/(I(?( lUahl (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. Plumbers License No. Electricians License No. Other Trade's License No. 135(oQ )-{.r: 1. Location ofland on which proposed work will be done:( I. I \.:s r '80 (All Y\ 0 House Number Street ue Hamlet County Tax Map No. 1000 Section Subdivision I () '-f Block c) Filed Map No. Lot Lot ~ (Name) 2. State existing use and occupancy of premises and intended use and occupa1J:y of proposed construction: a. Existing use and occupancy h n m ~ tr b. Intended use and occupancy i'leLU ~~~b.,ja(\cl ~~n.)()lYl 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration -./ (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 3L{ +i: Height .)() tI Number of Stories \ -5- Dimensions of same structure with alterations or additions: Front 3L{ f+ Depth ~ ~ .p +- Height 'd--u b -+ Number of Stories Rear ~L\ -Pt Depth 02 f -Pt 'J:a r 3 <..j --('-f- I<"T' 8. Dimensions of entire new construction: Front Height Number of Stories Depth Rear 9. Sizeoflot:Front dOG 10. Date ofpurchase q J rD (n I Rear d.-U 0 Depth_\ 0 () Name of Former Owner -.J If V\. 3i b/O()s:Ki II. Zone or use district in which premises are situated k - Ye) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~ 13. Will lot be re-graded? YES_NO J Will excess fill be removed from premises? YES_ NO_ 14. N=~ olawocr ofJ1"'"'.~ Add=, Prnm, No. ~ Name of Architect -I<Ol ~ I\QIY\"::>C I, Ie K Address Phone No .. ~ Name of Contractor 13 'I (CJ (Wwt--Address Phone No. II I;)", IS 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 O~v'0J\ u ~a[). {(A LJa h I being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ow~;(, (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. Sw ~ to before me this . dayof \JO\lIlNY1{_20D:::l- I" / ~'o lJ;iJ- Signature of Applicant MELANIE OOROSKl NOTARY PUBLIC, Slate of New York No. 01004634870 Qualified in Suffolk CounlY---.O \ 0 Commission ElqJires Seplemb81 :iO~