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HomeMy WebLinkAbout43584-Z Z �HE Ira y� Town of Southold 1/9/2020 P.O.Box 1179 0 .� 53095 Main Rd �� • p���r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40986 Date: 1/9/2020 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 475 Midfarm Rd., Southold SCTM#: 473889 Sec/Block/Lot: 63.-7-24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/18/2019 pursuant to which Building Permit No. 43584 dated 3/26/2019 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: ADDITIONS AND ALTERATIONS INCLUDING COVERED FRONT ENTRY AND REAR DECK TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to 475 Midfarm LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43584 08-28-2019 PLUMBERS CERTIFICATION DATED 10-15-219 o e Gom z uth zed ignature o�suFEo�,r�oTOWN OF SOUTHOLD �a ay BUILDING DEPARTMENT a 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#: 43584 Date: 3/26/2019 Permission is hereby granted to: Carlsen Jenny E Liv Trust C/O Jenny E. Carlsen PO BOX 363 Southold, NY 11971 To: make additions and alterations to an existing single family dwelling as applied for. At premises located at: 475 Midfarm Rd., Southold SCTM # 473889 Sec/Block/Lot# 63.-7-24 Pursuant to application dated 3/18/2019 and approved by the Building Inspector. To expire on 9/24/2020. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $659.20 CO -ALTERATION TO DWELLING $50.00 $709.20 z ' din �I s 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$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: Y75 (il/!D- P I\M D House No. ,, ll Street11,, Hamlet Owner or Owners of Property: �1��� V�-� ` PC MC NT Suffolk County Tax Map No 1000, Section (05 Block 7 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Tempora (Certificate Final Certificate: (check one) Fee Submitted: $ v A� Applica a6de pF SOUPy®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q roger.riche rtR-town.south old.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: 475 Midfarm LLC Address: 475 Midfarm Rd City: Southold St: New York Zip: 11971 Building Permit#' 43584 Section 63 Block- 7 Lot 24 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: RJ Corazzini License No: 33419-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 40 Ceding Fixtures 8 HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 8 Smoke Detectors 3 Main Panel A/C Condenser X Single Recpt Recessed Fixtures 18 CO Detectors Sub Panel A/C Blower X Range Recpt 20a Fluorescent Fixture Pumps Transformer AppliancesN Dryer Recpt 30a Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 1-combination smoke /co detector, range hood, 4-ARC fault circuit breakers, 2-bath fans Notes* Inspector Signature: ly Date: August 28 2019 81-Cert Electrical Compliance Form As WO//t Town Hall Annex Telephone(631)765-1802 54375 Main.Road Pax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 10UHM BUILDING DEPARTMENT TOWN OF SOUTHOLD Lj' OCT 1 5 2019 CERTIFICATION Date: � s �C Building Permit No. Owner: Zb a r ni (Please print) Plumber:- -�O-tdlp- (Please print) I certify that the solder used in the Water Supply system contains less than 2/10 of I% lead. (Plumbe Sworn to before me this A-Sielute gn ) day ofojt6 20 )q flotary Public,Me Of New YGrk No.01 BU61 8M5O Quaffied in Suffolk County 0,�C) (,,OMrnj8SlO6 Expires-April 14,2 Notary Public, —County. ho��,oF soulyo� # TOWN OF SOUTHOLD BUILDING-DEPT. couff", ' 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: DATED INSPECTOR I OF SOOT TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1602 INSPECTION [ J UNDATION 1ST GH PLBG. [ F NDATION 2ND [ INSULATION FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: © 1V�w(dl MA (n; �tvq vV 1W(Koo VV�V'� "I" . (D) byl A— W_A� DATE INSPECTOR OE SOLI TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ VOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: r_ DATE I.-Of INSPECTOR A OF SO�j�,o� * # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION � [ ] 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: � D DATE INSPECTOR app SOUIH �o� olo * TOWN OF SOUTHOLD BUILDING DEPT. `ycOUrmN�' 765-1802 , INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION , [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS:__­49 1 DATE INSPECTOR L �- ) Condon Engineering, New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck, New York 11952 Fax 631-298-2651 condonengineering.com January 8, 2020 Mr. Michael Verity Chief Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Re: 754 Midfarm Road in Southold Dear Mr. Verity: I reviewed the product specifications for the insulation material used in the O'hea residence located at 754 Midfarm Road in Southold. The insulation is a close cell foam that has an R value of 7.4 per inch. The ceiling has 7 inches of foam which results in an overall insulation value of R-51.8 which exceeds the required R value of R-49. If you have any questions please call me at 298-1986. Yours truly, E. JAN - 9 2020 JAN - 0 2020 r Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck,New York 11952 Fax 631-298-2651 May 28, 2019 D (� Mr. Michael Verity Principal Building Inspector JUN - 6 2019 Southold Town Building Department 54375 Main Road Southold, New York 11971 p= ° TOWN of 3®UTHi-U10 Re : 475 Mid Farm Road Dear Mr. Verity: I visited the site and inspected the framing and found the work to be completed as shown on the plans signed and sealed by me dated March 10, 2019 and to be in accordance with Code. I also inspected the water supply and waste plumbing. The waste plumbing was filled with water at the time of inspection. The plumbing was found to be free of any leaks and was found to be installed in accordance with Code If you have any questions, please call me at 631-298-1986. Yours truly, �zs n J. * Aa Or163 ` OCT 252019 GRIFN 0.11-111, 4 L I ELI CONSTRUCTION SPRAY POLYURETHANE FOAM ALLIANCE PCP CERTIFIED INSTALLER S00372 PROJECT NAME:O'Hea Residence ADDRESS :475 Mid Farm Road,Southold,NY DESCRIPTION OF INSULATION WORK PERFORMED Supply and install 7"R49 to roof rafters on cathedral ceiling section. ELI CONSTRUCTION WEBI www_mle fico to trucfi EMAIL: in$oCeliconstruction_corn ' 4 PHONE: 631.869.5171 C slrwl°uCTlQ�bk k � ; _ _ ! _ � � � y 1. ;�$;- x _ _ .� �,. •#_ ,� - ��:Y �'� _ � �. �.!., - 4.� - - .i i_ i .�.'. ,'. a 111 F 't i�" :r -, ..�lr � �` � i - - _ -. - - _ �� c � ,�""'",,,�,... '"`.,,: ��„ _ �. * _ r _ � �LL i r' . .'� 3�r- -. _ _ -,— � �, �+ _ _ `.. .�+ __r_.f.� � �� �4- . -- • - • •• • • MYMNTS • D• • -FOUNDATION (2N - - l►:■'11 AT; ROUGH FRAMING& PLUMBING INSULATION PER N. Y-. 8TATE ENERGY CODE ME �ull��'► -- - �: � VV 12. 104 It m : - m TOWN OF SOUTHOLD BUILDING PERMIT APPLICATIONCHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD `NY=11971 ' ...... J' � 4 sets' 'of Builcling'Plans TEL: (631) 765-1802 - Planning'Boafd approval FAX: (631) 765-9502 &rvey Southoldtownny.gov PERMIT NO. / J t -mac °"'_; -SQjitic Form N-Y.S.D.E.C.- Application _71ood Permit Examined ,20 OM� Single&D Separate •—rMnr dentification Form Water Assessment Form MAR 1 $ 2019 St - 7 f Contact: Approved � �UI�D��• :u�:., Disapproved a/c TO Phone: 5((0,, 6(0 , q lf5q Expiration _,20 ur ding Ins APPLICATION FOR BUILDING 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'comriieneedibefoYe'is'suan'ce o'f 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 premise's'available,for,inspection throughout the woxkc , '1'r 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.:,. .t f 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'l8 months from such,Ate.;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'tfie'pennit for an addition six months.Thereafter,a new permit shall be required. / APPLICATION IS HEREBY MADE to the Buildin&De�paitment for"the issuance'of a`Building Permit pursuant to the Building Zone Ordinance of the Town of Southold;Suffolk County;New York, andother'applicalile Laws, Ordinances or Regulations,for the construction of buildings, additions, or alteratiorfs'or,for remo` al,or demolition as li'erein,desbrib'ed.IT'he' applicant agrees to comply with all applicable laws,ordinances,building code;liousing code,add regutation`s;and to admit authorized inspectors on premises and in building for necessary inspections. (Signature o€ plicant or name,if a corporation) (Mailing,address of applicant) State whether applicant is owner, lessee, agCnt, architect, engin er, eneral contractor, electrician;plumb,er,or builder Name of owner of premises ',.f5a- �()R HR . (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: 475 K[D EAFM R() - Sack 5 House Number Street Hamlet r County Tax Map No.,1000 Section (0�j Blo;c7c, ,; ;,,;,.-,e�;,.�; Lot Subdivision;. ! Filed Map No. Lot;6t — 2. State existing use and occupancy of premises and i tended use and occupancy of proposed.construction: a. Existing,use and occupancy b. Intended use and 6cc4pancy �1'� 3. Nature of work(check which applicable): New Building Addition Alteration Repair Remv_ al Demolition Other Work q (Description) 4. Estimated Cost J°," j q:Tgeei?' i e=Yl r , $ 1{ 6 :_s= `v, 'f' (To'be paid on filing this application) 5. If dwelling, number of dwelling units b_ t Number of dwelling uni&dn 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 ' J -'=Rear r �Depth �--� Height 'Number of Stories Dimensions of same structure with alterations or additions: Front -7(P Rear Depth Height 012 Number of Stories 8. Dimensions of entire new constructiop: Front - Rear Depth Height Number of Stories 9. Size of lot: Front .-,-,�� Rear /go, D Depth /7 f-,-5-7 10. Date of Purchase Name of Former Owner 11. Zone or use,,district in whi�h premises aretsituated L 12. Does proposed construction violate,any zoning 14w5,ordinance,or regulation? YES NO-�< 13. Will lot be re-graded? YES (}� NO'/ W/illll excess fill be,removed.from premises? YES NO Soo Yo 14. Names of Owner of premises AI OLLI Jt )ST-- Address 477-3 i lDrARM Phone No: (fn( Name'of Architect J' ��_ ►�l Do Address �' 'Phone No Name of Contrft'cfor ' Address Phone'No. 15 a. Is this property wit hin•100-feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SQUTHOLD TOWN,TRUSTEES &D•.E.C.,PERMIT•S MAY BE REQUIRED. b. Is,this,property,Yvithin.3Q0,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: i COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant ( me of ndiv> ig ing!contract) above named, ' (S)He is the — / 7n4actor,Agent, orp 4ate 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. Swrn to before me this 11bir— day of jvAarCVX 20 �q TRACEY L. DWYE Notary Public NOTARY PUBLIC,STATE OF NEW YORK g tore of Applicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY, COMMISSION EXPIRES JUNE 30,20A'�, Scott A. Russell °Su S�Fc IRIMWATIEIR. SUPERVISOR � a IM[ ANAGl]EMIENT SOUTHOLDTOWN HALL-P.O.Box 1179 0, Town of Southold 53095 Main Road-SO=OLD,NEW YORK 11971 'j� CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ❑ A. Clearing, 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. EIR E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑RF. 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 witFyour Building Permit Application. S.C.T.M. �: 1000 Date APPLICANT- (Property Owner,Design Professional,Age ,Contractor.Other) 65 District R—T NAME Section Block Lot R (S """x FOR BUILDING DEPARTMENT USE ONLY ` Contact Information 51,61 �v��t" � Reviewed By: — — — — - - - - - - - - - - - - Dat . Property Address /Location of Construction Work: — — — — — — — — ——— — — — — — Approved for processing Building Permit. — — — 7 J Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required. (Forward to Engineering Department foi Review.) FORM " SMCP-TOS MAY 2014 � tF�KC BUILDING DEPARTMENT- Electrical nspector �a TOWN OF SOUTHOLD MC Town Hall Annex - 54375 Main Road - PO Box 117 ` Southold, New York 11971-0959 � Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert@town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION Date: s- - REQUESTED BY: Company Name: / Co rpt 2Z Name: � License No.: ?2 Address: �,/f��� email: / 5-C 40/1n- Address: 20 '"��i+a" C✓ Z^ ` Phone No.: JOB SITE INFORMATION: (All Information Required) r Name: - Address: 1!9'0( ) o Cross Street: Phone No.: email: Bidg.Permit#: ff Tax Map District: 't 000 Section: � Block: Lot BRIEF DESCRIPTION OF WORK(Please Print Clearly) n �t�-/vt- /���o CA. , •�I Yv rfk ~l Circle All Tha Apply: Final Is job ready for inspection?: YES NO Rough DoY ou need a Temp Certificate?: YES / 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 82-Request for Inspection Form As 94) Avcx—oal I <sj-ota^r t. e kv/ NII/ (Oil 144- rc COMPLY WITH ALL CODES OF- NEW YORK STATE & TOWN CODES AS REQUIRED ANF ="UBA Z.�--illm�otpn 0,TE D D A T E: B.P, N.Y.S.DEC NOTIFY BUILDING DE-PAR-lI`,,AENT AT 765-1802 8A TO 4Pfjl FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. liNSULATION lz 4. FIt'lf'�_ - CONSTRUCTION MUST BE COMPLETE FOR C.O. 0 F 0 c 110 u PA�Nl c", ALL CONSTRUCTION SHALL MEET THE Xi RE-QUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR ...... DESIGN OR CONSTRUCTION ERRORS. 5 --- 4 ............. F:Pk�F5 ----------- -__--_-____'_---'-_ all LAP 11 74z��' L 3. Oil ot 1684 ` � } f i 4 i a e i a s C I(t�t�afl [ n ? 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