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HomeMy WebLinkAbout32867-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32277 Date: 04/03/07 THIS CERTIFIES that the building HEATING SYSTEM Location of Property: 2800 PINE TREE RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 2 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 2007 pursuant to which Building Permit No. 32867-Z dated MARCH 30, 2007 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 INSTALLATION OF NEW HEATING SYSTEM FOR REAR COTTAGE "AS BUILT" . The certificate is issued to IMELDA CORCORAN FARRELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3023333 02/15/07 PLUMBERS CERTIFICATION DATED N/A 1 Authorized Signature Rev. 1/81 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 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 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. R6f0CA 20D New Construction: Old or Pre-existing Building: (check one) Location of Property: 2-Wo PCMe—Fe-e _P-ea House No. Street U Hamlet Owner or Owners of Property: T W-0-�d a Gar Suffolk County Tax Map"No 1000, Section L+ Block 6 Z Lot Subdivision I�l.1SSGtM [�f/ WI S Filed Map. 7 Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �5-0 0 ,� L—) 1, L"I/plicant Signature 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. 32867 Z Date MARCH 30 , 2007 Permission is hereby granted to : IMELDA CORCORAN FARRELL 95 DEAN DR CUTCHOGUE,NY 11935 for HEATING SYSTEM FOR REAR COTTAGE AS APPLIED FOR "AS BUILT" at premises located at 2800 PINE TREE RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0002 Lot No. 016 pursuant to application dated MARCH 29, 2007 and approved by the Building Inspector to expire on SEPTEMBER 30, 2008 . Fee $ 300 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 0 cPrJ��n�.rrJ�rJ��l?.nnrr Pr Pr PLPC ncn�nrJ�rJ�rJ�r.P�.nrJ���nrJ�r�rJ�rJ�rJ�rJ�cPrJ�rJ�rJ�cPrJ��n�ncPrJr�rJ�rJ�rJ�cnrJ�rJ�rJ��cPr�rJ�rJ�rJ�rJ�rJ�rJ�LnL3rL3 rL3r� 0 5 BY THIS CERTIFICATE OF 5 5 COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 5 CERTIFIES THAT y 5 5 5 Upon the application of upon premises owned by 5 5 5 ROSLAK ELECTRIC IMELDA CORCORAN 5 PO BOX 164 2800 PINETREE ROAD 5 5 CUTCHOGUE, NY 11935-2453, CUTCHOGUE, NY 11935 5 5 5 5 Located at 2800 PINETREE ROAD CUTCHOGUE, NY 11935 CJ 5 Application (dumber: 3023333 Certificate Number: 3023333 5 5 5 5 Section: Block: Lot: Building Permit: BDC: ns11 5 5 5 5 Described as a occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 5 5 Basement, 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 15thDay of February,2007. 5 5 Name QTY Rate Rating Circuit Tyne C5, 5 Miscellaneous 5 5 oil burner and safety shut off 5 SAppliances and Accessories 5 5 Furnace 1 0 Oil 5 5 Wiring and Devices 5 5 Switch 1 0 General Purpose 5 5 5 5 5 5 5 5 5 5 - 5 5 seal 5 5 5 1 of 1 5 5 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck,N.Y. 11952 (631)298-7116 Date: February 5, 2007 To: Town of Southold Building Dept. Re: Heat System Le.ar,House Amelda Corcoran�- 2800 Pine Tree Rd. Cutchogur,NY 11935 Permit#31001 To Whom It May Concern: After an inspection of the heating systems were Aformed on the above property, it is deemed that the furnace and hot water heater were installed correctly as per all state and local codes. Any other questions concerning this matter please call. f a i P �Y® ;\:} Sin,erely LU \ 1 s i 11b; _: James J. ID o i JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck,N.Y. 11952 (631) 298-7116 To: Town of Southold Building Dept. Date: January 31, 2007 Re: Insulation Inspection/Energy Code Cert Imelda Corcoran Farrell 2800 PineTree Rd. Cutchogue,NY 11935 To Whom It May Concern: After a on site Insulation/energy code inspection was performed on the rear house of the above mentioned property, it is deemed that the type and placement of insulation was installed correctly, and meets all building and energy codes at the time of construction. Any other questions please call. incerely Ylu i m J. eerkoski ���FES$` OF SOUlyo�o Ag)-L � cout `l,Nc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION P REMARK " DATE � ��� � 7 INSPECTOR FIELD INSPECTION REPORT . DATE COMMENTS b FOUNDATION(IST) y J � ------------------ ----------- FOUNDATION (2ND) z 0 • � y ROUGH FRAAEI�G& ' PLUMBING y Z1 t" INSULATION PER N.Y. STATE ENERGY CODE (J FINAL ADDITIONAL COMMENTS _3 v COT J Z 1� J CD .� C z x Jx � C b y :a'3a atone°;� �� �,, � fii � i �I39�a, -, ' `"' ■■■■■��■���i�■■■■■ ■■■■■■ice■w■■ ■JL ■■ 'E S N■■■wr�■w■N .. .. . Bath :xtension Floors Extension Fire Place Heat Extension Ext. Walls Interior Finish • '.. L Porchf Type Patio Rooms 2nd Floor 3arage DrivewayDormer B. �I Aft TOWN OF SOUTHOLD ROPERTY RECORD_ CARD L5 OWNER STREET 2�eo VILLAGE DISTRICT SUB. LOT 7/ FORMER OWNER N E ACREAGE ,v7 S W TYPE OF BUILDING RES. 6 SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS ���ooa� / i/oyl 70 �areAvar, j' �a AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD e G-ea ae fc� z", Tillable . 1 BULKHEAD Tillable 2 DOCK Tillable, 3 Hoodland swampland 3rushlan louse Plot dotal s mod: }ate ( A E hre �o ,�� E 06�t t PaSp` f�1r c rr ' „m �.■■■■ ■■■■■■■■■■� TM � MIN 'f,41 NOONEz. rN�(�\fie; E ° e� Ap ti5ry rq°f 3 J.a r °{ ,lr xi`�" IN ON .n ■■■■■■■■■ ■ ■ IN NONE.■■■■■■■.■..ONE ...■.C. :Cy i ■■■■MEMO■■■■■'■OOM■■■■■■ ■■■■■ on NONE ■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ -- EEO■■■■ _ ■■■■■■NNE■■■■■am INN_®■■■■■■■■■ 4 ■■NONE■■■■■■■■�■M' ;11�1■■NON■OOM OMEN 0 0 MEN ENE NNE ME ME No MEMO ME ■■■MEN®■a■■■■■■■■■■■■■0 ENO MENEM ■ ®®■■®® MMM■NN■■ Aosement =�'pxt. wails Fire Place • ••- •- Roof - ••• •• 'W.f Dormer Recreation Roo �. .. TOWN OF SOUTHOLD PROPERTY RECORD CAA OWNER STREET VILLAGE DIST, =' j SUB. LOT_ FORMER OWNER N E ACR.�� S ; W TYPE OF BUILDING /4 IRES. SEAS VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland.. FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD DOCK Total I ' R (� � � r TOWN OF SOUTHOLD - BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL MAR 2 ZQU� � ' � I Board of Health SOUTHOLD,NY 119711 ----_J 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. 3 D46 7 e�_­ Check Septic Form N.Y.S.D.E.C. Trustees Examined ,200 Contact: Approved ,20_42�7 Mail to: Disapproved a/c Phone: Expiration ,20e ' Building Inspector APPLICATION FOR BUILDING PERMIT ►V IOVr� 2-?L Date , 20 t)J INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. OCCUPANCY,-OR ���',h USE IS UNLA F (Signature of applicant or name,if a orporation) O WITHOUT CERT1,F. UNDERWRITERS CE tiF(� Pea is Dr i v e �fcko ve N �1°ys (Mailing address of appli a t) OF OC,CU_PANCY ,� REOUIRED State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder APPROVED c6 ED �wvle B.P.# 7 Name of owner of premises IRA ed J Q C-OrCor0_,IA L ny. _ (As on the tax roh orlil&1Ktyd d)DING DE:IARTMENT AT If applicant is a corporation, signature of duly authorized officer 765-1802 + .=;,t TO 4 PIN FOR THE FOLL044-ING !NSPECTIONS: (Name and title of corporate officer) 1. FOUNDATION - T\N`0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FR.AIVING & PLUMBING Builders License No. 3. INSULATION Plumbers License No. 4. FINAL - CONSTRUCTION MUST Electricians License No. BE COMPLETE FOR C.O. Other Trade's License No. ALL CONSTRUC-fIOIti SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW 1. Location of land on which roposed work will be done: YYOOR�K STATE. NOT RESPONSIBLE FOR 2 D 0 ?1 e. v2 u l�l N �1 7 RUCTIO �R OV House Number Street Hamlet U r County Tax Map No. 1000 Section l 0 q Block Q Z Lot ` 6 Subdivision N U 55c1 U FW M Filed Map No. j Lot 4 (Name) 2. State existing use and occupancy of premises and intended use and occuparWy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy �e(,k 'I F -01SIzARM j' ! 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee 30 (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, 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 Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 'F 16. Provide survey, to scale, with accurate foundation plan and distances to property lines.- ,,,. 17. If elevation at any point on property is at 10 feet'or below;'mustprovide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ,S U L� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the60-YA (C tractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the mariner set forth in the application filed therewith. Sworn to before me this day of 20 Notary Public Signature of Applicant LOT 41 MAP OF NASSAU FARMS FILE No. 1179 FILED MARCH 28, 1935 SITUATED AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-104-02-16 SCALE 1"=20' MAY 11 , 2006 AREA = 18,450.44 sq. ff. 0.424 ac. d ° d Fa ° N/OlF / cF° / 9 d T SANDERSON HOMAS McKAY ° LOT 40 / ° / 297.47 ° 1 STORY FENCE FOUND FRAME HOUSE / POST&RAIL FENCE 0.5'N. 0.fi'W. PIPE a / HOUSE FENCE 30D FENCE 0.5'N. -c_VERHEAI>vARES r N 85°56'20 C STOCKADE FENCE FENCE OONC.WALK C ,r, FENCE O.L. ° GRAVEL DRIVEWAY . yn f 16.6' 0 0.5'N. 1.4E. m SLATE 13.7' STEPS •e 12.1 ,�. 2fi2' om b �G STONE UST-E e n r nm ° ., f A SLATE P < ;' °� _— < YP CELLAR ry STEP"' A ENTRANCE =O ° ` m SO F �� z O J In y S . LOT 4 f . _ o A CONIC. ee iS1, ° vonO,K, ° ° fmnu dWAl1C - z,m BELGIANBLOCK CURB ° a° <a ° snbCee ° d 6.2' SNOW FENCE ° ° , ° e ° ° c ° ° FENCE / '�••�CHMNEY 30.6' DIRT DRIVEWAY a d" S d ° FOUND PIPE a �iOVERHEAD WIRES FENCE DIRT DRIVEWAY •r < 11 �� ° UTILITY —-I . O.s' E#5 UTILITY POL STOCKADE FENCE HOUSE UL 05-1 310.93' S S. FiOfQ'Pp 8V S� O3 O 4 o" FENCE Nx 2 STORY �' F m -' S .... ROW°F:EES :gym 1.2'S. a,oFRAME G H O' FWND •. 'J ... ppS7 NH RAIL FENCE �+� HOUSE J��• 'Z PI ..- .. ... roz S�Tt � �m -AAAy`O HEDGE ROW u�� Nm LOT 42 N/O/ �2 Tr c v 4- F O x S 85"47'20 W ROBERT A. MCCAUGHEY \ 0 F 9� BASIL NA SANTINI & BEVERLY L. SANTINI I STEELING ROAD i i I PREPARED IN ACCORDANC WITH THE MINIMUM STANDARDS FOR TITLES AS ESTABLISHED BY THE L."L.'.AND ROVED AND ADOPTED FOR SUCH USE BY TH EW YORK STATE LAND fi TITLE ASSOCIATION. ti pF I -V,Y0 L n N.Y.S. Lic. No. 49668 UNAUTHORIZED ALTERATION OR ADORION TO THIS SURVEY IS A VIOLATION OF SE Joseph A. Ingegno SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING _ Land Surveyor .� THE LAND SURVEYOR'S INKED NOT E EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE Title Surveys - Subdivisions - Site Plans - Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTION.CERTIFICATIONS ARE NOT TRANSFERABLE. _ OFFICES LOCATED AT MUNG ADDRESS THE EXISTENCE OF RIGHTS OF WAY AND EASEMENTS OF RECORD, IF , New York 11901 Riverhead, New York 11901-0965 ANY,, N 322 ROANOKE AVENUE P.O. Box 1931 NOT SHOWN ARE NOT GUARANTEED. RIVERHEAD - -