HomeMy WebLinkAbout33592-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32981
Date: 04/15/08
THIS CERTIFIES that the building ALTERATION
Location of Property: 1110 ORCHARD
(HOUSE NO.)
County Tax Map No. 473889 Section 25
ST
(STREET)
Block 4
ORIENT
(HAMLET)
Lot 10
Subdivision
Filed Map No.
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. 33592-Z
dated
DECEMBER 20, 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 ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOSEPN LOGAN & KELLEY WALKER
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPAR'DmNT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
3061288
03/28/08
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
riOV 18 '04 03: 53PM SCUTHOLD ElUILDIi-Io 631 765 9502
P.l
17..... No. 6
TOWN OF SOlJTHOLD
BUILDING DEPARTMENT
TOWN' HALL
765-1802 ; J l. .R I 4
APPLICATION FOR CERl1FfCATE OFOCCUPANCV!. L'..~ --'1
.- - ' - --.'. , - ._~__ T0\, . ~_._. ,--'J i
Thi; illlplication must be filled in by typewriter or ink and subt\1itted to the Building Department with the follOwing: - ---,
A. For neW bulldinl or new us.:
I. Final survey of property with accurate locatloll of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health OepL of water supply and sewerage-disposal (5-9 fonn).
3. Approval of electrical installation Ii'om Board of Fire Underwriters.
4. Sworn statement from plwnber certiJYing lhat the solder used in ~'Ystem contains less than 2/ I 0 of I % lead.
5. Commercial building, industrial building, 1nulliple midences and similar buildings and installations, a ccrlificate
of Code Compliance ti-om lITeMect or engineer responsible for the tluilding.
6. Submit Plamling Board Apprnvai of completed site plan requirements.
B. Fer U1stinll buildings (prior 10 April 9. 1957) non-c:oDforminll uses, or bullding. and ''Pre-exlstiull'' !and uses:
1. Accural" s~u-vey ofpropcrty showing all property lines, streets, building and unusual natural or topographic
reatures.
2. A properly completed application and CDnS(IIlt to inspect eign"d by the applicant. If a Certificate of Occupancy is
denied, the Building Inspeclor sballstate thb reasons therefor in writing to the applicant.
c. Fees
1. Certificate of Occupency _ New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
S"..imrning pool $25.00, Accessory building $25.00, Additions to accessory building 525.00, Businesses 550.00.
2. Certificate of Occupancy on Prc-elC.isting Building - $100.00 .
3. Copy of Certificate of OccuPlll1cy - $.25
4. Updated C....ific.te of Occupancy - $50.00
S. Temporary Certificate ofOccLlpaney. Residential 515.00, Commercial $15.00
'Jllo/O!
Ncw Conslnlction:
OM Dr Pr~.existing Building:
Date.
~
Oil c.AA-II.. J St-
IV :.. Street
Iv,SILv
0,),5
(check one)
(D/Ct {7 U 1--
Hamlet
Location of Property:
/ //0
House No.
Owner or Owners of Property: ...:I:lA 01 , ~
Su ffolk County Tax Map No 1000, Section
(_3ose.nJ-, f..oq >>...J ):
Block 000'-(
Lot '2) I ()
Subdivision
Pennil No. 3?' 5- '1;)" z... Date ofPcnnit.
Hcalti1 Depl. Approval: t-i \ \"<-
Planning Bonrd ApproVl1I: V \ ,'>.-
Request for: Temporary Certificate
t1rcU
Fcc Submitted: $ ex --,
Filed Map. Lot:
IJ-l;)o)y) Applicanl:t7 N i/ ltC!JiVln/-,T /J-r-t? A& r .::t:: 1\/'-
;:Q~ <:) c.U "'~ '
Underwriters Approval: .
Final Certificate:
,/
(check one)
en"
(J II'-"..c,
Dl-<<..7 '-f I ;) L/
CO -c 3J-9~ I
I!I.I!I
i BY THIS CERTIFICATE OF COMPLIANCE THE i
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~' CERTIFIES THAT ~
~ ~
~ Upon the appl ication of upon premises owned by ~
~ ~
~ PAUL R. BURNS WALKERI LOGAN ~
~ PO BOX 1061 1110 ORCHARD ST. ~
I SOUTHOLD, NY 11971-0932, ORIENT, NY 11957 ~
~ Located at 1110 ORCHARD ST. ORIENT, NY 11957 ~
~ ~
~ . Application Number: 3061288 Certificate Number: 3061288 ~
~ Section: Block: Lot: Building Permit: BDC: nsll ~
~ ~
~ Described as a occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located inion the premises at: ~
~ ~~ ~
~ 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 andlor 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 2Sth Day of March, 200S. ~
~ Name OTY Rate Ratin2 Circuit ~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ i
~ ~
~ ~
~ ~
~ ~
~ ~
~ y~ ~
~ ~
~ I of 1 ~
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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. I
m.1!I
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.
33592 Z
Date DECEMBER 20, 2007
Permission is hereby granted to:
JUDITH & ANO AS NIGRO
77 SEVENTH AVE - APT 16-L
NEW YORK,NY 10011
for :
ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at
1110 ORCHARD ST
ORIENT
County Tax Map No. 473889 Section 025
Block 0004
Lot No. 010
pursuant to application dated DECEMBER 10, 2007 and approved by the
Building Inspector to expire on JUNE 20, 2009.
Fee $
200.00
/
I
/
"
ORIGINAL
Rev. 5/8/02
-
33S72 -C-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
ale
REMARKS:
[ ] ROUGH PLBG.
[ ] ~ULATION
[ J1FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
~ 7~~~
DATE ~j10~ INSPECTOR
} }..>? J-L
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUC'nON
[ ] ROUGH PLBG.
t><r INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
,~/~
~'
REMARKS: ./'
d- -- -
~
DATE ~)...7- 68"
INSPECTOR
~~
>
FIELD INSPECTION REPORT DATE I COMMENTS \)J
. uJ;:l
. Lr\~
FOUNDATION (1ST) ....P..,
~'lt
NJ
-------------------------.---------- ;;~
FOUNDATION (2ND) C, [:i
2:
9
-
-
-
O~
ROUGH FRAMING & [;;
Ot:1
PLUMBING -.- R
'-----
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f-. \ . f/ :;.r ~ h "v '7' " ~-~h:// ~
.
--,----_.._--- --.------------ ~i
--~--
INSULATION PER N. Y. f--------- 6.;
..,
STATE ENERGY CODE
.
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FINAL
.
rz-
ADDITIONAL COMMENTS --
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET I I D
".
t\. ~as Ot:<.fJAtl
.
I
VILLAGe
DIST.
SUB.
LOT,
J--'"
NA .
(..It.-t('. t( If.;,<'
S
,
...: 7
d:'\ ( ( ,~-:f
EW,le"zel'"
w'
~,.SOEtu
ACR.
7
TYPE OF BUILDING
2
~:,:..t
,
) '/"/
.L
I=u 10. (--.
RES. ) 16 SEAS.
LAND IMP.
'..;'
: ;,
CQMM. CB. MISe. Mkt. Value
VL
TOTAL
DATE
REMARKS
.
NEW
FARM
NORMAL
BELOW
ABOVE
Value
eJ? '1>5(.. A.:l.c\ ~~ t~td..<v>
'5). I
Acre
Value Per
Ac,.
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushland
FRONTAGE ON WATfR
FRONTAGE ON ROAD
IDO
----
Total
.~
.
DEPTH
BULKHEAD
House Plot
DOCK
--
--
.~ '- -. "
10 'T-': "
. , .
. . ,
I I I I
I ! COLOR ,,-
! Ilt;L. I'" 1<1-
i ( II
I TRIM ~ "1..
I 1'1, I
!
!
I
I s/BB
U
--.--.. /1... .
M. Bldg. 1".,3".0 ~ 0 t:~'" "'- ~ ~.s-7'" Foundation . ...-. ".. Both Dinette
Extension - Basement fll1<''''' . Flool'$ P/uE K.
/~'>/'''''73
extension a-X "1 ~ ..,sl .# / J) ..2.j-o ,,,;'1 Ext. Walls "'6011.,,1' interior Finish P~"'s"E"'. lR.
. .e ,"'f.... .~, .
~Z ::;:V-,;~...{ 7<1' _:l"'.) /J '2. $iJ. FI'e Place ,
"'''''/>.1 Us{'" Heat Hw. DR.
/ Type Roof Rooms 1 st Floor BR.
Po<eh 1.... /.) ~. .0 .,'J. / ecreation Room Rooms 2nd Floor FIN. B.
Po<eh ~rmer
Breezeway Oi,yewoy
Gol'Oge . J<"3.0' 'j.S'> /!!- '1,-,,' T
~ o 70 '1m I
Patio
.Ji!r.'1Jb,d: """7. /.]J- "," ...~ ~~.. I -
'J.:/
Totol ~'372
'e'
112:>_
',l.f.5CO
.
.
, v:;
~I
".. . -
t<
TRIM
.'
I
M. Bldg. -' , i Foundation Both / ,"-'-
~. .,
Basement IT..- Floors p ~..c:
Ext. Walls 1,1.. Int"'ri".. I=i..;..l.. IP.LJ-I.';......
TOWN Of SO~THOLh ~~ ~ ~ ~EC-;;
BUILDING DEPARTl\iWJL
TOWN HALL.
t.
SOUTHOLD, NY 11971 . -;'1'
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/
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BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
'C')
PERMIT NO. 33SQ;;l c
Examined
Approved
Disapproved ale
,20-r
,20_
Mail to:
Expiration
,20_
Phone:
APPLICATION FOR BUILDING PERMIT
Date -;0 EC. 8
,2067
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 wateIWays.
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 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 pqmit 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 i.~suance 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.
t::::.~VlR1l~m.ENT e~ (NC,...
(Signature of applicant or name, if a corporation)
~o BIli'< \Cl1 "PEeOrJI~ f\J~ l\q~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~JJ~L (0 flI\.l,R. A.e:\OlZ
Nameofownerofpremises~u l=-,\ WAu<..~~ ~ .JD~FPH L{)G AN
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
-\1~""\62-. cS~Ll" a tI f'R.o:5.
(Name and title of corporate officer)
Builders License No. l-\ \ 55 S "-
Plumbers License No.
Electricians License No.
Other Trade's License No.
L Location ofland on which proposed work will be done:
-1lJ 0 DR.Ct+t\:R.n ~l.::.t::. \
House Number Street
,r-"
.
c~\~
I filA' ^ -'\
. ... . e,N
Hamlet
County Tax Map No. 1000 Section
Subdivision
~5'"
Block y
Filed Map No.
Lot /0
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy S IlU 6-LE: PfrM.lL'i..1> W EU-I N G-
b. Intended use and occupancy
Sl rJ G- Lf::"'
t:='1'(M(L't
nil. J~I i
3. Nature of work (check which applicable): New Building
Repair v Removal Demolition
4. Estimated Cost3,ro o. ~
I
5. If dwelling, number of dwelling units
If garage, number of cars
v
Addition
Other Work
(N G-
N <:l N- \-4.....(".. r.J ".,. .....~
Alteration
c.~ .lo6~ 't.. ~''''''''.Io.l
(Description)
Fee
NA
(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. N A
7. Dimensions of existing structures, if any: Front j.:)D Q~(i:.(;Rear
Height Number of Stories
Depth
Dimensions of same structure with alterations or additions: Front tJ 0 Ctt1\IIl6-~ Rear
Depth Height Number of Stories
Re-f'LAC:E I>e"tc~ClAAleD Sou t> ,GL. OOO~ lJ..}/ Q.. t.JevJ
8. Dimensions of entire new construction: Front Rear Depth WIIVDOI;,JJ'
Height Number of Stories Ir-..l ~^i A;R.'iEA. Of" l:-\t)uS E: ,
~I::.MO\l& '::>MAU-l)EQ::. 't.'i Sl.AOeR..
Depth
10. Date of Purchase
tJA
N~
Rear
9. Size oflol: Front
Name of Former Owner
II. Zone or use district in which premises are situated
<RES\. DeN\l^ L..
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO V
13. Will lot be re-graded? YES_ NO t,....--'Will excess fill be removed from premises? YES_ NO_
Keu..~"'H.uf\i.X.a:. qn -55/0-46 [4
14. Names of Owner of premises ,\DI':B>H Lo~ Address t liD O~2\Phone No. q ( 1-355-oSS{)
Name of Architect Address Phone No
Name ofContractor-l:;tJ\l. EJ\.sr-. II\lC Address 'P'D BDK (6[7 Phone No. 134 -74 14.
f'~lUl<!.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO ~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO ~
* IF YES, D.E.e. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. 1f elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY O~~V(.\',i.All...
1't:::~ ~ B i.J~c.i4 being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the G E:I\JER-A;.L 0hl\,)~ke...\OR....
(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.
2~
~f?-
MELANIE OOROSKl
NOTARY PUBLIC. State of New York
No. 01004634870
Qualified in Suffoik County "7 1'), ()
Commission Expires September 30~
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SURVEY OF PROPERTY
SITUATED AT
ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-25-04-10
SCALE 1 "=20'
SEPTEMBER 18. 2007
AREA = 16.464.49 sq. ft.
0.378 cc.
UIt/,THOlllZED","1VlA._CWl~
lOntI$S\IR'oClS"YlOL.l..llOtIOF
SEC1lC>>l12Ol1Cf1llEHEW'I'QIll(STAtt
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-__........ NY.S. Lie. No. 50<167
Nathan Taft Corwin III
Land Surveyor
CERTIFIED TO:
JOSEPH LOGAN
KELLEY WALKER
WELLS FARGO BANK, NA
F"ILDEl.ITY NATIONAL TITLE INSURANCE
COWPANY OF" NEW YORK
1lUItSl.orwyf-~ - sn.I"I"". - CoMlnooIionLayo,,1
l:.R.t~~~R~~~A~
AHY.IfOTSHOWlIAJ:ENOTGUNlAIlTEEO,
PHONE (631)12:7-2:090
orncESLCI04TroAT
322RON<<)KEAVENlJ[
RI\'tIlHOO, New YOIti: 111lO1
FQx(6Jl)121-1121
'""""'~
P.O.9olo1Ul
RMrhlad, NewYori< 11901-0965
~
FOR LPC USE ONLY
I have revie7closed application and determined the following action to be taken:
Exempt _
Administrative Permit Required
,
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\. :~ERTIFICATE
(}'CUPANCY
-7 1/211 .,.- '..I
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2) 60
SUPPORT APPROV
0 l.-E: /.?/zO;"
MULLION~ F~ 1:./.;<>00 -
f'l( TfFY BUILDil!
~B02 BAM -,
~ LOWING INSP
1. FOUNDATICN -
'6~R POURED
"8 OUGH - FRAW
3 INSULATION
4 FINAL - cor,,:,
BE COMPLETE
I LL CONSTRUCTI
EQUIREMENTS
ORK STATE. NO
ESIGN OR CON
51
HEADER
R BETTER
ED AS NOTED
. 8P.~"')~dC
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. ,. "TMENT PI
,} ,,~M FOR THE
CCTIONS:
1',110 REQUIRED
CC'1CRETE
,:NG & PLUMBING
SUCTION MUST
rOc. CO.
ON SHALL MEET THE
OF THE CODES OF NEW
T RESPONSIBLE FOR
STRUCTION ERRORS.
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Environment East, Inc.
2885 Indian Neck Lane
P.O. Box 197
Peconic, New York 11958-0197
631-734-7474
Fax: 631-734-5812
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