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HomeMy WebLinkAbout37953-Z U 0 Town of Southold Annex 4/26/2013 P.O.Box 1179 cm i 54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36214 Date: 4/26/2013 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 775 Wood Ln, Pee onic, SCTM#: 473889 Sec/Block/Lot: 86.-6-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/1/1900 pursuant to which Building Permit No. 37953 dated 4/18/2013 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"non-habitable basement addition as applied for. The certificate is issued to Cooper,Kathleen K (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37953 3/11/13 PLUMBERS CERTIFICATION DATED t rize ignat re L�4 TOWN OF SOUTHOLD o�gUFED(,�-C� BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE o . 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#: 37953 Date: 4/18/2013 Permission is hereby granted to: Cooper, Kathleen 285 Meadow Beach Ln Cutchogue, NY 11935 To: "As Built" non-habitable basement addition as applied for. Additional certifications may be required. At premises located at: 775 Wood Ln SCTM # 473889 Sec/Block/Lot# 86.-6-9 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 10/18/2014. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $526.40 CO -ADDITION TO DWELLING $50.00 otal: $576.40 uildi g nspector Form 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 D-:of water supply,and sewerage-disposal(S-9 forn-u- 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: l. Accurate survey of property showing all property lines,streets,building and unusual n.g X .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 I. Certificate of Occupancy-New dwelling$50.00, Additions to dwelling$50.001 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 $l 5.00, Commercial $15.00 Date. ,! New Construction: Old or Pre-existing Building: (check one) Location of Property: 779 Wood Lane Peconic House No. Street Hamlet Owner or Owners of Property: Kathleen K. Cooper Suffolk County Tax Map No 1000,Section_ n86 Block 06 Lot 009 Subdivision N/A Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: N/A -Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 50.00 Applicant Signature Town Hall Annex ~�O�guFF04�OG� Telephone(631) 765-1802 54375 Main Road c Fax (631) 765-9502 ca P.O. Box 1179 Southold, NY 11971-0959 y�j01 roger.richert@town.southold.ny.us l BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Kathleen Cooper Address: 775 Wood La City: Peconic St: NY Zip: 11958 Building Permit#: .2 9 S3 Section: 86 Block: 6 Lot: 9 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 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey x Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 24 ft of lighting track in basement with 6 light heads and 2 switches Notes: Inspector Signature: Date: March 11 2013 Electrical Certificate.xls OF SO(/T�ol moo! . ao `77 yco ,��' TOWN OF SOUTHOLD BUILDING DEPT. - 765-1802 INSPECTION .- . [ ] FOUNDATION 1 ST [ ] 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: r I DATE f r INSPECTOR pF SOpT�o� — - • ao coUNi`I,N TOWN- OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: X(:: _4 C DATE a`� 3 INSPECTOR FIELD IrTSPE TON REPORT DATE COMMENTS Cs:� CTIN FOUNDATION OST) FOUNDATION(M) --a G J ' U't ROUGH FRAMNO& G y PLUMBING � H INSULATION PEA N.'Y'. p STATE ENERGY CODE FINAL CI L ADDITIONAL COMMENTS Age O tv . m . z 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 1197.1. 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 T Survey SoutholdTown.NorthFork.net PERMIT NO. 6 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined ,203 Single& Separate Storm-Water Assessment Form Contact: Approved Mail to: Disapproved a/c ✓✓ Phone: A Expiration ,20 b nspec Pr APPLICATION FOR BI ILDING PERMIT Date May—, , 2013 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 wort: 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, StFffolk 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 of applicant or name, if a corporation) Cc E 1J 285 Meadow Beach Lane, Cutchogue, NY 11935 20,3 (Mailing address of applicant) Eethr IAR 2 5 Stateplicant is owner, 1 ssee agent, architect, engineer, general contractor, electrician, plumber or builder BLDG.DEPT.TOWN OF SOUTHOLD Name of owner of premises Kathleen K. Cooper_ (As Oil the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer N/A (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: 7755 Wood Lane Peconc House Number Street Ha" let County Tax Map No. 1000 Section 086 - Block 06 Lot 009 Subdivision N/A 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 single family dwelling b. Intended use and occupancy single family dwelling 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work converted crawlspace to full basement (Description) 4. Estimated Cost N/A Fee $526.40 (To be paid on filing this application) 5. If dwelling, number of dwelling units N/A Number of dwelling units on each floor If garage, number of cars N/A 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N/A 7. Dimensions of existing structures, if any: Front 48 Rear 48 Depth 30 Height 30 Number of Stories-2 Dimensions of same structure with alterations or additions: Front same Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front N/A Rear Depth Height Number of Stories 9. Size of lot: Front 76 Rear 75 Depth 325 10. Date of Purchase 2008 Name of Former Owner Marks R & M 11. Zone or use district in which premises are situated R;80 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO x 13. Will lot be re-graded? YES NO x Will excess fill be removed from premises? YES NO x 285 Meadow Beach Ln. 14. Names of Owner of premises Kathleen Cooper Address Cut chogue, NY 11935Phone 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_X__NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS;\4AY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES x NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. * construction is on landward side of building 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 I Wxn P,, * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF Suffolk) Kathleen C. Cooper being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the Owner (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 `+h— da fti KafQ( _ � W. MAZZAFERRO �o Y of ublic, State of New York + No 01MN4i67612 c � � Qualitn,.^ ,, .,- , County Commissnn t .rust 31 Notary Public Signature ofApplic nt $�cd oy���F sly Town Hall Annex Telephone(631)765-1802 54375 Man Road P.O.Box 1179 G. roger.d6hertfCUiQW 1.Sa11t1141hV us Southold,NY 1197I-0959 BUILDING DEPARTNEW TO"OF SOUTHOLD APPLICATION FOR ELECTRICAL. INSPECTION REQUESTED BY: lh ' �o��r Date: (, I Company Name: "- Name: License No.: M>�Pr.✓NER Address: Phone No.: 4,30 14& JOBSITE INFORMATION: (*indicates required information) *Name: �e k (Zee, nr- *Address: 7 WOO)> 1w; 9 *Cross Street: *Phone No.: - Permit No.: Tax-Map District: 1000 Section: b W. . Block: D oo(. Lot- 601 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is jab ready for inspection: 658 NO. Rough In Final *Do-you need a Temp Certificate: YES/ NO i Temp Information(ff needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect- Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION GIN 82-Request for inspection Form TOWN OF SOUTHOLD PI OPER'1"Y RECORD CAR® OWNER STREET `� e VILLkGE DISTRICT SUB. LOT I oa). FORMER OWNER o E ACRE-AGE , r �l C •r Y'F.JCL ! � � �' 1.f1 r t:�t s� r ( r C V 1 ' S r 1 TYPE OF BUILDING -RES.;-j D SEAS. VL. FARM COMM. I IND. I CB. I MISC. T I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS a �06 i' 01 3 O J /� �-� - (:::'Par-, L)14;r FZ 4 c2A) QY) O 22 ` Z: 7 3 ��#a SI C'n� n�Gl0Y4 1• �a .P�t�C., - ( �) . P67Q U'`' 1 Ian- 3) 7-5 �� 2-ODA PA)0 NEW NORMAL BELOW ABOVE . FRONTAGE ON WATER JJ �Y ® D o SCro Farm Acre Value Per Acre. Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK h$ a Qd� ram. D in Tillable, 3 Woodland s (o .Swampland F Brushland D — f'E 0 0271- C7 i D �Af $ — � House Plot Total, ' ■■■■■■■■■■■■■■■■■■ 'uS � E', 6 ���',CRx£'•' a 4 r nt s ,ry,` n■■■■■■■■■■■■■■■■■ ■■■■■■n■■■■■■■■■■■ ■■u"Eft"!OM■■■■■■■■ ■lo■■■NNE.R OVI■■■■■■■ OR n■in■n■ais�■■■■■■■ '_•,ac1 r r u11. O a -ne =»tee ■■��!!;,, 7 � ■■'�■4 -� ��■.��■■■■■ �ic':b?'•rr.,'^.ci:. „ai C.4� '1, o.,a � l.p._ r^.-' i,.hF•9. q s . _ � .' , .,,, ;� �,.-R��,,, .. ■�1■fit■■■��■tl■■■■■■■ & WiG.a?',u+ �✓r i $��'uia� .$'..'�s.� w;s;,��y:�aF ''"4.,;. .S- P,� ... , }°, w.:. $ `f��,? 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Rooms '' �■ r CHARLES R.CUDDY ATTORNEY AT LAW 445 GRI FFING AVENUE RIVERHEAD,NEW YORK Mailing Address: TEL: (631)369-8200 P.O.Box 1547 FAX: (631)369-9080 Riverhead,NY 11901 E-mail: charles.cuddy@verizon.net March 25, 2013 Building Department Southold Town PO Box 1179 Southold,NY 11971 Re: 775 Wood Lane,Peconic, NY SCTM#1000-86-6-9 Dear Sir/Madam: In connection with the as built additional basement room at the Cooper residence at 775 Wood Lane, Peconic we enclose the following: 1. Building Permit application 2. Application fee of$526.00 (representing a double payment) 3. Plat Plan-survey 4. As built basement plan with Engineer's seal 5. Application for Certificate of Occupancy together with a fee of$50.00 Please note the electrical inspection has previously been made. I would appreciate your advice as to when an inspection will be made. Very truly yours, 7 � � Charles R. Cuddy CRC:ik IzICFIR��JNU ` c.l?�F= 1t �00.1). 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II 20 c CI IIr Arp 7I7Lt; '"SURANCP COMPA1JV AND TII@ SOUTIIOI_U S/AVIN S RANK S"VEYf;t` : I)ECE1.A13PO ?.1. 1967 ►o' nlcl► r c)rwnY TO VAN T1JY(_ & SON INl)IAr1 NECK ROAD _..C�y•/it�/. �---- LICt FJSFU l.nFlU �UfZ�AI Y009 APPRO ED AS NOTED CONSPLY WITH ALL CODES OF DATE: B.P.# -� NEW YOR,K STATE & TOWN CODES AS REQUIRED A FEE: 26 BY: ' NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE S961:Rl FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED gel,$ T FOR POURED CONCRETE d: 2. ROUGH - FRAMING & PLUMBING _ 3. INSULATION ` �( - �17 4. FINAL - CONSTRUCTION MUST b A' BE COMPLETE FOR C.O. OCCUPANCY OR ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR USE IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE OP OCCUPANCY x¢Z EXISTING THREE BLOCK z EXISTING ELEVEN BLOCK EXISTING THREE BLOCK O W HEIGHT FOUNDATION WALL w a c� HEIGHT FOUNDATION WALL iW- _ > HEIGHT FOUNDATION WALL O o z o ON 8' X 16' PC FOOTINGS o=3° ON 8' X 16' PC FOOTINGS ON 8' X 16' PC FOOTINGS p H ig h wow 0 w2t:3ZQ - Q.u-Nd z p m W Wow m ,ma. ¢ z axz Jti tj O Z O} '�` Z O F rM� EXISTING w NiO7�O p3M 0 2 ►`- �=x CRAWLSPACE Ua Ww=a= mzo W z W=> IN-IH� �J CL H waw -rl O F' ...7 f.7-� W JN w >¢V Q � m W=o x w = EXISTING FULL L)Ja Z a EXISTING _j Z n o y NEW WALL 'B' EXISTING BASEMENT _j o w CRAWLSPACE ��" a g N z '- z n W THREE BLOCK WALL AND PC P°z o z x 0 a ^0 U. O w W FOOTING - FOOTING CUT BACK zw a�` 0 a _• = v, z i- O �„0`" FLUSH WITH WALL - BENEATH EXISTING >¢0 z h ao = T 0 Q W w y THIS IS NEW AS BUILT 8 STAIRS t�z a y 3 W=oz Q r 5 a O lu Z BLOCK HEIGHT, 8' BLOCK w=w '"¢ z O W n 0 °� = O.r WU � r +nuiUti ©{.6 FOUNDATION WALL ON 12' X L7W 16' POURED CONCRETE r x FOOTINGS - FOOTINGS X. REINFORCED WITH TWO ti w to W CONTINUOUS #4 REBAR w x c THROUGHOUT - BLOCK WALL EXISTING ELEVEN BLOCK HAS FOUR #4 VERTICAL REBAR ¢ SIMPLE HEIGHT FOUNDATION WALL AS SHOWN - LADDER WIRE w SWITCHES TO ON 8' X 16' PC FOOTINGS - EVERY SECOND COURSE, ALL ¢ TRACK LIGHTS AT NEW ROOM, 2 LAYERS OF CORES FILLED - TWO LAYERS Q a IN NEW ROOM 23610 2' BOW POLYISOCYANURATE- OF DOW RIDGID FOAM ON WALL �� INSULATED RIDGID.FOAM, IX2 SLEEPERS, AND" FOOTING EXTERIOR vri� DOOR 1/2 DRYWALL AND 1/4' LUAN _ w m PLYWOOD \ EXISTING CRAWLSPACE ACCESS NEW WALL 'Al AND A2' 12 BLOCK HEIGHT, 8' BLOCK �. FOUNDATION WALL ON 12' X I 11 1 16' POURED CONCRETE No, FOOTINGS - FOOTINGS I I REINFORCED WITH J(7, TWO I I \ I I F AR ��81 CONTINUOUS #4 REBAR I I AS BUILT FULL BASEMENT • � o THROUGHOUT - BLOCK WALL ` I I N w C3 a ROOM FROM CRAWLSPACE rev \ �nLL HAS #4 VERTICAL'REBAR AS a I I \ r DRAWN BY KYLE`R S SHOWN (FIVE IN Al, FOUR IN \ AREA - 158 SF - 7' CEILING w¢a ARCHITECTURAL DESIGN A2) - LADDER WIRE EVERY J I I \� HEIGHT - DRYWALL CEILING - 6' I I J =z. EXISTING 631 728 5327 SECOND COURSE, ALL CORES ¢ I ( \ REINFORCED POURED CONCRETE FLOOR I I ¢ EXISTING z o CRAWLSPACE SCALE 1/4' = 1'0' \ FILLED - TWO LAYERS OF DOW 3 t.w RIDGID FOAM ON WALL AND 3 I. I �� I I ..r x AS BUILT, FULL BASEMENT FOOTING EXTERIOR 3 �� 3 CRAWLSPACE ;W ROOM IN EXISTING . z i i i Z W=za CRAWLSPACE AREA PLAN 6' POURED CONCRETE I I I I COOPER RESIDENCE SLAB WITH #10 6X6 I L————————————————-- —J I 775 WOOD LANE WIRE MESH I I PECONIC NY -----------------------I DRAWING TITLES NEW WALL 'Al' AS BUILT FULL BASEMENT AREA EXISTING THREE BLOCK EXISTING THREE-BLOCK EXISTING THREE BLOCK D0 NOT SCALE THIS PRINT - USE HEIGHT FOUNDATION WALL HEIGHT FOUNDATION WALL HEIGHT FOUNDATION WALL FIGURED DIMENSIONS ONLY ON 8' X 16' PC FOOTINGS ON 8' X 16' PC FOOTINGS ON 8' X 16' PC FOOTINGS SHEET NUMBER A-1 FILE NUMBER CP122120UI DATE - 12/21/2011