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Home My WebLink About43823-Z o�S�fFot�-coG. Town of Southold 4/17/2021 a y P.O.Box 1179 0 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41961 Date: 4/17/2021 THIS CERTIFIES that the building ALTERATION Location of Property: 830 Monsell Ln, Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-8-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/23/2019 pursuant to which Building Permit No. 43823 dated 5/31/2019 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: "as built"window and door replacements to existing single-family dwelling as applied for The certificate is issued to Doroski,Benjamin of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43823 4/2/2021 PLUMBERS CERTIFICATION DATED A h riz gnature TOWN OF SOUTHOLD aogUFFO(�-cod BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . 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#: 43823 Date: 5/31/2019 Permission is hereby granted to: Doroski, Benjamin PO BOX 1698 Mattituck, NY 11952 To: legalize "as built" window and door replacements to existing single-family dwelling as applied for. At premises located at: 830 Monsell Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 97.-8-23 Pursuant to application dated 5/23/2019 and approved by the Building Inspector. To expire on 11/29/2020. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 BuiIdin Spector 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. _ //93 New Construction: Old or Pre-existing Building:/} (check one) Location of Property: h- e L-✓1 , &/(q 3s House No. �S,ttrreet / Hamlet — Owner or Owners of Property:��✓ ),A� �l l/��O�L4 - Suffolk County Tax Map No 1000, Section -1�� Block $ Lot D3 Subdivision Filed Map. Lot: Permit No. LA; Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ` ,0 Applicant Signature Of so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � sean.devlin(cD-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To. Benjamin Doroski Address. 830 Monsell Ln city:Cutchogue st: NY zip. 11935 Budding Permit* 43823 Section- 97 Block- 8 Lot. 23 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 Crawl X Service Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition X Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures 2 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO Transformer LED Rope LightsDryer Recpt Emergency Fixtures Time Clocks F]5 Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment Electric Floor Heat, 20OW Driver, Mini Split Notes: AS BUILT NO VISUAL DEFECTS " Wired Porch and Exterior Lighting Inspector Signature: Date: April 2, 2021 S.Devlin-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT.- 765-1802 INSPECTION FOUNDATION 1ST ROUGH PL13G. ]' FOUNDATION 2ND I ,pl!(ULATIOWCAULKING- FRAMING/STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O REMARKS: Y-v/ DATE Ith 31W 7,i� - INSPECTOR - I I - y so MO JQ L f # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION - FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) tvAl ! ELECTRICAL (FINAL) [ ] CODE VIOLATION /[ ] PRE C/O REMARKS: A�5 -:By i L"r 01)k DATE �""� 2- -`�I - INSPECTOR - - FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) 'FO UNDATION (2ND) ' O ROUGH FRAMING& PLUMBING y INSULATION PER N.Y: y STATE ENERGY CODE 06 Q� • vi v FINAL � AllDITION.4L CO NTS 3 � S • m e , Z ,H 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 _0ets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey Southoldtownny.gov PERMIT NO. Y__,3�3 Check Septic Form N.Y.S.D.E.C. –Trustees C. pplication y Flood Permit Examined cJ 3 ,20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved U ,20 �Q—� Mul �DraSIL� Disapproved a/c Expiration 20 ��-`-� �l':-t IBJ �:" 9 D Bui]ATfnspector M AY 2 3 2019 APPLICATION FOR BUILDING PERMIT Date , 20 TOWN OF SOUT"C;; 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. (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 SQ m 11Y1�O,(-C)-s ILL (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: "Dn cil2Q(L l._11J cu+c_"OpwL House Number Street Hamlet County Tax Map No. 1000 Section Block Lot 0 3 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 Sin fZ b. Intended use and occupancy SCe rY1.e 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) Estimated Cost �0,wo AA4•�P r,;4I LAb,--RZI�o00ke (To be paid on filing this application) If dwelling, number of dwelling units Q Number of dwelling units on each floor I If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. RSa(o& l f-,/ K. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number/of rStorlesV X\ Dimensions of entire new construction: Front Rear Depth Height Number of Stories ' Size of lot: Front Rear Depth 1�\Date of Purchase Name of Former Owner 11 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--X-Will excess fill be removed from premises? YES NO-X, 14-Names of Owner of premises&VI )A vvk 1'.110 1Address 0 P RoAsc(k Li. Phone No. 65( qg(ft ' Nmtte-of-Architect Address Phone No Name of Gongactor Address Phone No. 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.C. 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: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Na'&e of individual signing contract) above named, CONNIE C.BUNCH (S)He is the (� �� Notary Public,State of New York �,�./ 61850 0 (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County €crnmie�ion Fynires April 14,2 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. Sworno before me this a� day of 20 t Notary Public ignature of Applicant Electrical BUILDING DEPARTMENT TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road 613ox 1179 Southold, New York 11971-6659 J& Telephone (631) 765,1802 - FAX (631) 765-95 2- 3 2019 roger,he bert(&'towh.�04thold.nv,.us V APPLICATION FO—RELECTM AL INSPECTION T 01IN 0jF sou— REQUESTED BY: Date: nI A VNA 51, Company Name- L-4n L< Name. co Dimerriail:` ig; C L QS...512 ?AIL s, A rest� -A m a , Phone N2 : Pq W—L1 r7l,t-f &if?I ,Ij08SITE [NFORM [ON-. (All:Wofmation-Pequired) Name:. Addto,sr A'�Cvl< o.ius YJ t (13L C-rors9zZfreei-.- sk(AA Rhp6 "'NO.:- Z2!�V -44f BIdg;Permit#: 2,2 fax 1U1 Disfr-rct: 1OQax 06 .9 BRIEF DESC-K tPTIO,NOF-WbkK,('Please.PrintC!earii)- V0 C rqke Tjjq(t Ap JaJob,ready,forinspedon1: E1 NO &h;In Final DoyOumead a Temp Certificate?" 'lssued ,0,n,,--- (Ai[(nform4tdnflfe4U!re4 Tornp-W6 44 '- rm A Sipe j PIT. 3 PhSize p A 4 MO t1Met6r # �sOld ^�,dt Rood,"Rb-dohnOct- irk" Servilce,lReconripcted.-Uncle'�rground - 0�i6rhe]ad New Service F1teRpcpijq L-',0tjdqrqrouhd Laterals I K-Fitm1b Pott Work One,on,,Servicel Y, A'-diti "nal1hformAtJoh" 10 Uk iAYIIENT ,TR APPLIQATIQN, d 82-Request for Inspection FormAs PERMIT# Address: Switches Outlets I , G FI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes -DW -Service, Carbon Micro Generator Combo Cooktop Transfer AC I AH Mini Special: 1 Comments: kpj C- %qL �D Ci✓'" r - �� C) m W O Lu Lu � O N OO z O p Ln APPRO ED AS NOTED r, DATE: z r B.P. �' A25 I A25 1 A25 1 � U Q � FEE: o n o ro BY: NOTIFY BUILDING DEPARTM T AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: �z� o A25 1 2"MULLION A25 I 1. FOUNDATION - TWO REQUIRED O FOR POURED CONCRETE O 2. ROUGH - FRAMING F PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST > m N N � COMPLETE FOR C.O. Z o � _ � ALL CONSTRUCTION SHALL MEET THE L REQUIREMENTS OF THE CODES OF NEW ® EXISTING KITCHEN o° 0 0 YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. \ m o 0506 m c z w COMPLY WITH ALL CODES OF w 0 00 NEW YORK STATE & TOWN CODESE) �cwa5j AS REQUIRED AND CONDITIONS Or F 050G I n w �UNZEA NEW DOOR WITHIN 0w EXISTING WINDOW OPENING. !,ANN GAO WALLS TO BE CLOSED IN TO SOUTH( TOWN TRUSTEES ACCOMMODATE SMALLER GLAZING UNIT. HEADER TO RI V C f1G( 2"MULLION REMAIN AS IS. �— -� I I IFWI128G 1 LLL z TW2G4G TW2G4G z � N OCCUPANCY OR z USE IS UNLAWFUL WITHOUT CERTIFICATE tTW2G4G TW2G4G \ EXISTING DINING OF OCCUPANCY 4� LIVING AREAS ® o EXISTING ALUMINUM WINDOWS EXISTING SUPPORT POSTS DOORS TO BE REPLACED WITH u * HEADER TO REMAIN; ANDERSEN 400 SERIES UNITS, PROVIDE NEW WINDOWS MODEL NUMBERS AS INDICATED. o ~ WITHIN EXISTING 5PACE5 WITH 2" MULLION SPACER LIVING SP CES, STRUCTURE, N BETWEEN EACH PAIRED UNIT DOORS AND WINDOWS ALL � TO ALLOW FOR EXISTING, WIDER, TO REMAIN AS EXISTING OPENINGS ELECTRICAL - INSPECTION REQUIRED f 0 m N z F�- O t N � 0 <D N i TW2G4G TW2G4C --2"MULLION V Z J ^ I� r ( J z � 0 � U m z . U Fn w � p z - - - - �/ o uw N FI RST FLOOR LAYOUT U SCALE: 4" = I '-O" QZ Z PAGE: I UNAUTHOR/ZED ALTfPW10N OR ADDITION TO THIS DR4W/NG AND RELATED DOCUMENTS 15 A VIOLATION OFSEC. 7209 OF THE N.Y.S. EDUCATION LAW