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Home My WebLink About44590-Z Town of Southold 2/16/2021 P.O.Box 1179 cm W. 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41819 Date: 2/16/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 405 Oak Rd.,New Suffolk SCTi#: 473889 Sec/Block/Lot: 110.-8-12 Subdivision: Filed Map No. Lot No. confol s substantially to the Application for Building Permit heretofore filed in this office dated 1/3/2020 pursuant to which Building Permit No. 44590 dated 1/13/2020 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whicli this certificate is issued is: "as built"basement alterations, including bathroom, in an existing one family dwelling as applied for. (Remaining portion' of basement is unfinished). The certificate is issued to Wiggins,Hadley of the foresaid building. SUFFO�K COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTjRICAL CERTIFICATE NO. Hadley Wiggins 1/29/2021 PLUMBERS CERTIFICATION DATED A tho ' Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT x TOWN CLERK'S OFFICE oy . SOUTHOLD, NY 0 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#: 44590 Date: 1/13/2020 Permission is herebyranted to: 9 Wiggins, Hadley 99 Orchard St Apt 313 New York, NY 10002 To: legalize "as built" interior alterations to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 405 Oak Rd., New Suffolk SCTM #473889 Sec/Block/Lot# 110.-8-12 Pursuan i to application dated 1/3/2020 and approved by the Building Inspector. To expire on 7/14/2021. Fees: I AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $448.00 CO -ALTERATION TO DWELLING $50.00 Total: $498.00 B ' g Inspector pE SOUTjo� � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � +, 0 Southold,NY 11971-0959 Q Ti BUILDING DEPARTMENT TOWN OF SOUTHOLD JAN 2 8 2021 CERTIFICATION : l. ._ . Ty. Date:_ 112q � 2 I Building Permit No. Owner: el I j- i 1^,J t R Gr;0'7 (Please print) Plumber: (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. Signature) Sworn to before me this 2 day of i 4p1 VA-!'I 20 2 i Notary Public, J'�GPa Lk County CAROLINE M MACARTHUR NOTARY PUBLIC-STATE OF NEW YORK No.01 MA6384635 Qualified in Suffolk County My Commission Expires 12-17-2022 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. 1 2. 1 p. 1`7 New Construction: Old or Pre-existing Building: V (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: rt (-L , vi Suffolk County Tax Map No 1000, Section Block 5 Lot J Subdivision (J Filed Map. Lot: Permit No. q(f' _ O Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 60 Applicad Signature of soul * # TOWN OF SOUTHOLD-BUILDING DEPT. co765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND j ] NSULATIOWCAULKING ; [ ] FRAMING /STRAPPING [ FINAL P6 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ "] FIRE RESISTANT CONSTRUCTION •[ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION ^^-- [ ] PRE C/O REMARKS: �� low on Sal - • [14,vt c;vo biAl 'rtry V_ DATE P INSPECTOR FSO -- - - -------------- - f # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [/] RUGH PLBG. [ ] FOUNDATION 2ND [ ULATIOWCAULKING [ ] FRAMING /STRAPPING [ AL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE ! INSPECTOR 61 r To:Southold Building Department, I' I am writing to certify that the rough plumbing in the basement at 405 Oak Road, New,Suffolk 1 NY 11956, as it relates to the construction of a bathroom and laundry area was installed in accordance with NY State and Suffolk County Building Code. i Thank you, � it'r" r c:�rr-' '-F '• i `GYP` 0jr � JAN 2 2 2021 Rachael Stollar,AIA I i i i f t { f { 1 MELD INSPECT TON REPORT DATE COMMENTS k. FOUNDATION (1ST) C H ' C FOUNDATION (2ND) _ 0 ROUGH FRAMING& PLUMBING H coo ® 0 r INSULATION PER N.Y. _ H STATE ENERGY CODE 7K i I a v p 1 wS , ow%lht FINAL i ov 0 � � ADDITIONAL COMMENTS 1 1'14 0 fDrll-f -t r , O tiZ AILI ' Nz N 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 Alteratio -- Repair Removal Demolition Other Work (Descri ion) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling;numb of dwelling units Numbrofidellint}qnits on each floor --If garage, number f cars 6. If business, commercia or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing st ctures; if any: Front Rear Depth Height Number of Stories Dimensions of same structu a with alterations or additions: Front Rear Depth eight f Number of Stories 8. Dimensions of entire new construct n: Front Rear Depth Height NO •ber of Stories a 9. Size of lot: Front R ar Depth t 10. Date of Purchase Nam of Former Owner 11. Zone or use district in which premises are situa d 12. Does proposed construction violate any zoning la ,iordinance or regulation? YESNO 13. Will lot be re-graded? YES NO Will excess fill be,removed from premises?YES NO 14. Names of Owner of premises Add ss Phorte No. Name of•Architect 'Addre s Phone No Name of Contractor Addres Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a fresh ter wetfand? *YES , NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E,C. PERMIT MAY BE REQUIRED: b. Is this property within 300 feet of a tidal wetland? * YES 0 ; * IF YES, D.E.C. PERMITS MAY BE REQUIRED.,, 16. Provide survey, to scale,with accurate foundation plan and distances 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O fj K 1f-y WiIZ105— Marlln being duly sworn, deposes and says that(s)he is the applicant (Na of indi ' 1 signing contract) above named, (S)He is the 0 t � (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 day of 204�?) Notary Public TRACEY L. D�VYER Si ture,of Applicant NOTARY PUBLIC,STATE O�NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,202.?- TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 (Deis of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 —Survey Southoldtownny.gov PERMIT NO. U Check Septic Form N.Y.S.D.E.C. f Trustees C�0.Application lood Permit Examined 20 Single&Separate t }` Truss Identification Form JAN - 3 2020 Storm-Water Assessment Form Y Contact: Approved ,20 -,6x �a �: 4,::�cl1 Disapproved a/c � • �` ,S •� _ _ r � --44ione: Expiration ,20 B ' di speetor APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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. (A)—&)qAAA,_, (Signa r of applicant or name,if a corporation) Po P,6,x 6 rs :� New 5U(fo 1 IC i l Y I(gE;c, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Owner Name of owner of premises 4(AJ 1-e 4 Inti 6q�vis - M CW n (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: q 0 5 00(C�O cl NY House Number Street Hamlet County Tax Map No. 1000 Section j Block Lot / aZ TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 `ets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 -purvey Southoldtownny.gov PERMIT NO. (/ Check Septic Form N.Y.S.D.E.C. Trustees �— J'7 ------- Application f..: ;_ � rr .. % . 1 --Mood Permit Examined ,20 D�U i ' i ; Single&Separate JAN _ 3 200 ` Truss Identification Form Stonn-Water Assessment Form _�__ Contact: 4 Approved ,20 V ___ _ '_� �M _ A4at�: -�� l l l� ,n Disapproved a/c -41hone: Expiration ,20 B • di spector APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 Couny,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. fA-)-&rJAAAj (Signa r of applicant or name,if a corporation) Po (sok 6a % Newsv�f�jK (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ow n-e.r c' Name of owner of premises 4 Ad 1-e 4 lnit iia c Vl� M au-i n (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. l I 1. Location of land on which prop IIIosed work will be done: y05 001K&)0,d iJ'�,wSyFFoIlL 4 NY 1 ( �S House Number Street Hamlet County Tax Map No. 1000 Section B'loci_ Lot / oZ, 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 Alteratio -- Repair Removal Demolition Other Work 2 (Descri ion) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, numb of dwelling units Number_-of dellingrunits an each floor If garage, number f cars 6. If business, commercia or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing st ctures, if any: Front Rear Depth Height Number of Stories Dimensions of same structu e with alterations or additions: Front Rear Depth eight Number of Stories 8. Dimensions of entire new construct n: Front Rear Depth Height Nu ber of Stories 9. Size of lot: Front R ar Depth 10. Date of Purchase Nam of Former Owner 11. Zone or use district in which premises are situa ed 12. Does proposed construction violate any zoning la , ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Add ss Phone No. Name of Architect Add re s Phone No Name of Contractor Addres Phone No. 15 a. Is this property within 100 feet of a tidal wetland or afresh ter wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMIT MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES O * IF YES,D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation'plan and distances 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O 1S r kv wirj'nI05— marinbeing duly sworn, deposes and says that(s)he is the applicant (Nanj of indivi 1 signing contract) above named, (S)He is the 0 Lo n-r—p— (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. Sworntobeforeme this day of 1, 20aD Notary Public TRACEY L. DWYE P1 Si ture of Applicant NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2023L, � � �Of StNjr�, To Ann 537 Main itoad� f Telephone(631)7651802 P.O.Box 1179 �. n =u '° N ae (631)765. 5 Southold, 1vY 1197h� e0 0 �pQ roger.richert[aown soutfio9�d nv us TOS®� MaDING DEPARTMENT 1 TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY:' ��,m1��or��s ILI Date: Cr ompany Name: o LX Pivid� Name: t f l License No.: Address: X �� Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: Yl *Address: V_ *Cross Street: *Phone No.: I Pet`mit No.: -� Tax-Map District: 1000 Section:_I_ y - Block:c_ Lot:_ /; *BRIEF DESCRIPTION OF WORK(Please Print Clearly) CWnnO (Please Circle All That Apply) _ *Is job ready for inspection: YE ' / NO Rough In Final *Do-you need a Temp Certificate: YES/ NO Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITM APPLICATION O ' I S2-Request for Inspection Form 1 r ONLY BATHROOM HAS FIN g'-p° L CEILING, SHOWER TILED ALL o 1'-4° 2'-60 1'-3° 2'-3° 1'-3° 3'-0° WALLS, FLOOR AND CEILING APPROVED AS NOT D CLR DATE:A1 18426B.P.# !V FEE: IL16BY: Z O 0 Q SINK COUNTER TOP WAD WATER NOTIFY BUILDING -EPARTMENT AT _ a TANK 765-1802 8 AM TO 4 Ptd FOR THE �- SUMP PUMP BATH °o� FOLLOWING INSPECT;f-D lS: w UNDER SINK LAUNDRY AREA Ln 1. FOUNDATION - TV SQUIRED w H ;,�, a' FOR POURED CONIC BETE cn 26x68 i N 4° B 2. ROUGH - FRAMING & PLUMBINGSC DR pip Q .4o LU 3. INSULATION ° a =E4. FINAL - CONSTRUCTION MUST co c STORAGE CLOSET w BE COMPLETE FOR C.O. m o ALL CONSTRUCTION SHALL MEET THE a o ° REQUIREMENTS OF THE CODES OF NEW _ 1, YORK STATE. NOT RESPONSIBLE FOR N STORAGE DESIGN OR CONSTRUCTION ERRORS.00 w COMPLY WITH ALL CODES OF z NEW YORK STATE & TOWN CODES °° AS REQUIRED AND CONDITIONS OF $„ 8° saffH e- -a Z. Seff"et �A�J!!�BOARD y &EGGRESS J ST E STORAGE / MECHANICAL G' USTEES W ROOM M 1U. (NON-HABITABLEI00 W OCCUPANCY O VERIFY EXISTING GAS N USE I S UNLAWFUL LINE AND METER LOCATION ON WAWITHOUT CERTIFICATi LL ° 2'-9° 1'-0 t/z° 2'-6 �/4° 1'-4 1/4° a, OF OCCUPANCY ELECTRICAL M PROJECT NO: INSPECTION REQUIRED DRAWNBy, 1920 HW ELEC PANEL � ° EDB `Ns Additional ��E OF NEIN yo DATE'DEC.10,2019 q }� �y 5� .c 1,.S TFC WALE:va-=r-0^ AS BUILT ® �r�b[®sa ��G %A/ 1/4" SHEET TITLE: BASEMENT FLOOR PLAN uReq ® d. � o � � BASEMENT SCALE:va^=V-0" FLOOR PL C TIFICAT,%,-". '�_.. PLAN O D'CONTENT SEF(-��E �.0, _ �, A!= L(IPABING WASTE �� s5 - �� (� TIk��CAF®CCUf f{ TER LINES DEED G SHEEiNO: TFvT�`_ "EEFORc COV Enli1C DER D;ED IN WA TE s,LR w ' SD ?'SYSTEM CA.NN,,)T r EXCEED 2110 OF 4 t..-%D. '