HomeMy WebLinkAbout33731-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP/LRTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33271
Rte: ~9/15/08
THIS CERTIFIES that the building ELECTRIC SERVICE
Location of Property: 6285 NEW SUFFOLK RD NEW SUFFOLK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 5 I~t 6
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 4, 2008 pursuant to which
Building Permit No. 33731-Z dated MARCH 13, 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 INSTALLATION OF ELECTRIC SERVICE TO AN ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to PAUL & THEODORE MAFFEI
(OWNER)
of the aforesaid building.
SUFFOL~KCOI~TYDEPAR~T OF }{EALTHAPPRO~
~CrKIC~3~ C~RTIFICATE NO.
~ C~RTIFIC3~TION DA'r~3
N/A
3065748 08/12/08
N/A
Signature
Rev. 1/81
Form No, 6
TO~VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
This ateplication nmst be filled in by typewriter or fir< and submitted to the Building Depart?nent with the following: :----;
A. For i}ew building or new use:
1. Final stnvey of property with accurate location of all buildings, property lines, streets, aud unusual natural or
topog~ al~hic f~atures.
2 Final Approval fi'om Health Dept. of water supply and sewerage-disposal (S-9 form).
(~.'\pp~ oxal of electrical installation fi'om Board of Fire Under, vdters.
4. Sworn state~nent fi'om plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Conunercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliauce 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.ex~stmg. ' "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 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
Ceilificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinmfing pool $25.00, Accessory building $25.00, Additions to accessory bnilding $25.00, Businesses $50.00.
2 Cerlificate of Occupancy on Pre-existing Building - $100.00
3 Copy of Certificate of Occupancy - $.25
4 Updated Ce~Xificate of Occupancy - $50.00
5 Tenq~orm y Ccdificale of Occupancy- Residential $15.00, Commercial $1500
Location cfP~opelty'
Old o'P 'e-existiug Fhfilding:
(check one)
NErO
House No. Street Hamlet
MapNo]OOO, Section . 117 _ Block 000~ lot 00~
]<ec]ucM i~l: ] CIl~l)CiI ~11 ) Celqi fica{ e
/dc -e
Final Certificate: (check one)
Applicant Sivnalule
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)
PERi, IT NO. 33731 Z Date MARCH 13, 2008
Permission is hereby granted to:
PAUL & THEODORE MAFFEI
20 CLIFF STREET
STATEN ISLAND,NY 10300
for :
INSTALLATION OF ELECTRIC SERVICE TO AN ACCESSORY GARAGE AS
APPLIED FOR
at premises located at 6285 NEW SUFFOLK RD NEW SUFFOLK
County Tax Map No. 473889 Section 117 Block 0005 Lot No. 006
pursuant to application dated MARCH 4, 2008 and approved by the
Building Inspector to exq~ire on SEPTEMBER 13, 2009.
Fee $ 100.00
/ Authori ~.ed Signature
COPY
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
Examined
Approved
Disapproved a/c
Expiration
~ /[~,20 0o~
qfl D 2o q_
PERMIT NO. 3 y 7.3 /
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 \~3 ,C> O
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact: ~[~&o~>ont~ A. P~^r~£!
Mailt0: /?o. /3'ox ,5'2.
Phone: [~31- 734
APPLICATION FOR BUILDING PERMIT
Date ,'~A RCH ~ ,20 Ocd'
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.
p.o. Box ,5'2
(Mailihg address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(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.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
52£o~- N~, ~r£o~ ~v.
House Number Street
Hamlet
County Tax Map No. 1000 Section I ! 7
Subdivision
Block O'~ Lot
Filed Map No. , .: Lot
State existing use and occupancy of premises and intended use and occupancy of proposed constructi0~.
a. Existing use and occupancy C~A/2AFok" ('~'F. oo'7' ~-~,q/-~'F o£ f~o~tZ~
b. Intended use and occupancy ~^aA~,g ~,/r~ ut4~t q povaaf~'~
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
Estimated Cost ~ ~, 2 o O Fee
If dwelling, number of dwelling units
If garage, number of cars
(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 2 1 ~ ~- Number of: Stories
F~-
Rear ,-q 2 _Depth
Dimensions of same structure with alterations or additions: Front .3 7. Rear
Depth 2. 4'~r Height 2/r~ ~ Number of Stories 2
F7
9.
10. Date of Purchase
Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Size of lot: Front / 70.43' ?'r ~'~
Rear / 0' 3. 4 Z ~-'? Depth
~a~ t4~ I~q3 NameofFormerOwner ~o~ ff}~re't~t,
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 ~ Will excess fill be removed from premises? YES NO__
14. NamesofOwnerofpremises [~¢o,o~. ~. ~rr,-t Address ~gn ]t~ N ~ PhoneNo. ~31-734-zCo~
Name of Architect Address t o3o¢ Phone No
Nme of Contractor Address Phone 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 BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES ~,, NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
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.
18. Are there any covenants and restrictions with respect to this property? * YES
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
COUNTY OF~S:
(Name of individual sigifing contract) above named,
(S)He is the ~)~a~w g' ,~
(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.
Swoamto before m_e l~fis ! ,, ~
- No~y.~'~ublic~ MELANIE DOROSKI ' '
NOTARY PUBLIC, State of New York
No. 01D04634870
Ouahfled ~n Su.~o~k ~ounty ,~ ~, ~
~s~on ~ires S~mbe[ 30, ~.l ~
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
BRIAN BROOKS ELEC. INC.
BOX 1001, 455 BEEBE DR
CUTCHOGUE, NY 11935,
upon premises owned by
PAUL MAFFE
6285 NEW SUFFOLK RD
NEW SUFFOLK, NY 11956
Located at
6285 NEW SUFFOLK RD NEW SUFFOLK, NY 11956
Application Number: 3065748
Certificate Number: 3065748
Section: Block: Lot: Building Permit: 33731Z BDC: ns11
Residential
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, Second Floor, new garage,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 12th Day of August, 2008.
Name QTY Rate Rating Circuits Type
AdditionalCharges
install new sub panel in old barn, install sub
panel in new garage and wire garage
Panels
1 30 4
I 50 4
Wiring And Devices
Fixture 11 0 Incandescent
Outlet 11 0 Fixture
Outlet 25 0 Gen, Purpose
Receptacle 2 0 GFCI
Receptacle 18 0 Gen, Purpose
Switch 9 0 Gen, Purpose
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.
OWNER
FORMER OWNER
TOWN OF SOUTHOLD
P4~OPERTY RECORD CARD
STREET ( ? ....£//~_,
VILLAGE
DISTRICT SUB.
ACREAGE
-Y, O(n t
TYPE OF BUILDING
LOT
RES.,., ~ SEAS. VL. FARM IND. CB. MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE
~6 66
AGE BUILDING CONDITIOF
NEW NORMAL BELOW ABOVE
Farm Acre Value Per Acre Value
COMM.
j REMARKS
FRONTAGE ON WATER
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushlan~,,'
Ho~se Plot
Total
~O
BULKHEAD
DOCK
117.-~6 1/00
Extension
Extension
.:_~_ sement .
Ext. Walls
Fire Place
~_~ [ ( JZ~ Bath
"~ 6~: z/~ Floors
_._ __~,~J?4_ r'r4 Interior Finish
/~ ~ ( ( Heat ~,
_.,~:_2~.~,~_~] ~,oof Type
'' Rooms 1st Floor
Rooms 2nd Floor
Dormer
117.-5-6 1/08
M. Bldg. ., .~ ___ ~,C~dation
~ z ~ ~. Bath
Extension ~, ' ' "~ ~i~asem ent -? Floors
Extension
' Extension
~ ~_ Bath /
.Z z ~,,.,~, Floors
~:xt. Walls =_~..~ , . /, ,nter~or Finish J.~.
Fire Place -~eat
FORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Office of the Buildin~ Inspector
Town Hall
Southold, N.Y,
Certificate Of Occupency
No. ~.108D.~, ......... Date ....... ~.e. qe. v~p.e.v...4 .............. 19.8}.
THIS CERTIFIES that the bufldh~g ~ ...............................................
Loca~on of Property ,6~5 ............. ~!p~ .~g.f.f.q~., .~o..a.d ........... ,~.e.w., .S.uf.f.o..1~.
County Tax Map No. 1000 Section ...~ }.7 ....... Block ,...0~ .......... Lot ....0.0.6. ..........
Subdivi~/on ..... XX ....................... Filed Map No..X. ...... Lot No .... X. .........
Requirements ~or n px'tva~e on®-famlXy dwelling built
conforms substantially to the
Certificate of
prior..~¢. A~ril..~3..., 19 .~ 7pursuant to which 8~lM~P~tflflt No. Occupancy Z ~ 0802
dated ... ~ecem~..~ ............. ]9.8. ?, was ~ued, a.d coofon.~ to ~ of the r~quirements
of the appUcabla provisions of the law. Th~ occupancy for which this certificate is issued is . ·
· p.~.~w.~.~. ~ .n.c.-, ~. ,~ .~.~.~. ~, .~.!.~.~,..~.c.?. ~.~.o.~ ¥, ~.aT.~..' .~?..~ ?.k.e,n., .~?.o.p. :.
wood privy.
T~e cemficate is ~ucd to ..... ~.s. ,~ ,a.~.e,* ~ .~..g.~ .n** ?.o, .s ,~ .e.~. .............................
o~ the aforesaid b~ilding.
Suffolk County Department o~ Health Approval # / R
UNDERWRITERS C~RTIFICATR NO ............... ~./~ ................................
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.~ 3..1.5.~.~ .......... Date .... ~.a.e. qh.. ? ..................... 19 .8.3.
THIS CERTIFIES that the building ~1.. l.tt ) ..........................................
Location of Property 6285 New Suffolk Road New Suffolk
County Tax Map No. 1000 Section . J %.?. ....... Block . ~5 ............ Lot .. 9.0.§ ...........
Subdivision ...... X. ........................ Filed Map No. .X ....... LotNo..X. ...........
Requirements for a private one-family dwelling built prior to
conforms substantially to thc Al~ldicel/e~.fe~-~,~laen~t--heeete/a~4'~ed-i~-t~d~-eRr~e~lat~d
Certificate of Occupancy
..... .A p.r./..1..2.~ ...... ,19 .5.7. pursuant to wlfich B~/lgL,~ :'~,,:t No..Z.a. ! 5 J ?. .............
dated . .M.a.v..c.h..?. .................. 198..3., was issued, and conforms to all of the requkements
of the applicable pzovisions of the law. The occupancy for which this certificate is issued is . .a ......
.o.q~r~.~lY..~.~g. A~. ~.c.q~p~.qr.y..b. qi..1.d.i.n.g.s, accessory barn. chicken
coop, small wood privy).
The cer~ficate is issued to .......... ~.aFL..~A¥¥~.I,. ~.~.~ $ D ~.T.~. ~....~ $ .F.F.E.I.. ~ ..........
(owner,~ta~a~n~ THEODORE MAFFEI
Of the aforesaid budding.
Suffolk County Department of Health Approval ..... ~/..R ..................................
UNDERWRITERS CERTIFICATE NO ............. N~B ..................................
The non-habl:able conditions of the pre-existing dwelling have
been corrected and the dwelling now is habitable.
....... ...........
Building Inspector