HomeMy WebLinkAbout43330-Z �O�OgUFFOIK- � Town of Southold 10/20/2020
P.O.Box 1179
co
o • 53095 Main Rd
yfj0 ao�4; Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41540 Date: 10/20/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 600 Indian Neck Ln,Peconic
SCTM#: 473889 Sec/Block/Lot: 86.4-1.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/14/2018 pursuant to which Building Permit No. 43330 dated 12/19/2018
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"interior alterations, including partial garage conversion to finished storage in an existing single-family
dwelling as applied for.
The certificate is issued to Koch,Robert&Urbanik,Kelly
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43330 8/27/2020
PLUMBERS CERTIFICATION DATED
4
th ' ed ignature
4e TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
• SOUTHOLD� NY
y�Jo144
a
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#: 43330 Date: 12/19/2018
Permission is hereby granted to:
Koch, Robert
600 Indian Neck Ln
Peconic, NY 11958
To: legalize "as built" interior alterations to existing single-family dwelling as applied for.
Additional certification may be required.
At premises located at:
600 Indian Neck Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-4-1.8
Pursuant to application dated 12/14/2018 and approved by the Building Inspector.
To expire on 6/19/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $618.40
CO -ALTERATION TO DWELLING $50.00
Total: $668.40
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 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. 2-11211?
New Construction: Old or Pre-existing Building: (check one)
Location of Property:. 406 Tp/a jAA) N E-04 LA) )PE CD ill 1 G.
House No. Street Hamlet
Owner or Owners of Property: RbeeZZ., eru-!J eo cy
Suffolk County Tax Map No 1000, Section Block y Lot � 8
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: f// (check one)
Fee Submitted: $ Applicant Signature
O��OF SO(/T�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 VE
Southold,NY 11971-0959 • ao roper.richert(a)_town.southold.ny.us
lyC®UNT1,a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To* Robert Koch
Address: 600 Indian Neck Ln City: Peconic St New York Zip. 11958
Budding Permit#: 43330 Section: $6 Block. 4 Lot* 1.8
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 Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 8 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 5 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 3 Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
1-combination GFCI/ARC fault circuit breaker
Notes: Convert garage into unconditioned finished storage.
Inspector Signature: Date: August 27 2020
81-Cert Electrical Compliance Form As
L
OE SO(/TyO
111 # # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
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ANSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [/], F
ULATION/CAULKING
FRAMING /STRAPPING [ AL 6w. -too FA i-
[ ] 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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DATE INSPECTOR
OE SOUIyo�
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* TOWN OF SOUTHOLD BUILDING DEPT.
`ycouetr?�' 765-1802
INSPECTION
[ ] FOUNDATION 1 ST K [ ] ROUGH PL13G.
[ ] FOUNDATION-21SID [ ] 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:
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FIELD INSPECTION REPORT DATE COMMENTS
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'FOUNDATION (2ND)
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BLjILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Bs
SOUTHOLD,NY 11971 —4 sets of Building Plans
TEL:(631)765-1802
FAX:(631)765-9502 1� --
Southoldtownny.gov PERMIT NO. b CheckSurvey
Se�t}r P+er�
't'�vstees
C.O.Application
Examined 20
Contact:
Approved 201A Mail to:
Disapproved ale / Q
D Phone: 631 —806—p 1 p p 2—
Expiration 20
R/ri'vL`� B g pector
1 V D APPLICATION FOR BUILDING PERMIT
DEC 1 4 2018 Date /2-/7 ,20 /9
INSTRUCTIONS
spaP�lication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
aaci#a4#etplotplan to scale.Fee according to schedule.
TOWN®j . ocation 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 in building for necessary inspections.
(Signature of applicant or name,if a corporation)
6ao J,:A,01AAj NEu-e- ZM ?FCOA,c., n 7 i 19. 8
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
0V 6- L
`J
Name of owner of premises Ro,y'�'�a' /�Ef r-y /0CH
(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:
h 0 1,V b 4d6/ NE'cAe- Lam/ PECO N!L-
House Number Street / Hamlet
County Tax Map No. 1000 Section 47 Block Lot >�
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 SIN6t.E YAMiti
b. Intended use and occupancy 5'1N6LC- j-HIKttm
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
' (Description)
4. Estimated Cost ;.'3500 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 0
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front 70 b Rear 701 6 Depth 26.7
Height Number of Stories /
Dimensions of same structure with alterations or additions: Front 70-b Rear 70.6
Depth 2b 7 Height Number of Stories A
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front 150:C f Rear /�Of Depth ` _ 513 0
10.Date of Purchase 8 Z e 3 Name of Former Owner WAGWC6 SUSiCEV JC to
11.Zone or use district in which premises are situated j
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO X
13.Will lot be re-graded?YES_NO_Will excess fill be removed from premises?YES_NO_X_
14.Names of Owner of premises Ro9KeLL4 e901 Address boo Ta)�nN l "r le h ne No. 04 01$2—
Name
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO X
*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_1VL
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY IOP/SSU FC-ol-
z 0 hG(+ l ��0 C r� being duly sworn,deposes and says that(s)he is the applicant
w'0pN o`i (Name of individual signing contract)above named,
r0 3: q N
5 N ON (S)He is the O m Aer
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o (Contractor,Agent,Corporate Officer,etc.)
N of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
Z g a that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be
<�_�w performed in the manner set forth in the application filed therewith.
�� wa
4 ,I Sworn to before me this
> o 3 ay of 20�P�C2r n�T I S
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W � U
Xot4y Public Signature of Applicant
OVOM L I DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
JAN - 4rd_%1[9Ha nnex - 54375 Main Road - PO Box 1179
Southold, New York 1 1 971-0959
!numDE b
, pbone (631) 765-1802 - FARC (631) 765-9502
TOWN OFSOUTDTI& et-.i-ichert(cDtown.southold,iiy,us
APPLICATION FOR ELECTRICAL INSPECTION
1q
REQUESTED BY: Date: iL
Company Name:
Name: (AeL- ku-cH.VJ0-5'1<'7—_
License No.: 5'54q7-1,4F emaii:
Address: CVV-C"q06 C,C--
lPhone No.:
JOB SITE INFORMATION: (All Information Required)
Name: _ 'QCtl
Address: 00 TvI)mA) /Uec/"-- 4'lu
Cross Street: IVJ 2OAt>
AxA
Phone No.: 8o6- email: r2_IeE1J6.TA)e-,ffa:!AJ OPT ONI-i /Ve-T
Bldg.Permit#: EJA�
Tax Map District: 1000 Sect Block: Lot,
BRIEF DESCRIPTION OF WORK (Please Print Clearly) F1A11_5'H1y6 6,44466-
Circle All That Apply:
Is job ready for inspection?: YES 1(9 Rough In Final
Do you need a Temp Certificate?: YES /0 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 FormAs
SURVEY OF LOT 6 N
AS SHOWN ON 'MAP OF PECONIC BAY COVE"
FILED MARCH 4, 1983 FILE #7159
SITUATE: PECONIC W E
TOWN: SOUTHOLD
SUFFOLK COUNTY, NY o0. S
SURVEYED 06-12-2013
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SUFFOLK COUNTY TAX #
1000 - 86 - 4 - 18 O�
CERTIFIED TO: �'
ROBERT KOCH £ �C)
KELLY URBANIK o
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O NOTES
MONUMENT FOUND JOHN C. EHLERS LAND SURVE 02
Area = 76,739 Sq. Ft. nmo.a r Ma~
�+ Area = 1.7617 Acres
6 TAST MAIN STREET N.Y.S. LIC. N0. 5020 •+
GRAPHIC SCALE 'w
F�IVERF�D, N.Y. 11901 369-8288 Fax 369-82 7,q� �•-m-.•
Ion gislandlandsurveyor.c --=-5M gam„
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APP 0 ED AS NOTED FREDERICK
ROBERT
DATE: Iq0
'' // B.P.# „L-3 36 WEBER
FEE: r`('o BY:
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO a PM FOR THE ARCHITECT
FOLLOWING INSPECT ONS:
1. FOUNDATION - TN REQUIRED ELECTRICAL
FOR POURED CON;RETE INSPECTION! REQUIRED
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
Fire uepar3tiOn
required as per
NYS Code
COMPLY WITH ALL CODES Or-
NEW YORK STATE & TOWN CODE,
AS REQUIRED AND CO����N����DII�TIONS OF
V' I 17Y�'V-Es�
St= !R' BOARD
00 7,77 I ,�o S Additional
N.4-DEe--- Certification
May Be Require W
Q
1---II
48 -0 "
22 -8 '
" OCCUPANCY OR
USE IS UNLAWFUL W
A
WITHOUT CERTIFICATE
AI OF OCCUPANCY
0
RETAIN STORM WATER RUNOFF
PURSUANT TQ CHAPTER 236
OF THE TOWN CLUE.
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EXISTING I- STOW I ATTIC
Batts, R15 `� Z� JOB:
FRAME DWELLING
'v- F.G Batts, R30 + R19
II -s KOCH
- - - - - - - - RESIDENCE
SININ
New c I Existing 2x8 C.J., 16" oc '- "
400 INDIAN NECK ROAD
FINISHED STORAGE of i I/2" GWB i PECONIC. NY
' Unheated Spacexistin I
New Wall: New E
g � TOWN OF SOUTHOLD
19 _6" i I i 2x6 Studs FINISHED STORAGE I JIST FLOOR 1 1
R19 Insul.
Unheated Space Heated Space
I
Reduced ii i i Existing Wall ARCHITECT:
GARAG I I I w/ Existing
New 3'x 6'-8" I Insulation
20 Min. Self- FREDERICK R. WEBER
Closing Door I I I I New 2x10 F.J., I6" oc Existing 2x10 F.J., 16i' oc 41 EAST MAPLE ROAD
11 FF-1I/2" CsWB 3 3 36" '__ =i=_= GREENLAWN. NY 11140
- - - - - 52 NOYAC PATH
r-----------------2, F---- --- ------ —I I New F.G. Batt Insul. R30 - - - - - I I WATER MILL. NY 11914
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DATE: DEC 10, 2018
SCALE : 144' = 1'-0'
JOB NO: x201305
DRAWING NO.
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