HomeMy WebLinkAbout43518-Z �o�OSU�F t10 , Town of Southold
11/13/2019
a P.O.Box 1179
0
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40850 Date: 11/13/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 15 Third Ave., Peconic
SCTM#: 473889 Sec/Block/Lot: 67.-6-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/20/2019 pursuant to which Building Permit No. 43518 dated 3/4/2019
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:
ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Shahade,Mitchell
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43518 10-29-2019
PLUMBERS CERTIFICATION DATED 08-23-2019 J h Tuomey
ut o ' e Si ature
�g�FFotK TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 43518 Date: 3/4/2019
Permission is hereby granted to:
Shahade, Mitchell
PO BOX 272
Peconic, NY 11958
To: make alterations to an existing single family dwelling as applied for.
At premises located at:
15 Third Ave., Peconic
SCTM # 473889
Sec/Block/Lot# 67.-6-1
Pursuant to application dated 2/20/2019 and approved by the Building Inspector.
To expire on 9/2/2020.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $234.00
CO -ALT WEL $50.00
otal: $284.00
Buildin6 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 Occupancy-Residential$15.00, Commercial$15.00
A
(
Date. I
New Construction: Old or Pre-existing Building: t/ (check one)
Location of Property: )C5 G O WILV=53 1 eLy p wm"L C '
House N�o.pGStre�etp Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section WBlock (a 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: $ l1
Applicant 71atu're
oF soUr�®�
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G sean.devlinCaD-town.southold.n us
Southold,NY 11971-0959 mac` yO Y'
Comm
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Mitchell Shahade
Address: 15 Third Ave city Peconic st: NY zip: 11958
Budding Permit* 43518 Section 67 Block 6 Lot. 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA- C-Cat Electric License No. 953-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 3 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors 1
Main Panel A/C Condenser Single Recpt Recessed Fixtures 7 CO Detectors
Sub Panel A/C Blower Range Recpt Bath Exhaust Fan 1 Pumps
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect Switches 9 Twist Lock Exit Fixtures Combo SD/CO
Other Equipment:
Notes Second Floor Bath and Bedroom
Inspector Signature: Date: October 29, 2019
S Devlin-Cert Electrical Compliance Form.xls
e
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G.
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SEP - 4 2019r
CERTIFICATION-
Date:
Building Permit No. � a
1 (Please print)
Plumber: o S e .!n -- 0-0 0-14e.
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of I%
lead.
(Plumbers Signature)
Sworn to before me this
day of AI- , 20
NotaryPublic,_ S LEounty
MEIANIE V BROWN
Notary Public,State of New York
No.01 BR4908712
Qualified in Suffolk County
Cnmission Expires October 19, �
q 50UlyOlo
* TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPECTION '
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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:
DATE 1� Z INSPECTOR
ho�aOE SOUTyO6
* TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPEC ION
[ ] FOUNDATION 1ST [ ROUGH PLEIG.
[ ] UNDATION 2ND [ ] INSULATION
[ FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
MARKS:
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(a)
DATE 4/1011441 INSPECTOR
50UTy
} TOWN OF SOUTHOLD BUILDING DEPT.
`ycourmN�' 765-1802
INSPECTION '
[ ] FOUNDATION 1ST [ t4/Rj GH PLBG. oTet-A
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] E CTRICAL (FINAL)
[ ] CODE VIOLATION [ CAULKING
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DATE 3 INSPECTOR
�O��OF SOUIyO�
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION —
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: 6)
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DATE 8 INSPECTOR
• •
1---------------
'FOUNDATION 1
•CII l5/��� � , •
ROUGH
PLUMBING
INSULATION
• . 1
ADDMOOMMENTS _
I •
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.govPERMIT NO. Check
Septic Form
N.Y.S.D.E.C.-
Trustees
C.O.Application
® �C`" =� Flood Permit
Examined ,20' DD Single&Separate
FEB 0 2019 Truss Identification Form
Storm-Water Assessment Form
I —7U•LLDYQG-ula-P`e� Contact:
Approved iii 20 X10 OLDMail'to:
Disapproved a/c
Phone:
Expiration 20
Ins ector
g p
APPLICATION FOR BUILMG PERMIT
. Date_- YL I �� I �� , 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 throughoufthe 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
additions ix months. Thereafter, anew,permit shall be required. .
APPLICATION IS HEREBY•MADE to the,Buil*g,D.epartmentfor 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.
(Sig naturk of applicant or name,if a corporation)FES
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
A06&t
Name of owner of premises /��.L ��/} ,�}j E.
(As on the tax poll,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. T V
Electricians License No.
Other Trade's License No. -
1. Location of land on which proposel work1 e d e:
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot
v uvea.auav ——�--—•�2" — —
I
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy �lllJ LE /� E`<JCE I C"E
b. Intended use and occupancy 54HE
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
r– ,r, _• , ; _tl �( (Description)
4. Estimated Cost 51 CTOO � ; j e � '4' `Fl ee
I s ';(To be paid on filing this application)
5. If dwelling, number of dwelling units ;" " Number of dwellin&riits on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nat&&,and-extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear L50 Depth 00L.
Height .,Number of Stories ��-
Dimensions of same structure with alterations gr additions: Front Rear
Depth Height 2, r Number of Stories
8. Dimensions of enti mew co struction: Front Rear Depth
Height . � Number of 5fories'
9. Size of lot: Front 'L—Depth O
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 remises k WIV L�� Address 15D f�(1 Phone No.
Name of-Architect LM T WEE 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—Y
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
S:
CO T OF v�
l
being duly sworn, deposes and says that(s)he is the applicant
(Name of i d' idual signing contract)above named,
(S)He is the 7b-aL�)�
(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
oZ O-h day of 20"� f, EY t^. pWR
NOTARY PUBLIC,STATE OF NEW Y
n
NO.01 DW6306900 4
Notary Public U QUALIFIED IN SUFFOLK COUNTY S' ature of Applicant
COMMISSION EXPIRES JUNE 30,2Q Q
Electrical Inspector
- ector
�` L ING DEPARTMENT
TOWN OF SOUTHOLD
wn all Annex - 54375 Main Road - PO Box 1179
� - APR 1 9 219
Southold, New York 11971-0959
,;T,,elephone (631) 765-1802 - FAX (631) 76 0
TO71 JILIWN
WNNO-FSOUTiIOLD roger.richertptown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION,
REQUESTED BY: �,"�'` Date:
Company Name: - r�C
Name: Ckr;5 � ate • � �d CGes�►�e
License No.: email: (,.)a( d r -7� -)
Address: �v v� ��3 ��s� std" Aly j CSC
Phone No.:
JOB SITE INFORMATION: (AI( Information Required)
Name: Ak&64 -
Address: T��� e p ►� NY 11a151
Cross Street: k?0 1&v aecoa AY S8'
Phone No.:
Bldg.Permit#: �3 S 1 email:
Tax Map District: 1000 Section: Block: 0 Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly) 4OW 4
cv,•� -{%�a�;, t..J i r" i�c(�db P S of5 Co �a,-(s ve�-F-
Circle All That Apply:
Is job ready for inspection?: ES I NO ough In Final
Do you need a Temp Certificate?: YES I 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:
APPLICATION
PAYMENT- WITH
82-Request for Inspection Form As
Town Hall Annex
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. Box 1179
Southold, NY 11971-0959 - 1
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYP,'E-=CONS7RUCT10N:,PRE�-ENGINEEREO
WOOD CONSTRUCTION, IIVU70R-TIMBER-CONSTRUCTION._-
Date":.
Owner:,
Location of Property:
Please take notice that-the (check applicable line):
New commercial or residential structure
Addition to existing commercial or residential structure
Rehabilitation to an existing commercial or residential structure
to be constructed or performed at the subject property reference above willutilizef
(check applicable line):
Truss type construction (TT)
Pre-engineered wood construction (PW)
Timber construction (TC)
in the following location(s) (check applicable line):
Floor framing, including girders and beams (F)
Roof framing (R)
Floo nd roof framing (FR)
Signature:,
Name (person submitting is form): OA
Capacity(check applicable line):
_ Owner
✓ Owner representative
TrussReg15.docx Effective 1/1/2015
6" .01A ET R
Memo
REFLECTIVE WHITE
REFLECTIVE RED
PANTONE#187',
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The construction type
designation shall be
641777 6&11777 Kl,I'l777 AsIV77Or 6AV17
to indicate the construction
classification of the
structure under DESIONAOTI XN F R S'T`-,RUCTU"L
section sot of the BCI+IYs CdMPONENTS T1=1ATT A.RE DF
TRU:$:$: T'Y'PE, CONSTRUCT(O'N,
IK AT" FLOOR FRAMING, INCLUDING
Ir. GIRDERS AND BEAMS
•j. :■ ii R7!
ROOF FRAMING
. . , . ccFR" FLOOR AND ROOF FRAMING
STANDARDS AND CODES
tai S•
O SURVEY OF PROPERTY
PECONIC
`R �� ``� Z�� TOWNT OF SOUTHOLD
0SUFFOLK COUNTY, NY
r000 - 67 - os - 01
�2 a SCALE' 1" = 20'
SEPT. 9, 2003
d
o.
® \ p0 \
AREA=10,800 s¢k. p.
9
NOTE,LOT NUMBERS ARE REFERENCED \
TO 'MAP No. 2 OF PECONIC SHORES ' No
FILED IN THE SUFFOLK COUNTY CLERK'S ® o \
OFFICE ON SEPT. 15, 1930 AS MAP o E04 H I0
No. 249 NE
;y\ y` mer
?o�9d
0
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORK STAT£EDUCATION LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2.ALL
CERT/F/CATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY 1F CERTIFIED T0� t< 6� N.Y.S. LIC NO 496/8
SAID MAP A4 COPES BEAR 7HE MUPRESSEO SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON. ESTATE OF BERNARD MACKAY —
ADDITIONALLY TO COMPLY WITH SAID LAW TERM'AL TERED BY ' SUR V YOBS, PC
MUST BE USED BY ANY AND ALL SURVEYORS UTIL12ING A COPY (63/1 76$ - 5020 FAX (6311 765 - 1797
OF ANOTHER SURVEYOR'S MAP TERMS SUCH'INSPECTED -AND 6� P. 0. BOX 909
'BROUGHT- TO-DA TE'ARE NOT IN COMPLIANCE WITH THE LAW. 1230 TRAVELER STREET
SOUTHOLD, N.Y. 11971
03 - 227
CUPANCY ELECTRICAL INSPECTION REQUIRED if,
OR
ED AS N 'D
UNLAWFUL MCI NO"'r-
APPR
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to 11 14MIA, NfITHOUT CERTIFICA I I AT E
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765-1802 8 A
FOLLOWING INI SPECT ION IS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CON(CRETE
2- ROUGH FRAMING & PL
3. INSULATION
Olq 1AUST
CONSTRUCT,
R
4. FINAL
-0R
C.O.
BE COMI pLE-rl-- 'l--
ALL CONSTRUCTION SHALL MEET THE
-S OF NE
FTHECODE L.W
REQUIREMENTS 0 ,'S!BLE FOR
Ol RESPOill
YORK STATE. N
DESIGN OR CONSTRUCTION ERRORS.
M.-
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
I-! 14ZONS
AS REQUIRED
SOS
LW IVNNIXAF"�
jQTQwN PI ANNING BOARD
Sopat%WRUSTEES
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OCCUPANCY
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I NOTE:
CONNECT TO I I ALL PLUMBING WORK NOTE:
EX15T. WATER I I SHALL CONFORM TO ALL PLUMBING WORK
SUPPLY SYSTEM I LOCAL PLUMBING CODE SHALL CONFORM TO
I I LOCAL PLUMBING CODE
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