HomeMy WebLinkAbout47626-Z �O�OS�Efl1(,��oG Town of Southold 4/30/2022
y� P.O.Box 1179
o -
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43025 Date: 4/30/2022
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 130 W Lake Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 90.-1-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/23/2022 pursuant to which Building Permit No. 47626 dated 3/31/2022
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"bathroom to existing single-family dwelling as applied for.
The certificate is issued to Alsobrook,Victor&Gloria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47626 4/28/2022
PLUMBERS CERTIFICATION DATED
Auth iz Sign e
o FFoc,r�o TOWN OF SOUTHOLD
a Gym BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
"may • 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#: 47626 Date: 3/31/2022
Permission is hereby granted to:
Alsobrook, Victor
130 W Lake Dr
PO BOX 355
Southold, NY 11971
To: legalize "as built" bathroom to existing single-family dwelling as applied for.
At premises located at:
130 W Lake Dr, Southold
SCTM # 473889
Sec/Block/Lot# 90.-1-19
Pursuant to application dated 3/23/2022 and approved by the Building Inspector.
To expire on 9/30/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $424.00
CO-ALTERATION TO DWELLING $50.00
Total: $474.00
B ' ding Inspector
pF SOUryQI
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.deviine-town.southold.ny.us
Southold,NY 11971-0959
Q
�yOOUNT` 1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Victor Alsobrook
Address: 130 W Lake Dr city:Southold st: NY zip: 11971
Building Permit#: 47626 section: 90 Block: 1 Lot: 19
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
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heater 1 Duplec Recpt 1 Ceiling Fixtures 1 Bath Exhaust Fan 1
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt 30A Emergency Fixtures Time Clocks
Disconnect Switches 3 4'LED Exit Fixtures Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " Bathroom
Inspector Signature: s Date: April 28, 2022
S.Devlin-Cert Electrical Compliance Form
��OF SObTyo 7
` # # TOWN OF SOUTHOLD BUILDING DEPT.--
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: - 6�
AAc4o- I 4- d
DATE �� INSPECTOR C��/
0f 50Ulyo� 2 l!J
# TOWN .OF SOUTHOLD BUILDING DEPT.
765-1802
:
INSPECTION.
[ ] FOUNDATION 1 ST [ ] 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: MA-L- V �Gr�
DATE a-Li 22 INSPECTOR
BOE SOUIy L47(oU L
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION,-
FOUNDATION
#ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND - [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL.
[ ] FIREPLACE & CHIMNEY= [ ] FIRE'SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION j ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION / [ ] PRE C/O
REMARKS:
C A ME, X12 /n►sr�TZvAI
DATE .� rL Z INSPECTOR
soalyo6 I�j D Ind
# # TOWN OF SOUTHOLD BUILDING DEPT:
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: m7-V 1 L-� L-
DATE S 22 INSPECTOR <�--
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FIELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION (1ST) y
-------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
W: z Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
• c� Telephone (631) 765-1802 Fax (631) 765-9502 Vis://www.southoldtomM.gov
Date Received
APPLICATION FOR BUILDING PERMIT
� �
®
For Office Use Only
PERMIT NO. L ��nnA� 2 3 ��Building Inspector: MAR
BUILDING Ekp'I:
A;ppl,ications and forms must be filled out in their entireI NV
ty.dncomplete` TOWN OFsouTHOLD
,applications'will not be accepted. Where the Applicant is not the owner,an.
.Owner's Authorization form(Page 2)shall b"e eompleted..
Date:03/22/22
gWNER(S)OF PROPERTY:'
Name:Victor P. and Gloria F. Alsobrook scTM#1000-90-1-19
Project Address:130 West Lake Drive, Southold, NY 11971
Phone#:631-765-8650 Email:victorpalsobrook@gmail.com
Mailing Address:same
CONTACT PERSON:.
Name:Martin D. Finnegan
Mailing Address:P.O. Box 1452, Mattituck, NY 11952
Phone#:631-315-6070 Emaii:mfinnegan@northfork-legal.com
bESIGN PROFESSIONAL INFORMATION':
Name:James Deerkoski, PE
Mailing Address:
Phone#:631-298-7116 Email:jamesdeerkoski@yahoo.corn
'CONTRACTOR INFORMATION:
Name:n/a
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION' „
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
ElOtherAs-built-deek— �.j �� $
Will the lot be re-graded? ❑Yes R No Will excess fill be removed from premises? ❑Yes ®No
- 1
PROPERTY INFORMATION
Existing use of property:Single Family Residence Intended use of property:same
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ®No IF YES, PROVIDE A COPY.
B,Check Box.After Reading': The owner/contractor/design professional is responsible for all drainage and storm water issues as pYovided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of 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,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(s)for necessary,inspections.False statements made herein are .
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Martin D. Finnegan, Esq
Application Submitted By(print me : BAuthorized Agent ❑Owner
ure ofApplicant:----------
of —-ca ------ - ---------- -- -_ _ 4_ Date:
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Martin D. Finnegan
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
Agent
(S)he is the
(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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
22 March 22
day of ---. 20
Notary.Public
SCHWEITZER ANNALISE
NOTARY PUBLIC•STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION No.o�scsaosa5�
QUALIFIED IN SUFFOLK COUNTY
(Where the applicant is not the owner) MY COMMISSION EXPIRES SEP 28,20
Victor Alsobrook 130 West Lake Drive, Southold, NY
I, residing at
Martin D. Finnegan, Esq
do hereby authorize to apply on
my 1ehalf to the own of Southold Building Department for approval as described herein.
s
Owner)§,SignatAe Date
Victor P. Alsobrook
Print Owner's Name
2
W?,1 Vlor G(T=
15
Q� UILDING DEPARTMENT- Electrical Inspector �CW e'�C�Tit
TOWN OF SOUTHOLD
o Town Hall Annex - 54375 Main Road - PO Box 1179
0 o�NGo��®�� Southold, New York 11971-0959
• o�� s
oN®r Telephone (631) 765-1802 - FAX (631) 765-9502
10
1 ' 1 rogerr aasoutholdtownny.gov — seand(cD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
Address:.
Cross Street:
Phone No::
__...--------Bld :Permit-#:--- _ -- - -_--- ----email:-___------ ------ --------- -.-- = -
g - - ,n
Tax.:Map District: . 1000 Section; Block_: Lot
BRIEF DESCRIPTION OF:.WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly);:
Square Footage.: '
Circle All That Apply
Is job ready for inspection?. YES ANO Rough In Final
Do you need a Temp Certificate?: ❑ YES® NO Issued On -
Temp Information: (All information required)
Service Size❑1 PhF]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 R2 H Frame Pole Work done on Service? DY N
Additional Information:
J.
PAYMENT DUE WITH APPLICATION
�ox
Q� Sypr� C
\vv
PERMIT# Address:
Switches ( � 1
Outlets
G F I's
Surface. �-
Sconces . l . .. : _ �:.. .. .... .
H H's
UCLts , . .
Fans :.:..... :.,:F"rid"ge ,HW,, . :p: .• : :..,
Exhaust( Oven W/D
Smokes . , DV1/
Mini.
..Carbon Wn..,.. IVlicro... ,:Generatgr.. :.
Comkfcz:; Cooktop Transe�
AC. . AH Hood :
Amps Have
Special:. :�_Q �..
Comments:
F
S.C.T.M. NO. DISTRICT: 1000 SECTION: 90 BLOCK: 1 LOT(S): 19
Ar
WEST LAKE ROAD
EDGE OF PAVEMENT
�+ S 67°25'20" E 100.00' U.P.
ryry�� U.P. TIMBER CURB 3.0'74 BRICK TIMBER CURB 3.0'N -Cr
PRON
_
� 84.38' MON. MON
w -
LOT 125 O LOT 124
0 p LOT 123
W N m
M L�
a Y
U U
W U GRAVEL DRIV AY
BRICK oc -
SSHOWER
STOOP 00
3.64.2'
L.P.GAS
0BRICK 14.9'
W .18.3':: ::
CONC.
':':':::2 STY FRM.': m
o DWELLING:" Y 00GARAGE:
-�4::-- 30:::::::o �_ w : ;::::•:::::•::
O V
.r CL2< m
N Y N . 6' FENCE
Z 0.5'W
otm
BRICK
PATIO
24.7' : ::':' 24.6 :':: 26'X15'
BAY BAY
ZONE X \ WOOD DECK
0.29- CHANCE ANNUAL FLOOD d'
Cq
N
- - - - —
ZONE X F
STK. 3.9 E i TIMBER WALL 0.5'W
_ _ STK.
a —
FL00 ZONE BOUNDARY
0
3 ZONE VE(EL10)
SPIKE VINYL BULKHEAD
N 67025'20" w MHW LINE ALONG BULKHEAD SPIKE
100.00'
LITTLE PECONIC BAY
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
FEMA MAP 36103C0169H 09-25-2009 LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS
AND OR DATA OBTAINED FROM OTHERS
AREA:12,646.57 SQ.FT. or 0.29 ACRES ELEVA77ON DATUM: _ ________
UNAUTHORIZED AL7ERA77ON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF 7HE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM 7HE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO 7HE ASSIGNEES OF THE LENDING INS777U770N, GUARANTEES ARE NOT TRANSFERABLE.
77-IE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 7HE PROPERTY LINES TO 774E STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE ]HEREFORE 7HEY ARE
NOT INTENDED TO MONUMENT 7HE PROPERTY LINES OR TO GUIDE 7HE EREC71ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUC-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 77.1E PREMISES AT THE 77ME OF SURVEY
SURVEY OF: LOT 124 CERTIFIED TO: MICHAEL RENDEL;
MAP OF:CEDAR BEACH PARK FIDELITY NATIONAL TITLE INSURANCE COMPANY;
FILED:DEC. 20, 1927 No. 90 CITIZENS BANK;
SITUATED AT:BAYVIEW
TOWN ORSOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE #221—218 SCALE:1 "=20' DATE: DEC. 9, 2021 + PHONE (831)298-1588 FAX (631) 298-1588
N.Y.S LISC. NO. 050882 maintaining the records of Robert I. Hennessy & Kenneth M. Woychuk
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APPROVED AS NOT D INSPECTION REQUIREl'
DATAy�SF��z ��
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765-1802 sAM ro 4 PM FOR THE COMPLY WITH AL cLaES OF
FOLLOWING INSPECTIONS:
NEW YORK STATE & TOWN CODES
1. FOUNDATION - TWO REQUIRED AS REQUIRED AND )NDITIONS OF
FOR POURED CONCRETE
z. ROUGH - FRAMING & PLUMBING
3. INSULATION ++i Lun
4. FINAL - CONSTRUCTION MUST `'� iiV'G BOARv
FLOOR P LAN BE COMPLETE FJ., -,O
SCALE:1/4"= ON SO n�L �� STEES
r-o" ALL CONSTRUCTI
REQUIREMENTS OF THE CODES OF NEW
N.Y.S. ,ter
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
3'h RAILING
3
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WC UV SINK
WM. DW a• 2X8 D1 @16"OC DRAWN BY: JD
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SLOPE'1/4"PER FOOT PITCH TO DRAIN POST POST ,,.• :�:ry SCALE: SEE PLAN
PCI S-SYSTEM \CO J� CT
TR /�
FPHOUSE f % SHEET N O:
8"PIER 8"PIER p r` 1� RC2 ��
PLUMBING SCHEMATIC m `
SCALE:NOT TO SCALE
CROSS SECTION Ago '~oz` Ac�`
SCALE:3/8"=1'-0" 10
I j
USE IS UNLAWFUL PLUMBER CER TIF/CATION
Additional ON CERTIFICA �� ON LEAD CONTE•NTBEFORF
Certification I CERTIF/CA TE OFOCCUPAN�� LPL MEIN '
OCCUPANCY SOLDER USED IN WATER ALL PLUMBING V�ASTE
May Be Required. SUPPLYSYSTEM CA �� , WATER LINES NEED
NG.$I=FORE COVERING
EX�,F N --
EP?�>0nF. j L, , ,