HomeMy WebLinkAbout44687-Z �QSUFFD�,�c Town of Southold 6/15/2020
o tA P.O.Box 1179
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53095 Main Rd
Gy�jQo � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41187 Date: 6/15/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 550 Oriole Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-6-15.9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore Sled in this office dated
2/4/2020 pursuant to which Building Permit No. 44687 dated 2/13/2020
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"LIVING SPACE ABOVE AN EXISTING GARAGE IN AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR
The certificate is issued to Russo.Biagio&Tania
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44687 05-26-2020
PLUMBERS CERTIFICATION DATED
Ohod Signature
TOWN OF SOUTHOLD
�a �Oay BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
vim. • 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#: 44687 Date: 2/13/2020
Permission is hereby granted to:
Reilly, Kevin
550 Oriole Dr
Southold, NY 11971
To: legalize an "as built" alteration to an existing dwelling (adding 1 bedroom and a den) - 4
bedroom house only- as applied for.
At premises located at:
550 Oriole Dr, Southold
SCTM # 473889
Sec/Block/Lot# 55.-6-15.9
Pursuant to application dated 2/4/2020 and approved by the Building Inspector.
To expire on 8/14/2021.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $803.20
CO -ALTERATION TO DWELLIN $50.00
Total: $853.20
uilding nsp ctor
Form tufo.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICA'T'ION 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$15.00
Date.
New Construction: Old or Pre-existing Building: (� ' ,�(cheeck one)
Location of Property: � 10( L0 J�y I TMJ
House No. Street Hamlet
Owner or Owners of Property:_ V=��_
Suffolk County Tax Map No 1000,Section �j Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: e k )
Fee Submitted:$
A plicant
so
Town Hall Annex MIL® Telephone(631)765-1802
54375 Main Road 03r Fax(631)765-9502
P.O.Box 1179 G ® Q sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
C®UNT1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Biagio Russo
Address: 550 Oriole Dr city,Southold st: NY zip 11971
Building Permit#: 44687 Section: 55 Block- 6 Lot 15.9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Daniel Wilcenski Electrical License No: 4723ME
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 X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 1 Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment 15A ARC Fault Breaker
Notes, Closed A Doorway and Added an Outlet
Inspector Signature:
Date: May 26, 2020
S.Devlin-Cert Electrical Compliance Form.xls
i
IELD INSPECTION REPORT " -DATE COMMENTS
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FOUNDATION (1ST)
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STATE ENERGY CODE
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING lffrwA ITMENT 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.gov PERMIT NO. 1 �7 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 _ _ y Single&Separate
-
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved .120 Mail to: M, �- s H 41� Z
Disapproved a/c
Phone: 31-13¢4-19.5"
Expiration ,20
Building I sp or
APPLICATION FOR BUILDING PERMIT
JA
Date ?,71 2 O , 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 pen-nit
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, age t, architect gineer, general contractor, electrician,plumber or builder
Name of owner of premises
(As on the tax ro 1 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:
5 562C7 L-C, og—
House Number Street Hamlet
County Tax Map No. 1000 Section Block 0�i Lot j. 9
Subdivision Filed Map No. Lot
0 r 1'
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 1 r 4M 1 C
b. Intended use and occupancy ,SA,41
3. Nature of work(check which applicable):New Building Addition Alteration—,,V—
Repair
lterationvRepair Removal Demolition Other Work AS 6v ►t✓-i- ,2vo1zj S r o eg
(Description)
4. Estimated Cost Fee lex ST l;4 G (;'q 29(0g--
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or, / pmixed occupancy, specify nature and extent of each type of use.
p
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
r - NuC
9. Size o to Front�U12v Ree Depth
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*X�
13.Will lot be re-graded?YES NOZWill excess fill be removed from premises?YES
N4
14.Names of Owner of premises E-I I J E4 Address Phone No.6316
Name of Architect d GL C&A!2 Address Phone No .3
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 B 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.
r
STATE OF NEW YORK)
SS:
COUNTY_OF S(/ o L
A Iek' Cil-f being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the (
(Contractor,Agent, Corpo ate 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 w before me this
day of Q ►, 20 2-D
QLW TFIACEY L. DWYER
Notary pUbd NU 1ARTLIC,STATE OF NEW YORK Signature of Applicant
N0,01 DW6306900
dUALIVIED IN SUFFOLK COUNTY
6 3MMIM--I0-N EXP(FIES JUNE 30,2g2--
BUILDING DEPARTMENT-Electrical Inspector
TOWN OESOUTHOLD
o Town Hall Annex- 54375 Main Road - PO Box 1179
o rr� Southold, New York 11971-0959
Telephone (631)765-1802- FAX (631) 765-9502
rogerr@southoldtownny.gov- seandCa7southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: i 2-m
Company Name: i�� iI 2a r'i c� cel,-t'r-4;
Name: hQ,,,I A W i I c
License No.: `f-7 a-3-All GS email: s�•-
Address: F-i), gb X 3 q a- 1 t / 11 /
Phone No.: 631 2;36 —
JOB SITE INFORMATION (All Information Required)
Name: 2 v I ISI
Address: .SS's ori® &-' ,b n- �orattd-Ci t 9 -7I
Cross Street: i MS'S"�� A-v e.
Phone No.: 62 i6 9 ef - 6q& 9
BIdg.Permit#: Gf`y 6 d--7 email:
Tax Map District: 1000 Section: S- Block: Lot: C5.9
BRIEF DESCRIPTION OF WORK(Please Print Clearly) I ftS'ika l J f�w
AmA Ta o L b re-k t? r-
Circle All That Apply:
Is job ready for inspection?: ES NO Rough InFinal
Do you need a Temp Certificate?: YES/ 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: cen w-c � S --
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PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
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