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Home My WebLink About35688-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34469 Rte: 07/22/10 THIS c~KTIFIES that the building ACCESSORY GAZEBO Location of Property: 200 PIERCE DR CUTCBOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 136 Block 1 Lot 35.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 2010 pursuant to which Building Permit NO. 35688-Z dated JULY 2, 2010 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 "AS BUILT" ACCESSORY GAZEBO AS APPLIED FOR. The certificate is issued to JAMES & ELAINE O'KEEFE (OWNER) of the aforesaid building. SL~FOLK COi~YDEPARg~4ENTOFHF~%L~API~RO~-~J~ N/A ELRC'~RICAL cK~TIFICATH NO. 35688 07/19/10 PLIERS C~TIFICATION DA'r~3 N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/]ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35688 Z Date JULY 2, 2010 Permission is hereby granted to: JAMES & ELAINE O'KEEFE 200 PIERCE DRIVE CUTCHOGUE,NY 11935 for : "AS BUILT" ACCESSORY GAZEBO AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 136 pursuant to application dated JULY Building Inspector to expire on JANUARY 200 PIERCE DR CUTCHOGUE Block 0001 Lot No. 035.001 2, 2010 and approved by the 2, 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be rifled 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 (8-9 form). 3. Approval of electrical installation firom Board of Fire Underwriters. 4. Sw~m statement fr~m p~tanber cer~fying that the s~~der used in syst~m ~~ntains ~ess than 2~~ ~ ~f ~ % ~ead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect 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 propeVty showing all property lines, streets, building and uunsual 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 Lnspector 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 Pre-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 Old or Pre-existing Building: House No. Street New Construction: Location of Property: ate. '7- }}-t o (check one) Owner or Owners ofProperty: '~&lht~_<~ ~ ~1~,~t'~2 Suffolk County Tax Map No 1000, Section [ ~'~ ~, Block Subdivision Permit No. ~ ~-/o ~ c"6 Date of Permit. Filed Map. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) pplicant Signat4re 31373 Main Road P.O. Box 117!1 Southold, NY l 1971 Telephone (631) 76.5-1802 Fax (631) 7f;,5-9,502 rofler, richort~town.southold.n¥.us B1 fILl)lNG 1)EPAllTM I';NT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: J&E O'Keefe ~,ddress: 200 Pierce Dr. City: Cutchogue St: NY Zip: 1193.~ 3uilding Permit#: 35688 Section: 136 Block: 1 Lot: 33/35 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Corn mefical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: power to 9azebo-includes, 1 paddle fan, 1 GFCI recpticle Ceiling Fixtures ~[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent FixtUres~ Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS Notes: Inspector Signature: Date: July 19 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPEC11ON [ ]R~ERESm'aN'rCO~q'R~ [ ]RRER~S~TAN'r~rd~ETRAT~N REMARKS:, DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ]FOUNDATION 2ND [ ]INSULATION FRAMING / STRAPPING [~r FINAL /~ r' [ ] / [ ] FIREPLACE & CHIMNEY [ ] fiRE SAFETY INSPECTION [ ] F~E~SlSTANTCONSmUCn0N [ ]FI~E~aSTANTFENET~ATN)N REMARKS: DATE ~'--//~"' -/~ TOWN OF SOUTHOLD BUILDING DEPT.? ~/~/ 765-18O2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ['~'/ELEC]RICAL (FINAL) REMARKS: DATE INSPECTOR__~~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined 7 f])f-, 20 i0 t Approved 7/¢h- ,2~O Disapproved a/c Expiration //~ , 20 /c~ PERMIT NO. y~o~ 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 Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS L, dLAWF, CERT ::: 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 thc 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. (Signature of applicant o~/name, if a corporation) (Mailing address of apphc~nt)' ' /J State whether applicant is owner, lessee, a~t~,kqrt~hitect engineer, general contract~rp electrician, plumber or builder , ', PPROVED AS NOTED Name of owner of premises ~e5 *' ~/~/~ ~ ~¢ ¢~ ~,~ (As on the tax roll or late~ BUILDING DEPAR~E~T AT If applicant is a co~oration, signature of duly authorized officer 76~802 8 ~ TO 4 PM FOR (Nme and title of co¢orate officer) ~. VOUN~TION- ~ VOR ~RED CO~RETE Builders License No. , a,arnu~, .... e ~[~[VICAT~ ~RAPPlNG. ELECtRiCAL ~ CAULKING Plumbers LicenseNo. uau~,,,, 3. I~$O~IION ~[b~(t) 4. FINAL-CONSTRUC~ONgELECTRICAL Elect~cians License No. MUST 8E COMPLETE FOK C O Other Trade's License No. ALL CO~: TiCv¢ TI o~ ,h ALL CONS' P,JCTION SH~L ~EET THE MEETTHE ~' , ,c~¢~75 -¢H REOUIREMENTSOFTHECODESOFNEW 1. Location - E YORK STATE NOT RESPONSI'SLE FO~ of land~n which proposed wo~¢¢o~ y ~ d9 ': DES* ~~ GN OR CONSTRUCTION House Number Street inlet County Tax Map No. 1000 Section /:~ Block / Lot(S ~ Subdivision Filed Map No. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ t~rZ: ~ /~c~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (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. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stories 8. Dimensions of entire new construction: Front ~' c~ ~ '~ O ~ CrCR~ar _Depth Height Number of Stories Rear 9. Size of lot: 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 be re-graded? YES __ NO Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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. 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) CONNIE D. BUNCH Nota~ Pul~lic.State of New ~ · SS: " No. 01BU6185050 COUNTY Q~ .... Qualifi~ n Suffo k Coun~ _ ·, _ · Comreission Expires April 14, ~J . . ~) to~ being duly sworn deposes and says that (s)he is the applicant (Name of zndz~dkglt'.~rl~g ,ccmtract) above named, (S)He is the ~. ,:,, -., : ' ' (Contra~£or, 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. Sworn to before me this ~},C',,~ day of~?A.~ ~d 20] C) Notary Public / g tur~ of g~licant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 7rx5-1802 ro~ler, richeri(~.t~ow(~s~ ~u~o~.ny.u,~ BUILDING DEPARTMENT TOWN OF $OUTHOLD APPLiCATiON FOR FI ~CTRICAL iNSPECTiON BY: Name: Date: NO.' Phone No.: JOBSITE INFORMATION: *Name:. *Address: *Cross Street: *Phone No.: (*Indicates required information) Permit No.: Tax Map District: 1000 Section: /,~' G *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Block: / (Please Circle Ali That Apply) *Is. job ready for inspection: .*Do you need a Temp Certificate: Temp'lnformation (if needed} · · Service Size: 1 Phase 3Phase · New Service: Re-connect Additional InfOrmation: YES / NO Rough In YES / NO Final 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION / 82-Request for Inspection Form /~oo-/~'-/-~r TOWN OF $OUTHOLD PROPERTY RECORD CARD OWN ER FORMER OWNER S /ILl_AGE W DISTRICT SUB. ACREAGF TYPE Of BUILDING ~,ES. 3 // ]SEAS. VL. 9 FARM COMM. t IND. CB. MISC. Est. Mkt. Value IMP, TOTAL LAND 26d AGE NEW Form Filtoble 1 -illoble 2 ' Fillabie 3 Noodland ;wampland : ~rushland ~ouse Plot 'otal NORMAL Ac re DATE BUILDING CONDITION BELOW Value Per Acre ABOVE Value FRONTAGE ON WATER FRONTAGE ON ROAD //6~.~/~ ~ "~'~'~'~ ~'-~'f/'-- : 56'0' BULKHEAD DOCK M. Bldg. J:[ ' I Foundation Bath Extension Basement Floors Extension Ext. Walls I Interior Finish Extension Fire Place Heat J Porch Roof Type r Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway Dormer O.B. SURVEY OF PROPERTY A T CUTCHOOUE TOWN OF $OUTHOLD SUFFOLK COUNTY, SCALE:. 1 '--30'../--~ \ 04-151 J (JPEG Image, 1536x2(kl-8 pixels) - Scaled (27cj) https//ma I.gc 7/2/10 1:38 PM