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HomeMy WebLinkAbout34164-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33283 Date: 09/22/08 THIS CERTIFIES that the building ADDITION Location of Property: 1835 MASON DR CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 6 Lot 20.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17, 2006 pursuant to which Building Permit No. 34164-Z dated SEPTEMBER 17, 2008 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 CURTIS W HORTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 439851 12/08/97 PLUMBERS CERTIFICATION DATED 08/11/04 J ZEE'S PLUMBING & HEAT Authorized Signature Rev. 1/81 ` Form No.6 - F®r�)_�—rr TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 1' TOWN HALL SEP 7 2008 L� 765-1802 6 LL)V, DEP? APPLICATION FOR CERTIFICATE OF OCC F SQ TyOLD:1 This application must be filled in by typewriter br 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 1 1957)-non-confor-ming-uses;or-buildings-and"pr-e-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$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: / �, 3, }') fir; 12 ' -�- ' -[-- .r ii" House No. Street �� Ham.W Owner or Owners of Property: 0 A c4L&Z. Suffolk County Tax Map No 1000, Section Block 6 Lot a 0/ Subdivision 3L �,q (,fr4XJ-ef1 Filed Map. Lot: Permit No.JE Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Ail 3 !- P- r Planning Board Approval: Request for: Temporary Certificate Final Certificate:_ (check one) Fee Submitted:$ Coo 2Ple 3�'p���4.3 �44�/,LO .�-z,.. -ate C� �1 l(p 0 Applicant Signature THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date DECEMBER 08,1997 Application No.on file 14605897/97 N 439851 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of CURTIS HORTON, 1835 MASON DRIVE, CUTCHOGUE, NY in the following location; ❑ Basement © I,st Ft. ❑ 2nd Fl. OUT .Section Block Lot ums examined on DECEMBER 03,1997 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 6 3 5 5 1 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. N SYSTEMS O.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC.COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1,8']W 1,0 JW 9 B JW 3,e•IW PER.e' OF CC.COND. NO.OF HIAEG pp MI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PIDDLE FAN-1 111OTORS: 1—F H.P. go G.F.C.I:-2 ROSLAK ELECTRIC LIC.#3677—E L. P.O.ROX 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANA,13 ER 11 Per 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. 4 � 1�UFFOC Town Hall,53095 Main Road p "-UPS n co �? TnW`�QF t6)-765-1823 P. O. Box 1179 Southold, New York 11971 Telephone(516)765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T j F I C A T I O N DATE: Building Permit No . owner: 6L-v7 i,S b1or,T0,v- (please print) Plumber: J Z-ee-ls (J/C.4,��n-�- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. s (P umber Signature) Sworn to before me this l f � day of 1- 9-Notary Public, 1 UA- County JAYNE P. MARTIN 'v v" Notary Public, State of New York No. 7738235 Qualified in Suffolk County Commission Expires Jan. 31,A9' �C� 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. 34164 Z Date SEPTEMBER 17, 2008 Permission is hereby granted to: CURTIS WILLIAM HORTON 1835 MASON DRIVE CUTCHOGUE,NY 11935 for CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACE' S EXPIRED BP # 24080 at premises located at 1835 MASON DR CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0006 Lot No. 020 . 001 pursuant to application dated SEPTEMBER 17, 2008 and approved by the Building Inspector to expire on MARCH 17, 2010 . Fee $ 75 . 00 Authorized S ure ORIGINAL Rev. 5/8/02 i FORK NO. $ TOWN OF SOUTHOLD L� BUILDING DEPARTMENT TOWN HALL J SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 24080 Z Date ............ .......... .........................., 19�/ Permission is hereby grant to: r ....�� :so�1....... ............ .......... . .........� . .f� ..... . ... . .. ....... . s.�� . .......� . ., ......... . ........... .�� .... .. • . w ..... ..............................................................................c. ............. . ................... .. of premises located atj - ... .f �..��`'. !G_ ........ ...... . ....... . ....... .. County Tax Map No. 1000 Section ...1..0..'...... Block ...64........ Lot No. .: pursuant to application dated .....40.5m .`e� zz , 19. /, and approved by the .... ...... ...... ... Building Inspector. c� Fee $... ............. ................... .. ....................... uildi Inspector Rev. 6/30/80 OF SOUlyo�o 1 � Z_ cvurm,��' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING XfFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: v V � DATE ��/� INSPECTOR 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [//fROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Zt DATE � � INSPECTO I; I I•,I,I1 I Il;il'I;l�I'I(111 Ill;l'1111'I Ill�ll•: ' �a ;Ulluun'l'lOrl ( 1t11)) s� �i4t��l�°��W.� Y'T�'m�'�mw'T_A__f11,n Ft�TTT 1,F`—TFF,',• �nulaf hunlm r, _.x n�.Fr.nm-,...----_nn_n_„m_n •�.,F...-..w n. r.r-Fn.-n,n.. y Y`_--...—.__.._. \r' ------------------------------- !1'I'ATR lU11:1l1!Y f:(1111; nn-F . ��nm..nn--r m _.._,.- _..�._�. �.F .._-,�,..m..n i� OA- An�.cl-- 0 -- .-_Fm_n.,-- --F-n__T_-- -------- -...-__-----------n.,nF-F.-m_m-FF_-.:----__--nFn--Fn-_--n_-Fm - ---- -----Fn__ -.., . . .m.... F��� n� F..AMI I T I OIIAI.Tla)Illn�lrrliT_��__F. .._F_nF_ n--- I i • HI � - �J M-1802 BUILDING DEFT. INSPECTION [i---r 0 DATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE < � ` INSPECTOR BOARD OF HEALTH �. .FORM NO. 1 3 SETS O!,PIINS . .. . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . APR 17 i`r17 BUILDING DEPARTMENT CHECK . . . . .�. �?.�.. . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 BLDG.D TOWN OF SQUIf EPT.OLD TEL: 765-1802 NOTIFY: 22 - . . CALL . . . . . . . . . . . . . . . . Examined..... . ....., 19. MAIL TO:(j�� APF�"d-•-- ----� 197 Permit No. r. .. Disapproved a c .................................. ./ 1. .3 _ •---- . . (-•ilding� •t APPLICATION FOR BUILDING PERMIT• • � :.Date'. . . . . . . . . . , 19-77 INSTRUCTIONS a. This application mnst•be,'ccnipletely filled in by typetwriter 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 application. ` 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 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 MALE 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 inspecti s. .. �... ... ...... . ........ - .(Signature of applicant, or dame, if a corporation) • !� ��. .!. ... ....... ... .. (Mailing address of applicant) State whetber 'applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... .. ..............:..;:. ............................................... ............. 00, Name of owner of premises •. r-(as on the.tax roll;or latest deed) - 'If applicant is a corporation, signature of duly`aithorized officer. .....................:--...�.............. (Nave and title of corporate officer) Builders License No. Plumbers License No. .....,( ' ........... . . ./ Electricians License No. ..3. ...7-!. !r Other Trade's License No. .................... 1. Location of land on which proposed work will be done............................. .. .............. .....1. 3,5.`................ ..�D .............. .. . ............ House Number Street Hamllet� County Tax Map No. 1000 Section Q.. ........ Block ...z.......... Lot Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed cons ructipn: a. Existing use and occupancy ... .. .... ....... b. Intended use and occupancy ...... ................... - - - -.................................-- 3. MaLure of work (dieck vhich applicable): New Building .......... Addition ... .... Alteration ......... Repair ............ Removal .............. Demol i t 1 on ............ Other Work .................................... $ (Description) 4 Estimated Cost J."r ....... fee .............................................. (to be paid on filing this application) 5._ If dwelling, nuid)-ear of dwelling units ............ Umber of dwelling units on each floor ................ If garage, nuniberof cars ...................................... 6. If business, commercial or'mixed occupancy, specify nature and extent of eadi type of use...................... f OF if s of existing ........ 7. Dimension' structures, if any: Front...1- 8 11-9. ....... Rear . ........ Depth ...1�4?. Height ......................... Umi)er of Stories ....................... Dimensionsf S Be 1 a 'era —6 . 40 .......... ;�............ Umber of Stories -I.. 40............ lleipjIL Dept structure w*tI it t 9 or additions: Front Rear 8. Dimensions of ent)*re new construction: Front ................ Rear ............... Depth .............. 11eig)lt ... .............. Mid-jeer 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: .....0".4 .......... 13. Will lot be regraded 0 .......... Will excess fill be removed frorn premises: YES ND • M. Haves of Owner of premiseSC't�...A4�. Afklress/nJ• OA P1 lone No.7 Name, of Architect .................................... Address .............................. Phone No. .............. Name of Contractor ................................... Atkiress ...............................Phone No. .............. 1.5. Is this property within 300 feet of a tidal wetland? YES .......... NO ........... *1F YES, SCXMUD 1UM IMSM,S PERMIT MAY BE M�Jlll Mi . Pl.OT 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 comer lot. Tr3 V 0 e- ® T 0727 fin,4�,,4 i il ol' 5rivil-I. U-- "m Yam, SS (XXJNIY OF ....................... ...........being duly sworn, (lei)oses and`says that he is Lhe applicant' (Mile of indiLvidual signing contract) above mamed, Ileis the ...... ............................................................................1. jCqiLractor,.igent",, corporpte officer, etc.)� of said owner or owners, and is duly authorized to perform or have performed Lhe said work and to make and file this application; that all stateme nMxontained in this application are true to the best of his knowledge and belief; and LhaL Lhe.work will be performed in the manner set forth in the application filed therewith. %x)rn to before_T this ...... :-;-._ .clay of .... ............19. GNotary Public ...... ..... (Signature of Applicant) HELENE D.HORNE Notary Public,State of Now York No.4951364 Qualified in SuffoW County qj Commission Expires Nlay 22, *19 - -' - - -. I I % 6io-cE. -CVf4. l l :J � T�! �!•'� { . - _ r s t{ t r tL 4t ' 4T w. L MAMORUE D'ALTERATION ADDITION TO THIS SURVEY p _ V ' IS A VIOLATION N r tDUCATtOH ILA ., S OD'THE EW W.. , ' 3✓. - CONS-Of.THIS SURV2Y NAP NOT BEAYD16 t THE LAND SUIVEYa:S IN:2D SEAL 01' -� :ENEOSSrD SEAL SHALL NOT U CONSIDERED -d. j . ZE� TOKA VAUD ECU2 CO".GUARANTEES INDICATM 1,R N SHALL RUNONLY TO TM,P 8Si (O i I OAl THE SURVEY �'j •, .. - ' ''' -! : IS FIUFARED,At D O Y S t:lAU t0 tHL i r ; i _': •ititE COWANr,G:ivtY;..;OAL ACFNCY AND 1. LENDING ISTNUEICN L TED ii,aCN,AND-, I •-.t - - L '; y I! _ } TO THE AS$[403 OF T-ttt LFIN.DG INSTI- �- - NTtOtI GIURANrtts ARE tar 1PANSFERAIUE' r0 ADDITIONAL PWT1UOONS.OI LNSEQUEW b.:�:Ta. F. f - .-- p�lvE - -moo 2rcic v4N7(cj �- _ j Liuttsorr�N7rraf'Sv "�^s: , _e ' blw York� i _ i N SURVEY OF PROPERTY 4 AT CUTCHOG UE -.pa TOWN OF SO UTHOLD SUFFOLK COUNTY, MY 1000 104-06-14 & 20.1 SCALE. 1'=30.1 NO VEMBER 27, 2007 - D OAK �VE OF PA�fNT ' . 112•53 N79�2'10"E I O6_14 j 1000� 104- f ao 0 N p o O 4t° ' cs C.. J zO o r Q a z O ��t /6� V• 112•58' '00"W j ee Sh5•� �m PIPE `•" a 'N BBp 9 3' � rn FRAME�GE A 25 5 24.2 9.0. N M 0E N v z s co O a DECK 0 34.2- N E � 4. �A 0 04.E A ! o o 0 OO N, �1 20.0 7- O N D tn i c� r, 06,20.1 1 - 0 1000' �:l � 113.01 ter^. �,30MW PA�E�T g�VE OF, NEVj ME 1000-104-06-14 AREA-14,443 SO. FT. I �yL.�-'4c 1000-104-06-20.1 AREA-14;433 80. FT. w a /a'I4�1'� 49618 ANY ALTERATION OR ADD17ION TO THIS;SURVEY IS A WOLA71ON ECONIC ta&W765-1797 OF SEC71ON 7209OF THE NEW YORK STATE EDUCA77ON LAW. 631 765-5020 EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2ALL CERTIFICATIONS HEREON ARE VALID FOR 7HIS MAP ANDS COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COP/ES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. • -PIPE SOUTHOLD, N. Y. 11971 . 07 224 I . UNDERWRITERS CERTIFICATE REQUIRED OCCUPANCY OR USE iS UNLAWFUL WITHOUT CERTIFICATE, ---- OF OCCUPANCY \ PFEU ASQTEQ ' -- -------__ — --- --- - - - _.. . --- -- - -- . - -- -- - - B.R.# DATE- if coppw tubing is used j. F ,� sv. 'for water distributing NOTIFY BUILDINIG DEPARTIU NT AT t system:Piping shall be 76 -1 Bog 9 AfM TO 4 PM FOR THE of types K Or Lon FOLLOWIN �el$PECTIO`!S: 9. FOUNDATION - TWO REQUIRED j FOR POURED CONCRETE 2. ROUGH FRAMING & PLUMBING c L ,; PLUMBING 3. INSULATI,oi I r �LI B 1AdA 4. FINAL CONSj. UCTION MUST �X 6 �Z47 �✓�(� � C.O. &WATERILIAIESNEED ALL CONSTRUC�IONSHALL MEET TESTING BEFORE CMRMS THE REQUIREMENTS OF THE N.Y. j STATE CO1 STI RUCTION & ENERGY PLUMBER CERTIFICATION CODES. NGTi RESPONSIBLE FOR ON LEAD CONTENT BEFORE DESIGN OR! CONSTRUCTION ERRORS i I CERTIFICATE OF OCCUPANCY - .r -- - I ri SOLDER USED IN WATER --SUPPLY.SYSTEM CANNOT ; EXCEED 2110 OF)%LEAD. 30, r I 7 � - ti _ ' )(_6 i - -- - ---- ��� sh �fi rxi r � 'r a L,.e 7 Xr5 r 'nc/ � riJEGv � r � r rr j CQ i r ,tit Cbi el CL r r rr . . g' 3 • I I - I I i i I I I � •; I JT'J I I I r' r i ii I I ,STucr-oJex/P-0sti� �^ (,r.xtu I _ I C G 717 F •'i E Ool� GLOCk I i I I I I I I I I iI I I I