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Home My WebLink About37953-ZTown of Southold Annex P.O. Box 1179 54375 Ma~ Road Southol~ New York 11971 CERTIFICATE OF OCCUPANCY 4/26/2013 No: 36214 Date: 4/26/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: AS BUILT ADDITION 775 Wood Ln, Peconic, Sec/Block/Lot: 86.-6-9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/1/1900 pursuant to which Building Permit No. 37953 dated 4/18/2013 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-habitable basement addition as applied for. The certificate is issued to Cooper, Kathleen K (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37953 3/11/13 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 #: 37953 Permission is hereby granted to: Cooper, Kathleen Date: 4/18/2013 285 Meadow Beach Ln Cutchogue, NY 11935 To: "As Built" non-habitable basement addition as applied for. Additional certifications may be required. At premises located at: 775 Wood Ln SCTM # 473889 Sec/Block/Lot # 86.-6-9 Pursuant to application dated To expireon 1011812014. Fees: 1/1/1900 and approved by the Building Inspector. AS BUILT - SINGLE FAMILY ADDITION/ALTERATION CO - ADDITION TO DWELLING $526.40 $50.00 $576.40 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: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval ['rom Health D'~,-t. of water supply artd 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 2/10 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 requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey'of property showing all property lines, streets, building and unusual n~ura or topographic features. - 2. A properly completed application 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 I. Certificate of Occupancy - New dwe ng $50.00, Addi6ons to dwelling $50.00, Alterations to dwelling $50.00, Swilmning pop $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 o£Certificate of-Occupancy - $.25 4. Updated C~rtificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resident a $ 5.00 Commercial $15 O0 Date. SubdivisiOn Pe ,itNo. Health Dept. Approval: Planning Board Approval: New Construction: Old or Pre-existing Building: .Location of Property: 775 14ood Lane House No. Street Owneror OwnersofProperty: Kathleen K, Cooper Suffolk County Tax Map No 1000, Section 086 Block Iq/A Filed Map. Oat¢ofPermit.. ~4 /~ ~.__5 Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ 50.00 (check one) PeconJ. c Hamlet 06 Lot 009 Lot: Final Certificate: I~ (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roqer.richert~,town.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Kathleen Cooper ~ddress: 775 Wood La City: Peconic St: NY Zip: 11958 ~uilding Perm. #; ~)-~ ~ .~__~ Section: 86 Block: 6 Lot: WAS EXAMINED AND FOUND TO SE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE ~ontractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floer Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Pane~ NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~ HID Fixtures Wall Fixtures I-----I Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures ~ Time Clocks Exit Fixtures L--.J TVSS 24 ft of lighting track in basement with 6 light heads and 2 switches Inspector Signature: Date: March 11 2013 Elect dcal_Cer[ificat e.xls 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 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] RO~I4 PLBG, [ ] FOUNDATION 2ND [ ].~SULATION [ ] FRAMING/STRAPPING [/~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~~'~ ~/~ DATE ~ INSPECTOR 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. i Contact: b/ //~.20 [5 Mailto: APPLI£ATION FOR BlffL~INd PERMIT BIIILDING PERMIT APPLICATION CttECKLIST Do Sou have or need the following, before applying? Board of Health 4 sets of Bnilding Plans Planning Board approval "~ ~7~'~,-.'.~ ~ CheckSt'rvev Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Stm'm-Water Assessment Form INSTRUCTIONS Date ~6O'fC~l (,0, ,20 1 3 a. This application MUST be completeb filled in by t5 pcwriter or in ink and submitted to tine Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according 1o schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to at, joining premises or public streets or arcas, and watem'ays. c. The work covered by this application may not be commenced belbre 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 tlwoughout the work. e. No building shall be occupied or used in whole or in pm1 for any pnrpose M~at so ever until the Building Inspector issues a Ce~ificate of Occupancy. fi Every building pcmfit shall expire if thc ~xork authorized has no! commenced within 12 months a~er the date of issuance or has not been complet6d within 18 months fi'om sach date. If no zoning amendments or other regulations aflbcting the property have beea enacted in the interim, the Building Inspector may authorize, in ~witing, the extension oftbe pemfit 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 Soutbold, Suflblk County, New York. aad 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 building fbr necessar5 inspections. ~''~~ rm 'X ~ (Signature of applicant or name, ifa corporation) ~* ~5 ~ 285 Meadow Beach Lane. Cutehosue. ~ 11935 ~ (Mailing address of applicant) State aeth applicant is owner, agent, architect, engineer, general contractor electrician, plumber or builder U ~,)~ [APL Nallqe of owner of premises Kathlean K. Cooper (As on tlne tax roi! or latest deed) If applicant is a corporation, signature of duly autlnorized officer N/A (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: 775 Wood Lane House Number Street . Pecon~e,. Hamlet County Tax Map No. 1000 Section 086 Block 06 Lot 009 Subdivision I,I/A Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy single family dwelling b. Intended use and occupancy single family dwelling 3. Nature of work (check which applicable): New Bailding Repair Removal Demolition 4. Estimated Cost N/A 5. If dwelling, numberofdwelling units N/A If garage, number of cars ~q/A Fee Addition Alteration Other Work converted crawlspace to full basement (Description) $526.40 (To be paid on filing this application) Number of dwelling units on each floor 6. If business, comlnercial or mixed occupancy, specify nature and extent of each type of use. N/A 7. Dimensions of existing structures, if any: Front 48 Rear 48 Depth Height 30 Number of Stories 2 Dimensions of same structure with alterations or additions: Front same Depth Height. Number of Stories 8. Dimensions of entire new construction: Front N/A Rear Depth Height Number of Stories 9. Size of lot: Front 76 10. Date of Purchase 2008 Rear 75 Depth 325 Name of Former Owner 11. Zone or use district in which prelnises are situated Marks R & M R~80 12. Does proposed construction violate any zoning law. ordinance or regulation? YES NO__ 13. Will lot be re-graded? YES__ NO x Will excess llll be removed fi'om premises? YES 285 Meadow Beach Ln. 14. Names of Owner of premises Kathleen Cooper AddressCutchogue, w/ l193.~bone No. Name of Architect Address Phone No Name of Contractor Address Phone No. Rear x NO x 15 a. Is this property within 100 feet of a tidal wetland or a fi'eshwater wetland? *YES X NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS,~MAY BE REQUIRED. b. ls this property within 300 feet of a tidal wetland? * YES x NO__ * IF YES, D.E.C. PERM1TS MAY BE REQUIRED. , construction is on landward side of building 16. Provide survey, to scale, with accurate tbundation 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. STATE OF NEW YORK) SS: COUNTY OF Suffolk) Kathleen C. Cooper being dui3 sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Owner (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly attthorized to perform or }lave performed tile 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 beliefi and that the work will be performed in tile manner set forth itl the applicatioa filed therewith. Sworn to before me this [~c~ day of Notary Public ~l~!lEa .W. MAZZAFERRO ~III~t!LPUbhc, Stale 0t New York Oual~~,,' . 'ilk CoUflly .-- Stgnature ofApphc~t ~- 54375 ~ I(md P.O. Bo~ 1179 ',~ati~old, NY 11~'/I-095~ Tdephone (~1) 7~-180~ BUILDING Di~ TOWN OF ~OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: company Name: Name: U~nse No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) 1000 *BRIEP DESCRIPTION OF WORK (Please Print Cleady) *Address: *Cross Street: *Phone No.: Permit No.: Tax-Map District: Block: OOO~, Lot: (Please Circle NI That Apply) *ls job ready for inspection: *Do.you need a Temp Ceai~'k;ate: Temp lafonnation (If. needed} *Service Size: 1 Phase ~New Service: Re-connect Additienal Information: 3Phase 100 Underground ~NO Rough In ~ YES I NO 16;~~ 150 200 300 350 .400 Other Nurober of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION ~ ~. ~;~ .../~_, '~rTOWN OF SOUTHOI~D PROPERTY RECORD CARD OWNER STREET '"~ ? _..~ " vILL*/kG£ . . DIS~R,~ sUB. ~FO~ER OWNER _ I J~ . J E J A~fA~ m(I.~6~ ~l~dn~t ~ ~; J S ~ , ,~ , ~PE OF BUILDING RES.; I ¢~ S"S. VL. "ARM COMM. I,N~. I ' CB. I MJsc. ~ND IMP. TOTAL DATE REMARKS //Oeo :),., NEW NORMAL Farm Acre Tillable ] Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot TotaL-_ .~ . 510o "4 £t: BELow Value Per Acre LOT / - ,.,fi, . Est. Mkt. Value ABOVE FRONTAGE 6N WATER Value FRONTAGE ON ROAD BULKH~D · i M. Bldg. i?~'(/~- -~ :' ~ O~ '~-~- I -~ / ~ >r~Jation ~uj~l , Bath ~ I Extension ~ 7 ,'/~ 2 ~ ~ ,/ Basement,~,~., Floors _, ~ t~ ~,,j t~:~, - interior Finish ~, Extension 2(X/b: 3~,j/ Ext. Walls ~[~-,,~ ~l~, . Parch Roo~ 1st Floor i Breezeway ~ ~:~; ~OC Patio Rooms 2nd Flor · ;. 7, ~ ~/ ' ~ S~ ~ o~ ~ew~ )ormer M. Bldg.' Extension · / ,~ ~ Interio~ Finish ~', ~qO 5~ tqrm ~,.w*,~ ~ s~ ~ ~... Fire Place yE 5 Seat D.R. Extension Woodstove BR. Patio Fin. Dormer Porch Deck Rooms 1st Floor Breezeway Garage ~ ~"~ = ~ ),~ ~ Driveway Rooms2ndFIoor P.O. Bo× 154': CHARLES R. CUI)I)Y ATTORNEY ,\T LAW 445 GRI FFING AVENI 'E I~IVERIIEAD, NEW YOI~K March 25, 2013 TEL: (631) 369-821~0 FAX: (631) 369-9{~q/ Building Department Southold Town PO Box 1179 Southold, NY 11971 Re: 775 Wood Lane, Peconic, NY SCTM#1000-86-6-9 Dear Sir/Madam: In connection with the as built additional basement room at the Cooper residence at 775 Wood Lane, Peconic we enclose the following: 1. Building Permit application 2. Application fee of $526.00 (representing a double payment) 3. Plat Plan-survey 4. As built basement plan with Engineer's seal 5. Application for Certificate of Occupancy together with a fee of $50.00 Please note the electrical inspection has previously been made. I would appreciate your advice as to when an inspection will be made. Very truly yours, Charles R. Cuddy CRC:ik I¢.tC I IMOhit) CI7 E~ l,< MAP OI-- [-AMD klli'3T I-IYNDMAI',,I :~ MAI)t~I_IF.II':' I t'/HDMAI~I ~ I) I:~ C 0 l,J I Q TG -o APP~ROyED AS NOTED 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. tNSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE cODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, COIVPLY V, qTH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUI.RED A~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIF!CATE 0r OCCUPANCY EXISTING ~5 EXISTING FULL ~ ~ EXISTING ~ ~zo~ .................. r ~1 ~T~ - ~T~S ~ I I ~o ~T~S ~ R[8~ x AS BUILT FULL BASEMENT ~ - ~ VALL ~ ' I I ~ ~4 ~ ~ ~ ~ ROOM FROM CRAVLSPACE ~,[ m ~ ~I~ ~ A~ ~ m x AREA 158 SF 7, ~iL~ ~- LAO~ WE ~ ~ ~x ~[~T - ~YV~L CEZ~ - 6' o I I ~ z, EXISTING )~ EXISTING~g~ CRAVLSPACE m~ a ~ v~ ~ ~ I IA~ AS SU[LT, tULL BASEMENT ~t~ EX~ ) ~ ~ ~ ) CRAVLSPACE ~ ROaM IN EXISTING z Y ~ ~z CRAWLSPACE AREA PLAN ~' ~o ~Et[ I I COOPER RESIBENCE ~AB ~ ~to ~x6 I ._ _J I 775 VOOD LA~ ~E ~ l: I ~CONIC NY L _ ~ ~v~ tz~s G[S~ ~ ~ NEV VALL 'A~' AS ~T ~ ~T AEA