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HomeMy WebLinkAbout30116-z "II FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32708 Date: 10/31/07 THIS CERTIFIES that the building ACCESSORY Location of property: 1530 NEW (HOUSE NO.) COUnty Tax Map No. 473889 Section 109 SUFFOLK RD (STREET) Block 6 CUTCHOGUE (HAMLET) Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25, 2004 pursuant to which Building Permit No. 30116-Z dated FEBRUARY 25, 2004 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 ACCESSORY GARAGE WITH NON-HABITABLE 'SECOND FLOOR AS APPLIED FOR. The certificate is issued to MATTHEW D TRUE (OWNER) of the aforesaid building. SUFFOLK COONTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 II . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r- I I . \', JAN3/: 7 I . . APPLICATION FOR CERTIFICATE OF OCCUPANCY : . < ;..-.J 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 installatiou from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 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 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, Commercial $15.00 Date. l!rO~7 I New Construction: ./ Old or Pre-existing Building: .N~ .sv~{lt 1C12. House No. Street '7Vt}t4~ { 'D _ ~ [0 tt (check one) CJ!-~! .r-<. 'Hamlet Location of Property: {~]o Owner or Owners of Property: Suffolk County Taj{ Map No.1 000, Section . Block ((1 Lot I.? . Subdivision Filed Map. Lot: Pennit No. 3.D I ( ~ - Z Date of Pennit Applicant: ~ef,u,0 /) ~~ Health Dept Approval: Planning Board Approval: Request for: Temporary Certificate .... .....<:>0 Fee Submitted: $ (7-"\1 Underwriters Approval: Final Certificate: / (check one) ~ pp lcant 19nature (R~. J)3'-1 S _A..c::l .,~.,J't~ r!I Elm ~ E!mIil!IE!IE! ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I r!I iilIE!m E!Ji!!Jii! If.-?>-( ~~~Elm~r!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ ~ ~ ~ ~ I ~ ~ ~ E!mIil!IE!IE!E!mIil!IE!IE! ~~ r!I 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 MATTHEW TRUE PO BOX 358 CUTCHOGUE, NY 11935 MATTHEW TRUE 1530 NEW SUFFOLK RD. CUTCHOGUE, NY 11935 1530 NEW SUFFOLK RD. CUTCHOGUE, NY 11935 1172854 Certificate Number: 1172854 Block: Lot: Building Permit: BDC: NS11 301/&- Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, detached garage, Detached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 4th Day of October, 2007. Name OTY Rate Ratin. Circuit ~ Appliances and Accessories Furnace Exhaust Fan Water Heater Panels I 0 I 0 I 0 4.5 Oil F.H.P. KW 100 12 Wiring and Devices Outlet Fixture Outlet Receptacle Switch Dimmers Receptacle Paddle Fan 8 0 8 0 25 0 18 0 10 0 10 0 4 0 I 0 Fixture Incandescent General Purpose General Purpose General Purpose GFCI seal I of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 30116 Z Date FEBRUARY 25, 2004 Permission is hereby granted to: MATTHEW D TRUE CUTCHOGUE,NY 11935 for : CONSTRUCT A 572 SQ FT ACCESSORY GARAGE WITH NON-HABITABLE SECOND FLOOR AS APPLIED FOR. THIS PERMIT REPLACES BP#27995. at premises located at 1530 NEW SUFFOLK RD CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0006 Lot No. 013 pursuant to application dated FEBRUARY 25, 2004 and approved by the Building Inspector to expire on AUGUST 25, 2005. Fee $ 112.22 [)A1V'ON ~<; ORIGINAL Rev. 5/8/02 ~ f! &-"6 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] IN ATION FINAL ] FIRE SAFETY INSPECTION REMARKS: co DATE Jt ~ INSPECTOR ./ 30/1~-E:; 765.1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. [ ] INSUL~ [ NAL 11--;~;/ ~ DATE INSPECTOR '" :d-/~C:~(jc 30 \ \~ {~NUv0Ce-~ ~ 765.1802 "/BUILDING DEPT. SPECTION [ ] ROUGH PLBG. ] FOUNDATION 2ND [] INSULATION ] FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY REMARKS: ~ ;JOY- ~1r1,J~ J DATE I 0 ~ (J V INSPEC'I'OR < ~ (J 0 ~ <: s: ',1; . >> { fOUBDATIOR (1ST) -:- ----,- ~- . . . . ~ . . .CO~S .' . ====-=---=~=-~==~=====~=======~=====~==~- ~AT!Q!l=_. <gm!L '_== ~====:= ===~~':"'_======---======",:,==:=---:-=====~...._-==:======-= ! lOOm FRAME & .PLtJM:BING ;'.,1 .....J . ..,. -- DlSUU.TION PER B. Y.' .STATE ENERGY CODE. L . /., . 'fmAL 10 " "'II I ! _ r;, -/3 TOWN OF SOUTHOLD PkOPERTY RECORD CARD STREET IK?,C) ....- -"--"- ~ ,i / ;-: .::.::;. /,' fi 'V \.A/.j (J ,," .1 .j,l,' ,oA N\", \ C .'\Ctl,- ~ /(< S f}l:sc/ RES:<1-0 SEAS. VL. FARM LAND IMP. TOTAL DATE 100 OWNER - /~ <\ ( ~C{tibp{l) [). ~ FORMER OWNER S' () () /dOd 3:>- cTV 3 ,-'j do-O '/ <' d 7cJ5.E NEW 3e,c:o ./ NORMAL Farm Acre Tillable I Tillable 2 Ti liable 3 Woodland Swampland Brushl~ House Plot Total M--5 VILLAGE DISTRICT SUB. LOT /7- e:r{., ACREAGE .\:, '-f t, TYPE OF BUILDING / J-Ior-, / 1XJ ,~~." I Est. Mkt. Value (-, COMM. I IND. REMARKS B)J ,if, ~ ~ I CB. :/.. 5/,/1. f{ t... . , MISC. ;(Z tJ ;7 - -- - I' v y<.J 51', C,J /SP";r060 " 4 ABOVE Value Per Acre Value FRONTAGE ON ROAD / () () J i, ~ 7 ,:u.) - J 0 cJ BULKHEAD DOCK De t h /6""'6 f- i; j-\ .~ / ~~ .......~ M.. Bldg. Extension :xtension 1--1 :xtension 1111I___.._, \00 'AE,<:;, '"- iorage Z'I/ ~ I z. g? 100 >. B. ~_""" _ _,~t :'~ o I ~ () ! Foundation Bosement I Ext. Walls _jFire Place I Patio () .' Driveway , ~'" i I , ! I i . I I , 1 I ! I i I ~ '" , 1/ I i I ! I I> ! I I~ I ... IL I , ! 0. " ! ! I I I l . i I , I ! ! I ""If I 11 ! , I I I I , :3 (0: I I I . : I 1-1---1- , I I I tJ~.t I IJ I I i I i I I , i - e- C-- ,3. Bath Floors ~(I< Interior Finish ")/w- Heat Porch, Roof Type Porch Rooms 1 st Floor Rooms 2nd Floor ~~ Dormer r ~'. ~L.. ~ , J.i TOWN OF SOUTHOLD ',i rn BtJll,])ING DEPARTMENT TOWN HALL ' SOUTBOLD, NY 11971 '" TEL: 765-1802 20~ 20....4.Z,..- @JJ_JL~1 r~!, ' BUILDING PERMIT APPUCATION CHECKLIST , ' " I Do you have or need tho fullowiDg; before applying ? JAM _" /' i ~ r: !' Bomd ofHcallh ';'m 3 seta ofBuildiog PIaos -.J ' ALDG D'PT OLD D2'r1q/~ = , -, Septic P: ;:)() llCo reJlL1}I(j N.y.SD~. Trustees Contact: .' Examined Approved , Disapproved ale Mail to: ([jJ. " Builn;t1g Inspector ,Phone: Q!(,f~ r t/trz} APPLICATION FOR BUILDING PERMIT Date I!~ ,200;;"" 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.l'lot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public ,streets or areas, and waterways. c. The wOIk covered by this application may not be commenced before issuance of Building Permit. d., Upon approval of this application, the BUilding InspCctor ,will issue a Building Pennit to the applicant. Such a permit shall be kepi on the ~ available for inspection throughout the work. ' . e~ No building shall be occupied or used in whole or in part for any pllIpose what-so-evcr until a Certificate of Oci:upanc) is issued by the Building Jnspector. ' APPUCATION IS HEREBY MADE to the BuildiDg DeplU'tl:nent for the issuance of a B1ii1ding Pennit purswmt to the Building Zone OrcHn"",..e of the' Town of Southold, Suffolk CoUnty, New York, and other applicable Laws, Ordin"",..es or Regulations, for the eollStrul:tion of buildings, additions, or alterations or for removai or demolition as herein descn'bcd. The applicant agrees to comply with all applicable laws, ordinances, building code, ho . code, lIIld to admit authorized inspectors on prcniises lIIld in building for necessary inspections. ' (8 IsJo .vtu.,&.IefkN, j}~Ax-~ ~l-"-Jr/{jiJ (Mailiua ~ of app1icant) " State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or. builder fJtJ~eF Name of owner ofpreniises ;41/~'~,~ . (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. 1. Location of land on which proposed woIf( will be donc;:~ I ~3D ' A)wJ fJlP: tU. ,(tJf-t 1M: House Number Street 1'1 tt'11J Hamlet County Tax Map No. 1000 Section Subdivision ! 0'1 Block " Filed Map No. ,Lot /3 Lot (Name) ,~ 2. State existing use aDd,~of~ and in~~ ~e .and occupan~o~~sed COIISlraction: ' a. ExistinguseandoccUp8nCY J'ik ~ . t I. \ ~-f ' b. Intendeduseandoccupancr. SAJ/.,. kif ~ .,kr&. ~~M JjYMfL 3. Nature of work (check which applicable): New Bui1~ /' Addition ~ Alteration Repair Removal Demolition Other Work ' -I (Description) /~ODD Fee 4. Estimated Cost 5. If dwelling, number of dwe1ling units If garage, number of cars ' ~ . 6. IfbusinesS, commercial or mixed occupancy, specify nature and extent of each type of use. (to be paid on fi1ing this application) Number of dwelling units on each floor 7. Dimensions of existing structures, if any: Front Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Rear Depth Height Number of stortes I 19~ Size of101:: Front I 1 Onate of Purchase I 111. Zone or use district in which premises are situated I 12. Does proposed construction violate any zoning law, ordinance or regulation: . No I 8. Dimensions of entire new construction: Front d. t/ Height . H' I Number of Stortes Rear Jtj' Depth I .;2, Rear Depth Name of Former Owner . 13. Will lot be ~graded ,.00 .14. Names of Owner ofpremises~X~1I. Name.ofArchitect . Name of Contractor , Will excess fill be removed from premises: YES NO Address lj3Q.JwJ ~/!L 1/ Address Address Phone No. b3/ 7J{ ,).1fo 'j Phone No ' Phone No.' i ~ I. 15. Is this property withili 100 feet of a tidal wetland? *YES . NO t'\ . , I · IF YES, SOUTHOLD TOWN TRUSTEES PER1vITTS MAY BE REQUIRED 116. Provide survey, to scale, with accurate foundation plan and distances to property lines. I 17. If eleVation at anypoint on property is at 10 feet or below, must provide topographical data on survey. I STATE OF NEW-I vK.ll..) CoNNEt7IC.,Ij- 5S: COUNTYOF FA/,u:,)l'O).Q I , /7}1} 771-fE ",) 17<. vE: being duly sworn, deposes and says that (s)he is the applicant (Name of individual .npg con1raCt) above named, I ! (S)He is the ~ m e' n \AI .XIL : (Contractor, Agent, Corporate Officer, etc.)' , i I of said owner or owuers, and ill duly authorized Lo perform or have performed the said work and to make and file tbiS application; I that all statements contained in this application are true to the best ofhis knowledge and belief; and that the work will be peiformed ill the manner set forth in the application filed therewith. . Sworn to before me this j, 'J... dayof ..-If-},J 200'L II ~~- , " W"~""" II 14:04 6312988133 CELrc REALTY PAGE 01 10200 MIfrI RlltIcIICIiIc CiinlIr POIlaor7llS u'ftldc, N't'1852 (631) 298-8000 Business (631) 298-8133 Fax F.....~.......ClIIo CELie nEAI f Y Fax ~ ~~k ~iItL ~ TOt U'" . ~ Pal 7~5-:' ..... 1IIIol_ p..... .J ... CCr C ...... C Por ...~_ c- - ~.l ---ct C 'l","'u II8pIy C"'-IJ ....... .c:u...__.... V/AA- Cj) ~ ) c4~-d-r ~ ~) -z1k,~ ra-- ~k d- ~ jPf--Po!L-#~. ~r .....7#/ ,," P~l ./~ SURVEY OF PROPERTY SIUJA TE: GUTGH06UE TOHN: SOUTHOLD SUFFOLK c.ouNTY, NY SURv'EYED 01-2<:{-<:{" SV;:';::OLI( C.OUNTY TAX . -000 - IQCl ~ 6 - ;3 CE~""',F'ED TO ~ATTHEY"i. D. T'R.1JE '<.OSL ~ M T10NAL "1ORTGA6E C.ORCI GOMMONY'IEAL TH L.AND TI TLE ~SU~NGE COMPANY s C1 "" '~~ ~ " :0 Sk " :0 C1' NOTES.' ,,' - ,- ~.... '" ')r:.~ - o.J " " -.,J'''' ~ ;::::r......-::'- .' c' ;:::("~::.. . N80006' 40"E \50.00' 03 , , ~ ':.::. ~ ~1'" \_ .0 . ~ .~ : ~~ \\ . o - 8 ~ - .. -- . . ~ "- ; "'...,....e' ~ - 0(\0 (\O~~; -~e ~ '.... ...-,......~ J'~ o P!PE . MONJMENT AR.EA :: 0 3.4 AGR.E5 SQ,A;::l....'G SGA_= - -- - -- \ \ \ \ \ " $- -- \50.00' Cedars Vl $ o U\ ~ ~ t!1 11ctLj41~ 5J~ 7... % - 8 ~ 'i.Ul :5a '~ ";~ ~~ ~ . II N w-i-E S I ..... Y S LIe '\0 "'I~I': o EAST \tAI~ STREET RlYERHEAD. ~ Y ] 1<j()1 _~6Q-8:::88 Fu ~8:::87 . 0 30 ~ o ~ '- '- Road . "." ." REF - nr.ER',pR()".....-:: 1