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HomeMy WebLinkAbout43564-Z Town of Southold 1/21/2021 P.O.Box 1179 0 a' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41751 Date: 1/21/2021 THIS CERTIFIES that the building ALTERATION Location of Property: Equestrian Ave, Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-7-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/8/2019 pursuant to which Building Permit No. 43564 dated 3/18/2019 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: alterations to existing one family dwelling as applied for. The certificate is issued to Carroll,Deborah&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43564 11/23/2020 PLUMBERS CERTIFICATION DATED 12/21/2020 Joel Fulton Autho ed Signat re gvFFotK� TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE 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#: 43564 Date: 3/18/2019 Permission is hereby granted to: Carroll, Deborah & Ors. 40803 Magee Dr Leonardtown, MD 20650 To: construct alterations and install new windows to existing single-family dwelling as applied for. At premises located at: Equestrian Ave, Fishers Island SCTM # 473889 Sec/Block/Lot# 9.-7-3 Pursuant to application dated 3/8/2019 and approved by the Building Inspector. To expire on 9/16/2020. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING - $50.00 Total: $250.00 Buil Ins Norm No.0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL, 765-1802 AA-Pi T!'dTililli WOR iCLPRTIVII-ATR. OF Or(-TTPANrY This applieation must be filled.-in-by-typewriter or ink-and-submitted to the-Building-Department-with-the-following:..--__. A. For new building or new use: I. 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-4 fojm). 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 211.0 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. Bi For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing"lane! 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 Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessmy 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- $50.40 n T !� .-ii Cni�.orn-- .nnn�._ Qwc;de::ti.�A.l ti S nn VnrnnigmiO V (M J. 19iulpVL-t y%-%'&l L Jam...-.Y Date. New Construction: Old or Pre-existing Building: v/ (check one) Location of Property: 1�. E-1Q1J t°5fYl A A V i- �is�eors -L- &I an t\/ House No. L" l_ Street /+ c Hamlet Owner or Owners of Property: be,&f0Lb�fl Yom. + � l�:1, S. 1—�Y6 1 I Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Bate of Permit. Applicant: Health Dept.Approval: Under%vi•iters Approval: Planning Board Approval: r.!.... Request for: lenlporary Cudil.-a tilt V Wal1 l,i.liil lytli4. \YLlYLi1 ViLV J Fee Submitted:$ r' Applicant Sign re 1 l pf S Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 .�° ® a® roper.richert(cD-town.southold.ny.us ®44COU � BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Carroll Address: Equestrian Ave City: Fishers Island St: New York Zip: 6390 Building Permit# 43564 Section. 9 Block. 7 Lot- 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: TPI Electric License No: 33396-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 7 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures Smoke Detectors 11 Main Panel A/C Condenser Single Recpt Recessed Fixtures 7 CO Detectors 4 Sub Panel A/C Blower Range Recpt 50a Fluorescent Fixture Pumps Transformer Appliancesdw Dryer Recpt 30a Emergency Fixtures Time Clocks Disconnect Switches 6 Twist Lock Exit Fixtures TVSS Other Equipment: dish washer, laundry-washer-30a electric dryer, 1-bath fan Notes renovation of kitchen,bathroom,and laundry area Inspector Signature: 94tL�--W'A� Date: November 23 2020 81-Cert Electrical Compliance Form.xls Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �® BUILDING DEPARTMENT TOWN OF SOUTIHCOLD DEC 2 8 2020 CERTIFICATION Date: Building Permit No._ /� 3 `5 2 Owner: �C Ct It ( ���0 L (Please print)' Plumber: c J c� 2 d'U �d l� ✓� — 53 02 (Please print) I certify that the solder used in the water supply system contains less than 2110 of 1% lead. * '-7 hl WCCS ��✓�.�2. -�►� �2-P chemo c�v'c�t-�c�v� . �`�o�- -�'�.� ��2-z�r� l�c.,e.�e . lumbers Signature) Sworn to before me this day of7LCZ,�, , 20-:D O Notary Public -, &unty - cr� , Sopl�� TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION ' [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) " [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: � � DATE ®`� /8 / INSPECTOR • ho��OF SO�Tho� # TOWN OF SOUTHOLD BUILDING DEPT. `ycouto, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: z. DATE aG �3 �� INSPECTOR O��OF SOpT�,OI # TOWN OF SOUTHOLD BUILDING DEPT. courm,��' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 4k x .., C. O Coler DATEbio �-�1-of INSPECTOR -Y FIELD INSPECTYON P-iPORT .DATE COMMENTS - FOUNDATION (1ST) . H ..................................... 'FOUNDATION (2ND) /8 Z 1 r� ROUGH FRAMING PLUMBING . 1 INSULATION PER N.Y; H STATE ENERGY CODE FINAL ADDITIONAL CO NTS Z m z z • d ,H 'TOWN OF SOU111HOLD BU1LDINU PERMIT APPLI A" ION C:HEUIiL1S 1' BUILDING DEPARTMENT - Do you have or need the following,before applying? TdWN HALL SOUTHOLD,NY 11971 Board of Health TEL:(631)765-1802 4 sets of Building Plans FAX:(631)765-9502 q3,5� Planning Boatd approval Southoldtownny.gov PERMIT NO. Survey Check ecf.uC Fc,i N.Y.S D.E.C. Trustees C.O.Apphcabon Examined 20 Flood Permit Single&Separate Truss Identification Form Stone-Water Assessment Form n Contact. Approved 20 - Mail to Disapproved a/c J� Phone Expiration 20 (J FD) pector APPLICATION FOR BUILDING PERMIT MAR 8 2019 L" C 6 20 INSTRUCTIONS Date a Thie ane}ra'nn Mi .T hP rmm�lPtrly fillrri in by/vnP,xrri}ar nr in inir antj ci}hmittaA to}hP R_ii_i_lriinL Tncr�}arfnr}with d sets of plans,accumte plot plan.lo ale.Fee according to schedule. b.Plot plan showing locan 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 .......o.. Certificate Occup--c f. 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 vU applicant,cl�jrevs L"J Lipiy wit'.all u}�pu�uuic iu..5,u,u„jcu...c3,uu,fcu„g.uUe,uuuSaL� tJ' authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,i corporation) (Marling address of applicant) State whetyGr applicant is owner,lessee agent,architect,engineer,general contractor,electrician,plumber or builder -- � 15;;449 2 4 L9 1��/L/9 c i C�r Name of owner of premisesZ)1C&12r?�/ ���gy jFyt, e,9 (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer "airle and—ie Builders License No. tO Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done �^ / U�� /2! I>f Z9 f1� House Number Street `]Hamlet County Tax Map No. 1000 Section Block / Lot Subchvision riled Map No. Lot 2. State existing use and occupancy of pre ' es and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy RE—�f 11e (' 3. Nature ofwork(check which applicable):New Buildmg Addition Repair Removal DemolitionAlteration Other Work -�1,4 ye A/e ti/ Oo (Description) Lv�Noo�t/ iyCPvw 4. Estimated Cost Q©CD Fee W'° units (To be paid on filing this application) 5. If dwelling,number of dwellingf2�, 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 Height Number of Stories Depth 9. Size of lot:Front Rear Depth 10.Date of Purchase Name of Former Owner 11-one cruse district i_ w. ',;cl p-r...m;. s l wm o;tu22c�. 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO 13.Will lot be re-graded?YES NO2KWiII excess fill be removed from premises?YES NO X- 14.Names of Owner of premise&5[ _674- o`�Address Phone No. Name of Architect �n Address Phone No Name of Contractor��{fS '441(0-451' [ AddresssG c �Y�(F'r' Phone No6j� Cf yam–7 C/ 7 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.0 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 Imes. 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 property9*YES NO *IF YES,PROVIDE A COPY. OTltA Tf`nn AT\T)�rnnV\ u11L V1 lYL YY 1 Vl\ll) SS. COUNTY OF X14 A 1111s1t �haf �irisrY being duly swom,deposes and says that(s)he is the applicant kN;of 1IIdlvid signing contract)above named, ' :• \ ': tT' (Conlyduiof,Agent Corpurdie Vur�er,efc.) ` o O 'e e�said QW7 &r�r owners,and is duly authorized to perform or have performed the said work and to make and file this application; �cthat all,state4nts contained in this application are true to the best of his knowledge and belief;and that the work will be �C, -perfoYmed 1,p the manner set forth in the application filed therewith. �t�bef1 re me dayate/ 20/_ Sni\;Irl 0kENA Notary Public " ' ,` Signature of App Qu,f cci i,, Couniy thv Corn«i sso i Exons i�ovenlber7,2020 /"`r BUILDING,DEPARTMENT-Electrical Inspector TOWN OF SOUT14OLD y1g Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert(a,town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: j 0 � Date: I Company Name: Name: License No.: email: Address: e Phone No,: JOB SITE INFORMATION: (All Information Required) Name:Address: ti Cross Street: - Phone No.: ,�C/� Bldg.Permit email: Fax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) 411606,/ l A166--) ,ZMI-41� — Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On _ Tamp information, (All information required) Service Size -1 P 3 Ph Size: 2,0A # 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 Form.xls 103 j v a4 fl,1 rrYYJ7 110 !Q8 91 tat 9 0 11,1 5 $.1 3(D H.LEE FERGuSoN rl 1 > ' MUSEUM 1W. " ��� � J ��� ��� C15D 44 4 16 17 mw 11 � 1$ �JJ 94z} �s, r, 13 € 9$ 'r iss 5b A 1 fig' �� rr .35 C � 1 �a po ti ;��� 1� , fir �i, ! 12� 1 r %FL JO , r,C g 1iF1A.t1�_2G6C4C 13.1 r , ��a 2 0 2.OA(c) 2 22.2 (2) 0 14.1 (10 (1} � .5A c m � � C�� tihe �� � THIAN, � r23 3: 4 10 ra INS f �) i71} 112) ,r (1) �' 0 5.B �?� 2.4A(c) LL h 3 > + (,, ( �� ,$j° {13} I i�} h va I' OUR LADY OF C) t E i1 r r 3 GRACE CHI:yRCH 1707 82 t 0 149 i 1w�.� 1.1A(c) r (4) (� l �fQ` °' F....1 �� OI (a} / �+ i, .M \ •. x.45 r+. 1. dG/l u .Y 4 AaRl�VED D AS NOTDATE: B.P.# c�JCQ�FEE: BY. 'RETAIN STORM WATER RUNOFF NOTIFY BUILDING DEDAR TAT 'PURSUANT TO CHAPTER 236 765-1802 8 AM TO 4 PM FOR THE OF THE TOWN CODE. FOLLOWING INSPECTIONS: a I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 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. ELECTRICAL. INSPECTION REQUIRED COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF �`s6�H6 OARD SOUTHBtB-� EES ®� OCCUPANCY O USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY r ----;-1,�:--r�--'-,-.-'-:-. 1- I ----,-,A------- -.--4 . .; _, -,O'.7"�-,�r��, �,,. j --,-----,, - .:!,7-T�- .I? ---�7^-----�---.�,--r-- --,-77---, --,:, -- � . ,"",yr:..t: ,--" .. , � �:",�,--:�',-,i,vl-- ",=,.,%,,�1-1,,:-_,,�,,��.:�-,J�,'-�,%,,-,�.y!)-n--`--l'.-",-""',� , .,��.,.E�I, , "IF-,-�,�Tof� ,, . r,, t�,� , , ?.-- 'I, .. . . , �,,,."'i'- ,"! . 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