HomeMy WebLinkAbout37027-Z �SUFFpt�.cd Town of Southold Annex 3/8/2012
boo Gy P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35480 Date: 3/8/2012
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 320 Broadwaters Rd, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 104.-10-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/22/2012 pursuant to which Building Permit No. 37027 dated 3/1/2012
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:
alter existing sunroom to kitchen in an existing one family dwelling as applied for.
The certificate is issued to Klein,Barbara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 2098432 5/31/06
PLUMBERS CERTIFICATION DATED 3/8/12 Mark Baxter
r
Aut rized Signature
V. 'I FFnI TOWN OF SOUTHOLD
o�gu ,�co
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 37027 Date: 3/1/2012
Permission is hereby granted to:
Klein, Barbara
320 Broadwaters Rd
Cutchogue, NY 11935
To: alter a sunroom to a kitchen "As Built" as applied for
At premises located at:
320 Broadwaters Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 104.-10-6
Pursuant to application dated 2/22/2012 and approved by the Building Inspector.
To expire on 8/31/2013.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $633.60
CO -ALTERATION TO DWELLING $50.00
Total: $683.60
Building Inspector
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 I% 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$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00,
Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, 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'*) 2 J.211 Z
New Construction: Old or Pre-existing Building_ (check one)
Location of Property.
House No. Street Haa�'
Owner or Owners of Property & C D�,Cc, YNQ�
Suffolk County Tax Map No 1000, Section C�� Block U Lot
Sulidivision Filed Map. 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: $
Applicant Signature
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5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 R
NEW YORK BOARD OF FIRE UNDERWRITERS
5
5 5
5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 c�
5 CERTIFIES THAT 5
5 5
5 Upon the application of upon premises owned by
5 5
5 DOUGLAS KLEIN
DOUGLAS KLEIN
BROADWATERS RD O 5
5 R RD
CUTCHOHUE, NY 11935 CUTC OGUE NY1S 35 5
5 C5
5 Located at 320 BROADWATERS RD CUTCHOGUE, NY 11935 5
5 5
Application Number: 2098432 Certificate Number: 2098432 5
5 5
SSection: Block: Lot: Building Permit: BDC: ns11 5
5 5 Residential 0-599 square ft.
Described as a q occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: 5
First Floor,kitchen,Outside, 5
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
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5
5 authority having jurisdiction, and found to be in compliance therewith on the 3lst Day.of . May,2006. 5
5 Name OTY Rate Rating Circuit Type Amount 5
5 Miscellaneous 5
5 as built-2005-kitchen $0.00 5
5 Appliances and Accessories
Dish Washer 1 0 1.2 KW $0.00 c5
5 Exhaust Fan 1 0 F.H.P. $0.00 5
5 Wiring and Devices 5
5 Outlet 11 0 Fixture $0.00
Fixture 11 0 Incandescent $0.00
5 Outlet 20 0 General Purpose $0.00
5 Receptacle 11 0 General Purpose $0.00 5
Switch 4 0 General Purpose $0.00 5
5 Receptacle 5 0 GFCI $0.00 5
5 Paddle Fan 1 0 $0.00 5
5 Invoice Total $85.00 5
5 An as built inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to
5 be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system.
5 seal 5
5
5 5
5 Continued on Next Page 1 of 2
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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5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 S
5 BUREAU OF ELECTRICITY S
5 40 FULTON STREET — NEW YORK, NY 10038 c�
5 CERTIFIES THAT c
5 5
5 Upon the application of upon premises owned by
5 C5
5 DOUGLAS KLEIN 0 BROADWATERS RD 9 OUGLAS KLEIN
BROADWATERS RD c
S CUTCHOHUE, NY 11935 CUTCHOGUE, NY 11935 5
S 5C
5 Located at 320 BROADWATERS RD CUTCHOGUE, NY 11935 C
5 5 Application Number: Certificate . 2098432 5
pp 2098432 t cate Number. c�
5 5 Section: Block Lot: Building Permit: BDC: nsl1 c 5
Residential 0-599 5 square ft. 5 Described as a occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at:
5 First Floor,kitchen,Outside, 5
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
5 authority having jurisdiction, and found to be in compliance therewith on the3lst Day of May,2006.
5 Name QTY Rate Rating Circuit Type Amount
5 5
5 S
5 5
5 - 5
5 5
S 5
5 5
5 5
5 5
5 5
5 5
5 seal
5
5 THIS IS VOITR RFCRIPT 5
5 2 of 2 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
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Town Hall Annex �O l0 Telephone(,631)•76571$02
54375 Main Road Fax(631)765-9502
PD.Box 1179
Southold,New York 1.1971-0959
looUtV�`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
.CERTIFICATION
Date: d'!/[a yz'
Building Permit No. -7 0
Owner: b y Ct- t� I P
(Please print)
Plumber: V V I v 1L _ Q v 'f
(Please.print)
I certify that the solder used in the water supply system contains less.than 2/10 of 1
lead.
(Plumbers Signature)'
Sworn to before me this
day of C� 201- CONNIE D.BUNCH.
Notary Public,State of New York .
No.01 BU6185050 .
Qualified in Suffolk County
( Ywf Commission Expires April 14,2_
Notary Public,6LtAe! .-County
pF SO�jyO�o
X7
�olyequo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMIN /STRAPPING [�INAL
�[ �] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
lop
DATE INSPECTOR
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck,N.Y. 11952
(631) 298-7116
To: Town of Southold Building Dept.
Date: April 19, 2006
Re: Insulation/Plumbing Inspection
320 Broadwaters Cove
Cutchogue,NY 11935
Permit#30786
To Whom It May Concern:
After an Insulation/Plumbing inspection was preformed on the above property, it is
deemed that all Insulation and plumbing was installed correctly, and meets all building
codes. A Pressure Test was also performed on the plumbing system. Any other
questions please call.
0E�
Sincerely
cs►�`�� ® .p72q�'3
Jame .� er dski
FIELD 1NSPE Ng DATE COM ZNTS
FOUNDATION(IST) �
FOUNDATION(2ND)
. z
O
ROUGH FRAMING&
PLUMBING
INSULATION PER N.Y.
STATE ENERGY COME
J 0 c f
FINAL
ADDITIONAL COMMENTS
' O
. rn
� . CJ
Cj
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TOWN QF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL:.(631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. °��0�� Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved 22 20 ' Mail to:
Disapproved a/c
Phone:
Expiration ,20
U E Building Inspector
IEBLDG.
PLICATION FOR BUILDING PERMIT
1 2012Date 2l , 20DEPT. INSTRUCTIONS
OIJTHOLD
n e 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.
£ 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 frorn 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.
(Signature o applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant i owne, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premisesC�az-�
(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:
Sao _-s KC). ����„���e
House Number Street Hamlet
County Tax Map No. 1000 Section `O LA Block Lot
Subdivision Filed Map No. Lot
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
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(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 1 Z.3\ Rear 2 2,a 3 Depth H H U
10. Date of Purchase 7 Name of Former Owner 3-1r-�" K,,,ne-r.
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 326 smoz,-A..r 5. " Phone No.631 ?31/ a 7o2 S
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.
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, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, CONNIE D. BUNCH
Notary Public,State of New York
(S)He is the No.01BU6185050
Qualified in Suffolk CUU11ty
(Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14,2 c�14
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 thi .
S 4" day of L X.20L� r
Notary Public Sign ture of Applicant
TOWN OF SOUTHOLD PROPERTY RECORD - CARD
OWNER STREET 3 2. �� VILLAGE DIST. SUB. v LOT `
K pil rl 12.1-U a.el z4/a 6 G-.i' odd fl 6
FORMER OWNER N E ACR.
� mC� pXry. . ,�_ unv� S W TYPE OF BUILDING
SJ •�/Z %/l 8t9 SdLF /S( lcJva� .
RES. ". .. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
ow
LAND IMP. TOTAL DATE REMARKS
QP7' J
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PAP,
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Tillable � .S3OO 80� 0 6 `�� �`�`�P o/7 as par;es
Tillable 2 <,s �- 11 �D�ar Sun �� Q.cE7a�i f�Dh t�r�fJ.
Tillable 3 030 en -)v t12 'n �'irk • �3D�p aC
Woodlarid �D c/''I - QPa (n0 -�Dh /4--eesS, +-0Nly 3 j91
Swampland FRONTAGE ON WATER �- /S�0
"Brushland FRONTAGE ON ROAD
House Plot DEPTH -S 1-+6
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BULKHEAD 2 Do,
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Town Hall Annex l0 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
ycoUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
March 6, 2012
Barbara Klein
320 Broadwaters Road
Cutchogue, NY 11935 �
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of$50.00
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4J1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT : 37027-Z alterations
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4 ; !dtl 10•,:t1 1•191tlution$of SWbscovCRt Owmets
ut!tin.ttoltl ptopeny lines shown herein
�a /� ul; rtirWcd to guide in the erection of
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•esau•i 19 wells pooi�,auiidinQ
,do,u.,n,4,dior atftes construCtios+.
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Permit#
Permit Date
REScheck Software Version 3.7.3
Compliance Certificate
Project Title: LUCUS
Report Date:04/17/06
Data filename:C:\Program Files\Check\REScheck\LUCAS 4.2006
Energy Code: New York State Energy Conservation
Construction Code
Location: Suffolk County,New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 23%
Heating Degree Days: 5750
Construction Site: Owner/Agent: Designer/Contractor:
320 BROADWATERS ROAD JAMES DEERKOSKI
CUTCHOGUE,NY
• • our-Home •e-
Ceiling 1:Cathedral Ceiling(no attic): 270 30.0 0.0 9
Wall 1:Wood Frame,16"o.c.: 250 19.0 0.0 12
Window 1:Wood Frame:Double Pane with Low-E: 38 0.360 14
Door 1:Glass: 20 0.330 7
Floor 1:All-Wood JoisttTruss:Over Unconditioned Space: 270 30.0 0.0 9
The proposed building represented in this document is consistent with the building plans,specifications,and other calculations
submitted with this permit application.The proposed systems have been designed to meet the New York State Energy Conservation
Construction Code requirements.When a Registered Design Professional has stamped and signed this page,they are attesting that
to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code.
A s ( �-\kT
Builder/Designer Company Name Da e
C
0 NEB
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LUCUS Page 1 of 4
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ALL PLUMBING IS-7:E
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USE IS UNLAWFUL- so� 'a:
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WITHOUT CERTIFICATE-* 4'- 4'-9" 2--3"
0 F 0 C(]j 1 P A Nil FLOOR P LAN ig.-O., 4--0"
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LUCUS
ELECT7,749CAL AMENDMENT 320 BROADWATERS RD., CUTCHOGUE, NY
PG. SCALE
INSPECTIOrv- 41.9QUIRED lApril 17, 2006 1/411 = VO7- JDMH
I , I I T i lz _ � L � ' � / / / ill � I ' jl I I � Ilj � l i � i � l � l � �
I i � � Ili I �/� / �/ / /� j/ j/ / // j 'll i � � I � � � � � � II � I � � �
Ij I ' / / i %
11L LJ
I � � � � i / / / / II , � I � i � i � � i � ! I l JIM!
A
REAR ELEVATION
4"0 ROOF VENT
4 11/4
DE
SINK
0
3"
F.A.I.
D.W.
0� I ( i i i �� � IU du
2
C.O.
3
4
HOUSE SEPTIC SYSTEM
SLOPE" 1/4" PER FOOT PITCH TO DRAIN 4"C.I. TO APROVED
—U
TRAP
HIM mi III
I PLUMBING SCHEMATIC
RIGHT ELEVATION N.T.S.
LUCUS
AMENDMENT 320 BROADWATERS RD., CUTCHOGUE, NY
PG. 2 lApril 17, 2006 T A E 1/411 = 1 lot, JDMH
111111111