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HomeMy WebLinkAbout42961-Z ��SUFFO �y cQ Town of Southold 10/16/2019 0 P.O.Box 1179 o ` 53095 Main Rd y.1j�l �ad� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40768 Date: 10/16/2019 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1570 Jacobs Ln., Southold SCTM#: 473889 Sec/Block/Lot: 79.-7-31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/20/2018 pursuant to which Building Permit No. 42961 dated 8/21/2018 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: SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Viets,Richard&Rosemary of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42961 08-27-2018 PLUMBERS CERTIFICATION DATED JAo e Si ature SAS �c TOWN OF SOUTHOLD ��o pGy BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy • . SOUTHOLD, NY ,dao 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#: 42961 Date: 8/21/2018 Permission is hereby granted to: Viets, Richard 2160 Poe Ave East Meadow, NY 11554 To: Construct rear screened porch addition to existing single-family dwelling as applied for. Replaces BP# 40597 At premises located at: 1570 Jacobs Ln., Southold SCTM # 473889 Sec/Block/Lot# 79.-7-31 Pursuant to application dated 8/20/2018 and approved by the Building Inspector. To expire on 2/20/2020. Fees: PERMIT RENEWAL $172.00 Total: $172.00 Buil pector �guFFnt,r�o TOWN OF SOUTHOLD �, BUILDING DEPARTMENT y' x TOWN CLERK'S OFFICE oy o SOUTHOLD, NY dol � dao 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#: 40597 Date: 4/7/2016 Permission is hereby granted to: Viets, Richard 2160 Poe Ave East Meadow, NY 11554 To: construct rear screened porch addition to existing single-family dwelling as applied for. At premises located at: 1570 Jacobs Ln., Southold SCTM # 473889 Sec/Block/Lot# 79.-7-31 Pursuant to application dated 3/30/2016 and approved by the Building Inspector. To expire on 10/7/2017. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $344.00 CO -ADDITION TO DWELLING $50.00 Total: $394.00 B in ector Form No.6 'roNvN 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. C6py 6f C6rtificate-of Ocdupancy-T. 5 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. .) — O — [a New Construction: Old or Pre-existing Building: (check one) Location of Property: l j ? CD ��r,Ci.S' La�Ae_=�, 4:q a--V,6 6),-& PA, House No. Street Hamlet Owner or Owners of Property: k C` \P_0 `� S R " a—Q-17:f. Suffolk County Tax Map No 1000, Section _79 Block / Lot 31 X Subdivision Filed Map. Lot: Permit No. 14 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: I Request for: Temporary Certificate Final Certificate: (check one) �V pJ Fee Submitted: $ J Applicant Signature pF SOU��®! Town Hall Annex Telephone(631)765-1802 54375 Main Road CA Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 ® s �® roger.richert(c-town.southold.ny.us cou9� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Viets Address: 1570 Jacobs Ln City: Southold St: New York Zip: 11971 Budding Permit* 42961 Section. 79 Block. 7 Lot 31 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Anything Electric License No: 5220-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 INVENTORY Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 2 Twist Lock 11 Exit Fixtures TVSS Other Equipment. "SUN ROOM" Notes 1-paddle fan Inspector Signature: Date: August 27 2018 81-Cert Electrical Compliance Form.xls i 7rAf SOUIyo � o cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FO NDATION 1 ST [ ] ROUGH PLUMBING [ ] UNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: Vmaf o..._C � S � DATE INSPECTOR q SOUI'yo� # # TOWN OF SOUTHOLD BUILDING DEPT. `,Ourm ' 765-180 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. / l [ ] FOUNDATION 2ND [ ] INSULATION 1 [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE !VIOLATION [ ] CAULKING REMARKS: DATE �� INSPECTORV( z - -Lt" Ito\ OF SO # TOWN OF SOUTHOLD BUILDING DEPT. cvurm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULAT ON [ ] FRAMING /STRAPPING [FINAL J� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ny Ajxl,+d ©y/ GPMwas. . �Ntmi 4 VIr DATE INSPECTOR Q%q;4A--) OF SOOT # # TOWN OF SOUTHOLD BUILDING DEPT. `yi'oum, 765.1602 INSPECTION [%4/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: PN 0 5-�, (� wA vn,m DATE INSPECTO p ■ .• ■ r 1 I� a so tj v. f. t • ,� _ it=,''c R •• • . . , . 1�1r' ri'gi f �r VIM i Ali - n 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 �'� �- 1 �Q 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTowri.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application ® Flood Permit Examined Ll 20 Single& Separate Storm-Water Assessment Form 0 3 0 NO Contact: Approved '20A aU�.b��flip Disapproved a/c 'TOWN OFSOUTHOLD Phone:,5-/,4• Expiration ,20_ =FBUILDING APPLICATI PERMIT Date , 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 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (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 �� FDS Q V S (As on:the to ll 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: I 5-7D Maccb�, La=,.:,, ­-, '.­� I" ,- I, " a , House Number Street Hamlet 1 County Tax Map No. 1000 Section t7 .i . " ' ' 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 tm i Ll Qe, \ f)a b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition �Alt ration Repair Removal Demolition Other Work Awft � � � (Description) 4. Estimated Cost e be paid on filing this application) 5. If dwelling, number of dwelling units berofd llin its on each floor If garage, number of cars V " � 6. If business, commercial or mixed occupancy, s eo e`• of each type of use. IS-Mae Wo Was 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 anyzoninglaw, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO 1/ Will excess fill be removed from premises? YES NO V 14. Names of Owner of premises \ Address Phone'Igo' 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 BQUIRED. 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 N0--Vl * IF YES, PROVIDE A COPY. ' STATE OF NEW YORK) S: COUNTY OFS"O� och a4d being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 6—wnk,g (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 day of IcC,h 20 � YRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORIf � NO.01 DW6306900 Notary Publi QUALIFIED I F nature of Applicant COMMISSION EXPIRES JUNE 30,2 , Q�SuI> ST�O IR IM[WA\T]EIK Scott A. Russell SUPERVISOR 0 I\4[A\�A\�G�]EI�� UEN T SOUTHOLD TOWN HALL-P.O.Box 1179 p 53095 Main Road-SOUTHOLD,NEW YORK 11971 4 ��- Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE E lFO LLOWING: YeA No (CHECK ALL THAT APPLY) ❑h A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑KI B. Excavation or f illing 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. ❑ E. Site preparation within the one-hundred-year floodplain as depicted -on-FIR1M-VIap-of any water-eau-r-sE. - - - - ❑ 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 Department with your Building Permit Application. APPLICANT_ (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date Dutnct t�l NAME r� 7q sG A � Section Block Lot FOR BUILDING DEPAR'i-N-4ENT UK- O.NL Contact Information -rary,i�=uonn.t Reviewed By A& DWAA - - - - - - - - - - - - - - - - - - Date- 30 —AV Property Address / Location of Construction Work It] — — — — — — ,— — — — — — — — — Approved for processing Building Permit Stormwater Management Control Plan Not Required — — — — — — — — — — — — — — — El Stormwater Management Control Plan in Required. (Forward to Engineering Department for Review) FORM 11 SMCP-TOS MAY 2014 --- .-- . . IF ,/ L 50[/p�oro Town Hall Anises 54375 Mani Road [� I'.c.>.lk+a I171J G � r e ncrl r t %a+thuld,NY 11971-(µJ$9 MAY 1 2016 BUILDING DEPARTMENT BUII,DING D TOWN OF SOUTHOLD EPS TO APPLICATION FOR ELECTRICAL INSPECTIOONWNOFSOUTgpw REQUESTED BY: /g S Date: Company Name: f ' .` /r�,t=�^, � Name: G _ License No.: S' L- L 0 I= Address: - Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: 1j; f- f *Address: /S'70 .!� c U b S G �j^'-�- v .�IVO/,:� fA'y *Cross Street: *Phone No.: Permit No.. _ c � Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (/U /r'`� /tf-e �1 S�/� 0 6 h, (Please Circle All That Apply) *Is job ready for inspection: ES NO ough In Final "Do you need a Temp Certificate: YES/ NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhe d Additional Information: PAYMENT DUE WITH APPLICATION 06 Af 14 ef S C y �G lc r �Ssqb-a— � 9Z-Request for Inspecuon Form -POU V53 6r for S-1 at f de- o 14.E LOT AREA:40,000 SQ.FT. 0.918 ACRE EA�MENT SN onmoF"`E CERTIFIED TO:ROSEMARY VIETS SiRUCTURESRECOROEDOR WIWRECORDEDARENOTCU TAAT EED ES9PNYSICAfLrEYIDENT ,HE nMEOFSURVEY RICHARD VIETS ' THE OTPSET m DINENS�ONs)SNOWN HEAEON FROM THESntUCTURES roTHE P RATYHNESAREFORASPECIRC PURPOSEAND USE AND n1EREFORE AREWTINTENOED TO GUIDE THE ERECTION OFFENCES RETAINING WAUS•PO=PAU"AANDNG SANITARYTRIANGULATION DIMENSIONS ANDANYOnfER CONSTRLCTION AREA$ADWnONSroabwnm JOB NO.:2012-211 WUT AUWE ALTERAnONORADDInON MAP NO.:5599 S. CPI CP2 ro MS SURVEYIS A WO"ON Of SECTION T1DD OFTHE NEW YDiLY STATE CORNER A 45' , 58' 46' m°`"n°""W FILED:JUNE 4, 1971 I-AND S THELANDSURYEf9 NOED NGEAL NG CORNER 8 26' r 33' 40' �WSSED EAI.SNAIINOTBECWS0ERE0 �O TDWAYAUDNUXCOPY REVISIONS: 5 ON URL tae CERnR1--vy- WT NS/NDIWT®HERDNSHAfLRW PREP, FOR HEALTH PERMIT 12/101. �N 4<O�F p N(S) REV. TO 5 BEDROOM SYSTEM 2/0 f, GO"VQiNM Al AEii'rANDUnONLSFOUNDATIONL0CATION 7/16/1353RCASG/NSn- OWNERS.ONALINSDMIONS OR SUSSEOUENf Jv-. w/ FINAL SURVEY 11/4/13 {', �5 D A llTo OR 0503ZOFNE Q� GOO A\ • v X1,0 �o`°�o�� �RGN� `L�� �000 �}N OT�i LICENSE NO.:050363 �pJr uo \N}F HANDS ON SURVEYING 26 SILVER BROOK DRIVE N FLANDERS, NEW YORK w E N rOr Popo ti� � �ry � 11901 TEL:(631)-369-8312-FAX(631)-369-8313 MARTIN D. HAND L.S -01 ��N \ Oy S - OO(,N /OO AO � �� O' j �ryv� l p�2� sr0000 / cb S RVEY OF �P LOT 22 RFeq MAP OF 0 ,0$rlR �F LEEWARD ACRES AT BAYVIEW FGA SITUATE AT �� .q� BA YVIEW , A O TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK v O� S.C.T.M. DIST. 1000 SEC. 79 BLK 07 LOT 31 /v F 20 10 0 20 40 60 80 100 120 140 160 180 _SCALE.• 1"=40' DATE.'OCTOBER 8, 2012 .,I a, Andersen. Q Q 71. 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FINAL-LA CONSTRUCTION R ELECTRICA_ • �;-�i-•';*:"�:j<�, , h BT BE COMPLETE FOtiCO — -- BALL CONSTRUCTION SHALL MGCT THE 1 6 REQUIREMENTS OF THE CQpf7� FOR NEW�— - YORK STATE,NOT RESPN;i8l8 Ft+R L Jf-,�' DESIGN OR CONSTRUCTION ERRORS, ELECTRICAL `k----- ------- ---c -- - -- -— - -- �- - -• — _ I— -- — INSPECTION Ptl=QtllEl3 ----=—I� OCCUPANCY OR i -71 ',' I _ -- — ( :,� USE IS UNLAWFUL I � �I; "i sO?JT CERTIFICATE -- I— ``` zr, — ' `� OIFOCCUPANCY BOBi Z — N I / ( FRAMING UNTIIL S{URVI EY i OF FOUNDATION LOCATION I� a i / (\, HAS 6_cN APPROVED.C " i <� PLUMBER CERTIFICATION '40Y: tcy _ON LE/{D COIUENT BEFORE RTIFICATEOFOECUPANCY ! Zx� f{•: `�� 1'r� F 1 O:'4/ y 7-11, - $c 1�'iI _ � SOLDER.USED IN WATER �I iLLL SU PL YSM'CANNOT EXCE 2,Mb1%LEAD. +, � I �.��J x I 3.2.E v•c :• •� _. . .,, J ---r7- = AL1:PLIJMINd WASTE , I nng,yj so am; An T. 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