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Home My WebLink About43453-Z J�f" ufF04t+�G Town of Southold 6/18/2019 P.O.Box 1179 W _ 53095 Main Rd �p� ,r4t Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40452 Date: 6/18/2019 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 12975 Main Bayview Rd, Southold SCTM#: 473889 Sec/Block/Lot: 88.-2-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/1/2019 pursuant to which Building Permit No. 43453 dated 2/6/2019 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: INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Conti,Jason&Mehtap of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43453 03-29-2019 PLUMBERS CERTIFICATION DATED 06-07-2019 B a Piecuch ut o . ed ignature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o� • SOUTHOLD, NY .fj�l � �•DO 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#: 43453 Date: 2/6/2019 Permission is hereby granted to: Conti, Jason 1 Wall St Court 705 New York, NY 10005 To: construct interior alterations to existing single-family dwelling as applied for. At premises located at: 12975 Main Bayview Rd, Southold SCTM # 473889 Sec/Block/Lot# 88.-2-13 Pursuant to application dated 2/1/2019 and approved by the Building Inspector. To expire on 8/7/2020. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $238.80 CO -ALTERATION TO DWELLING $50.00 Total: $288.80 Buil ing for f 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: 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. ` 2. New Construction: Old or Pre-existing Building: (check one) Location of Property: Zs House No. stitet Hamlet Owner or Owners of Property: 'L- Suffolk County Tax Map No 1000, Section Block 0-1.,,60 Lot Subdivision Filed Map. Lot: Permit No. l Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 6Jo Applicant Signature �®'*®F SO�j�®� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 -e® ® �® roper.richertCaD-town.southold.ny.us I BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To, Conti Address: 12975 Main Bayview Rd City: Southold St: New York Zip: 11971 Building Permit# 43453 Section $$ Block- 2 Lot: 13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: ROSIak Electric License No: 3677-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 1 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4 Twist Lock Exit Fixtures 11 TVSS Other Equipment: "BATHROOM RENOVATION" 1-bath fan, 1-ARC fault circuit breaker, 1-combination GFCI/ARC fault circuit breaker Notes, Inspector Signature: _S4Date: March 29 2019 81-Cert Electrical Compliance Form As soUryol - Town Ball Annex Telephone(631)765-1902 54375 Main Road Fax(0 1)765-9502 P.O. Box 1179 • �� Southold,New York 11971-0959 TOWN OF SOUTHO D � �� / _ D JUN - 7 2019 CERTIFICATION TOWN Date: Building Permit No. !q.3Ll0 Owner: an+e (Please print) Plumber: Brad Pie('(h (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) �h Sworn to before me this day of 20jOL_ Notary Public, County TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,20iRd ,.. �o��OF SOUTy�� # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION [ ] FOUNDATION 1ST [ R GH PLBG. [ ] F UNDATION 2ND [ INSULATION [ FRAME/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FI AFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ EL TRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING R MARKS: J 6 f fK�% Lj4/ fA4 64w,001 DATE o INSPECTOR OF 50UTyO� # # TOWN OF SOUTHOLD BUILDING DEPT. co765-1802 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: DATE INSPECTOR - 1 � ��,oF soulyo # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: [AA lam- . J -DATE -INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS . }d FOUNDATION(1ST) 'FOUNDATION (2ND) � v�, r 9.� c ROUGH FRAMING& j PLUMBING H INSULATION PER N.Y: y STATE ENERGY CODE uv FINAL ADDITIONAL COMMENTS J l� '4 4fj i c, e:R 33 "0 - d b H e 0 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 2 Survey P `` SoutholdTown.NorthFork.net PERMIT NO. �J Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: Approved ,201f Mail to: Disapproved a/c Phone: 6 Expiration 20 DLES� r ��L DBuil 'ng ector FEB - 1 2019 LICATION FOR BUILDING PERMIT Date 044YOJI aa" , 20 19 INSTRUCTIONS TOWN OF SOUTROLD a. This applicatiop 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 showing1ocation of lot and of buildings on premises, relationship'to adjoiriing.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°Irispector 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. , ( ignature of appscant or name, if a corporation) 12-97rIVA;44 14 19d• ,rowrtvi./ (Mailing address of applicant) /° 7/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Owvle,c Name of owner of premises Gt Sfl it P. (SOA; GU'tJ YVIVOVCl°dhtl— (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. -t- Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: /� ��►Gt.�l ( Zq 7.r l31 agvfl Aam r/ituJ f2oa. House Number Street j Hamlet County Tax Map No. 1000 Section D F6 . 06 Block 02- 00 Lot 6913. 000 Subdivision Filed Map No. Lot 2. State existing use and occupancy of pre►nises and intended use and occupancy of proposed construction: a. Existing use and occupancy S MI('e- r 6 A-E- — i- �w c -- - b. Intended use and occupancy SM JI't 4CW4/q Ao"'p- 3 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (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 o2. 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 �• -f-ten`. ' r °�,9 e Dimensions of same structure with alterations or additions: Front aAA--e— Rear Depth Height Number'bf-stories 8.', Dimensions of entjre,►iew,-construction: Front //V/6 Rear Depth Height Number of Stories 9. Size of lot: Front 13�- Ti'• RearDepth Awroh 3N 10. Date of Purchase 0&q 6e Q�, �-JOI ! Name of Former Owner ? WA A'e'� 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 11-rVAC04 Address[V7f_/#4ft71V0�Aj Phone No. '7/790-4' Y" Name of Architect Address Phone No Name of Contractor d /PiUcl.fo•1 Address 2-V Cd •+ r. Phone No. (n 31-73`1 40f 7 Get vs,v� 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 ejevation 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) SIS: COUNTY being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor,Agent, Corporate Officer, etc:) of said owner or owners, and is duly authorized to perform or have performed the saidwork 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. Swor tP before me thi day of 20N ca Notary Public EY L. DWYER Signature of Applicant NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2_0.,aq_1,_ FEB 2 0 2019 D ,&--7 vas" OF S® ULD ��" >11d~ 0 ifftm �, ,�arr, ►�.w,u +fit g�llt,ulNG birPAKI'MF�1T Ste: 01 �'Le, < _�"'�1 �r ='<% r � ' a ..41.i. r'.,`•� 1 •ri u, ,., It "v°",.w: Y:+:may' r'F ,.✓.`.:`:A r_ a. dim— all -t 'Phoma I�lo.. '8lME�DlA7'�'i111 p wom PwNI cM•+lr) o� ' w�rw • M -�1 �1dt I�pj�Mon; YES 1 %Q ibt N► - .., _. Frei► °h S'w.�w.Cs�=w.-s'.e WaF:J y;.3�^'-v'�r�•n'•_=,rei!r'U„+f�:v > ,'.'s �� `.�. , s..e _..i];Mr ti��j.s+ : .r :"':a. -p�r � tea.. Yry�'� � �A. '' e'_':.V =�-f'+,.a., � ^Yia s,•._,yw y�t..M�.s x:<t;.'aa 1.:,!i'.',`f'tF`.S.`�k'.a�.•.. `x:',.F. a r 5UR1VEY of SITrUATB NEAR B,4YVIEiN HAPOF SEAWOOD ACRES.SECTION I N I TQWM7 yT r50vn oLD FILE NO-2515 WTOLCOM '` „' !4.1 � 51,2VEYFD 04-2q-02 roOO icov+rrr T". S67046'00"E 137.00' ::NF. 9 CERTIFIED To, .EDITH F.F"NNFY I j LAWYERS TITLE Pa5uRAw _E CORP. • I i o � I 0 � I , � II I I � c A14 MI 0 I 44 I FRA i ._. 6ARA� o o I s a SRAME �• � �o 1 i AI J o HOUSE `, oo �7• c Sn GO ; I � i ; I . I =, ; ; ; N65013'20"W 132.00' MAIN BAYVMW ROAD I I , r 0NL14EtT FouND /j' C. AREA=43a35 SF OR O.qa ACRES JOHN C. MLERS LAND SURVEYOR GRAPHIC SCALE I'=30 sV 6 EAST MAIN SlREST N.Y.S.LIG NO.-q= 1 .�. I RIVFRIIEAD,N.Y.11901 -- mnlw 369-M Fkx 369-M REF.W P SFRVERUXPROS 2-157,pm