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Home My WebLink About32935-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP/LNCY No: Z-33265 Date: 09/11/08 THIS CKKTIFIES that the building BATHROOM ALTERATION Location of Property: 230 KIMBERLY LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 70 Block 13 Lot 20.19 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 2007 pursuant to which Building Permit No. 32935-Z dated APRIL 24, 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 BATHROOM ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROGER G & MAUREEN A BEST (OWNER) of the aforesaid building. SUFFOLK CO~DEPAR~TOF }~J~THAP~O~]%L N/A ELBt-i~ICAL U~TIFICl%TH NO. 121369C 06/06/08 PL~EP~ ~fIFICATION DATED 08/15/08 HENRY SMITH 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 prope~"ty with accurate location of all buildings, prol)el'i), lilies, streets, and unusual naturalor topographic features. 2. Final Approval from Health Dept. of water supply and sexverage-disposaI (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 1% lead. 5. Colmnercial building, iudustriaI building, multiple residences and simila~ buildings and installations, a certificate of Code Compliance from architect or engineer responsible roi' the building 6 Submit Pla;ming Bored Approval of completed sile plan requilements. B. For existing buildings (prim' (o April 9, 1957) non cou£orming uses, or buildings and ' pre-ex'sting" landuses: 1 Accurate sup,,ey of p~opclly showing all ~ o Cel~',' lines, sUeefs buildin,a a ;d unusual natural or topographic features. 2 A properly completed application and collselll 1<) ill:il!cci sign/cd b.v the applicaut. If a Certificate of Occupancy is denied, the Building Insloecto~ shall state the ~easc*~s ~hclefi~i m xxqiting to the applicant. C. Fccs I Ccltificate of Occupancy - New dwelling $25 00, :X,d litions [o dwelling $25 00, Alterations to dwelling $25.00, Swilmning pool $25.00; AccessoU, building $25 00 -X, ddilions lo aecesso~ y building $25.00, Businesses $50.00 2 Certificate ofOccupancy on P~c~cxistmgBuilding. $[(!000 3 Copy ofCei~ifioate of Occupan%, $.:25 4 UpdatedCettificateofOccupancy $50.00 5. TempotaryCellificateofOcculoancy Residemial $15 00, Comnmlcial$1500 New Constmgtion: Location of Propelty: House No Owncl or Owners of Plopeily: ~0~ Old or Pre-existing Building: / (check one) Hamlet Suffolk C6unty Tax Map No 1000, Section "~O Block Subdivision Filed Map. Health Dept. Approval: Undemqalers Approval: Lot __ Lot: Planmng Board ApproYal: Request for: Temporary Ceriificate Fee Submitted: $ ,8. Fioal Cellificate: (check one) A/.ii Sim ture Town Halt, 53095 Main Road P. O, Box i ? 79 Southoid, New Yon~ 11971 Fax (516} 7'65-1823 '~etepho~e ~5 ! 6) 765-'{ 802 OFFICE OF THE BUILDING INSPECTOR CERTIFICATION Buildin~ Permit No. Owner: '~O C'-~-/~ '~..~ T (please print) Plumber: ~a~se J~U~4 {plea print) I certify that the-solder used in the water supply system contains less %hah 2/10 of 1% lead. Sworn ~ before m~ this BONNIEJ. N~ Publ~, Sta~ ~ N~ No. 01D06~5328, Suffol~un~ Term Expi~s Jub 7, 20 ~ County Issue Date 6/6/2008 Electrical InspectiOn Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 121369C East Patchogue, NewYork 1t772 (631) 286-6642 Issued To: Mr. Roger Best Street: 230 Kimberly Lane Village: Southold Zip: 11971 Town: Southold Section: Block: Lot: C°ntractor~ Lademann Electric Inc. (L)- --Lic~ # 4141-E was examined and found to be in compliance with the National Electrical Code. [] Commemial [] NVDefects [] Pool [] IstFIoor [] Indoor [] Basement []HotTub [] Residential [] DeL Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 37 40 49 5 7 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer 8 Meter Amps Phase UG/OH Jacuzzi Television CO Detector / 1 Bldg. Permit: Other Equipment %100 amp Subpanel/1-15 amp Air Handler Disc. Hugo S. Surdi President Rough Inspec~on: 01/23/2008 Inspecl:or: John Mc Mahon III Rnal/nspecUon: 06104/2008 Inspector: John Mc Mahon II1 This certificate must not be altered in any manner. Inspectors may be identified by their credentials. 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. 32935 Z Date APRIL 24, 2007 Permission is hereby granted to: ROGER G & MAUREEN A BEST 2913 KITCHUMS POND RD WILI~24SBURG VA, 23185 for : BATHROOM ALTERATION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 230 KIMBERLY LA SOUTHOLD Block 0013 Lot No. 020.019 18, 2007 and approved by the 24, 2008. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 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 t012r~ ,20 ~r PEmmT NO. Building 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 INSTRUCTIONS Date 20 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, a, nd 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 pemdt 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. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name°f°wner°fpremises.~q~r~ ~/-(~.~7_ c~' ~-~'~'~,/y / (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 2 7/2 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on wh. ich proposed work will be done: Hou'~s6 Number' S{~eet Hamlet County Tax M,g/p No. 1000 Subdivision t( (Name) Section Block d'._~ Lot 2D-/~2 Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work l~,~?q~t"~,~ o' ,~t (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 Rear Depth Height_ Number of Stories Dimensions of same structure with alterations or additions: Front .Re~r~: Depth Height. Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front Rear / Rear Depth .Depth 10. Date of Purchase ~'- Name of Former Owner 11. Zone or use district in which premises are situated t~ 4 O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES __ NO X NO ,3('~Will excess fill be removed from premises? YES NO .)~ 14. Names of Owner of premises Address Name of Architect fl4 8/~'/r_. ff(/-/~,,d/,~ ]"~_ Address Name of Contractor Address Phone No. PhoneNo ~4- ~/4~./'' Phone No. NO 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 B~E/I~EQUIRED. 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) ~0~.,~'~ ~ V'~ I~/" being duly sworn, deposes and says that (s)he is the applicant (Name of 4~dividual signing contract) above named, (S)He is the .et%.~.~,~act~..~ 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. Swom teH~fore me ttfi~ , Notary Public // ~gnature of Applicant BARBARA ANN RUDDER Notary Public, State of New York No. 4855805 Qualified in Suffolk Count~.,¥~ Commlallon Expire, April 14~,~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN~N [~]~INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ~)~/ROUGH PLBG. [ ] FOUNDATION 2ND ~K~"INSULATION [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTION REMARKS: [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~'IELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) ~O~A~O~ ~ ~/~ ROUG~ F~G & PL~G _ ~S~ATION PER N.Y. ~ - STATE ENERGY CODE F~ ~DITION~ CO~ENTS TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ' STREET ~ "~ VILLAGE DIST. SUB. L°T FORMER OWNER N E ACR. ~O~tQ%/~C:. ~L. ~q~[ S W ~PEOF BUILDING ~,ES. ~ ! o SEAS. VL.- ~ FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS fillable FRONTAGE ON WATER N~l~nd FRONTAGE ON ROAD /~ / ~eodowlond , ~ ~ ~ ~/~ DEPTH ~o~ ~o~ / / ~ ~ /~ BULK~D COLOR en~ion Extension Extension Breezeway Garage O. Bo Total Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer Both Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway Dinette LR. DR BR' FIN. B EX. BEDROOM No. 3 2ND. FLOOR PLAN SCALE: 1/8" = 1'-0' PLUMBING ALL PLUMBING WASTE .... /0, PLUMBER CFr '~'~- ON LEAD COl CERTIFICATE c Uf · OI · ANN( : ,% ~.E,4 USE 18 UNLAWF CE T REVISIONS: Y m ELECTRICAL NOTES ~,.~ C~F ~RUCTION SHALL ,,~ ~ ~¢ ~IREMENTS OF THE (¢~ ~ ~ NEW YORK ST~IE, OWNERS FOR APPROVAL OF ALL ROUGH ELECTRIC, PLUMBING AND HVAC PRZOR TO [NSU~TZNG AND SHEETROC~NG P~NTER TO PRIME AND P~NT ALL DOOR EDGES TO M~NT~N MANUFACTURER'S WARRAN~ AND SHALL VERZFY ALL WORK·