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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~. ,¸%