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HomeMy WebLinkAbout44037-Z �o�oSUF Town of Southold 5/1/2021 C3 y P.O.Box 1179 o . 53095 Main Rd y?j�l p Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41996 Date: 5/1/2020 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 230 Old Shipyard Ln, Southold SCTM#: 473889 Sec/Block/Lot: 64.-2-50 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/26/2019 pursuant to which Building Permit No. 44037 dated 8/6/2019 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"air conditioning and electric as applied for. The certificate is issued to Frasca,Lauren&Kleiman,Michael of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44037 09-30-2019 PLUMBERS CERTIFICATION DATED Auth ed ignature O�gUFFO(,�c'� TOWN OF SOUTHOLD �� Gy BUILDING DEPARTMENT y g 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#: 44037 Date: 8/6/2019 Permission is hereby granted to: Frasca, Lauren & Kleiman, Michael 54 Young Ave Pelham, NY 10803 To: legalize "as built" alterations to existing dwelling as applied for. At premises located at: 230 Old Shipyard Ln, Southold SCTM ## 473889 Sec/Block/Lot# 64.-2-50 Pursuant to application dated 7/26/2019 and approved by the Building Inspector. To expire on 2/4/2021. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 ELECTRIC $295.00 CO -ALTERATION TO DWELLING $50.00 Total: $745.00 B ' din rtor 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 IDate. zb zZ!g New Construction: Old or Pre-existing Building: (check one) Location of Property: '7'72o of ca A,ro n/-,,�4 "-e 5-,,f11.1.( House No. Street Hamlet Owner or Owners of Property: �4cwe, F/gstu ti, P MIrAad k-lei,", , Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. 31? Date of Permit. Applicant: Health Dept Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 60 Applicant Signature QF S®(/�y®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q sean.devlinCa�town.southold.n us Southold,NY 11971-0959 y' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To, Lauren Frasca & Michael Kleiman Address: 230 Old Shipyard Ln city Southold st: NY zip: 11971 Building Permit#• 44037 Section: 64 Block: 2 Lot 50 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 Only Commerical Outdoor X 1st Floor Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures 2 HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors 2 Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 2 Twist Lock Exit Fixtures Combo SD/CO 3 Other Equipment: Notes " AS BUILT " " NO VISUAL DEFECTS " Inspector Signature: Date: September 30, 2019 S Devlin-Cert Electrical Compliance Form.xls FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) y -------------------------------------- FOUNDATION(2ND) z � o ROUGH FRAMING& PLUMBING �y r INSULATION PER N.Y. y STATE ENERGY CODE O, FINAL 1E ] ADDTTION COMMENTS X11 ® h� q 3Q i - Z m • b °z e 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 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey South oldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved ,20_fl Mail to: Sy '/OL-lfd )fop Disapproved a/c Ped 6fu0_�e05 0,5 IExpiration ,20 Phone: 17 -!;If I-_T,S5,5 D) ={ i i sector L-L, It !APPLICATION FOR BUILDING PERMIT �L JUL 2 5 2019 Date' ZC , 20 /1 INSTRUCTIONS I?1!111DTN r D>1.M a.`Tfii"s applicaticsrirlVlUT{ e,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. n V� (Signature of applicant or name, tif�a corporation) �� 1-110011141 ,{ e/h16_4 S ' NY -11 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder pws�� Name of owner of premises 1'Io ofc-( 517 rpya L-1 l 5bli-74, 1d, JVs'( I(Q-7-0 (As on the tax roll or latest deed) If applicant is a corporation; signature of duly authorized officer (Name dnd.title:of,corporate officer) Builders License No., a � Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1'�,0 0(d Sh,a�� House Number Street Hamlet County Tax Map No. 1000 Section Block Lot �� 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 Alteration -- Repair Removal Demolition Other Work (Description) 4. Est' ated Cost Fee (To be paid on filing this application) 5. If dwel 'ng, number of dwelling units Number of dwelling units on each floor If garag number of cars 6. If business, c nmercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of exi ing strictures, if any: Front Rear Depth Height Number of Stories Dimensions of same st cture with alterations or additions: Front Rear Depth Height Number of_Stories F 8. Dimensions of entire new const ction: Front Rear Depth , Height umber of Stories ' 9. Size of lot: Front ear Depth 10. Date of Purchase Na e of Former Owner 11. Zone or use district in which premises are situ ted 12. Does proposed construction violate any zoning la ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess 11 be removed from premises? YES NO 14. Names of Owner of premises Addre s Phone No. 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 freshwat wetland? *YES NO IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS Y BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES N * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to pr erty lines. 17. If elevation at any point on property is at 10 feet or below, must provide topogra hical 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 app licant (Naive of individual signing contract) above named, CONNIE D.BUNCH Notary Public,State of New York (S)He is the No.01BU6185050 (Contractor,Agent, Corporate Officer, etc.) Commission Expires 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. Sworn to before me this rX day of 20-0— ^� Notary Public Si ature of Applicant ft01 - BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD , < � Town Hall Annex - 54375 Main Road - PO Box 1179 `` • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX(631) 765-9502 - roaer-richert '.town.sot�thold.rty:us APPLI_, ION-FOR ELECTRICAL INSPECTION REQUESTED BY: Date:; 7 Company Name: Name: _ License No.: email.•,NI y-,E Address: Phone No:: - JOB SITE INFORMATION: (All Information Required) _ Name: t c ue� letM _ Address: 23e o1v9 Si, L,cvd L.^e Cross Street: L 14,g_ALM4I..r- Phone No.: - Bldg.Permit#: _ r" email: 40r-(ijigD&41 fl-I L,LO `i ax Map District: _ 1000 Section: Block: BRIEF DESCRIPTION OF WORK(Please Print Clearly) NeW -e1er+r,c sfrvlu 4 &1eA 1 EIttkn/ wkrei►.o A%.r C11nfli'1X„naf �r�fi'�C X�I'�, M ✓�o Circle All That Apply: Is job ready for inspection?: tS / S / NO Rough In Final Do you need a Temp Certificate?: 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, a�s- 82-Request for Inspedon Formas Ro'd AAPRQVED AS NOTED ELECTRICAL DATg p # �� FNSPECTION REQUIRED FEE: BY- FEE: BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FORTHE FOLLOWING INSPECTIONS: 1. 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. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE AS REQUIRED _cAND ny^CT�OF /.�NDITIONS O L/ I VVVJVL 9 A NIN G BOARD STEES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY — �I — �I d�IIlI (L ��] f w_ ���I�� L LI Ipi �TL1,r�rd ilk , ,f>f' _ �II XPA IV 2d in/230 ORS, 111 a i ( -= l7"I`�I' �' r,^—� ,,i'.�.�„ It's IJ ���II s I Z 101 i SEP, i - I I� fi'II?Ji;�(11'G�IIIi i ��� USI - CARD' 1 20 20 ,. �I I&�, I � I�- i III ,rl I-- i LES. � 4-1 I O�OR + .58 kg(St) 41 NS 8 '��' ' ill ��I .q 'e � CENTRAL,_ L I °���� �� 1"����I ���� ,.�1 4 P;.� :1 ]'a g1p,� � , , lye I�' Y ii61 t ,,t IFR r 715110.11" !LED IA i RR USE 11/1[3 HP - I � 01-SIG � I IP 1 — H11GIR 480 LOW 480 - -- •p- -1 - '-LI I, (' k� ISI � �.,Y, A,I�11 S,I;-a Iii d ea'r d: - 9 FI G, IT(,O : APPLIES 'ONLY' L' . II ;' 11.1, 'RE-1 THE COMPL'ET'E SYSTEM -77 - - - -