HomeMy WebLinkAbout41501-Z Town of Southold
8/1/2019
P.O.Box 1179
T 53095 Main Rd
y�0 ,paN Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40580 Date: 8/1/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 470 Moose Trail, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.4-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/24/2017 pursuant to which Building Permit No. 41501 dated 4/6/2017
was issued, and conforms to all of the requirements of the applicable provision's of the law. The occupancy for
which this certificate is issued is:
alterations_and additions, including windows, deck and covered porch, to an existing one family dwelling as applied for.
The certificate is issued to Nardo,Michael&Rosie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41501 10/1/2018
PLUMBERS CERTIFICATION DATED
th riz d ignature
�soF�Xc TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y' z 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#: 41501 Date: 4/6/2017
Permission is hereby granted to:
Nardo, Michael
5 Willow Rd
New Hyde Park, NY 11040
To: install replacement windows, reconstruct deck addition and construct new porch
addition to existing single-family dwelling as applied for.
At premises located at:
470 Moose Trail, Cutchogue
SCTM # 473889
Sec/Block/Lot# 103.-4-12
Pursuant to application dated 3/24/2017 and approved by the Building Inspector.
To expire on 10/6/2018.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $522.80
CO -ADDITION TO DWELLING $50.00
Total: $572.80
All
uilding 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 Od'cupancy-Residential$15.00,Commercial$15.00
Date.
-0
New Construction: Old or Pre-existing Building: (check one)
Location of Property: —10 C)OSe 1 2• f b Af.,�_o SLA-1—
House
LA-kHouse No. n,� I Street r ,�y� Hamlet
a' W
Owner or Owners of Property: I"`�GY1a e ( I V d
Suffolk County Tax Map No 1000,Section J o 3 Block L{ Lot
Subdivision Filed Map. Lot:
Permit No. (4 5un Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval::
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate
: (check one)
Fee Submitted:$ e 7
cant Si atu
SOUr�,®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 ® �oroger.richertCc�town.southold.ny.us
Southold,NY 11971-0959
I4-
440UfV1Y,N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE.OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Nardo
Address. 470 Moose Trail City: Cutchogue St: New York Zip: 11935
Building Permit#: W 3q q3 t 41501 Section: 103 Block 4 Lot. 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Modern Electric East License No: 4253-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt 3 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures 14 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 200, Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment: pool cabana, high hats in eaves of house, and 200a underground service.
Notes- 1-paddle fan
Inspector Signature: Date: October 1 2018
81-Cert Electrical Compliance Form.xls
Is'o 9
hO��OF SOOlyO�
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
VIF UNDATION 2ND [ ] SULATION
_G /STRAPPING [V FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAU KING
REMARKS: akm&i !� Sim
6z kAL..,�
J
DATE INSPECTOR
!�I ✓v pF SOUj
h� l0
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ FOUNDATION 1 ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: O r�
DATE 0 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
to
FOUNDATION(1ST) ►=�
------------------------------------
`w
FOUNDATION (2ND)
z
� O
t
ROUGH FRAMING& H
PLUMBING
INSULATION PER N.Y-.
STATE ENERGY CODE
Q
FINAL l
ADDITIONAL COMMENTS
RZ
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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 Survey
Son tholdTown.NorthFork.net PERMIT NO. 5d Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 I / Single&Separate
Storm-Water Assessment Form
Contact:
Approved '20 Mail to:
Disapp ed a/c
Phone: �--
Expira i ,20
AR 232017 '
B i Spector
BUMDING DEPT. APPLICATION FOR BUILDING PERMIT
T®BVPi OF S®IJTD®)1D ,r�
Date � oC , 20
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 iri 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.
( ignat a applicant or name,if a corporation)
v�
13yL. 7f9
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
co �.
Name of owner of premises ) o
(As on the fax roll or latest deed)
If app ' orporation, sig4lature of duly authorized officer
(NIame ar&Wle of corporate officer)
Builders License No. _
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Locatio of land on whichNo o work will be don : �Ii�'J d `e.
�v ;oosed
os
House Number Street Hamlet
County Tax Map No. 1000 Section /03 Block Lot �®
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises pp intended use and occuRancy of proposed construction:
a. Existing use and occupancy A-nW
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration o/
Repair Removal Demolition Other Work be e , 'oR
(Description)
4. Estimated Cost �/ a00 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
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
Height Number of Stories V `- I:Z2),t�
Dimensions of same structure with alterations or additions: Front "" Rear,. l t.
Depth Height Number of Stories '
8. Dimensions of entire new construction: Front Rear rx,.Deptla�7 �:•r,�,
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? Y S NO
14.Names of Owner of premises : : Address Phone No.
Name of Architect_ =. 'Address Phone No
Name of ContractorZvi Rvic Address?,&,&�So , 7e 9 Phone No. 431 74.5- :5-77.1
D V o jc�
15 a. Is this property within 100 feet of•a tidal wetland or a freshwater wetland? *YES NO/—
*
O/* 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 )
�& fkbk a'2� ,being duly sworn, deposes and says that(s)he is the applicant
ame 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 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 �_G 20
Notary Publico a�ebiic,State of 64 .w o Signa re f pplicant
No.01 SU618505
Qualified In Suffolk County
Commission Expires April 14,2�
SUFFQ
Scott A. Russell 04�
rr �\7SUPERVISORIV� A 1���GIEMUENT
SOUTHOLD TOWN HALL-P-O-Box 117953095 Main Road-SOUTHOLD,NEINYORK 11971 Town of So u th o l d
CH"TER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
- -------
DOES--THIS---PROJECT—INVOF 1~0EL0W1NG: •---__-= --- ----
Yes No (CHECK ALL THAT APPLY)
® A. CIearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance. :
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area. t
❑ E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse..
F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building DepartmeuLndthyouur Building Permit Application.
APP CAN (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. a_ 1000 Date.
District
NAME ZIn Y14nd 1-2---,ZADM� �
Section Bloc of
FOR BUILDING DEPAt7TNIELNT t!S;-- ()NLY
Contact Informatiort v �C! J 77 D—
. /N-�
Reviewed By: Y�///
22 �/- - — — — — — — — — — — — — — — — —
Date_ J -)-1-" I�
Property Address / Location of Construction Work: — — — — — — — - - - - - - - - -— — — — — — — —
Approved for procersmg Building Permit.
Stormwater Management Control Plan Not Required
S1cr m.vater Manage;;e,t Cartrol P!3,- P,cqui ed
Li (Forward to Engineering Department for Review)
FORM ' SMCP- TOS MAY 2014
aF s
!o
Town Ball Annex Jxf f Telephone(6311)�)78g65.11802
54375 Main Road Ae rtei `W(6 1!7UEt 5
P.O.Box 1179 tuner riche 0 gnV us
Southold,NY 119714959
uA l,►
BUHMING DEPARTMENT
TOWN OF SOUTSOLD
APPLICATION FOR ELECTRICAL INSPECTION _
REQUESTED BY: c,_ �__a w s V-4
Date: / i 1_-)' t7 ) ( ?
CompanyName: o l �z �'c E r�►s;
Name:
License No: y
Address: P. H 7 Ti 7—roc-e 1�(�
Phone No.:. Sr(a -9 03 - rT 15'/
JOBSITE fNFORMATION: (*Indicates required information)
*Name:
*Address: y17 D M c os-e
*Cross Street:
*Phone No.: 3 --7 lD s-- 5-17 7 Z
Permit No.: y rs v -
Tax-Map District: 1000 Section: Block:— j�p Lot: _ "
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
s IVa qtr, - Q o U l'f r►- L�G (e c 2i c� S�
(Please Circle All That Apply)
*is job ready for inspection: YES KNO Rough In Final
*Do-you need a Temp Certificate: YES NO
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 - 150 200 340 350 400 Other
*New \Re-connectnderground Number of Meters(Change of Service Overhead
r0. 1 naiInformation, PAYMENT DUE WITH APPLICATION
5 � t0
2Regtrest far 1 on Form '11bA
X\
DONALD G. FEILER ARCHITECT
11725 MAIN ROAD BOX 1692 MAMUCK W 11952 631-298-5453 FAX 298-1380
January 26, 2017
Mr. Damon Rallis
Southold Town Building Department
Southold Town Hall, Main Road
Southold, New York
Re: Proposed Exterior Improvements to the Nardo Residence
470 Moose Trail, Cutchogue, New York
Dear Mr. Rallis:
In regard to the above mentioned project, existing windows are to be replaced with new
window units, which will be Energy Code compliant and will conform to the 2016 Residential
Code of New York State.
i)
° 8I
NO)
9TF 0� i�E� y0�
Dona eiler
DONALD G. FEILER - ARCHITECT
11725 Main Rd•Box 1692•Mattituck,NY 11952•631 298 5453•Fax 298 1380
P'i l L
els N u N OM1
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APR 5 2017
BUII.DINU�JTgOLD
DEM
TOWN OF S
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h�p�agyEFOJt�oGy
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Michael Nardo May 21, 2019
470 Moose Trail
Cutchogue, NY 11935
Mr. Nardo,
Before the Southold Building Depart nt can issue a certi a of occupancy for building permit#
41501,you will have to pay the a osed renewal fees for the two expired permits at 470
Moose Trail.
Thank You, Building Department p
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