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HomeMy WebLinkAbout42271-Z Town of Southold 10/31/2019 P.O.Box 1179 53095 Main Rd yyol .past` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40823 Date: 10/31/2019 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 20 Vincent St, Orient SCTM#: 473889 Sec/Block/Lot: 26.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/19/2017 pursuant to which Building Permit No. 42271 dated 12/28/2017 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: INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Shayne, Jeffrey&Karen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42271 10-25-2019 PLUMBERS CERTIFICATION DATED 10-09-2019 Joe 'tecavage th riz d ignature TOWN OF SOUTHOLD •�°; ®� BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE o • 4 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#: 42271 Date: 12/28/2017 Permission is hereby granted to: Gesell, William 11 Harrison Ave Red Bank, NJ 07701 To: construct interior interations to existing single-family dwelling as applied for with flood permit. At premises located at: 20 Vincent St, Orient SCTM # 473889 Sec/Block/Lot# 26.-1-6 Pursuant to application dated 12/19/2017 and approved by the Building Inspector. To expire on 6/29/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $214.00 CO -ALTERATION TO DWELLING $50.00 Flood Permit $100.00 Total: $364.00 (h, Bui din ector 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 Occupancy-Residential$15.00,Commercial$1yy15.00 Date. 2V17I I New Construction: Old or Pre-existing Building: (check one) Location of Property: 2® V 1/0 L£/V+ _S—+reOP-1 CA— House No. /� Street Hamlet Owner or Owners of Property: Je I� ��o Ne Suffolk County Tax Map No 1000, Section 2,- Block Lot (� Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ �© Applicant Signature Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlin cD-town.southold.nv.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Jeffrey Shayne Address: 20 Vincent St city,Orient st: NY zip: 11957 Budding Permit# 42271 Section- 26 Block 1 Lot 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor- DBA: New Power Electrical License No: 4702-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 1 Ceding Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Bath Exhaust Fan 1 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4 Twist Lock Exit Fixtures 11 Combo SD/CO Other Equipment Notes Powder Room and Closet Inspector Signature: Date: October 25, 2019 S Devlin-Cert Electrical Compliance Form As 0 so Town Hall Annex 54375 Main Road Telephone(631)765-iJ802 P.O.Box 1179 Fax(631)765-9502 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Frr- F OCT 2 3 2019 CERTIFICATION T-0 WN 10"IF SO UV191�1 ID Date- Building Permit No. Owner: F (Please print) Plumber: oe- (Please prinf)— lead. I certify that the solder used in the water supply system contains less than 2/10 of I% (Plumb �ignat�ure) Sworn to before me this day of 20 44"$ Notary Public, --t—/A�—County It W2 fa- ow Ik r 41 NN C9 ON 31) Of SOUTyOlo f # TOWN OF SOUTHOLD BUILDING DEPT. courm,N�'' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING-/-STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: v 0 t FAAl DATE y3 INSPECTOR AMVri— IMAWTV13 �O�aOE SOUIyo� LA # TOWN OF SOUTHOLD BUILDING DEPT. `yColl 765-1502 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)�T����� [ ] CODE VIOLATION ] CAULKING REMARKS: ` All, 0 Is 1�' DATE INSPECTOR a0E so # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECT ON [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION -[ FRAG//STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY_ [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: Vvv� 1 M ' i MA � � . cub DATE 0 �1 INSPECTOR16 Al 1.1 lz FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) ------------------------------------ FOUNDATION (2ND) p � VIM1� O o v1 p G ROUGH FRAMING& PLUMBING y • rn� � V ' INSULATION PER N. Y. y STATE ENERGY CODE 'y Wh ✓`. byl FINAL ADDITIONAL COMMENTS I- 1p-lB 364-00 a--\�- O :5 � zOb m °z d b 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 I 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 I Survey Southold town ny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Ll I t Truss Identification Form i Storm-Water Assessment Form J� Contact: Approved � 'p ,20 / / Mail to: Disapproved a/c TT�� Phone y Expiration ,20D11 ; it ' ns ctor v APPLICATION FOR BUILDING PERMIT D DEC 1 2017 Date 12-1 °l� , 20_L?_ INSTRUCTIONS s�,�! T%JDn MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 t lan 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. I 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 shal I 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 am6ndments 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. I 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 agreesjto 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. i (Signature of applicant or name,if a corporation) C^ (Mailing address of applicant) State whether applicant i owne essee, 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 (Name and title of corporate officer) i 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: �£ S;�. C) �— House Number Street Hamlet / f County Tax Map No. 1000 Section b Block I Lot i 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 I P ,,( M b. Intended use and occupancy LIP'An I Y�' 3. Nature of work (check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work As h I& �SE� (Description) 4. Estimated Cost ��'0'0 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor--j- If loorJIf 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 510 Depth Height Z 3 ' Number of Stories '2- Dimensions Dimensions of same structure with alterations or additions: Front Rears�"'� Depth M Height C Number of Stories AM 8. Dimensions of entire new construction: Front Rear Height !AM Number of Stories S'/AmV _r ` v 0Depth3 f 9. Size of lot: Front � Rear ^ 10. Date of Purchase Name of Former OwnerP'le,t� 11. Zone or use district in which premises are situated �t-S '` - ` " 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO J 13. Will lot be re-graded? YES NO`) Will excess fill be removed from premises? YES NO 14. Names of Owner of premises J��In S y^e Address 2-9 y17 `'� S� Phone No. TV- Z 41 _ 92 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 J * 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 J * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFI,K), 0Ly-fy""/ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the ( ontractor, 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 wiI I be performed in the manner set forth in the application filed therewith. Sworn to before meth' J �t� day of r 20/ CEY L. DWYER Notary Pub NOTARY PUBLIC,STATE OF NE Signature of Applicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY,,, COMMISSION EXPIRES.JUNE 30,2 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: November 6, 2017 TO: Jeff Shayne 20 Vincent Street Orient, NY 11957 Please take notice that your application dated October 20, 2017 For permit to make additions and alterations to an existing single family dwelling at Location of property: 20 Vincent Street, Orient, NY County Tax Map No. 1000 - Section 26 Block 1 Lot 6 Is returned herewith and disapproved on the following grounds: The proposed construction is not permitted pursuant to Section 170 of the Southold Town Code. The proposed construction is subject to Historic Preservation Commission approval. -- ------ -, --- -------- /i rized S\ ture Cc: File, HPC Tr1WAl ni: -Qni iTt4ni it 14ICTr1R1r PRESERVATION APPLICATION J eefings are onthe thin-Tues ay of he month t-3:00"pm-�n Town Mili;53x95 Main Road, Southold, NY. All applications must have a representative at the hearing in order to be re- viewed. Questions? Call Historic Preservation Commission (631) 765-1800. Date: 3 2018 ' Property Address: 2-jo V/iv6Cfi - 1' 1 0P.- CA, . Owners Name: Sections of local taws authorizing review by the Historic Preservation Commis- sion of proposed work on designated town landmark,properties are in Chapter 56 of the Southold Town Code. Categories of Proposed Work ❑ Repair 0 Storm Windows & Doors 'Alteration ❑ Additions & other ❑ Painting new construction ❑ Roofing ❑ Signs Please attach a detailed description of the proposed work to the application. At the earliest stage of planning of the proposed work, the applicant should contact the.Chairman-or Secretary of the Commission in order to establish a dialogue of the proposed work. I understand and agree that no work on this request shall commence until written approval has been given by the Building Inspector if a Building Permit is required. Owner's Signature: Note: Applicants Si lould review Commission� Stai idards before planning g work to insure that the application conforms to these requirements. 1. APPLICANT aN me.- jcr-r— Address: 2, (/ � 0{� 0 �� G�� -I— Sir /�� Telephone/email/fax: ec// I, 8 Z? - 2. PROPERTY Owner's Name: J Address: 2P VW66-o 4 Rree-'f— 0)�L l 01 -f Telephone/e-mail/fax: Tax Map Number: Date Acquired by Current Owner. 0 L a Status: Local Landmark ( ) In Local Landmark District ( ) On National Historic Register or in NHR Dist.,} Use: Current: Proposed: ` l •�i+ `( 3. PROPOSED WORK Scope of Work: Reason for Work: Architect/Engineer S�yt ,►slq Contractor: ��er Construction Schedule: DEPARTMENT- Electrical Inspector y1FF O D BUILDING TOWN OF SOUTHOLD = JAN 2 3 2019 Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New Y-ork 11971-0959 G p 'J-0ephone (631) 765-1802 - FAX (631) 765-9502 SO roger.riche rt(cr�town.southold.ny.us 'T0 APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: r- Date: l 2-3 / Company Name: ��— Name: ff License No.: email: Address: c Phone No.: 7 JOB SITE INFORMATION: (All Information Required Name: Address: Cross Street: Phone No.: • B1dg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF;DESCRIPTION OF WORK (Please Print Clearly) 01E Circle All That Apply: Is job ready for inspection?: ' S NO ough I Final Do you need a Temp Certificate?: YES /�p 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 o cA X�x 82-Request for Inspection FormAs ` j J� �„C kN FENCE / 34.88' t I WIRE MON ------._.,nrr: FENCE I STOCKADE FENCE 0.Q3",, 26,J CONC w riWA6,0 hS5tr 2 STOR.Y FR A I✓._ I'S40 NY OF ITI rr:,1 :.s 44 T Y 7 P E C N Q s',t e.ow ,E NT h r 0 UTH OL D G.CS kFTEP, $ARIA'29H ;� .. . . t C 0 Vr R � ' FE AUNTY N.Y. ;0r OG'►''y' E.00� I N aFw )1-06 ,Ot 17 N• g A r?EA 13,141 Sq ft a, 1 rr i is r �i L.SM •r•... I aetordpqp-•;wit6.the minimOm 5C •or NIIl wneyi•as etla611,hod bt Z.. --opprov*d and adopts r Ij.,+^,�l by The Now York State lane Mian. M IcJ t, o Z FE c 6 N c, ..✓ iRREGU:t+e„ M•�0 N=f .t �/: N.Y.S. LIC. NO. 4 9618 p /� �j .,t,���.?S Q ENGINEERS P.C. n�c•�^='„ (516) 765- 5020 o Imp (5/6) R 0. BOX 909 54655 MAIN ROAD vZ SOUTHOLD, N.Y 11971 67-197 l� 4A j l - -- i� , 1 C"G:er� Zx GE�IPr �Alo i ` 3�1 F 2� veo 1 . r tZ rZ- APPROYED AS NO ED FcrwC : C f DATE: /l� B.P.# Ii 7/ FEE:—ZL BY: NOTIFY BUILDING DEPART AT . �C ^ 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE, 2. ROUGH -FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE ...,SDE 7 OF NEW E . NOT RESPOr 8L FOR 'SI F DESIGN OR CONSTRUCTION ERRORS. . ... COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE AS REQUIRED AND ,N COD,ITIONS O CL ; 6 ,6 � Ivwv inu�iEES Y , a OCCUPANCY OR Vol-/ USE IS UNLAWF'`1 WITHOUT CERTIF►CA7 . OF OCCUPANCY LE3 -r 1,711-; "�' fal" P r":� f:�T�171"14 PLUMBER CER t;'Yr I - �: � ON LEAD CONTEh'i e .4 ;, F .� T r $ C CERTIFICATE OF Ot L:U�= • SOLDER USED W V:A Tc_;3 _. .. �. SUPPLY SYSTEM CA"&OT EXCEED 2/10OF 1°a LEAD. up ALL FLL!�.�DI;� WAST E _....-— &WATER LINES NEED TESTING Or;'�Cv�,; TESTI RG STO�"`1 "�P,TER RUNr� �',..�_r��m (� ,� -f- �... LTA I Y 111 ...�•.,t;�a, k-4 r ice,, ni.r: PURSUANT TO CI-IAf'.TR � ;.^+w OF THE TOVfll CODE. - ,. 41 i tA 00 100 116 Ii 1 52 O � p Cp(Vt^P F)p5c �- 5/A- k1k (' S Np p ��P�► T i { 31� CY woo n � I ot —70 itH . 5 2,4 �. � r /T* 0 _ Css F- 't , y � Q 3