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Home My WebLink About37027-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southoid, New York 11971 3/8/2012 CERTIFICATE OF OCCUPANCY No: 35480 Date: 3/8/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: AS BUILT ALTERATION 320 Broadwaters Rd, Cutchogue, Sec/Block/Lot: 104.-10-6 Filed Map No. conforms substantially to the Application for Building Permit heretofore 2/22/2012 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: alter existing sunroom to kitchen in an existing one family dwelling as applied for. Lot No. filed in this officed dated 37027 dated 3/1/2012 The certificate is issued to Klein, Barbara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 3/8/12 2098432 5/31/06 Mark Baxter ~d Signature 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 #: 37027 Date: 3/1/2012 Permission is hereby granted to: Klein, Barbara 320 Broadwaters Rd Cutchogue, NY 11935 mo~ alter a sunroom to a kitchen "As Built" as applied for At premises located at: 320 Broadwaters Rd, Cutchogue SCTM # 473889 Sec/Block/Lot # 104.-10-6 Pursuant to application dated To expire on 8/31/2013. Fees: 2/22/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $633.60 $50.00 $683.60 Building Inspector Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tiffs application must be filled in by typewriter or ink and submitted to tile Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual uatural or lopographic features. 2. Final Approval from Health Dept. of water supply and sewerage_disposal ($_9 form). 3. Approval of electrical installation from Board of Fire Underwriters. Swum statement from plumber certifyiug that tile solder used in system contains less than 2/I 0 of I% lead. 5. Commercial building, industrial budding, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or angineer responsible for tile building. 6. Submit Planuing 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 property showing all property lines, streets, building and unusuat natural or topographic features. 2. A properly completed application and consent to inspect signed by tile applicant. [fa Certificate of Occupancy is denied, the Building Inspector shall state tile reasons therefor in writiug to the applicant C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwel[iug $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additious to accessory building $50.00, Businesses $50.00. Certificate of Occupaucy on Pre-existing Buildiug - $ 100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date~ New Construction: Old or Pre-existing Building: Location of Property~?~.' )0~0 B co c~ ~Xx._c ~ ~ House No. Strut Owner or Owners of Property_ ~c~.cc. ~ ~. ~ Suffolk CounW T~ Map No 1000, Sectiou j O~ SuGd~vision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. (check one) Ham [et Block J {~ Lot Filed Map. Lot: AppliCam: Underwriters Approval: Request for: Temporary Certificate Fee Snbmitted: $ Final Certificate: (check one BY THIS CERTIFICATE OF COMPLIANCE THE NEW YOrk BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by DOUGLAS KLEIN DOUGLAS KLEIN 320 BROADWATERS RD 320 BROADWATERS RD CUTCHOHUE, NY 11935 CUTCHOGUE, NY 11935 Located at 320 BROADWATERS RD CUTCHOGUE, NY 11935 Application Number: 2098432 Certificate Number: 2098432 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, kitchen, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the31st Day of May, 2006. Name QTY Rathe Rating Circuit Type Amount Miscellaneous as built-2005-kitchen $0.00 Appliances and Accessories Dish Washer I 0 1.2 KW $0.00 Exhaust Fan i 0 F.H.P. $0.00 Wiring and Devices Outlet 11 0 Fixture $0.00 Fixture 11 0 Incandescent $0.00 Outlet 20 0 General Purpose $0.00 Receptacle 11 0 General Purpose $0.00 Switch 4 0 General Purpose $0.00 Receptacle 5 0 GFCI $0.00 Paddle Fan 1 0 $0.00 Invoice Total $85.00 An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal Continued onNext Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YOrk BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by DOUGLAS KLEIN DOUGLAS KLEIN 320 BROADWATERS RD 320 BROADWATERS RD CUTCHOHUE, NY 11935 CUTCHOGUE, NY 11935 320 BROADWATERS RD CUTCHOGUE, NY 11935 Located at Application Number: 2098432 Certificate Number: 2098432 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of Residential 0-599 ft. square electrical devices and wiring, described below, located in/on the premises at: First Floor, kitchen, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, other or authority having jurisdiction, and found to be in compliance therewith on the31st Day of May, 2006. Name QTY Rathe Rating Circuit Type Amount seal THIS IS YOIIR RECEIPT 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York I 1971-0959 Telephone (63 I) 765- ! 802 Fax (63 I) 765~9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Permit No. OWner: (Please print) (Please print) I certify that the solder used in the water supply system contains less than 2dlO of 1% Sworn to before me this ~--~ day of []~-~ C~ , 20 }~h. (Plumbers Signature) CONNIE D. BUNCH Notar~ Public, State ot New York No. 01BU6185050 Qualified i~ Suffolk County .,~,.. Commission Expires April 14, 2 Notary Public, County TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [~-J:INAL [ ] FIRE SAFETY INSPECTION [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To; Date: Re: Town of Southold Building Dept. April 19, 2006 Insulation/Plumbing Inspection 320 Broadwaters Cove Cutchogue, NY 11935 Permit#30786 To Whom It May Concern: After an Insulation/Plumbing inspection was preformed on the above property, it is deemed that all Insulation and plumbing was installed correctly, and meets all building codes. A Pressure Test was also performed on the plumbing system. Any other questions please call. sincerely Jam JiD r , ki TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. nct Examined Approved Disapproved a/c ~/l, 20 I 'iX, Expiration ~)/'3 I' 20 FEB t3 PERMIT NO. 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 C.O. Application Flood Permit Single & Separate Stoma-Water Assessment Form Contact: Mail to: Phone: Building Inspector FOR BUILDING PERMIT Date INSTRUCTIONS ,20 /~ oletely filled in by type,a, riter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schednle. 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 Bnilding 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 ill part for any pnrpose 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 tile 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 tile issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Snflblk 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 buildiug for necessary inspections. ~ (Si=nature o~appli'~ant or name, ifa corporation) State whether applicant i~, lessee, agent, architect. (Mailing address of applicant) engineer, general contractor, electrician, plumber or builder Nalne of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly attthol'ized 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: House Number Street Hamlet County Tax Map No. 1000 Section ~Ot'h Block ~-1 Lot /-o Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended useand 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. 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 Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front I.,,7,.~,3\ Rear 72,,,/3 10. Date of Purchase f///~ ") Name of Former O~vner 11. Zone or use district in which premises are situated Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO/5 13. Will lot be re-graded? YES__ NO ~( Will excess fill be removed from premises? YES NO fi(' 14. Names of Owner of premises g~-~-5.~o- \c, ek,., Address lac ?,~,,~-~,..,,.~,r., ¢,¥ Phone No. O I ?,~'-/ ,~;,ds- Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet cfa 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 cfa tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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) SS: COUNTY OF ) being duly sworn, deposes and says that (s)be is the applicant (Name of individual signing contract) above nalned, CONNIE O. BUNCH Notary Public, State of New York (S)He is the No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14, 2 ',=~' 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. S3orn to before me this , / .~ 1c day of~L~.z~2v'qA.A 6:coy] 20~....~ Notary Public Signfitura of Applicant /~oo- /o~-/~ _(~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET?) ,;!' VILLAGE DIST. SUB, /'" LOT FORMER OWNER N E ACR. BUILDING RES.,Z1.OX4 S~S. VL. F^RM COMM. CB. M~SC. Mk,.Vme LAND IMP. TOTAL DATE REMARKS ~' ' . ~c ~,~ Tillable 2 '~5/~.Z~ / - / Tillable 3 ~/97-L 11~3fS-~un~ ~ ~le,'t~ ~ ~ House mot DEPTH II ~ 0 ~,,n~ ~r~ , ' ~ ' Total DOC~ COLOR TRI,M M. Bldg~/~ EXtensioJ~I Extensio/.~ Extensio,n~d Total/~f~ ~ 104.-10-6 10/06 ~Foundation (~ ~ Bath Basement )1/' O Floors Ext. Walls Interior Finish Fire Place Type Roof Recreation Roorr Dormer Driveway Heat Rooms 1st Floor Rooms 2nd Floor Dinette K. LR. DR. BR. FIN. B. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, N Y 11971-0959 Telephone (631 ) 765-1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF' SOUTHOLD March 6, 2012 Barbara Klein 320 Broadwaters Road Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00 __ Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. (Planning # 765-1938) __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT ' 37027-Z alterations EtNR~dlt~ KLJAI~CN Permit # Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: LUCUS Report Date: 04/17/06 Data filename: C:\Program Files\Check\REScheck\LUCAS 4.2006 Energy Code: Location: Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: Construction Site: New York State Energy Conservation Construction Code Suffolk County, New York Detached 1 or 2 Family Non-Electric 23% 5750 Owner/Agent: 320 BROADWATERS ROAD CUTCHOGUE, NY DesigneflContmctor: JAMES DEERKOSKI Ceiling 1: Cathedral Ceiling (no attic): Wall 1: Wood Frame, 16" o.c.: Window 1: Wood Frame:Double Pane with Low-E: Door 1: Glass: Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Space: 270 30.0 0.0 9 250 19.0 0.0 12 38 0.360 14 20 0.330 7 270 30.0 0.0 9 The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Rsgistered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. Builder/Designer · C(~mpany Name LUCUS Page 1 of 4 7 3 ~N~O~a' ~N ALL C' ~$:D', YORK STATE '~"* ~ESPONSiB~E DESIGN OR CONSTRUCTION PLUMBER CE;? 'FICA TION ON LEAD CON? ,-i2T RFFt3RP CE~-, T;FiC, ATE OF uL,'UUHANL; ~ SOLDER US[:, ;,%! WA TER SUPPLY SYS 77 ¢ CANNOT EXCEED 2/10 ,: I% LEAD. ILL PLUMB';" ' : ~ WATER L'? ·., TING BEFC, ~, OCCUPANC Y UP, USE IS UNLAWFU,.. VITH()LIT CERT!F!C/F'-~ ,,,.::., P ?, ~ , FLOOR PLAN G45 ', II I : 3~x4.s ', I ', : ~ I , SKYLIGHT ,NEW I ', FWH31611 1/2" G45 lg'-O" 22'-0" ELECTRICAL INSPECTI~, ,~QUIRED AMENDMENT PZ"FMADE W/ 6X6 PT TIMBER AND HATCH COVER LUCUS 320 BROADWATERS RD., CUTCHOGUE, NY IApri117, 2006 ISOALEI/4"=I'0" I JDMH REAR ELEVATION 3i"~' 4"0 ROOF VENT -- D.W. II 3" SLOPF" 114" PF:R FOOT ~ITGH TO DI~IN a"c.~.~ TO^PROVED HOUSE SEPTIC SYSTEM TRAP ~ ~ PLUMBING SCHEMATIC RIGHT ELEVATION ~ ~ LUCUS 320 BROADWATERS RD.,CUTCHOGUE,iSCALE NY AMENDMENT PC. 2 IApri117, 20061/4"=1'0" I JDMH I I