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Home My WebLink About37967-Z ~ypt{pt,f Town of Southold Annex 1/23/2014 P.O. Box 1179 54375 Main Road Southold, New York 11971 * 01 CERTIFICATE OF OCCUPANCY No: 36657 Date: 1/23/2014 THIS CERTIFIES that the building ACCESSORY ALTERATION Location of Property: 21800 Route 25, Cutchogue, SCTM 473889 Sec/Block/Lot: 109.4-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this otHced dated 4/16/2013 pursuant to which Building Permit No. 37967 dated 4/24/2013 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" alterations to an existing accessory garage as applied for The certificate is issued to Cautield, Timothy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37967 12/26/13 PLUMBERS CERTIFICATION DATED A rizo(I Sign re TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,NY Amu, as n 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 37967 Date: 4/24/2013 Permission is hereby granted to: Caufield, Timothy _ 21800 Route 25 Cutchogue, NY 11935 To: Alterations to an existing accessory garage as applied for. At premises located at: 21800 Route 25, Cutchogue SCTM # 473889 Sec/Block/Lot # 109.-1-2 Pursuant to application dated 4/16/2013 and approved by the Building Inspector. To expire on 10/24/2014. Fees: ACCESSORY $521.20 CO - ACCESSORY BUILDING $50.00 C $571.20 Building Inspector 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 Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). I 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: 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. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, 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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: l 8GY7 97-E ZS' G U 1Z H O G U~ House No. Street Hamlet Owner or Owners of Property: / M O / HY J. C A (),Q L Suffolk County Tax Map No 1000, Section / 09 Block / Lot 2 Subdivision Filed Map. Lot: Permit No. ~ / / Date of Permit. 7 ~1y ` I J Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $Q. A Ii igt allure pF SO!/lyolo Town Hall Annex Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 P Box 117 Southold, , NY 11 971-0959 G, Q roger. richert(a)town.southold.ny.us ~~~OOUNi'1 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Tim Caufield Address: 21800 Rt 25 City: Cutchogue St: NY Zip: 11935 Building Permit 37967 Section: 109 Block: 1 Lot: 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Brian Brooks Electrical Inc License No: 3613-e SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures 3 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Notes: Inspector Signature: Date: Dec 26 2013 81-Cert Electrical Compliance Form.xls O~q,OF sally 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 41-3 INSPECTOR ho~~ OF sonde fff ~ ) f f TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH G. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: It--,- ~ ~SS GJ~?r 'K ~--7- DATE INSPECTOR r - J *o OF soo&, o* r TOWN OF SOUTHOLD BUILDING DEPT. U 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) fIq ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR FLEW INSPECP~ON REPORT DATE COMMENTS U,ro FOUNDATION (IST) T;l, V Q FOUNDATION (2ND) R~ o O y ROUGH FRAMING & PLUMBING ~l INSULATION PER N. Y. H STATE ENERGY CODE C rd ' Y l FINAL ADDITIONAL COMMENTS C _ C m z • b o TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 20 an Single & Separate - D v Storm-Water Assessment Form 1• o ct: Approved 20 id Mail to: r~M C9uFlEe o Disapproved a/c BLDG. DEPT. Phone: SIG-rJ'27"0046 1NN OF ODTNOLD Expiration , 20 g ns for APPLICATION FOR BUILDING PERMIT Date 20 INSTRUCTIONS a. This application MUST be completely filled 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 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 throughout the work. e. No building shall be occupied or used in whole 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 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 the 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 the issuance of a 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ( i i ur o' p 'cant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 wA;F-9 Name of owner of premises TIM 1-/f Y J . C guFi E4D (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 21800 RTE 25 C0TCH o GLIE House Number Street Hamlet County Tax Map No. 1000 Section log Blc4Wwm'+1o nS Lot 'Z a1Q4 ,E nO~>1:,.) a-npy7 n. v.r..nl+ 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 DE Tot Ckt ED ,1-12'A06 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work REME0144 WORI< (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units - Number of dwelling units on each floor If garage, number of cars 2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. - 7. Dimensions of existing structures, if any: Front 122E6, Rear //112E6 . Depth 40 Height 1-5) Number of Stories I Dimensions of same structure with alterations or additions: Front 2 7t Rear 27 Depth 4o / Height 13, Number of Stories 1 8. Dimensions of entire new construction: Front 7--71 Rear ~7 Depth 40 Height 1 3 t Number of Stories 9. Size of lot: Front 2 6 718a / Rear 240 %47 Depth y 40 2 to 3 t 10. Date of Purchase -1003 Name of Former Owner ~ -S 1 Ki 11. Zone or use district in which premises are situated Q- 6y 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO_)< Will excess fill be removed from premises? YES_ NO 14. Names of Owner of premises 77M 04UP)CO Address 2-16M t27'6 2S- Phone No. 67 Cy -.S'27 -0046 Name of Architect /RA N4SP61- Address.6V,7 eS RTE 2r Phone No s/6-398- 8753 Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 1C * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is 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 X * IF YES, PROVIDE A COPY. STATE OF NEW YORK) ~Q~, SS: COUN Y OFS(iTl L ) I I Y 1 L(,t,tf1 e I0( being duly sworn, deposes and says that ( is the applicant (Name of individual signing contract) above named, V~ is the ~U tur (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 thi day of ?t 2013 9~ u OA I J tary Public ` "BMWIRtlo.>~d S n ure of Applicant No. otOUeaaae7 ao.r°aams P.1 i ,\p`~~df S~rdp Town Hall Annex 54375 Main Road 4 Telephone (631)) 77655-11802 P.O.Box1179 G~ roaer.richertSOU sO6UlholU.ny.us i Southold, NY 11971-09,59 C0~(, I BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: r i Name: ; . License No.: Address: 0 fby too h c (1 Phone No.: _ f - 4145-:59 ,35 ; . JOBSITE INFORMATION: ('Indicates required information) I *Name: *Address: + - *Cross Street: *Phone No_:23 Permit No.: -37grn7 Tax Map District: 1000 Section. ~Ca^ Block: _ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) t• r ~ r>~el-.~L, .0 Q _-Lrns~~i,og1 ,w,o.. V V i (Please Circle All That Apply) *Is job ready for inspection: YES O i Rough in Final *Do you need a Temp Certificate: YES NO ! Temp Information (if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION ~A b j 82=Request for Inspection Form SC!AitNING: C t of OCCUPANCY OR It is a dolation of the law for any prrson, q - unless acting under the direct supervision X T T roUSE IS UNLAWFUL of a licensed architect, to alter any item in any way brining the seal Of an xrchncet WITHOUT-CERTIFICATE If -in a/teriticn is made, the altering of OF OCCUPANCY architect shall affix to his item( the seal and the notation "Altered by:" f'ollow•ed by lus signature, the date of such alteration, I I ~ U ~o 13 h and a specific description of the alteration, v Gfi i6" tl AI'4 ' Ta/' r p,rpo tl' "l i OYf !/l ry/~ I`T/E (J APPRO!I A5 NOTED f - - - 2 DATE: B P.lt-." °j--Z I ' 2c E"K F CC,, -.f l9 rl J J 4 NOTIFY BUILDIPIG U_',1,RTMENT AT 765-1802 BAiIA TO 4PM FOR THE Q ~ FOLLOWING INSPECTIONS: C ~CaHiST -4 5x3 <''y a 1. 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