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
'.
'.