HomeMy WebLinkAbout36412-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
6/20/2011
CERTIFICATE OF OCCUPANCY
No: 34994 Date: 6/9/2011
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 495 Glenwood Road, Cutchogue,
SCTM #: 473889 Sec/Block/Lot: 137.-5-15
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/23/2011 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:
addition, including unfinished basement, covered porch, attic space on second floor, full bathroom and walk-in closet on
second floor, to an existing one family dwelling as applied for.
Lot No.
filed in this officed dated
36412 dated 5/23/2011
The certificate is issued to
Mckillop, James & Mckillop, Rose
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 5/25/11
N 393631 8/9/96
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 #: 36412
Permission is hereby granted to:
JAMES K & WF MCKILLOP
Date: 5123/2011
GLENWOOD ROAD
CUTCHOGU, NY 11935
To:
CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
REPLACES EXPIRED BUILDING PERMIT # 23289
At premises located at:
495 GLENWOOD RD MATTITUCK
SCTM # 473889
Sec/Block/Lot # 137.-5-15
Pursuant to application dated
To expireon 11/2312012.
Fees:
5123/2011
and approved by the Building Inspector.
PERMIT RENEWAL $37.50
CO - ADDITION TO DWELL1NG $50.00
Total: $87.50
TOWN OF $OUTHOLD
BUILDING DEP~I'MENT
TOWN HALL
$OUTHOLD, N.Y.
23289 Z
BUILDING PERMIT
[THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission Is hereby granted to:
.... ~.~......~ ...... .~....~,z./~ .......................
...~g.~.....G/~.~i...~., ............................
,~ ...~.m~.~......~.~,....../~f~ ..........
~o.....~m.~r ......... ~ ........... ~I..~..¥ .......... ~;....~ .......................
.~2~ ........ ~.~ ....... ~2~ .......... ~~ ......... 2~ ................
..~~....~ ................................... Z. ............................. ~ .......................................
................................................................ /'~/'~/?~.. ................................................
at premises located at........~..~....~....~,~..~..~...~..~..~........~....~..'. .......................................................
co~n~Tax Map No. ,ooo S~,on..l~..7.. ............ B,oc~ ....... ~ ....... LotNo ..... ,,/,,~ ............
pursuant to application dated ............. ~../~// ................................ 19,,.~..E..... and approved bythe
Building Inspector.
~e,,...?.~..'...'.~. ......
Rev. 6/30/80
Form No. 6
TOWN OF SOUTItOLD
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/i0 of 1% lead.
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 requirernents.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
l. 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 sigmed 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 Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Conmnercial $15.00
New Construction:
Location of Property:
Old or Pre-existing Building:
House NO.
Street
Date.
Owner or Owners of Prope~'ty: ~,;I,L
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Plarming Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ CO · ~
Date ofPermit.~ - ,2,.~ -
(check one)
Hamlet
Block
Filed Map.
. // &pplicaot:
Underwriters Approval:
Lot
Lot:
Final Certificate:
(check one)
App~
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGe, 1.
1185~T~ 'U.EAU OF E-=CT.Icrr¥
T--- 85 JOHN STREET, NEW YORK, NY 10038
~,~ AUGUST O9,1996 .4ppllce~ionNo. on.file 11816996/96 N 393631
THIS CERTIFIES THAT
only the eJectrlc.] equ~me~t a~ de~ri~ed ~eiow ami Int~ ~y t~ ~nt ~ off tke a~ ~t~ n~r in ~ p~m~ of
.JAMES McKILLOP, 495 Gl,Eh'WOOD ROAD, CUTCHOGUE, N.Y.
in the followJng Iocetlo, l [] Besement [] Ist FI. [] 2nd FL OUT .e~ctlon Block
vto, examined on AUGUST 06,1996 and found to be in compliance with the National Electrical Cod~.
Lot
OTFAR A~ARATUS:
1 20
R
COOKING D~CKS OVENS DISH WASHERS
TIMECLOCKS B~iLIUNITHEATEItSUNITHEATEItS MULTI.-OUTWT
mT. ~.~PS. TRANS. .~ SNG.YST~T
G.F.C.I:-3
SMOKE DETECTOR: -2
~. OF HI-LEG
EXHAUST FANS
DI~E~$
ROSLAK ELECTRIC LIC.#3677 ~j~N[ .~--.,,aXai~i ptr [ll~~T
" P.O. BOX 164
CUTCHOGUE, NY, 11935
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors my be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOW]~I O1~' SOUTHOLD
CERTIFICATION
Date: May 2__5, 2011
Building Pelrnit No. 36415
Owner: McKillop
(Please print)
Plumber:
Bertsand Plumbing Corp.
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me tlnis 25th
das.'of Ma2L _, 20 11
(Plumb el s $ign ature)
No/ary Public, Suffolk (:ounty
Not~r~ Pu~l¢~ State of New York
Ne. 482~942
Qualified In Suffol~ ~ount~
Commission Expires January 31, 20/__~
765-1802
BUILDING DEPT.
INSPECTION
[ ]
[ ]
[ ]
[ ]
UNDATION 1ST
IDATION 2ND
FIRE
& CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ~Ut~ATION
[~] FINAL
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN/SULATION
[ ~FINAL
[
REMARKS:
] FIREPLACE & CHIMNEY
DATE ~////~//~/ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:~-~/~
DATE
INSPECTOR
765-~.802
BUILDING DEPT.
INSPECTION
[ ] F~UNDATION 1ST [ ] ROUGH PLBG.
[ ~/] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
765-XS02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [
] FO/UNDATION 2ND [
FRAMING [
] ROUGH PLBG.
] INSULATION
] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE
INSPECTOR~~'~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [,/]"~UGH PLBG.
[ ] FOUNDATION 2ND [~INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~/~ ~ ~
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ['~ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
] FIREPLACE & CHIMNEY
REMARKS: //~// ,//~//'~' ~~,,/
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUG~.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING [ ,~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] F~ R~b'T,~n' ~ [ ] F.~ R~S~s'r,~I't ~F..Lm~'nO.
RE.ARKS: ~//~~--- ~
DATE
'~'/~J~/ INSPECTOR~
F()IIIII)ATIOH (I:;T)
FOUIII)AT 101t (2rtl))
I)^'l'l':
(;L)HI II'~ Il
R{}II(;II FII^HE &
S'I'A T F. F. tIF. It(;¥
F IIIA I.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT:
TOWN HALL
SOUTHOLD, N.Y. 1'1971
TEL.: 765-1802
Disapproved a/c ........... '
. /(43~ldin~, ~Inspect or)
APPLICATION FOR BUILDING'pERMIT
BOARD OF IIEALTII .......
~,"'1 sETs OF PLANS .......
v/SURVEY ................
~/ClIECK .................
SEPTIC F 0 RI'I ...........
CALL
Date .. : ........... 19...
INSTRUCTIONS
a. This application must b~ completely filled in by typewriter or in ink and submitted to the Building Inspector, witli 3
sets of plans, accurate plot plan to scale. Fee according to sohedule.
b. Plot plan showing location of lot and of I~uildings on premises, relationship to adjoining premises or public meets
or areas, and giving a detailed description of layout of property muir 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 issued a Building Permit to the applicant. Sucli permit
shall be kept on tlie premises available for inspection thronghout 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 liave 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 South01d, 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.
Tlie applicant agrees to comply with all applicable laws, ordinances building code, housing code, and regulations and to
admit a°tli°rized inspectors °n premises and in bnilding f°r necessary~i°.~..''' ....... ,r~ .... ~~. ........... · .
-- (Signaturg, pf applicant, or name, if a corporation)
........ i"::'i ........ ip'piic' ;(" .........
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
"'i .............. : .......... :'L." Ilot ·
(as on the tax roll or latest deed)
If applicant ~s a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No .... 2. ~, .Z .q 3. M.~ ......
Plumber's License No... ~. ~...i~.. .......
Electrician's License No....x~..?~.Q..p~.. ..........
Other Trade's License No ......................
1. Location of land ou which proposed work will be done ................................. ~ ................
llouse Number Street Hamlet
..... ' Filed Map No ............... Lot ...............
(Name)
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 ~ ~ ~
Repair ~ .......... Addition ....... Alteratim: .... .; .....
.............. Removal .............. Demolition .:...: .......... Other Work ...............
~e 57 ' (Description)
4. Estimated Cost :'Y'7...ff'?~.; .... : Fee ...................
· (to be paid on filing this application)
5. If dwelling, number of dwelling units .... [. i ......... Number Of dwel lng units on each floor... .............
· If garage, number of cars .................................. ......................................
6. If business, comm, ercJal or roi.xed occupancy specify nature and extent of e,ach type of use
7. Dimensions ofexmting structures, if any: Front.. :~. ~, ..ff~.;.. Rear . .3k~ff ......... ' ....... '; .....
Height ............... Number of Stories ..... i...~. ~ ........ ' .... ' ........... Depth . .q~. ',' ' '
Dimensions of shine structure with alterations or additions: Front
' . ............... Rear .,, .....
Depth ....................... Height ........... . .... Num'-e ..... t /~ . ' ........
8. Dimensions of entire new construction: Front ~J~. ' .... i .1~;.~.' ,~u~,~.o, atones..../(..,/.,...~,, .........
Height ... i ........... Number of Stories .. · ....... ~t~,,~ ......... uepm . .~5 ..........
9. Sizeofl0t' Front . /.g~. t Rear ",','~'_'t ........... , ........... ;;',' 't .... ': ..........
.... ' . '",//;~-~'t" ............ '.H'~- ........ ~ ......... Depth .l.t.,,L, .................
10. Juate o! eurcnase .., .LI. 7.t"7 ............ . ......... [,lame of Former Owner . .~t~. &?. O O ~
I 1. Zone or use district m which .premises are situated.....~..,S ....... ' .............................. ·.
.12. Does proposed construction vmlate any zoning law, ordinance or regulation: . ./bid..' ........................
13.
Will ldt be regraded · ~d,,~ . , ........
· ' ', .... ~ .... ~ ..... ~ · ..... WIll eXC~_SS LIII De relno,vlxk Ir. Ol'n oremises: Yes ~ No
14. NameofOwn.erofp?e,n,se~ .qJql.~.R0.:5.e.?.~.l/Ip~.~.Address .¢.?5-c~/.~uz~Vev'tct~K~n,~W,' 7~t.-~'-4-r~ .
Name of Arc ~ tect O'~..'g ?.oK i~ t~g~ ..J~ W~ddr....,~,~) ];I;i~-~),$ f'3a b ~/°~ ~ 3~",,'?.Z2-5'7',L.,' ,.~` ' '
........ ~t3 ........... ". · ."~ ..... ~'. ...... rnone r4od.o .'t~,tT.I.Z_:~....
15. .. p p cy wJ. cnxn Juu reef or a Clnal wetiandt *Yes .--. No .,/ ........
. *If yes, Southold Town Trustees Permit may be requirg~[ '' ' .......
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dLmensions from
property l~nes. Give street and block number or description according to deed, and show stre, et munes and indicate whether
interior or corner lot.
STATE OF NEW YO~_¢K,t,2C- /j S S
coum'¥ OF .... '.
.... .. ........ being
(Name of ind~vidttal signing cofitract)
lbove named.
duly sworn, deposes and says that he is the applicant
]-Ie is the ..... .....~) ........... ..
(Contractor, agent, corporate officer, etc.)
ff said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
~pplication; that all statements contained h~ CMs'application are flue to the best of his knowledge and belief; and that the
.york will be performed in the manner set fOrth in the application filed tlierewith. · '
;woru to before ~
......
· ' ./ ;,,"?, ........ ' ..... ·
~lotalTPub,~ .~.~~... County _~'
' .. ' ..........
Not~Pubffe. State ~fNow¥o~ .. · . ' · ' (S~-'ffiture of applicant)
No. 487gD05 .
Qualified in Suffo k County ',-~/
Commission Expires December 8, 19
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971 0959
Fax (631 ) 765-9502
Telephone (631 ) 765- 1802
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
December 11th, 2006
James McKillop
495 Glenwood Road
Cutchogue, N.Y. 11935
RE: 495 Glenwood Rd.
TO WHOM IT MAY CONCERN:
We ar/o, unable to complete your Certificate of Occupancy because of the following reasons:
An application for Certificate of Occupancy is not one file. (Enclosed)
No Electrical Underwriters Cedificate on file.
x/' The check is (not on file) $25.00 Returned outdated
No Health Department approval on file.
V'/ No final inspection has been completed.
No Plumber Solder Certificate on file. (All permits involving plumbing issued after
4/1/84)
Final Town Trustee Approval
BUILDING PERMIT: # 23289-Z
Thank you for your cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Please note if permit is expired, a renewal fee may be required.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone(631)765-1802
Fax(63t)765-9502
BUILDING DEPARTMENT
TOWN OFSOUTHOLD
2® Notice
November 24, 2008
Occupancy or use is unlawful without a Certificate of Oc u~pancy
Mr. J. acKillop
495 Glenwood Road
Cutchogue N.Y. 11935
To Whom It May Concern:
It has come to the attention of the Southold Town Building Department that a Certificate
of Occupancy has never been issued for Building Permit # 23289 Issued on March 11,
1996 for an addition. In order to rectify this situation please submit the following to this
office so that a C.O. may be issued. ~,,~
(,,~An application for Certificate of Occupancy is not on file.(Enclosed)
No Electrical Certificate on file.
L'""'"'~The Check is not on file-~2&.00
No Final Health Department Approval on file.
final inspection has been made.
No Plumber Solder Certificate on file. (All permits involving plumbing being
issued atter April 1, 1984)
Certificate of Compliance from Southold Town Trustees.
Approval of the Zoning Board of Appeals*
Final Planning Board Approval.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
June 8,2011
James McKillop
495 Glenwood Road
Cutchogue, NY 11935
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. (Town Trustees #765-1892)
Final Planning Board Approval.
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 36412-Z addition
TOWN OF SOUTHOLD OPERTY RECORD CARD
OWNER
FORMER OWNER
AGE
IMP,
N
S
VL.
TOTAL
FARM
DATE
/ //~_/'?.3
/'~--/~/
///,
VI LLAGE
W
DISTRICT SUB.
AdR~GE , 412
TYPE OF BUILDING
LOT .~/z
BUILDING CONDITION
~ ?.~ 15 ,-,:/~',~
~, B~,.w/_~../, ,//.~,, ABOVE
._~_~.? ..-
Tillable 2
Tillable 3 ',, ,', '"
Woodland
Swampland
_B_rushl_°¢d ~
House Plot
Total
Extensior~
Extension
Breezewa,
Garage
O.B.
Foundation
Basement
Ext. Wails
Fire Place
Patio
Driveway
Porch
Porch
Interior Finish
Hea~'
Attic
Rooms 1st Floor
Rooms 2nd Floor
Z
..~.. tO0. O
JAMES
IN4~, P O~
S~l~V E. YF.~)
.~ ~OSt~' MC. KILLOP
AT
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wAm.4...
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t
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&,~ni ~.STAISL, IGH NE.A/
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p~.-r(,~ ,~XT. 4WI i~. ~ TrH ii.
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PL.-AN I'tr ~ bo c~ F~
LoT i'-~. o__
_
NOTES
1. All framing lumbar to be Douglas Fir Larch No. 2 visual grading o~t
F = 1,450 PSI M!n.; E = 1,700,000 PSI. Allow 15 % increase in unit stress
for snow loading.
2. All Construction shall comply with the New York State Uniform Fire Prevention
and Building Code.
3. All doors, windows, and insulation to conform with the New York State Energy
Conservation Construction Code dated April 1, 1987.
4. All footings to rest on virgin soil with a minimum presumptive bearing capacity of
2 tons/sq.fl, and be a minimum of 3 ft. below finish,grade.
5. Minimum allowable concrete design stress to be.~,~o00 PSI in 28 days.
. 6. Double framing required at all openings and parallel partitions.
7. Smoke &rectors to be siegle stalion, electrigally operated.
8. Provide railing in conformance with code requirements.
9. All plumbing to be in conformance with New York State building construction code
requirements.
10, All ele6~ical work shall be approved by the New York Board of Fire Underwriters.
11. Do not scale drawings, usc written dimensions only.
12. Engiueer has not been retained for on site inspections of construction.
OCCUPANCY OR
USEISUNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
PLUMBING
ALL PLUMBING WASTE
& WATER LINES NEED
TESTING BE?ORE COVERING
If copper tubing is used
for water distributing
system; piping shall be
of types K or L only
UNDERWRITERS CERTIFICATE
REQUIRED
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 of I% LEAD.
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