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Home My WebLink About37324-Z7/5/2012 Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 35795 Date: 7/5/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ADDITION/ALTERATION 21905 Route 25, Cutchogue, Sec/Block/Lot: 109.-1-8.9 Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/18/2012 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: "as built" alterations and deck addition to an existing one family dwelling as applied for. Lot No. ~ed in this officed dated 37324 dated 6/25/2012 The certificate is issued to Foster, Jack (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 5/29/12 37324 7/2/12 .James Orlowski 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 #: 37324 Date: 6/25/2012 Permission is hereby granted to: Foster, Jack 21905 Route 25 Cutchogue, NY 11935 To: construct "As Built" Alterations & deck addition to an existing single family dwelling as applied for At premises located at: 21905 Route 25, Cutchogue SCTM # 473889 Sec/Block/Lot # 109.-1-8.9 Pursuant to application dated To expire on 12/25/2013. Fees: 6/18/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $2,722.40 $50.00 $2,772.40 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: 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 Approvat from Healtb 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 tban 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from amhitect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 applicatioe and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmiug pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Busiuesses $50.00 2. Certificate of Occupancy on Pre-existing Building- $100.00 3 Copy of Certificate of Occupancy- $.25 4 Updated Cmlificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. (check one) New Construction: Locatiou of Property: Old or Pre-existing Buildiag: / House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section SulSdivision .,,~'..r'.rg~r ~ ~:, ~ ,~".4~c~ /~'"'o.a-,~f~a. / ~.,,~' B lock / Filed Map. Date of Permit.~ - 2_'5'- i,). Applican!: Underwriters Approval: Health Dept. Approval: Lot Lot: Planniag Board Approval: Request for: Temporary Certificat'e Fee Submitted: $ Final Certificate~__ (._.~Y-/A p p li'cafft Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qer, dchert~..town.southo d ny us BUILDING DEPARTMENT TOWel OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Estate of Jack Foster Address: 21905 Main Rd City: Cutchogue St: NY Zip: 11935 Building Permit #: 37324 Section: Block: 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~~ 'nd°°r [~ Basement I~ Service Only Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: INVENTORY Hot Water GFCl Recpt NC Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt ~ Switches Twist Lock Ceiling Fixtures ~1 HID Fixtures Wall Fixtures I 11 Smoke Detectors Recessed Fixtures~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures[~] Time Clocks Exit Fixtures ~ TVSS 2-exhaust fans, 1-paddle fan, 6ft track lightin~ Notes: Inspector Signature: Date: July 2 2012 81-Cert Electrical Compliance Form.xls CERTIFICATION Date: Building Permit No. '~ q -~:~ q Owner: (~2270 ~qq~ (Please print) Plumber: ~t~XL~ ~)ClO~0~ (Please print) 1 certify that the solder used in the water supply system contains less than 2/10 of 1% Sworn to before me this day of //fifff-~ , l Notary Public, ANTOINETTE NABRIZNY Notary Public, State of New York Qualified in Suffolk County No. 01 NA4675263 Comm. Exp. 08/31/20//~ ~ROBERT O'BRIEN RE. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD, P.O. BOX 456, LAUREL, NY 11948 631-299-5252 June 28,2012 Town of Southold Building Department Southold, New York Foster Residence 21905 Main Road, Cutchogue, NY To Whom It May Concern: With reference to the alterations and additions made to the above-captioned res- idence, please be advised of the following: After a thorough inspection of the residence and to the best of my knowledge, belief and professional judgment, the work as shown on the as-built drawings dated 6/17/12 is in compliance with The New York State Building Code in effect at the time it was completed in 1991. Very truly yours~__-- ~-. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING/STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] ~LATION [ ~"FI NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR '/~/~ ~/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~LECTRICAL (FINAL) REMARKS: DATE INSPECTO~ FOUNDATION (1ST) .... ?r-- ............. h.- FOUNDATION (~ND) ~ PLUNIBING INSULATION PER N. Y. STATE ENERG'Y cODE . 7~ ~DITION~ COUNTS ' ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c Expiration PERMIT NO. JUN 1 8 2012 BLDG. DEPI. lOW~ OF SODTHOLD 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 Storm-Water Assessment Form Contact: Mail to: Phone: Building hrspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~'&/F' ,20 ( 2,- a. Tiffs application MUST be completely qlled in by typewriter or in ink and submitted to the;Building Inspector with 4 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 issuauce 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 iu wbole 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 conimeuced witbiti 12 months after the date of issuance or bas not been completed ;vithin i 8 mo~iths from such date. If no zoning amendments or other regglations affecting the property have been enacted in the interim, tll~ Building Inspector may authorize, in whting, the extension 6fthe permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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,~~housing~tior, s,,~nd to admit anthorized inspectors on premises and in building for necessary inspections~~ ~ (Signatu-~ofapplicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporati6n, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. __*Y".a-~ ./'/,~ .,,~' ..~ Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Nnmber Street Hamlet County Tax MapNo. 1000 Section /~ Block {~ Lot ,~' j~ 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 ,,:~_ x2_r',,J,¢,.-~ t b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost L~-,~./~ ~7.~>~-,,~'~-/~',~ l'~'~.,f~e:,,' If dwelling, number of dwelling units If §ara§e, number of cars Addition d"~'~-.¢~ Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specit}' nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Real' 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 Rear .Depth 10. Date of Purchase //'//~/'¢'/ Name of Former Owner ,/~'~'~',r' 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO ~ 13. Will lot be re-graded? YES NO /,~ill excess fill be removed from premises? YES NO 14. Names o~O~,~,ofpremises _.~"..,,e_.~ ,~,~'-~'~- Address~'l~'~~'''t/~''''''¢ 4~t Phone'No. Name o~/'~/?~,~¢,r,o,~0,d/~,,., f,.~Address,~,~?,f ,,~,a-,,,,., PhoneNo ~ Name of Contractor Address~~'t~'~Phone No. 15 a. Is this property xvithin 100 feet ()fa tidal wetland or a freshwater wetland? *YES NO -~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQU__J-RED. b. ls this property within 300 feet of a 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF2~ ¢O/~'~-L~-'- O~ ~_ ~6 k~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~10 -~,--~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perfqrm or have performed the said .work.nd to make and file this application; that all statements contained in this application are tree to the best of his knowledse and belief: and performed in the manner set fo~b in the application filed therewith. Sworn to before me this / day of O~~ 20 ~ ' ~ ,Claw Public, State of N.w ~~~ ANNA CARLINO Notary Public No. 0~CA6018746 ~ ~snamre of Applicant Qualified in Suffolk Coun~ Commission Expires ganuary I TOWN OF SOUTHOLD PROPERTY RECORD CARD I J",,{'t~ [~ STREET ~ 1 ~ O~ ~ VILLAGE DIST. SUB. LOT - ACR. ' ' I REMARKS ~ TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE OOD FRONTAGE ON WATERI ?RONTAGEON ROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLAND HOUSE/LOT 'TOTAL COLOR TRIM · M~.Bl'dg-' ,~,~-~-'~'-- .5"7,~ .~"- ~/~ Foundation =."c' h~. Bath -~ Dinette ~~ FULL E~n~ ~ ~ 3~ ~ , ~ 3'~° /4 / ~ ~t. Walls C~'~"~ ~ L~,~. In~erior Finish ~ ~ L.R. Extension Patio Woodstove BR. Porch Dormer Fin. Deck /~,~ ~ ~ ~ ~o .~ ~ ~ A~ic Breezeway Rooms 1st Floor Garafle~t~4~ ~ ~ ~ 0 = ~ ~o /. J~/~2~ Driveway Rooms 2nd Floor O-B-- ..~, ~ool Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Btm.r)ll~G DF, P~ TOWN OF 8OO'['~Ol.13 APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: ~lame: Jcense No.: Address: Phone No.: JOBStTE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax.Map District: 1000 Section:_ ,f,=,f Block: / Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) '(Please Circle All That Apply) *Is job ready for inspect on: *Doyou need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase 3Phase ~New Service: Re-connect Additienal Information: YE~O Rough In ~ YES ~ 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 Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971-0959 Telephone (631) 765-1802 Fax (631 ) 765~9502 July 2, 2012 Jack Foster 21905 Route 25 Cutchogue, NY 11935 BUILDING DEPARTMENT TOWN OF SOUTHOLD TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) ~///~lectrical 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: 37324 - "As Built" Alterations and Deck Addition ~ROBERT O'BRIEN RE. CO~SU~T,~ EN(~INEERING SERVICI~~- 2074 MAIN ROAD. P.O. BOX 456. LAUREL. NY 11948 631-298~5252 June 27,2012 Town of Southold Building Department Southold, New York Foster Residence 21905 Main Road, Cutchogue, NY To Whom It May Concern: With reference to the alterations and additions at the above-captioned residence, please be advised of the following: The original and newer windows are Andersen vinyl-clad wood thermopane awn- ing, casement and fixed-pane types. The two sliding patio doors are similar in construc- tion. They, along with the kitchen skylights, have U-factor values, ranging from U.32 to U.28, which are energy-efficient and in conformance with the Energy Code that existed in 1991, when they were installed. Very truly your~o~ ~ / ? O"/..,..,'.,P. NOTF' ,' BUILDING DEPARTME~/T 765-t602 8 AM TO 4 I~1 FO~ FOLLOWING INSPECT~O#~: 1. FOUN~ATI3N - ~ ~Eb FOR POURED C~ 2 ~OJGH-FRAMING,~, S'~APPING ELEC~ & CAULK~ 3 ~U~ 4 F;~L - CONS~T~ & E~C~ICA~ ~ST ~ C~ F~ C.O. ~[L ~NS~T~ ~ ~ ~ REQU ~REMENTS ~ ~ ~S ~ ~W ~RK STA~ ~T ~ ~ ~SIGN ~ ~ ~. OOCd~ .~NC f OR USE iS UNLAWFUL CERTIFICATE ~ TPiC~HT OF OCCi !PANCY //~ ~ ~ ~ , &WATER~T~ESNE:~i TESTING ELECTRICAL ,NS~ ECTION REQUIRED PLUMBER CERTIFICATION ON LEAD CONT..ENT BEFORE CERTIFICATE OF OCCUPANCY $OI.~USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. CERTIF TO THE BEST OF MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT, THESE PLANS ARE IN COMPLIANCE WITH THE NEW YORK STATE BUILD NG CODE 'i v C N E S SURVEY OF PR OPER T Y A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK 1000 - 109 Scale Jan. Jan AREA = 78,506 sq. ft. NIOIF WILLIAM 0 LoWE & pAMELA j LoWE _~_~ 1~100' Vy, T 33782' ~ 1~' 27' 40" ~ ¢OAD ( 5. g. :25) N/O/F JAMES CROSS Prepared in accordance with the minimum standards for title surveys as established by the L.I.A LS. and approved and adopted for such use by The New York State L~nd Title Association. KS LIC. NO 'EYORS, P C (516) 765 - 5020 P O. BOX 909 MAIN ROAD SOUTHOLDr ~N.Y. 11971 91 -101 49618