HomeMy WebLinkAbout32724-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32806 Date: 12/27/07
THIS CKRTIFIES that the building ALTERATIONS
Location of Property: 5705
(HOUSE NO.)
County Tax Map No. 473889 Section 137
STILLWATER AVE
(STREET)
Block 1--
CUTCHOGUE
(HAMLET)
Lot 4
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
FEBRUARY 14, 2007 pursuant to which
Building Pennit No. 32724-Z
dated
FEBRUARY 14, 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" INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to IRA NAGEL & ROSE FOCHETTA
(OWNER)
of the aforesaid building.
SUPPOLK COUNTY DEPARTMKlIIT OF HEALTH APPROVAL
N/A
ELECTRICAL CKRTIFICATE NO.
4791
12/12/07
PLUMBERS CKRTIFICATION DATED
07/20/07 HI-TECH PLUMBING&HEATING
Rev. 1/81
Form No.6
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 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 nses, 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.
New Construction:
X
'7705
House No.
(check one)
-. Location of Property:
~ Owner or Owners of Property:
-e,
,- Suffolk County Tax Map No 1000, Section
1':17
Block
Lf
Lot
If
Subdivision
Permit No. ') -Z 1'- f_ Date of Permit.
Filed Map.
Lot:
.~ Applicant:
Health Dcpt. Approval:
Undenvriters Approval:
ure
Planning Board Approval:
Request for:
Temporary Certi fieate
Final Certificate: $
Fee Submitted: $
2--s--
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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.
32724 Z
Date FEBRUARY 14, 2007
Permission is hereby granted to:
IRA NAGEL
80 FIRST AVENUE APT#12-B
NEW YORK,NY 10009
for :
AS BUILT INTERIOR ALTERATIONS AS APPLIED FOR. ADDITIONAL
CERTIFICATIONS WILL BE REQUIRED
at premises located at
5705 STILLWATER AVE
CUTCHOGUE
County Tax Map No. 473889 Section 137
Block 0004
Lot No. 004
pursuant to application dated FEBRUARY 14, 2007 and approved by the
Building Inspector to expire on AUGUST 14, 2008.
Fee $
400.00
Authorized
ORIGINAL
Rev. 5/8/02
SUFFOLK
E
BUR E A U 0 f.~ l~ W I
E LEe T R I C A L G ~-
lNSPECTORSr; nc.
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40 Nottingham Drive, Middle Island, NY 11953 "_
Telephone: 6314958136. Fax: 6319806455. E-Mail: SBEI.~ffl~1 tom
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CERTIFICATE OF ELECTRICAL COMPUANCE
Applicant: Gary Gunzel Electric
Rough In Inspection Date: 12/12/2007
Application NO: 4791
- Suffolk County Tax Map NO:
Final Inspection Date: 12/12/2007
Certificate NO: 4791
Building Permit NO:
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:
Owner: Ira Nagel
Address: 5705 Stillwater Ave, Cutchogue, NY 11935
Address of Inspection Site: 5705 Stillwater Ave, Cutchogue, NY 11935
X ReSidential
Commercial
New
Addition
200 OH Service 10
Service 30
40 Ckt Main Panel
Sub- Panel
Disconnects
Transformers
Twist Lock
Other Equipment:
X Indoors
Outdoors
X Renovation
Survey
Heat
Time Clock
Hot Water
GFCI Breaker
Dryer Recpt
Exhaust Fan
lVSS
Basement
X 1st Floor
2nd Floor
Allie
Inventory
12 Duplex Recpt
15 Switches
GFCI Recpt
Single Recpt
Range Recpt
Appliance
Heat Pump
X Service
Pool
Hot tub
Garage
Shed
Other:
1 Ceiling Fix
3 Wall Fix
13 Recessed Fix
Fluorescent Fix
A/C Blower
AlC Cond
Electric Heat
HID Fix
6 Smoke Det
2 Co Det
Pump
Emergency Fix
Exit Fix
Pool Luminaire
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.
Inspected by:
Signature:
License No:
1821-ME
Date of Certificate:
12/17/2007
Town Hall, 53095 Main Road
P.O. Box 1179
South old, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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CERTIFICATION
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Date: ""0,) ~ 2D '1eU)
Building Permit No. 3 d. 7 J L{ Z.
owner:~ pJ/tC€.L-
(Please print)
Plumber:
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(Pie e pnnt)
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I certify that the solder used in the water supply system contains less than 2/1 0 of 1%
lead.
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Sworn to before me this /6.f41
day of \0u~' 20 01
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JEAN P. HEB8ERD
Notary Public. State of New M
No. 5044616
OualKied in SuII1lIk CoonIY
Commission EJcpiI1S June 5. 20 -Ll
Notary Public, ~ounty
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ARCHITECTS
OCG Architects, LLP
Monday March 12, 2007
Town of Southold
Building Department
P.O. Box 1179
Southold, NY 11971
Re: Nagel Residence
5705 Stillwater Avenue
Cutchogue, NY 11935
Building Permit # 32724
To whom it may concern,
Please be advised that the required insulation for the above-referenced job, as per
Appendix J of the New York State Residential Code, is as follows:
Walls R15
Floors R30
Flat Ceilings: R30
Cathedral Ceiling: R25
Furthermore, the interior framing meets and exceeds New York State Residential Code
requirement.
Please feel free to contact our office with any questions Of concerns you may have.
Todd O'Connell, AlA
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60 Carleton Ave. . Suite 202. Islip Terrace, NY 11752. phone: 631-859-3488. fax: 631-859-3489
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ARCHITECTS
OCG Architects, LLP
Wednesday July 11, 2007
Town of Southold
Building Department
53905 Main Road
Southold, NY 11971
Re: Nagel Residence
5705 Stillwater Avenue
Cutchogue, NY 11935
Building Permit # 32724
To whom it may concern:
Please be advised that the second floor bathroom at the above-referenced location meets
the height requirements dictated by the New York State Residential Code.
The code requires that only 50% of the room needs to meet the minimum 7' ceiling
height and no wall less than 5'.
Please feel free to contact our office with any questions or concerns you may have.
TOC:mk
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60 Carleton Ave.. Suite 202. Islip Terrace, NY 11752. phone: 631-859-3488. fax: 631-859-3489
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~LATION
[ ] FRAMING I STRAPPING [J1FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONS'IRlJCnON [ ] FIRE RESISTANT PENETRAnON
REMARKS: ~b IIA?J ~ L/k
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DATE-rF/tJ7
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INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST P<{ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
Re.. '. txf. FRAMIN~ I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENmATlON
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
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[ ] FIRE RESISTANT PENETRATION
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[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
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DATE
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FOUNDATION (2ND)
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ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/
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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
PERMIT NO. So? ':/ ~ 't .. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Examined
Approved
Disapproved ale
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.... APPLICATION FOR BUILDING PERMIT
Phone:
Expiration
'IS!
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Date
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State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises If V\... ;l/ '1.
(As on h 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.
l~ocati70~and on whi
~use Number
County Tax Map No. 1000 Section
Subdivision
he..
13,
Block t.f
Filed Map No.
i" Lot '-f
Lot
.,1
(Name)
.,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
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
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance orregulation? YES_ NO_
13. Will lot be re-graded? YES_NO_ Will excess fill be removed from premises? YES_ NO_
Phone No.
Phone No
Phone No.
14. Names of Owner of premises
Name of Architect
Name of Contractor
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.
/;. 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 ot;~U0
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(Name of individual signing con
being duly sworn, deposes and says that (s)he is the applicant
act) above named,
o V,v C'--
(Contractor, Agent, Corporate Officer, etc.)
(S)He is the
~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work I be
performed in the manner set forth in the application filed therewith.
Sworn to before me t~
tlo daY~f Q.iI"Jl'\lllN1\20~
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Notary u lic
MELANIE OOROSKI
"OlARV PUBLIC State 01 New V01lI
n No. 01ob4634870
Oualitied in Suffolk Cou1o ~ ()
~ssion Expires Septembel .
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OCCUPANCY OR
USE IS UNLAWFUL
- WITHOUT CERTIFICATE
OF OCCUPANCY
F I ru.:rr - FL-0eX2-
APPRO ED AS NOTED
DATE:~ 'I< ,,~Be!}ltY~
FE ' B '
NO IFY BUILDING DEPARTMENT AT
765.1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION. TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH. FRAMING & PLUMBING
3. INSULATION
4. FINAL. Cor,STRUCTION MUST
BE COMPLETE FOR C,O,
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
PLUMBER CERTlFICA TION
ON LEAD CONTENT BEFORE
CERTIFICA TE OF OCCUPANCY
SOLDER USED IN WA TER
SUPPL Y SYSTEM CANNOT
EXCEED 2/10 OF 1% LEAD.
_ ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK ST ATE.
UNDERWRITERS CERTIFICAW
REQUIRED
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FAX: 631-859-3489
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FAX: 631-859-3489
TEL: 631-859-3488
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