HomeMy WebLinkAbout31642-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32812
Date: 12/27/07
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 525
(HOUSE NO.)
County Tax Map No. 473889 Section 111
WEST COVE RD
(STREET)
B10ck 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
NOVEMBER 15, 2005 pursuant to which
Bui1ding Permit No. 31642-Z
dated
DECEMBER 1, 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to KARL ENSELBERG
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPARnmRT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
3011524
11/20/07
PLUMBERS CERTIFICATION DATED
11/26/07 CUTCHOGUE EAST PLUMB&HEAT
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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:
1. 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 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:
1. 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. I 2.. - z.. 1- i!J"7
Location of Property:
5:"2- S-
House No.
Old or Pre-existing Building:
I1hI Cdvr:;
Street
1/
M.
(check one) ~u..e
H et
New Construction:
Owner or Owners of Property: /tP-t/o/
Suffolk County Tax Map No 1000, Section
~
71; :7
E:vs~4ff5
Block
Lot
Ie.
Subdivision
Permit No. "516 <./ 2-- Date of Permit.
Health Dcpt. Approval: _ ~//1
Plmming Board Approval:
Filed Map. ~. Lot:
_Applicant z: (., .r. c(~aI~/,I;" //l-t: \
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ 2.5;' ~
Final Certificate:
(check one)
~~.1)7~t
c~~~t281
FORM NO. 3
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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.
31642 Z
Date DECEMBER
1, 2005
permission is hereby granted to:
KARL ENSELBERG
1560 ROYAL PALM WAY
BOCA RATON FL, 33432
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING 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 NOVEMBER 15, 2005 and approved by the
Building Inspector to expire on JUNE
Fee $
693.60
ORIGINAL
Rev. 5/8/02
.00
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
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I Section:
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BUREAU OF ELECTRICITY
FULTON STREET - NEW YORK, NY
10038
"3fpLf ~
40
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
3011524
Certificate Number:
3011524
Building Permit:
BDC:
ns11
Block:
Lot:
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 Ratinl! Circuit ~
Alarm and Emergency Equipment
Sensor
Appliances and Accessories
Exhaust Fan
Range
Dish Wacher
Furnace
Steam Unit/Sauna
Pump Motor
Air Conditioner
Air Conditioner
Panels
o
Carbon Monoxide
40
F.H.P.
Amps
KW
Gas
Amps
H.P.
BTU
BTU
3 0
1 0
1 0
2 0
I 0
I 0
1 0
I 0
1.2
50
I
30.000
24.000
60
6
Wiring and Devices
Outlet
Fixture
Incandescent
General Purpose
General Purpose
46 0
46 0
65 0
40 0
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.
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I Located at
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I Section:
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ii!Ii!!/E!lE!E!IE!ii!Ii!!/E!lE!ii!IE!IE!~~liI
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
3J ~L{2
CERTIFIES THAT
Upon the application of
upon premises owned by
JIM SAGE ELEC. INC.
PO BOX 38
GREENPORT, NY 11944-0038,
KARL ENSELBERG
WEST COVE ROAD
CUTCHOGUE, NY 11935
WEST COVE ROAD CUTCHOGUE. NY 11935
3011524
3011524
Certificate Number:
Block:
Lot:
Building Permit:
ns11
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 Ratio!:! Circuit ~
Switch 45 0 General Purpose
Dimmers 3 0
Paddle Fan 4 0
Receptacle 1 0
Receptacle 1 0
Disconnect 2 0
Receptacle 11 0
Service
I Phase 3 W Service Rating 200 Amperes
Service Disconnect:
Meters: 1
20a
30a
60a
Laundry
Dryer
Air Conditioner
OFel
200
cb
seal
2 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.
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Town Hall, 53095 Malf\ Road
POBox 1179
Southok:t, New'(oO'i. '1971
Fax (516) 765-1fZ3
Ttl19phooe (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I FIe A T ION
'f'
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DATE: II! 26/ () 7
Building Permit No. 31.('/(z-rl-31662-
Owner: (;i~~~b~i\nt)
Plumber:
J;..dL (,(S~DJ;
(please print
lit- E P- tll~
2'377-f
I certify that the solder used in the water supply system
contains less than 2/10 of 1\ lead.
.
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Sworn to before me this
~ ~
S:>?~ day of
No"", ;Ob1l0, :-~AJ
-i-9 ~7
county
,.",,,',:,,~, NAr,V
Notary PUblic S
No, 4896735 tate of N~", y, (k
Qualified In S ff
Commission ~x~,'k COUt J.
- res Ml1y..to /j
"31(;tf-;;- 2-
TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
REMARKS. ~ ~ = t
p, '-- ~Zi ,
.
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~FINAL k:
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
~~~
DATE I d--~?-?- 01 INSPECTOR ~ ~
3) b+~Z.
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~,~ _ ~, t1-
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a. ' r=-wt~, "'- vk.
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DATE 11,- ~ ,r () 7 INSPECTOR ~ ~
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND 0 INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMfR~S: ~ ~ ~ J: ~ pI )
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DATE /0 --/7" 0 ,
INSPECTOR ~~
3f~~~L
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST .t'><lROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
~ F~MING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE 1--). J - 0 ,
INSPECTOR ~. ~
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Mark K. Schwartz, AlA - Architect, PLLC
P.O. Box 933
Cutchogue. New York 11935
Phone: (631) 734 - 4185
Fax: (631) 734 -2110
September 20, 2006
Southold Town Building Department
Main Road
Southold, New York 11971
Re: Enselberg House
525 West Cove Road
Cutchogue, New York
Bld~ Permit #31642
To Whom This May Concern:
I have been to the site during the construction phase and inspected the poured concrete
foundation, pargeted walls, damproofing, framing and strapping at the aforementioned
property. This work has been completed as per plans and to the best of my knowledge,
meets or exceeds NYS code requirements.
Please call this office if you have any questions or require additional infomtation.
Mark Schwartz
Enselberg1.doc
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FIELD INSPECTION REPORT DATE
COMMENTS
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FOUNDATION (1ST)
.
FOUNDATION (2ND)
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ROUGH FRAMING &
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INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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ADDffiONAL COMMENTS
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMITNO.~/,(I/2-- ;z:
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: f)
Mailto:#~,eL IC~.ff/Tz..
Examined
Approved
Disapproved alc
,20 ?
,20_
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77{. -4/<f'.F
01<- L (J er=(m...~
t/ Sf ~~ Ttf1.$
C t-te:G-1Z.
f' L.. €4"t f E .
Expiration
II j
I 5 2005
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APPLICATION FOR BUILDING PERMIT
l,l'L
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Date
I oj '7-7 It; r
( {
,20_
,.
T'"'j.A.L.~_.-.:o_
.._~XD
INSTRUCTIONS
a. This application 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. w;riting, the extension of the permit for an
addition six montll.s. 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 applicabie 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, h ing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
ftJ (J(/A. 9? J C", TC fh1C v(C
(Mailing address of applicant)
gineer, general contractor, electrician, plumber or builder
Name of owner of premises rAt:. L "'tN1O SHIll c... ~ t;:AJJ'e..L..I3E/2.. ~
(As on the tax r 11 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:
5 Z 5" WEST: Ca "Eo /ZJ::)
House Number Street
c V 7L. t/?/C;v/E.
Hamlet
County Tax Map No. 1000 Section
Subdivision
III
.
Block tJ 3
Filed Map No.
Lot ,G.
LOt
(Name)
2. State existing use and occupancy of pr~es and intended use and occupancy of proposed construction:
a. Existing use and occupancy j I AJ G (... E. p;i!J ""1 (" '1 a..E.J I or "..." ,T7~
b. Intended use and occupancy .511"'1 e-
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
>L- Alteratio~
4. Estimated Cost
(Description)
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.
SE:~ tP c /puS
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
S ~t: J (.)Y0(/~
8. Dimensions of entire new construction:F)'6nt Rear Depth
Height Number of Stories
9. SizE; oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated fZ-4- 0
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NoK
13. Will lot be re-graded? YES NoX' Will excess fill be removed from premises? YES NO Y
-p,l(. ( .s1t11Z-~ ~ -
14. Names of Owner of premises {Nlt=:;:Ctl.6 Address Phone No. 734 -~' s-r
Name of Architect ;t(1IIt fL Je ~_'" Address Phone No 7.:J 4~ _,;}'.r
Name of Contractor . Address Phone No.
IS 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.
STATE OF NEW YORK)
SS:
COUNTY OFSV~*,
~ tf1:L. (~r-z.---- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual sign,ing contract) above n~d,
(S)He is the AttCIf' (?q- fcfr;~
(Contdctor, Agen!, 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 ofms knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Swomto~reme~_, L.
~I dayofl>B<>~ 2098L
~~ Cl (,J -J---.-
Notary Public
BARBARA ANN RUDDER
Notary Public, Statl of Nlw York
No. 4855805
Quallflad In Suffolk CounlJ... 'I ~
Commission Explrl' AprIl14~'t'
1ltI
Signature of Applicant
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