HomeMy WebLinkAbout43870-Z ���gUfFQt c Town of Southold 9/12/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40691 Date: 9/12/2019
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 795 Monsell Ln., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 138.4-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated -
6/7/2019 pursuant to which Building Permit No. 43870 dated 6/14/2019
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 one family dwelling(partially finished basement)as applied for.
The certificate is issued to Stewart,Pearl
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43870 8/1/2019
PLUMBERS CERTIFICATION DATED 17 A
ut oriz ignature
i
I
TOWN OF SOUTHOLD
°may BUILDING DEPARTMENT
c TOWN CLERK'S OFFICE
CA
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#: 43870 Date:- 6/14/2019
Permission is hereby granted to:
Stewart, Pearl
PO BOX 594
Peconic, NY 11958
To: legalize "as built" alterations to an existing single family dwelling (finished basement)
as applied for.
At premises located at:
795 Monsell Ln., Cutchoguw
SCTM #473889
Sec/Block/Lot# 138.-1-5
Pursuant to application dated 6/7/2019 and approved by the Building Inspector.
To expire on 12/13/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $600.00
CO -ALTE ON T WELLING $50.00
Total: $650.00
Buildin Inspector
OF SOUI�oI
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G roger.richert(c-town.Southold.ny.us
Southold,NY 11971-0959
olyC®UNTI,��'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Stewart
Address: 795 Monsell Ln City: Cutchogue St: New York Zip: 11935
Building Permit#. 43870 Section. 138 Block- 1 Lot 5
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 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceding Fixtures 2 HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment "AS BUILT" "ELECTRICAL SURVEY' "NO VISUAL DEFECTS"
Notes
Inspector Signature: zsa�' Date: August 1 2019
81-Cert Electrical Compliance Form.xls
pF SOU
--1��olv
I # TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ VNSULATION
[ ] FRAMING /STRAPPING kA FINAL �A✓� !l �/f `�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION'
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE if INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
....................................
'FOUNDATION (2ND.)
Z
O
ROUGH FRAMING&
PLUMBING y
6
CA
INSULATION PER N. Y. y
STATE ENERGY CODE
dl u
L0000l
.01
FINAL
ADDITIONAL COMMEN
, -
y
. z
z
d
ti
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 "'N 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
Flood Permit
Examined '20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Cr
_-Contact:
Approved 20 o
to� � i
gewerv
Disapproved a/c
Ph �• D �7���iJ 1� `���`/
Expiration ,20
a ; � 7rn � gInspe
l s
`1A PLICATION FOR BUILNG P
DIERMI _-
`.� JUN 1,'7 209 -.�
Date , 20
_ INSTRUCTIONS
a.'1`ht-413DIi �iE —TgW-b�ompletely 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,housing code,and regula&, ndao admit
authorized inspectors on premises and in building for necessary inspections.
N_
( i ature of applic' nt r name,if a corporation)
79 S" �dy_re l/ L/I , 61 -�_17QI6t e 7J'-r_
(Mailing address of app icant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises LD 4 az e
(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:
7 �1'S" Lqn t 4 r , /i/`/
House Number Street Hamlet
:55County Tax Map No. 1000 Section '.Block , Lot
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
(Dntended use and occupancy XI /2-rr I e'4 ff _-><,�w L ti rd baste &?,? gn fi
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
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 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 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 OFS"
'Id 4--/er�� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the Oki/ C*(/
(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 this
-tom day of 2019 1 �
Notary Public EY L. DWYE Si natur f Applicant
NOTARY PUBLIC,STATE OF NEW YORK g pp
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2Q2�1
yafotA- BUILDING DEPARTMENT- Electrical Inspector
0�9 Q TOWN OF SOUTHOLD
x Town Hall Annex - 54375 Main Road - PO Box 117
Southold, New York 11971-0959
� � , �ao� Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richert@town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
_ Date: �-z �
REQUESTED BY:
Company Name:
Name: � J1
email: d vi 1 ,4 s-+e-w a r-f[v v►1 Ct c e b"
License No.:
Address: 7 7S /Ploy elf Lh ' C 'ch o r li q3s—
Phone No.: 'f G - 2 5- 6 ^ 8 a 9
JOB SITE INFORMATION: (All Information Required)
Name:
Address: S /vlvKSel( LkICc. actio ti iV /rR33'
Cross Street: SIC yin
Phone No.: 6 - 2 6 -S8 0 9 •
email:
Bidg.Permit P. Block: Lot: Jr
Tax Map District: 1000 Section:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
r _r ,
Circle All That Apply= NO Rough In Final
Is job ready for-Inspection?'
Do you need a Temp Certificate?: YES ! NO Issued On
T
emp Information: {All information required)
vice Size
1Ph 3Ph Size: A # Mefers. Old Meter#
ew Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead
2 H Frame Pole Work done on Service? Y N
# Underground Laterals 1
Additional information:
PAYMENT DUE WITH APPLICATION
�- 00
82-Request for Inspection Form As
Town Hall Annex Telephone(631)765-1802
5437.5 Main Road y Fax(631)765-9502
P.O.Box 1179 G • Q
Southold,NY 11971-0959 'Q
lyc®UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 19, 2019
Pearl Stewart
PO Box 594
Peconic NY 11956
Re: 795 Monsell Lane, Cutchogue
TO WHOM IT MAY CONCERN:
The Foil wing Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Electrical Underwriters Certificate
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 411/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT —43870 - Alterations
CREScheck Software Version 4.6.5
�J( Compliance Certificate
Project Stewart Muller Residence
Energy Code: 2009 1ECC
Location: Cutchogue, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 4 (5572 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
795 Monsell Lane Donald Stewart David Prendergast
Cutchogue,NY 11935 795 Monsell Lane Prendergast Laurel Architects
Cutchogue,NY 11935 New York, NY 10013
646-831-4333
dprendergast@prendergast-
laurel.com
IN-
Compfiance: 0.0%Better Than Code Maximum UA: O Your UA: 0
The%Better or Worse Than Code Index reflects how dose to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area
Assembly OT I Cavity Cont. U-Factor UA
Perimeter
Wall 1:Masonry Block with Empty Cells:lnterior Insulation ___
Exemption:Framing cavity filled with insulation
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in
REScheck Version 4.6.5 and to comply with the mandatory requir ents listed in the REScheck Inspection,Checklist
IOw J5,J- QST MC& &1T
Name-Title Si nature Date
Project Title: Stewart Muller Residence Report date: 06/02/19
Data filename: Untitled.rck Page 1 of 6
35'-2'
23'-0' 11'-10" �("''�
A ' V a Feo�
DAT
By.. _
FEE: m
ELECTRICAL NOTI► ILDING 'iJ Pr�[;7MENT AT 17t5lVonsell lane dao
PANEL OIL TANK 765.1802 8 AM TO 4 PPj4 FOR THE
BOILER FOLLOWING INSPECTIONS:
1. FOUNDATION - VIVO REQUIRED
nd'ti
OPERABLEFOR POURED CONCRETE
WINDOW 2. ROUGH - FRAlmnNG & PLUMBING "
3. INSULATION
UNFINISHED BASEMENT FINISHED BASEMENT 4. FINAL - CONSTRUCTION MUST `
G
,•, NyeoodAd }
BE COMPLETE FOR C.O. f :u
MR Neck Rd$.=_ .`�. _
ALL CONSTRUCTION SHALL ��E THE `.'�. Pinewood�
REQUIREMENTS OF THE CODES
SLOE FOR
AREA MAP
875 SF TF7CHIMNEY .25(1EF YORJQif. �:
N DESIGN OR CONSTRUCTION ERRORS.
DOORTO 1. THIS DRAWING IS FILED TO SHOW AREA OF FINISHED
OUTSIDE
a CONDITIONED SPACE IN THE BASEMENT OF 795 MONSELL
cLosEr ef)
� LANE IN CUTCHOGUE NY.
cLosET 2. ALL CEILINGS ARE A MINIMUM OF 7'-0' HIGH
0
M g 3. ALL WALLS ENCLOSING THE CONDITIONED SPACE ARE
TOWN WATER INSULATED AS PER NY STATE ENERGY CODE.
4. CONSTRUCTION OF EXTERIOR WALLS OF CONDITIONED SPAC
CONSIST OF CONCRETE BLOCK WITH FURRED INTERIOR
10'-3" DRYWALL FINISH, WITH BATT INSULATION BETWEEN STUDS.
5. ENERGY EVALUATION AND NYS ENERGY CODE COMPLIANCE
CONDITIONED SPACE: REFER TO ATTACHED RESCHECK
® a REPORT.
flA �ED �� ° Bae ,, �Mp1-Y�0�� A&TovL C CO®®F
PREAtflFP rF�� G� YORE STATE
REpvIRE® ,�H®LD10
* SO WD
UNFINISHED BASEMENT ;I 2 0 TEES
1 S
DAVID `@ ti A I.A. 3 JUNE 2019
• `NATO DOORS ;�
To 0 ID
STEWART/ MULLER RESIDENCE
795 MONSELL LANE CUTCHOGUE, NY 11935
BASEMENT PLAN ;� PRENDERGAST LAUREL ARCHITECTS
143 DUANE STREET NEW YORK NY 10013Aml
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