HomeMy WebLinkAbout45148-Z t�c�UFFOIK�''•
�oti0 CpG Town of Southold 9/10/2020
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45148 Date: 9/10/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1450 Cedar Dr,
SCTM#: 473889 See/Block/Lot: 78.-8-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/19/2020 pursuant to which Building Permit No. 45148 dated 9/1/2020
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"central air conditioning as applied for.
The certificate is issued to Forrestal,Richard&Romanelli,Tara
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 451 8 9/10 020
PLUMBERS CERTIFICATION DATED
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ed i ature
y,z_ TOWN OF SOUTHOLD
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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#: 45148 Date: 9/1/2020
Permission is hereby granted to:
Forrestal, Richard
1450 Cedar Dr
Southold, NY 11971
To: legalize an "as built" HVAC installation as applied for.
At premises located at:
1450 Cedar Dr,
SCTM #473889
Sec/Block/Lot# 78.-8-18
Pursuant to application dated 8/19/2020 and approved by the Building Inspector.
To expire on 3/3/2022.
Fees:
CO-ALTERATION TO DWELLING $50.00
AS BUILT- SINGLE FAMILY LTERATION $400.00
$450.00
Build inInspector ------
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAIL
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.�� /),b
New Construction: i Old or Pre-existing Building:" (check one) �Q
Location of Property: I �j 0, (� ✓f/ �(�v 61(�U 1,d
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. vV V Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
Building Debartment Application
AUTHOIJZATION
(Where the Applicant is not the Owner)
I, lcf'Jc�/6 �o✓✓es cL residingat '-150 Lc4le5/d,0- C//-(UC Jb
(Print property owner's name) (Mailing Address)
�Uy ol� N II/71 do hereby authorize
(Agent)
to apply on my behalf to the
Southold Building Department.
(Owner's Signature) (Date)
f,lllk<�q
(Print Owner's Name)
®��Of SOU��®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q roger.richerta-town.southold.nV.us
Southold,NY 11971-0959
COW,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Richard Forrestal
Address: 1450 Cedar Dr City: Southold St: New York Zip: 11971
Building Permit#: 45148 Section: 78 Block- 8 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 2 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 11 Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURVEY' "NO VISUAL DEFECTS"
Notes. Central air conditioner system to include,2-condensers,2-air handlers,2-60a disconnects
Inspector Signature: Date: September 10 2020
81-Cert Electrical Compliance Form.xls
�O'*Of SOUIyo�
# TOWN .OF SOUTHOLD BUILDING DEPT.
`�courm NE'` 765-1802
=
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ "] FRAMING /STRAPPING [ ] FINAL
:[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY°INSPECTION
'[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE'RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE 1� INSPECTOR �t
FIELD INSPECTION REPORT DATE COMNIENTS
FOUNDATION(IST)
------------------------
FOUNDATION(ZND) �y
-ROUGH FRAMING& , - -• �
PLUMBING
a
INSULATION PER N.Y. �y
STATE ENERGY CODE,
0-10V -f7V
FINAL
•4D� ,�iN�G'�F31X�IME�1'�S-
tCID 4- C
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applymg9
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. Check
Septic Form
MYSD.EC.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved .20 Mail to:
Disapproved a/c
hone11101 10
Expiration .20 P TS NOTED
VEM A
:2) C'��a�� n s ector B.P.4
APPLICATION FOR BUILDING PE :
AUG 1 9 2020 r=-" N BUILDING DEPAR'Hv9ENT AT
INSTRUCTIONS FOLLOWING INSPECTIONS:
1 l H,DING B israpplication MUST be completely filled in by typewriter or in ink and sbbrR@Adt"ell`{uithingiAPectorF-witi>f!FI ED
:sets,ofTlrs acdurate plot plan to scale.Fee according to schedule. FOR POURED CONCRETE
N 11161 plan-showing location of lot and of buildings on premises,relationslup,tto d pre ises rll?ublics is`r 1 n5 I N G
areas,and waterways. L.� � nrl� a�' "��
c.The work covered by this application may not be commenced before issuance off' Vlli`djfe mit.
d.Upon approval of this application,the Building Inspector will issue a Building p;MLto_tbe,a@iplib%ftJ_S34115perhiWST
shall be kept on the premises available for inspection throughout the work RR�- nn,,� II F NF �_Q C 0
e.No building shall be occupied or used in whole or in part for any purpose what MV9r the Bin�d ng,g�e for
issues a Certificate of Occupancy. ALL CONSTRUC I POM .,t1A L MEET THE
f.Every building permit shall expire if the work authorized has not commence€I;Ev ti RT--jri0dij thT11 cQf?DES OF NEW
issuance or has not been completed within 18 months from such date.If no zoning am on" re orfs4'clglLE FOR
property have been enacted in the interim,the Building Inspector may authorize,in wntrn a exter�sioi�, 4
addition six months.Thereafter,a new permit shall be required. Dn,IGN CIH NEI l; �t 1 ERRORS.
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 o necessary inspections.
-,r P
�-G c a�6 d t a l
U1 �4�u U (Signature of applicant or name,if a corporation)
@@@999 _� p �j 200 S9v,)K Lane , Cu-chcpe lNy
y� @ �►� T B $1 1 F I e Qvlatlmg address of applicant)
11
State whe r aPplfc G ie+�se�e';� nn chitect,engineer,general contractor,electrician,plumber or builder
c �' I
Name of owner of premises R 1 C hax �o f< GG�.� � Gl o trY lctn e l
(As on the tax roll or latel-deed), 'C`( W ITH ALL COD CS OF
If applicant is a co oration,signature of duly authorized officer
A l �4- N`'F-W YORK STATE &TOWN CODES
(Namd ind tileofcorporate officer) AS RK-EQUIRED AND CONDITIONS OF
Builders License No.
Plumbers License No. _ SOUTHOLD TOWN ZBA
Electricians License No.
Other Trade's License No. SOUTHOLD TOWN PLANNING BOARD
1. Locati n fl d on whic4 proposed work will be done: JJ��{pLD TOWN TRUSTEES
d /IVC SDvn ��I /
House Number Street /17 Q —Uan�tlet 1 •1• •Q
County Tax Map No. 1000 Section /0 Block (J Lot �O
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended 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 * UA/
(Description)
4. Estimated Cost Fee
(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 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 Stones
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 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?YESNO Will excess fill be removed from premises?YES NO_
Qtch aorr-CSfaL.
14.Names of Owg&r ofprremirch {ses . Address*V0 LGKC51dC. Phone No.(03 l— Z
Name of Architect 7 0XP- o M a/?C t Address NFIVL So Phone No
Name of Contractor Address Sou 71'lo t N*hone 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 MAYIkE 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 NOA
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
/ CONNI BUNCH
being duly sworn,depoffgf@Ipb t4faRS. ork
(Name of individual signing contract)above named, No.01 BU6185050
(S)He is the
len�-- Qualified In Suffolk County MU
(Contractor,Agent,Corporate Officer,etc.) es April _
VV I
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 o before me th'
20a d
Notary Public Signature of Applicant
BUILDING DEPARTMENT- Electrical Inspector
�. ,k •. �� TOWN OF SOUTHOLD
ate,}" =_� Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr0southoldtownny.gov - sea ndP-southoldtown ny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: - -
License No.: email:
Address: - ---- - -- - -- - - - -
Phone No.:
JOB SITE INFORMATION (All Information Required)
60
Name: A IC_ d rde-sfa L
Add ress: �D e c� r c- So v Thv l _
Cross Street: Afok T7,1 6avvieto
Phone No.:__
Bldg.Permit#: rj� email: ,/arcLY'o r;cL a Jl,'7e &xv l cc
Tax Map District: 1000- Section: Block: __- Lot:,_
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Ale- J �q C,
---: u-
Circle All That Apply:
Is job ready for inspection?: YES ! Rough In Final
Do you need a Temp Certificate?: YES J 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: -
- PAY-MENT_DUE-WITH_APPLICATION -- - -�
Request for Inspection FormAs I /
THE EXISTENCE OF RIGHTS OF WAY UNAWHOR12E0 ALTFRATION OR ADCn70,7
T� AND/CR EASEMENTS OF RECORD IF TO THIS SURVEY IS A'VIOLATION OF
ANY, NOT SHOWN ARE NOT SECTION 7209 OF THE NEW YORK STATE
GUARANTEED. EDUCATION LAW
COPfES OF THIS SURVEY WL-NOT BEARING
Area= 22574 sl. Premises known os: TW EMBOSSEDUNG SEAL SHALL NOT S CL OF? RED
TO BE A VAUU 7RUL COPY.
I•I°JQ Cedar Urine, SbUt}16Id GL!ARA.VTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSCH FOR WHOM THE SURVFy
IS PREPARED,AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
IENOINC INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSrI—
TLmON. GUARANTEES ARE VDT TRANSFERABLE.
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Certified to:
EMINENT ABSTRACT, INC. (EA2626-S) Survey of Described Property
COMMONWEALTH LAND TITLE INSURANCE COMPANY situate of
JAMES P. BRINK AND CAITLIN A TENNANT
Southold
Town of Southold
Michael W. Minto, L.S.P.C. Suffolk County, New York
LICENSED PROSTATE
LAND SURVEYOR District 1000 Section 78 Block 8 Lot 18
NEW YORK STATE LICENSE NUMBER 050877
87 Wooavie>v Lane Scale 1"= 30' Surveyed July 23, 2020
Centereaeh, 1V,Y. 11720 GRAPHIC SCALE
PHONE/FAX, (631) 580-1202
CELLULAR: (631) 766-9714 SV o 16 a' so rr.
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SERIAL. NO./ N" UE SERIE W2/1936600 OUTDOOR USE/
UTILISATION EN EXTRIEURE
COMPRE,SOR CODE / CODES OE COMPRESSEUR 908/
V01.1S 208/230 PHASE. 1 HERTZ 60
COMPRESSOR/ COMPRESSEUR R.L.A. 16.//16. / L.R.A. 83.9
OUTDOOR I-AN MOTOR/
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OUTDOOR UNITS FACTORY CHARGE/
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Fases: 1
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'orriente Nominal : 23/23 A
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COMPRESSOR CODE / CODES DE COMPRESSEUR 9087
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COMPRESSOR/ CCOMPRESSEUR R. L.A. 16-7116. 7 L.R.A. 83.9 4w
OUTDOOR VAN MOTOR/ F. L.A. 1 .3 H, P, 114 4
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COURANT AI)MISSABLE WALIM. MIIN-
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CAL.
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CAL. MIN. DE FUSIBLE/DIST"
DESIGN PRESSURE HIGH/ 450 PSIG/3102 kPa
PRESSION NOMINALE HAUTE
DESIGN pRESSURE LOW/ 250 pSIG11723 kPa
PRESSION NOMINALE BASSE R410A
OUTDOOR UNITS FACTORY CHARGE/UR 86 ozl24389 R4 I 0A
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