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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 ~z~ 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 -~ ~-?f4 !6o, hC/ IJ ~~ fI ~ ' J/t:l7/ 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 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ il!ffi!~~il!ffi!~1!I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ I ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Fixture ~ = = I I!I~ 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. 1iI~~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ; ~~1iI ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ = ~ ~ ~ ~ . ~ 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. ---~----- Im- --._- , ~ ! ~ @_r! JJLli r~1 L.. - ---.J t ' "" __ _' '.' . ~-H.0' D 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' c~;J 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. . I I ~9 7f1rI 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- tI-~/1 ~~~ A ~ ~.~of~~ oK~~~~ ~'~~J~()I( ~A..,. ~N ~o. ~) >>j- bL, a. ' r=-wt~, "'- vk. ~ o--~, ~J~~i;-~_ DATE 11,- ~ ,r () 7 INSPECTOR ~ ~ ?It'f~2- 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 ) ~ )(-(7 ~~ ~~~ ;V~ K /l --&J. ~" 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: r.~ J- - . DATE 1--). J - 0 , INSPECTOR ~. ~ ~ .-, f" rr' f". n i" r,? r'~.::-l . r j r~<'_. Ir~_JJ_' ,l ,.. \ I .'1...," ,! 3 --. . .. ...~i.. .-- - 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 .r' FIELD INSPECTION REPORT DATE COMMENTS l)J.., _l'<l 5J y~ FOUNDATION (1ST) . FOUNDATION (2ND) ):> :V~O ~,..", J~ --+ ~A-~ ~/g. I..;;{- f\ V. J) . ", "". - ~OU,,~ .-~ 'V "',,..D.IA.' .-:..S:: -.: (10. U M f..o,t-.^ .J[ /~ Q .no." ," _0., 'f'JL.!. - Al d An. .0.-", 1._ ."c.:.. [J2l;J'. -;(. () I( ~J" (/ v I {/JOt> P.IJ J '- z If\P 'P V\ 9/-}.-I/0 ROUGH FRAMING & PLUMBING '" .r ~ (~ 10 17 ~ AI. . U "",'0. v (::> Q (l ..o.il Ul- _n ,-I'~.1 R~ftJ .......... ~ I rv /.n f)~ ~ ~..u fJ _.).() ~ -' '- ;= ~ ~ V / ~ l'l ., - INSULATION PER N. Y. STATE ENERGY CODE FINAL IIJf -1) rlOA'. "-!!, AliA .;... f!..A- ('~ D,^.' II *. .r * I' .oi,,;,,'-.. !l,' ....uJ.lh.. r' I --"~iNI\Q., ,-".. A I.IA ',' -rn: I'"IC j ~ ') ~ ~. fU;f ~ Jlb,Al. A_J' J r t ml), ,- /J 1..:p...;.J I!.k'.. ~W3t) ~ v ~ ?::5.j# V. C:v') ~ " ~ .l- ~ 'J... fir cvJ- M; IJ. /I -' ,J. -L ". ck f)~;.u' ,. v Pd. AlA .~. \ A -/ , V /. ~ en "J( c--' "i ~ '\ e- , ~I (j);O "'\ . ADDffiONAL COMMENTS f'l'<l , ><: ~ .., \ ~ o ., --.3- o z 2~ --;! :::p~ ~ 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_ c- r~,Jc. !' . . 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 I r) , I I APPLICATION FOR BUILDING PERMIT l,l'L J 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 -----