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Home My WebLink About28112-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28243 Date: 03/05/02 THIS CERTIFIES that the building ALTERATION Location of Property: 15845 CR 48 CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 101 Block 1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25, 2002 pursuant to which Building Permit No. 28112-Z dated FEBRUARY 26, 2002 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 KITCHEN ALTERATION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF J. FISCHETTI DATED 2/25/2002. The certificate is issued to ROBERT E & DONNA A PARKER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED 02/27/02 T.L.TUTHILL HEATING, INC. e"Ilz -';P' ut orized Signature Rev. 1/81 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. 28112 Z Date FEBRUARY 26, 2002 Permission is hereby granted to: ROBERT E & DONNA A PARKER PO BOX 1568 MATTITUCK,NY 11952 for CONSTRUCT A KITCHEN ALTERATION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF J. FISCHETTI 2/25/02 .REPLACES 23084-Z at premises located at 15845 CR 48 CUTCHOGUE County Tax Map No. 473889 Section 101 Block 0001 Lot No. 013 pursuant to application dated FEBRUARY 25, 2002 and approved by the Building Inspector. Fee $ 150 . 00 Authori ed Si ature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL �r 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP 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). 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 I%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.. equirements.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 a 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 1. Certificate of Occupancy,-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool'$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre=existijig Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. 3 O.Z New Construction: Old or Pre-existing Building:'_(check one) Location of Property: )r'.�E� House No. Street ITA31et Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 1 1 Block d Lot Q �� Subdivision Filed Map. R nd ot: Permit No. 28 l Z Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval:. Planning Board Approval: Request for: Temporary Certificate. Final Certificate: (check one) Fee Submitted: $ Apple ant ignature Cmc• 4�oq c0 ;2-- a9'0 Y3 o��$uFFot,�c N Town Hall;53095 Main Road Fax(631)765-1823 P.O.Box 1179 ,ji �4 Telephone(631)765=1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: (,� d-7i9z— Building Permit No. Owner: LowoC't+ T4'.e (please print) --- - l Plumber: IQ .T ►V� I . .n ��) Ps�C�.. �e,�-�1►Gam` (�L. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of Zlrk , 206Z. Notary Publicc County SUSAN M.CARDINALE NOTARY PUBLIC,State of New York No.52-461954- Ouatifiedin Suffolk p Commission Expires / oQ6 T.L. Tuthill Heating Service, Inc. Installation & Repair Todd Tuthill, Proprietor LC#11-3044862 )CP a -A1 Robert & Donna Parker Rt. 48 Cutchogue,NY 11935 Installed domestic piping to kitchen sink and to clothes washer. Installed with lead free solder. Todd L. Tuthill P.O. Box 2013 Jamesport, NY 11947 Tel (631) 722-4394 suu.uINa DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH P BG. [ ] FOUNDATION 2ND [ ] INSTION [ ] FRAMING [ FINAL [ ] FIREPLACE & CRIMNEY REMARKS: 4 Z2 C DATE d ��NSPECTOR FIfLO 21NSPEC;rLoN REPORT DATE COMMENTS ______________________________ H II .ti II �I FOUNDATION ( Is'r) ° �I ----------------------------------------- ------------------------- ------------- FOUNDATION (2ND) ROl1CII FRAME 6 II U PLUMBING ------------- II �I - fNsuLATroN PER N. Y . STATE ENERGY i II CODE I II I11 II I , it� � ��------ S.SL✓ ----- -- ---- N � II II FINAL I --I ----- --- -- ADDITIONAL. COMMENTS: 1 ty�q rT� �7 9 r --- --- , rn - ,b BOARD OF HEALTH . . . . . , . FORM NO. I " J SETS OF PL.XLIS . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . BUILDING DEPARTMENT – CIIECI. . . . . . . _ . _ . TOWN MALL SEPTIC F0RH _ . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 tt07 FYExamined 19 9� ; / CALL HAIL TO : (� Approved "� . . ., 194,`�_ Permit N a�j 8M01. . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 - (Build?ing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , � X661 � �. . .Inspector) P LICATION FOR BUILDING PERMIT ((��- 6 Dateo . ! . . . . . . . .. 1916 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the 1311ilding Inspector, wits 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 publie strei or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apt cation. c. The work covered by this application may not be commenced before issuance of 1311ilding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pern 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 whatever until a Certificate of Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constnictioai of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises anti,in building for necessary inspections. . . . . . . . . . . .C� Pa*&� b(,"gnat1re ofgapplica it, or name, if a corporation) . .i-�-�,c� 5�- �ao . .Oiling plicant)address State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde �w�fir' . . . . . . . , . . . .Q. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises (as on (lie tax roll or latest"deed) If ah 'a/ntt(t hiss-a corporation, signatur f duly authorised officer. (Name and title of corporate officer) L/ Builder's License No. . LO. ! .v — /7 Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . rig 4.5. . . . . . . . . IImse Number ^^ Street Hamlet County Tax hlap No. 1000 Sec tionl ;l.J�J. . . . . . . . . . Block4�I,.�V. . . . . . .. . . . Lot YOQ . . . . . . . Subdivision , . . . . . . , . . . . . . . . . . . . . . . . . . . .. . . . . . . Filed Map No. . . . . . . . . . Lot . . . . . . . . (Name) 2. SIa1c existing use and occupancy of premises and intended use and occupancy of proposed construclion: a. Exis(ing use and occupancy .�r. ! rnq�. .0{-�� f��Y1C � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nalurc of work (check which Hpphcable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration {} Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . Other Worklrkr.g.c t ►. �• � hh (Descripn) 4. Estimated Cost . �?�avO. . : . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If cl„'elling, number of dwe ling units . .�. . . . . . . . . . . . .. Number of dwelling units on each floor .1. . . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If business, commercial or mixed occupancy, sp cify tire and extent o each tiype of use 7. Dimensions of existing structures, if any: f I ,al . . . . . . . . . Rear .QZI. . . ... . . . . Depth .�. �. . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories .5 �r`�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or a(lditions: front 5.9n ,.p.- . . . . . . . . . Rear �q!+►.t . . . . . . . . . . . 1)e1)tl►$(Xrn�'. . . . . . . . . . . . . . . height —5'V .e-. . . . . . . . . . . . . Number of Stories �. . . . . . . . . : . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . Number of Stories . . . . . . . . . . . . . i. . . . . . . . . . . . . . 9. Size of lot: Front �p^��.1(v-•� Rear 1�l•�.�P.�. . . . . . . . . . . . . . Depth . �� t . . . . . . . . . . . . . . . . . . 0. Date of Purchase �.Qt'.�. 1 . . . . . . . . . . . . . . . Name of Fonner Owner �NS°►."a.�,�g� . . . . . . . . . . . 1 1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . .�t . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulatioi . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded 14 %' Will excess fill be removed from premises: Yes 1,.1. Name of Owner of remises ° ` + '' � Parker- Address PP.t» '% ►t - ' 13y'��a1 P �: . �. � �. ] hone No. . . . . . . . Name of Architect . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . Pho No. Name of Contractor /�Qb.Gr.ot.�.%?!!^. -�lr.�� . . Address 2A.'Jt7� i No. 15. is Llris property within 300 feet of a Lidal wetland? *Yes. . . . . . . . No. . *If yes, Southold 'Down 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 c escription accordi I i to deed, all(] show street names and indicate whether interior or corner lot. �5`b�rj -�$ �u1C1�o�ke 8i0c� -Ql. Oo. her►a� 10� t STATE-01' NE Yt �, S.S ' UN1'1' O1� .J.t!��c5��, . . . P . . c 53�7. . . . . . . . . . . . . . being duly sworn, deposes and says that 1►e is the applicant (Name of individual signing contract) shove named. ((�� /' j l o //!� /�j . . .�.�. . . . . . . . . . . . . . . . . . . . . . . . . . . Contractor agent, corporate officer, etc.) j 4 said owner or owners, and is duly alltllorized to perforru or have performed the said work and to make and file this pplic:ation; that all statements contained in this application Ire true to the best of his knowledge: and belief; and that the ,,Oil, will be performed in the planner set forth in the application filed therewith. worn to before nle this . . . . . . . . . . . . . . . . . . . .day o I. . �.d�. . . . . . . ., 199 T �� "' r � lotary Public, 'ounty HELENE D'HORNE . . �•! ." �' Notary Public,Sta#e-of New York •No.4951364 (Signature of applicant) Qualified in Suffolk County Contnission Expires May 22, 1 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) / Date.......... .......................... .................... 199... N6 23084 Z Permission Is hereby gra to: d '.a.,..... .. . .$........................ ............ -. ... . ......0.0�yy...../..P r� to..... .. ... .... .. . ... .. . ......... . . . .. .. .. ........ --................................................................................ .................................................................................................................................................................. ......................................................................................... ................................................... at premises located at.......,/ �f.. •••••••............. ....�..�.`.►...... L1............................................ ....................... ........................ ....................................,............. County Tax Map No. 1000 Section ....... ... Block........... ....... ,l.... Lot No. ... 3............. pursuant to application dated ................... .�.d........ 19.. ......, and approved by the Building Inspector. Fee$.. .... .. .................. ........ /C`......� a$ Building Inspector " Rev. 6/30/80 APAFOVNOTEDDATEB.P.#FEE: BY NOTIFY BUILDING DEQi��AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 14� PLUMBING x�co3. INSULATION ca 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. oaQ,a —moi ALL CONSTRUCTION SHALL MEET 100:z;_ THE REQUIREMENTS OF THE N.Y. 4'�0'� STAVE CONSTRUCTION & ENERGY a CODES. NOT RESPONSIBLE FOR = o DESIGN OR CONSTRUCTION ERRORS Ref. stove2430 24301 C-) - �33/S' 3o/f� 0824 EDC4548 Q 0 w o0 � x cn 'a 4v117da,,, (D =r pwrOSIN 40, ALL PLUMBINGSIV S &WATER LINES TESTING BEFORE C IERI 411 UPPLY SYS TEM CA AM'0T c CEED 2/10 of 1 f LLFAD. o E:� if copper tubing is u for water distributi a system; piping shall be e �� of types K or L only �(f l 0/r o rri dD T°wN of SOU rHOcl� PROFESSIONAL ENGINEER 1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631-765-2954 • FAX 631-614-3516 • e-mail: joseph@fischetti.com Date: February 25, 2002 Reference: Robert Parker Building Inspector Southold Building Department Main Road Southold,NY 11971 Dear Sir, This letter is regarding to the Building Permit#23084Z for the renovation of the kitchen. The work has been complete in accordance with the plication, and in accordance applicable codes. �Ar NESC {�y r �o cu z �QFEg310NP Joseph Fischetti, PE