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HomeMy WebLinkAbout32870-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY He: Z-32906 Date: 03/03/08 THIS CERTIFIES that the bui1ding NEW DWELLING Location of Property: 375 (HOUSE NO.) county TaX Map No. 473889 Section 31 KAYLEIGH'S CT (STREET) B10ck !...- EAST MARION (HAMLET) Lot 16.8 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fi1ed in this office dated APRIL 2, 2007 pursuant to which Bui1ding Permit No. 32870-Z dated APRIL 2, 2007 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 SINGLE FAMILY DWELLING WITH ATTACHED ONE CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to PETER WADELTON & TATA TOOLAN (OWNER) of the aforesaid building. ELECTRICAL CERTIFICATE 1110. N-576856 12/10/01 11/26/01 SUFPOLK CUwtl'Y DEPAR'1'MEII1T OF HEALTH APPROVAL R10-00-0151 PLUMBERS CERTIFICATION DATED 02/25/08 K&K PLUMBING & HEATING ~z~ Rev. 1/81 . Form No.6 TOWN OF SOUTHOLD BUILDING DEl' ARTMENT TOWN HALL 765-1802 , /'IAPAJ . APPLICATION FOR CERTIFICATE OF OCCUPANCY fVIllJ 3 2r . This application must be filled in by typewriter or ink and submitted to the Building Departmeut w~t~ 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 fonn). 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 2/10 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 I. 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 -5 J'JJ 0'7 . New Construction: Old or Pre-existing Building: (check one) Location of Property: ,'5/5 I<~ }eJet"hg c.&-i ~(fl1~tVv1 House No. Street Owner or Owners of Property: ~(" ~g-L-T41 /17}J'1.1J IcJo1JTN Hamlet Suffolk County Tax Map No 1000, Section Block Lot Subdivision Permit No. 3;;;l~1 0 Filed Map Applicant: Lot: Date of Pennit. Health Dept: Approval: . Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~,C() Flllal Certificate: (check one) ~ Applicant Signature c..o.z. ~ rO' 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. 32870 Z Date APRIL 2, 2007 permission is hereby granted to: PETER WADELTON 375 KALEIGH'S CT EAST MARION,NY 11939 for : CONSTRUCT NEW ONE FAMILY DWELLING WITH ATTACHED ONE CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR. THIS PERMIT REPLACES BP 27359. at premises located at 375 KAYLEIGH'S CT EAST MARION County Tax Map No. 473889 Section 031 Block 0004 Lot No. 016.008 pursuant to application dated APRIL 2, 2007 and approved by the Fee $ 467.00 utho . \ Building Inspector to expire on OCTOBER 2, 2008. ORIGINAL Rev. 5/8/02 1001071 I THE NEW YORK BOARD OF FIRE. UNDERWRITERS BUREAU OF ELECTRICITY, 40 FULTON STREET, NEW YORK, NY, 10038 . . . ... "~'.\o, .117... ;', ~ ApE~T irO..o"tr359 H" . < ,..--, PAGE 1 Date NOVEMBER 26,2001 THIS CERTIFIES THAT only Ih, ekctrieal equipment as described below tmd introduced by the IIJ1plkant nanaed on the above applkation number is in the premises of N 576856 PETER WADELTON. KAYLEIGH' S COURT. EAST MARION, NY iIIthefoIloWillgloeado~BDseme"t 1191stFt 102m1Ft GAR/O!;',' 5ectto,,31 Bloc1l34 Lot 16.8 was examined 0" N ER 07,2001 . tuld fouml to be ill compllo"ce with the NadollOl EkctricaI Code.. FIXlURE OUTliIS RECEPTACLES SWITCHES FIXTURES 'WORUCENT OTHER RANGES . COOKING DICKS 'OVENS DISH WASHERS EXHAUST FANS AMY. I.W. AUT. K.W. AMI. I,W. AMI. K.W. AMI. H.P, 25 30 22 1 1.2 2 F DRYERS FURNACE MOTORS OIL H,P, taAl H.P. FUTURE APPLIANCE FEEDERS Sl'(CIAL REC'PT. ITME CLOCKS BELL UNIT HEATERS MULIT-OUTLET SYSTEMS AUT. NO. A. W. 8. AMI. AMP. AMI. AMPS. TRANS. AMY. H.P. NO. OF FEET DIMMERS AMI. WAns AMI'. K.W. 2 F 2 1 SERVICE DISCONNECT AMT. AMP. 1VPI NO.O' S E Mm. EQUIP. I' 2W I' ~w 3' 3W 3' 4W NO. O~C.COND. R A.W.G. Of ce. COND. v NO. OF HI.LEO C A. w. e. OFHI-I.IO E NO. OF NllnRA1I A.W.G. OFHEUTRAL 1 200 CB 1 x 1 210 1 2/0 OTHER APPARAlUS: Co2 DETECTORS-2 WELL PUMP-1 PADDLE FANS-3 G.F.C.I.-7 SMOKE DETECTOR,-5 G & S CONTRACTOR BOX 215 SOUTHOLD, NY, 11971 LIC.#578 E LLL GENERAL MANAGER Per 11 Thll cerllflcale mull not be altered In any manne,; retum ta "'e o/Ilce 01 Ill. Boord _ Incorrect. Inlpecta.. moy be Iden_Oed by "'el, c'ed.nflall. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. " ., Town Hall, S309S Main Road P.D.Box 1179 Soutbold, New York 11971-o!1S9 Fax (631) 765-9502 Telepbonc (63~j 76S-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ~--A!YD1 Building Permit No. 32 r '10 .z... Owner: ft;r eIC fA) /I ~ jJ l. [;10 tJ (please print) Plmnber: J< .J- J~ P I () yt) b,' nj / /-1(' J+ t: hi \ . (Please print) '-\CQ.C\~ \\ '}..~S\ - ~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. {)~~9~d, (Plumben Sigro..nue) Sworn to befon: me ~ 25" 11 dayof F~(0Mj . 20f) r ~/ ~A'P Notary Public, ,") (IJ PPoLI<. , County LISA B. ISRAEL Notary Publil\. Stale of New York No.0,IS6022049 Qualified in Suffolk Coun):y Commission Expires Marc~ '2 2011 QOot,,,.j.&PO&. (,,-0 3r~7o 7- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING P<f.- FINAL 4: [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENElRAnON REMARKS: ~,~ ~ &K/ ~ 0{ p ~ OJ( . ~-t&v---....-t~ DATE ';-'--,..7 rlf 1 INSPECTOR ~~ 3L??cO 2:- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] I~TION ] FRAMING I STRAPPING [~NAL ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS: 11;/~ ;Z /r ~C6 iD ~~;~r (.)-J /-C~ /GIL GIs . Jk~. DATE t.f l~ /07 I I INSPECTOR I.. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I,..rLATION [ ] FRAMING [v(FINAL fIi- [ ] FIREPLACE & CHIMNEY R~KS. p~U ~~_ ('l-*~cL__ ~_ r7dJ" reJL ~<f~ ~.r-- ~~.A +~ - . rA V1C- , DATE Ilft!ot / INSPECTOR d ') 3 s;-t-. ~d- '6)0 (ef'- 765.1802 BUilDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ PlBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY /~ REMARKS: .. c r ~,J'/~ ' U'J2 :;;vs.; 'tZNs. ~ ~ t4-r. #/"~~ ~ ~Jt.,:J 6.J U~ ~ #[,J, /rk~. C9~c..~r5 (0 ~/L DATE INSPECTOR 7~ ") 1 3 57' .;:{ 3d-biD (e-A 765.1802 BUilDING DEPT. INSPECTIO [ ] FOUNDATION 1ST [ t(" ~H PlBG. [ ] FOUNDATION 2ND [ ~NSULATION [ ] F G [ ] FINAL [ FIREPLACE & CHIMNE~C ~ REMA .~ C::~r~~ e;/~ DATE )- 7 3 )7 ? Cjd-~/D (~ 765.1802 BUilDING DEPT. [ ] FOUNDATION 1 ST [ ] F~DATION 2ND [ ~RAMING [ ] FIREPLAC & CHIMNEY . R~ ~~~ft" Sf- - ~ ~/a/z; ~ /1t7.Cr - ~O/~ ~~ J'~/c-' t)/c [ [ ] INSULATION [ ROUGH PlBG. ] FINAL Gz ~)3SCj~ 3d--~J'D (~ 765.1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. FOUNDATION 2ND [] INSULATION ] FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY REMARKS: ~ ~ ;!) -._"~ DATE 1 f'1 INSPECTOR "" ~ J-7 3~'1-f 0d-67O R~ 765-1802 BUILDING DEPT. SPECTION [ [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY - t-' .. INSULATION PER N. Y. STATE ENERGY CODE L.. ~~ b FIEl.D INSPECTION REPORt ----=====--===-==-====== ......"ow --1 L FOUNDATION (2ND) --=======~~============== ==== === ROUGH FRAME & PLUMBING ?vJ -.J V\ -- cl V' ~ !'[ ~f ? ~ '. ~ If ~ ? -_..--===--=-=::;:===-== ------ - - A,DDITIONAL COHHENTS: - FINAL , !~ t"' I ;l g ~ 0 '-'I ~ -4" i:' , [' --"""\ IV",l' Vi' l)VUU1V1"U BUILDING DEPARTMENT ~')' I TOWN HALL ' . .;.,2 SOUTHOLD, NY 119~1 . - , TEL: 765-1802 C__ l' . _ ____~ ') . PERMIT NO. '3~ ~ 70 (4.,., . JjU1LlJ.!NU l'r..KMll At't'LICAf1()N CHECKLlS Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact, .~Z; 20 t) I '- 204/ '- Mail to: .' . Phone: APPUCATION FOR BUILDING P~ . Oat INSTRUCTIONS fr:? ,20i2/- a. This application MUST be completely filled in by iypewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to scliedule. b. Plot plan showing location of lot and of building$ 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 throughO!lt .the work. e. No building shall be occupied or used in whole or ip part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildi)lg 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 Regulalions, 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 neC~$aIy inspections.' M ".Ij1{fj) , (SIgnature of applicant or name, if a corporation) '. 9f . '. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder fHJJ1LutJ . D811to (as on the tax roll or latest deed) , " Name of owner of premises If applicant is a corporation, signature of duly authori~ed 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 dOlle: ~7 5 K/fYleJGI-II~ (?tJuo-J 0" .' House Number Street . E R6T /vi f) f./OJ Hamlet J1,...l,~! _~ ~J ! I ',', . .';'~ '}. County Tax Map No. 1000 Section . 3/' Subdivision;h '-tfJfJ'Atr IJ.XI6]Y.MffiKr A{J!tI<~ 'fJM) '(Name) . . Block 4- Filed Map No. / OO:3~ Lot_ Lot /~'K z. .. ..H',,~ ~^'.'U1!; ....., a.uu U\;\;UVllHCy 01 premIses and mtended use and occupancy of proposed conslIuction: a. Existing use and occupancy . b. Intended use and occupancy / Addition Other Work Alteration !. Nature of work (check which applicablef. New Building Repair Removal - Demolition (Description) L Estimated Cost 151 '?() () on - Fee I (to be paid on filing this application) , If dwelling, number of dwelling units-L-Number of dwelling units on each floor . ~.\ . If garage, number of cars J I. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing slIuctures, if any: Fliont" Height Number of Stories' Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new conslIuction: Front Height Number of Stories Rear tIlt- . . Depth O. Date of Purchase ~~Ol /-1-01 Rear !')()/ Depth , Size oflot: Front L"ii' Name of Former Owner Mftf<.LON uJ06"o.-S I}(iSctUfffe:s {(-go I. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: ~ 0 3. Will lot be re-graded Will excess fill be removed from premises: 4. Names of Owner ofpremis~ ~ess Phone No. Name of Architect P It, ~ . Address ~~G~ Phone No Name of Contractor Address N Phone No. 5. Is this property within 100 feet ofa tidal wetland? *YES ~ X. . IF YES, SDUTHOLD TOWN TRUSTEES PERMITS MA ~QUJRED YES @ . if') 7 - 9'7 ~2- 't/7- ~ no' 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK). ss: :O~TY OF-:) V (po IJl<,. 1 Ci-rft1<-i') ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ,)He is the' 0 UJ tJ e-iL /11 h e tJr (Contractor, Age,!t, Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; lat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be :rformed in the manner set forth in the application filed therewith. worn to ~~,h/) UlAI._ NDIaIy NIle, 81IIt 01 Now YllIlr No.OII8e022049 Quaflfled n 8uftoIc Co.ni, Commi"~n E>q:no liar. 22. 200j '. '.