HomeMy WebLinkAbout45116-Z " CJ�CfY�
�p� COGyryyy Town of Southold 9/17/2020
o P.O.Box 1179
W 53095 Main Rd
oy per 4� Southold,New York 11971
iff
CERTIFICATE OF OCCUPANCY
No: 41455 Date: 9/17/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 630 Clearview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-9-62
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated,
8/11/2020 pursuant to which Building Permit No. 45116 dated 8/17/2020
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"alterations above existing garawe in an existing one family dwelling as applied for.
Q bedrooms total
The certificate is issued to Hall,Richard&Maria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45116 9/l/2020
PLUMBERS CERTIFICATION DATED
A e Si ature
SuFEQt TOWN OF SOUTHOLD
BUILDING DEPARTMENT a
CO
TOWN CLERK'S OFFICE
"oy • 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 #: 45116 Date: 8/17/2020
Permission is hereby granted to:
Hall, Richard
630 Clearview Ave
Southold, NY 11971
To: legalize "as built" alterations and alterations to a single family dwelling as applied for.
Additional certifications will be required.
At premises located at:
630 Clearview Ave, Southold
SCTM #473889'
Sec/Block/Lot# 70.-9-62
Pursuant to application dated 8/11/2020 and approved by the Building Inspector.
To expire on 2/16/2022.
Fees:
CO-ALTERATION TO DWELLING $50.00
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,475.20
rTo $1,525.20
Building Inspector
Form No.6
TOWN OF SOUTHOLD 'V 9
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$15.00 nn _
Date. ' Off'
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3 C) c t-iTAI Vo—y I �t� 4 "Vi -5,70 ✓'11? d t✓0
House No. Street ` ) rr Hamlet
Owner or Owners of Property: 1 Gk (�-�� \ ��✓" t'(�"IN
Suffolk County Tax Map No 1000, Section 016. 06 Block Q 9 . 00 Lot 061,066
Subdivision / Filed Map. Lot:
Permit No. 7 ( ( Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: I/
Request for: TemporaryC rtificate Final Certificate: (check one)
I s
Fee Submitted:$
Applic t Si tune
®��oF sovey®l -
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • �� sean.devlincd)town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Richard Hall
Address: 630 Clearview Ave city Southold st: NY zip: 11971
Building Permit#: 45116 section: 70 Block: 9 Lot: 62
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1 st Floor Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 12 Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors 1
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 50A A/C Blower Range Recpt Ceding Fan 1 Combo Smoke/CO 2
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 2 4'LED Exit Fixtures Pump
Other Equipment:
Notes: AS BUILT, NO VISUAL DEFECTS " Finished Rooms Over Garage
Inspector Signature: Date: September 1, 2020
S.Devlin-Cert Electrical Compliance Form.xls
SOUT��
# # TOWN OF SOUTHOLD BUILDING DEPT.
`y�ourrn ' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLSG.
[ ] FOUNDATION 2ND [ -] ,thtULATIOWCAULKING
[ ] FRAMING /STRAPPING [Vf FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION-
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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TOWN OF SOUTHOLD BUILDING DEPT.
°�ycourm '�� 765-1802
INSPECTION-
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FOUNDATION 1ST [ ]. ROUGH PL13G.
[ ] FOUNDATION 2ND [ -] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) PI
ELECTRICAL FINAL)
CODE VIOLATION PRE C/O v
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REMARKS:
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625 CALVES NFGK FOAO, 5OU7-HOL1), NEW YOPK
11971 G31-Z98-1129
Town of Southold Building Depadment
5oufhold,,New York 11971
5epfef?her 8, 2020
PE., Exi5finq ball K'e5idence, 630 Glearview Ave., 5oulhold, New York 11971
5oulhold, Suffolk County, New York,
Perr7it;#45110
5uffolk County Tax Parcel,, 473899-70-09 -62
To Whom It I✓lay Concern;
Based upon the exploratory ho%5 in the exi5finq exterior walls of the exisfinq addition over
the two-story garage, the following is noted;
We can certify that the x'-15 half insulation neet5 or exceeds the energy requirements to(w
hen the addition was hu/11,
Pefer to the enclosed photographs indicatinq the exisfinq insulation,
If you have any additional questions, please send all correspondences to;
1=rank Notaro ( rchifecf)
62-5 Calves Neck JCoad,
5outhold, New York 11971
Te% CC�31>298-1129
Tha ,,� - ur1e and consideration.
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TOWN OF SOUTHOLD BUILDING PERNIIT 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 LAS- Survey
Southoldtownny.gov PERMIT NO. l Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
-I LTruss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved a/c
Phone:
Expiration ,20
Building Inspec o
PLICATION FOR BUILDING PERMIT
AUG 1 11 2020 1 , � Date �� ,20�
INSTRUCTIONS
a. ThiD lPACi Mfibe completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of planTQ1'curdtep7ot p1'9n't6 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.
£ 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.
(Signati6re ottapplica or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
0VN �Z—
Name of owner of premises
(S a nn+b� +� rnll nr 10+PO+Al '.t l
c)
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and i ended use and occupancy of proposed construction:
a. Existing use and occupancy ( P,�
b. Intended use and occupancy t 4��U/`1 - 1
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
escription)
4. Estimated Cost Fee
(To be paid on filing this application)
S. 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 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
9. Size of lot:FrontRear Depth
10.Date of Purchase6-9:77g&ame of Former Owner ��fyl►/i� ® C�-f�/�j
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?AYES NO
14.Names of Owner of pre i 'ses l" P a- ress 65 6 L w j�f-ione No
Name of Architect DTZ��E)Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland9*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 o 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 1K )
e h a rd A Ida L( being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, p
(S)He is theOW Af Il
(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
day o 20 �V
�OVJ Iwww////II
Nota Public Signature of Applic t
LINDA S. CARLSON
Notary Public, State of New York
No. 01 CA6137178
Qualified in Suffolk County �J
Commission Expires Nov. 14, 20 ��
AUG 2 6 2020
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLFtITHDING DEPT.
Town Hall Annex- 54375 Main Rped
A Southold, New York 11971-0959
V
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr dsoutholdtownny—gov seanclCED-southoldtownny.goy
APPLICATION FOR ELECTRICAL INSPECTION,
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name:.- . tow
Address:
Cross Street: Anft-'
Phone No.:.. a7 9-8
Bldg.Permit em
Tax Map District:. 1000 Sectiorv. 17 0 Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
�C-hac Vo i�P't S
Circle All That Apply:
Is job ready for inspection?: (YES / 0 Rough In Final
Do you need a Temp Certificate?: YES /(nNO Issued On
Temp Information: (All information required)
Service Size I Ph 3 Ph Size: - A #Meters Old Meter#,
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected- Underground -Overhead
1# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:,
PAY.M-ENT-PUE WITH APPLICATION
Request for Inspection FormAs
AUG 2 6 2020E -
�F ';c , BUILDING DEPARTMENT-Electrical Inspector
O .. TOWN OF SOUTHOLIbUI1,DING DEPT".
t>i Town Hall Annex - 54375 Main RU',PO-Rc*( 9 4;
Southold New York 11971-0959
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Telephone (631) 765-1802 FAX (631) 765-9502
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APPL,1:O - _N FOR ELECTRICAL INSPECTION!
_ �.,.._.. . .- - -
-ELECTRICIAN INFO ~MARION (All Information Required) Date;
Company Name:
Name: ?s,
0
License No.: email: '
Address:- - — -•- ----
PERMIT# Address:
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