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Home My WebLink About33574-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY 1110: Z-32972 Date: 04/08/08 THIS CERTIFIES that the building ADDITION/ALTERATIONS Location of Property: 3175 COX LA (HOUSE NO.) County Tax Map No. 473889 Section 96 (STREET) Block 3 CUTCHOGUE (HAMLET) Lot 4.5 Subdivision Filed Map 1110. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 2007 pursuant to which Building Permit No. 33574-Z dated DECEMBER 10, 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 ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RONALD & JOANNE GOERLER (OWNER) of the aforesaid building. SUFI10LK COWlTY DEPAR'l'MEIIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE RO. 1191283 01/29/04 PLUMBERS CERTIFICATION DATED 12/10/03 KING PLUMBING & HEATING ~riz-:e:- Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ t;J;\-C-""~ ,\{V~; \ ~ -);;'~--'~-:--'--"c~I.-".' 1"; I~, '! \,' " 1 ! i , " --- . " . " I.. JR 8, APPLICATION FOR CERTIFICATE OF OCCUPAN<LY This application must be filled in by typewriter or ink and submitted to the Building Departthent with the folloWmg; ; 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 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 from architect or engineer responsible for the building. 6. Submit Planning B01lrd Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existiug" 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 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. ~kJo9 New Construction: '3 [7 :>:::.d or Pre-eJi"}ing BUilr~ l/ (check one) Location of Property: ~ ~ ~ House No. . Street n Hamlet Owner or Owners of Property: 0<: ~ '2. ~ J-r.~ Suffolk County Tal' Map No 1000, Section Block Lot . Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ qJ./ ()) (L~(Jtj-Ott() Final Certificate: ( check one) CO-c. 3dn..1 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. 33574 Z Date DECEMBER 10, 2007 Permission is hereby granted to: RONALD & JOANNE GOERLER PO BOX 629 CUTCHOGUE,NY 11935 for : ADDITION & ALTERATIONS TO AN EXISTINGS SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BP # 28536 at premises located at 3175 COX LA CUTCHOGUE County Tax Map No. 473889 Section 096 Block 0003 Lot No. 004.005 pursuant to application dated DECEMBER 10, 2007 and approved by the Building Inspector to expire on JUNE 10, 2009. Fee $ 178.50 ~ ORIGINAL Rev. 5/8/02 1!IE!ffi!re!ffi!~~~~ = = = = = = = = = = = = I Located at = Application Number: I Section: = = = I = was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was = found to be in compliance therewith on the 29th Day of January, 2004. = Name OTY Rate Rating Circuit Im ~ Alarm and Emergency Equipment ~ Sensor 2 0 Carbon Monoxide ~ Sensor 2 0 Smoke = Appliances and Accessories ~ Exhaust Fan = Dish Washer = Oven ~ Wiring and Devices ~ Receptacle ~ Switch ~ Fixture = Receptacle ~ Receptacle = Dimmers = Receptacle = = = = = I!I ii!m!Iii!E!IE!Iii!IG!Iiiii!lii! = = = = = = = = = = = = = = = = = = = = = I = = = = = = = = = = = = = = = = = = = ~I!I 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 GLEN'S ELECTRIC OF L.I. INC P.O. BOX 1304 JAMESPORT, NY 11947, RON GOELER 3175 COX LANE CUTCHOGUE, NY 11935 3175 COX LANE CUTCHOGUE, NY 11935 1191283 1191283 Certificate Number: Block: Lot: Building Permit: BDC: n511 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Outside, 2 0 1 0 1 0 F.R.P. KW KW 1.2 4.5 26 0 18 0 23 0 1 0 1 0 6 0 5 0 General Purpose General Purpose Incandescent Laundry Dryer 20 amp 30 amp GFCI seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~~E!IE!Iii!IG!IiiE!ffi!re!ffi!~~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 - Building Permit No. OJ- 'If;) 3 Co Owner: fj-D~P-/cf e.....- (Please pnnt) ~c{ I~ Plumber: BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: l.zfe;/O ~ - 1- r0 <::-, Fax (631) 765-9502 Telephone (631) 765-1802 lead. I certify that lhe solder used in the water supply system contains less than 2/10 of 1 % Sworn to before me this / 0 day of\2..e-c_ , 2003 ~~'f\.b.Q Notary Public, .. ,,~,u.- . (Plumbers SI . ./ County LYNDA M. BOHN NOTARY PUBLIC, State of New Yorlc No. 01 B06020932 Qualified In Suffolk Countv Term Expires March 8, ~J 12 , \ ure) '., 33S7f;2.- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~~ -:h . .. o --~ ,. ~ Dk~ E.~rJ-~ ~,~}1., f!'- ~:;tk..~ ,,~t ~...~) 1--1- 11 q DATE 0 INSPECTOR #. 'hi- ~~ )[>53 ~ -c 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ [ [ ] FINAL PLBG. " REMARKS: ~~~ ~..t5~ ~ \ DATE 09/t?3 INSPECTOR dPS3 (Pc 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ~LATION u~* , .J'L (/lI9-ILIC/J4rl SIh.4 DATE 0//1&.3 INSPECTOR "" C?f53&:p 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE DATE - -.. :L~-6 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ . ] INSULATION [ ] FINAL ~ REMARKS: "' DATE INSPECTOR ~g 6 3bf 765.1802 BUilDING DEPT. [ [ [ [ INSPECTION UNDATION 1ST [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE I D/;;h2.---tNSp / cJcP530f 765.1802 BUILDING DEPT. SPEeTION ] FOUNDATION 2ND ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE/oj~~ N4J- 2-8 S36-2:- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [y] FRAMING [ ] FIREPLACE t;A ROUGH PLBG. [ ] INSULATION [ ] FINAL RKS: - eve' ~. ~/ ~'~-~'~~~=4;JY~ DATE 2--6/ ;03 I ' DONALD G. FEILER · ARCHITECT 11725 Main Rd. Box 1692. Mattltuck., NY 11952.631.298.5453. Fox 298.1 380 July 3, 2002 Mr. Michael Verity, Building Inspector Southold Town Building Department Town Hall, Main Road, Southold, NY Re: Proposed Addition to the Goerler Residence 3175 Cox Lane, Cutchogue, New York Dear Mr. Verity: I have investigated the existing sanitary system at the above mentioned project, and can verify that its capacity is adequate for the proposed addition to the existing single family dwelling. I thank you for your consideration to this matter. ""'.:''"';':'''' ~------------------------------ . FIELD INSPECTION REPORT /DATE / COMMENTS i / /tJ/~ Iu,~__-r' .J ~ ~ /. /?_~~ kn /2 .i! i~lil FOUNDATION (1~ / J 11.;,..,. ~ . -""- ___ 0 f..../ ~ ~ J~-:zf;i;~ cJ) ~ .;4. - ..P7' A_ / -I. I./~ -J:;; A..../.,;J~ _~~( ~. '/!)P~jJ -... jh''::''~ ., ~.L e.. , A.. -~ '...R., ~-./,,;::.c~ ,-. iii /d. ./ ~./ )..., _ /; ~ ..., L.-.. l ~..!; ~ , , ~&/~~-IZ:~~ .I. ......../ ll:z , Ia.~. ~ , _7 ~ ~....L ~7 ~ II 9 I~A~' A4r P;'.d. Lu /-.:z;;.,.k. ~...1. ,(X '\; 1/ / / /f'// ) ~ . I lI. /'1. ~ LF/ ~ j'JK _.r- , /' ~ . ~ Q'# .). g; /# L L .f./' ~ r- l:l d..... ,...J~ At: ~ ~~. ,g.. , dZ ~ J _ -- ~ AL/7.h~ L~~ ~'kV .::?.;:,~.:;:: Z V' 7' , .It / ~ /. 7' / /7/'g. .c;>t'~a/~..~. Vi 7, 113 ,P.. ~~t#t:.~". )-:r / / /A'~_<i/~~L,n./..u.. ,/.L/ 1_'..... ~ ... 7 () ~ /~Jf~ -- '"~ INSULATION PERN. Y. ~ /~ I> I v..';' -Z 7" - _ ,,~ 'h+ ~ _ ,./ . / --" ~././." .., STATE ENERGY CODE U7I. VV { . ~ ., . ./. / .~ / ~ \j l FOUNDATION (2ND) *<f'. ROUGH FRAMING & PLUMBING '{ , . If-I - C{ -f-" U ",JJ, ().. f V ~ f} II. P VA ...,-n::. rI-- ~. A"A 'JJ .. .../S/ ''-?.# V FINAL . ~ ~ i" ~ 0 :E ~ z m ~ ::0 ~ ;,t ~ . ADDmONAL COMMENTS 7i~7dz- -.n ... /_.... ... -- 7 , i),/ _ r"1J;;; I .. /7 ' 0 IJ~. ~4. ~. _ JA.1l/" );7, ) ." Vel .).5-LR . /' I I&.c 1/J'?,'J,cf3 /~u/tJ3 #~ ;....IJ ", ~ ZA'M - '\ ~. dh! #/.. n Lt-.o / ' I h... i'f J . aL.tt~.1 '. -itu... ....1,,/'./ . . ,/ / -;-.-ys- , /4./. p; . ,~ ~ .... ~ k::- ~ .., c::> 0 ~:z .. :r l ~ t:; ~ ~ . TOWN OF SOVTHOLD BUILDING DEPARTMENT TOWN HALy SOUTHOLD, NY 11971 . .. TEL; 765-1802 BUILDING PERMIT APPliCATION CHECKLISl Do you have or need 1he fullowing, before applying Board of Health to sets ofBuiiding Plans . Survey Check Septic FOIDl N.Y.S.D.E.C. Trustees Con1act: PERMIT NO. CJ8lEbL Examined 1/S .7/B I \(e;4 Approved . Disapproved aie (?Xf'( 9.A ,20~ 20.9 . '- r -:-n i'\ \1 ro:; ~ , \ U \ 0'"' ~.__.\ '~.~. ---.-- , ...., Mail to: . Phone: Building Inspector \. '[ L-J~;;.~ I ~ \ Al'l'LlCATION FOR BUILDING PERMIT~ \ TO'/;;: '.f ',..:,;:'OLO .. Date .?- INSTRUCTIONS ,200~ a. This application MUST be completely filled in by typewriter or in ink aDd submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule, . . b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining ~ or public .streets or areas, and waterways. . c. The work covered by this application may not be commcncedbcfore issuimce of Building Pc:mrit. d. Upon approval of this application, the BUilding InspeCtor.will issue a Building Pc:mrit to the applicant. Such a permit shall be kept on the prc::mis<l!' 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 UDtil a Certificate of Occupanc is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pc:mrit pursuant to the Building Zone Ordinance of theTowti of Southold, Suffolk CoUnty, New Y 0* and other applicable Laws, Ordinances or . Regulations, for the construction of buildings, aMitions, or alterations or for remoVai or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code; housing code, lUICl ~ons, and to admit authorized inspectors on preniises and in building for neeesSllI)'inspections . ~J1~ (Sigmilmc of app1icaDt or =, if a co n) 9,0 C>(>.!: b:>-9 .~ (Mailing address of applicant) . . . State whether applicant is owner, lessee; agent, architect, engineer, general contractor, electrician, plumber or.builder ~ (2~ f)~ (as on the tax roll or latest deed) Name of owner of premises If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) -I~ Builders License No. l --lID Plumbers License No. __ ElectrIcians License No. 'j-~ Other Trade's License NO.~f::{G . 1. Location ofland on which proposed work will be done: County Tax Map No. 1000 Section Subdivision 'f~ Hamlet Block .?, Filed Map No. . I" ~n'" ^":','V' 'bdfW!l\o1 ~I) 't'.;:t" ,.. .d,.?< VHATQM . t-~(')~. -.;'1......,4. . ., ~!..,<) :,,,. Lot" ,. . ; '~uO .n ..li!;._,r 1.,L House Number Street -""-....',..,; (Name) 2. State ~ use arid,occupanCYOf~ an. d.intend~. use and oCCUP~ed construction: a. Ex1stmguseandoccupancy ~. .~g 'J . ~ ", b. Intendeduseandoccupancy ~ ~ . . ./ 3. Nature of work (check which applicable): New Build;n17 Repair . Removal . Demolition Addition Other Work Alteration .J (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars 6. Ifbusiness, co=ercial or mixed occupancy, specify nature and extent of each type of use. (to be paid on filing this application) Number of dwelling units on each floor o. 7. Dimensions of existing strnctures, if any: Front Height NUmber of Sto~ Rear Depth ,') Dimensions of same structure with alterati()ns or additions: Front ,::;..1S Rear Depth \8 Height Number of Stories 8. Dimensions of entire new constrnction: Front Height Number of Stories Rear Depth 9. Size of1ot: Front Rear Depth 10. Date of Purchase Name of Former Owner .11. Zone or use district in'which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re,graded , Will excess:fill be removed,from premises: YES NO 14. Names of Owner of premises Name .of Architect ' Name of Contractor A.ddress Address Address Phone No. Phone No ' Phone No, ' 15. Is this propertywitbiIi 100 feetofatidal wetland? *YES. . NO . IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at anypoini on property is at 10 feet or below, mnst provide topographical data on survey. STATE OF::.;j;;JJJ~. . . COUNTY .~~. G...J"\ ~ .. being duly sworn, deposes and says that(s)he is the applicant (Name of individual si' ontract) above named, (S)He is the ~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners. and is duly authorized to perfOIm or have perfOImed the said work and to make and file this application; that all statements contained in this application are true to the best o. f his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ~ LYNDA M.BOHN NOTARY PUBUC. State of New'lbt No. 01 B0602Oll32 Cualnied In SulfO. Ik Coull\l... Term Expires M~ 8, 20Q,1 :DT'7:'~~ '-': SURVEY OF PROPERTY AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. y: 1000 - . - os' - PIO 4.7 SCALE: r' . 50' MMch 13,2002 ~~ ~~ ~~ \,: '~ ~ "'... " 00 4-- ~ ~ ",.. .~~. "'0. ~~.:~~ ~q:~ .. ", '" oi ":)f:J\' ,~ ~ .~. .~ {/ ~ ". N '1< , ~ ~ , ~ . <- ;-~ ~-'~~ ~ . ~~ "-, ,,0 .'~ . ~ O~~ ,. ~. ~.... "'-. ,,~) o o ~ .,~/:'o~~. / ~ / <~ ~ , , o ~ ,,0 rI ~f .- ~.. .~-':!- .;>~ o / ~.Q ~o. ~",.. ~-: ~~~,.:.. ~o ~ ~" ~. // o ~ ~?;) p- o.*) ~ fj . ~.~ ,....-\ '_I The locations of weJfs and cesspools shown hereon are from field observations and or from data obtained from others. ",.. ~. "'0. ..~ ~ l)'\ v ... . .0..0 .00 ~f?J <;. ~ ,,0 ,/ ~f NOTE' LOT NUMBERS ARE REFERENCED TO , SETOFF 8. LOT LINE CHANGE FOR ANN MARIE GOERLER REVOCABLE LIVING TRUST' IIItrI famlllGr ."", lhe STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES and ,,1/ abide by fire contlllons s.' forth flrereln and on fire ptN"'" 10 construet. CERTIFIED TO- NORTH FORK BANK ARtE'A = 110,000 sq. it ANY AL TERA TIOH OR ADDITION TO StMIlEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK STA TE EDUCA TION LAW. EXCEPT AS PER SECTION 7209 - SIJBO/V/S/ON 2. ALL CERTF7CA TIONS HEREON ARE VAUl FOR THIS MAP AND COPiES THCREOF ON/.. Y F SAIJ MAP OR COI"IES /IEA/f THE /ltlPRESSED 5i'AL. OF THE SURVEYOR JHOSE stfiNA TlJfff: APf'(ARS HEREON. ADDlTIONALL Y TO COWL Y WITH SAIJ LA II' THE TEIIM 'AL TE1fED BY' IIIJST BE USED BY ANY AND ALL SURIlEYORS..UTI./ZIIG A copy OF ANOTHER StM\IEYOR'S MAP. TERM$ SUCH "S 'lNSf'f:C'TED' AND 'BIfOIJGHT - TO - DA TE" ARE NOT IN COMI'L/AHCE WITH THE LA W. LlC. NO. 49618 00 - 187