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HomeMy WebLinkAbout43502-Z xtx� =�o�Osu�FUt,��o�y Town of Southold 5/23/2019 o P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40401 Date: 5/22/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1380 Oakwood Dr, Southold SCTM#: 473889 Sec/Block/Lot: 70.-12-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/21/2019 pursuant to which Building Permit No. 43502 dated 2/21/2019 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"PARTIALLY FINISHED BASEMENT WITH BATHROOM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Bertani,Linda of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43502 05-10-2019 PLUMBERS CERTIFICATION DATED 05-23-2019 G ge J Be Jr V. 0 h ' ed Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT s TOWN CLERK'S OFFICE o ® SOUTHOLD, NY 'lflp1 �� 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#: 43502 Date: 2/21/2019 Permission is hereby granted to: Bertani, Linda 1380 Oakwood Dr Southold, NY 11971 To: legalize an "as built" finished basement as applied for At premises located at: 1380 Oakwood Dr, Southold SCTM # 473889 Sec/Block/Lot# 70.-12-32 Pursuant to application dated 2/21/2019 and approved by the Building Inspector. To expire on 8/22/2020. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $928.00 CO -ALTERATION TO DWELLING $50.00 Total: $978.00 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 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 S\19 New Construction. Old or Pre-existing Building: (check one) Location of Property: �IC51 hV C1_A, tA�oa House No. � Street b,/Kde,_ Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section © Block Lot ?� Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: y (check one) Fee Submitted: $ r Applicant S gnature fjf so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® �Q roger.richertQ)town.Southold.ny.us Southold,NY 11971-0959let. N - BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To- Linda Bertam Address: 1380 Oakwood Dr City: Southold St: New York Zip: 11971 Building Permit# 43502 Section 70 Block: 12 Lot* 32 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 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 14 Ceiling Fixtures 6 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors 2 Main Panel A/C Condenser Single Recpt Recessed Fixtures 2 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer ARppliances Dryer Recpt EmerHgency Fixture Time Clocks Disconnect Switches 7 Twist Lock Exit Fixtures TVSS 11 Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS" finnished basement Notes. 1-bath fan Inspector Signature: Date: May 10 2019 81-Cert Electrical Compliance Form.xls Town Hatt,53095 Main Road ® � Fax(531)765-9502 P.O.Box 1I79 R`�� Telephone(631)765-1502 Southold,New York 11971-090"4 � BUILDING DEPARTMENT T OVM OF SONE+ OLD CERTF 1C A T10111 Date: `Z3 2 C--) Building Peet No. . '4 3 Owner: L l n C-0-� ►lJ�(` I G�-/1 (Please print) Plumber: 5 ease Print) I certify that the solder used in fe-water supply systeua contains less than 2/I0 of 1% lead- r Swami.to before ane this day \a , zap ������ �V Np s �msf:ai�ftt¢ 2,41 z", J 1 Notary Publ1C, lL county �. r Fj 0 0 H Z 77bEN431 NS E:E:RJN, ,, q-, I DD MAY 2 0 2019 TOWN OF SODU10 May 17, 2019 50 1380 Oakwood Drive Southold, NY 11971 Building Inspector Town of Southold Main Road Southold,NY 11971 Dear Sir, I certify to the best of my knowledge and experience the plumbing and insulation in the basement of the above referenced home has been installed in accordance with International Residential Building Code s�i� ` BOARD CERTIFIED IN STRUCTURAL ENGINEERING JOSEPH@FIS CHETTI.COM FISCHETTIENGINEERING.COM 631 -76S-29S4 1 7 2 5 H O B A RT ROAD S O U T H O L D , N E w YORK 1 1 97 1 ho��OF SOply�6 # TOWN OF SOUTHOLD BUILDING DEPT. °ycourm,��' 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) [p(y ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: yZX4L DATE lO 19 INSPECTOR`� # TOWN OF SOUTHOLD BUILDING DEPT. °`ycourm, `' 765-1802 INSPECTION - [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION rr [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 1awl A, DATE INSPECTOR Y FIELD INSPECTION REPORT DATE COMMENTS ' b FOUNDATION(1ST) � H -------------------------------- 'FOUNDATION (2ND) , z ®.o C � ROUGH FRAMING& PLUMBING y INSULATION PER N.Y: y STATE ENERGY CODE ra- FINAL ADDITIONAL COMMENTS L �Z �- o•,R 4 f 2,f, a-u • � z d 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 Southoldtownny.gov PERMIT NO. (/ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application �CO �7� �� Flood Permit Examined ,20 D Single&Separate 4 2019 Truss Identification Form / FEB Storm-Water Assessment Form Contact: Approved '20 �^ OF SOUTWL."IgY Mail to: Disapproved a/c 70" Phone. 5 CT Expiration 120 QZ Building Inspector APPLICATION FOR BUILDING PERMIT Date *U a', V , 20 (al 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 t'o 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. Inc f },( ignature�oaf�a-pplicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ®to i-1 t�v - Name of owner of premises C / cA 14 F> 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: House Number Street Hamlet County Tax Map No. 1000 Section' d Block S `� Lot 7 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 i ' Fee- �.r,. (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 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�14 A 6"y( Address PW &/+ e9 badly aj Phone No.7716S—1 S 4 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 0 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 'N ( * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF l� ) � O NO being duly sworn, deposes and says that(s)he is the applicant (Naive of individual signing contract) above named, CONNIE D.BUNCH (S)He is the Notary Public,State of Nevv York 8 (Contractor Age ,corporate Officer, etc.) Qualified in Suffollt County Commission Expires April 14,2DOIO 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 day of_ 204__ Notary Public Signature of Applicant ��,1FF�,rrc BUILDING DEPARTMENT- EI icaJ,.j�sQMTV �TOWN OF SOUT a 115' (`� = Town Hall Annex - 54375 Main d - PO Box 1179 DD �y • a� Southold, New York 1 1-0P1 5 2019 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(cDtown.southold, TOWN OF SO>U7 OLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: ��� i� oly Company Name: 10 Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: c A i� = �✓, Address: G 5'0 O d W o O d- l`> © t-sl Cross Street: Ili oil Phone No.: 631 7(oS— t 5-9 q • BIdg.Permit#: 41-3 ��. _ _` email; c Tax Map District: 1000 Section: 1I0 Block: 11- Lot: 2 BRIEF DESCRIPTION OF WORK (Please Print Clearly) S'bw ovocmAA - Circle All That Apply: Is job ready for inspection?: YES 1 NO Rough In Finai Do you need a Temp Certificate?: YES 'NOf Issued On Temp Information: (All information required) Service Size .1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 9,3LIDT 82-Request for Inspection Form As t i r r I , s o t ; L 1 r lit b UN 0 t RAO PITA�13'0 — C _ FCU ';f';ii '' i` FUl PCU. 1 COMPLY WITH ALL CODES OF BE Jp- 70N NEW YORK STATE & TOWN CODES '' til ALL CION:J ��., T�-IL ._NTSEFOR'" AS IRE Or'U�OF vl�l f I.J t"' •V4 ,'.. REQU i�`�TEO( OCCUPANC YO�� 1A1iz s' i; uDRS ru `13;.� FGi3 ['r� I tZ Cii`iJl'ri .%J_DER USED IN WATER SYSTEM CANNOT Y�'N P ABOARD Op N��� D T00 TRU fl���� ® . c.%CEE�i� `' 10 OF I% LL`AD. — 5 � PLUNIBING ALLFLUMuiPu WASTE TcS l;';G SFF0 ;E C0 EF ,i?vG . g ✓ .� ✓ .r ��`� '3 `� r /360 1J OrQ �I,c1Ov (�✓� E�°`�aE4'�t��O Additlona1 a -;i xi 1 C� �;5�! �!;�:,"l c i�' c,�o u-TN of to �����ytCP1.SNSP CertlilcaLfol SCALE: 114'.c I APPROVED BY: DRAWN BY e RegAAred• rJlay B DATE: � t� .2vjd REVISED DRAWING NUMBER