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HomeMy WebLinkAbout36199-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 4/11/2011 CERTIFICATE OF OCCUPANCY No: 34895 Date: 4/1/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: RESIDENTIAL ALTERATION 9202 Bridge Ln, Cutchogue, NY 11935, 2 Sec/Block/Lot: 73.-2-3.1 F~edMapNo. conforms substantially to the Application for Building Permit heretofore 2/7/2011 pursuant to which Building Permit No. 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" non-sleeping basement alteration as applied for. Lot No. filed in this officed dated 36199 dated 2/25/2011 The certificate is issued to Howell, William & Howell, Margaret (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 2/10/11 36199 4/11/11 .Joe Whitecavagc ,~ ¢ oz d2gnat e TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36199 Permission is hereby granted to: Howell, William 110 Oxford Rd Rockville Centre, NY 11570 Date: 2/25/2011 To: AS BUILT NON SLEEPING BASEMENT ALTERATION AS APPLIED FOR At premises located at: 9202 Bridge Ln SCTM # 473889 Sec/Block/Lot # 73.-2-3.1 Pursuant to application dated To expire on 8/26/2012. Fees: 2/712011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLiNG Total: $1,104.00 $50.00 $1,154.00 Building Inspector 0313112011 13:33 HOORE LAH OFFICES (F,~O63176,~lr~43 P.0031004 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP~ Tliis application mutt be filled in by typewriter or ink and submitted to the Building D A. For new buUding 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 fi'om Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire U~derwriters, 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead. 5. C~mmer~ial bui~ddng~ industrial building~ multip~e residenc~s and simi~ar bui~dings and insta~ati~ns~ a eeni~ate 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, I'957) non-conforming utes, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property llne~, streets, building and unusual natural or topographic 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy ia denied, the Building hspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwdling $50,00, Additions to dwelling $50.00, Alterations to dwelling $50,00, · Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50,00, 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 Date. 3/30/11 New Construction: X Old or Pre-existing Building: (cheek one) Location of Prope~y: 9202 Bridge Lane, Cutch0gue, NY 11935 House No. Street Hamlet OwnerorOwncrsofPrepe~y: Patrick Michael Severson and Diane Siclare Severson Suffolk County Tax Map No 1000, Section 073.00 Subdivision PermitNo. "~(~ l' fl 9 .,DateofPcrmit Health Dcpt. Approval: Planning Board Approval: Kcquest for: Temporary Certificate Fee Submitted: $ .~/~)-~ , ~ Block 02.00 Lot Filed Map. , Lot: Applicant: Unden,a'iters Approval: 003.001 Final Certificate: X (check one) Applicant Signature Tcmn Hall Anncx 1373 Main Rt)ad P.O. Box 117!t Soulhold. NY 11971-09,59 Tclcl~honc (ti31) 76, M 802 Fax (631 ) 76,; 9,i(12 ro.qer, dchort~,town.so uthold, ny. us F',! ILl)IN(; I)I,1'AI/TMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: William Howell Address: 9202 Castle Hill Rd City: Cutchogue St: NY Zip: 11935 Building Permit#: 36199 Section: 73 Block: 2 Lot: 3.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Kruse Electric LicenseUo: 1964-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only Commerica~ Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCi Recpt Wall Fixtures Main Panel NC Condenser Single Recpt Recessed Fixtures Sub Panel NC Blower Range Recpt Fluorescent Fixture Transformer Appliances Dryer Recpt Emergency Fixture! Disconnect Switches Twist Lock Exit Fixtures Other Equipment: HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS move meter pan, existing service, basement renovation, I combination smoke-co detector, I exhaust fan Notes: Inspector Signature: Date: April 11 2011 81-Cert Electrical Compliance Form Town Hall Annex 54375 Main Road P.O. Box ! 179 Southold, New York 1197141959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Permit No. ~_ q (Please print) (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% Icad. Sworn to be~re me this dayof F~6 [0 , 2011 // (Plumbers Signature) Notary Public, ~.~ ff ~ ~ County TOWN OF SO~ DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [. ~TION ] FRAMING / STRAPPING [~:~]~FINAL [ [ ] FIREPLACE & CHIMNEY [ ] .RE 5AJ:ETY ,N~CTIOH [ ] FIRE ~RF.~//~1~1TCoNSTRuCTloN[~ ] RRE RESISTANT PENETRA110N R E MAR K :~.~/~/y~,~'~.~ ./'~ ¢:~ DATE INSPECTOR // TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ANGEL B. CHORNO ARCHITECT 51020 MAIN ROAD SOUTHOLD NY. 11971 (631) 765- 6530 FAX (631) 765- 4643 February 25~. 2011 Building Department Town of Southold NY Existing Finished Basement As built 1000-73-2-3.001 By this letter, I affirm that the above referenced project was built in compliance with the New York Energy Code requirements of the time in which it was done. Ange~B. Cthorno, AIA JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Building Department Date: March20, 2011 Re: Diane & Patrick Severson 9202 Bridge La. Cutchogue, NY 11935 To Whom It May Concern: This letter certifies that the installation of the Basement bathroom at the above mentioned location was built in conformance with New York State Building Code at the time of Construction. The fresh air inlet feeding the mechanical room is of sufficient size to satisfy the fresh air needs of the boiler and hot water heater. Any questions feel free to call. ('% 'x x ' rely '"% iiii J~sJ. oski P.E. FOUNDATION (1ST) ~ISULATION PE~ N, Y. STATE ENERGY CODE ~'~ , , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Approved ~---~)~ ~, 20 [/ / Disapproved a/c Expiration -/ 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 Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date o~7- 7 ,20// INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 1S 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 demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housinggx~te~regulations, and to admit authorized inspectors on premises and in building for necessary inspections. '~'g~gnature of applicant os)~)ame, ifa cor,~l~ration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor Name of owner of premises {/C/z electrician, plumber or builder (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. Location of land on which proposed work will be done: c/ oZ. /'3r,d c Z4, r House Number Street County Tax Map No. 1000 Section Subdivision (Name) 7.3 Block ~ Filed Map No. Hamlet 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 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 Alteration Other Work Fee (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. Dimensions of existing structures, if any: Front Height. 0~5'-/ Number of Stories Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height ~5.~' Number of Stories ~2. ~./ Dimensions of entire new construction: Front('~' / t 3e''~ ' e'r'') Rear Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner I I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 5(' 13. Will lot be re-graded? YES__ NO X; 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__NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora 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 OF ~7~r~ I((-.-S)S: /~"/-O~ ~ o., ~' f//~ ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~Co~nt;aT~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 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. Signature of Applicant NMI~ Fub~. 8~e M Niwy~ ldo. 01PE6130~ ?o.m H~ Annex BUILDING DF..PAI~TMENT TOWN OF 8OU'~OLD APPLICATION FOR ELECTRIQAL INSPECTION REQUESTED BY: Date; ,~///~/// dOB~ITE INFORMATION: (*lndl~le~ ~uim~ in~o~lion) *BRIEF DESCRIPTION OF WOrK (Please Ci~ie ~II That Apply,) 'Is job ready for Inspection: *Do you need a Tamp Ce~cate: (~/NO Rough In Temp Information (If needed} %Ser~4ceSIze: ~ 3PhMe 100 160 ~ Addltlonal Information: _ c~,~. ~"~r~ 300 3,50 400 Other Change of Se~'vlce Overhead PAYMENT DUE WITH APPLICATION 82:-Req'~s[ for Inl~pec~l Fon'n QUILL.COM PATRICIA C. MOORE, AI'I'ORNEY AT LAW 51020 Main Road $outhold, NY 11971 (631) 765-4330 email: pcmoorel @optonline.net MEMO LETTER Please reply ~ No reply necessary Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (63 I) 765-9502 March 30, 2011 Patricia Moore, Atty 51020 Main Road Southold, NY 11971 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD RE: Howell, 9202 Bridge Lane, Cutchogue TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: ~ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of 50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Tow. Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 36199-Z as built basement alteration ALL OONST, F h: ~c~ ~L~ ~ CODES OF NEW YOF,,' ~ ' ~ B~i~ ", APP 2OVED A~ ~ - -- 2 HOUREo CONCRETE ~ /~ TRAPPING ELEC G, 4, FINAL. CONSTRUCTION & ELEC .... ~UONSTRUCTION SHAL~ DES'GNOR~n~UNSIBLEFOR m m HOWELL RESIDENCE ExIsTING FINISHED BASEMENT AS BUIL~ ' ' E I ~JF/~%~ i 9202 BRIDGE ~NE . ~ LECTRICAL ~le~]~Y OR INSPECTI-"-=, m ~~.~ [ CUTCHOGUE NY UN HEQUiIRED OE~IFIOA~IO~OF ~ ~ ~ ~ SOUTHOLD, HEWYO~K NAILING & CONNECTIoNs REQUIRED. --% NOTFJS, SURVEY OF PROPERTY S£TUA TED A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TA>~ No. 1000-75-02-3.1 SCALE 1 ":20' AUGUST 5, 200.3 AREA = 59,977.4g sq. ff. (70 TiE LINE) 1 377 ac. ELEVATIONS ARE REFERENCED EXISTING ELEVATIONS ARE EXISTING CONTOUR LINES TO N,G.V.D. 1929 DATUM SHOWN THUS: ~. ARE SHOWN THUS: - CERTIFIED TO: CHICAGO TITLE INSURANCE COMPANY TITLE No. 3803-00430 ABN AMRO MORTGAGE GROUP, INC. ITS SUCCESSORS AND/OR ASSIGNS, AS THEIR INTERESTS MAY APPEAR STEPHEN MARK KLEIN Joseph A. Ingegno Land ~urv®yor PHON[ (651)727-2090 OFFICES LOC&TED AT 322 ROANOKE A¥£NUE F~x (531)727-1727 23-269