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Home My WebLink About35492-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 8/15/2011 CERTIFICATE OF OCCUPANCY No: 35144 Date: 8/15/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ADDITION/ALTERATION 665 Broadwaters Road, Cutchogue, Sec/Block/Lot: 104M2-4 Filed Map No. Lot No. filed in this officed dated 35492 dated 4/20/2010 conforms substantially to the Application for Building Permit heretofore 4/20/2010 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: alteration and addition, including attached two car garage and brick stoop, to an existing one family dwelling as applied for. The certificate is issued to Rehm, R & Rehm, Lynda (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 8/10/11 35492 8/12/11 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35492 Z Date APRIL 20, 2010 Permission is hereby granted to: R J & WF REHM 665 BRO~LDWATERS RD CUTCHOGUE,NY 11935 for : CONSTRUCT AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS BP # REPLACES EXPIRED BP # 33365 at premises located at County Tax Map No. 473889 Section 104 pursuant to application dated APRIL Building Inspector to expire on OCTOBER Fee $ 323.25 665 BROADWATERS RD CUTCHOGUE Block 0012 Lot No. 004 20, 2010 and approved by the 20, 2011 . Aut.h~S~gnature ORIGINAL 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 OF THE WORK AUTHORIZED) PERMIT NO. 33365 Z Date SEPTEMBER 4, 2007 Permission is hereby granted to: ~ R J & WF REHM 665 BROADWATERS RD CUTCHOGUE,NY 11935 for : CONSTRUCT AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.THIS PERMIT REPLACES BP # 17638 at premises located at 665 BROADWATERS RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0012 Lot No. 004 pursuant to application dated SEPTEMBER 4, ~.0~-7--and~ appr~b~qg-e ..... ~ Building Inspector to expire on MARCH ~, 2009./~/ /~ Fee S 323.25 ~ ~~~ ORIGINAL Rev. 5/8/02 I~OB,M NO. $ TOWN OF SOUTNOLD BUILDING DEPARTMI:NT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ u±'i'6~8 Z Permission is hereby granted to: ..... .~.~..~_~....~.~... ................. ~~.~...~.:~..:...!.!.~..~.~ ........... ~ , ,o ...~~......~....~....~...~...~....~~ ..... ...... ~..~ ............. ~~,,.~ ..... :-~. ................ .:-~,.. .............................. vt premises located at ...~..~...~.... .............. ....~m~...: ....... ~.~...~,,,~ ............... County Tax Map No. 1000 Section .... .~.0....~. ......... Block ....... J....'~.. ........ Lot No ..... .~..~. ............ pursuant 'o application dated .... ~).~..~......~:~...~.. ............... 19.~..~.., and approved by the Building Inspector. Building Ins~tor Rev. 6/30/80 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 Department with the following: 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-disposaI (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 2/10 of 1% lead. 5. Commemial 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. Bo 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 inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. New Construction: Location of Property: ,,~ . Owner or Owners of Property: /<o~ ft Suffolk County Tax Map No 1000, Section Subdivision Fees 1. Certificate of Occupancy - New dwelling $$0.00, Additions to dwelling $50.00, Alterations to dwelling $$0.00, 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 ,ate. Old or Pre-existing Building: (check one) House No. Street Hamlet mo k -- /L O PermitNo. 3C/"~r ? .2 DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ..o~', -~' 1~ Filed Map. Lot: Applicant: Underwritem Approval: Final Certificate: I~/~' (check one /? Applical~Ygl'~gnature r ~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-18;02 Fax (631 ) 765-9502 ro,qer, richert~,town.southold, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: R&L Rehm ~ddress: 665 Broadwaters Rd City: Cutchogue St: NY Zip: 1193 3uilding Permit #: 35492 Section: 104 Block: 12 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential l~ Ind°°r [~] Basement I~ Service Only [~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures ~ HIDFixtureSr.__._l Service 3 ph Hot Water GFCI Recpt Wall Fixtures I 61 Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures LI TVSS Other Equipment: 55 fl lighting track, 4 paddle fans, 1 exhaust fan Notes: Inspector Signature: Date: Aug 12 2011 81-Cert Electrical Compliance Form 7'ei~l~bon¢ ~651 ) 765- I g02 BUFLDiNG DEPAR ,TME~T TO,tN OF SOUTIqOL~ Notar3' pnblic,. .......... --;- Co~r~.ty LYNDA M. gO: NOTARY PUBLIC, State of New York No. 01 B06020932 Qualified in Suffolk Cour~b/,,..-.-~ Term Expires March 8, 20~ 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL 7~5-1802 BUILDING DEPT. INSPECTION [ _]/FOUNDATION 1ST [ ] ROUGH PLBG. [ r.~'~OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTO / BUILDING DEPT. INSPECTION 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [,-~SU~TION FRAMING [ ] FINAL DATE INSPEL'~T'OR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION 2ND [,~NSU~TION FRAMING [ ] FINAL REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765- t 802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [~'~INAL [ ] FIRE SAFETY INSPECTION REMARKS: ~/-~, ~ ~ DATE ~ INSPECTOR ~~-~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING []~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] F~RE RES~ANT CONSrRUClZ~ [ ] FiRE RESISTANT PF. NE'mJTION REMARKS: C~9.~~ t:~7~: DATE INSPECTOR Z~~~-~ 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 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .FLUMBING INSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIO~L COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-180~ Approved . ~J. oYd'~%~'~. · .ISlaM..~.~, 19 ~7. Pe~it No.. I ~ ~.~.~.~ SURVEY ......... Q.~.. ........ CHECK ...................... SEPTIC FORH .,..-(7~. .......... NOTIFY CALL ..................... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Build:ng Inspector, witi~ 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 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu~rout 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 O~d!n,_nce of the Town of Scuthold, Suffolk County, New York, and other applicable La~vs, O~dLnances 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, housine code, and regulations, and to admit authorized inspectors on premises and in building for necessary (S~gnature ot L'ffplito4nt, O'name, if a corporauon) ,9 a.. (Mailing address of appis;ant) State whether applicant is oxvner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ....... ................................................................................. Name of owner of premises ...... ,~,q./F/~..,f~'.x77....~.~.~./.,.~.~-.) ~. Y.,ff. 4}.($..~,.. ............................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nmne and title of corporate officer) Builder's License No ..... ff/'~../':, t~./ ........ Plumber's License No ......................... 7 Electrician's License No ....................... Other Trade's License No ...................... 1. Locatinn of land on xvhicb proposed work will be done. ' .. · ..... .................................... l[ouse Ntun ber Street }{amlet County Tax Map No. 1000 Section ..... ~.q~ .~. ......... Block ...... { .L:. ......... Lot ....... ~ .......... SubdMsion ~ A-%~,a,~ ff.c.~q.-.'7. Filed Map No. ./'3.'7 li ~... Lot ......... .................................. (Name) 2. State existing use and occupancy of premises and intended use an,.t occupancy of proposed construc. Tion: a. Existing use and occupancy...-~".tq'4~,.~... b, Intended use and eCcHpancy , · .... .................................... 3. Nature of work (check which applicable): New Building ... ' Addition ....~.'. .... q'~teration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... .~,.,., .~.~ : (Description) 4. Estimate'd Cost .......... .o=.? ............ Fee ...................................... (to be paid on filing this application) 5. If dwelling, number o f dwelling units .....4~f.../ ....... Number of dwelling units on each floor .... /. If garage, number of cars ..... .gr.. ................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of nsc ..................... 7. Dimensions of existing structures, if any: Front .....~.,~:~. ..... Rear . ~.i~ ........ Depth . ~.&. ......... He~=.ht ...,~4~.,e ....... Number of Stones . ../. ',,[~ ....................................... Dimensions of same structure with alterations or additions- Front ' /¢'/ ~ 'J~/ ....... Depth .... .4* ............... Hmght .... '&-=- ~. ............. Number of Stories.. ,/. 8. Dimensions of entire new construction: Front ..... v~ ? ....... Rear . .~.fff ........... Depth ... Height ...,,?.o. ......... Number of Stories ....... /... ' ....... 9. ' Size of lot Front ~'o Rea- ~">' ................................. ¢~r .......... ~epth ...~..qb..&"7 . 10. DateofPurchase g~" ~"t~"~' X'ameofF ~ /' fiT, ~Oat. S¢'-t ','-'~ft~;*' .... I1. Zone or use dis ........ ' .... ~ ........ "4~ . ,, o..~_~e,r~wner .~...t~m~...rl .... ~...,~ ...... ,, tnct ~n wmcn premises are s~tuated...,~,~ .......................... . 12. t Joes proposed construction violate any zoning law, ordinance or regulation' .'~.q . . ' ...... 13. Will lot be regraded eS(.o ..... -~ , ' ............... ~ ...... .......................... *~ut excess nu oe removed_fron~premi:es: ( Yes ) No 14. Name of Owner of premises 6~.r .,4~,.~ Addressd~.~,,~a~,,,~ ~,//,lr~ ,, N-- ~. ..... \ ,,.i~ ~. /9 ......... .n-~.~.n,,4tv~-r.~r~. ,r.,.~j4~.lql0ne r~0. z-q~".-~}"-o~,~ ..... rune m^rcmrect .~.~Ar.~ O ~ff~. Addre~ t~-.~,,,,:/,a z~,,,,.~ · -- ,, .a,.~ ~ .,.-'. ,.--_ N .~ . --~-. x_,~ ............ ;.-...,,...,..,r,,~..,..~: ·, · rnone ~o. ~,,~...,~.~...~.~... ame ox Lontractor ,~Vp#.rO~.$~.q~ ~..~., ............ Address/41~atr~A~...~r~..~ .~.4~. Phone No ~'..~ ' ~4'~;~, 15.Is this property located within 300 feet of a tidal wetland.* *¥gS .... NO...~-. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all 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 NEWYORK, COUNTY OF.. ~..~..~fi'~.(~ ..... S.S ......... .~.o~..x~..~'~...~.~7.,t~.~ being duly sworn, deposes and says that he is the applicant (Name of individual signing cont a'c'ti .......... above named. lie 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 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. Sworn to before me this .dayo ... Nota~ Public ...... ~ ......... ~ County ~. ~ vou,,~s; ~"'~'~ ~'~ t - ~Sionature of applic~t) Town Hall Annex 5437,5 Mira Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (63l) 765-180~ · (6al) 7 $ ro,qer, nchertd~n .sou~o(~(~.ny. us BU~,DING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Date: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Cross Street: ~r~, ~ *Phone No.: ~ 3[- ~ ~ ~, ~ Permit No.: ~ ~' ~. Tax Map District: 1000 Section: /a ~' Block: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed) *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES / NO Rough In Final YES / NO 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form 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 SOUTHOLD July l0th, 2007 R J Rehm 665 Broadwaters Rd. Cutchogue, N.Y. 11935 RE: 665 Broadwaters Rd. (addition) SCTM # 104 12 4 Dear Mr. Rehm, Please be advised that your Building Permit # 17638 issued November25th 1988 has expired. According to the Code of the Town o£Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $323.25; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. 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 SOUTHOLD February 8th, 2010 FIRST NOTICE R J & Lynda Rehm 665 Broadwaters Road Cutchogue, N.Y. 11935 RE: 665 Broadwaters Rd. (Al)blT'ION) 5CTM: # 1000-104.-12-4 bear Mr. & Mrs. Rehm, Please be advised that your Building Permit # 33365 issued September 4th, 2007 and has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $323.25: at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILD]~NG DEPT Tctcllhllltc ((i31) Fax ((;31) 1½1 IILI)IN(; I)EI'ARTMI:,NT TOWN OF $OUTHOIJ') April 8m, 2010 FTNAL NOT~¢E R.,T. & Lynda Rehm 665 Broodwoters Rood Cutchogue, N.Y. 11935 665 Broadwaters Rd. (AbbZTI:ON} 5CTAA: # 1000-104.-12-4 To Whom Tt AAoy Concern: Please be advised that your Building Permit # 33365 issued September 4th, 2007 has expired. Accordin9 to the Code of the Town of Southold, o Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit's please submit a fee of $323.25: at that time we can schedule on inspection by one of our Building Tnspector's. If you have any questions, please coil us at 765-1802. Respectfully, SOUTHOLD TOWN BU]:LD]:NG DEPT Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York I 1971-0959 Telephone (631 ) 765-1802 Fax (631) 765 9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 7,2011 RobertJ. Rehm 665 Broadwaters Rd 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) ~lectrical Underwriters Certificate. v//' 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: #35492 - Addition NAP OF PI"2OPEI'2TY ,N/~; '5AU i?OIF, fl" . ~20AO £ ~,-t~- 3'z"t' - ...... ~ x. ,d ~[ ~, , ~ ¢' ' ' ; ~,~~~¢7~ ..... ~, -- _ ~ ~t I I~''~ / ~, ,, ,,: ~ I ' PLUMBER CERTIFICAtiON ~, ,, , ~-~ / , ~ ,-- rn~L~ADCONTENTBEFOR~ ,-- ~O~O~L : :: ][ ' : SUPPLY SYSTEM CANNoTUSED IN WATER ¢,,c~c s~ I'1 ~ EXCEED 2/10 of1% LEAD. < ~_~ I~ , % ~ , ' ' ' ' ' t '¢ r' N¢IFY BUILDING DEPARTMENT A OCCUPANCY OR ~,U,mN~ 4. ~,*~ - co,s~.uc~o. ~us~ ~A~ ~N~ & ~ERGY OF OCCUPANCY ~s. Nm ~SmNSIB~ FOR DESIGN OR ¢~ON ERRORS f~rw~ter~i~tri~t~I ~ ~ ~ ~ 'J,t5 d. - ~ poe u ~ ~ ~ ~ ~ ~ ~0~