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HomeMy WebLinkAbout43913-Z z' �OS�FFOt�Call Town of Southold 3/27/2021 0 y� P.O.Box 1179 0 53095 Main Rd Gy�jo� �a- A ` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41885 Date: 3/14/2021 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 870 Bray Ave,Laurel SCTM#: 473889 Sec/Block/Lot: 126.-1-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/20/2019 pursuant to which Building Permit No. 43913 dated 6/27/2019 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: bedroom altered to bathroom in an existing one family dwelling as applied for. The certificate is issued to Edwards Living Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43913 3/4/2021 PLUMBERS CERTIFICATION DATED 8/13/2020 lliam Edynrds Thn I, TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE �y • 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#: 43913 Date: 6/27/2019 Permission is hereby granted to: Edwards Living Trust 44 Sanders Ranch Rd Moraga, CA 945562805 To: construct interior alterations to existing single-family dwelling as applied for. At premises located at: 870 Bray Ave, Laurel SCTM # 473889 Sec/Block/Lot# 126.-1-15 Pursuant to application dated 6/20/2019 and approved by the Building Inspector. To expire on 12/26/2020. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $240.00 CO -ALTERATION TO DWELLING $50.00 Total: $290.00 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. New Construction: Old or Pre-existing Building: i/ (check one) Location of Property: -TO R-A -( Ay L--LlL-- House No. Street Hamlet Owner or Owners of Property: Vv`L LI Pct Suffolk County Tax Map No 1000, Section t V10, 00 Block ©i ; 00 Lot �j ©1 s o,::,C7� Subdivision Filed Map. Lot: Permit No. M3 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: y (check one) Fee Submitted: $ 6_v X/j yox Applicant Signature rj? so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.deviina-town.southold.nv.us Southold,NY 11971-0959 ® �® BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Edwards Living Trust Address: 870 Bray Ave city.Laurel st: NY zip: 11948 Building Permit* 43913 section: 126 Block: 1 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE j Contractor: DBA: Home Owner License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan 1 Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 2 CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches 3 4'LED Exit Fixtures Pump F1 Other Equipment Notes: Bath Renovation Inspector Signature: Date: March 4, 2021 S Devlin-Cert Electrical Compliance Form.xls l a �pF SOUryp �Q Telephone(631)765-1802 Town Hall Annex Fax(631)765-9502 54375 Main Road G `i P.O.Box 1179 Southold,NY 11971-0959 � r I BUILDING DEPARTMENT TOWN OF SOUTHOLD l sl 1 CEItTIFICA�IO-N Date. ��- Building Permit No. _ Owner: r �A t ll1 �-> ` U -- ) LLl—?�� e:7� D5 - --` I -- (Please print) --------Plumber: ��F.i���'�/.1�1.�.�L�_�- _ �� __- _---- - - -- -�- -. - - •— - (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. lumbers Signature) i Sworn to before me this ��`#'' ` day of L,(a- 20 - CUtvtvlE t). 3u4iCi-. "votary Public,State of No.0'i BU6-i 85050 ,C)MMISSior, r>,�ir f Notary Public, Couafiy I E � OF SOUIyOIo 870 13 Y , ` VZ- # # TOWN OF SOUTHOLD*BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] 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 EMARKS - U y �.eT72 cG - GC , DATE / S0 ' INSPECTOR a oP SOUT�,o�o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ • .,-INSULATIOWCAULKING [ ] FRAMING/STRAPPING ] FINAL d k%7T-., [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ .] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: �(v � � W& Y fiL - DATE /� INSPECTOR OE SOUIyOIo H�6113 8�7D A I5 # f TOWN OF SOUTHOLD B0 ILDING DEPT. courm,� 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: a ' P r -o koe,Ig A DATE INSPECTOR FIELD INSPECTION REPORT :BATE COMMLNZ'S FOUNDATION (1ST) ____________________________________ 'FOUNDATION (2ND.) z Co ROUGH FRAMING& PLUMBING H J, INSULATION PER N.Y; y STATE ENERGY CODE �tIZALA C FINAL " ADDITIOItAL oMm NTS 's Il yDV-o 4G K �' t 't'i2 c c- ; z m � z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL of Health _ SOUTHOLD, NY 11971 4 set of Building Plans TEL: (631) 765-1802 _YJaRing Board approval FAX: (631) 765-9502 eve Southoldtownny.gov PERMIT NO. Check Sep4in NH C. C. Application _ -�iaad-Permit Examined 20 dingle&Separate � � -Txuss.Ideptification Form ter Assessment Form 20 2019 Contact: Approved 20 Disapproved a/cp^ ;� iC W pULA EMoiU?�S Phone: Expiration 20 nspector APPLICATION FOR BUILDING PERMIT Date CD , 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 throughoufthe 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 E�.epartment 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,liousing•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 applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or 1 test 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: . A-111 E— House Number Street "" Hamlet„ County Tax Map No. 1000 Section Block cit ;, 00 Lot v I 1 Uc Subdivision riled Map No. Lot -.or 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy m4 -rPw) 6e-, _ b. Intended use and occupancy 3. Nature of work (check which applicable):New Building Addition teratio Repair Removal Demolition Other Work (Description) 4.D Estimated CostT��� � Fee �6 �` i s-� �+ (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling unif's oi��eacli door If garage, number of cars AIA 6. If business, commercial or mixed occupancy, specify nature and extent°ofkeach type:of use. OA 7. Dimensions of existing structures, if any: Front 2-81 Rear, 2 � Depth Height �..2�' .Number of Stories Dimensions of same structure with alterations or additions: Front � Rear 2-7 Depth s Height 4,V9` Number of Stories 2- 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories' . 9. Size of lot: Front 0 Rear �50/ Depth Z'�50 10. Date of Purchase -Vec— d 1 Name of Former Owner K642-'me 4AALL)Atvl so&t one or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO ✓ Will excess fill be removed.from premises? YES NO V/ 14. Names of Owner of premises $1 [WAP-1 a:i)-;AR-V;Address Phone No. C6I 0)a`r-t°13�3 t--3 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 sel * IF YES, SOUTHOLD TOWN TRUSTEES'&D.E.G. 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 * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUN being duly sworn, deposes and says that(s)he is the applicant ` e of individual signing contract)above named, (S)He is the C>WkiF-P-2- -- (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 20� TRACRY L. DWYER x � � /47- n BLIC,STATE OF NEW YORK / Notary Public NO.01 DW6306900 llsignkure of Applicant QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2O-2P, o�oSxiFFp/KCo BUILDING DEPARTMENT- Electrical Inspector �� Gy TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 0 N - Southold New York 11971-0959 y o� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a southoldtownny.gov - seand(a)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: % Company Name: AA- Name: License No.: ,� email: (X)r IQ,/r Address: Phone No.: JOB SITE INFORMATION (All Information Required) Name: vjlu`lpoI Address: g, l Cross Street: Phone No.:Bldg.Permit#: email: Q�ve Tax Map District: 1000 Section: Block: ZLot: J BRIEF DESCRIPTION OF�W WORK(Please Print Clearly) on\lQYl rpt C"c�oYK ry� . IYt al i'I Z 1 � �oyl c�� a �,r�o►���. 1.�r��l �1 v� Circle All That Apply: Is job ready for inspection?: YES tlq-Q� 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: PAYMENT DUE WITH APPLICATION t q 0 MAR ` 6 2020 Request for Inspection Form.xis C ®�%of sovly®� Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • y� BUILDING DEPARTMENT August 19, 2020 TOWN OF SOUTHOLD Edwards Living Trust 44 Sanders Ranch Rd Moraga, CA 94556-2805 Re: TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy Application for Certificate of Occupancy. (Enclosed) X Electrical Underwriters Certificate. Energy test results. Final Survey with Health Department Approval. X Plumbers Solder Certificate or Pex Affidavit Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval from Town Engineer Spray Foam Insulation certification from a NYS licensed architect or Engineer BUILDING PERMIT: 43913-Z Interior Alteration n Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck, New York 11952 Fax 631-298-2651 condonengineering.com March 12, 2020 Jul - 7 2020 Mr. Michael Verity 13 ClT,D:NTG DEP Principle Building Inspector Southold Town Building Department 54375 Main Road Southold, NY 11971 Re: 870 Bray Avenue- Laurel -BP#43913 Dear Mr. Verity, I visited the Edwards residence located at 870 Bray Avenue in Laurel and inspected the framing for the new bathroom and the supply and waste plumbing. I found the framing to be satisfactorily installed and in accordance with the plans. I inspected the water supply and waste plumbing and found it to be free of leaks and installed in accordance with Code. If you have any questions, please call me at 631-298-1986. Yours truly, At - � W- 051684 ��{ �i UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION COPIES F THIS SURVEY A INKED SSEALOREMBOSSED SEAL SHALL NOT RSURVEYOR'S BE CONSIDEREDDR\J�wp( VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN oo o ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, ANDON HIS MENTAL AGENCY, �! �O pSPN OR LENDING ANSTIT TION LF TO THE TITLE COMPANY. EES ARE ONOTNTRANSFERABLE TO -c 1�`�� 1 NC\GNeDRs ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS �O\ jj • Q 69 ;gE 91. o- 0 G UN i� PSpN '9 10 o U-11 F'e�, c�• 24 i cp. C� LA ZRE i g9 ° RO EN°POR F N u) � o O I O "� CONC Vol�� 0 8 coR � s s Z//V, -n T,, N MON �o s o 8 WX 2"N PMO rnr n� OVERHEAD � �2D ° R 83 225 �— g P�0 0 0 3 to10 01. SSOG�PpE f�NGE SNS 1 6 �,5 f o. cam^ w�RE f NGS �Z� J O o W 62 N�RPN O •O �. �v� _mac E J yy E�NO6 Q 0 0, CO ay c;_,� o s"S(oR J� M � � 4 x 4 PARCEL AREA = 7,500 SQUARE FEET A 11 -05-2016 OUTLINE SURVEY S� REV. DATE DESCRIPTION �\A 1 WOE! SURVEYED BY: SUFFOLK COUNTY TAX MAP LOT #31 �,ZS FRANCIS X. KARL L.S. ON THE "SUBDIVISION MAP - SECTION ONE 27 ARTHUR AVENUE DISTRICT-1 000 GEORGE I. TUTHILL & OTHERS" BLUE POINT, N.Y. SECTION-126.00 11715 BLOCK O1 .00 FILE #861 - JANUARY 15, 1929 (631) 363-2891 PHONE LOT 015.000 SITUATED AT (631) 363-2892 FAX LAUREL, GUARANTEED-, TO: WILLIAM R. & TINA C. EDWARDS 8:IT0: CHICAGO TITLE INSURANCE COMPANY EMAIL cjkarll®gmail.com 870 BRAY AVENUE.dwg TOWN OF SOUTHOLD, &� T0: WELLS FARGO BANK, N.A. SCALE 1 "= 20' 870 BRAY AVENUE.txt SUFFOLK COUNTY, N.Y. I I i x 4 3 � y on -=01 . n loop i r � e v x 5 2--1-2' 8---71 2' 47. 4' L4 4" 2' 4"' 12' 4" 4' 27— 2* 10" 4' 4" 0 4 12' - 4" 8' 4" 7 9' S" 6 2** 8-–7 r F- ,77 4' 12' -V 9 5 2" ................ .... . ....................................................... ... ...S'A'.... ......... Ox 2' 4" 12* 4" 12* 4- 2' \I j 4' 4 FN 5 3 L -7 3' 2' Vent Through Roof 4' 3 6 4' LI 3' 4, 12* 4" CM N F 3' Existing Waste Line 04 CM to Septic System 2- PL Uf.4BER CER TIFICA TION Plumbing Riser Drawing COMPLY WITH ALL CODES OF ON LEAD CONTENT BEFORE CERTIFICA TE OF OCCUPA NC Y NEW YORK STATE & TOWN CODES APPRO ED AS NOTED AS REQUIRED AND CONDITIONS OF S(Y.D:-R MED IN WATER WOR Y'SYSTEM CANNOT DATE: B.P.# aEXCEED 2110 OF I%LEAD. � T. 40 pnj al JAI M TQIAlh 11A FEE: RD Ir BY: NOTIFY BUILDING DEPARTMIC�TAT� RIJ:R�_ �USTEES PLOMBING 765-1802 8 AM TO 4 PM FOR THE ALL-PLUMBING WASTE X FOLLOWING INSPECTIONS: ;ItWATER LINES NEED I. FOUNDATION - T'I'C REQUIRED R5 POVE.R,ING'', FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBINGPlans are prepared by Condon Engineering,P.C. It is a violation of the New York State Education 051684 3. INSULATION Law,Article 145,Section 7209,for any person unless acting under the direction of licensed 4. FINAL - CONSTRUCTION MUST Professional Engineer,Architect,or Land Surveyor,to alter any item in any way.If an item bearing BE COMPLETE FOR C.O. the seal of an Engineer,Architect,or Land Surveyor is altered,the altering Engineer,Architect,or Land Surveyor shal affix to the item his/her seal and the notation'Aftered by'followed by his/her ALL CONSTRUCTION SHALL MEET THE OCCUPANCY OR signature and the date of such alterations,and a specific description of the alteration. REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR USE IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE Scale: 1/4" = 1'-0' Condon Engineering, P.C. Edwards ELECTRICAL OF OCCUPANCY Drawn by : JJC 1755 Sigsbee Road Residence P- 1 INSPECTION REQUIRED Mattituck, New York 11952 Date : 4-10-2019 870 Bray Ave, (631) 298-1986 Laurel, N.Y.