HomeMy WebLinkAbout33388-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 09/28/07
NO: Z-32639
THIS CERTIFIES that the building
ADDITION
Location of Property: 1025
(HOUSE NO.)
County Tax Map No. 473889 Section 104
STERLING RD
(STREET)
Block 1
CUTCHOGUE
(HAMLET)
Lot 27
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 13, 2007 pursuant to which
Building Permit No. 33388-Z
dated SEPTEMBER 13, 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EDWARD J MCGARRY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPAR'l'MEliIT OF HEALTH APPROVAL
N/A
11/12/91
ELECTRICAL CERTIFICATE NO.
N-212554
PLUMBERS CERTIFICATION DATED
N/A
~ze~
Rev. 1/81
Form No.6
~ r;;8- 3rJgj~ fUr./J,
~n~,
"3 ?.3
Ii 'J\
L-
,,'dJ " [EP',
r0\/\,r,' fjt" c:,..... iTHO:...D
,.-' . .c.: .. '~---APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. q r tz8'/ () 7
J
New Construction:
_ Old or Pre-existing Building:
10;)..5' s1'e ru..; N& Il\)
House No. Street
( check one)
Location of Property:
c U Ie.. J-/ OG-u. t:..
Hamlet
Owner or Owners of Property: ('Q..J A ({-o :S;,j/.J
Suffolk County Tax Map No 1000, Section 101-' "?
frlS &/JAAY
Block (
Lot t!l.. 7
Subdivision
Filed Map.
Lot:
Permit N03 <; 3S'S ...c.
Date of Permit. r 1,3/07
Applicant:
Health Dept. Approval:
Underwriters Approval:
/(CheCk one)
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
Fee Submitted $ ;)'3, rfV <;
7tl ';- :;;
<
~. 7})5f
cv:C3:J&3~
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.
33388 Z
Date SEPTEMBER 13, 2007
permission is hereby granted to:
EDWARD J MCGARRY
88-30 ST JAMES AVE
ELMHURST,NY 11373
for :
CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR. (THIS REPLACES BP #18500-Z)
at premises located at
1025 STERLING RD
CUTCHOGUE
County Tax Map No. 473889 Section 104
Block 0001
Lot No. 027
pursuant to application dated SEPTEMBER 13, 2007 and approved by the
Building Inspector to expire on MARCH
Fee $
50.00
13, 2009.
ORIGINAL
Rev. 5/8/02
i
I
I
~
e
fiXTURE
OUTLETS
leEPT AClES SWITCHES
FIXTURES
INCANDESCENT FLUORESCENT
AMY. ICW.
AMI.
K.W,
AM'.
H. P.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
I
BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK. NEW YORK 10038
'';' ','
. "
Application No. onfile
Dotf'
THIS CERTIFIES THAT
only the electrical equipment 88 de.cribed below and introduced by the applicant named on the above application numbe,. in the premises oj
,; ,r
ili
.. ~,
in thefollowin1J 'ocation;. .D. Basement 0 ht Fl. 0 2nd "~I.
;\ iV\',l"'''.(_'' .'
Sertion
Block
1.0,
u'Os examined on
and found to be in compliance with the rf'quirement1f of this Board.
OTHER
RANGES
NAT. ICW.
COOKING DECKS
!.MT. K,W
OVENS
DISH WASHERS EXHAUST FANS
AMY. K.W.
AM'.
A.. W. G. AMY. AMP. AMI. AMPS.
BELL
TRANS.
UNIT HEATERS MULTI~OUTLET
SYSTEMS
AMY H. P. NO. OF FEET
DIMMERS
DRYERS
RJRNACE MOTORS
FUTURE APPliANCE FEEDERS SHOAL IEC'PT TIME CLOCKS
on
H.P. GAS
H.P.
NO.
AMY. WATTS
AMI.
AMP.
rfPE
~.~ 5 E R V
METER
EQUIP. '.l2W '.8'3W 3J13W 3,K"'W NQ,OFPEi'BCOND. OF1:C~CgNO. NO. OF HI.lEG
C E
ct. tf.:Jh NO. OF NEUTRALS
A.W.O.
OF NEUTRAL
SERVla DISCONNECT
I
.
i
.
i
.
I
OTHER APPARATUS:
,t! "'.
~r~
i
j
i
I
d'. i~ .,\,. J, ." I. , h
GlNHAL MANAGH
tv
Per. -'
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
'1':<" l\li
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MAHMER.
---------
J3?~D Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSlRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
r.>4- FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENElRAnON
L-&--t)
~~~~
~~/~>.- ,~~~
DATE 'i~/1- 07
~l~
INSPECTOR
~~
--",-~~""",,--_._T-~
! rro-o
765-1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING
[ ] FINAL
REMARKS:
~~-uL
DATE
INSPECTOR
/~6~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J yeoNDATION 2ND [ ] INSULATION
[V]' FRAMING [ ] FINAL
REMARKS: f5 .J....,-, ~ rI-
DATE 1 5
()
INSPECTOR
~~
tt&~
765.1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PlBG.
] INSULATION
[ FRAMING
[ ] FINAL
REMARKS:
>--5'
DATE
INSPECTOR
:-l=::LD I:;S:;2:::-:lJ:~
1. ..,
::-OUllDATIO:1
- - --
::-OUNDA TIO:l
~
~ .
ROUGH FRAME &
( 1 s t)
--
(2nd)
.PLUMBING
3.
IllSULATION PER N. Y.
STATE ENERGY
CODE
4 .
FI;JAL
.-,
IILJ;'::: Ii
;;C:'fM[Nr::
~
~
I
ADDITIONAL COMMENTS:
- --'.
~ f
z
0.....
I;::
IJ
v,
J
'"
~ ~
o-i
- ~
-J~f
~
"
oeN
~ ~
.~
:. -r:--
~
[
,
1
.
I
g!c
c- ..........
--'l :l>
-
'"
'"
....,
o-i
""
FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
:;OUTHOLD. N.Y. 11!l71
TE L.: 765.1802
Examine'()~~iS;,19 ?~ '3S3\?&:-:b-
Approved ~..9.->:-:> ~.~~, 19l5.9 Permit NoJ....:.d'.~. q ..~
rn m@mowrn ill
SEP -5 9!9
. BLDG. DEPT.
TOWN OF SOUTHOLD
r-
BOARD OF HEALTH ............
3 SETS OF PLAtS /1..1(.........
SURVEY ..,3.... K. . . . . . . . . . . . .
CHECK Ie:.. ~r. . . . . . . . . . . . . . . .
SEPTIC FORH ................
NOTI FY
CALL
HAIL ;~; 'i~: '1>;'; V.fy.......
)0
Disapproved ale .....................................
................................~.I!.............
.1A;:t~ ..................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date...7.. .-.~......... I,?J.
"
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 locat'~n 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 parr of this appli-
cation. .
c. The work covered by. this application may nofbe 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
,'~hall 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
.1 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.
Th~ 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. /7 "
. ..... {J&-.o.<le.N.... ~~ y;:f~.C-:fI. ~:--:.
,,0" ,(Signatu~e oiapplicant, or name. if a corporation)
-6-:: .~~ .~. .-':f:~<?( ~ ~ (p....."Y y.. //.1.7. J... .
(Mailing address of applicant) .
"
:,
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...... .6!ti'.~:"';-; 'fI-/... .. .Cy.tT:"':-.~:~ '0':--:-:....................................................
Nameofownerofpremises . ?P.~~~fQ..... -::!..... .i!1.'"-: .~I'3.~~.Y... .-::rk:-...................
(as on the tax roll or latsi! deed)
If applicant is a corporation, signature of duly authorized officer.
. .. .. .. .. .. .. .. .. .. . .. .. .. .. . . . .. .. . . .. . .. .. . .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. ..,~
(Name and title of corporate officer)
B 'I'd'.. . L' N /.'/L a (C - H ~
UI cr S lcense 0... . 7. ; .1.. ..............
Plumber's License No.
.. ............ ..... .....
Electrician's License No. ......................
Other Trade's License No. .....................
I. Location of land on which proposed work will be done. .................................................
.... J.Q ~?~.... .~fl:':l:-!-:/.~.. .~.~.......... :M~f,s:-~iI... .(?~t~-r:.... .~.......
House Number Street. Hamlet
County Tax Map No. 1000 Section .......1. 9. .'1.. . . . .. Block ....../............ Lot... .41. . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot.............. .
(Name)
, Slate existing use and occupancy of premises and intended use and occupa,ncy of proposed construction:
a. EXisting use and occupancy ..... (} /'!<-h. . . M' . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
\ b.lntended use and occupancy ........................... ~ /1.J~"", <'...:..
.. .~...~ .y~_.."".. .0....0..0...........
3. Nature of work (check which applicable): New nuilding ......,... Addition...:v(, '.' Alteration ,........
Repair .............. Removal . . . . . . . . . . . . .. Demolition ....,......." Other Work. . . . . . . . . . . . . .
'If' (Description)
4. Estimated Cost.,...,...t!.J. i .~.s.: .d.~............... Fee.....................................
(to be paid on iiI ins this application)
S. If dwelling, number of dwellins units. . . . . . . . . . . . . .. Number of dwellins units on each Ooor, . . . . . . . . . . . . . .
If sarage. number of cars ,..................................,....................................
6. If business. commercial or mixed occupancy, specify natllre and extent of each type of use. . . . . . . . . . . . . . . . . . . . .
7. Dimensions of existing structures, if any: Front. " . .. . ..... . . . Rear. ........ . . . . ., Depth,..............
Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front ,....,........... Rear..................
D~pth '. . . . . . . . .: . . . . . . . . . . . . !Ieisht . . . . . . . . . . . ',' . . . . , . . . . Number qf Stories. . . . . . . . . '..,'1;.1, . . . . . . .
8. DImenSIons of en lire new construclton: Front. . . . .j').:. . . . . " Rear... J.~. . . . . . . . . Depth " .<N'!. . . . . . . . .
Height ............... Number of Stories, . . . . . . . .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . ~ . . . . . . . . . . . ,
S' fIo' F /'':?''' "f / ''is''' ,/, '0:2-
9, Izeo t, ront.... . .Vi.:>........... Rear..../........_..:?'Y........ Depth ..1.>>...1..............
I O. Date of Purchase ............................. Name of Former Owner ...........,...............,.
II. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . , . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: '" .~,6; . .., . ...... ...... ....., .
13. Will lot be regraded ......................,..... Will excess fill be removed from premises: . Yes No
14. Name of Owner of premises .~t1J... .1J'J'<;I7(4~:Y. Address, . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. , . . . . . . . . . . . . : .
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No, .. . . . . . '. . . . ; . . .
15.Is this property located within300 feet of a tidal wetland? *YES....NO.k":
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether exist ins 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 comer lot.
'.
.,
"
ST,\ TE OF 1\EW YORK,
COmo/TV OF . . . . . . . . . . . , . . . '. S.S
(Name of individual signing contract)
Jbove named,
........................ ......... ................
being duly sworn, deposes and says that he is the applieant
lIe is the................. .........................,.,..... ......... ..... .........................
(Contractor, asent, corporate officer, etc.)
~f said Owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
'pplieation: that all statements contained in this application are true to the best of his knowledse and belief; and that the
,York will be performed in the manner set forth in the application filed therewith,
;wom to before me this .
...... '" .. . .. .~~ '" . .day of.. . ...~........ ..,J9J1.
;otaC),public, ....~.&:~~~~.Qt-.~~...... County u'j. ,tJ2JJ
NalARY PUBliC, Slate of New YllIt . . . . . "7 .........
No. 4101818. Suffolk ,nty"f/
Term Expires Marth 30, 1
nBII NO. .
TOWN OF sOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH OLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
3'2,3~~
N! -18S00--Z
Dote ...~rr~~..L.~........... 19.~~
Permission is hereby granted to:
y~.....~~............
...~.<<f..:;f.....?~.!...J?~.......+..!..................
~~.....~.:.':1..'......(/1.']...1....
~t~....Ck......~.~..~~.~@.1::l....~......~.
~""'"''''~'~''''~'''':9..f~''''' .....'.'.......i;;J.................................
ot premIses Ioc:ated at ......Q.....~......~...e.J........... .. ...:.=.~.......~..~k!.R..
:~::::C~:::~~::~~.:::::..:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
County Tax Mop No. 1000 Section .....!..9..'f........ Bloc:k .......9..1......... Lot No. ...~7.............
pursuant to application doted "'&f!.t~~......$:......... 19~.'l., and approved by the
Building Inspector.
Fee $..~lb...::::::::-
./ fl
y;C>.!;........ .. ~..
ulldlng Inspector
Rev. 6/30/80