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
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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)
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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
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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
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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
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DM/I__ _A_ OfJwfAJopt o.w. RangaI~ .- .....
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.... 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'
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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:
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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:
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DATE s -10 - /J 7
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INSPECTOR ~~
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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:
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DATE 3..... '7-'J--- 0 '1
INSPECTOR ~~
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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:
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DATE 3 -/ 9 /' !) 7
INSPECTOR ~ ~
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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:
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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
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DATE
COMMENTS
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ADDITIONAL COMMENTS
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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"
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Signature of Applicant
MELANIE OOROSKl
NOTARY PUBLIC, Slate of New York
No. 01004634870
Qualified in Suffolk CounlY---.O \ 0
Commission ElqJires Seplemb81 :iO~