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Home My WebLink About28465-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29101 Date: 12/04/02 THIS CERTIFIES that the building ADDITION Location of Property: 1020 BRIDLE LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 8 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 2002 pursuant to which Building Permit No. 28465-Z dated JUNE 17, 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD V & NANCY ZODER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1055497 05/28/02 PLUMBERS CERTIFICATION DATED N/A A h ize Signa re 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. 28465 Z Date JUNE 17 , 2002 Permission is hereby granted to : EDWARD ZODER & ANO 1020 BRIDLE LANE CUTCHOGUE,NY 11935 for CONSTRUCT AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP418497 . at premises located at 1020 BRIDLE LA CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0008 Lot No. 015 pursuant to application dated JUNE 17 , 2002 and approved by the Building Inspector to expire on DECEMBER 17, 2003 . Fee $ 150 . 00 Authorized Signat e COPY Rev. 5/8/02 f -to Ga Form No.6 TOWN OF SOUTHOLD I � GU T u(v 6 µ BUILDING DEPARTMENT ` /1 i T065N1802 LY_ JUN 1 2 APPLICATION FOR CERTIFICATE OF OCCUPANCY ;,: 'ilOh 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 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 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-existing Building- $100.00 3. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. Xe7ld New Construction: Old or Pre-existing Building: (check one) Location of Property: /i 6/0 �� p�� P Y� ��Jo2�J � House No. treet Ha let Owner or Owners of Property: ��a � "Iry ZOGYP� Suffolk County Tax Map No 1000, Section /002- Block Lot �S Subdivision Filed Map. Lot: Permit No. 0'�—"ILpt Date of Permit. 477 DJ-- Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C E,1q/ lica A t S' ature 7 _ FORM NO. 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) N° 18497 Z Date .. ..I. Y!!'1e!` ....... ......... Permission is hereby granted to: 1..4..x ... .... .-.�s- ..................... .:'Lf..:...V..a9 d am......... ........ ...... at premises located at U a.o { ,�r.... ? .......... .................... ................................................................................ ................................................................................ ................................................................................................................................................................ County Tax Map No. 1000 Section ..... ....... Block .....Q.$......... Lot No. ....IAC pursuant to application doted .... ....,�................ 19R.9.., and approved by the Building Inspector. UUU Fee $. :../. i QQ .. ... ..... ...... ... ui�nspector Rev. 6/30/80 D rJ�r�rJ�rJ�rJ�rJ�rJ��nr:nrJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rrrJ@ncnrJ�rJ�rJ�rJ�rJ�rJ�rJ��nrJ�rJ�r�rJ�r�rJ��nrJ�rJ�cPrJ�rJ�rJ��PrJ�cncnr:P�Pr�rJ�rJ�rJ�rJ��PrJ�rJ��n�.rrJ�rJ�rJ�rJ�rJ� o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 C5 BUREAU OF ELECTRICITY S 40 FULTON STREET -- NEW YORK, NY 10038 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 E.ZODER ZODER EDWARD1020 BRIDLE 5 5 CUTC OGUE,NY LANE 1935 CUTC OGUE NY1020 BRIDLE E 1935 5 5 5 Located at 1020 BRIDLE LANE CUTCHOGUE, NY 11935 5 5 Application Number: 1055497 Certificate Number: 1055497 5 5 5 5 Section: Block: Lot: Building Permit: BDC: NS11 S 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 fj found to be in compliance therewith on the 28th Day of May,2002. S 5 Name OTY Rate Rating Circuit Tyre 5 55' 55 No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory 5 condition was found. 5 5 5 5 5 5 RN, 5 5 5 5 5 L sealMJ L 5 5 1 of I 5 55 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 rJ�rJrJ�rPrJ�rJ�rJcPrJ�rJ�rJ�rJ�r Pr PrJrJ��Pr�rJ�r�rJ�rJ�rJ1 y PctrJ�rJ�r:1 1:11JiPcPcPrJr�rJ�rPrJ�rJ�rJ�cPcPcPcPrJ�rJ�rJ�rJrJrJ�rJ�rJ�rJ�r PrJ�rJr�rJ��cJ��PrJ� O M-1802 BUILDING DEPT. INSPECTION [J/f"FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: r- I- DATE INSPECTOR WN ) "�- cQ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: A DATE i INSPECTOR 7 /" 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] OUNDATION 2ND [ ] INSULATION [ FRAMING ] FINAL REMARKS: DATE �heb INSPECTOR .lql M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ] FRAMING [ ] FINAL REMARKS: i;x«c, L t 0 A � ► �� DATE ll INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ FINAL j ] FIREPLACES CHIMNEY REMARKS: DATE O Y INSPECTOR c( cQs M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FINAL REMARKS: DATE lC Z 3 (" INSPWrOR�UW,(///)a.J M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE l G'YINSPECTOR Z-T_d;, j�UhT j �UaMLN7f _ _ H FOUNDATION! ( 1st ) c FOUNDATION ( 2nd ) m 0111 o c ROUGH FRAME e' A' _ c PLUMBING 3 . y m IIISULATION PER N . Y. m STATE ENERGY CODE rT' m FI NAL ADDITIONAL COMMENTS - m � x i .. x Hp, H O�1, W m C m .9 BOARD OF HEALTH y- . . . . 3 SETS OFjPLANS ✓ • . . . . . FORM NO. 1 SURVEY .✓. TOWN OF SOUTHOLD CHECK • Ver 3 . - BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL l NO �' OUTHOLD, N.Y. 11971 �•�r�j J TEL.: 765.1802 CAt �-/.JJ/• - - IL T0 : Examined . ,/, , 1921. ( /a i' Approved- w� , 19� ). Permit NoT4 .�. !� l�! _v LS r_ `';� r Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y BLDG. DEPT. 33 TOWN!OF SOUTNOLD F . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy 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 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 housiiig code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. 71. ; . . . . . . . . . o . . . . . (Signature of appli t, or name, if a corporation) lvaa . . !C32IvA__14- .� 0n . . . . (2u (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Q . . . c< .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . .r.i�. . .'. .`ti. . . . .. . z�.. . .`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. 6Wtl ec . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . ... . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . Lo Al U House Number Street p Hamlet V / County Tax Map \No. ` 1000 Sectiioon� . . . .I G c): . . . . . . . . Block . . . . o . . . . . . . . . . . . Lot . . . . ( .�`. . . . . . . :. . . Subdivision . v!?�►\Lehi�. ,�V!`: �. . . . . . . . . . . . . . Filed Map No. . . . '�'_ .C • • . Lot . . . . 1 . . . . . . . . (Name) Z. State existing; use and occupancy of premises and intended use and occupancy of proposed construction: f j ,. .� (r -e a. Existing use and occupancy . . . .�i'IJ�'. �.M!l�.tl.(n Q�pp�,/� . ,lUJf'. b; Intended use and occupancy . . . , qn�n . . l�.d GiC �I,} l0 . . . . . . . . . . . . . . . 0 . . . . . . . , 3. Natyre of work (check which applicable): New Building . . . . ... . . . . Addition . . .t/. . . . . Alteration . . . . . . . . . . Repair. . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . • . . . . • • • . Other Work . . . . . . . . . . . . . . . (Descriplion) 4. Estimated Cost . . . f��. `�Je7. . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling, number of dwelling units . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . V. . .S.3.�. . . . Depth . . i. . . . . . . . . . . . . . . . . . Height . . . �� . . . . . . . . . . . . . . . . Number of Stories . . . /. . . . . . . . . . . . . . . . . . S. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Namc of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . ..5 :-7K 12. Does proposed construction violate any zoning law, ordinance or regulation* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . Will excess fill be removed from premises: Yes No 14. Name of Owner of.premises % Z uJ F;".'. Address .`." 4:. . Phone No. . Name of Architect . .G' .. . . F.s. . . . .. . . . . . . . . . , . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Nameof Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . .. . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . . . . • *If yes, Southold Town 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 description according to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NENV PORK, S.S 'Oi:N7Y OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (;game of individual signing contract) .hove named. feisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . (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 pplication: that all statements contained in this application are true to the best of his knowledge and belief;and that the •ork will be performed in the manner set forth in the application filed therewith. worn to before me this s .day of. . . . . . . . . . �yy . . . , 1901. otary Public, . . . ¢C�,t . . . tV�Y' .r . . . . . . . . County j HELEN K DE YOE (Signature of applicant) NOTARY PUBLIC,Sate of Mew York No.4707873,Suffolk County Term Expires March 30,19 SUFFOLK CO.HEALTH DEPT. APPROVAL H.S. NO. 14 50 233 MAP OF P20PE2TY up_VEYE_D F02 AUB12- FY _W_ ANZ, STATEENT OF INTENT Ar THE WATER SUPPLYDISPOSAL -- Ci1T -faOGUF SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE ^q��' .• Tn ! SUFFOLK CO. DEPT. OF HEALTH SERVICES. WN OF5OU�1ICi-11, N.Y. ISl APPLICANT LAN M r ' '��37( C_ zp g SUFFOLK COUNTY DEPT. OF HEALTH cJ,/ —� SERVICES - FOR APPROVAL OF 40 CONSTRUCTION ONLY kill C SUFFOLK COUNTY FicAL DEPARTMENT H.S. REF NO.. 14- 1 14 APP OVED SINGLE FAMILY t�WEL INf3 ONLY Ly- POOL-I- —x `�I c aY - 1 / FOLK CO. TAX MAP DESIGNATION: 'r ^?� H.D.REF.N0. 4' [ a�_. 1 j D T. SECT BLOCK PCL. TAMC `I �.�.�---- - DATE .. I - -- a4,. x; "srr. . 17 "'►IE SEWAGE DISPOSAL AND WATER SUPPLY FACILITIES R RS ADDRESS: q OCATION HAVE BEEN INSPECTED BY THIS DEPARTMENT :-CI [ ti� ��,�! L._ L A, WOUND TOPE SATIS ACTORY. N Y, r I�7 r 11 . 'S. W Chief of Wastewater Management Section LS DEED: L.N/A P. WELL' F / \ `{ d�E i I' TEST HOLE STAMP AQEA:4 9 S.F. Uee�thaisad nhnatian a addhlon �___—_.. to this survey is a Wdaden M "' d MGN!_1MENT Section 7209 of the MwYork SUN Education law. 27"W. 225.26y• HUB Caoiasd this swew type not bealftq the lend sarvews Mead"M embossed seal Nall not ba aN11'-I to be a"lid vaaWPl, rninanteas IMkated IWll abet f"at ,AI - only w this person for whop to servals 4' is preoerW.and m Ids balyp to p"e cite comperry,p'slass oMsl' "'v ani cc iendina insthatlon Iia1W MM Rid (IZE51PENCE) Mj%P AMENDEP AUG.28, 1985 L to the assianeasofthe iondvIns. ------.— ('j ,.Guorantoes are M tranNMWe 11111," -nr,.en>,iaslitutbne ar sU6MaaMt LZ J W Ll SEAL W_ GUA.RANT'EE 0 TO SUVQi---ME okB5TQACT F Ie� 'ri'MAFFOOF HILI 1;4":L IN_T_14E AS SUQVEYED NOV 5,198� Ori ICF_ Al` MAf f JO653Z . 0 RODERICK VAN TXYL.P.C, -------- '- ---- -" "'--� LICENSED LAND SURVEYORS GREENPORT NEW YORK it li i4 i��`Iv i T AV- cA Tf ml I ` .. � fes• �n� �'�i��' i i �-, . - n .-,-_ .. .. '^^^'fTl — - -- OF MqU:E 1 ,i 1 - y ' 7 i ,• � I�n I ' t' � a ri It F F�49�7 IF J t 5RV APPROOED AS NOTED S bo..,h DATE:9/�8 P N I S FEE,10 8" �'1 r B'/ . NOTIFY, 1 DING GEPARTMENT AT 766.1802'B AM TO =1 PM FOR THE _ FOLLOWING INSPEC�l0N5 1fdUN Al TWO REQUIRED FOR;URED CONCRETE p . , & PLUMBING 2. ROUGH FRAMING - .3i INSULATION' LEF ; NV rIaF..',.: : ' 4.; FINAL ¢dNSTRUCTION;MUS'F • _ - ,, _. , .BE COMPLETE 009 C C J - ' - - AL1. CONSTRUCTION SHAL•b MEET - _' _ _ _ r _ ' - - �R THE,'REQUIREMENTS .OF THE N.Y.N^Y. � STATE 'CONSTRUCTION 91'ENERGY pS,E `�F�{�CptE . ' ,CODES. NOT-;RESPONSIBLE , FOR gT CCr DESIGN ORCONBTRUCTION ERRORS OCpt ,ll i'l.flN - G�bF1 Elf A� reN (tLKr�tlprC f rtil , l dU I�F � rt � F _ of ✓ ,/ - 1. - � . . Nrn-r dna�'= _,� 6`+~s� e'h�fi hr . � 'I Q- .11 w. Al ------- — DbtYl- Tz'E LOCA—, 1 14� & —;r EFd LFOe C, d , tlE4BE.W P, ..1'�� r � 1 C ,— k�Ei r, �zx trh ra *t TO fx . . E r "a 7 �� S} vCv'Lsr:°cth:. xAe, . _ •_J:: ji �. L,. nl f*liW- -51 rS ' ?ICU �aN HAT CP DLI W Ci k , ... .,• - �� -��. 11. � � - �, I � i 1 •moi a u 5 1 i - h C1?h VJL '�i ' Ig.•'y ;F3 FGGTA .per_ I - - 1 ��rt �q ,�{•, FfrJ15H -FAT ma N � xi Fft^vfy tr F��i ,r- g � f V213k:.J t i la re Alrr.7-t 7 �4 . _."� �._,.�..�.,. . .._,. _,. ... , ..,,-'- �:.�: e�-.e..,�o:rb ..:._:..:v•�..i.' r'.�4_ _',:'1` _' -. � ,- -.':�.. "� tel;iu -t'+I C- 7 - � ..._^�+�,:..,.� I