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Home My WebLink About29018-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29255 Date: 02/06/03 T~IS CERTIFIES that the building ACCESSORY Location of Property: 2215 PINE TREE RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 1 Lot 14 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 17, 2002 pursuant to which Building Permit No. 29018-Z dated DECEMBER 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 ACCESSORY TWO CAR GARAGE WITH NON-HABITABLE RECREATION ROOM ABOVE AS APPLIED FOR. The certificate is issued to EUGENE & ANN BURGER ( OWNER ) of the aforesaid building. SUFFOLK COUNT~DEPARTMENTOF~RALT~APPROVDJ~ ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'rF~3 01/09/03 N/A 1108993 01/27/03 PETE VICTORIA 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. 29018 Z Date DECEMBER 17, 2002 Permission is hereby granted to: EUGENE &ANN BURGER PO BOX 934 CUTCHOGUE,NY 11935 for : CONSTRUCT AN ACCESSORY BUILDING (NON-HABITABLE) IN THE FRONT YARD AS APPLIED FOR. THIS PERMIT REPLACES BP#23996-Z. at premises located at County Tax Map No. 473889 Section 098 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 2215 PINE TREE RD CUTCHOGUE Block 0001 Lot No. 014 17, 2002 and approved by the 17, 2004. Fee $ 282.60 '~//d~ignat ure Rev. 5/8/02 COPY IPOR,M NO, J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL co~PL~ON OF T.~ WORK ^UTHORIZED~ ~s ~ ~,,, ................ ~/...~.~ ...................... , ,,..~ / Permission is hereby granted to: ~..~.~.~~....~.z~.~ ........... ...::-./.~..~ ..... ./.~....~. . . . ~ ~. ~ . ~ . . ./. . . ~ . ~. . . /. .:. ~ .?. -/-:~ ,o . ~ ~:~. .~-. . .. ...... ~.~ .~. ~ ....... ~. /.~. . .>. . ..~ ............... ......... /. . . i ~ ......... :. . . .~. . . .~ ....... ~ ~ ,.: ....... . . .~./z~. ........... ~ ...... ~/. . . ~ .'.~ ............. at premises located ot .........~....~,.../.~.....'.~ ........~.....~...-~..~.. ..... ~7~....~.Z..,'~..~...~.. c~n~ Tox Mop No. ~000 Sec,ion ...... ~. .......... B,~ ....... O.Z ....... ~, No ...... /....~.... ....... pursuant to application doted .... ~..~ ....... L~. ................... , 19. and approved by the Building Inspector. Rev. 6~30/80 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: Ao Bo 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. Coxnmercial 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. For existing buildings (prior to April 9, 1957) hon-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. 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. I (9 3 Final Certificate: Subdivision PennitNo. ~ qO ] ~ DateofPermit. Health Dept. Approval: planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ (check one), Hamlet Lot-% Lot: . (check one) Filed Map. Applicant: Underwriters Approval: Old or Pre-existing Building: New Construction: LocationofProperty: 2~/z~ House No. Street /7 Owner or Owners of Property: Suffolk County Tax Map No l000, Section ~ C~ Block TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN llALl. SOUTIIOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. ~ 0 t (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. S%gorn to before me this (plumber's signature) Not~y ~. S~e el IJew Yr~ 4~505 " _jM_~_~_!~ NO~aFy Public Notary Public, County []a [] 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 G & S ELECTRICAL CONTR. EUGENE BURGER ~_, BOX 215 2215 PINE TREE ROAD SOUTHOLD, NY 11971, CUTCHOGUE, NY 11935 Located at 2215 PINE TREE ROAD CUTCHOGUE, NY 1.1935 Application Number: 1108993 Certificate Number: 1108993 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of ' electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Detached Garage, 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 ' 27th Day of January, 2003. Name QTY Rate Rating Circui! Type Appliances and Accessories Exhaust Fan 1 0 F.H.P. Panels fa 1 100 12 fa Wiring and Devices Switch 13 0 General Purpose Receptacle 16 0 General Purpose Fixture 15 0 Incandescent Receptacle 4 0 GFCI seal 1 of t This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. e~_/_/,/ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FORMER OWI~ER SEAS. VL. IMP. TOTAL r~o60 -16 RES~/O LAND Ac re .~0~0 Z,OA~GE ~/o~ Farm Tillable ] Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total STREET VI Lb~GE W DISTRICT .SUB. LOT '~/2 '--,'/~::' ACREAGE TYPE Of BUILDING IFARM DATE COMM. I IND. REMARKS CB. ~,: c MISC. Est. Mkt. Value - (Y~ ' Foundatior ' Bat '~ ~ xtenslon . i2 ~ xten~ion ' Ext. Walls xtensio. ~ Fire Pmoce ~/'~ }~ x J~ ~ ,/~ ] ~ Porch Rooms ist Flor -"~ [ 7. z37. .,~. CUTCi-IO..~LIE 765-1802 BUILDING DEPT. [ ~FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-t802 BUILDING DEPT. I.NSPECTION [~'/FOUNDATION 1ST [ ] ROUGH PLBG. [] F~iJI~ATION 2ND [ ] INSULATION [,~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. INSULATION [ ] FIREPLACE & CHIMNEY RE.ARKS: DATE INSPECTOR ~IELD INSPECTION REPORT DA/TE COMMENTS ?OUNDATION (IST) " / ' ~ { II/ - / ~ ~ ROUG~ FRAME & PLUP[B ING %NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORH NO. I TOWN OF SOUTIIOI,I) BUI I,I)ING DEP^RTNENT TO~4N II^ti. SOUTIIOLI), N.Y. 11971 TEl.: 765- 1802 Pe,m|t ,0. ~.~..~..~ :& .... 1)i.~'~pproved a/c .................................. ^~PI,IC^T!ON FOR BI!II.I}ING PEEN1T 1 NSTRUCTIONS IU)ARI) OF IIE^I,TII ............... 3 SETS OF PLANS ............... SURVEY ........................ CUECK ......................... SEPTIC FORH ................... NOT] FY: M^I1, TO; .................... a. 7his aplflication mist be c¢~,lfletely filled in by lypc~.rrlter or in ink mKI mfl~u[tte<l to the l~ildi~ l~s~clor ~ith 3 ~ts of plans, ac~ra~e plot p[~ to ~ale. F~ aceordin~ b. Plot plan M~i~ l~ti~ of lot a~l of hdldit~s ~ preni~n, ~lation~dp to ~ljoining l~oni~s or Ddflic struts or areas, taxi 8{vh~ n ~btnil~ ~scripti~l of In~x~t of prol~rty ,~mt Im drm~l ~ tim {li~ran ~lidl is I~art of thin n[~)! icati~. c. '11~ ~rk c~r~l by thin fll~licnti{nJ ~ny s~)~ I~ c¢~n~:ed Imrore inmmt~:e of I~dldinB Permit. d. Ul~ n~al of thin a~ticati~, tim I~ildi~ Ins~ctor will ismm'n l~dlding l~nnit to the nHdicant. ~ch I~smit Mufti Im kept ~ tim ptu,d~n ~ailMde for ins~cti(m thro~p~c~st tim ~rk. e. ~) Ixdhli~ ~mll I~ {~i~ or APlq.l(~'['l(~ IS I~1~ ~l~ to tl~ I~d hlis~ I~l~artn~nt fo~ the i~mm~:e of n I~dhling Permit [~rmmnt Io the I~ihlit~ ?~m O~i~e of tim T~ of ~Rlmld, ~fffolk C~mty, ~ York, a~l other a~licM)le I~a, ~di~me~ or I~l~ulati{am, for tim ~mtnmti~ of I~ildit~, mkliti~m or nlternti{nm, or for r~nl or {~lit{o~, nn Imrein re~dnticma, m~ Lo mhit mnti~rir~l ins~'torn ~ p~i~s nt~l in I~dldlng fo~.~cenma~ inn~ti~s. ........... <~...~~,~ ............ (Sig~ature of a~licnnL, or (Hail. lng .'~klress of appliemlt) State sd~ether al~lic~t is c~ner, lem~ee, ,-kgent, architect, engi~r, general c~tractor, electricinn, pitier or lad]der. ...... ~r~ ............. ................................................ ~ of (~r of i~i~ ...'....5 ..................................................................................... (as ~ tim t~ mil or latest d~l) If a~licant is a ~rati~, ai~ture of ~ly m~tl~rir~l officer. (~,~e m~l title of corporate officer) I~dhlers l.icense I~. Plmt)ers License ~ .......................... Electrici~s l,icm~ ~ ...................... Otl~r '~s Licen~ ~.... .... ~ ............. I. l~ati~ of ln~ ~ ~icJl i~ ~rk will I~ ~ .............................................................. ..... ............... ............ ..................... I~ ~r Strut I~let ~-,~,~. ,= ~=,~ ...... 5~ ..... ..~ ..... ~. ........ ~ .~.~ ......... ~,~,~i~, . ~&~&¢...~~ ...... ... ~ ~p ~ ................ ~ ............... b. ln~e~ u~ ~1 ~ ........................... hl; J'~U~'J }~ ~*~ ................. Is Illis l)n)l~rLy vithin 300 fee[ of a tidal ~etlmxl'/ ~ ¥1'~ .......... I~) .......... alF ¥1':~..'~xrlllli)'RX~ 'lllllS'll~lLc~ 11~1~11'1' HAY I~1,: PI.OT I) I AGRAH I~cat:e clearly fl~xl distinct:ly fill IAlil(li~s, ~heLher e~i~t:i,§ or prol~)sed, taxi indicate alt set-I~:k (liu~nsions fT(,, i)rolx~rty lines. Give ,,reel: atKI I)Jock rus,/~er or deseril)ti(H, flcc0Tdin§ to deed. m~l ~llc~ 8[ree~ mui~fl ~r~l iTel,cate ~hether i,lerior or corner lot. (,,,NIY (,' ......... ~~... (E~.L._, o[ i~livid.al ~Hl~.i,~ (:onl i'~lcl) ~ I~ i~ the ................. : ............ ~.~ .............................. ' ........................... ((~,)trnctor, nRc,ti:, corlx)rate ()ffi(:er, ele.) ()1: ~ai(I (~t- or (~t-~, mKI is (hJly a~Jlhorizc~l t() ix~rf(~H, ()r hflve ig~t for,~l lhe ~ni(I ~)rk taxi ~o.~]ke taxi file Ihi~ api)l ie~m~io.; tll~Jl: ~11 ~ates~tlt~ (:o. tnif~M in Ihi~ ~)1~1H it:at i~)t) zl~e 1:1~ I.o Ihe I~l: of his ktx~lc~lse Ihal Ihe ~)tk ~il I I~ I~rf~t~t~l itl Ihe ,ult,~r ~t forth itl Ihe appl it:al:i(~t~ filed tl~r~ith. ~OBE~ I. ~, J~ ' ~'~' .........~ .................... ~~ ~.01~ ~'~ Q WEST EL.EVATION Sc~.~,'~" '- ~.-o TESTING ~EFC~E CD\,;:~Ah,~G If copper tubing is used for water distributing system; piping shall be of types K or L 7~':~ ~"~:~ 9 ~ TO 4 PM FOR THE 1, FOU~E~AT~ON - TWO REQUIRED FOR PQUESD CONCRETE ~. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - CONS1RUCTION MUST BE COMPL~E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR ~N~TRU~ON ERRORS UNDERWRITERS CERTIFICATE REQUIRED 0 C m .< I ff' MRR-11-1997 13:39 BRENNAN DESIGN WORKS, INC 22'-6" 1 212 80? 1909 16'-6" Z $ RAFTER 16" OC X 6 CLG JOIST 16" OC --2 X 4 STUD WALL ~J · 16- oc FLOOR JOIST; FIC W14.5 WiTH III/4'' e 12" OC SECTION I 24~ .0. 606~ ~OB ~ ~ -I I DESIGN LdORKS, INC i 212 807 1909 24'-0" 20'tO" I I