HomeMy WebLinkAbout33324-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA=RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33502
Ilate: 01/23/09
THIS CERTIFIES that the building ALTERATION
Location of Property: 355 FISHERM~lqS BEACH RD
(HOUSE NO.) (STREET)
Co%~nty TaxMap No. 473889 Section 111 Block 1
subdivision
Filed Map No. __ Lot No. __
CUTCHOGUE
LOt 37
( HA~4LE T )
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 20, 2007 pursuant to which
Building Permit No. 33324-Z dated AUGUST 20, 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 ROOF ALTERATION WITH SKYLIGHTS TO AN EXISTING ONE F~MILY DWELLING AS
APPLIED FOR.
The certificate is issued to ANNA K CL~4MINGS & RICHARD COSTER
(OWNER)
of the aforesaid building.
SD-FFOI=KCO~DEP~TT~ENT OF H]~ALTHAPPROIL%L N/A
EI~C'FRICAL CERTIFIC~%TE NO. 3021245 01/12/09
PLI~WBERS CERTIFICATION DATED N/A
tho/zed S~gnature
Rev. 1/81
~OV 18 '~
03:53PM SOUTHOLD BUILDIHG 631 765 95~
ltor'm No. 6
- TOWN Git SOUTIIOLD
BUILDING DEPARTMXNT
TOWN' I~L~LL
765-1802
P.1
A~PLICATION FOR CERTIFICATE OF OCCUPANCY
T~'is application must be filled in by typewr/ter ct ink and sub~itted to thc Building Deparm~nt with fl~ following:.
A. For new building or new use:
1. Final survey of property whh aocutute locatlol~ of all buildings, property lines, streets, and unusual natural or
topo~'aphic features.
2. Final Approval from Health Dgpt. of water supply and sewerage-disposal (S-9 fon~).
3. Approval of ¢le~txical installation fi'om Board of Fire Under,'imm.
4. .qwom statement fi-om plumber certifying that the solder used in system contains leas thaa 2/l 0 of ! % lead.
5. C~mmarcia~building~in~t~iaIbt~ding~mul~p~er~id~-e~and$imi~arbui~dingsandin~tal~ati~n&ac~tifieate
of Code Compliance from architect or ~gi~er responsible for the building.
6. Submit Plamfing Board Approvai of completed site phn requirements.
:
B. For exhting buildings (prior to April 9. 1957) non-conforming us~, er buildlags and "Pre-existlngTM
1. Accurate st~rvey of propcn'y show/ng all propexty lin~s, streets, building and unuaual natural or topographic
features.
2. A properly completed application and ~ons?nt ~o inspect signed by th~ applicant. Ifa C~tificate of Oc~:upancy is
den/ed, the Building Inspector ~hal! ~tato the r~aaous therefor in writing to th~ applicant.
C. Fees
Certificate ogOecupancy - New dwelling $25.00, Additions to dwelling $25.00, Alt~ationa to dwelling $2~.00,
Swimming pool $25.00, Accessory building $25.~0, Additions to accessory building $25.00, Bus. in¢~s¢~ $50.00.
2. Certiticate of Occupancy on Pre-existing Buil0kag - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated C~-tificate of Occupancy - $50.00
5. ?emporary Certifica~.e of Occupancy - Residential $15.00, Commercial $15.00
New Construction: Old or Pr.:-exbting Buil~lg:
House No. S~t
O~eror~ersofPrope~y:~ ~ · ~ ~ ~ '~
Suffolk CounW T~ Map No 1000, S~tion ~ /// Bilk
Subd{vJsion
PennitNo. ~.~, _~ ~'4
itealth Dept. Approval:
Plmming Boaxd Approval:
Request for:
Date of Pcrrait,
Temporary Certificate
(cheek one)
'-'Hamlet
~C9~ f , Lot
Filed Map. Lot:
Applicant: ~ ~ ~'~ ~ ~ ~ ~*
Und~ters Ap~o~I: ~ ~
Final Certificate: ~ (cheek one)
Fee Submitted:
(¢ ",,~6plicant Signature
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
B.J. ELEC. CO,
4300 STILLWATER AVE
CUTCHOGUE, NY 11935,
BENJAMIN SUGLIA
4639 STILLWATER AVE
CUTCHOGUE, NY 11935
Located at 4639 STILLWATER AVE CUTCHOGUE, NY 11935
Application Number: 3021245
Certificate Number: 3021245
Section: Block: Lot: Building Permit: 0 BDC: ns11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second 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 Enforf~t~nent and Ad0~inistrat. i~o, or other
authority having jurisdiction, and found to be in compliance therewith on the Day of oanuary, ~.uv.
Ratine
0
0
t.2
Circuits Type
Name QTY Rate
Alarm and emergency equipment
Sensor 2 0
Sensor 5 0
Appliances and Accessories
Dish Washer 1 0 KW
Exhaust Fan 4 0 F.H.P
Furnace 1 0 Oil
Range I 0 50 Amps
Panels
1 100 32
I 100 34
Wiring And Devices
Dimmer 3 0 120 V
Fixture 3 0 Fluorescent
Fixture 3 0 Low Voltage
Fixture 58 0 Incandescent
Outlet 64 0 Fixture
Outlet 89 0 Gen, Purpose
seal
Continued on Next Page I of 2
Carbon Monoxide
Smoke
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 STREET ~ NEW YORk, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
DOROSKI ELEC. INC
P.O. BOX 781
CUTCHOGUE, NY 11935,
ANNA CUMMINGS
355 FISHERMAN BEACH RD
CUTCHOGUA, NY 11935
Located at
355 FISHERMAN BEACH RD CUTCHOGUE, NY 11935
Application Number: 4019077
Certificate Number: 4019077
Section: Block: Lot: Building Permit: * BDC: ns11
Described asa Residential Occupancy, whe h "~ ~ ~ ~' q
rein t e premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Attic,
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 thez9th Day of December, 20~8,
Name QTY Rate
AdditionaICharges
as built 1998
Wiring And Devices
Fixture 3 0
Outlet 3 0
Outlet 3 0
Receptacle 1 0
Switch 3 0
Rating Circuits Type
Fixture
Gen, Purpose
Gen, Purpose
Gen, Purpose
An as built visual inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is
believed to be in conformance with the applicable reference standard for the estimated period of construction of the premises wrong system
I of I
seal
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. 33324 Z Date AUGUST 20, 2007
Permission is hereby granted to:
ANNA K CUMMINGS
PO BOX 137
CUTCHOGUE,NY 11935
for :
CONSTRUCT A NEW ROOF ON AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.THIS PERMIT REPLACES BP # 19323
at premises located at 355
County Tax Map No. 473889 Section 111
pursuant to application dated AUGUST
FISHERMANS BEACH RD CUTCHOGUE
Block 0001 Lot No. 037
20, 2007 and approved by the
Building Inspector to ex~ire on FEBRUARY 20, 2009.
Fee $ 158.75 ~~ho i~
/A ~Z~/Jignaturey --
Rev. 5/8/02
ORIGINAL
/~0~ NO. B
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 WORI~AUTHORIZED)
~'39,~ Z D,,to ............................................ , ~..~..o
County Tax Map No. 1000 Section . .. ~. ./. ./. ............ Block .......... ~... .......Lot No ...... ~..~... .......
pursuant to application dated .............................................. , I~...., and approved by the
Building Inspector,
Rev. 6/30/80
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
Disapproved a/c .....................................
,/[ B u i~n § Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH
B SETS OF PLANS ~ .........
CHECK .<
SEPTIC FORM
NOTIFY
CALL
MAIL TO:
BLDG. DEPT. 'l
TOWN OF SOUTHOLD~._j
.......... 19 .
INSTRUCTIONS
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, ~vith ~
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 street:
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
! cation.
~. 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 issued a Building Permit to the applicant. Such permil
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 whatever until a Certificate of Occupan%
shall have been granted by the Building Inspector. '
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 ot
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 tn
admit authorized inspectors on premises and in building for necessary inspections.
~u~or~T ~^~-r /Nc.
(S~nature o! apphcant, or name, If a corporation)
...... ~., .cO.n.t.c.. .... .~.:W.,...[ l.fl ~.8... .........
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner~ ......................................
~/~/~/2' (as on the tax roll or latest deed) .........
If appl. ~ of duly authorized officer.
Builder's License No ..... .~. Z .... .~...~..~...~. ....
Plumber s L~cense No .... :... '. - -
Electrician's License No ...... . ..............
Other Tradc's License No .... : -
I. Location of land dn which proposed work will be done ............. "
.......................... ':;7 '... r. .; :: hz, i . . . .~:::~:~..!7 / ~,'6C~,..XO,_ C,O. ~----- ,
House Number Q-J ..................
Street, · ' ' Hamlet
i t
County Tax Map No. 1000 Section .................. B pek .....
..... . .... Lot ..... ...
Subdivision ~4~CD~('C ~..6~. p(O~..~..'-~Lgoc . Eiled Map No. ..~.~.~. .... Lot .... ~::~..
.............. %fahi6.. v .......... ~' · .. . ......
2. State existing use and occupancy of premises and intended use and occ~:pancy of proposed constrnctioll:
3. ~Natu.re of wo. rk/(check which applicable): New Building -..'.. Add' '
r, epa~r .... W ......... Remov ... · · it:on .......... Alteratlon ..._~
~-,~,^A,~,. ~ · t. al .... ~.~ ........ Demohtlon . . ~ot._ u, , ' .......
~.~r~v,~. C~'~t~w,, act COOKE-- ~lC~ ~ ~_cx~ : '~' ......... ,-,mcr~vor~¢ ............
Estimated Cost ........... } ................... .... ~./.~.. .... . ....: ...............
(t~e pfiid on fi mg th,s application)
5. If dwelling, nmnber of dwelling units ....... /
........ Number of dwelling units on each floor. '
6. If garage, number of cars ................... . ..............
If business, cmnmercial or mixed occupancy, specify natur~e and .....
Dimensions of existing structures, if any' Front ~-/ ..............
7. extent of each type of use ........
· '0 / / ' ", ............ Rear ..:...~.//... Depth ' ~.'~37 .......
He:=ttt ...... ~. ........ Number of Stories / . . ' ..... ·
Dimensions of same structure with alterations or additions: Front .............
Depth . $cZtr~.~ · .... .o., t ..... .~..a~..q~.... Rear
..... .',e ~ ............ t~elgnt . . . ~ e-- . ' · ......
· 8. D~men~ian~o~ en¥ife new construction. Front '" ~'~ ~'.~ 7 ..... ~.. Number~of Stones .... /. ......... ' j .....
Height .. /~.t .......... ,,, ~- .... Jqear .... .~'.~..r~...%.. Depth ...~..,~.¢ 'jj"
............ Number of Stories. '~ ~:~i
9. Sizeoflot: Front.... '7~-7 .... '~ ....... ' ........................ " '
10. DateofP. urchase '" · · R ar ..... . ...... Depth .... .... j"
.............................. ame ofFo=er O,vne .....................
11. Zone or use district in which premises are situated. ~ · .
12. Does proposed Construction violate an ..... : .... · · :.. ..... ~'..5'.t ~ .~ .~.¢/.. '- ................
13. Will lot be re,,radea A] to j ,~,.,nmg law, ormnance or regulation .. /LJ O ........
............. m excess fill be r%m~oved from premises: , Yes No
14. Name of Owner of pr~mises .-4]~rl..~c./.roogjAq..~. Address .B...~-:~ .73'~?-.....~.~. .... Phone No 7./.~.
Name of Architect .............. ~. ·. Address Uae. .s 9 /~.~t ..;r-(.r. Phone N . ..
Name of Contract ~r' ~; r orna,~ ~ '~'~ ~ b' [,,.; ' '4 .... ,~/ c, ' '
.......... .. 0"15- /~*c,~¢~ ........
1 5 I s t ........ Address . . . ~ ';,oee~. .g _
- hxs property locat-.a ._.;,-u: ..... .L~z,r~e_'t%oon/<. .... Phone No. .'2. . .4
:~.~,: _ - ~-,-,,~-,,..:luu "~eet o;: a tidal w~,-a__~? ~__ ' ..... .--.
yes, ::;out:hold To~n Trustees Permit may be retaulrorl ~-J-auu. II~ .... 1~O ....
.. PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whe}her
interior or comer lot.
STATE OF~XEW YORIC....
.... ..... .........- ...... .............
(Name of iudividual signing contract)
above nan~ed.
being duly Sxvom, deposes and says that he is the applicant
lie is the ....... ' '
agenf,,corporate officer, etc.) .... ' ..........
of said owner or owners, and is duly authorized to ~rform or'have performed the said work and to a s
application: that all statements contaiued 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.
Swum to before me this
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSIRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INS~LATION
[,~INAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
INSPECTOR'S'
FOUNDATION (lst)
FOUNDATION (2nd
ROUGH FRAME &
.PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
2885 Indian Neck Lane ~;'
P.O. Box 197
Peconic, New York 11958-0197
631-734-7474
Fax: 631-734-5812
August 16, 2007
Southold Town Building Dept
P O Box 1179
Southold, NY 11971 '--
RE: Permit # 19323, Cummings residence
To Whom It May Concern:
Enclosed is our check for $158.75 to renew the above mentioned permit. Once we have
the permit, we will call for a final reinspection and file for the Certificate of Occupancy.
Please let us know if there is anything else that needs to be done.
Sincerely,
.1......3
/Judy Mc^fee 8}'
Office Manager
Environment East, Inc.
Environment East, Inc.
R. R. No. 3 - 3075 Indian Neck Lane
Peconic, New York 11958
516-734-7474
,/coo- ///./_.~? TOWN OF SOUTHOLD~"~C~Y RECORD CARD
OWNER
STREET
N
VILLAGE
W
DISTRICT I SUB.
TYPE OF BUILDING
LOT 4
, RES.
LAND
SEAS.
NEW
Fa rm
Tillable
Tillable 2
Tillable 3
, W¢odland
Swampland
B rusF~d,.~
Hous~.P,~;.~
Total
IMP.
NORMAL
Acre
VL.
TOTAL
FARM
DATE
BUILDING CONDITION
BELOW
Value Per Acre
COMM IND J CB MISC
~ ' 4~.~ ,'o /~'e. ·
~., Id ~~ ~,lv d~ll,.~,~~d~
CoL I~, ~ ~'- ' ~ ' ....
Extension
Extension
~:. ,: , ~X ~ = I~ Porch Rooms 1st Flor
Breezewa~ Patio Rooms 2nd Floor
Garage Drive~y
~1 ,'
-7
Iq--
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
D
FEE:
NOTIFY BUILDING OEPARTI~ENT AT
76~1EO2 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION - ~ REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
~ FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DES!C~N OR CONSTRUCTION ERRORS
~k~qov~- BY
~oo~.
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