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Home My WebLink About33090-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32880 Date: 02/11/08 THIS CERTIFIES that the building ALTERATIONS Location of Property: 645 TEEPEE (HOUSE NO.) County Tax Map No. 473889 Section 87 TRAIL (STREET) Block 2 SOUTHOLD (HAMLET) Lot 29 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 2007 pursuant to which Building Permit No. 33090-Z dated MAY 30, 2007 was issued, and conforms to all of the requirements of the applicahle 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 THOMAS R. & WENDY L. CARLEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR'nIENT OF HEALTH APPROVAL N/A 3056955 01/23/08 ELECTRICAL CERTIFICATE 1!lO. PLUMBERS CERTIFICATION DATED 01/28/08 MATTI TUCK PLUMBING & HEAT ~ LI~/J_ /~~ A horized Signature. Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 '\ ) \ APPLICATION FOR CERTIFICATE 01< OCCUPANCY (\ , , b1> T'," ,ppli""'" m'" b, fillol in b, ,",own'" " ,,,' ~d ,.broi,.d ,,'b, ""II"", 0"'''':;'''' w"~~' r:i>"w'",' ~,/ A. FO'"'w b.II"', ",,'W .~, ",' , . H,wl ""'" ,r pmp'" wll" '''~" ,,,,,,,,,, ,,[ ,11 b,,'Id''''., pro,'" ".", ""''', ",J.,; ,....I """,,, '" IoP,~,pW' r,""," . 2, Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonn). 3, Approval of electrical installation from Board of Fire Underwriters, 4. ",,0' ,,"'ow" fr.m plowb" ""fylog "'" ." ",do; .,ol ,,, """" ,,,,,\0'''' ,,,' ,,,,,, 2110 "f I % '''''' ,. Co~'ml" binl"", ,""min.1 binldl". mol"p" ,ooidm'" "'" ,'m"" b.'Id'''" ",d ""."",,,", · ,,,@m" of Code Compliance from architect or engineer responsible for the building. 6, Submit Planning Board Approval of completed site plan requirements. B, p'" U,,,,., b'''''Io" "do; '" Apri' 9, 195~ ",,,,,,,,,,,=,,, "''', '" b.II,b"" ,., "p"..,,,,..' \.., "'" I . ^""."" "'N" "r p",porty ,bow ,,,' ,11 pm"'" ,,,=., ,",,", b. ""'" ",,, .".",\ ".\om! ,,' ,"p",,"pb" features, 2. A pmp." "mp"'od ,,,b""'" mid ,m""" '" ,,,'p'" "good b, 'b, ep, b,'''' If" Corti""" ,,[ O''"P~Y " denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. 1< ees I . C,rtlli'"" "r O".p"'" " Now d .,Ill'" $25.00, All" "'ffi '" "" ,H \0, ,,5 .00, Al Ie"""" '" "W dli" $25 00, 'W 'mm'" p"ol $2500, A"'"'''' bod"" $25.00, Ad""'''''' '" ,='"'' ,,,,II"'" '05 .00, 1'",'''"'""' $5000 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 $ \ 5.00 Dale ~J~d.o~------ N," Cmrt'ffid'"'' Old m ",.5'"'''' B.II"'" / 101'''' mle' I nt . ~\t"<l1W" J~II"oofFmpo" _ ~" "\,r"-" llUl .K'o &*~ld.p.,Jf....L -' - c",,,thoJd House No, ~ Street HamJet Owner or Owners of Properly: __lh0Y\o.." R ().N\d tU ~j~- J..__-C~c\t-'l-- --------------- ,,,1'01< C""o" f" M'I' "" ,,"'0, ,,,II,,, _" ""'1- _ "Hll'" n ...." -' 101 "" Suhdivision _.D\,l"'-o.CL-~II.fI'''-_\'{Q-D-,..-S- . ___ - - -- -- Filed Map 61 '2& Lot',_______~ Pernlil No ___.2-'3J>'l.Q'-k- ]JateoIPermit. __"l~oI-O"7 Applicant ()<"J,N E..-~S----- -- --------- ----- \J\1l\erwritcr:-; :\Pl)P)\';\\: -----.------- l\callh lkpl APpnl\al: ----.----------- ---- __ n__.________ Final Ccrtil~lcate', ../ (check one) Planning Board Approval: --- --.---- ____non. --- Request for: Temporary Certificate ----- - _____u- ~. Fee Submitted: $ -------- -_.----_.-~------ ..... ,..._n ... 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. 33090 Z Date MAY 30, 2007 permission is hereby granted to: T & W CARLEY 645 TEEPEE TRAIL SOUTHOLD,NY 11971 for "AS BUILT" INTERIOR ALTERATIONS AS APPLIED FOR at premises located at 645 TEEPEE TRAIL SOUTHOLD County Tax Map No. 473889 Section 087 Block 0002 Lot No. 029 pursuant to application dated MAY 21, 2007 and approved by the Building Inspector to expire on NOVEMBER 30, 2008. Fee $ 400.00 p~ ' /',1,,, 'a~f-~ Authorized Signature ORIGINAL Rev. 5/8/02 l!I.l!I ~ C 7. - J.. - ~c; ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ 33' oq() ~ ~ CERTIFIES THAT '~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ BRIAN BROOKS ELEC, INC, THOMAS CARLEY ~ ~ BOX 1001, 455 BEEBE DR 350 WAMPUM RD ~ ; CUTCHOGUE, NY 11935, SOUTHOLD, NY 11971 ; ~ Located at 350 WAMPUM RD SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 3056955 Certificate Number: 3056955 ~ ~ Section: Block: Lot: Building Permit: 33090 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: ~ ~ First Floor, Second Floor, ~ ~ 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 23rd Day of January, 2008, ~ m:J Name OTY Rate Ratio!! Circuit ~ ii!I ~ Miscellaneous ~ ~ covers I first floor bathroom ~ ~ and 2 second floor bathrooms ~ ~ Appliances and Accessories ~ ~ Exhaust Fan 3 0 FRP, ~ ~~~~ ~ ~ Outlet 6 0 Fixture ~ ~ Fixture 6 0 Incandescent ~ ~ Outlet 5 0 General Purpose ~ ~ Switch 15 0 General Purpose ~ ~ Receptacle 3 0 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, ; l!I.~l!I T;)wn Hall, 53095 Main Road PO,Boxl179 S~'~:h,_'!c ."e\\ York 11971.0959 Fax (631) 765.9502 Telephone (631) 765.18(;': BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Dale '/?."d'Jo'2r --7~ / Buddmg Permit No 330"0 Z. 0\\ ner h(Y)~ K . tlMd vJ e Niy L, Ca.rlel.-\ (Please pnnt) Plumber ffL/l.t Jc P/o".l~ (Please pllllt) I cer1ify that the solder used ill the water supply system contalllS less than 2/1 0 of 1% lead .;l Sworn 10 before me this c2f ciavot' , 20~ DENISE KING NotaryPubUc, State of New York Registration #OlK16041757 Qualified In Suffolk County My Commission Expires May 15, 2~ ~Ol:lry PUb~_~ Counly 7 330107- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION Y<( FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ F~ o~ ~ vA, ,. rJr-~ INSPECTOR ~ ~ DATE / -10.-0 Y 330jo<c- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 [ ] FOUN~A~~S~E~~~, [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: f/.- L <rfJiA-0d c-* DATE tp/r >f () 7 ( ( INSPECTOR i ~ FIELD INSPECTION REPORT DATE I COMMENTS . \)-I", --.. VJl"l FOUNDATION (1ST) o ~ ~....; f----- CJ '" ------------------------------------. -~ J.- ~~ FOUNDATION (2ND) ~ ~.~ 1-' Z &'IJ-Irl Pf/ , ,,-...A~~. ~ "\ / I ::> .v~ f ' j ~ / C-- ..l::-(/J ~}'! .., [;l ROUGH FRAMING & \ ~ PLUMBING r6 . " -, b -- -- _'__'__'_..___.n ~.._-_.._----- ~l == --'-'-.- ~.~ INSULATION PER N. Y. -- -- I--l"l .., STATE ENERGY CODE 'f . )I r ^ <:' ...{-. '~/o 7 ~J:~I J.I.. ;t:::, //~ :-Th~' + /" ~ VI- .--.. . ~ DI\_ ~ /' ..1 f) I j - , ra..."''+ ^ n J \jJ ~..: ./.P (+, vt/ v v ~ ~ Q,.. FINAL - . ADDITIONAL COMMENTS ~ ~, ~'----" '- 0 " ~~ -- i- S f-' -- ..- -- ':::-l"l , >-: .. <.Y'" CJ ~ f--- m .-.- ~--- , ....; r---) _ .... -- '.' 0 0("2 f--- --..--. -~---- .-.- .,',-- . - . ;1 z:~ ~ ~' . ~ :-l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ 3 -?'o7'O c- 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~ 'is's?, 7 Septic Form N.Y.S.D.E.C. Trustees Contact: PERMIT NO. Examined 3" , 20.aJ- ".:> 3V,20cl Expiration if 13 i), 20 (J g I - Mail to: '-;'oMAA; @ IJ.!U!f 3r;O wA<<I'vAl lrI~ . SOifiltoI.9J..>,/ 11'1" Phone: "1.1-,"....8"'1-11 Approved Disapproved ale I l' - i !e. /~ 'Building Inspector MAY ell 200/ APPLICATION FOR BUILDING PERMIT ,::". INSTRUCTIONS Date M~ ,20g:'L a. This application MUST be completely filled in by typewtlter 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 ofbuildings~wemises, "lationship to adjoining premises or public streets or areas, and waterways. ' , :', 1~; .......:..w'.', 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 sha J] 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 writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON 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 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder O/1/IIfEjZ. Name of owner of premises Thoma. R. lUId, We..nc1i-/ L. Ca.rJeLf (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. 316 1. ~- H Plumbers License No. J..J,t..c, M" Electricians License No. Jl:, 1'3 - ~ Other Trade's License No. I. Location ofland on which proposed work will be done: 35D WClYY\pVYY\ "Wa.'j House Number Street SnlJf.hDlrJ Hamlet Block ;z. Filed Map No. Lot ;''1' 512(p Lot ., County Tax Map No. 1000 Section 0 g 1 Subdivision tJvt')f)a.koYY\Q.. w'11.+P..rC; (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy p ~ I v' a. t e reS I cI e no" b. Intendeduseandoccupancy n(.'V/L.f-e_ O.c; ;,-Je...nc.e.- , 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work ltlteri vr Alteration x (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars 7- (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 :1../ :t; Number of Stories 7- Dimensions of same structure with alterations or .additions: Front C No CHANGe- ) Depth Height Number of Stories 8. Dimensions of entire new construction: FrontCH 0 cfflfrl6€) Rear Height Number of Stories . J{ 0 ' Rear '1-0' Depth '-I if , Rear ~ i Depth 9. Size oflot: Front 101{, 1o!J Rear /30, ;2.'1 WesT"' Depth e A- <; r /95:PS- -R/3. /'1- 10. Date of Purchase 1/1'3/010 Name of Former Owner 'RLiN/lf-..D l' Pot-OIU'~ CfllI'!co II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_ NOLWill excess fill be removed from premises? YES_ NO_ 14. Names of Owner of premises 1O,Ll< whS;\1/ CAU.f.y Name of Architect 'Ro~ 6q<;Silt.~,jo Name of Contractor ti:l N~CUDI..~J Address lC" ,.IM-tPdl1.J1,'l ~p., Phone No. G3.1-1hS" - ~'t 11 Address :Ill.S!>' ;Zl'f? ft. ~~.I1~^'''fPhone No 1} "t. 1.~S-- ~I (., I Address c.V7Cl-lllkut.. u y Phone No. 3/-,J.Lf -?-- llf: 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.e. 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 topob'Taphical data on survey. STATE OF NEW YORK) SS: COUNTY O~V~-(rl)W ~J\...tS . i? cg~ l being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing cont act) above named, (S)He is the Ow NtR (Contractor, Agent, 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 of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. 20~ ~ MELANIE OOllOSKI N01AAV PUBLIC, S\6a3\e408~~ewVO~ No. 01004 Qualified in Suffolk coun~O ').D I () commiSsion Ellllires September .- \1 \ t .. -0 '" ~ Ill! '" ~ Ij. @) -o~ " ~5 ... \,01 , Ul ~ . " " / ...-> " , 080 .. " rO 0 0' ~-u .t> l" ~% .-I' ,11 ) " 0 .// O~ . J' rrl " " " "",,0 5"-" . /' ~..J.......... (f..1.. r &'.8:<- /' /' 8 tltll.t ~,,-108 ",Q !!F~ ~<Y ..If ~ ~' ~,"'% .A\\ '~If;" ~". ~. . ~,. 7,' ~, @ \,01 " . 4 ..." ,o~ ~ ("!fl# '" v>'" pO ....--- , . , ." , " , .~ .... ~ ~ ~ 'C ,~ 'w, . .'" Q' ~ -0 ~ \ J. " :~ ~p . ,r-< , , t-J .-> ~ ~ 0~ .~~ .-> .;>-... ...... " . . , ,"'~ ,:, . , " : '. LOT 22 MAP OF NUNNAKOMA WATERS FILE No, 5126 FILED JULY 9, 1968 SITUATED AT SOUTHOLD TOWN OF SOUTH OLD SUFFOLK COUNTY, NEW YORK S,C, TAX No, 1000-87-02-29 SCALE 1"=30' JULY 7, 2006 AREA 22,179.76 sq. It. 0.510 ac. CERTIFIED TO THOMAS CARLEY WENDY CARLEY COMMONWEALTH LAND TITLE INSURANCE COMPANY NOTE' DEED REFERENCES ARE TO DEED USER 10175 PAGE 442. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE U.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YOR STATE lAND TITLE ASSOCIATION. UNAUTHORIZED ALTERATION OR ADOmON TO THIS SURVEY tS A VIOLATION OF SECllON 7209 Of THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUO TRUE COPY * I, No. 49- Joseph Land Sur CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHAlF TO THE TfTLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTlF1CATIONS ARE NOT TRANSFERABLE. Title Surveys - Subdivisions -- Site Plans - Construction Loy! PHONE (631 )727 - 2090 Fax (631)727-172 THE EXISTENCE OF RIGHTS OF WAY AND/OR EASElotENTS OF RECORD. IF ANY, NOT SHOWN ARE NOT GUARANTEED. OFFICES LOCATED AT 322 ROANOKE AVENUE R1VERHEAD, New York 11901 MAILING ADDRESS P.O. Bo, 1931 Riverhead. New York 1190