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Home My WebLink About37967-Z Town of Southold Annex 1/23/2014 P.O.Box 1179 54375 Main Road vy �, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36657 Date: 1/23/2014 THIS CERTIFIES that the building ACCESSORY ALTERATION Location of Property: 21800 Route 25, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 109.4-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/16/2013 pursuant to which Building Permit No. 37967 dated 4/24/2013 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"alterations to an existing accessory garage as applied for. The certificate is issued to Caufield,Timothy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37967 12/26/13 PLUMBERS CERTIFICATION DATED A�Vrizafd Sign re f Fa( TOWN OF SOUTHOLD �g11FQ,�coGy BUILDING DEPARTMENT y TOWN CLERK'S OFFICE SOUTHOLD, NY �4 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 #: 37967 Date: 4/24/2013 Permission is hereby granted to: Caufield, Timothy 21800 Route 25 Cutchogue, NY 11935 To: Alterations to an existing accessory garage as applied for. At premises located at: 21800 Route 25, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-1-2 Pursuant to application dated 4/16/2013 and approved by the Building Inspector. To expire on 10/24/2014. Fees: ACCESSORY $521.20 CO -ACCESSORY BUILDING $50.00 tal: $571.20 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 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: 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 I. 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. New Construction. / Old or Pre-existing Building: (check one) Location of Property: Z 8 �.5 V -IC KOG Uc House No. Street / Hamlet l.. Owner or Owners of Property: / Y J , A U fir i` L) Suffolk County Tax Map No 1000,Section / 07 Block / Lot 2 Subdivision f/ Filed Map. Lot: Permit No. .7 Date of Permit.?�Z� f� Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ r A li Jgature SOUI��I Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA �o roger.richertCa)_town-so uthold.ny.us Southold,NY 11971-0959 Irou ,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Tim Caufield Address: 21800 Rt 25 City: Cutchogue St: NY Zip: 11935 Building Permit#: 37967 Section: 109 Block: 1 Lot: 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Brian Brooks Electrical Inc License No: 3613-e SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures 3 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 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: Notes: Inspector Signature: Date: Dec 26 2013 81-Cert Electrical Compliance Form.xls e/ SOUI�olo v � � TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: �'�� IL DATE �-� INSPECTOR OF SOOlyolo �✓ N e Y C0UHTI,N �o .TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH G. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REM RKS: /d DATE INSPECTOR / OF SO�jyO�o fr TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ` ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ` FIELD aSPECn4N REPORT DATE COMMENTS FOUNDATION(1ST) or • / �VJ FOUNDATION(ZND) O d rA ROUGH FRAl11ING& PLUMBING H • vl IMUL•ATION PER N.Y. Q ' STATE ENERGY CODE C Y ' 1 FINAL ADDITIONAL COMMENTS CA _. m i C 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. ``� q�� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 M Single&Separate ® E C E Storm-Water Assessment Form 71a? et: Approved ,20 AN to 9Mail to: T/M C 19 U F/EL 0- -Disapproved a/c BLD . WN OFF SOUTHOLD Phone: SIGs — 5 27—0040 SOUTHOLD Expiration ,20 g ns for - APPLICATION FOR BUILDING PERMIT Date 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 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 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, 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. ( ib a ur o Lpp�l'cant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder W/yE/Z Name of owner of premises T/m o r f y i (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: 2 t 800 9TE `2 5 C U / CH ® G Of House Number Street Hamlet County Tax Map No. 1000 Section 10 9. 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 Pl=-T1+C11 F-P 6'1-lZti90F b. Intended use and occupancy f, 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work REAJE014 L WO,814 (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 2 6. If business, commercial or mixed`occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures; if any: Front /2AE6, Rear /X&E6 Depth 40 Height (3 i Number of Stories 1 Dimensions of same structure with alterations or additions: Front '2 Rear 27 Depth Height i?a Number of Stories l 8. Dimensions of entire new construction: Front 2 7 1 Rear -7 Depth Height 172 ` Number of Stories / / 1 9. Size of lot: Front 2 G 7,$0 Rear 7-40 47 Depth 40 2 ,0 3 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated IG- 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 7'iN Cif Ur l E1-0 Address 2-/6M f27'& 2 - Phone No. /his-S27 -004 Name of Architect /i2A A4SP&-Z Address,,Y� ATE 2-,<- Phone No Q,6 9Y-87 53 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 X IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COON Y O& (L) �j , aw A e 4 being duly sworn, deposes and says that(his the applicant (Name of individual signing contract) above named, (� is 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 thi day of yl 2015 �^ GQ tart'Public $10 h�*WAR* gip 1141re of Applicant Er Q249267 Dua9llled!n SuHdk 0mV1V Oommiseon"res October 3.2016 P. 1 - 4F SQplyo Town Hall Annex Telephone(631)765-1802 64375 Main Road y ag P.O.Box 1179 • O f0 er.richert #own soUtnOltl.n .US i Southold,NY I1971-0959 � i ��OUIYt'I i BUILDING DEPARTNffNT TOWAI OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: rta�n Date: Company Name: n _ Name: License No.: Address: 0 faa ICK) u' My Il i Phone No.: 1- ICall' 39,55 JOBSITE INFORMATION: (*Indicates required information) *Name: ' *Address: ICU *Cross Street: *Phone No_: r I Permit No.: 23-1 7- i Tax-Map District: 1000 , Section: Block: Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) c (Please Circle All That Apply) Is job ready for inspection: YES O. *Do-you need a Temp Certificate: Rough in Final YES NO Temp Information (If heeded) *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 i : 824Request for Inspection Form . \X/,'U?-N I N G- OCCUPANICY OR It is A N�olatmn of the law for any p�,rson, X uj-,less actirg under the Jima supervision USEIS UNLAWFUL Of 2 licensed archittict, to alter my iterr, in airy-way braring th�� seil of2r. 2rchittct ' ITHOUT -CM- TIFICATE If fm afteration is nia6r, the ajtet;jjg architect shall affix to his it,_-m the seal 0!7 OCCUPAN y and the notation "Altered by." followed by his s-;gnaturc,&,e date of such alte"don, and a'specific description of the ftiter atioti. Al 0 14 Al T/e AP P inn (b 1-7 Z, DATE:, B.P.4 FEE: J -,y. � �jIir i! it.,, NOTIFY NT AT 7C5-1802 8 Pi T, 4 I-) THE L P/ OR 3 FOLLOVANG INSFECTION73: Tj(1. FOIJ,"DA 3 7NO REWRED FM POUR-D CONCRETE 2. ROUGH - & PLUMBIN^ A at)elf" tj Q 3. INSULATION 4. FINAL - C&NST�UCTIOM MMST ct_ 77) BE M',IPLE-TE FOR C.O. 7' ALL CONSTAM'10N SHALL t!,EET TP_- 5 6,ri. 7-0 �R (4 REQUIRETAIENTS OF-I CODE,43OFNEW HE 171i E ESIDSIGN OR CONSTRUCTION ERRORS. 7 Cot"PLY '�NITH ALL CODES OF & TOWN CODE.^ NEWY317K STA-1 AS RE'C`U';Rr_D RAFT E 'P T F eryl;,r ti�4, 11 LV: 7 _T,ra 1-1- a- spel A Architect P. 7*n Aloqe 4- /7 no 1 ',9945 Main Road Southold. N.V 11971 LIJ cell -enijil q. fu 7-OE MV4, Frvii,,cc nimet and TO r GA V 0 0^1 Vie t1i C Z T FI)1 ; ,-7 T '.I /-Ak Z 4,� Z� A A /V 46 vv 2 0, �5 C. C, Y -212 d 0 r, 2 4),IW:, 3/2 r-4C11 -r,'v Is I 'CIO #1 ------ ------ .7, Y _7 77: I L.v L. NEW r-Ca 2 0 -------- _ ....... C(52c, -,TPAP' �7 7% X e, E Cal 0* t ry p S e m 0 V?7,D e 7' o /,1?45 r y .7 ---------- (Copyrie't 0 Ira P aspel All Rights Res rrvei. 15 T V Cl la_ dmwi.ng,title: d (T-f ._�p"c' 14� E CT 0 r-1 Tax map,a 7 CA co I�L 41 0 Vt,/,,1 (7-XA) on _T_ ob N7. MM=- 7, "10 No r,6,' F scs2e: dittv C or T" 114 ,t7o P 71 C>,',' w ro.: NEW nnNr, 0/_)L�e- P/) ilr Z AS"! K/44 I Corm lev L 71i-Si, 71e� V)J3- L�� CID /A L r, 4 e//�z,'S Mc v 7 41 WIM�-NING: of the law for any ptrson, E It is �it>latirrn OCCUPANCY OR ul-,Iess actmg under the ifirect supervision USEI U FUL Of a kensed architect, to alter any iterri S NLAW in ainy-way bepring th�� seal o-ar. 2rChlteCt- L —----- WITHO C�VTIFICATE vr If an Ateration is made, the altetingrn T- architect shallaffix to his stern the seal OF OCCUPANCY and the notation "Altered bv:" followed by h signature,&,e date of such alteration,is s. and a specific description of the alteration Aj 5— -rF APPROVE) DATE:4da);-3 B.P. --7 FEE: 3-y NOTIFY BUIL T \A I-AR I MENT AT 4 PM, FOR THE 765-1802 8/,A41 TO 7' FOLLOWING INSPECTIONS: Pa 1. FOUNDATION - TWO REQUIRED FORPOURED CONCRETE 2. ROUGH - FRAMING & PLUMBING F 3. INSULATION 4. FINAL - CONSTRUCTION MUST 77,1-'� 't�'zr� BE COMPLETE FOR C.O. R ALL CONSTRUCTION SHALL MEET THE iY 12 A ! REQUIREMENTS OF THE CODES OF NEW , YORK STATE. NOT RESPONSIBLE FOR as > x,� DESIGN OR CONSTRUCTION ERRORS. QA � t--T I tj 4j M PLY W-ITH ALL CODES OF NEW YORK STATE' & TOWN CODES AS REQUIRED N9 eE)NE)1T-1&i8-0F setfFH tro mV-A t✓)E Ile " ,-,4 RAFTE, seF.ap iem Pb�,Nmww,w, jr< F 0 J` B z ifft&EES- S6i -9M 44 Ilk - --------- ----------- T P�AN ------------ 1--M Ila Sp el A"-A if Arcitee... t 1 _�w - (7 r�� i 59945-Alain Rcf1id Southold, NA'. 11971 < 631-765-2107-5 -- phon- 6,31-7655-5 715 fax Q, 516-398-8753 - cell ibaspel,'4Jrahaspel,cs,,m eni.jil flre,+ctcunt.and Iocm6cm,: U, G A C,T, 00 �`i A- C 7 C 0 7, c, T7 p . z LJ C Z,0Y C AV F,0 r A-1 vv 2N,5 7 ,,c /1v -------------- ----------- ------— xlsr NEW X sa2o ------ (;A!,V, S T S X 7' D 5x, or C40 G 'T (*ryp,) C-1 r Y ---------- it d. copyr i0a Q Ira 14-aspel All 1�jglits Rese,,.rve ' C 0 TIE e ------------T7.- ------- 0 A it —4 4j 0 qk drA rn bf f ob No.: ScIde: date. F GO r-z-) c ov c, To 3 1 2�t 9 6 14 N,61,v r4NC, ?/)Rr 4 x4,57 W41-I. 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