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Home My WebLink About33624-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32875 Date: 02/08/08 THIS CERTIFIES that the building ADDITIONS Location of Property: 31215 CR 48 (HOUSE NO.) County Tax Map No. 473889 Section 74 (STREET) Block 1 PECONIC (HAMLET) Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 10, 2008 pursuant to which Building Permit No. 33624-Z dated JANUARY 11, 2008 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 FAMILY ROOM, KITCHEN & BEDROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FLORENCE WICKS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 01/29/08 3057632 PLUMBERS CERTIFICATION DATED 01/24/08 MATTITUCK PLUMB.& HEATING ~r~ Rev. 1/81 ~-~l- ~ r;;--r':T~F-- lJU, "25 L -1 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 bnilding 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 tram 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 Ih'))6'D Date_ Old or Pre-existing Building:V' LUv'N'I-'V f<nq(J Streelt (check one) New Constnlction: Location ofProper1y: 3J d / S House No. 1..) ~ f .f;>(.c.r---t' C Hamlet Owner or Owncrs of Proper1y: r: W I c.. h 'S - Suffolk County Tax Map No 1000, Section J L-) , Block / Lot ?,! _ yO Subdivision filed Map_ / /1/ /0 lC..Applicant: , . Lot: Pennit No. 0~L-1 Date of Permit. Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final CCl1ificate: ( check one) fee Submitted: $ 0- S, ~~ Applicant Signature -------- ~" Yl/7Si c a~3)675 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. 33624 Z Date JANUARY 11, 2008 permission is hereby granted to: FLORENCE WICKS PO BOX 314 SOUTHOLD,NY 11971 for : CONSTRUCT ADDITION OF FAMILY ROOM, KITCHEN, & BEDROOM TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. (THIS REPLACES BP #10472-Z) at premises located at 31215 CR 48 PECONIC County Tax Map No. 473889 Section 074 Block 0001 Lot No. 036 pursuant to application dated JANUARY 10, 2008 and approved by the Building Inspector to expire on JULY Fee $ 200.00 ~ /' Authorized Signature ORIGINAL Rev. 5/8/02 FEB-0B-200B 11:33 From:BURGER CONSTRUTION 631 734 5249 To: 16317659502 P.l/3 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FUL. TON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by G & S ELECTRICAL CONTR. P.O. BOX 216 SOUTHOLD, NY 11971, CHRIS PIA 310155 COUNTY RD. 48 SOUTHOLD, NY 11971 . Located at 31055 COUNTY RD, 48 SPUTHOLO, NY 11971 Application Number: 3057632 Certificate Number. 3057632 1000 Block, 741 Lot: 36 Building Permit. aDC. nl11 ,~ Described as a ;" occupancy, wherein the premises electrical system consisting of electrical devices and wiring, descrl"'d below, Io/,:ated in/on the premises at: I ,Basomon~ First Floor, Socond Floor, OUlslde/Altlc, , A visual Inspection of the premi~es electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in .accordance witr' 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 29th Day of January, 2008. l:lllm.G Q:o: BDlli BnIilIll ~ Iw Miscellaneous a. built 1950(7) with some up grades Alarm nnd Emergeney Equlpmont Sensor 4 0 Smoke Appllancc. and Ac.ca.nrlco EldlDust Fan 5 0 F.H.P. I/umace 1 0 011 Panel. 100 14 Wlrinll and Dcvlces OUllet Fixture Flxt\lre Outlot Receptacle Switch Pimmel'B 45 0 I 0 44 0 92 0 54 0 58 0 2 0 Fixture Floureocent Incandescent Genorol Purpose Clenernl Purpose General Purpooo seal ConUnllod On Noxt Poso I or 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indlcalild. 02-0B-2008 11:42 SOUTHOLD BUILDING DEPT 16317659502 PAGEl FEB-08-2008 11:33 From:BURGER CDNSTRUTIDN 631 734 5249 To: 16317659502 P.3/3 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF EL.ECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon lhe application of upon pramlses owned by G '" S ELECTRICAL CONTR, P.O. BOX 215 SOUTHOLD, NY 11971, CHRIS PIA 31066 COUNTY RD. 48 SOUTHOI.D, NY 11971 31065 COUNTY RD. 48 SOUTHOLO, NY 11971 Application Number: 3057632 Cert~lcate Numben 3067632 BDC: ne11 1000 Block: 741 Lot, 36 Building Permll: Described as a occupancy, wherein the premises electrical system conslsling of electrical devices and wirinll. described below, located inion the premises at: BllIJomcn~ Finl Floor, Second Floor, Outside, Attic, A visual inspection of the premisllS electrical system, limited to electrlc,al dewicas and wiring to the extent detailed herein, was conducted in accordance with the requirements 'ql the applicable code and/or standard promulgated by the Stata 01 New York, Department of State Codeknforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith Of the 291h~Day of January, 2008. :t!nmJ: .QIX &1G RDilwl QI'JliiJ1 J:v.pQ r Paddle Fan 4 0 ~ Receplacle I 0 30a Drye~' Llghlingll'ack 12 0 fl Receptacle 4 0 opel Service I Phase 3W Service RarIng 100 Amperes Service DisconneCI: 100' cb MClOrs: 1 An as buill in"",clion, of Iho dollnoolod c,..hie.llnsmllndon, dolOnnlncd tholnn obvloUlIulZllrd i. nOI_Iand tho InSlDllaUon is believed to bo In ComfOnllWlOC with me or~llcnble referen.e mondnrd for Ihe Clllmntlld period of conslruction of tho ptamlscs wiring S)/alem, 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 locatJon indicated. 02-08-2008 11:43 SDUTHDLD BUILDING DEPT 16317659502 PAGE3 Tuwn HaJI, 53095 Main Road p 0_ Box 1179 Souihoid, ."-Jt\v York 11971-0959 Fax (631) 765.95cr: Telephone (631) ;65-1 tlu::: BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date r/:J<{/O? Bulldlng Permtt No. 3 j{ }- <-; - 2 O\\ner f ~u i C rrj (Please print) Plumber fiIJ~U.JoJ, P(~NIJ~,,~ (Please plinl) I certify that the solder used in the water supply system contains less than 2/l 0 of 1% lead Sworn 10 before me thiS -/4 c2.;/ ljJ\Of~' 20~ 4~~ DENISE KING Notary Public, Slate of New York Registration #01 KI604 1757 Qualified in Suffolk County My Commission Expires May 15, 2 Via ';Olary PUbli/~? County '33 j, ;1-'t Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. y<t INSULATION ~: [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~~~ofc r~~~ tJk~ Crf-O~ E~rI-~~ wdf~~; DATE ) - IS ~ () ~ INSPECTOR ~ ~ FIELD rNSPECTION 1 . DATE COMJVIENTS FOUNDATION ~1st) I I ~ FOUNDATION (2nd) ~~ 2. 1li1 ~ ROUGH FRAME & :z:\.A\ o ~ . a PLUMBING cf/~ li', \)I, (j)~ 3. ct~ 'i . ~N INSULATION PER N.Y. ct--...l STATE ENERGY COJ;lE JJ ::r:& III '" 4. s\. . 1-' (DC'I ct FINAL )\ ~~ ::so ADDITIONAL COMJVIENTS: ~~ !\ ~ It. '-J if ::r: (D i III f-' ct "" tJ .(D ct . '*' / / FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined PClf/:'. /.!......, 1971 Approved ('(o.'!:./!....., 1 9?'1 Permit No. /OvlZ, i! Application No. (() 1.1.:? . . . . . . Disapproved a/c. . . . . . . . . . . . . . . . . . . . . . . APPLICATION FOR BUILDING PERMIT Date f!"v. 7........,1977' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. .. ~QW~.~.............. CTsig~~t~~e of applicant, or name, if a corporation) .~:t)3.. :S!9.?~.. .~.~~P" .~~Il.x. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ .<::)~. .~~............ .... ........................ Name of owner of premises . -9~. 6.J~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. b (Name and title of corporate officer) B 'Id ' L' N jC\.-'"'"' l ("CLt-) UI er s Icense 0.......... ...... <. ',' .. ,...? Plumber's License No. .H ~l//'!; ~,t: . ;:t Ii G"; El t.. , L' N rlrE fSc;r= (2)1/~L-- ec nClan s Icense 0....1-.........'7'....... Other Trade's License No. ......~......... I. Location of land on which proposed work will be done.~ t{o.'-!_.~€,..,.f).~~ ~ 'l\..:i&\.2,~.~ .. .~<~ -?~S~............... .n~.~,................... .P.E:~.................... House Number Street Hamlet . County Tax Map No. 1000 Section .... (:( 7. <( . . . . . .. Block ..... .'?/. . . . . . . .. Lot. .Q3 G.. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot. . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy... 'C::"~"''t>.9~.... .Gi/y.&;.Ft9.11~;"t. &-::/(11:-!5... b. Intended use and occupancy... S~Ht:;.. . ('?!-':,{:?/. ~.fi?.. .h'9.I:<{'1' (f$P.H.;. .k;. ~~.... T l)2vtKQoH 3. Nature of work (check which applicable): New Building. . . . . . . . . . Addition . ~ .. Alteration .......... Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . -L/ . (Description) ~ -00/.,) 4. Estimated Cost. . ;J..il, ~ . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . ./,p.. . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . ./ . . . . . . . .. Number of dwelling units on each floor.~ .~. .1. . . . . . . . . If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each Zle of use . . . . . . . . . . . c . . . . . . . . 7. Dimensions of existing structures, if any: Front. . . 9l:-.0?-0 :' . . . . . . Rear .. ~ . . . . . . . .. Depth .4'..y. . . . . . . . . . Height ...;;,.:+-....... Number of Stories .f,-a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . ::3.7. .~. . . . . . . .. Rear.. ~~ . "':'. . . . . . . . . . Depth. . .~~.~ . . . . . . . . . . . . . Height . ~.~ . . . . . . . . . . . . . . Number of Stories. . .~. . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front. /.? . . . . . . . .. Rear . .o/:.;A,..~. . . . . . . Depth . ~'?-:~. . . . . . . .. Height ....~...... Number of Stories. . . ;:?,..., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size oflot: Front. . . . . . . . . . . . . . . . . . . . " Rear...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. I I. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...M!.:l..................... Will excess fill be removed from premises: Y es ~ 14. NameofOwnerofpremise~........... .Address~~. .f'~. . Phone No. 7.-:'.~$".qS.~.... Name of Architect ... J;L~w...e... . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name ofContractor~. ~ .~.,~.......... Address .'y1.~.~.~. Phone No. 7."3~. .:f.':! ~~.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. fl {)u-d' / )tIle f\.; s I oVeV5C> ;..- , O?~ L' I If'J /I.- ",/J /?J STATEOFNEW COUNTY OF being duly sworn, deposes and says that he is the applicant ( above named. He is the.. . .. . .... . . . . .~~. ~~r: ~~~ffi~~~:e't~.')' .. ... . . . .... . .... . ......... of said owner or owners, and is duly autliorized to perform or have performed the said work and to make and me 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 before me this . . . . . . . . So. .?N. . . . . . .day of. . . . O~. . . ., 19'7J NO'~~i Q,~~~~O~"." ,<~~': .O,LJ,jI,~~" ... ...... j ELIZABETH ANN NEVILLE " (S. t f I' t) NOTARY PUBLIC. State of New Yo" . Igna ure 0 app lean No. 52.8125850. Sullolk 1liliilMv T,'rm Expwes March 30. ~- " SACCO & AHLERS Architects & Engineers 5,1655 Main Road Sonlhold, t.I., N. L 11971 516.765.545.; Albert A. Sacco, R.A. Gordon K. Ahlers, P.E, October 3D, 1979 Mr. George Fisher Southold Bldg. Dept. Main Road Southold, N. Y. 11971 RE: John Wicks Residence North Road, Peconic, N. Y. 11958 Steel Beam Alteration Dear Mr. Fisher: . This is to certify that this Office has designed a Wl64O# beam to be supported by 2- 3x3x 1/4" concrete filled Lally columns in the end walls. End connections will be 1/2" plate connected. 1/2" ~bolts with lock nuts will be used. 2 x 10 ceiling beams 16" on center will be solid bridged in place with 1" champfer to allow for any beam deflection. '. Load applied as described by Owner to be carried. Very truly yours, SACOO & AHLERS ~aIIL;t?E . Gordon K. Ahlers, P. E. / , / J FORM NO. 2 TOWN OF SOUTHOLD" BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N, Y. t'f.-f J rZB P ~ ~'UO .00 '1 -ro (~ BUILDING llj;RMIT (THIS PERMIT MUST BE KEPT ON THE pkEMISES'UNTIL FULL ,COMPLETION OF THE WORK AUTHORIZED) G 31 4?iLJ '0/ '/ (, 3> ~") r ~,,-) It> J Lj b . N9 .10472-- Z " ~. ,. ":~ Dgte ...k6.It(tf:.I!:{~g....I..~......, 19.tr... Permission is hereby granted to: ....,.-' .......... .v.QI:f.rY....A.~.. t.t/. f..C,{$....................,.. ........~t.Q:f:r....()~.?7,....(~~7/{.!P.~ ) .......~.~.t..,,-I..,.~(:.y~........................, to ..,.Co.l.lI..~.7.:.~.t?.(.,.T..&.e.p..m9.A'>'....9.F..,..,.Fr.:1.H.I..f.~.~g&'I..I!:t..k#.c::..c), . )'" , .~....~e({'QaM..~.....!..,~.......t;~.~.~I.~,...Q~i:.r.:.~H.f..~...@:~t.:(,?r;~. ot premises located at 4!.(q.~:;T.....c.:.tf!....'?-1-...(!,/.(l.&7.1.I..t4).....~ru!,.(!.(;..>,..P.~1 :::I.;4Jt../G;i.I.....~~c.e:...,t./:.... t().tet:.s...........,.......... ................., .....:......... ....... ,................................................................................................................................................................ pursuant to application dated ...&(,Q.v..~;;r.(!f{'!;...l$.'......., 1977.., and approved by the Building Inspector. 15'<;1 Fee $........,....::-......... ~ Building Inspector / ^, " '",- , , ~~o~ L~~ 'lJr$; .;j~ ..;j 0';:' ~~ '" .;:,'3.;:,'30 ~)~ ~ rJ'. rJ'. 0" r,"f< r,-t:. ,y~ .;:,0 .;:,0 )'3 \-" -fl, "~.,.,~ ,. ,.$ oy ~ ~ , '",- , , 01! <:'-'$-"11>0 "11><,,: "1