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Home My WebLink About37324-Z F 0 Town of Southold Annex 7/5/2012 q�gUFt�� P.O.Box 1179 y 54375 Main Road o Southold,New York 11971 .a.�,xrx�rxz� CERTIFICATE OF OCCUPANCY No: 35795 Date: 7/5/2012 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 21.905 Route 25, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 109.4-8.9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/18/2012 pursuant to which Building Permit No. 37324 dated 6/25/2012 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: "as built"alterations and deck addition to an existing one family dwelling as applied for. The certificate is issued to Foster,Jack (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37324 7/2/12 PLUMBERS CERTIFICATION DATED 5/29/12 James Orlowski a ' r rite Si ure TOWN OF SOUTHOLD �SUFFat,��oG BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 37324 Date: 6/25/2012 Permission is hereby granted to: Foster, Jack 21905 Route 25 Cutchogue, NY 11935 To: construct "As Built" Alterations & deck addition to an existing single family dwelling as applied for At premises located at: 21905 Route 25, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-1-8.9 Pursuant to application dated 6/18/2012 and approved by the Building Inspector. To expire on 12/25/2013. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $2,722.40 CO -ALTERATION TO DWELLING $50.00 Total: $2,772.40 a/ 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: I. 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: I. 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$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 J. 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- New Construction: Old or..Pre-existing Building: (check one) Location of Property: 2 / 1�ro S /YI.4 !1 D Gam- 7GA11W House No. Street Hamlet Owner or Owners of Property: - Suffolk County Tax Map No 1000, Section /oa�— Block / Lot 1r Subdivision r7 Filed Map. Lot: Permit No..3 / �L/ Date of Permit. 1 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (cl e Fee Submitted: $ 60 / Apple nt Signature fjF SU�ryol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road ]Fax(631)765-9502 P.O.Box 1179 �o roger.riche rt(a-town.southo Id.ny.us Southold,NY 11971-0959 COUNTI BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Estate of Jack Foster Address: 21905 Main Rd City: Cutchogue St: NY Zip: 11935 Building Permit#: 37324 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool. New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 34 Ceiling Fixtures . .2 HID Fixtures Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 13 Pumps Transformer Appliances Dryer Recpt 1-30 Emergency Fixtures Time Clocks Disconnect Switches R29 Twist Lock Exit Fixtures TVSS Other Equipment: 2-exhaust fans, 1-paddle fan, 6ft track lighting Notes: Inspector Signature: Date: July 2 2012 81-Cert Electrical Compliance Form.xls r �cdt 11��, IC�1.1►1 �ItJ1dm�ShQ C.4�✓{ IFiuA"R CERTIFICATION Date: Building Permit No. Owner: f051�'a' (Please print) Plumber: )RMQ,S Orlo%AA (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 3 L Plumbers Signature) Sworn to before me this or 7 day of �►� 5't-�f �OI��, h1n5 LI Ni�50--m� Notary Public, d'LAL Counttyy ANTOINETTE NABRIZNY Notary Public,State of New York Qualified in Suffolk County No.01 NA4675263 Comm. Exp.08/31/20[L -__ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD. P.O. BOX 456, LAUREL, NY 'I 1948 631-298-5252 June 28, 2012 Town of Southold Building Department Southold, New York Foster Residence 21905 Main Road, Cutchogue, NY To Whom It May Concern: With reference to the alterations and additions made to the above-captioned res- idence, please be advised of the following: After a thorough inspection of the residence and to the best of my knowledge, belief and professional judgment, the work as shown on the as-built drawings dated 6/17/12 is in compliance with The New York State Building Code in effect at the time it was.completed in 1991. Very truly yours fR rt ri . E. �y�OUMY,Nc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ' ,' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING/STRAPPING I NA [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION . [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: S DATE � INSPECTOR oF so�ryolo — �^ l 14�9 coUNTI, 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 [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: C4- DATE v INSPECTOR E FIELD INSPECT ON REPORT DATE CO1VIl�RNTS FOUNDATION(IST) � . s � FOUNDATION(ZND) ' z ROUGH FRAMING& PLUMBING WUL•ATION PER N.Y. STATE ENERGY CODE Y r FINAL ADDITIONAL COMMENTS TOWN OF 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. pZ Check Septic Form . . .. rCE V � N.Y.S.D.E.C. Trustees C.O.Application 20�Z Flood Permit Examined ,20 Single&'Separate Storin-Water Assessment Form BLDG.DEPT. Contact: TOWN OF SOUTHOLD Approved 20-0-1- Mail to: Disapproved a/c Phone: Expiration ,20J Building Inspector APPLICATION FOR BUILDING PERMIT Date c , 20� 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 permitshall expir.e-if the work authorized has not coi-amenced within.12 months after the date of issuance or has not been completed wifliiii 18 nioiitlis from such date. If no zoning amendments or other_regulations,affecting the property have.been'enacted in the interim, th'p Biiildiiig 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 co , n and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) �•� Pd,r gsc (Mailing address of applicant) ll fgp, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ,�'�Gig► Name of owner of premises .S' (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. fr"�.� �� ,,,,�,� ��,�, o-t o ��,5• / -�f'2�— �59� Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 9 142 s � House Number Street Hamlet County Tax Map No. 1000 Section Block l Lot 8` 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 �,rZsiQX..c,c b. Intended use and occupancy 2vs'i®�•��v 3. Nature of work (check which applicable): New Building Addition�,OyG/c Alterationf`�'G•_ Repair Removal Demolition Other Work (Description) 4. Estimated Cost �'`�c`� ��,w�CdjA.O h •11 'Tee (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 IZ7X e r e -c 17' 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 f y��r' ee'�-yes 14. Nameso O ner��premises _T.�.� f*osi?�.tAddress9'?`•�G-/''"04' 1 Phone No. .?Cf—�a�o Name o � 1Z�.0ac r cam'B.1 ip.� E�Address�c 7� �,., .�..-- 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 REQU D. 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) S: COUNTY OF , SA P'n Af=L— 0A EK) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the GO 0lor&P, (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 "- y, day of 20 i C � ANNA CARLINO' Notary Public,State of N o. .01 CA6018746 Notary Public Qualified in Suffolk County Signature of Applicant Commission Expires January 19, 20 IS' TOWN OF SOUTHOLD PROPERTY RECORD CARD I Main � OWNER STREET 7}- 1 Cl Q VILLAGE DIST. SUB. -10T mom �. . ` ACR. REMARKS TYPE OF BLD. _ PROP. CLASS LAND IMP. TOTAL DATE -$e ;p 40C � L G qlz9h' ) 2,00d 117do q9 GIB- 4 I � FRONTAGE ON WATER TILLABLE FRONTAGE'ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL l OMEN - _ ■■■■!�■■�ii! ■i■■■■■MIN■ ■!■■■■M !■ii■■�!■�■ �� !■■■■■■■ ME=ME■■EN� Town.Hall Annex J 54375 Main Road Telephone(631)765-1802 - v� : m�ax(631)765-9g5Q2} P.O.Box 1179 G. roger.GlCherfEC�town southolQ nY us Southold,NY 11971-0959 �O ��Cow,�. BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: -Gi,�.�rti - License No.: a�rywLP1 ?? Address: �-4-1 G •�✓GAVZ Phone No.: JO-BSITE INFORMATION: (Indicates required information) *Name: f1 sue.` %ddress: 2 41Cvoss'Street: *Phone No.: Permit No.: 3�3a Tax-Map.District: 1000 Section: `o f- Block: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) .�i��/�r� /1�Gi�o..�f—f71.... �cam.•-- /��,/>• ��.,cs.G;� S�� {Please Circle All That Apply) Is job ready for inspection: YES O Rough In (:F:!t:nal *Bo-you need a TempCertificate: - YES Temp Information (if needed) *Service Size: 1 Phase .3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION .82-Request for Inspection Form l S- SO(/T�,olo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 COU BUILDING DEPARTMENT TOWN OF SOUTHOLD July 2, 2012 Jack Foster 21905 Route 25 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.4/1/84) 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: 37324 "As Built" Alterations and Deck Addition -_�ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICES 2Q74 MAIN ROAD. P.O. BOX 456. LAUREL. NY 1194B 631-2.9,B 5252 � 7 �� . June 27, 2012 Town of Southold Building Department Southold, New York Foster Residence 21905 Main Road, Cutchogue, NY To Whom It May Concern: With reference to the alterations and additions at the above-captioned residence, please be advised of the following: The original and newer windows are Andersen vinyl-clad wood thermopane awn- ing, casement and fixed-pane types. The two sliding patio doors are similar in construc- tion. They, along with the kitchen skylights, have U-factor values, ranging from U.32 to U.28, which are energy-efficient and in conformance with the Energy Code that existed in 1991, when they were installed. Very truly yours ert ' ien P. E. , M IN men M-NO WO/F WILLIAM D: LOWE PAMELA J. LOWE W E LILCO I POLE 89.3 IPKS 337.821S ' �• SEr MON 168.9 _ �\ 1 E LAWN l_ PiN�MG WALL — 188 91, A RF_A , DRIVEWAY--- MON $ S VEiTON� 1 FND \_ -LAWN s ' AREA o rn �! to � 23.3' SLIT 'T SET --- 50 N N WOOD 10 �G? PROFO sED v 4,6 \ 4 -,,tiRAGE N .•i 1 STORY i' O Q� N STK \SE 30 ._�� SFr 10' 1 RpME : I F 1' F. OUSE DECK W (o' SU i!` ✓F /�' 20 LILCO POLE o W . Y (�„/� a a N N/O/F @L2 O �` N Q 88.4' \ -------------------- q , / N �E , 5 2 .3' JAti1dS CROSS PE l!1 W Mt,IN �\\ \ /4 A CUTCHOG.1.011F �I 1 TOWig OF S O U THOL ��-�=<< �► r,,o,rr�,� W SUFFOLK COUNTY N. YW, } Q 3k, 1000 - 109 - 01 - 8.9 emu, c°�: CA Scale 1" _ ,. Jan. 14 1991 l z I Jan. 23, 1991(set mops. & stks.) LDLE I,l POLE 4 4 0 \ 89-A PK NAIL SET O r \ LILCO POLE @9-1 / �I tD i \� �� j '• SAIL ---ON.Y.r. A —' 78, 506 S � ! L . SET AREAON 40 0 CA ! \ r� \ 459 M sQ�s \ 1 '� � Y.r. S ' C1 MON Z FND 1. 457T R p 0 `O NN L: Prepared in accordance with the minimum standards for title surveys as established ' °s by the L.I.A.L.S. and approved And adopted . Y.S. LIC. NO. 49618 for such use by The New York State Land Title Association. IPEC I VEYORS, P.C. (516) 765 -M 5020 P. O. BOX 909 MAIN ROAD SOUTHOL D N.Y. 11971 91 - 101 A'PR --0 AS NOTE DHTE--�1G 7B.P.# v�r �_- _ __.. __ ._. �i ,r F E E: 2 -;l�- BY .•3 W- t t NOTIFY BUILDING DEPARTME►�Y --�� + . 765-1802 8 ANI TO 4 PM FOR r¢- i FOLLOWING INSPECTIONS: � 1. FOUNDATION-TWO REQUIRED i X` _../a-z l_''___ F OR POURED CONCRETE rN j F - 2. ROUGH-FRAMING,PLUMBING, - — - { TRAPPING-ELECTRICAL CAULK�tSG , INSULATION p ; 4. FINAL-CONSTRUCTION&ELECTRICAL a l I! MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SIMLL MEET THE REOU IREMENTS OF THE CODES OF NEW I �I YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 00CPANC R .� �E I UNLAVAFU�. A _ _- _. WITHOUT CERTIFIC �� } h a ,t OF OCCUPANCY " r _ ALL PSN' G WAS" f } GI ES Ni=E �z I �,.. f C" TESTING BE OVL;;'��G i �• - .� = ELECTRICAL 1- 1 NS CTI®N REQUIRES I � G�os�r:. I ► �- PLUMBER CERTIFICATION _ s - -ON LEAD C®NTENT BEFORE ::�✓ _.: _ I CERTIFICATE 3E OCCUPANCY - e SQCC9EEf��1SED!N WATER - - - s AOL YST.EM`CANNOT _ _ - - ---- �"o r7-4wL �'�a'-I'o, ' "-- - �► EXCEE t f OF 1%LEAD. CERTIF! �-=ROSERT O'SRIEN P.E. OF y - `S _�� - :• -,_ __ - _ E .N CONSVLTINf3 ENGINEERING SERVICES �(11� O•e «?'� � '/ f � C __ _..m_.__— t , - — Main Road. Laurel. N.Y. 1194E - _�. "n _ .. �'a:�Xf .. --- O .- DwN ¢i . ►r'�S wit ,` '/ i�!riTs.?_ aa '" �-=-----� _ - - SCALE 1 DRAWING NO. SHEET DATE 6 �0 2 OF —t 052 TO THE BEST OF MY KNOWLEDGE,BELIEF AND PROFESSIONAL JUDGMENT, pR�FESSlO �� THESE PLANS ARE IN COMPLIANCE WITH THE NEW YORK STATE BUILDING CODE.`\s6 I0 j I s?. IPC VX LSO=!/ic-!.`. GrC ��•+v 1' � � . i !{{� wt t 3 le 7 "Air 71 - ryl V f VTI �A ,cWaF, N y ! ,P! os �?i!-i.✓ �C D C'� >c ffo�v O'BRIEN P.E. ��yy ,kw '�� f► -A , r �a itY Q' CONSIJLTINC3 ENOINEERINO SERVICES *e Mein Road, Laurel, N.Y. 11946 JL y We TO THE BEST OF MY KNOWLEDGE,BELIEF AND PROFESSIONAL JUDGMENT, -- I s THESE PLANS ARE IN COMPLIANCE WITH THE NEW YORK STATE BUILDING CODE. ,4j�.� I�• e�y,/fj• EA �D'/P .S.O�s / DIIAWING N0. SHEET 2 `J�2 � 2 OF 2 'I` � DATE . - . - Ri