HomeMy WebLinkAbout33734-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32938
Date: 03/20/08
THIS CERTIFIES that the building
ALTERATION
(STREET)
Block 7
CUTCHOGUE
(HAMLET)
Location of Property: 710 EAST RD
(HOUSE NO.)
County Tax Map No. 473889 Section 110
Lot 20
Subdivision
Filed MaP No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MARCH 4, 2008 pursuant to whicb
Building Permit No. 33734-Z
dated
MARCH 14, 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 "AS BUILT" NON-HABITABLE BASEMENT ALTERATION IN AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to BRUCE & BARBARA LEARY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARnmJIIT OF HEALTH APPROVAL
N/A
11/26/07
ELECTRICAL CERTIFICATE NO.
3051678
PLUMBERS CERTIFICATION DATED
02/07/08 J ZEES PLUMBING
~ori~
Rev. 1/81
UL,iAR I 8 .
L-
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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 I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance tram 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 natufal 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. HII-/<t:+/ / '6; 200 S"
New Construction:
Old or Pre-existing Building: (\) CD
( check one)
~I I'4JM
House No. Street
Owner or Owners of Property: ~ I ~8 A1i2-A-
Location of Property:
/10
Suffolk County Tax Map No 1000, Section
/ / t?
.
Block
Lot 07-D
Subdivision
Filcd Map.
Lot:
Pennit No. 3373t.{-
Health Dept. Approval:
Date of Penn it. 3/} If/ofJ Applicant: PltilL-- ~t/
Underwriters Approval:
Plamling Board Approval:
Request for: Temporary Certificate
Fee Submitted: ~
Final Certificate:
(check onc)
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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)
14, 2008
PERMIT NO.
33734 Z
Date MARCH
permission is hereby granted to:
BRUCE & BARBARA LEARY
351 ASHROKEN AVENUE
NORTHPORT,NY 11768
for :
BASEMENT ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR - NON HABITABLE - AS BUILT.
at premises located at
710 EAST RD
CUTCHOGUE
County Tax Map No. 473889 Section 110
Block 0007
Lot No. 020
pursuant to application dated MARCH
4, 2008 and approved by the
Building Inspector to expire on SEPTEMBER 14, 200 .
Fee $
400.00
r
ORIGINAL
Rev. 5/8/02
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
DOROSKI ELEC. INC
P.O. BOX 781
CUTCHOGUE, NY 11935,
PAUL LEARY
710 EAST ROAD
CUTCHOGUE, NY 11935
Located at
710 EAST ROAD CUTCHOGUE, NY 11935
3051678
Certificate Number:
3051678
Application Number:
Section:
Building Permit:
BDC: ns11
Block:
Lot:
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located inion the premises at:
Basement, First Floor, Outside,
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 26th Day of November, 2007.
Name Ory Rate Ratin" Circuit ~
Miscellaneous
general up grades
through out house
Alarm and Emergency Equipment
Sensor I 0 Carbon Monoxide
Sensor 4 0 Smoke
Wiring and Devices
Outlet
9 0
8 0
I 0
15 0
4 0
8 0
I 0
I 0
5 0
20a
30a
Fixture
Incandescent
Flourescent
General Purpose
General Purpose
General Purpose
Laundry
Dryer
GFCI
Fixture
Fixture
Outlet
Receptacle
Switch
Receptacle
Receptacle
Receptacle
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.
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Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765- 1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I FIe A T ION
DATE: 2h/o~
Building Permit No.
3?1~L
_PAct! L--- lc....."p-y'
(please printY
Owner:
Plumber: J. 2n's Ph"" 6).~'-
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of l' lead.
.
~bl0S ~ ~/
lumbers S ature)f
Sworn to before me this
-r
day of
rrdCJoO'
Notary Public,
County
"u;)AI~ J. NAGY
NNotary Public State of New v. .
0.4896735 ,urn
Ouslffied in Suffolk Coun
Commission Expires May~o~
9G 6Y
\
)373lf Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING P(FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS:
.r~~
C4- oK.
E-~ ~~~
~~~,
~
DATE 3 -I r- ..- 0 j' INSPECTOR ~#d..-..
FIELD INSPECTION REPORT DATE I
FOUNDATION (1ST)
------------------------------------
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PERN. Y.
STATE ENERGY CODE
FINAL
.
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COMMENTS
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ADDITIONAL COMMENTS
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BUILDING PERMIT AIICA~~N CHECKLIST
Do you have or need the followir;::, before applying?
Board of Health 'fJ b
4 sets of Building Plans Y
Platuting Board approval J/ 0
Suryey '{ r;;-')
Check
Septic Form N';)
N.Y.S.D.E.C. No"
Trustees t:Tc
Storm-Water Assessment Form_
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdT own.NorthFork.net
PERMIT NO. S 31 gy?
Examined
,20Y
,20
-----..
, .
-;.~ARPLICATION FOR BUILDING PE
. \".'
Contact:
Mail to:
Approved
Disapproved alc
hone:
Expiration
,20~
,
\
Date
1IFJV~~a\ ~ 20 C> 7
"\~ a I INSTRUCTIONS
a. TjJ.is application MUST be ~o~'telY filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to.sea . 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 waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval ofthis 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 writing, the extension of the permit for an
addition six months. 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 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
~Of 6?-J
t) rt~j D
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
h~ G1-'1
Name of owner of premises ~ Rv c.c; + ~ )\--.;:qp1t;f.<A W:-A1< y
(As on the tax roll or latest deed)
If applicant is a corporation, signature of dul y authorized officer
(Name and title of corporate officer)
Builders License No~fi I S 65' to
Plumbers License No. ~'2a::> f
Electricians License No. ,~ -c:r /.{ 1.- C-
ather Trade's License No._~A1lNlf .g..1)..g-1f1 ~H_
1. Location ofland on which proposed wor~ ~ll be done: {(J. _ _
7( 0 e-As-\ Pow UJ 1Ct-l O~v''(~c
House Number Street Hamlet
County Tax Map No. 1000 Section
Subdivision
f/O
Lot
Lot
:10
(Name)
,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existinguseandoccupancy -s,t.JG-0;::" FAV\i\\L'(' RI?SI'DR-fOC
b. Intended use and occupancy "'5'1 N"~ VA vYt (\...-~ -Rc? S (~lS-t-/<:3G.
3. ~00rk (check which applicable): New Building
e air Removal Demolition
4. Estimated Cost ~ 0, 00 ()
.
Addition
Other Work
Alteration
(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.
'"10
Depth Z-z-..
7. Dimensions of existing structures, if any: Front "3, "L
Height Number of Stories---1
Rear
Dimensions of same structure with alterations or additions: Front '3 ~
Depth 2,7:.- Height Number of Stories--l
8. Dimensions of entire new construction: Front '3. ')...- Rear '"'3 D Depth '1-7-
Height Number of Stories--l
9. Size oflot: Front (" 13 I Rear ~ 5 \
Rear .5D
a r.l /
Depth ...l D
(v\OvL-\ N\?~W - ~1l\-t--:S
10. Date of Purchase .s-vc....-{ t:I q 10
Name of Former Owner
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_~
13. Will lot be re-graded? ~ NO_Will excess fill be removed from premises?~ES/ NO_
14. NamesofOwnerofpre~~~~~ Addressl\ll)&\<7r!<ettb Phone No. 793-7317
Name of Architect 11 A-r::l:; S::: w'ARl2- Address Cv'R.-\TOo~ Phone No 734-' Zl 10
Name of Contractor ');-r.J~fU~~ Address f~lUl'C..- Phone No.73l.f-7'tf'f
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? 'YES ~ ~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS ~, BEE F REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES ~
* 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.
18. Are there any covenants and restrictions with respect to this property? * YES ~)
* IF YES, PROVIDE A COPY. . ,.,.
STATE OF NEW YORK)
SS:
COUNTY OF )
Thv L-- ~ '-< being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
~18J\
(S)He is the
(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.
Sworn to before me this
~..'" day of~~~~~
.
20o'lb
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OF SOUTHOLD ItOPERTY RECORD
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TYPE OF BUILDING
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AGE
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BUILDING CONDITION
NORMAL I -;E~OW~~r ABOVE
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