HomeMy WebLinkAbout33244-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32706
Date: 10/31/07
THIS CERTIFIES that the building
ALTERATIONS
(STREET)
Block 3
MATTITUCK
(IIAMLET)
Location of Property: 635 LOVE LA
(HOUSE NO.)
County Tax Map No. 473889 Section 141
Lot 29.2
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building permit heretofore
filed in this office dated
JULY II, 2007 pursuant to which
Building Permit No. 33244-Z
dated
JULY 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 "AS BUILT" ALTERATIONS (WINDOW REPLACEMENT) TO AN EXISTING
RESIDENTIAL/OFFICE BUILDING AS APPLIED FOR.
The certificate is issued to ROBERT & ELLEN BOHNER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
4694
08/10/07
PLUMBERS CERTIFICATION DATED
N/A
~i~
Rev. 1/81
Form No.6
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
--......--... '
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This application must be filled in by typewriter or ink and submitted to the Building Depariment with the following:
A. For new building or new use:
I. Final survey of properiy 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 (8-9 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) 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 merefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, AJterations 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 Cel1ificate of Occupancy - Residential $15.00, Commercial $15.00
10/ l-'l /0 7
I
Date.
Old or Pre-existing Building:
v
New Construction:
Owner or Owners of Property: &3~ /!>V J ciJ IfJ6- LA f2-F.
Suffolk County Tax Map No 1000, Section / '1/ Block
/
(check one)
/11/9, / rr Tv C-K...
Hamlet
'i t.-L &1 60 /frI ~ (f~ t s)
000"3 Lot 02-9, CJ 02-
Location of Property:
&3:; L-oV'f L It-N~
House No.
Street
Subdivision
___.,_ Filed Map.
7 - / '3 -0,2.. Applicant
Lot:
c,3r f3ul<.{J/~6-- u;;f.? / f3~/frJ~
~.- I --
Pel1111t No _33.. L Y 'f-~ Date of Permit.
Health Dept. Approval'
______ Underwriters Approval: _ __~
Plmming Board Approval:
Request for:
TemporalY Cer1ificate_
Final Certificate:
v
(check one)
Fee Submitted $ ;'5.00
#&2- (y?)
Applicant Sigrtature
6<.~7 '} 3 V '1--
Co-f. 3J10~
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)
13, 2007
PERMIT NO.
33244 Z
Date JULY
Permission is hereby granted to:
ARNOLD A URIST C 6e- rfl~'t:_l-2-)
PO BOX 1436
MATTITUCK,NY 11952
for :
AS BUILT ALTERATIONS (WINDOWS) TO AN EXISTING RESIDENTIAL/OFFICE
BUILDING AS APPLIED FOR
at premises located at
635 LOVE LA
MATTITUCK
County Tax Map No. 473889 Section 141
Block 0003
Lot No. 029.002
pursuant to application dated JULY
11, 2007 and approved by the
Building Inspector to expire on JANUARY
Fee $
400.00
ORIGINAL
Rev. 5/8/02
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BUREAUol
ELECTRICAL
INSPECTORS,lnC
SUFFOLK
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 6314958136. Fax: 631 980 6455 . E-Mail: SBEIGS@gmai1.com
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CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: R.C. Electric Corp.
Rough In Inspection Date: 5/20/2007
Application NO: 4694
Suffolk County Tax Map NO:
Final Inspection Date: 8/10/2007
Certificate NO: 4694
Building Permit NO: 33244
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment
and/or work described below, installed by the applicant named above, located at the premise of and not
after the final inspection date above:
-,'I
-;
Owner: Bohner
Address: 639 Love Lane, Mattituck, NY 11952
Address of Inspection Site: 639 Love Lane, Mattituck, NY 11952
X Residential Indoors Basement Service Shed
Commercial Outdoors 1st Floor Pool Other:
New X Renovation 2nd Floor Hot tub
Addition Survey Attic Ga rage
Inventory
Service 10 Gas Heat 60 Duplex Recpt 5 Ceiling Fix HID Fix
Service 30 Time Clock 25 Switches 3 Wall Fix Smoke Det
Main Panel Hot Water 6 GFCI Recpt 50 Recessed Fix 2 Co Det
Sub- Panel GFCI Breaker Single Recpt 7 Fluorescent Fix Pump
Disconnects Dryer Recpt Range Recpt 5 AlC Blower Emergency Fix
Transformers 1 Exhaust Fan Appliance 3 AlC Cond Exit Fix
Twist Lock TVSS Heat Pump Electric Heat Pool Luminaire
Other Equipment:
The electrical work and/or equipment described above were inspected and appear to be in compliance with
local, state and national electrical code requirements and this office.
Applicant: R.C. Electric Corp.
License No:
1610-ME
1, e R. Surdi
/,;.
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Date of Certificate:
8/26/2007
Inspected by:
Signature:
1:' ,I' \iat!;~liitiljr:m~111!1ll:1Ij'ur:mIJ~irl.llf.1 ilmtll~milfnlll~ltllVij~rlllfi!litJn~,j1:im;,(!!ii, ~1;.)tj'iN;!kf[.3' Q ~i'rHI;. i! ;.1,
33> fJ-LfL(- 7-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
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[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [Xl FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRlJCnoN [ ] FIRE RESISTANT PENETRAnON
REMARKS: \AI ~ ~,
~~~~'
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DATE
1--rl-07
,
INSPECTOR ~~
,
FIELD INSPECTION REPORT DATE I COMMENTS uJ.
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FOUNDATION (1ST) V~
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INSULATION PER N. Y. --
STATE ENERGY CODE
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RES. ~F3 SEAS. VL. I FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
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Ti liable FRONTAGE ON WATER
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Noodland FRONTAGE ON ROAD )70' cP//"'Cre if)"; (cl 7.tP 0= // 9C>
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iouso Plot BULKHEAD
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TYPE OF BUILDING
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Foundation /31<rCk' 80th Z Dinette
Porch Basement fAR?" Floors ?/#~.' K.
lllarch Ext. Walls I i..I~ on . Interior Finish [; iLl ,-r .f' l:' .. LR.
$"//":' 1"'1'1/,- RI)
Breezeway Fire Place AI/> Heat S-rEp/Vl DR.
Garage Ir ype Roof Rooms 1st Floor SR.
Patio Recreation Room Rooms 2nd Floor FIN. S
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New Co
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71 Heartland Blvd,
Edgewood, NY 11717
631-667-2565
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631.667-2555
DEll
CUSl
Sold To
I
1635 BUlL
635 LOVE
MATTITUC
L CONTACT.
CUST PO#,
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Description
Swin,
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2* SMOOTHSTR-PRJ;; 8-295
**"'Type of
***Style #
***
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**"caming t
"'*Single/
***Door 8i~
"""unit bei
*""Any side
* * *Tr,filJsom
"""'Jamb "iz
"""Jamb typ
"''''*Ext mold 'ng
**"'8ill typ
**"Hinge t
***Bore typ
* "''''Remveabl grill
..*Inswing *****
"**Pulling
"""Installe
"""'Vinyl "i 1 cove
"**Rougb Op ning
*""Special n"tr.
***Special 'nstr.
"*"Special nBtr.
**"'Special netr.
Exterior
8-295
No
No
lTone
Single
3/0 ..*,,"'*
6/8 *****
No sidelites
No
4 9/16 **....*
Primed ....
BricJcmould
Alum/Oak Cap
Std binges
DblBore 2 3
No
Yes Ins....ing
Knob Left **
Yes, Install
Yes, Vinyl s
38 5/8"W X 8
X
X
X
X
d Op
11 c
1/2
8 "''''
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KNOB--> x
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VIEWE FRO
DOOR WILL SWING TOWARD YO
(Continued on Next Page)
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3. AV-UNIT
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DELIVERY TYPE. -> QUOT
CUSTOMER TYPE - - > h 711798
Ship To
\ 635 BUILDING CORP
PO BOX 750
MATTITUCK, NY 11952
L CONTACT. 631- 979 - 7505
CUST potf-
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71 Heanland Blvd.
Edgewood, ~y 11717
631-667.2555
PAGE. .
**QUOTE
. 631-667-2555
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DesCliption
#8500 DH WH, TTT 24"W X 35 3/8
"H, OBSCURED BOTH SASHES, W/
1/2 SCREEN, LOW-E
#8500 DH WH, TTT 27 3/4"W X 45
3/8"H, OBSCURED BOTH SASIlES,
W/
#8500 DH WH, TTT 30 3/4"W X 53
3/8"Hr 2wlH 2/2 GRILLS, LOW-E,
W/ 1/2 SCREEN
#8500 DH WU, TTT 30 3/4"W X 57
3/8"H, 2W1H 2/2 GRILLS, LOW-E,
1'1/ 1/2 SCREEN
#8500 DH WH, TTT 30 3/4"1'1 X 69
3/8"Hr 2W1H 2/2 GRILLS, LOW-E,
W/ 1/2 SCREEN
1. DOORCRAFT-INT SC PROVINCAL 2/0
Interior
SC PROVINCAL
No
Solid core -
1 3/8
single
2/0 .....
..-TYPe of oor?
"-style #
-....
."What typ ?
""-The door is
."S/T/Bit/ ip
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 1197i
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoIdJ
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
N.Y.S.D.E.C.
Trustees
Contact:
Mail to: f.t-L~/R.J(.tIrH41IS0fbJ'iJt
fo BOY (fJi{- f1tc~hc Ny /fqs'i'
Phone: c,-" 3"~'1 t./c.f 0 ce.lf
(P31 7f.t,~-(P7&'o hOMe
PERMIT NO. 3 ,)'d- ~ l{ c
Examined
Approved
Disapproved ale
,20=+-____
,20l
Expiration
,20_
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0'.'~) ~ Ii ..... .... .. \\i1rPLICATION FOR BUILDING PERMIT
\ ' \:J\
\i n,\\.\l \ / \ Date
\\.l INSTRUCTIONS
" . OEI'~.. i
, b~U Js"",:"'~9,~2.---
a. l1his a~Qil-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 oflot 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.
~lUut ~1lNN
(Signature of applicant or name, if a corporation)
7/ /0
,20~
I'i L CONSmUC;TIC.~ SHALL E
MrET'THE REQUIREMENTS OF TH
I ,to CODES OF NEV~ YORK ST ATE.
to B()'f.- /gt./ f~u;,J/( NY /J9~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
() /...1 N r:d...
D 4A'Ili
Name of owner of premises 'ELL t.;v iJ i4re:. . /I~
(As on the tax roll or latest ~ . 'Orp-.
If applicant is a corporation, signature of duly authorized officer 78<- 1';, Y " S P. # ~l.;l)
,... ""81' cUI! - .
""Oll 01< 8 -D/,'VC ..J 1':' . It
(Name and title of corporate officer) '. f:O~/1tIIvG;1.1 1'0 Dt"1'1 c-
< f:OR ~04r;c~SPtC1i; !>,tf !":,tlvr
Builders License No. J . ROu.~ OUf?~" . r . ';"8' ~'.9 r, 41'
. III;S l:if.;. "0 C ,0 io~' f.;t
Plumbers License No. 'I. f:IIv'. Ul4rA f:1Y4M OI"C'R."I:OUlf/
Electricians License No. St loll . cg~ '!Va & %rt t:D
Other Trade's License No. f/4ll Co cOI.1Pl r-'V.~/f?u. 'i.IJI.1SIIv.
t:Q(; I\ISrp c1t c crlO G
YOf/ fRtl,1, "Ucr. 0,'1 'v 1,1,
1. Location ofland on which proposed work will be done: DE:S;, I( sr4tlvrs 1011; SL? 0 USr
Lov~ L- ~ fY\ A-1TiT\J~ GJ\t 0 e: Iv. Of:rli '14ll
House Number Street Ham bWsr~ tspo 'Dtso ritE:
UcrlOlvlvslSlt 1vE:w
Block 0 '3 , 0 0 Lot l@tib.~{i' (J <:J 1.-
F~l:& .J'1:lf:- ~,?~ .... , . " Lot .
County Tax Map No. 1000 Section
Subdivision
/1..//,00
(Name)
,;'" f; ,
..._c.~,~.;.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Of:rlc~ - l!-eSiI)uvrflh- '.
b. Intended use and occupancy {)ff1ct(. - f€~/(}~n Ft1-
3. Nature of work (check which applicable): New Building
Repair)( Removal Demolition
Addition
Other Work
Alteration x:
Fee L{OO.oo
(To be paid on filing this application)
Number of dwelling units on each floor ,
(Description)
4. Estimated Cost ;)O,O()O
5. If dwelling, number of dwelling units
If garage, number of cars
1-
BV~J"'~$S I~r h-ccl<.
I)fML7>>< <e,.,r 2."4 FL""~
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front tCc Rear L t.,
Height U I Number of Stories 2-
~"" Dimensions of same structure with alterations or additions: Front z..C,
o ~ Depth '(-; Height"k'- I Number of Stories
Depth 'f ]
Rear z-l"
'l--
8. Dimensions of entire new construction: Front 1.-("
~II""\:' Height 1-10 Number of Stories
,;
9. Size oflot: Front
Rear
2.~
D~th
i.f3
v
10. Date of Purchase
172/
Df If) D7
.
Rear
'2--00
Depth
/(PS NOR.TH j(}O ~rqJ/
Name of Former Owner
U I!-wr
11. Zone or use district in which premises are situated
120
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO >c
13. Will lot be re-graded? YES_ NO X Will excess fill be removed from premises? YES_ NO X
Phone No.
Phone No
Phone No.
14. Names of Owner of premises
Name of Architect
Name of Contractor 5i-t-r
Address
Address
Address
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.
18. Are there any covenants and restrictions with respect to this property? * YES_NO .l.("'
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFS" Ho\k )
~ \ \'4'\..0-.. ~~V- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(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.
Sworn to before me this
l \ day of ..:r lot \~ 2001
~~';;f;ilJ?~
Notary ic
lOlT1llneteROI
NOTARY PUBllb.. 8late 01.... 'IbltI
No.01lA605925,
Quallfled In Suffolk CountY ... I \
CommlllSlon expl.... May 21....._
@,1J.J.V1
Signature of Applicant
MNN