HomeMy WebLinkAbout45531-Z ��4�gSUFFa(,fcOGy Town of Southold 12/30/2020
P.O.Box 1179
o -
a 53095 Main Rd
Southold,New York 11971
1 �
CERTIFICATE OF OCCUPANCY
No: 41716 Date: 12/30/2020
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 460 Lighthouse Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 51.-2-2.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/3/1987 pursuant to which Building Permit No. 45531 dated 12/3/2020
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:
bay window addition to an existing one family dwelling as applied for.
The certificate is issued to Lighthouse Rd Ptners LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45531 12/15/2020
PLUMBERS CERTIFICATION DATED
Aut ed$1'jnature
SaFentk TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
c • + 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#: 45531 Date: 12/3/2020
Permission is hereby granted to:
Lighthouse Rd Ptners LLC
PO BOX 924
Southold, NY 11971
To: ADDITION TO DWELLING. Replaces BP# 16110
At premises located at:
460 Lighthouse Rd., Southold
SCTM #473889
Sec/Block/Lot# 51.-2-2.3
Pursuant to application dated 12/3/2020 and approved by the Building Inspector.
To expire on 6/4/2022.
Fees:
PERMIT RENEWAL $75.00
Total: $75.00
Building Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
�� 161 10 " Z Date ............... :................ 19. .7
Permission is hereby granted to:
: ....:..............................
ro .. - ..... . ... . ......5 �,.... . . ... ........ . .:�.... .... ...........�.... ...6XR .
... . ..... .}..Q.-,A... ... ........ ....... ....... .............
at premises located at I ... ................... ... ........ ....................... joc..........
./.Ss... .. .. .............................................................................................................................
. .. .. .. .... ....
County Tax Map No. 1000 Section ..... .S..�....... Block .....�..z:...... Lot No. ... '.3.........
pursuant to application dated .......... ....... ....z....................... 19 .1.., and approved by the
Building Inspector.
Fee $-.:;A1
.. A ..............
r
C ........... ...............................................
Builig ispector
Rev. 6/30/80
Authentisign ID:52B18BCF-ff8F4-40E3-88B9-3341 B2918270
CI
Form No.6
TOWN OF SOUMOLD
BUILDINGDEPARTMEENTR
TOWN HALL 2020
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCYe 21 ,T
This application must be filled in by typewriter or ink and submitted to the Building Department wie&c 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 6Wmg$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$15.00
Date.
New Construction: -Old or Pre-existing Building: (check one)
Location of Property: 460 Lighthouse Rd Southold,NY 11971
House No. Street Hamlet
Owner or Owners of Property: Lighthouse Road Partners LLC
Suffolk County Tax Map No 1000,Section 51 Block 2 Lot 2
Subdivision Filed Map. Lot:-
Permit No. Date of Permit Applicant
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for Temporary Certificate Final Certificate: (check one)
Fee Submitted:,$ Authen&w
11/2712020
V�����ma
Town Hall Annex -; `'
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959 0 �®
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Lighthouse Rd Ptners LLC
Address: 460 Lighthouse Rd City.Southold st: NY zip: 11971
Budding Permit#: 45531 Section 51 Block 2 Lot 2.3
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 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 2 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 Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment
Notes " AS BUILT NO VISUAL DEFECTS " Outlets Added in Bay Window Area
Inspector Signature: -'� Date: December 15, 2020
S Devlin-Cert Electrical Compliance Form.xls
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ tfRAMIWG [ ] FINAL
REMARKS:
zop
DAVE / INSPECTO
ass-zsos
BUILDING DEPT.
INSPECTION -
[ ] FOiJPIDAT10P1 35T [ ] ROUGH PLUG.
[ ] FOUNDATION 2ND [ NSULATION
[ 7 FRAMING tl [ ] FINAL
REMARKS:
DA'Z'E INSPECTOR
S��I %f SOpl�o6
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION ;
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ rFIN
ULATIOWCAULKING
FRAMING/STRAPPING AL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION,
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT?ENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) `
[ ] CODE VIOLATION _ ]- PRE C/O
REMARKS: ICi CUitlCit G
t� vtELL- C fkl�tO
OK,
60ts Ailt kik� V
'"Com �� �� onf �- �c)04WZC.a-'�,
1,
DATE INSPECTOR-
�i gg
�o�aOF SOUTyo� �� l Ll &-` L,
* TOWN OF SOUTHOLD BUILDI `G DEPT.
`ycourm��' 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: _ U-, moi' v
a
DATE ANSPECTOR � �
UNDATION ( 1st )
c
UNDATION ( 2nd )
� e
r w z
0
UGH FRAME & ® �� o UJ
PLUMBING
f� ® ✓ y
SULATION PER N . Y.
STATE ENERGY
CODE
0A y
FINAL A' =
b
z o _
ADDITIONAL COMMENTS : 1� +-'CA
IL
O I�
r
y
- x
r73
-v
y
�/•� �� �- iJe�'e BOARD OF HEALTH
/ 3 SETS OF PLANS
FORM NO. 1 SURVEY -1� . - - . .
TOWN OF SOUTHOLD CHECK - • • •�� - • - -
BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . ;
TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
TEL.: 765-1802 CALL . . . . . . . . . . . . . . . .
MAIL TO : 1370 �
Examined . . . . . . . .� " ., 197G
Approved . . . . ems.';'?-r., 19T7 Permit No.
Disapproved a/c . . . . . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . .
h
JINN 3 1987
Nit
TOWN 07 SCl'_! FC
(Building Inspector)
APPLICATION FOR BUILDING PERMIT �^ b
Date . .�! .� . . . . . . . .. 196.7
} INSTRUCTIONS
® + q
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3
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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 ap licant is owner, 'lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . . . . . �-Q /!(L�rt. . . . . t-.0-
J*(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. . /90 I X . ffz. . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . .... . ./._0. . . . . . . . . . . . . . . . . . . . .
.�� . . . . . . . . . . . . . . . . . . . . !`�.� //QCf.S� �Gz� . . . . . . . . . . . . . .dBLC7/L6!!� . . . . . . . . . . . . . . . . . . . .
House Number Street Hamlet
County Tax'Map No. 1000 Section . . . .5r . . . . . . . . . . . Block . . . . .2 . . . . . . . . . . . Lot . . . a.. . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of prop sed.construction:
a. Existing use and occupancy . . .�. �m: / • • • • " `��• " •�'• 1�=
b. Intended use and occupancy . . . . l�m'/. • • - . .
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
(Description)
4. Estimated Cost . .a QG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
kto 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 ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No ,
14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . .'.,Address . . . . . . . . . . . . . . . .. . . . Phone No. . . . . . . . . . . . . . .
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .'
15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . . . .
*If yes, Southold Town Trustees Permit may be- required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all,set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, S.S
COUNTY OF . . . ..... . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
-above named. ,
Heisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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
. . . . . . . . . . . . . . .8. . . . . .day of. . . . . . . . . . . . ., 190
Notary Public, . . . . . . . ! !'-! !. . . . County
HELEN K DE 100E • • • • • . . . . . . . . . . . . • .
N��70A7d7&Ss kC IM
1 k (Signature of applicant)
Tom Expires Duch 30.1
BUILDING DEPARTMENT-Electrical Inspector
O� ®! TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
_ Southold, New York 11971-0959
app Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr _southoldtownny Dov seand(cD-southoldtownny.gov+
APPLI.C-ATION FOR ELECTRICAL INSPECT
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: _ — __---- -
Name:- -----_ ---_=-_= -
License No.: email:
Address:
Phone No.:
- -- - - ---------
JOB
--JOB SITE INFORMATION (All Information Required
Name: �; � (�d c ,� L- f
� I
Address: 1,w71
Cross Street:
d�
- - - T - - --
-------Bldg-.Permit-#:--Lls� �--- — - - _- - ---email:- -'-
Tax Ma District._ 1000 n: Block: Lot_
BRIEF DESCRIPTIONOL--%
ORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
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. u
-PAY-_WENT-DUE_Wlt+l_APPLLCATI_QN
Request for Inspection FormAs
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
HH's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special:
Comments
01
. - w - C� - ��V Ci � ��l f��I[J - - - ;t:,�z; .._ _ c^•f:'f�iiOi+n�8ltt'�3`ic.�!
il'&lion Ebb
/(�f) A /{.�1 J „�" . '" Fi.��./. Ll ���a�Efe.`ilti.'•.Aii. '�s Ul"mc, , toe,%parr
� � .. O� �: �W - ! • �R ♦ .. •. _.—�—_ � - -• - /' � �rJ
1 t� Ce.Me:r,#this aum-;rrp i?A k*&Ym
fid+ 2t,v!30s&;s^rI �v�a �d L�s
to •a~a velisl truo ctrl.
J
a r er ,.�4 lrvjlc wd ha=ate'
to 3�m W.wn f,7,-cam,01®au.my
r,cmarvd,and on his bg.,aA to tha
tau COME;L 5'r,aVIC•'mr—i f eraan!M-grcncy Elm
la:,dnv i=itutim hweon and
�� to t�ar:,;
- I �il��' ��I�I•i I�
I
'C- is_• u I'I,
• _ � t I 'i
Ac
�J• '% � +.rte.'_`�' - �"1\`,• '
I
o
T�
.�. C'` He N �8:.,�. ---•--•------� - ,
cy '
�Cdtl!
2 -
6.5,9 7 S.F. ?) r -+g
Ir 3 - --- f
lo
2.t�
391.
a
�t
i
,�
iT
73, �f�' 3, F, r�•
PPPOVE,
D BY
PLANNING BOARD ,
il !JI
TOWN OF SOUTHOLD-1
®ATF
• kl �II, ,I , I ,
„�:.,�...�w•,..;wm...��'•-�-..•... •v.._.,..c...��..�. �...u,,..w.w..,.ro,w..�a..�.�...n...dr - -` •---_,...'...........,._-__-'--"— --------�-" I -__.. - :I i, I, I n
W �So i w d
�a�� N c�J o GEl�rw
Z �IvNS fix,,�d��
NSYrn�'i,'4i l�g�„` .S r,. tA' ' //a /✓ - /V�✓+�� ep
64
xyv
G c � Cr '� rs ;r �a �� �a 'y - s(�(/�i�0��
,,
AFW10' .NIS NOTED
} ';Sa� Wa
'1 ���� -7 �'�1
''�'tt ','j'`ily�{}4 �;'"�j S<t���A `a1.�E�t. � 'P e k•�T E: �� �{�.. B-P
FEE BY,
NOTIFY WILOING DEPARTMMT AT
� ,%' 4r> 'i � () 9 TO 4 PM FOR THE
- ' �/'_I, • ��d:�e�9.,���?Fi�B�,RAI,:s�����h9�: �sS UCS
Ft Uj-,P0pM(,h 'MO REQUIRM
FOR POUPED CONCRETE AV
aha N 50LFYTIO
Ci'°'•°'STRUCTI N MUS
;r c o
f �' mY• n+��.rp T.-v7�.'1� Y
"'W", 6 YY4A2��}�p.LRg�IG Y
j".�"[",i' •1, �.� �.�.�PS'niT4$rr'�.'^'/�+4. r'liYl
' r