HomeMy WebLinkAbout34541-Z FORM NO. 4
TOWN OF SOUTHOLD ,
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
r
CERTIFICATE OF OCCUPANCY
No; Z-33657 Date: 04/20/09
THIS CERTIFIES that the building ADDITION
Location of Property: 10075 NASSAU POINT RD CUTCHOGUE
(HOUSE NO. ). (STREET) (HAMLET)
, County Tax Map No_ 473889 Section 119 Block 1 Lot 12
Subdivision Filed Map No_ Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 3, 2009 pursuant to which
Building Permit No_ 34541-Z dated APRIL 3, 2009
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 EXISITING ONE FAMILY •DWELLING AS APPLIED FOR.
The certificate is issued to COOKE LIMITED PARTNERS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
_ r
ELECTRICAL CERTIFICATE NO_ 4026589 04/13/09
PLUMBERS CERTIFICATION DATED N/A
uthorized 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. 34541 Z Date APRIL 3 , -2009
Permission is hereby granted to:
COOKE LIMITED PARTNERS
115 0 ,5 TH AVE
NEW YORK,NY 10128
for
ADD TO A ONE FAMILY DWELLING. THIS PERMIT REPLACES BP 10862 .
at premises located at 10075 NASSAU POINT RD . CUTCHOGUE
County Tax Map No. 473889 Section 119 Block 0001 Lot No. 012
pursuant to application dated APRIL 3, 2009 and approved by the
Building Inspector to expire on OCTOBER 3 , 2010 .
Fee $ 200 . 00
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-M-fiorized Sig ature
ORIGINAL
Rev. 5/8/02
Form No.6. CL
TOWN OF SOUTHOLD
BUILDING.DEPARTMENT I `
-TOWN HALL
765-1802 .
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This.application must be filled in by typewriter or ink and submitted to the Building 1, r�ntCit�h f�y�Tg
15 1�i 1� U 15
A. For new building or new use:
1. . Final survey of property with accurate location of all buildings,property line t is ualp
.'topographic features.. ��
2. :Final Approval from Health Dept.of water supply and sewerage-disposal.(S fo ).
3. Approval of electrical 'installation from Board of Fire Underwriters. . BLD.G.DEPT.
4. Sworn statement from plumber certifying that the solder used in system con ins less thmWOWTI e .
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:
J. 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
L 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. April 17, 2009
New.Construction: Old or Pre-existing Building: X (check one) for addition to existing
one family dwelling
Location of Property: 10075 Nassau Point Road Cutchogue .
House No. Street Hamlet
Owner or Owners of Property: Cooke Limited Partners
Suffolk County Tax Map No 1000, Section 1.19.00 Block 01.00 Lot 012.000
Subdivision Amended Map A of Nassau .Point Filed Map.- 156. —,Lot: 82A
Permit No. 34541Z Date of Permit. 4/3/09 Applicant: Cooke Limited Partners by
Abigail A. Wickham, Esq.
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request_for: Temporary Certificate Final,Certificate: X g (check one)
Fee Submitted: $ 25.00
.Applicant Signature
�`' ' r Abigail A. Wickham, Esq.
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5 BY THIS"CERTIF. ATE OF COMPLIANCE THE sw
NEW. YORK BOARD OF FIRE UNDERWRITERS
rF. -
5 . BUREAU' OF 'ELECTRICITY 5.
5 40 FULTON" STREET NEW YORK, NY 10038 5
-5 : CERTIFIES THAT
5 _
5 .
5 Upon the application of upon premises owned by 5
5
5 5
5:
REP ELECTRIC COOKE LIMITED PARTNERS LT Cj
5 5 PO BOX635 10245 NASSAU POINT RD 5
MATTITUCK, NY 11952, NASSAU POINT, NY 11935 _.
St d Locate a " 5 .
5 . 1'0245 NASSAU POINT RD cutchogue, NY 11935 5
5
5 Application Number: Certificate Number: 4026589 5
4026589
5 c
5 Section: Block: Lot: Building Permit:.. BDC: ns14 5
5 5 _ e5
SDescribed 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
Basement,.. 5
5 5
Cj A visual inspection of the premises electrical system,. limited to electrical devices and .wiring to the extent detailed
Sc5 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 S
Sauthority having jurisdiction, and found to be in compliance therewith on thel3th Day of April, 2009. 5
5 5 Name QTY Rate Rating Circuits Tyne 5 5
Miscellaneous
5 5 as built
finnished basement room b
5: Wiring And Devices 5
5 Fixture 4 0 Incandescent 5
5 Receptacle 4 0 Gen,Purpose 5
Switch 0 5 Gen,Purpose 5
5 _ 5 .
5 �5,
5 An as built visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is 5
5 be]ieved to be in conformance with the applicable reference standard for the estimated period of construction of the premises wiring system.
5 5.
5 5
5 seal
5
5 t of t 5
5 c5
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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
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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. 34541 Z Date APRIL _3 , 2009
Permission is hereby granted to:
COOKE LIMITED PARTNERS
1150 5TH AVE
NEW YORK,NY 10128
for
ADD TO A ONE FAMILY DWELLING. THIS PERMIT REPLACES- BP 10862 .
at premises located at 10075 NASSAU POINT RD CUTCHOGUE
County Tax Map No. 473889 Section 119 Block 0001 Lot No. 012
pursuant to application dated APRIL 3 , 2009 and approved by the
Building Inspector to expire on OCTOBER . 3 , 2010 .
Fee $ 200 . 00
Autho ' ed. Sigrr'atur
COPY
Rev. 5/8/02
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH-OLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NY 1`0, 2 Z Date ......September 19
R 6 . 19 80
Permission is hereby granted to:
„M ROMEO 8 SONS
..... .......... ........a/c T e„j ,,,G,poke
Box 1111
................................................................................
11 9.71..............................
to ..............ADD TO A ONE FAMILY.DWELLIN.q..........................................................................
............................................... .............
................................................................................................................................................................
of premises located at ......!.Q24 ...NASSAIT„POINT...RQ ..............................................................
...........................................CUT CHOGUE.,...N.Y,... .1.9.3.5...................................................................
NASSAU POINT ---LOTS...?t. ...82.,...82a�82b....................................................................
County Tax Map No. 1000 Section ........I.�9.......... Block .........1............ Lot No. .....1.1..,.19..& 13
pursuant to application dated September..1.5.................. 19... 0., and approved by the
Building Inspector.
Fee $.....�.�rr.CC.......
.......................... .. .........................
Building Inspector
Rev. 6/30/80
SOblyo�o
_ N o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [\-4 FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE 9 INSPECTOR
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( L L S tom! t�L C i L U l`ll iVS
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined . . . . . . . . 19� Application No. . . . . . . . . . . . . . . . . .
Approved . . . . . . . . . . . . . 19 ermit No. .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT Date . . . . qJ1 I.,.. . . . . . . .119iro
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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.
C,
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 dem tion, as herein described.
�L,Sin, c(
The applicant agrees to comply with all applicable laws, ordinances, building code, hou 0 regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspe ti
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Signature of applicant, or name,if a corporation)
40
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
67.Lx1.3 4--"— ec) - �-J ror% -ya r�
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . . . . . C 19�11?.115_U... . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, 'Signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . . . . I.C.? . . . . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . ..
I Location of land on which proposed work will
. . . . . . . . . . . . . . . . . . . . . . . . . b� do.n.e.. .. . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . ..
. . . . . . . . . .Cy-r C F44. ; . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
House Number Street Hamlet
County Tax Map No. 1000 Section . . . . . .111 . . . . . . . . Block . . . . . . . . . . . . . . . . . . Lot . A i .1.7t.i. 17� . . . . . . .
Subdivision 4 Filed Map No. . . . . . . . . . . . . . . Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . .
b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . .✓. . . . . . . Alteration . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . .
e�•++ (Description)
4. Estimated Cost . . . . . . . . . �W. . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . ! . . . . : . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on.filing this application)
S. If dwelling,number of dwelling units . . . . . . . . . . . . . . Number of dwelling units on each floor . . .I. . . . . . . . . . . . .
If garage,number of cars . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy,specify nature and extent of each type of use . . . . ..r7. . . . . . . . . . .
7. Dimensions of existing structures,if any: Front . .4 V•q 4. . . . . . Rear . . . . Depth -9
Height . . . +. . . . . . Number of Stories . . . . . . I. . . . . . . . . . _ . . . .
Dimensions of same structure with alterations or additions: Front . 55 ' Rear .51 -9? -
Depth . . .%:.:;.7 Q-o .*. . . . • .I
. . . . Height 15-! 7r . Number of Stories . . 1. . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new construction: Front . . 3.5-,4 Rear .1.5.79 Depth Z'? _v
Height . '}... . Number of Stories . . . t
9. Size of lot: Front . . . Z 5!q 79. �' . . . . . . . . Rear . . . . .2. 0-o .+ . . . . . Depth Z�o.�: .+. . . . . . . . .
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: . . . .PA ,. . . . . . . . . . . . . . . . .
' 13. Will lot be regraded . . . . . .tJ.a . , . . . . • . . • . . Will excess fill be removed from premises: Yes
14. Name of Owner of premises S!` �. �ca Ic` . . . Address4k$$4-P. . . . . . Phone No.13`4'4yV 6 .
Name of Architect . " Address . Phone No.
Name of Contractor tm!4!+A,y-� 2v f.;��• . . . Address&Q A1. ..yY�,.�., • Phone Nol L. . .. . . .�. . . .
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.
�LZ� �"_"� fir✓}-`7 C t-kt.�. .
STATE OF NEW YORK,COUNTY S.S
OF-��F.FD�-k. . .
. . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named. -
Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, 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 manner set forth in the application filed therewith.
Sworn to before me this
. . . . . . . . .
. . . . . . . .day of.
. . . .. 19 .
Notary Publi �. I d. F. U'�JA,LSKI. . IIfy
NnTa,ZY P�3LIC,`State of New YorE
No. 52 4524771 .
Qu iiiicd in Suffolk County . . . . . . . . . . . . . . . . • . . . . . .
to,nv-i6sion Expires March 30, 19$9-,�- (Signature of applicant)
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UNAUTHORIZED ALTERATION-OR ADDITION
r 0 THI5'.SURVEY IS A�VIOLATION OF
SECTION 7209 OF THE'NEW YORK STATE
EDUCATION'LAW:'
COPIES OF•THIS'SURVEY MAP NOT BEARING'
1 .� ELAND SURVEYOR'S INKED'SEAL OR '� "• (.� r' i� .•) �.
BOSSED'SEAL SHALL NOT Di CONSIDERED - ,�' 't'� y •J"1�� '�. {,"f•�j)-� :J .lt'��� 7�a '� _ ,
Ti BE A VALID TRUE'COPY J
1 �ARA<\TSES INDICATED hCPEON.,HALL RUN _'"
'ONLY TO THE PEISON FOR WHOM SHE SURVEY " - �4'� - • �.' I• '
p'PREPARED, AND ON HIS G HALF TO ii_- � f 'T JJ ,��('jioV49 fpOs.
TITLE COMPANY, G,OVtU:MZ AL A.GtMy AN'
1.. ENDING INSMUT!ON LISTrD my .�7"r.� j"J GAY'.i"j •3.1'. /,
TO:THE ASSIGNEES OF TYI:LENDWG MTV: {
R�GUARANTrES'AGE,Iv�T 7A7OM-ABLt, ;
II ��UTION.I.O�'A_DDITDaNAS'E'9t5Tli@PIEIIE'f8®3.5t1y�Y�l1EN' '• ... , �.r '• • _ ,y •'
IOWNS � , .� - ... �.a»_,.�.,�.�-.....•.'.-.�..,p.: :..,e< .-..,--n.... . - ;.-.+:+....--.-.,.-�.'.`.,_..�............�r..,
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DATE: g( 'Z—
C �. FEE: CIS
BY
NOTIFY BUILDING APARTA F T AT
765-1802 9 A - �t�'Te�••� — ,
/ FOLLOWING INSPECTIONS:
7e.kc.Us `� . �'�' FOUNDATION - TWO REQUIRED14'V IC�r
FOR POURED CONCRETE -"
2. ROUGH - FRAMING & PLUMB1I4G -��- -- --'---- --
of 4. FINAL - CONSTRUCTION MUST
BE COMPLET
E FOR C. O.
..ALL CONSTRUTION.-SHALL MEET
t THE; REQUIREMENTS OF THE N. Y.
STATE CONSTRUCTION i
1 & ENIERGl
p. CO
DES.ODES. NOT RESPONSIBLE FOR
f
DESIGN OR CONSTRUCTION� ON ERRORS.
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