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Home My WebLink About28737-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29116 Date: 12/11/02 THIS CERTIFIES that the building ALTERATION Location of Property: 7650 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 118 Block 3 Lot 4.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 11, 2002 pursuant to which Building Permit No. 28737-Z dated SEPTEMBER 11, 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN J STACK & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 518371 03/15/00 PLUMBERS CERTIFICATION DATED N/A C A rize Signatidre 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. 28737 Z Date SEPTEMBER 11, 2002 Permission is hereby granted to: JOHN J STACK 1105 PARK AVENUE - #5-D NEW YORK,NY 10128 for CONSTRUCT AN ALTERATION TO AN EXISTING KITCHEN AS APPLIED FOR. THIS PERMIT REPLACES BP#26012 . at premises located at 7650 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 118 Block 0003 Lot No. 004 . 001 pursuant to application dated SEPTEMBER 11, 2002 and approved by the Building Inspector to expire on MARCH 11, 2004 . Fee $ 150 . 00 Authorized gna re ORIGINAL Rev. 5/8/02 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) 6.",cd Q8 r73� PERMIT NO. 26012 Z Date OCTOBER 1, 1999 Permission is hereby granted to: JOHN J STACK & WF. 1105 PARK AVENUE NEW YORK,NY 10128 for CONSTRUCT AN ALTERATION TO AN EXSITING KITCHEN AS APPLIED FOR. at premises located at 7650 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 118 Block 0003 Lot No. 004 . 001 pursuant to application dated JULY 13 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Sig ture ORIGINAL Rev. 2/19/98 Form No.6 77)TOWN OF SOUTHOLD r ;� r f) (1 BUILDING DEPARTMENT TOWN HALL 765-1$02 ( 1 2002 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 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. S. 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 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. 9/l/ /O-%— New Construction: // Old or Pre-existing Building: (check one) Location of Property: _ L Sy /V^s s^v PO I n-'' C .,-r C, House No. Street Hamlet Owner or Owners of Property: /.�-, '3 S-ta,c-�c. r ��, ,�� ., (-- Suffolk Suffolk County Tax Map No 1000, Section_� Y- Block � Lot 4 , Subdiv,*sion3 Filed Map. Lot: -en Permit No. 2 Co O/7-- Date of Permit. ��'Off- Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: ✓ Request for: Temporary Certificate Final Certificate: T (check one) Fee Submitted: $ Z S Cl 0g G �49_7(p App4icantSignature __ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1@01093 BUREAU OF ELECTRICt-1'Y , 40 FULTON STREET, NEW YORK,NY 10038` Date MARCH 15,2000 �!�� 450699!99 N 518371 THIS CERTIFIES THAT f f'To Lb12 only the electrical equipment as described below and introduced by the applicant npmtd on the'above application number is in the premises of k MR JACK STACK, 7650 NASSAU POINT ROAD, POLE #144, CUTCHQGUE, NY in the following Loc a e e t M .1st Fl. ❑ 2nd Fl. Section Block Lot was examined on and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES ;COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. I AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 7 8 2 7 1 9.3 1 1 1 1.2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME BLOCKS BELL MIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT., AMPSTRANS. :AMT. H.P. SYSTEMS AMT. WATTS NO.OF FEET 3 600 SERVICE DISCONNECT NO.OF S E R V I C E METER AMT. AMP. TYPE EQUIP, 1 0 2W 1 0 3W 3 0 3W 3 0 4W NO.OF CC COND. A W. A.W.G. A.W.G. PER 0 OF CC.C ND: NO.OF HIAEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: G.F.C.I:-2 DOROSKI ELEC. INC. LIC.#2941-E ( LL 425 MONSELL LANE CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 Per I This certificate must not be altered In any manner; return to the office of the Board if.incorrect. Inspectors may be Identified by their credentials. M WIN 0 IN El 10 El MI 111111111 COPY FOR BUILDING DEPARTMENT. THI CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. q33 j' Jf .�• '�i.'1 Town Ni111, SIM wit, nood I , (51f,) 7r;�•1 g2� r. o, nox 1179 , , + r'maphone (515) 7f5.1002 Smillwld, IJew York 11971 ',� 1 OFFICE OF THE BUILDING INSPECTon TOW14 or SUUTI IOLD C C R T I F I C 11 T 1 n 14 DA,rr: 2— Dui l dI ng Permlt No. 1&0 (ploase print) ci �L vrn f 4a�'4( Plumbers �. U I� (� 11 It- (Please print;) 1 certify l-.hat• the solder used in the wider supp1.y syotem rontnins loss than 2/10 of It lewd. �''I rimher. 0�j:(41713 ,.. �T) -- sworn to before me this clay of --. �O0 Notary Public,, _ --_-- UoiiiiLy lee " MAN a Hoer lift Term Expires Jun as� 31 765-1802 BUILDING DEPT. INSPECTION FOUNDATION iST ROUGH PLBG. 1 [ 1 [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ��17 j DATE « � f INSPECTOR 765-i8o2 BUILDING DEPT. INSPECTION [ j FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Ole Y--to aCarJ �i^.P,o��,mo0`io ,DATEaa INSPECTO 7 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL [ ] FOUNDATION 2ND [ ] INSTION [ ] FRAMING [ FINAL [ ] FIREPLACE CHIMNEY REMARKS: ` ' p 12D S-4424 DATE INSPECTOR JLD INSPEC'TMN REPORT DATE COMMENTS n , INDATION OST) if n , O JNDATION (2ND) iTGA FRAME ii if- PLUMBING PLUMBING II --if �n I SULATION PER N. Y. U H STATE ENERGY �� a CODE U N C ® 4f II T y I p I FINAL p II n u sax=sxaaxsaa�xa=x�M --s= rsa=x=sa--=sa=sxxas===x aaa�x===a xxxxx===ax O ADDITIONAL COMMENTS: 7F' :aaxmasasaae==sx=a aaxaaxaaexss.�=aax-aaxaaa=asassa--asx=aaaaaa{=°�=saa=ax=aaxas=a=sa=x It J m � 1 H r--- 6 O Q CrJ b H BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS. . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.l.v 19.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.. 19.... Permdt.No. ..9��Y a.. . ................................... Disapproveda/c .................................. ................................... ........................................... .......... ) ' (Building Inspecto 3 t3 LICATION FOR BUILDING PERMIT LFt_DG. DEPT. T_r111 �; �F �C UTtiO(D INSTRUCTIONS a. 'Ibis application mist be completely filled -in by,typewritpr or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot p1-cn 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be coma-enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 MAIZE 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 buil i for in ons. T . .................... •(Siture oUlNf• lca t�0.�/ ...NlvLTT�tlrEio (Mailing address of applicant) State whether applicant is owner, lessee, agent, itect, engi r, general contractor, electrician, plumber or builder ........................................................................................................................ Nameof owner of premises ...i D .W ............................................................... (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.............................................................. -S.5&. off'. :!?o :f�......................... l '.�.Ufa....................... House Number StreetHamlet County Tax Map No. 1000 Section .....11.V.¢¢...... Block ....-,3 ......... Lot ... ,.1....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of I��gquction: a. Existing use and occupancy Axle . ... [ •fit-k�.:;,. ; 1$-aN b. Intended use and occupancy ........................... ............. .... ............................. 3. Puture of work (check whidi applicable): New Building .......... Addition ....... :Alteration Repair ............ Removal ............. Dowlition ............ Other Work ...................... (Description) 4. Estimated Cost . .�� .......... fee .............................................. (to be paid on filing this application) 5. If &telling, nud)er of dwelling units ...I....... Number of dwelling units on each floor ................ Ifgarage, nurber of cars ...................................... 1 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. ' Dimensions of existingstructures, if any: Front...l�2 Rear ...�P..2' . Depth .�.�.. I �II Height ...... .. .1....... Number of Stories ....'..!,2...... Dimensions of same structure with alterations or additions: Front 6p..Z-...... Rear Z' Depth ........ .....�s ......... Height ......5AOI:4P�.... Number of Stories ............... 8. Dimensions of entire new construction: Front .N.Q?�%C.... Rear ............... Depth .............. lleight ......................... Number of Stories ........p............ ,,{{ 9. Size of lot: Krait ... r.�'T... Rear ....sT!4...1P.. ... Depth ...409t ..T.t P. 10. Date of Purchase ..................... Name of Former Owner ......................................... II. Zone or use district in which premises are situated 12. Does proposed construction violate arty zoning law, ordinance or regulation: ....NO............ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES ND 14. Names of owner of premises 4QH!V..�7/41t- ...... /Auld :J. ...... Phone No. .............. Name of Architect A'tol� .......... Address .!74sF.4110£8AC. .. Phone No. Af�1 xle'� �.�sz 73 Ic�S Name of Contractor ................................... Address ...............................Mine No. . 15. Is this property within 300 feet of a tidal wetland? * YPS .......... NO .......... *IF YES, S(XMUD MM nWSM-S PM41T MAY BE RE(XJIR1i. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ;:r m property lines. Give street and block number or description according to deed, and show street names and indicate Tether interior or comer lot. JGI TcftF,/J LJ XAT 00 •tn•tr cx� ram �cxuc,r S t1 I I SS UJN(Y (Aye.. ............... .'Y ..................be.ing duly sworn, deposes arxl says that he is the applicant Name of individual signing contract) Bove moved, eis Clhe • ....................................................................... (Ccntrac'or, agent, corporate officer., etc.) T. said (wner or owners, and is duly authorized to perform or have performed the said work and to make aril file this ppl.ication; that all statement's contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the rrranner set forth in the application filed therewith. )worn to before rre this 22 ............. , \ 1. Notary Public ......-. ........ JYMA M. � k (Signature o Applicant)NOVWPUB • No.018W 02�D32 Dualified In Suffolk Counly. Term Expires March 8,20 Q1 ' 5URVEY OF LOT #L25 4 PART OF LOT # 126 "AMENDED MAP A< OF NASSAU POINT" N SITUATE. NASSAU POINT i TOWN: SOUTHOLD a' s SUFFOLK: COUNTY, W w ' I k111- E SURVEYED 0I-26-01 AMENDED 02-14-01, 02-26-01, 06-15-01, s update 09-03-02 SUFFOLK COUNTY TAX a 1000-IIS-3-4.1 CERTIFIED TO: JOHN J. STACK PATRICIA E. McGAFFREY O k 26 586034900"E1190 z 309.64' wire ferwe atony property line 33' i�rJ N� ijs� .lo �• ((�� ` ma rand fence O/� stone drns 1 O ,-y O GO�'Ogo A 1 rn 11\ ,, On� to L..: gote --rl V fl = w 2 5l0ry e 1 m Dock on Grade 5e u 1 9.5' i 1 �,2 Pool �s. I Story 6 ._. O I' / O ISI to Deck 4 2- o n 1 20 II N c 90 ;\1 �. i I p�I �� _-- - I� 11 — o r�mter wau F°^'P 0 1 u O :,._:,_.: _. ,—O L wire Fence wood ten e ■ -- � —•�O—O—O—O—O—O—O—O—�—oJ O 11 �_O- # �.2-' 1 589 OT 20 W 410.00 i a C. r✓,, NOTES: 1Q�fr O ha O ■ MONUMENT y � Pn P a p PIPE AREA = 48, 724 SF OR JOHN C. EHLERS LAND SURVEYOR 1.12 ACRES (TO TIE LINES) ys Pp �� 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIG SGALE 1"= 30' - RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.—\\Hp server\d\PROS\01-103b.pro SURVEY OF LOT #125 $ PART OF LOT # 12b - "AMENDFD MAP A OF NA55AU POINT" N 1 51TUATF: NA55AU POINT TOWN: 5OUTHOLD 50FFOLK COUNTY, W W E SURVEYED 0I-26-0I SUFFOLK COUNTY TAX # I000-I0-3-4.1 S i GERTIFIED TO: JOHN J. 5TAGK PATRIGIA E. McGAFFREY 586°34'00"E Z , 309,64 � �(/�\ I k�Frame �'s wfrB fe�Le alon �` —----- V — —f f=rame 1 1�� X41 `✓. _ — l-- shed 1 V� VI wood fence E,v-oge s stone a we _21, 1 25 Frome k 0 O 8 N SttLxro 1 ,� Y� House U 1 ' [[,Kz o I/ i �� Pool 7 s I Story e' W / Q �rfi� d O IBS' -;— -�_ 20 W 1 o _ *i o ^o 1 n / Tim U i 1 pool a 4/ pI L---_— _ pomp I u - -/ WIfB f6nLB T. ■ zLO-O-O-O-O--O-O-wOOa fBI1Le 73 58900720"W °r. t 410.00' o 9- i ht 4 NOTES: F ea MONUMENT I O PIPEy&�"��' _ a AREA = 48, -724 SF OR 1.12 AGRES A TIE LANES) Gf2APHIG SCAJOHN C. EHLERS LAND SURVEYOR LE I"= 30' 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 _ RIVERHEAD,N.Y. 11901 - 369-8288 Fax 369-8287 REF.-UHp serveAMROS101-103.pro OCCUPANCY OR K } USE IS UNLAWFUL _ WITHOUT CERTIFICATE - �¢o 1 �m �'-- OF OCCUPANCY - ua2t�_.rE,G i}7 �� _ : = •_ ( / ( I - 14, �yall7�--i $ tM RS CER TIFICATE EQED N K. ' f�f� .pFvEn AS NOTFD _ l_ T_ 1 S.P. 4 C rt }YI I 4 -; _ �_ ( ► _ _ �- I ? v �tIps ! i� DERE TmEI�ET AT - I r'tM TO 4 Y? I FOR THE Foy !_;y:"J.f4L; INSPECT IONS: ;1u�1DAT?CSN TWO REQUIRED ?OUREts CONCRETE S D RICK o V V, 2. S� 3 ?Cri - FRA141Sl4ii i� t'LtliVRBENG _- nI ��7� 3, if�6,gUILATSnti -- —^ - ' I • I � } : r . '�" 4. FIt�>1- CONSTRUCTION MUST BE COMPLETE FOR C.O. _ ALL CONSTRUCTION SHILL MEET -� - - p af� _ - THE REQUIREMENTS OF THE N.Y. . 'a 1 • •- STATE CONSTRUCTION & ENERGY ' I - CODES. NOT RESPONSIBLE FOR - ---- — - - • •, •I DESIGN OR CONSTRUCTION ERRORS , All r }f R g o 4,q Www scy — -4r1 PLU B R CERTIFICATION ON L COQ✓TENT BEFORE co t — SOL E' TE OF OCCUPANCY copper tubing s usW R USED IN WA TER for water disEtcibutin SUP_ Y SYSTEM CANNOT a - . - VC; - �+,, 02233q - — - — ss+cn.-a+ � saa►t �e -EXCEED 2/10 of 1% LEAD. oag� AU-00r -syPes K oc l_only . - -- r - - — --- PLUMBING BING VAM SER — -_ WATER LINES -- --- —TESTING BEFORE COVERING SU P4560 j rrr-111-fff /�ty