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