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HomeMy WebLinkAbout43826-Z ZrOM ��o�c,�FFol�coG� Town of Southold 7/28/2019 �+ P.O.Box 1179 0 C* 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40560 Date: 7/28/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 465 Private Rd#3, Southold SCTM#: 473889 Sec/Block/Lot: 70.-6-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/10/2019 pursuant to which Building Permit No. 43826 dated 6/3/2019 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"alterations to an existing accessory building as applied for-with no heat. The certificate is issued to Galgo,Gabor of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43826 4/3/2019 PLUMBERS CERTIFICATION DATED u ho e Signature TOWN OF SOUTHOLD �ogUFFaiK�oa. BUILDING DEPARTMENT g TOWN CLERK'S OFFICE "oy oma } 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#: 43826 Date: 6/3/2019 Permission is hereby granted to: Galgo, Gabor 250 E 39th St Apt 12N New York, NY 10016 To: legalize "as built" alterations to an existing accessory building as applied for- with no heat. At premises located at: 465 Private Rd #3, Southold SCTM # 473889 Sec/Block/Lot# 70.-6-16 Pursuant to application dated 4/10/2019 and approved by the Building Inspector. To expire on 12/2/2020. Fees: AS BUILT-ACCESSORY $200.00 CO -ACCESSORY BUILDING $50.00 $250.00 Building Inspector rsf so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 O ® �® roger.riche rt c( town.south old.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Spreeman (Galgo) Address: 465 Private Rd #3 City_Southold St: New York Zip: 11971 Budding Permit#• i{315a(p 43551 Section 70 Block: 6 Lot- 16 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor, DBA. Brian Brooks Electric 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 10 Ceiling Fixtures 5 HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 7 Twist Lock Exit Fixtures TVSS Other Equipment: "GARAGE"-----accessory building Notes, 3-ARC fault circyud breakers Inspector Signature: Date: April 3 2019 81-Cert Electrical Compliance Form.xls SOF so # TOWN OF SOUTHOLD BUILDING DEPT. loum N 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: Ud 1 ) --- Ipv DATES INSPECTO FIELD INSPECTION REPORT DATE COMIVLENTS FOUNDATION(1ST) � ..................................... 'FOUNDATION (2ND) _ ' �O ROUGE FRAMING& B PLUMBING INSULATION PER N. Y. H STATE ENERGY CODE '�7 New Da�A FINAL ADDITIONAx,COMMENTS S Z • ,- - tai � o 1 ' ,H 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. 3 -6 Check Septic Form N.Y.S D.E.C. Trustees C.O.Application Flood Permit Examined ,20 � Single&Separate Truss Identification Form Storm-Water Assessment Form f APR 1 0 2019 Contact: II Approved ' ( ,20 Mail to: T 00 Disapproved a/c `- -� T ®�1f;+ fit) �� ``• Phone: Expiration ,20 Building Insp-estor..__,_ APPLICATION FOR BUILDING PERMIT Date �— �r/ , 20A 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, housi e,an regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) �Zo o7al'n^ ta-c-- - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Naive and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on hich propose work will bene: do g s . I C'�Z& .� House Number Street Hamlet Lot County Tax Map No. 1000 Section `�D Block 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 G2z9?f/vJ � 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 ��� ]yeegg; , �+�+r -- , ,� •a ,(ToAU paid on filing this application) 5. If dwelling, number of dwelling units i Nber of dwelling units on each floor "' If garage, number of cars " ,1iI 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, T,;„:ry, 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 Address Phone No. 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 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 f opographical data on survey. t 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 ( CL being duly sworn, deposes and says that(s)he is the applicant (Naive of individual signing contract) above named, (S)He is the (Contractod 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 r 2019 lfqotary Public TRACEY L.DWYE Si nature of A licant NOTARY PUBLIC,STATE OF NEW YORK g pP NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2da--;1- 5 BUILDING DEPARTMENT- elecNcalhspecr351 Fal�l' o ¢rye TOWN OF SOUTHOLD a Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(a-town.southold.nV.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: 47� ��- � Date: Company Name: Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION: (All Information Required)c (;k I 1 Name: Address: Cross Street: Phone No.: email; Bldg.Permit#: Tax Map District: 1000 Section: -2 6 Block: Lot: �® BRIEF DESCRIPTION OF WORK(Please Print Clearly) Circle All That Apply= Is job ready for inspection?: YES I NO Rough In Final Do you need a Temp Certificate?: YES / NO 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 82-Request for Inspection FormAs • f SCD Aoco C �C ��roan n mNaz,c _. SOOD O'CONNELL,R1 12U0?/eletarts M.—M t11g1iAa ��/��/�] 'n If�iL..�<✓ ��4fi�PPa�9�NYJIt88= - � S '9T 02793 �Q C�s�c�csa3as`'` N� -L SU� m DATE: B.p I --- �--� � � N 5-8 W.H. _ ?z GHIGKEN rl0-- BI�II-D."''a 1 1:.4 PCITP✓"ENT AT A COOP i n5-18-02 R fig;,i T IU �; IP,,V, FF,, T H E Lz -5 W H. FOLLOVVliiG It'dvl� C I IIVI`iC: `7'-1" W.H. 1. F OUINDA1ION - 7","VO REQUIRED FOR POURED CONCRETE 2. ROUGH - FR>nJMING & PLUMBING 3. Mon INSULATIv`•I �"oo 4. FINAL_ - CONSTRUCTION MUST ���€� mF� �o RE COMPLETE FOR C 0.n. PLU'-I5IN6 ' ALL CONSTRUCTION SN i L MEET THE =LL � � ,������ (2)2X4 REQUIREMENTS OF THE CODES OF NE4'V � wg-° YORK STATE. NOT RESPONSIBLE FOR age 'R: BATH J iFx� � _� DESIGN OR CONSTRUCTION ERRORS. fi _p 8'-3" KH n 2X4 RR � 3 q REF 2'-0" G.H. y _ COMPLY WITH ALL CODES OF ,NEW YORK STATE & TOWN CODES• — — — _ 2X4 _ — — .AS REQUIRED AN0-C�-®N0ff4Q , 8'-11" BELOW — — — — —2X4 5 OWE I I -O BELOW ,-. S00%&DMN-PLiNMN ° - o 2X4 RR 2'-0" O.G. 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