HomeMy WebLinkAbout43343-Z i
�4�g11FF04coG�` Town of Southold 1/8/2019
0
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40154 Date: 1/8/2019
THIS CERTIFIES that the building OTHER
Location of Property: 750 New Suffolk Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.-6-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/19/2018 pursuant to which Building Permit No. 43343 dated 12/21/2018
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"AIR CONDITIONER UNIT AS APPLIED FOR
The certificate is issued to 750 NSR LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43343 01-03-2019
PLUMBERS CERTIFICATION DATED
Authorized Si ture
ego al�;�o TOWN OF SOUTHOLD
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#: 43343 Date: 12/21/2018
Permission is hereby granted to:
750 NSR LLC
PO BOX 192
Cutchogue, NY 11935
To: legalize "as built" AC unit as applied for.
At premises located at:
750 New Suffolk Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 109.-6-6
Pursuant to application dated 12/19/2018 and approved by the Building Inspector.
To expire on 6/21/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
BuiIdin ector
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
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. Ili /�od
New Construction: � Old or Pre-existing Building: 911,
(check one)
0/10
Location of Property: 7 9)yj �Gt � y L ), "=e
House No. Street (� Hamlet
Owner or Owners of Property: 7S-0 � t� L r,
Suffolk County Tax Map No 1000, Section `t / 1 Block Lot
Subdivision Filed Map. Lot:
Permit No. ` 3 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 50 7'� HS
App n Signature
®F sov��®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 ®ly® � a® roper.richert(c-town.southold.ny.us
®U 9
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: 750 NSR LLC (Kilbride)
Address- 750 New Suffolk Rd City: Cutchogue St- New York Zip- 11935
Building Permit#: 43343 Section: 109 Block: 6 Lot: 6
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 Service Only
Commerical Outdoor X 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 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches ri Twist Lock Exit Fixtures TVSS EJ
Other Equipment "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes, central air conditioner, 1-air handler, 1-condenser,with disconnect
Inspector Signature: Date: January 3 2019
81-Cert Electrical Compliance Form.xls
OF SOUlyO6
TOWN OF SOUTHOLD BUILDING DEPT.
courm��` 765-1802
- INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY, [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
r
DATE / INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST) C�
--------------------------------------
'FOUNDATION (2ND)
z
0
ROUGH FRAMING&
PLUMBING H
INSULATION PER N.Y.
H
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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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 j�� Suryey
Southoldtownny.gov PERMIT NO. - ( Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined N Single&Separate
Truss Identification Form
Storm-Water Assessment
Form
JS U K
f Contact: _3 i l6 j h
Approved ,20 [ /affil to:
0
Disapproved a/c ` • 13 Oe ((13S
Phone: 0
Expiration 2
:C
Q
D
i di nspector
DEC 1 9 2018 APPLICATION FOR BUILDING PERMIT
I , DateW 1
_
, 20�
0 ,; INSTRUCTIONS
TOWN OF sO'�d
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 Certificafe 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
1�-
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. r7V �JSVt LLC,
1 6 _
Signature of applicant or name,i a corporation)
(Mailing address of applicant)
State whether applicant is oM11
lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
IVlO�1
Name of owner of premises '`�S 1\ L L
(As on the tax roll or latest deed)
If applicant is ara i , ig to e my thori ed of cer
(Name tit e of corporate o icer)
Builders License No. `5� V 7 [
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which rops d work w' b LL House Number Street Hamlet
County Tax Map No. 1000 Section 14? S61 —Block 101 Lot 6
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and int•en4ed use and occupancy of proposed construction:
a. Existing use and occupancy � i &14- ce—
b. Intended use and occupancy '�t6 i di,u-,
3. Nature of work(check which applicable): New Building Addition eratio
Repair Removal Demolition Other Work_
(Description)
4. Estimated Cost wo Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units I 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 It Ream Lf t r Depth 3 ,
Height Number of Stories //��
Dimensions of same structure with alterations or additions: Front A `. •Rear
F
Depth Height ( n Number of Stor'ie's'
8. Dimensions of entire new construction: Front I\! 4 Rear _$ Depth
Height Number of Stories
O3�
9. Size of lot: Front 9 Rear Depth --1 I 1(�
10. Date of Purchase I Z C Name of Former Owner L-V►�WI i
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 premi�Phon
s ES NO
14. Names of Owner of premises ?V U59 L V Addres�y•-BdY I1� No. iO3-aa j
Name of Architect Address Phone No
Name of Contractor YAn, Ah C a, Address_VOAVAVCPhone 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--,)C-
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says ��g(jis,,4 48pplicant
(Name of individual signing contract) above named, Notary/Public,State of Now York
No,01 DU6185050
(S)He is the ,. Qualified in Suffolk County„,,,,)
(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.
wo;rt to before y e th`i,� �'-M/�- 20
Notary Public Signature of Applicant
SURVEY OF PROPERTY N
51TUATE: CUTCHOGUE
TOWN : SOUTHOLD W e
5UFFOLK COUNTY, NY
SURVEYED 1 1 -05-2015
S
SUFFOLK COUNTY TAX #
1000 - 109 - G - G
CERTIFIED T0= v
DAVID W. KILBRIDE
VIA-
KATHLEEN B.KILBRIDE Y'OF
STEWART TITLE INSURANCE COMPANY NOW OR FOR
LAND Dp,RWF F1NK� V'
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NOTES
"Unauthorized alteration or addition is a survey
map bearing a licensed land surveyor t seal Is a
®
MONUMENT FOUND JOHN C. E H LE R5 LAND 5 U RVEYO R o�� E< violation of section York
subte Edwn 2. of the
New York Stale Education Law"
'Only copies from the origmol of this survey
�N marke
md with an original of the land surveyor's
9 staped seal shall be considered to be valid true
topless
G EAST MAIN STREET N.Y.S. LIC. NO. 50202 —
"Certifications Indicated hereon signify lhct this
Area = 25,614 Sa. Ft. RIVERHEAD, N.Y. 1190 I 3G9-8288 Fax 3G9-8287 sang was prepared in accordance wish the ted
f "} � Ishng _ode f Practice for Land Surveys adopted
Area = 0.59 Acres �� (� by the New Yorors State Association of of run al
Land the
Said whom
certifications suss shat run only
GRAPHIC SCALE 301 lon 15lanclland5urve or.com �/ /� L� to the person for whom the survey 17 prepared,
9 y l�C� 0 and on his behalf to the title company, governmen—
tal tal agency and lending Institution listed hereon, and
a�0 J to the assignees of the lending Institution Cerlifica-
15-199 1 tions are not t•onsferable to additional Institutions
G�
AAPPRO ED AS NOTED
,�11
DATE: B.P:# 3 "l 3 i RETAIN STORM WATER RUNOFF
FEE: V 6 BY: `PURSUANT TO CHAPTER 236
NOTIFY BUILDING DEPARTMENT ATF OF THE TOWN CODE.
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: =*{�;"'�`""°"'
1. FOUNDATION - TWO REQUIRED
.FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE ELECTRICAL
REQUIREMENTS OF THE CODES OF NEW INSPECTION
RE(�U�RED
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
gB�Fi A
r39W�ti pt� cBOARD
S691AIAI TTCC
S
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
i Page no. 2 d 3 P89-
�I�t4�dY
P KOLB MECHANICAL CORP.
tteatlog and Air ConaffanhM
11500 SoundAt,Ra Box 1016
A*d*La*NY 11952
(631)298-6W71 Fox(631)298-56W
n TO
516) 779-0551 DATE
5,2015
. Box 1280I%Wew Suffolk Road
cff ' !Y 11935 fMrue,NY 11935
C=E iffifill"
ilt anielgiale e_om Matthew Giles JZJgs
wnPreayseninrtral beside any accepted options:
_- Option #1 - Provide and install new central air conditioning system to consist of the,
following:
• One (1) ADP, 3 ton, high efficiency cooling coil to be installed above the existing
fumace in the units supply duct plenum.
• One (1) Trane, model #4TTR3O36, 3 ton, XR13 outdoor condensing unit to be
Installed at the residence exterior, exact logon to be determined. Unit shall be set
on a pre-cast slab.
Includes:
• Pre-cast condenser slab. �A�G
• Armaflex insulated type`!'nritrogentzed refrigeration piping.
• R41Oa environmentally compliant refrigerant. qq M�a�
• All necessary materials,labor,installation and Mart up. h7�`�`
• line voltage wiring connections. W 1\
• Any applicable permits,certificates,or associated fees,if required.
Warranty:
• All work to be done in a professional manner by trained installers and service
personnel.
• One year parts&labor service during normal business hours on above system.
• Trane ten year registered limited warranty on compressor,condenser coil.
• Trane five year basic limited parts warranty.
• Ali factory warranties honored.
TOW Investrnent:$3,785.00
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