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Home My WebLink About34541-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33657 Rte: 04/20/09 THIS CERTIFIES that the building ADDITION Location of Property: 10075 NASSAU POINT RD (HOUSE NO.) County Tax Map No. 473889 Section 119 Subdivision CUTCHOGUE STREET) (HAMLET) Block 1 Lot 12 Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 2009 pursuant to which Building Pern~t No. 34541-Z dated APRIL 3, 2009 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 ADDITION TO AN EXISITING ONE FAMILY DWELLING /kS APPLIED FOR. · ~ne certificate is issued to COOKE LIMITED PARTNERS ( OWNER ) of the aforesaid building. SUFFOLK COUNTYDBPANT~ENT OF HEA~THAPPRO~-AL N/A ELECTRICAL CERTIFICATE NO. 4026589 04/13/09 l~L~ C~KTIFIC3%TION DA'r~ N/A 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 A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property line topographic features. 2. Final Approval from Health Dept of water supply and sewerage-disposal (S 3. Approval of eleetrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system con 5. 8LDO. DEPI:. ins less Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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 iuspeet signext 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, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pm-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. April 17, 2009 New Constmcti°n: Location of Property: Old or Pre-existing Building: 10075 Nassau Point Road X (check one) for addition to existing one family dwelling Cutchogue House No. Street Hamlet Owner or Owners of PropertY: Cooke Limited Partners Suffolk County Tax Map No 1000, Section 119.00 Block 01.00 Lot 012.000 Subdivision Amended Map A of Nassau Point FiledMap. 156 Lot: 82A Permit No. 34541Z Health Dept. Approval: Date of Permit. 4/3/09 Applicant: Cooke Limited Partners by Abigail A. Wickham, Esq. UnderwritemApproval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ 25,00 X ~ (checkone) J' :,yAp lica t Signature . ~//Ab±ga±l A. Wiekham, Esq. 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 REP ELECTRIC PO BOX 635 MATTITUCK, NY 11952, COOKE LIMITED PARTNERS LT 10245 NASSAU POINT RD NASSAU POINT, NY 11935 Located at 10245 NASSAU POINT RD cutchogue. NY 11935 Application Number: 4026589 Certificate Number: 4026589 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: Basement, 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 thel3th Day of April, 2009. Name QTY Rate Rating Circuits Type Miscellaneous as built finnished basement room Wiring And Devices Fixture 4 0 Incandescent Receptacle 4 0 Gert, Purpose Switch 5 0 Gen, Purpose An as built visual inspection of the delineated electr ca ns a a on, de ermined that an obvious hazard is not present and the installation is believed to be in conformance with the applicable reference standard ['or the estimated period o£construc~ion of the prermses wiring 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) PEP~4IT NO. 34541 Z Date APRIL 3, 2009 Permission is hereby granted to: COOKE LIMITED PARTNERS 1150 5TH AVE NEW YORK,NY 10128 for : ADD TO A ONE FAMILY DWELLING. THIS PERMIT REPLACES BP 10862. at premises located at County Tax Map No. 473889 Section 119 pursuant to application dated APRIL Building Inspector to expire on OCTOBER Fee $ 200.00 10075 NASSAU POINT RD CUTCHOGUE Block 0001 Lot No. 012 3, 2009 and approved by the 3, 2010. ' ~U~ed Sig~atur~ ..... COPY Rev. 5/8/02 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 QF THE WORK AUTHORIZED) PERMIT NO. 34541 Z Date APRIL 3, 2009 Permission is hereby granted to: COOKE LIMITED PARTNERS 1150 5TH AVE NEW YORK,NY 10128 for : ADD TO A ONE FAMILY DWELLING. THIS PERMIT REPLACES BP 10862. at premises located at 10075 County Tax Map No. 473889 Section 119 pursuant to application dated APRIL Building Inspector to expire on OCTOBER Fee $ 200.00 NASSAU POINT RD CUTCHOGUE Block 0001 Lot No. 012 3, 2009 and approved by the 3, 2010. ORIGINAL Rev. 5/8/02 l~UM' NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~J'~ 2 Z Date ...... .~..e. ~..~. ,e..m.[b.e. ?.....1..~ ..................... , 19....~...0 Permission is hereby granted to: BOX 1111 ..~.~.~97~.~..~[ -I,....1. ! .9.2.1 .............................. ~o .............. ...~..~..~..o...A...o..~[~...F....~.~.~.~...~..~..T,~ .......................................................................... at premises located at ...... J..0....~5...~.$..~..A.~...~9.I~...~Q.~ .............................................................. .......................................... .c..~..c.~..o..o..~.,...~....Y...,.. .U..~.35 ................................................................... ......... ~.s..S.~v....~o...z.~....-....~.o..~.s...~.~.......s..&,....s.Z. .~,.~. ................................................................... County Tax Map No. 1000 Section ....... ].J.~ .......... Block ......... ~ ........... Lot No ......J..~.~..~.~..& 1 3 pursuant to application dated .......... .S..e.~..e..l~..b...e..~...~ ................. , 19...~g., and approved by the Building Inspector. ~ee $......~.~.....0...0. ....... Building Insl~ctor Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY INSULATION FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~5~/t~' TEL.: 765-180:3 Examined .......... C~/t~'i 19..~. ermit No.. { .?~ Approved ................ - Disapproved a/c .... ~..... .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan io 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 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 issue a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy 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 or Regulations, for the construction of buildings, additions or alterations, or for removal or demon, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housintg,~code~and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspec~/~,~_~ {, / ......... ~ ..... :'.... ~...":.....¢7:~.. ............. (Signature of applicant, or name; if a corporation) . .'"'~. ~ × .t~..i .~....~.~ ~.-r..~..~. ~, .O...'t, .l.~. ?.'h.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................... Name of owner of premises ..... .~....~...~....~.~..O.o..1~..I.p-. ............................................... (as on the tax roll or latest deed) If applicant is a corporation, Signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... I.l.~. ................ Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will b/~ done .................................................. ........................ 0 ....... ........ House Number Street Hamlet County Tax Map No. 1000 Section ...... 11..~ ........ Block ...... ! ............ Lot..Itl., .I.~. j. !.~. ...... Subdivision~ . ./~_4~... ................. Filed Map No ............... Lot .~,~ .~..~.~..~-~,..~,9~ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... [ .y1. ......................... ~ i o.~ -/' ~..e ~,-~ ~,- ~, ~? ................................ b. Intended use and occupancy .............. .~....,4~.~...~.o ...... . ....................................... 3. Nature of work (check which applicable): New Building .......... Addition . ..~.. ..... Alteration .. J~:: .... Repair .............. Removal .............. Demolition .............. Other Work ............... ~' ~ o~_ (Description) 4. Est/mated Cost . ................... ~ ° Fee . ..................................... (to be paid on f'fling this application) 5. If dwelling, number of dwelling units I Number of dwelling units on each floor. If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupant3', ~pecify nature and extent of each type of use ..................... .."? 7. Dimensions of existing struc~ares, if any: Front...4 .~.°.o. ~. ..... Rear . ..4. ~. r 9. *, ..... Depth. .~..--.~..' 9. ~. ..... Hei t I~-O~ N ' gh ............. umber of Stones ....... I ................................................. Dtmens~ons of same structure w~th alteratmns or additmns: Front ...~..~... '9..--. ...... Rear . .~.~'..-9., ......... Depth ....~ .o.*.~..~ ........... Height ...["..-..'~. ~ ............ Number of Stories .. ! ................... 8. Dimensions of entire new construction: Front ...t.'~.-'.~. ....... Rear ...1.'~.'7. 9 ....... Depth ~ .-P ......... Height . .t.~..-~. ~ ...... Number of Stories ........ [. ................ Size of lot Front .... .'~.~.O...-~.. ?_. ........Rear ..... .~..~. 9..'~..~ ...... i 'D~' i i i~..~, i'~ i Date of Purchase ............................. Name of Former Owner ............................. Zone or use district in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: .... .~.~t ......................... Will lot be regraded ...... ~).~} ..... ~, ............ Will excess fill be removed from premises: Yes (~ Name of Owner of premises .-~..%~..%Y..~.~.~.~. ~6..~.... AddressO,~4$4 ~. ~'~'..~-..,'s. ..... Phone No.'~ .3.~. :.~99h .... Name of Architect ....... --. ..... Address ................... Phone No ..... ~. .......... Name of Contractor ~ .~. ,.&~...',F~.. i~...~.'~..~'~ ......... .... Address'~..~.~.l[~. ~.~.,07(..~..~.... Phone No."[..~.~...'~..~. ~-.... 10. 11. 12. '13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY O F .--f. q' ,~...,,ff.~.,~-.,~. ...... S.S (Name of individual signing contract) above named. He is the ......................................................................................... (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 ~e this application; that all statements contai, ned 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. Sworn to before me this /~ ~ day of ~C~ , 19 .............. ........ ............. Notary Publi ,,,~ ~.~ r,~au c, s~:wt.V.o,? . .~....' No. 52-4524771 ....................................... ~ Qu:~;iicd in Suffolk County ~,~la~,~i~sizn Ex[~ires Marcia 8% 1911~ (Signature of applicant) OWNER TOWN OF $OUTHOLD PROPERTY RECORD CARD '/ FORMER OWNER STREET :VILLAGE DISTRICT ACREAGE SUB. LOT ~j~" ~.~ /y~ N S W TYPE OF BUILDING VL. FAX COM..I'ND' i CB. M,SC. RES. LAND SEAS. ~ IMP. TOTAL DATE AGE BUILDING CONDITION NEW NORMAL Form Acre Tillable ] Tillable 2 Tillable 3 Wcodlond Swampland Brushland House Plot Total REMARKS BELOW Value Per Acre ABOVE Value M. Bldg. Extension Extension Extension -'Breezeway! Ga ge re / Foundation I Basement Ext. Walls Fire Place Patio Driveway Porch Porch Bath Floors Attic Interior Finish Rooms 1st Floor Rooms 2nd Floor TOWN OF S OLD PROPERTY OWNER ~/'~ORM ER OV~/I~ER STREET N S VI LLAGE E W IRE. ~/2.L ,, I LAND IMP. VL. TOTAL / ~._~) FARM DATE COMM. IND. REMARKS RECORD CARD DISTRICT SUB. , LOT ACREAGE ,~ ~/~-/__~ AGE ~ BUILDING CONDITION NEW , NORMAL BELOW ABOVE Farm Woodland ,Swampland 18rushlond House Plot Total TYPE OF BUILDING J CB. J MISC. J M. Bldg. Extension Foundation Basement Extension Extension Breezewa~ Garage Fire Place ,/,~, '; ~ '- (C , Porch Bath Floors Interior Finish Hea¢ Attic j Porch Rooms 1st Floor Patio Rooms 2nd Floor Driveway TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET N S VILLAGE E W DISTRICT SUB. LOT ~.~' ~ i AC~GE-J-~-~ . l" TYPE OF BUILDING j ~ES.~z/_ J s~,s. LAND i IMP. ? AGE NEW NORMAL Farm Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot VL. ,~"~- FARM COMM. IND. i CB. MISC. TOTAL DATE REMARKS BUILDING CONDITION BELOW ABOVE Value Per Acre Value Total ,~T~O~. O~ ADDITIO~ %1 NOTIFY BUILDING .~PART/~t,~X/T AT 765-1802 9 AM'--"F~I~."'ar:~ /.~ .~.,~l"l",~.~ ~ I~'. i_~OLLOWING INSPECTIONS: ~r FOUNDATION _ ~10 REQUIRE:: FOR POURED CONCRETE 2. ROUGH - FRAMING & PLtJMBi~45 .... ~ I?~l ~r ~T~J ~ _ 4. FINAL - CONST~UCTI.~d ~152T BE COMPLETE FO~ C. O ALL CONSTRUCTION S;4ALL MF~' THE REOIi]REMENTS OF THE N ~ STATE CONSTRUCTION ~ [hirer,x, CODES. NOT ,RESPONSIBLE FOP DESIGN OR CONSTRUCTION ERROq! %qSq 1