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HomeMy WebLinkAbout34044-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33635 I~ate: 04/07/09 THIS C~u~TIFIES that the building ALTERATION Location of Property: 200 DIAMOND LA PECONIC (HOUSE NO.) (STREET) (HAMLET) Co%ulty Tax Map No. 473889 Section 68 Block 1 Lot 5.1 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23, 2008 pursuant to which Building Pezmit NO. 34044-Z dated JULY 8, 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATTI & DARREN ARONOFSKY (OWNER) of the aforesaid building. SuF~OI~(CO~DEPAR~T~TOFHF~_LTHAPPRO%5~L N/A ELEt-rKIC3~L C~RTIFICA~ NO. 4010512 03/27/09 ~U~ERS c~KTIFICATION DA'r~u 03/06/09 CUTCHOGUE EAST PLL~BING 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 property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from amhitect 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: 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 1. Certificate of Occupancy - New dwelling $25.00, Additious to dwelling $25.00, Alteratious to dwelling $25.00, 3. 4. 5. New Construction: Location of Property: OwnerorOwnersofProperty: ~O[})(i 0~ ~l)~r(f4~ Suffolk County Tax Map No~lT0~, S]ection 0 ~ ~ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. Old or Pre-existing Building: xJ (Check one) House No. Street Hamlet Block 0001 Lot Subdivision Filed Map. Permit No. ~0 q I~fi'L- Date ofeermit. ~7 t <g I O g Applicant: Health Dept. Approval: }d{)~" ~'~(~Lk)I~.~{~> Underwriters Approval: Lot: Planning Board Approval: .[xJ_t~ ~(~ ~-~ ~ Request for: Temporary Certificate Fee Submitted: $ ~g'. ~) ~) Final Certificate: 4 (check one) OFFICE OF THE BUILDING INSPECTOR TOWN OF SOLITHOLD C E RTI F i C A~ I O N OATE: ~ certi[y that contains £e_s than 2/10 of No tar¥ the solder used in the water supp-~ 1% lead, BY THIS CERTIFICATE OF COMPLIANCE THE N'EW 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 P, ARONOFSKY A. TOMLINSON JOHN LUDEMANN PO BOX 621 200 DIAMOND LANE NEW SUFFOLK NY 11956 PECONIC, NY 11958 Located at 200 DIAMOND LANE PECONIC, NY 11958 Application Number: 4010512 Certificate Number: 4010512 Section: Block: Lot: Building Permit:. 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: First Floor, 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 the27th Day of March, 200% Name QTY Rathe Rating Circuits Twe Alarm and emergency equipment Sensor 1 0 0 Carbon Monoxide Sensor 3 0 0 Smoke Appliances and Accessories Dish Washer 1 0 1.2 KW Exhaust Fan 2 0 F.H.P Wiring And Devices Fixture 4 0 Fluorescent Fixture 5 0 Incandescent Outlet 9 0 Fixture Outlet 22 0 Gen, Purpose Paddle Fan 3 0 Receptacle 1 0 30a-laundry D~er Receptacle 5 0 GFCI Receptacle 15 0 Gert, Purpose Switch 10 0 Gert, Purpose seal Continued on Next Page 1 of 2 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 N'EW 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 JOHN LUDEMANN PO BOX 621 NEW SUFFOLK NY 11956 P. ARONOFSKY A. TOMLINSON 200 DIAMOND LANE PECONIC, NY 11958 Located at 200 DIAMOND LANE PECONIC, NY 11958 Application Number: 4010512 Section: Block: Lot: Certificate Number: 4010512 Building Permit: * 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: First Floor, 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 the2?th Day of March, ZOO<). Name OTY Rate RatinA Circuits Type 2 of 2 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. BUII~DING PEIA~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEI~IT NO. 34044 Z Date JULY 8, 2008 Permission is hereby granted to: for : P & D ARONOFSKY 200 DIAMOND LA PECONIC,NY 11958 ALTER3kTION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 200 County Tax Map No. 473889 Section 068 pursuant to application dated JUNE Building Inspector to expire on J~qUARY DIAMOND LA PECONIC Block 0001 Lot No. 005.001 23, 2008 and approved by the 8, 2010. Fee $ 200.00 Authorized Signature COPY Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [~INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/~NSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ~FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF $OUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ~ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION ~ STR~PPING ]FINAL [ [ ] FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION RI~~ REPORT I DATE COI'~I%IqTS FOliATION (IST) FOUNDATION (gl'qb) ROUG~ FRAxMI2NG & pIAJ1V~ENG [iNSULATI©N PER N. Y STATE ENERGY CODE FINAL ADDITIONAL COM2VI~NTS TOWN OF SOUTHOLD BUILDING DEPA~RTMENT TOWN HALE SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration PERMIT NO. / Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Plmming Board approval Surve~ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: '"', ': i -: ~:'~ -- -APPLICATION FOR BUILDING PERMIT 2005 : JUN ? 3 ~ '') ! Date - ~ INSTRUCTIONS a. This ap~li,.~tion:I~UST be c[mpletely filled in by t~ewriter or in i~ and submitted to the Build~g ~spector with 4 sets of p~m~a, accura~ p~t p~ t~a J. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoin~g premises or public streets or areas, and wate~ays. c. ~e work covered by this application may not be commenced before issu~ce of Building Pe~it. d. Upon approval of this application, the Building ~spector will issue a Building Pe~it to the applicant. Such a pe~it shall be kept on the premises available for inspection t~oughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu~ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building pemit shall expire if the work authorized has not commenced within 12 months a~er ~e date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the prope~y have been enacted in the ~terim, the Building Inspector may authohze, in writing, the extension of~e pe~it for an addition six months. Thereafter, a new pe~it shall be required. ~PLICATION IS HE,BY M~E to the Building Depa~ment for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordin~ces 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, ~ ~ ~and to admit authorized inspectors on premises and in building for necessa~ inspections. fignamre of appl~nt or mme~if a co~oration) ..(Mailing add~s of applicant) State whether applic~t is owner, lesse chitect, engineer, general contractor, electhci~, plumber or builder Nameofownerofpremisesg/t~T"'~l ~ q~)P~~'x~ (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. 1. Location of land on which proposed work will be done: House Number Streetr~)~ ~)[P~/~,[[~) ~,~, Hamlet ~~ County Tax Map No. 1000 Section ~ Block ~J Lot ~'~ Subdivision Filed Map No. Lot ¸3. State existing use and occupancy of vremises and intended a. Existing use and occupancy b. Intended use and occupancy~[-')~t~ Nature of work (check which applicable): New Building_ Repair Removal Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee ;se and occupancy oforoposed construction: Addition Alteration Other Work[K~~ ff ~[~ " ........ {D~ddfi~tion) " (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height_ Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth_ Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Sizeoflot: Front Rear Depth 10. Date of Purchase Name of Former Owner 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 b,e re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner oz premises AdSress Phone No." Name of Architect M .h~A ~ I AddressF/b }ZIk'M > 'STPhone Name of Contracto~ - Addre_s~43;'-lqxf I DDi~ /)hone~'~~ 15 a. Is this property within 100 feet ofatidal wetland or a freshwater wetland? *YES NO~' '~ -I ! I 'O~-I e> * 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) COUNTY OFI~ ¢~"~'~S: M~ b ~V I ~'~--' [~ V~ ~x~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contracto~r~orporate 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. Sworn to before me this Notary Public STUART GOLDSTEIN Notary Public, State of New York No. 01 GO60 ! 8595 Qualified in New York County Commission Expires Jan. 11, Maurice Irving & Associates 176 Grand ~eco~d F~or ~ew Yo~ ¢~, New Y~k 10013 Transmittal Fgrm FaXNo.: 1410850 call us lyo~ have any queslions (x would like lurt~e4' a~is~anoe. Thank you. 0T-O8-2888 18:49 SOUTHOLD BUILDING DEPT 16317659582 PAGE1 07-08-8008 18:50 SOUTHOLD BUILDING DEPT 163176595~ PRC~8 40US~N N/F ZAH1D REALTY CORP. E 71.08' / / N/F ROGAN SURV£YE~ tS JUNE '98 /TOWN OF $OUTHOLD' PERTY RECORD CARD OWNER FORMER OWNER TOTAL BUll STREET s ~/, FARM DATE / '/.fY::.. VILLAGE .) E ,.) ~'~.J ?/~,,, ,, !,-, COMM. I IND. DISTRICT SUB. ACREAGE TYPE OF BUILDING CB. MISC. LOT / REMARKS ' /¢odland uampland -ushland Iouse PI6t ' ~F )E~- ~ L- I z 3' V - /~o* M. BI.dg. ...0 ~/~' ~. 0 -_ ~'~ 0 ' z~c , _ Foundation Bath Extension / Z X / ~ ~ Z ~ ~ ~ -~ 5~ ~ 70 Basement ..~) Fl~rs Extension ~ ~ ~ _ /~ ¢~2., ~.~' ~'~ ~t. WaJJs ~'~ d Interior Finish Extension Fire Place ¥~.0 Heart (%g ' r. n ' ~ r~ ri ~' Porch Attic ~ ~ ~ r- ~ ~ Porch Rooms 1st Floor Breeze~l J%XI~= /~ / J Patio Rooms 2nd Floor C~ rage Driveway , M. Bldg. I:, ~Extensi°n..- .... Foundation Bath Floors I ,nterinr Fini,h ~" ,=Ii TE OF OC TER ~ ~ ~/~ ~/~;.-~ ~ ~ ~*~ LO'Ar!NG INSPECTIONS: AELCONSTR~iON~HALL ~u~o~u~ F~~wr 1,,/ ' , , r, ~Ft')UNOATION . ~/¢0 REQURED THE R~~ OF TH~/ ~DES OF NE ': ur K &fATE. CERTIFICATE L __4~ FINAL - CONSTRUCTION MUST , - !~ Y R I T ~T RE~Fu~EE FOR ~OCCUPAN%T ........ ~o~- ...... ~L~ & C~N~I~NS ~UIRED. ' - ~¢a~. ii', tD