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HomeMy WebLinkAbout32082-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall SOllthOld, N.Y. OF OCCUPANCY No: Z-33028 Date: 05/13/08 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 780 PRIVATE RD #17 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 81 Block 3 Lot 27.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 2006 pursuant to which Building Permit No. 32082-Z dated JUNE 6, 2006 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 RECONSTRUCTION OF AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to LINDA S SANFORD (OWNER) of the aforesaid building. SDFFOLR COiTNT7C DEPARTMENT OF HEALTH APPROVAI, N/A ELECTRICAL CSRTIPICATS NO. 3062530 04/10/08 PLDNIDSRS CERTIFICATION DATBD 04/17/08 PECONZC PLUMB.&HEATING oriz Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 2/10 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 Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent [o 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. r 1 r0/ ~ ~ ~` t(, ~UU~ New Construction: pOld or Pre-existing Building: `~ (check one) (~ Location of Property ~ ~' 0 1 ('1 U [,t.~2 ~U lr~ t n cl~u~10 \~ House No. Strte-et Hamlet Owner or Owners of Property ~ t (~~ L` ~ • J p.t~ ~ o (' Suffolk County Tax Map No 1000, Section b'" I Block 3 Lot ~ ~ Subdivision Filed Map. Lot: ~ ''nn Permit No. 3'a 0 82 ~ Date of Permit. (~ -(, -U 6 Applicant: J l~h /~ ~C(`t-L~f\ ~ Y~u..l ~ ~~ Health Dept. Approval: /L(~ ~' Underwriters Approval: / r Planning Board Approval: _ nJ ~~ Request for• Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ o~ ~ W Applicant Signature ~ ~ya~o Cc~~ 330,251 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. 32082 Z Date JUNE 6, 2006 Permission is hereby granted to: LINDA S SANFORD 5 MOUNTAIN PEAK ROAD CHAPPAQUA,NY 10514 for RECONSTRUCTION OF AN ACCESSORY GARAGE BUILDING AS APPLIED FOR at premises located at 780 PRIVATE RD #17 SOUTHOLD County Tax Map No. 473889 Section 081 Block 0003 Lot No. 027.001 pursuant to application dated JUNE 5, 2006 and approved by the Building Inspector to expire on DECEMBER 6, 2007. Fee $ 161.40 ure ORIGINAL Rev. 5/8/02 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 G & S ELECTRICAL CONTR. P O. BOX 215 SOUTHOLD, NY 11971, Located at PARIDISE POINT RD. SOUTHOLD, NY 11971 Application Number: 3062530 Section: Block: Lot: LINDA SANFORD PARIDISE POINT RD. SOUTHOLD, NY 11971 ~~~ ~02 Certificate Number: 3062530 ~aG Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, gazage, Detached Garage, 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 10th Day of April, 2008. Name ~ Rate Ratiae Circuit Tvne Panels 1 50 3 Wiring and Devices Outlet 7 0 Fixture Fixture 7 0 Incandescent Outlet 8 0 General Purpose Receptacle 1 0 General Purpose Switch 6 0 General Purpose Receptacle 4 0 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. Town Hall, 53095 Main Road P O. Box 1179 Southold, New York 11971-0959 ~ ~ ~ • BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Fax (631)765-9502 Telephone (631) 765-1802 Date: ~ ~f r~ 17, Z U 0 8 Building Permit No. ~ 2 Q g 2 ~ Owner ~ I n ~ or S• f0-rl7yf v (please print) Plumber ~~ C DYE , ~~OC.-'Ylt~ ,'t'1a "~"j~c~~IL14 (please printZ J fo~~ L 7, ~~r.y 7,,2 I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. r~~~,// lbers Si e) Swom to before me this day of f~ ~ 20 jZ~ ~ Kn~ Notary Public, a1-~~ ~ 1 County NotaryPub~lkk saudnewroA No.0IL06070081 OwOfied M SuN Counq Cammusion Fires ~ ~ / ~ /(~ c! /~ ~Z~ ~o~aOF SO!/lyo`o +~©# ~~~~~ ~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ )FRAMING /STRAPPING [ FINAL [ ]FIREPLACE 8~ CNIMNEY [ ]FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION DATE ® INSPECTOR 3~~ g~z TOWN OF SOUTMOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING ~ FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUC710N [ ]FIRE RESISTANT PENETRATION-f ~- REMARKS: ~~ '~ ~" ~ 1\ ti ~ ~ _ ~ - .~ ~ T_ ~ ~J. , "~" E..ee-~ `~ c~.~ DATE ~ -/- C ~ INSPECTOR ~• ~=~~ 3~~R ~z TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING ~] FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N Y. 11952 (631)298-7116 Date: Apri12, 2008 To: Town of Southold Building Dept. Re: Gazage Foundation/ Framing/ Strapping/ Plumbing Inspections Sanford Pazidice Pt. Southold, NY Permit# 32082 To Whom It May Concern: .K A Foundation, Framing, Plumbing, and Strapping inspections was preformed on the above property, and it is deemed that all this work was done as per plan and meet all state and local building codes. A Pressure test was also performed on the entire Plumbing System. Any other questions please feel free to call. ~, '~~ ~ Sincerely .,~ y, ~ r ~p James ~: ;D~ oski ", FOUNDATION (1ST) FOUNDATION (2ND) II ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL COMMENTS COMMENTS p TOWN OF SOUTHOLD BUII,DING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 ` 26 ~ Contact: Mail to: Phone: ~~ ~*~ `~ ~;~ 5 „- \~ '. \i~ ~•'~ APPLICATION FOR BIIII.DING PERNIIT INSTRIICTIONS Date , 20 a This application MUST be completely 5lled iabytypewriter or in ink and submitted to the BuOding hrspector with 3 sets of pleas, accurate plot plan to scale. Fee according to echednle. b. Plat plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, end waterways. a The work covered by this application may not be commenced before issuance of Building Permit. d. Upan approval of this application, the Bnildirig Inspector will issue a Building Permit to the applicant. Such a perrit shall be kept on the premises available for inspection throughout the work. e. No burilding ahan be occupied or used is whole or in part forany pmposewhat-so-ever until a Certificate of Occupancy is leaned by the Building Inspector. APPLICATION IS HEREBY MADB to the Building Depattnem for the issuance of a Building Peonit pursuant to the Building Tune Ordinance oftha Town of Southold, Suffolk Cou~y, New York, and other applicable Lava, Ordinances or Regulations, for the constrvction of bm'ldinga, additions, or alterations or for removal or demolition u herein described. The applicant agrees to comply with all applicable laws, ordinsaces, building code, housing code, and regnlstiona, and to admit authorized inspectors on premises and in building for necessary inspections. J c~ h r\ ~e.r•tz,~,~, ~ ~ fem. T ~ (Sigosoae of applioam of name, if a corporaflon) (Mailins address of appHcartt) ~((~ ~(~ 1, State whether applicant is owner, lessee ages hitect, engineer, general contractor, electrician, plumber. or builder Name of owner of premises (as oa the tax mll or chi If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. i a G~! ~ 1-f J- Plumbers License No. ~tSW N rG {~(~d,et f~Ji ~j Electricians License No. ~~ ~~'~~~/~~ Other Trade's License No. 1. Location of land on which lyrAAOaed work wiJ>, be done: $UILDIN(3 PERMIT APPLICATION t:I~CKLLST Do yon have orneedtire foliowhrg, before applyhrg ? Boardofl3ee?Br 3 sets ofB~lding Puns Sravey Check Septic Form N.Y.S.D.B.C. Tnuteea PERMIT NO. 3~~2 v Horse Number Sired ' Hamlet County Tax Map No. 1000 Section ~ ~ B~ ~^"~ rstoM t. State existing use and occupancy of premises and intended use a. Existing use aad occupancy ~' ~~~~ b. Intended use and of proposed cone ;auction: 3. Nature of work (check which applicable): New Buildin~Addttton .ytuaanon Repair Removal Demolition Other Work p (Description) 4. Estimated Cost /~~ d~ Fee (to ba paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars o2. 6. Tf business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of e~ristiing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories. 8. Dimensions of entire new conshnction: Front Rear Depth Height Number of Storiefs 9. Size of lot: Front 1 ~l'.~ Rear a Y ~' Depth ~ 7 3 l0. Date of Purchase ~ f Q ~ a- erne of Former Owner f to ~ Ro sem a. 11. Zoae or use district in which premises are situated 2 - ~ 12. Does proposed construction violate any zoning law, ordinance or regulation: :~'.Y 13. Will lot be ra-galled YW Will excess fill be removed from premises: YES NO 14. Names of Owns; of premises I ~ ^ a~ ~ ^ foiz Address .Phone No. 41 U 2 ~~ 3 7 b l Name of Architect ~,' c , X01 ~ Address Phone No g f u ~ ate 34S c~ Name of Contractor'r~ ~ ~ f~r.,~~. -3~1 ~T `Address / Phone No. '7~~ 15. Is this property withia 100 feet of a tidal wetland? *YES v NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE REQUIRED See.- e~„P~~--yy,~,.~ C~ C~ Y1~M -~.v,,r ~~c,-hu~-~ on~ bl~~ ~m~r 16. Provide survey, to scale, with accurate foundation p1S~ ~dces to property lines. 17. If elevation at any point on prdpetty is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF Su ~l h~~, i OC.~}~ r] ~ being duly sworn; deposes and says that (s)he is the applicant (Name of individual sizoin8 contract) above named, (S)He is the of said owner or owners, and is duly authorized to perform or have perfom~ed the said work and to make and file this application; that all statements contained is this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth is the application filed therewith. Sworn to before me this ~t-d~ay of ~~ N6 20a e , ~~/ Notary Public Signature of Applicant ~yNo, 7 ~ iUihe~ n G4Mrp S~Yt ~ d