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HomeMy WebLinkAbout33839-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 06/19/08 No: Z-33111 THIS CERTIFIES that the building AIR CONDITIONING SYSTEM Location of property: 1040 (HOUSE NO.) County Tax Map No. 473889 Section 38 GILLETTE DR (STREET) Block 2 EAST MARION (HAMLET) Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 2008 pursuant to which Building Permit No. 33839-Z dated APRIL 22, 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 CENTRAL AIR CONDITIONING FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MATTHEW C WEBER (OWNER) of the aforesaid building. SUFFOLK COWlTY DEPAR'l14BNT OF HEALTH APPROVAL N/A 05/01/08 ELECTRICAL CERTIFICATE 11IO. 3064489 N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 6.Lf. t:1tJ2(' C//7 ~> 75"/- /~'8D -- - - APPLICATION FOR CERTIFICATE OF OCCUPANCY Tills application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. Fo r new building or new nse: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Flllal Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonn). 3. Approval of electrical installation from Board ofPire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead. 5. Conunercial 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 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 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, AJterations to dwelling $25.00, Swuwning 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 $ t 5.00, Commercial $1500 Date. Old or Pre-,xisting Building: / Location ofPrope'iy /Oc.;O G/{[c/!f.., )),e/J'i., 'House No Street Owner 01 Owners ofPrope'1y _//J/fll)1~tJ (? ~.!:f3cR. L/7J829 Block 000.:1.. New Construction: 6 -//- oS C'd-,v74L I'1IC"""~'N ;c,,,:...i/' . (check one) . 'I1'-'S.>C.47;:"., c5ts r /IJ/'Ii/ D;J Hamlet Suffolk Coullty Tax Map No 1000, Section Subch vision 03~ J 3 &392.- ~a-=-~fPermit Lot_Oil ~_ _ Ftled Map Lot t/-.:l.:2-~(Je,3 Applicant fflt<l;;;;;e"~ p ~LJ~~ Underwriters ApprovalCeer# :5 0 (,JLCL'39 Af'~# 30 '- S'~i'~ Fmal Certificate --./ _ (check olle) Permit No Health Dept Approval__ Plal1Jling Board Approval Request Cor TemporalY Ce,iificale Fee Submitted $ (1v -h '33> /II R..u C 7 L{ S7:JV ~aJ'edL~ Appllcant Signature l!I.l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Miscellaneous ~ as built 2007 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I l!I~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~l!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 MATTHEW WEBER 1040 GILLETTE DRIVE EAST MARION, NY 11939 MATTHEW WEBER 1040 GILLETTE DRIVE EAST MARION, NY 11939 1040 GILLETTE DRIVE EAST MARION, NY 11939 3064489 Certificate Number: 3064489 Section: Block: Lot: Building permit~? ~ 3q BDC: n511 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on 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 1st Day of May, 2008. Name OTY Rate Ratin. Circuit ~ Appliances and Accessories Air Conditioner Wiring and Devices Outlet Fixture Outlet Receptacle Switch Dimmers Disconnect o 30.000 BTU 22 0 22 0 4 0 2 0 I 0 2 0 I 0 Fixture Incandescent General Purpose General Purpose General Purpose 60a Air Conditioner An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 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. 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. 33839 Z Date APRIL 22, 2008 permission is hereby granted to: MATT WEBER 1040 GILLETTE DR E MARION,NY for : INSTALLATION OF AIR CONDITIONING SYSTEM AS APPLIED FOR at premises located at 1040 GILLETTE DR EAST MARION County Tax Map No. 473889 Section 038 Block 0002 Lot No. 011 pursuant to application dated APRIL 17, 2008 and approved by the Building Inspector to expire on OCTOBER 22, 2009. Fee $ 200.00 "'~ ~~ ( Authorized S1gnature ORIGINAL Rev. 5/8/02 3s~31-C TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~//I/t7? INSPECTOR 33 ?~l t:--. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~TION [ ] FRAMING/STRAPPING [~NAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: CI~ f!rf #- d- 7/1:0 ~c- ~~ \ DATE S-/I r; /0 f / ! INSPECTOR ~~ FIELD INSPECTION REPORT DATE I COMMENTS .! " ( '" . ~i:"J ~~ ~~ -:0~ ('c,t'l 0z ~o ~ ~;:j ~.[:;i ,,~ i\ ~j \~ ~ C :I: , S'; f'l \~ ~\ \ \. FOUNDATION (1ST) ------------------------------------- FOUNDATION (2ND) ROUGH FRAMING & PLUMBING LNSULATION PER N. Y. STATE ENERGY CODE FINAL . . --- '--- -- q(~!o.'" ~J. tl"J--e.. .R..,.." ~.f'~ jl;Y~ ~ { ~hI jJ /I.. f'~A_ L t'/ "'-- /~'/;' .J ~ ~ 7.. 'J1 r-,.-;'~r / /JA. ~ ~\//f" \ r /1 ./ / /fv/ . (/ /'~ I ~ /" IF' rV--~' 1'61 v ..' // tfI.I. _ - ,7. ,~ .. .#'j -v-/ // / / {~:J / . ~ ADDITIONAL COMMENTS ..i r'l \>' "I 0 r :;: Z m :=r:.;lJ ( ~ I \ . ~t'O , ~ ~~ 10 5 I~ z ~ e> r ~ ." :-I .. TOWN OF SOUTHOLD IiJ .!~?!:, t.J--rRXCJM_& BUILDING DEPARTMENT .d ~_y n n t::L TOWN HALLR o-<--~) -DC> LA.:.J SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold! PERMIT NO. 33 fJ37 6 BUILDING PERMIT APPLICA nON CHECKLIST Do you have or need the following, before applymg? Board of Health 4 sets of Building Plans Planning Board approval Survey ,;/ !i ^' if' Check "" <>0- Septic Form N.Y.S.D.E.C. Trustees Contact: Mailto:!41</"G';Cf6lf( ?J..P. ~"'5fJ"Y/I/.4r;,v ,v-'(. 1/ 'lJf Phone: r; 1 'J. 7:; 1- /02. i? 0 &,20 cJf' P./}/2O(2Y Examined Approved Disapproved ale Expiration (tJ/~d20.J?,L ~ Building Inspector _~ ...-1 APP~ICATION FOR BUILDING PERMIT 17 Date ,20_ I a. This application MUST be call1jl1dbly 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 oflot 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, th~ exten,ion of the r~rmit 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 inspecl1ons. . )~CUPANCY OR -4'=of.;,~...f."o"",o,"'OO) .,,3E IS UNLAWFUL /fJ1eJ t1/UG7Tt /J~. tAg-rI1,q~/oJ Al,e.;: -HOUT CERTIFICATE (Mailing address of applicant) /1'13'1 INSTRUCTIONS State whether applicant is owner, lessee\ag~,;'ll~vt, engineer, general contractor, elec~~ moer OiJAiz..R DATE: t~!~ B.p,#;3g-j"~1C- vVI I . . I FEE' b.~' . 8v./~ Nameofownerofpremises /'Ii11/II!.fw C l-Ie/$-r,,/'rIEe w&I.5,t.,<!" NOTIF~ BU'LD' ~'-'.i"'.':::"T '.r (As on the tax roll or latest deed~65-1802 8 f.:" - ..' 'ii' THE Ifapplicant is a corporation, signature of duly authorized officer FOlL(JI!:;~I~ "i':~t.. . "'~ (Name and title of corporate officer) lINocnv~ITERS CERTIFICATE REQUIRED 1. F~""~ "~:-:-:'J ..., '-- ".r"' Ilfq::.::~ Builders License No_ Plumbers License No. Electricians License No. Other Trade's License No. FO~:. r:-;<JH[C; , ,1: i;: 2. ROUGH - Flit,,:,'L ,'. PLUN:8iNG 3. INSULAT,CrJ. 4. FINAL.- eOI ". '-. .:.; e'eN MUST 3187 IV.? .s-.;l"I.eE-dSI.~LETL ,c, c.o. All r.()NSTliL,' N SHIll ALL CONSTRUCTIXJ SHAl.L MEE:T THE ~FI=T THI= RmUIH . OF THEREQUIREMENTS OFTHE CODES OF NEW CODES OF NEW YD,::< STATE. YORK STATE. NOT RESPONSIBLE FOR 1. Location ofland on which proposed work will be done: PE&IGN 9R ONSTRUCTION ERRORS. /tJy'O -/Ut..7TL ;j,eicJt.. CI/SII17/JI2/o,J ;V., 1/939 House Number Street Hamlet County Tax Map No. 1000 Section j 'iJ Subdivision /l1A ,f~",J /YJ 11 ,Joe. (Name) Block ~ Filed Map No. CjCj-3; 3 !icStJrJ.6(03'2 JAy. fYI fll'ity 73 ~.g9 Lot / / Lot eX 3 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Existing use and occupancy /',('/17''111-<' '/ /'.6.~' /IQ &".J( e b. Intended use and occupancy I) /,Ce.:. ~")I iJ/v1 Le.../ rlf I} L ANIJ e.u:c:rA!fe~t ~o.el( J 5. If dwelling, number of dwelling units If garage, number of ears Addition Alteration Other Work e./:"'~~IIL ~/C f,IJ.'crw.e)( .fI #oj . C (! (Description) Fee , .D'<;.otb iJ -....:. (To be paid on filing this application) Number of dwelling units on each floor l' fL.ro..e .. t>A 'f M C ".}'I 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost /I (oJ 9 ~o -.,~ / 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type ofuse. /! /, (II L(5~ r 30 ~ 3" 7. Dimensions of existing structures, if any: Front '1 ~ Rear Depth Height Number of Stories D. , f t t 'th It t' dd't' F t ND '" ~~"'r;" ,<1 ImenSlons 0 same s rue ure WI a era Ions or a I Ions: ran . Depth Height Number of Stories Rear JJ cJ ,:j!>() ,''''IJ ,,,s 8. Dimensions of entire new construction: Front Height Number of Stories I ~ r oj" 9. Size oflot: Front I 00 I (;'l)'~ Rear /00' Co' " Depth / ('I C) . 10. Date of Purchase ,5---/7- (. ? Name of Former Owner Jltf. fAJ,1'o e';l1l1tJo~ (PlANA ,('O:;'[':ih) 11. Zone or use district in which premises are situated S'C D 1-1 S /? f 1';$ ;f/ 0 ~ u' . cc '3'7 Rear Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~ 13, Will lot be re-graded? YES_NO L Will excess fill be removed from premises? YES_NO_ 14. Names of Owner of premises (it/1'1r Ifb) l,Jf.&t-R Address /oL/~ r;;U6r'i..- :,,e, Phone No. Plr.]5i,/ ~Jo Name of Architect Address Phone No Name of Contractor D:nL 1-1/:",:"'\" C...C.I..J([ Address 1'.0 C.....d.Lfl Phone No. '3/- 433 -/30,/ C,J'f'c..".cr."e.."'.'-!.I'HS"-o";l.L.\'1 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.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. STATE OF NEW YORK) SS: COUNTYOF~ {Y\ "'T~ W~ 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; CotpOOttll',Of{lcer, 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 b" efore me this;;- ~. y t7 A day of ~ 20 0 If / t1 / I ~ t ({<0~::/Z)' . 4-~ c ;J~ / Notary Public..;:, '_ _ ' _,,-A._ ......'10. Signature of Applicant k1iif' ~ ~ ~ GAIL L A88ETTO , ' NolIry PublIc. _ oI_'Ibrk I ~,~~~~ e)j "',"<'"~J1foIkOOlrllV, ID . ~ Illn - f8, 10...'; 1"-., , ' \ ,......,.' , " ~ "'~" .':-::"":000,'- :Mi~""'-~"'"'' .'. . . TOWN OF SOUTHOLD PROPERTY RECORD CARD · M~ Yd ,1':, 3 ACR. .3 TYPE OF BUILDING <JtrL~'!S \OML DIST. SUB. E W FARM COMM. CB. MISe. Mkt. Value ". p~ "",0.-:> 12co BUILDING C ... Co 23(Yfl./ '-I LAND IMP. TOTAL DATE ~ 0'" J., S-CJ() Goo 71!X)~~ A i ~EW Acre Value Per "500 ~\OO~V~ ~ 'ARM 7ro liable 1 liable 2 lable 3 )odlond amp land FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD c1 r1 J Jshland , I use Plot 01 DOCK -- -- - - I",...,~g. 30 K. "''''', (';500 .3"""'" If 12~ Iruur,dation ~C Bath \ Dinette I ~_._- ----- Extension Basement C.J\ \ Floors K. / ---._~'"-- Extensian Ext. Walls g~cc.o Interiar Finish <3R LR. ~ -~--- Extension , ./ Fire Place - Heat y -..s DR. Type Roof ~ t\\ \' ,\-e Rooms 1 st Floor BR. ./ Porch Recreation Room Rooms 2nd Floor FIN. B. pnrrh I h:~r u.1' ('2.\ e 1<.\"2-' \ll~ l~ 4~ 'Dormer --------- _m_.__~___ Breezeway Driveway ,-~-- ---" Garage --- ------- ~ M.. s~ -<,<b ~ O. B. If q 7"2> 4'1'73 r 4<<;0 A. '\ ,.Ki -/ / I --- Total - 2.>ll-~ 7 0 ./ \,.S~ 00 ~~O~. 0" .., ..... ....-/ ,.( -. ~ ;:~' ~. -- 38 2 11 3/03 . . - ~:?" /~'J ~ \;."'.. \ - LOR I 4- 5 i 1M -- ~, ~ .!I 3!;;0<:b "~l3 ,,- . ) .::L. .\ow.\.I ~ '4'6\'! "",- 6fWof"Ov- INo.-.<3r .