The URL can be used to link to this page

Home My WebLink About33650-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33076 Date: 06/05/08 THIS C~KTIFIES that the buildl,g ALTERATION ~ocatio~of Property: 1465 SHORE DR (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 47 Block 2 subdivision Filed Map No. ~ot No. -- GREENPORT ~ot 28 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed i~ this office dated JARUARY 16, 2008 purs,,~-t to w~mich Building Permit NO. 33650-Z dated JANUARY 25, 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 KITCHEN ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & BARBARA DAI (OWNER) of the aforesaid building. Sum~O~K COUNTY DEPART~TTOFHEALTHAPPROV~J~ N/A R~CTRICA~ C~U(TIFICATENO. 3058682 05/01/08 PL~S C~KTIFICATION DA'£~D 05/21/08 WALTER MARCZEWSKI tho~zed S~gnature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ttfis application must be filled in by typewriter or ink and submitted to the Building Deph~;ti~ent with the following: A. For new building or new use: 1. Final survey °f pr°perry with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Appr°val 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 Plmming 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: 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topogq'aphic features. 2. A properly completed application and consent to inspect sigmed by tine applicant. Ifa Cei~ificate of Occupaacy is denied, the Building Inspector shall state the reasons therefor in ;vriting to the applicant C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirmning 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. Temporats' Certificate of Occupancy - Residential $15.00, Comme c al $1500 New Constmction: Location of Property: Old or Pre-existing Buildiog: Date qL 5' House Owner or Owners of Property: ~,, h Suffolk County Tax Map No 1000, Subdivision Pem t 6'0 Health Dept. Approval: Planning Boa~cl Apt~roval: Request for: Tempo~ a~5~eltificate Fee Submitted: $ ~5''~' Date of Penrdt._lff~--~ ~o0~ _ (check one) Hamlet Filed Mal~ Lot: Unde~vrlters Appioval: Final Certificate: ~ ___ (check o ~e) Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone(631) 765-1802 ~UILDING DEPARTMENT TOWN OFfiOUTHOLD CERTIFICATION Date: Building Permit No. ~-'3 -~ Owner: ~ ~] ~Z~,~ ~7,/~ (Please print) Plumber: (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this dayof ~x~. , 2005~ (Plumbers S~gnature) q Notary Public, %c~.a~ County t'~ 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 JIM SHAW ELECTRIC, INC. JOSEPH & BARBARA DAI 530 MIDDLETON ROAD 1465 SHORE DRIVE GREENPORT, N.Y. 11944 GREENPORT, NY 11944 Located at 1465 SHORE DRIVE GREENPORT, NY 11944 Application Number: 3058682 Certificate Number: 3058682 Section: Block: Lot: Building Permit: BDC: NS37 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, 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 1st Day of May, 2008. Name 0TY Rate Rating Circuit Type Appliances and Accessories Dish Washer 1 0 1.2 KW Exhaust Fan 1 0 F.H.P. Range I 0 13.6 KW Wiring and Devices Outlet 7 0 Fixture Fixture 7 0 Incandescent Outlet 12 0 General Purpose Receptacle 7 0 General Purpose Switch 6 0 General Purpose Dimmers I 0 Receptacle 3 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. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STRE~-~ ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SHAW ELECTRIC, INC. 530 MIDDLETON ROAD GREENPORT, N.Y. 11944 JOSEPH & BARBARA DAI 1465 SHORE DRIVE GREENPORT, NY 11944 Located at 1465 SHORE DRIVE GREENPORT. NY 11944 Application Number: 3058682 Certificate Number: 3058682 Section: Block: Lot: Building Permit: BDC: NS37 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, 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 Ist Day of May, 2008. Name OTY Rate Appliances and Accessories Dish Washer I 0 Exhaust Fan 1 0 Range 1 0 Wiring and Devices Outlet 7 0 Fixture 7 0 Outlet 12 0 Receptacle 7 0 Switch 6 0 Dimmers I 0 Receptacle 3 0 Ratin£ Circuit Type 1.2 KW F.H.P. 13.6 KW Fixture Incandescent General Purpose General Purpose General Purpose 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. 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. 33650 Z Date JANUARY 25, 2008 Permission is hereby granted to: JOSEPH & BARBARA DAI 81-88TH STREET BROOKLYN,NY 11209 for : KITCHEN RENOVATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 047 pursuant to application dated JANUARY Building Inspector to expire on JULY 1465 SHORE DR GREENPORT Block 0002 Lot No. 028 16, 2008 and approved by the 25, 2009. Fee $ 200.00 Authorized Signature ORIGINAL ~ev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~UL'ATION [ ] FRAMING / STRAPPING [/~- FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: DATE ~/~'~/q~ O~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]RO/,U/G" PLBG. [ ] FOUNDATION 2ND [~INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. [] FO~INDATION 2ND [ ]INSULATION FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: //~~ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION INSPECTOR ~n;~D ~S~'ECT~O~ m~OaT I DaTE I Co~n;~TS ~ FO~ATION (1ST) ~ ~ FO~DATION (2ND) ¢~ ~ ROUGH F~G & ~ PL~G {' ~ ~S~ATION PER N.Y. ~ STATE ENERGY CODE ~DITION~ COUNTS ~ ~z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration ' ~uilding Inspector 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: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date~x~to~ 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 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 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 Southold, 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. (Signa ame, ifa corporation) (Mailing address of app]'i~ant) State whether applicant is owner, lessee, agent, architect, enginee electrician, plumber or builder Name of owner of premises -~-D~--4- f'~ (As on the tax roll or latest deed) If app~ant is a corporation, sigl3jlture of duly authorized officer (Name [nd tlile o£ corporate officer~ Builders License No. Plumbers License No. Electricians License No. Other Trade's License Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block 2- ~'' Lot Filed Map No. ~ Lot 2. State existing use and occupancy of premises and intended use.and occupancy of proposed construction: b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost c5~>, ~)02D - Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: 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? YES__ NO ~ 13. Will lot be re-graded? YES NO V' Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No NameofContractor'~o~O [/~'-~ Addres~_,t) ,/~v,~, 7R,O PhoneNo'~~ 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 MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO__ * 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 voint on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: //~ J~(' ~? )~"~ ~(.,~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (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 tree 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. Swofft tR before me this ~ \~_~-v.,; day of. ~.~0,lkl~O, Yl ~ - Notary gallic MELANIE DOR0$KI NOTARY PUBLIC, State of New Yo~ No. 01 D04634870 Oualified in Suffolk County,,"'J/.,.~ ~---. Commission Expires September 3~:~LJt "Si~'~pplicant OWNER TOWN OF $OUTHOLD PROPERTY RECORD CARD VILLAGE SUB. ,.,../~... E b' ACR. LOT ~ W TYPE OF BUILDING / ~ FARM COMM. CB. MISC. Mkt. Value - LAND IMP. TOTAL DATE REMARKS /~f~., I g) / ~,/~ ~' / N~ NOR~L BELOW ABOVE ~/~/~1-~p~oo~g- ~,, FA~ Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland FRONTAGE ON WATER /~ ~ Swampland ~ ~ FRONTAGE ON ROAD ; ~ ) Brushland DEPTH ~ L' 6~ House Plot ~ ~ ~ ~ BULKH~D E DOCK ~ Total ~ ,, ~ COLOR TRIM Extension ~ ~ ~ - ~ 2.~1 Porch Breezeway Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room )ormer Driveway / Bath Floors nter or Finish Heat Rooms 1st Floor Rooms 2nd Floor Dinette K. LR. DR. BR. FiN. B. Garage Patio O.B. Total T M. BIdg. ~ Fxtension COLOR TRIM Foundotion Basement ,. /Floors ,/ ~ ~m~m~m~mmm~mm~ mmm m m~m~ m m~ mmmmmm~m~ ALLPLu~! qG~,A -E &WAT:~R NEON LD TESTING ~ Er -~: r £RING C~,'-; ,,,.Aq _ - ~,CL JY SOLDER U,E D :v ~,,'~ ~:, SUPPLYSY~,' fCP''~DT EXCEED Z'10 ,: 1% ~ ~ '~ D. F¸ ~?ANC¥ OH "~ ~ nF~TIF C~q I FoR POURED CC':3EEiE i , f~, ~ ~ ~ BE COMPLE'7~ FOR 0.0. ~ tL>I 4LL CONSTRUCTION SHALL MEET~T~E N.Y. I 19,~ ~,t ~ TI f-~? ~ ~"' (516)298-,D:153 ' -' ~- ' · (Fox) 298-13E A[L rtONSTF~U: MLL ': Z REQUIR:- ,.,,~,~:~, OF NEW: UNDERWRITERS CEH!F- Ox,, REQUIRED