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� g11FFDtp^eoe Town of Southold 7/24/2019 tA P.O.Box 1179 0 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40539 Date: 7/24/2019 THIS CERTIFIES that the building ALTERATION Location of Property: 410 Bunny Ln,New Suffolk SCTM#: 473889 See/Block/Lot: 117.-6-28.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/2/2019 pursuant to which Building Permit No. 43623 dated 4/8/2019 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: ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Hemer,Alec&Urbanelli,Elisa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43623 07-10-2019 PLUMBERS CERTIFICATION DATED 07-15-2019 C opher Golf u ho ' ed ignature �saFFac�.�, TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 43623 Date: 4/8/2019 Permission is hereby granted to: Hemer, Alec & Urbanelli, Elisa 20 Plaza St#D14 Brooklyn, NY 11238 To: make alterations to an existing single family dwelling as applied for. At premises located at: 410 Bunny Ln, New Suffolk SCTM # 473889 , Sec/Block/Lot# 117.-6-28.1 Pursuant to application dated 4/2/2019 and approved by the Building Inspector. To expire on 10/7/2020. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $224.00 CO -ALTERATION TO DWELL $50.00 Total: $274.00 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. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of I% 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. 15.00Date. � nL ZD/ New Construction: (Old or Pre-existing Building: (check one) c Location of Property: 4110 buN�y 4� ,l/5u) JUr(`�L House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 11'1 Block 0(12 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: (check one) Fee Submitted: $ �V ppl cant Signature ® C C OVE BuiLding Department ADgiication APR 1 2 2019 AUTHORIZATION D���'x�� (Where the Applicant is not the Owner) TOWNOFSOMOIZ I, Alec Hemer residing at 410 Bunny Lane, New Suffolk, NY 11956 (Print property owner's name) (Mailing Address) do hereby authorize Chris Goff (Agent) to apply on my behalf to the Southold Building Department. 4/5/19 (Owner's Signature) (Date) Alec Hemer (Print Owner's Name) 1 oF sovr�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • moo@ roger.richertCaD-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Hemer Address: 410 Bunny Lane City: New Suffolk St: New York Zip: 11956 Building Permit#: 43623 Section: 117 Block- 6 Lot. 28.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Nicholas Kerzner Electric License No: 42972-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1 st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors 1 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 FixtureTime Clocks Disconnect Switches El Twist Lock Exit Fixtures TVSS Other Equipment: Bathroom renovation, 1-combination bath fan and light, 1-ARC fault circuit breaker Notes- Inspector Signature: Date: July 10 2019 81-Cert Electrical Compliance Form As f ' Town Hall Annex Telephone(631)765-1802 51375 Main Road Fax(631)765-9502 P.O.Box 1179 ' Southold,NY 11971-0959 LL 1�E p � � ,L�L �� BUILDING DEPARTMENT TOWN OF SOUTHOLDL �•' JUL 1 8 2019 B 7,, DD TG bEPT: T'T o"ti oI TiviIOLD CERTIFICATION TION ; Date: -�IYLSIAPA I Building Permit No. Owner: (Please print) Plumber: ei 5tT 7PK , (Please print) I certify that the solder used in the water supply system contains less than 2110 of I% lead. (Plumbers Signature) Sworn to before me this day of �V 1, 20� , Notary Public, svmva— _County MELANIE V BROWN Notary Public,State of New York No.01BR4908712 Qualified in Suffolk CountYdv Commission Expires October �_t, LPV12 SO�TyOIo # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] OUNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY. [ ] FIRE SAFETY INSPECTION [' ] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING RE ARKS: v1 DATE ANSPECTOR pF SOUIyO� - * * TOWN OF SOUTHOLD BUILDING DEPT. o rm,��' 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: -©� DATE I INSPECTOR pF SOUIyo� # TOWN OF SOUTHOLD BUILDING DEPT. Cour, 765-1602 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 l 6 INSPECTOR �j hO��OF SOUTyolo # TOWN OF SOUTHOLD BUILDING DEPT. i'ourm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION ] FRAMING /STRAPPING [ FINAL b-o [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: OV-N4 f!Y e-- &""D -- VE*&qS Ikp, DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) C� ---------------------------------- 'FOUNDATION (2ND) TVC - rD a►^, p� o ROUGH FRAMING& j 6 PLUMBING y • 6 P INSULATION PER NI Y: y STATE ENERGY CODE �l u Low FINAL ADDMONA.L COMMENTS f - 3gI3 l�- eG'4 tSO lc -ionm L � z • 1 I y 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 J 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 Flood Permit Examined _'210 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved ,20 YY1Q- m7flto: Disapproved a/c Phone: Expiration 120 � � Building Inspector - ® D APR - 2 2019 APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS OWN OF SOUTHOL� 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 Departmenf 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 Tor removal-or demolition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building'coda,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. p (Signature of applicant or name,if a corporation) (Mailing,address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises d..t;c Pa./V&q_ (As on the tax roll or latest deed) If appl' t is aco_ oration, 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 1 Block Lot 29. 1 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 5t,n0.� am cLoe ,L) b. Intended use and occupancy S 3. Nature of work(check which applicable): New Building Additionlteratio t Repair Removal Demolition Other Work 4. Estimated Cost S,000,le Fee (Description) (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. i 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 A4tP-- Address Phone No. _ Name of Architect Address Phone No _ Name of Contractor (2hlZis-icyHly- cvilr Address Pd������ ���r��'hone No. 631 945- 9tCYlc 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 * IF YES, PROVIDE A'COPY. STATE OF NEW YORK) SS: COUNTY OF • c being duly sworn, deposes and says that(s)he"is the applicant (Name of individual signing contract) above named, C®NNIE D.BUNCH (S)He is the Notary Public,state of New York 01BU6185050 (Contractor,Agent, Corporate Officer,etc.) Qualified in Suffolk county Commission Expires April 14,2P_J-0 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 2rt day of r) , 20 Notary Public Signature of Applicant 7or/ 7D) L,((ZF01V9 I DEPARTMENT- Electrical Inspec TOWN OF SOUTHOLD } F � MAY 1TP�0ikiall nex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 4, T lep7hone (631) 765-1802 - FAX (631) 765-9502 �...+fin :-c TOWN O.FSO - roger richertPtown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION :Date: 05 REQUESTED BY: ' Company Name: Name: email v License No.: 2 Address: a Phone No.: "© JOB SITE INFORMATION: (All Information Required) Mame: Address: cAld Cross Street: Phone No.: email; Bidg.Permit#: Lot: j Tax Map District: 000 Section: Block: o BRIEF DESCRIPTION OF WORK(Please Print Clearly) fOwl Circle All That Apply.' ' Final Is job ready for inspection?: YE / NO ough Do you need a Temp Certificate?: S /� Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: = # Meters Old Meter# New Service - Fire econnect- 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 82-Request for Inspection Form As . � I TIFICATION ".)t`l LEAD CONTENT BEFORE lt-ICATE OF OCCUPANCY 0LDER USED IN WATER 3U.010L I'S YS TEM CANNOT EXCEED 2/10 OF 1% LEAD. ER 6 FEa v Z HT) EX15T. BEDROOM #I �,E�P��` ���p p0E• 1 ls'-0'G1.6.HTJ F��,S�P-�p�NNp ��,T`. _ - E -z .� - MASTERPIBGE VR>4FT1N6 EXIST. HALLWAY '__� 550G I,�TES INC.. �d..,! ��� F^.iii.�.�� '"� i f�:l W-01. GL. 3 r,a i. 1-1 a (6-0CL6.HTJ r ` --_-- -_-- j. r. PH: 631.615.3447 PAX: 631.714.3052 GL. — NEW r-10" x 1'-3' E: Masterplecedratting®Yahoo.com PEDESTAL SINK SHOWN 2. n ; ----' New GURe-t�5s 3-�" x P.O. SOX 344, JAME5FORT, NY I1g47 2'-Io" W.1.5. WITH 6LA55 ENCLOSURE 4. �?: t.`_, - ;, ! t!,U }T PROJECT TITLE: PURPOSED BATHROOM#3 � �c r' p '00 .y I tE_.�alil¢1:.'}....1 t I... ,.. � .:(v^ ;! ,�, . YORK Tfa;r. ,;�; ,:� ;-;,;�;,; t_I� FCR PROPOSED INTERIOR ALTERATION 2668 _____-_ ' 9 CMU! P1 GR CO,'NS-i F1r:;T ION ERRo C. AT: HEMER RESIDENCE EX15T. L. RM 410 SUNNY LANE, /$r-0.GL6J $' O.M. M EXIST. BEDROOM #2 NEW SUI=FOLIC, NY I Ig56 1 2866 W-O'GL6.HT) . . �-7 � �� ;,- � ��,�� Issues and Revisions NEN 4� 2 PosED J;���g `G �E 1 . , ,► No. Date is m and Revisions I � D - Ur r i':;; 1 3/22Aq DE516N TO BE APPROVEDa G 2 3/25Aq FOR SUBMISSION GCOMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED A•Q (D=:F I RJ FLOOR LE: I 1/4"= 1'-0" ALy-e nrn__ NOTE: BY INCLUSION OF THI5 NOTE,THE OWNER HA5 4' 4" A 4■TMRVN 48TPRIA v rl BEEN ADVISED THAT PRIOR TO ANY CONSTRUCTION ROOF AND/OR DEMOLITION HORK, IT SHALL BE THE OWNER'S FURFOSED BATH NS EXISTING BATH#2 EXISTING BATH MI EXISTING KITCHEN EMS71us RESPONSIBILITY To OBTAIN A BUILDING PERMIT FROM Mex Mxnmw (eeroC►TeV Fucruleee) (IReiocr►TrD rlxtueeeJ IewsTn+es Flxruees) THE 6OVERNING BUILDING DEPARTMENT. 3'DIA 3'DIA. 1 In,91A `ew- 1- )nr'd),�,�, 1.At1d>2BY MA5TERPIEGE DRAFTING 4 AS50GIATE5 INC,, DOE5 v r— 3•bipti 1 1 NOT RECOMMEND AND DOE-5 NOT GUARANTEE THAT --T In.flip,-_- I In_DI y�r 1 1 I I ,- 5OLELY BY M PREPARATION OF THE5E PLANS SHALL 1 I In•DIA—y.—b—,� ---�-I In'DIA CONSTWJGTION OGGUR PROPER REVIEW AND I In•DIA. LAY --� I In'DIA. LAI/ 1 1 LAY 1 51wc APPROVAL$Y A QUALIFIED BUILDING DE-PARTH14T I I raa OFFICIAL 15 REQUIRED PRIOR TO CONSTRUCTION. Tr r 1 ns 1 TLT Dr+ F.A.I. sra� 51blt FIRST FAR Fj 2'DIA DIA 2'DIA. 3•DIA 2"DIA. 3• 2'DIAM. 2'DIA. PI o jwt No. GA. GA. DIA. GA. GA. 3'DIAM.WASTE � DIAM.WASTE GA. 3'DIA.MIA5TE 3•DIA.I"�``'� ��DIAM.WASTE C.O. C.O. GA. EXISTING WASTE UNE(4'DIA.MINDEXIST.4'VIA6 CAST / n�y Iw 25 ��pp� `JfrTt"t 1000— 11"l— Oil— .1 5E}'TI6 S��D ZONE: R 40 dv Er Drawing Title: INTERIOR ALTERATION I c Af !1 j FLUME3( I 5 RI 5ER D I AORA Sate: A5 NOTED N.T.S. I Drawn By: US LEISSEND Date: 03/22/19 NEW WOOD FRAME WALL 50 Q EXI5TIN6 WOOD FRAME WALL %9 SMOKE DETECTOR %9 CARBON NOXIDE G.M. NEW DOOR DETECTOR DOOR 517E 50 CA--M MIN. EXHAUST Pro). North DWG. 1 OF I VENT TO EXTERIOR AS PER NYS GODS SECTION 8303.3 N.O.NJ DO NOT SCALE PRINTS