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Home My WebLink About31662-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 12/27/07 NO: Z-32811 mIS CERTIFIES that the building ACCESSORY GARAGE Location of property: 525 (HOUSE NO.) county Tax Map No. 473889 Section 111 WEST COVE RD (STREET) Block 3 CUTCHOGUE (HAMLET) Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 1, 2005 pursuant to which Building Permit No. 31662-Z dated DECEMBER 8, 2005 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 NEW ACCESSORY GARAGE IN THE REAR YARD AS APPLIED FOR. The certificate is issued to KARL ENSELBERG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR'l'MKNT OF REALm APPROVAL N/A ELECTRICAL CERTIFICATE Il1O. 3011524 11/20/07 PLUMBERS CERTIFICATION DATED 11/26/07 CUTCHOGUE PLUMB.&HEATING ~ b'd/JA ./~- thorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD 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 2/1 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 therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - Ncw 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 Cettificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Date. /7... -ZI..J 07 V (check one) ~~~ Location of Property: .) 2 <; W6'~ (2.Vc!' /?uI House No. - Street Owner or Owners of Property /0.d V- S'"tf/~:/' ~~d(?Aff Suffolk County Tax Map No 1000, Section / / J Block 3 Lot /b Subdivision Permit No. 3/6Cr- Date of Permit. Health Dept. Approval: .-~-LVA Platilling Board Approval: Filed Map. ~__ Lot: Applicant: z: L .7. LJ~)L.- Uv. Underwriters Approval: __ Request for: Temporary Certificate $ 2 r-tz/..? Fee Submitted: ~:. ~ Final Certificate: (check one) 6--~.l)S(Q\ co~~J8'\ 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. 31662 Z Date DECEMBER 8, 2005 Permission is hereby granted to: KARL ENSELBERG 1560 ROYAL PALM WAY BOCA RATON FL, 33432 for : DEMOLITION OF AN EXISTING ACCESSORY GARAGE AND CONSTRUCTION OF A NEW ACCESSORY GARAGE AS APPLIED FOR at premises located at 525 WEST COVE RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0003 Lot No. 016 pursuant to application dated DECEMBER 1, 2005 and approved by the Fee $ 122.90 ature Building Inspector to expire on JUNE ORIGINAL Rev. 5/8/02 ..00 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Ii I I ~ Ii ~ ~ ~ ~ ~ I I I ~ ~ ~ ~ ~ ~ ~ I I I ~ ~ ~ ~ ~ ~ ~ ~I!I ~ ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ ~ ~ i ~ i i I ~ i ~ ~ ~ i i ~ i i ~ ~ ~ ~ ~ ~ ~ i 31 ~(.,:;;L NEW YORK BOARD OF FIRE UNDERWRITERS BY THIS CERTIFICATE OF COMPLIANCE THE 40 BUREAU OF ELECTRICITY FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. PO BOX 38 GREEN PORT, NY 11944-0038, KARL ENSELBERG WEST COVE ROAD CUTCHOGUE, NY 11935 WEST COVE ROAD CUTCHOGUE, NY 11935 Application Number: 3011524 Certificate Number: 3011524 Section: ns11 Block: Lot: Building Permit: BDC: Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Detached Garage, Outside, Attic, 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 20th Day of November, 2007. Name OTY Rate RatinQ Circuit ~ Alarm and Emergency Equipment Sensor Appliances and Accessories Exhaust Fan o Carbon Monoxide 3 0 1 0 I 0 2 0 I 0 1 0 1 0 1 0 F.H.P. Range Dish Wa,her Furnace Steam Unit/Sauna Pump Motor Air Conditioner Air Conditioner Panels 40 Amps KW Gas Amps H.P. BTU BTU 1.2 50 I 30.000 24.000 60 6 Wiring and Devices Outlet 46 0 46 0 65 0 40 0 Fixture Incandescent General Purpose General Purpose Fixture Outlet Receptacle seal Continued on Next Page of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~~~ I!I.I!I I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 10038 3 {IJ J ~ ~ ~~ ~ ~ CERTIFIES THAT ~ I Upon the application of upon premises owned by I ~ JIM SAGE ELEC. INC. KARL EN SELBERG ~ ~ PO BOX 38 WEST COVE ROAD ~ ~ GREEN PORT, NY 11944-0038, CUTCHOGUE, NY 11935 ~ I Located at WEST COVE ROAD CUTCHOGUE, NY 11935 I ~ Application Number: 3011524 Certificate Number: 3011524 ~ ~ ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Basement, First Floor, Detached Garage, Outside, Attic, ~ ~ ~ ~ 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 20th Day of November, 2007. ml ~ Name OTY Rate Ratine Circuit ~ ~ ~ Switch 45 0 General Purpose ~ ~ Dimmers 3 0 ~ ~ Paddle Fan 4 0 ~ ml Receptacle 1 0 20a Laundry ml ml Receptacle 21 00 30a Dryer ml mI Disconnect 60a Air Conditioner m:r ~ Receptacle ]] 0 GFCI ~ ~ Service ~ ~ I Phase 3W Service Rating 200 Amperes ~ ~ Service Disconnect: I 200 cb ~ ~ Meters: I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 2 of 2 ~ 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. I 1!l~.1!I -. ~f1t~JW~~ l ,.----J '-Hn' 'J -~ T OW" Hall, 53095 Main Road PO. Box 1179 Soulhold. New Yo'" "97' Fax (516) 765-1S23 T e..pIlo"" (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T 1 F I CAT ION .~.' \ -. ~ y~// DATE: I/! 2(, I ~] Building Permit No. 3/~//z-r/-.::?/b'6':2.- Owner: (~!~~b;;Jnt) Plumber: J~ GiSt\tDJ; (please print c vte k~~_F fJ- tI, ~c 2<377- f I certify that the solder used in the water SUpply system contains less than 2/10 of 1\ lead. / ignature) Sworn to before me this ~o?9a.."~ day of ~ ~"L "'Ji1a>? Notary public,. ~~ county ~~9 ?fd N~t~'~'I/' ilIA".... No, 4896~~~C State of New" ,k Q'Jalffled III SUfi Comm~'s;ol1 Ex o,/k COI" J. - fl rll& May Jo 1/ .~ ----.-- - 3)~~~.2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION D{ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON r~ ~, ~e>K, E~ tf-~ ~,~ I ~~~ DATE 1/--9 ~ 01 INSPECTOR 4r-,P/a-- 3 \ ~ b ~:z.. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] FOUNDATION 2ND ~IN!)STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION REMARKS: eX ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION ~~~ DATE 1--- 13 ~o 7 INSPECTOR ~ ~ .. . " , FIELD INSPECTION REPORT DATE COMMENTS fir/LI- A Ie ~A 1-4 ..J . +--~ '7-~ uI.;{-. .h'l. ~ t;J;g FOUNDATION (1ST) 1::1n~ I~ ~.^ ~-~ 1\" ~J E- .... d--:. f~ iI\ \ .', r' ) d~ ilK'. ~ . LL "'IIU.~~ ~ /I' ------------------------------------ FOUNDATION (2ND) AI/A ?r~ /1" c) G\ ~ I~ c~ ~ \ '" ~ ( ./J",g II AJ t'l ROUGH FRAMING & '-- .., PLUMBING \J\ 9-< 0\ . --- t, / ~ ~ J.//A bf;; INSULATION PER N. Y. f ' ~ .., STATE ENERGY CODE ~ II-'f...c r7 t:::::,. - 4% ..u.... A A1 \ i.A., Of\. , ~~ .. .ff J""A Nkf:. ~I J1. "I' ~,. '~ ~ IV ~ A ~'jI~-,v f>...". Ct FINAL f- ( ~ 'r .~ (0 ADDITIONAL COMMENTS A / tf .A #. .// r? iL. A A"i. _ V7luP'. ~... m . / ~ tPo I'll ~ ('vm ~" S;' 10 r- ". {'~ ! ." o("~ D:;:j -Jo 2l = zJ ~S ~t::l l"l ." ~ / - 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: 0 Mail to: If/A-Jel( JUWM-'rz..-.- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoIdJ PERMIT NO. <3;66,;7-2:. Examined Approved Disapproved ale 6 ,20_ -- ,20~ ~k I ,20-r Phone: 7 J4 -4-1 f'r Expiration '- APPLICATION FOR BUILDING PERMIT ~~,~\ \,-, Date ~ IZ/O( /IJF ,20~ \,"" D't.G \ 'ISlGS . INSTRUCTIONS 'f. '~\:~iS al?plicatien ~usi be c\lmpletely filled in by typewnter or in ink and submitted to the Building Inspector with 4 sets of I~ccutate piol piaU to.seate'. Fee according to schedule. , PIgI'PfaH-s!f6wing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, an6aterways, 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 8I\lendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authoriz!", in writing, the extension of the permit for an addition si)< 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 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatio and to admit authorized inspectors on premises and in building for necessary inspections. fltl ~p X /'5:3 c;f.I~ /#(; v/= (Mailing address of applicant) State whether applicant is owner, lessee gent, architect, ngineer, general contractor, electrician, plumber or builder Name of owner of premises t;.1(),f &L-{J (As 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. I. Location of land on which proposed work will be done: 2 j- W -.r c.ol/E House Number Street uvE Hamlet County Tax Map No. 1000 Section Subdivision Ifl Block 03 Filed Map No. Lot I to Lot (Name) 2. State existing use and occupancy of premis s and intended use and occu anc a. Existing use and occupancy of proposed construction: G ~/ITl. w ( .r {fZ.. (; b. Intended use and occupancy 7 / ~ c; 1'tIl-/ft; IF 3. Nature of work (check which applicable): New Building Repair Removal Demolition ~ X Addition 17 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?!;;;xf:oCcuPfJi[~ure 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 Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories S~C- SI/I2IJ~ 9. Size oflol: Front Rear - / Rear Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated fZ4-o 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO-X 13. Will lot bere-graded? YES_ NO V Will excess fill be removed from premises? YES_ NO_ 10/t.~J'I7JtZ'G'( . 14. Names of Owner ofJJremises /lNfe"tJf!J,6, Address Phone No. 734.- - "J r Name of Architect /f;t1'11et:. f(,/fJv;fnrz..- Address Phone No 7.:;4 - 4.' P r Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO X- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE~EQUIRED. 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) ,;;S' COUNTY OF ~\"-r" ~~ ~ r IfwM T~r....' being duly sworn, deposes and s~ys that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the At; rvvr/ 4n-c~ (Contractor,'Agent, Corpo \e Officef 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 be;\i>>"e me t \::> day of 'J Notary Public e of Applicant BARBARA ANN RUDDER Notary PubUc, State of New York No. 4855805 Qualified In Suffolk Coun~ 'Al. Commlulon Explr..AprlI14,~'I)