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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� .�. 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