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HomeMy WebLinkAbout44309-Z Town of Southold 1/8/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40983 Date: 1/8/2020 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2375 Sigsbee Rd. Laurel SCTM#: 473889 Sec/Block/Lot: 144.-2-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/17/2019 pursuant to which Building Permit No. 44309 dated 10/17/2019 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 (windows, sliding glass doors and furnace)as applied for. The certificate is issued to Ellinghaus,Joy&Jonathan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED n r\ ut o ' ed ignature I ' TOWN OF SOUTHOLD o�SUFFnt�-SPG 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#: 44309 Date: 10/17/2019 Permission is hereby granted to: Ellinghaus, Joy 620 Pelham Rd Apt 2A New Rochelle, NY 10805 To: Legalize "as built" alterations (windows and furnace) as applied for. At premises located at: 2375 Sigsbee Rd. Laurel SCTM # 473889 Sec/Block/Lot# 144.-2-23 Pursuant to application dated 10/17/2019 and approved by the Building Inspector. To expire on 4/17/2021. Fees: CO -ALTERATION TO DWELLING $50.00 AS BUILT- SINGLE FAMILY ADDIT TERATION $400.00 Total: $450.00 Building 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 I%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. C, (� \ Lo 1 1 New Construction: Old or Pre-existing Building: (check one) --n Location of Property: ��� 'S G slice— VLdpOcc��ijcl ., W House No. Street Hamlet Owner or Owners of Property: 1 k24 0/us Suffolk County Tax Map No 1000, Section L4 y Block Z Lot 2� Subdivision ��j Filed Map. Lot: Permit No. JV I Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: / Planning Board Approval: Request for. Temporary Certificate Final Certificate: (check one) Fee Submitted- $ pplican i ure FIELD INSPECTION REPORT •DATE COMMENTS ►ti C�7 FOUNDATION(IST) H -------------------------------------- FOUNDATION (2ND) z o a if wCIOH ROUGH FRAMING& PLUMBING H V r INSULATION PER N.Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 1,01121. 0 z rn z d TOWN OF SOUTHOLD kdd�l lo%AUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT ��®� Do you have or need the following,before applying? TOWN HALL Cerlflc2L1A11C'��' Board of Health SOUTHOLD, NY 11971 ,y-Be Rei 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 M � Survey South oldtownny.gov PERMIT NO. � Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Ex mined '20 Single&Separate Truss Identification Form Stone-Water Assessment Form Q r7 Contact: 20 Mail to- pr ved a/ (� c p _ Phones: ,1 AWN, •ASN3 D1,9 ry F'A�1 y�'A tl 9 xpiration ,20 C. Bui g Insp ctor OCT 1 7 2019 " •'`APPLICATION FOR BUILDING PERMIT Date ©�',�- 1�1, , 20 � g INSTRUCTIONS U 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,jnvbuilding for necessary inspections. t 'rllP>!'d;r1d L �M I'd (Signatur applicant or name,if a corporation) �`j .f"i-, �, C'A � &211 1 1O—M t,)J.l � A �VQ�./� 4 Fla p;�la t��la�' �O'� (Mailing address of applicant) CJ� viol C)e7 ?l. tC� �hac' s Statewhethe�i a" l�atlfais�ownerglessi eo, argent, architect, engineer, general contractor, electrician, plumber or builder Name of owner�o��px` m`�ise`s,, p �S�`i 0.0 5 r eu�1s��.Ui 1\ i •. 1�a O�a�? 4 0 r_ ��;(rAs on the tax roll or t �rc � WITH ALL GUIJI If applicant is a cozporlation,signature-of;duly��ah ri, ed officer NEW YORK STATE: &TOWN CODES �O�ii �.� REQUIRE® (Name andUitQ`�ro�f.�co�poc, orfficer--) �� Q�S. AS SOUTH®LD Builders License RQ_ C-tbl(�• _'TMjcT1�N Plumbers License i. a SOUTHOLD T BOARD Electricians LicenspRo SO TRUSTEES Other Trade's License No. 1. Location of land on w,�hich proposed��k will be done: -2-HosL �q S-2- House use Number 1 Street ./Hamlet County Tax Map No. 1000 Section `I Block Z Lot 2-3 .i Subdivision : _ •Filed Map No. Lot 2. State existing use and occupancy of premiseS' 'nd i}itened use,and,occupancy of proposed construction: a. Existing use and occupancy ` b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work��) 1 V)( 0jj) � 4- AQ,(!/ (Desc iption bmen�akFee Q /' /4. Estimated Cost (To be paid on filing this pplication) i�fJ 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 strictures, 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 Fortner 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 Naive 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 OF ) being duly sworn, deposes and says that(s)he is the applicant (Naine'of individual signing'contract) above,named, (S)He is the rotary Public,State of Newa` ok (Contractor,Agent, Corporate Officer,etc.) No,O �3 A165050 . ' �� ;-, , .,, ,, ,, - _ -•-- .- •- ._. _.. Qu�lifl�d 1rF�ti�til���t�t�li�Z�y,C3 of said owner or owners,and is duly authorized•to.perform or have performed the sag workranc�'to t�a ce a i i @ In `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 �1-d�j CA day of l� J 20 ��� L kowA Notary Public Sig turepp I �fWtemeV4 Wlokos -t�rvugti ac�f h�s-e r USER ' S INFORMATION MANUAL SERIES 2 (model GAS - FIRED BOILER WARNING: If the information in this AVERTISSEMENT. Assurez-vous de bien manual is not followed exactly, a fire suivre les instructions donnees dans tette *; or explosion may result causing notice pour reduire au minimum le risque property damage, personal injury or d'incendie ou d'explosion ou pour 6viter loss of life. tout dommage materiel,toute blessure ou Do not store or use gasoline or other la mort. Ne pas entreposer ni utiliser d'essence ni flammable vapors and liquids in the inflammables vicinity of this or any other appliance. d'autres vapeurs ou liquides inf ll n de tout clans le voisinage de cet apP WHAT TO DO IF YOU SMELL GAS autre appareil. QUE FAIRE sl Vous SENTEZ UNE ODEUR t[lo not try to light any appliance. DE GAz: . Do not touch any electrical switch; do . Ne pas tenter d'allumer d'appareils, not use any phone in your building. . Ne touchez a aucun interrupteur. Ne pas . Immediately call your gas supplier vous servir des telephones dans le from a neighbor's phone. Follow the batiment ou vous Vous trouvez. gas supplier's instructions. • APPelez immediatement votre fournisseur de gaz depuis un vc;sin. If you cannot reach your gas supplier, Suivez les instructions du fours s: aur. call the fire department. Si vous ne Installation and service must be pouvez rejoindre le fournisseur de gaz, appelez le service performed by a qualified installer, service des incendies_ - agency or the gas supplier. r L'installation et 1'entretien doivent etre . assurex par un installateur ou un service d'entretien qualifi& ou par le fournisseur de I' gaz, d � I Of t f r _ - 1 LE3t n AMERICA'S d U1LER CodIPANY Burnham Corporation j Lancaster.pA 17604.3079 „vww bumhaR+�^ 4qW1