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Home My WebLink About28010-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28561 Date: 07/01/02 · ~{IS CERTIFIES that the building ADDITION Location of Property: 945 BROADWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 104 Block 11 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 15, 2002 pursuant to which Building Permit No. 28010-Z dated JANUARY 15, 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 SCREENED PORCH ADDITION TO EXISTING SINGLE FANILY DWELLING AS APPLIED FOR. The certificate is issued to CAROLINE J RILEY ( 0 WNE R ) of the aforesaid building. SUFFOLK COLRFrYDEPARTMEIT~OFI{EALTHi~PPROVAL ELEC~fRICAL CERTIFICATE NO. PLUMBERS c~TIFICATION DA'i'm Rev. 1/81 N/A N/A N/A ~/uth ~ i~ture 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. 28010 Z Date JANUARY 15, 2002 Permission is hereby granted to: CAROLINE J RILEY NEW YORK,NY 10021 for : CONSTRUCTION OF A SCREENED PORCH ADDITION AS APPLIED FOR at premises located at 945 BROADWATERS RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0011 Lot No. 009 pursuant to application dated JANUARY 15, 2002 and approved by the Building Inspector. Fee $ 150.00 ~hor~zed/~S ' ~ COPY Rev. 2/19/98 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). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder nscd 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 thc building. 6. Submit Planning Board Approval of completed site plan requirements. Bo 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. Ifa Certificate of Occupancy is denied, thc 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, Bnsincsses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Ocenpancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: House No. Street Owner or Owners of Property: C. IN'x?OLA ~ [2ALI~ Suffolk County Tax Map No 1000, Section [ ~t.{ Subdivision Permit No. Health Dept. Approval: Planning Board Approval; Request for: Fee Submitted: $ coe. 561 Date of Permit. Temporary Certificate Date. (check one) I; Block Filed Map. Applicant: Underwriters Approval: Hamlet Final Certificate: Lot Lot: (check one) Applic~ LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 May 31, 2002 To whom it may concern~ Permit No. 28010Z Riley Residence 94.5 Rroadwaters Road Cutchogue, NY 11935 With re~erence to the new unheated porch 16'x19' I have inspected the 2'x2'xl' concrete foo~ings, the &"x&" CCA posts, the 2-2"x10" girders, the 2"x8" CCA floor joists 16" c.c., wall construction eonsistihg of 2 2"×4" corner posts and 2"x4"posts 30" on centers, exterior 2-2"x8" header for 2"x8" rafters on 16" c.c. including hurricane clips, 2-2"x6" collar.ties 48" c.c. and 2"xlO" ridge, and found the struc~-¢,to be adequately sound, meets the requirements of the New York State Uniform Vire Prevention and~Building Code and the SOuthold Town Building Code. Sincerely,~ ~ Lawrence M. Tuthill, P.E. 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 ROSLAK ELECTRIC P.O. BOX 164 CUTCHOGUE, NY 11935-2453, Located at Application Number: 1046287 Section: Block: Described as a Residential 945 BROADWATERS ROAD CUTCHOGUE, NY 11935 CAROLINE RILEY 945 BROADWATERS ROAD CUTCHOGUE, NY 11935 Certificate Number: 1046287 Lot: Building Permit: BDC: NS11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 17th Day of April, 2002. Additional Charges LIC NUMBER # 3677 Appliances and Accessories Exhaust Fan Wiring and Devices Outlet Receptacle Switch Fixture QTY Rate Rating Circuit Type 1 Fixture 6 General Purpose 2 General Purpose 1 Incandescent seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. /o.~-/c ~,_//_ ? TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET q ~,,~ VILLAGE DIST. SUB. FORMER OWNER Y N E ACR. d S W ~PE OF BUILDING ~ s~s. VL. ~ :0~. C~. ~SC. ~Xt. Vo~.~ AGE BUILDING CONDITION :~P~/~?~ - FARM Acre Malue Per Value / / '/ Acre rillable 'ill~ble 3 Voodland .w~mplo~nd :~' ,. ~;' FRONTAGE ON WATER ;rusMond FRONTAGE ON ROAD touse Plot DEPTH / ~- .~ BULKH~D 'oral DOCK Extension COLOR TRIM ~undation ;asement -Ext. Walls Extension :ire Place l'Ype Roof ~orch~ ~orch :~/~ Breezeway ~arage ~,ecreation Room ,prmer )riveway / Finish Heat ,~ /~/ Rooms 1st Floor' Rooms 2nd Floor ?>?' ? KDinette LR. DR. BR. FIN. B. Patio Total BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAME: DATE REVIEWED: / /,_r-/012 .DATE SUBMITTED: //'-,~'/0~ SCTM# DISTRICT: 1,000 SECTION: PROJECT DESCRIPTION: ~ ~--~--~'~--~ ARCHITECT / ENGINEER:..~'?- ~r BLOCK: // LOT: cITy: (/ff~,qr~ SUBDIV. NAME: FAST TRACK? ,~, o SINGLE & SEPARATE CERTIFICATION~REQUIRED? ,~'o NOTES: LOT~ 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN. 1997 100-25. Merger.(A nonconforming at any time after 7/1, ZONING DISTRICT: - ~-~/* CONFORMING? REQ. LOT SIZE: Y"°* o ACT. LOT SIZE: °fy' ~/'"~EQ. . __ LOT COV. 2 o~'. ACT. LOT COV. REQ. FRONT ~o PROP. FRONT X~IDE / ~/~ ~- ACT. SIDE REQ. REAR ~'" PROP. REAR WATER FRONT% PANEL #: /~'/ FLOOD ZONE: / ~.~k ,DESCRIPTIO AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or I~O~ED #): DTE: NEW YORK STATE DEC: vm~-DZC ~/lns YES or ~ ~OUTHOLD TOWN TRUSTEES: YES or ~ TOWN ZONING BOARD APPROVAL: YES or l~) TOWNpLAN. BOARD APPROVAL: YESor ~ TOWN HISTORICAL PRE (SPLIA): YES or / / PERMIT #:RI0- NYS ENERGY: YES OR NO : F_,GRF_~S (18 H min_? 4 sq total) __ VENT (SQ. FT. X 4%) BUll.DING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S: Y ORN BP ~Z / C/0 Z- NOTES': LIGHT (SQ. FT. x 8%). PlSE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLR: SF TOTAL: ~'o-/ SF -'"- SF)= ,-~- SF X $--~ =$ INIT OTHER TOTAL FEE FEE FEE +$ ~ +$ ~' =$ I~'"~ ' BUILDING DEPT. /~INSPEC:TION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY ...,,.,,s.. DATE / //'7/~/~ / / INSPECTOR 765-X802 BUILDING DEPT. INSPECTION [~] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~L [ ] FIREPLACE & CHIMNEY REMARKS: ~o,~-_~ DATE INSPECTOR FOUNDATION (1ST) ..................................... ,/~ '/o ROUGH F~G & PL~B~G ~S~ATION PER N. Y. STATE ENERGY CODE F~ ~DITION~ COMMENTS BUILDING DEPA~RTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved a/c PERMIT NO. DUl.bl..IlN~ PIZKM. I 1 AP~:k, tCA, flI,)N CHECK_LIS Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey_. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: _~.~f~~ Building Inspector ' :' 3~ ~ PPLICATION FOR BUILDING PE~IT ~ ' ,, ~. ~::~,. ' . ' ..... ~,u~,~.~:'4~ O Date ~~ lq ,20~ ~~ INSTRUCTION~ a. This application ~ST be completely filled in by ~e~ter or in ink and submi~ed to the Building ~spector with 3 sets of plans, accurate plot pl~ to scale. Fee according to schedule. b. Plot plan showing location of lot and ofbuilding~ on'premises, relationship to adjoining premises or public s~eets or areas, and wate~ays. c. The work covered by this application may not be co~enced before issu~ce of Building Pe~it. d. Upon approval of this application, the Building ~sbector will issue a Building Pemit to the applicant. Such a pe~it shall be kept on the premises available for inspection t~oughogt'the work. e. No building shall be occupied or used in whole or in pa~ for any pu~ose what-so-ever until a Certificate of Occupan is issued by the Building hspector. 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 c'onstruction 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 neees, sai-y inspections. , (Signature of app~ t~r na~e, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of pi'emises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriz'kd 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 I~ . I Hamlet County Tax Map No. 1000 Section I o~ · · Block ~,\ Lot Subdivision FiledMap No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed conslmct'ioh: a. Existing ~se a~d occupancy t., .- ,~ . ~, b. intended use and occupancy___~ Nature of work (check which applicable): New Building Repair _. Removal Demolition Addition_ 'y,, Alteration Other Work Estimated Cost 20~ I~OO , Fee If dwelling, number of dwelling units If garage, number of cars (Description) (to be paid on filing this application) Number of dwelling units on each floor Dimensions of existing structures, if any: Front Height. Number of Stories If business, commercial or mixed occupancy, specify nature and extent of each type of use. Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number oi Stories Dimensions of entire new construction: Front Rear [2 ~' Height I 2fi [ ~ ~ Number o~; Stories [ Size of lot: Front 0. Date of Purchase Rear Depth .Name of Former Owner I. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Wilt lot be re-graded 4. Names of Owner of premises Name of Architect Name of Contractor Will excess fill be removed from premises: YES ~glx~t Address Address Address Depth .Phone No. Phone No Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO ~ · W YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: :OUNTY OF ) [)(5,./C,t.~ l~c,_~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ~)He is the (~ ~04'q-JC&W'rI~ (Contractor, Agent, Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; ~at ali statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. worn to before me this ('~ [,'~\ day of~5~:~ 20~ /70 Notary Public ' JOYCE M. WILKINS Notary Public, State of New York No. 4952246, S~ffolk County Term Expires June 12, ~,~00~ S ignatur~gJ'~plicant Rear NO NO TE' LOT NUMBERS REFER TO 'AMENDED MAP A OF NASSAU POINT OWNED BY NASSAU POINT CLUB PROPERTIE$, INC. SITUATE IN TOWN OF SOUTHOLD, LONG ISLAND N.Y.~ FILED AUGUST 12, 192~ IN THE OFFICE OF THE SUFFOLK COUNTY CLERK'S AS MAP NO. 156 ~0,~. 87'8~ ? SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK. COUNTY, N Y. 1000- 104- 11- 09 SCALE: 1" = 50' MAR 11, 1998 AREA = 1.034 acres to tie line ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SECTION ?209 OF THE NEI¢ YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS NEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID ~4AP OR COP~ES BEAR THE IMPRESSED SEAL OF THE SURVEYOR lCHOSE SIGNATURE APPEARS HEREON. ADDITIONALLY TO COMPLY ~¢ITH SAID LAI¢ THE TERM "AL TERED BY' MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED' AND 'BROUGHT-TO~DA TE' ARE NOT IN COMPLIANCE ~flTH THE 3c,.o'~13 oo~z D CERTIFIED TO, CAROLINE J. RILEY NORWEST MORTGAGE OF NEW YORK, INC. CO~4MONWEAL TH LAND TITLE INSURANCE COMPANY % s, SOUTHOLD, NO. STREET N, Yo II,TI 98- 124 ^ K '%,/ NOTIFY BUILDING D~RTMENUT 765-1802 9 AM TO 4 PM FOR THE ~OWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRE~ ~ ROUGH - FRAMING & PLUMBING ~ INSU~TION ~ FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENT~ OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR D~IGN OR ~8TRU~ION ~OR~ ~C'~UPANCY 02 USE ;S UNiAWFUL ~,~'tTHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED 2.- >' e~ Ce,.A. -~'~$'~ ~ ~': ~ .C BAY CREEK BUILDERS D. W. Mcgahan P.O. Box 602 CUTCHOGUE, NEW YORK 11935 (516) 734-6270 SHEET NO. OF CALCU~TED BY DATE CHECKED BY DATE