HomeMy WebLinkAbout47914-Z guFF01,f�o Town of Southold 7/27/2022
Gym P.O.Box 1179
co
C* 53095 Main Rd
yoy�al ��o� f Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43292 Date: 7/27/2022
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 3995 Nassau Point Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-9-5.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/28/2022 pursuant to which Building Permit No. 47914 dated 6/6/2022
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" finished attic storage(non-habitable,non-sleeping, storage use only)to existingsingle family dwelling as
applied for.
The certificate is issued to Parks AC Irry Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47914 7/8/2022
PLUMBERS CERTIFICATION DATED C\ n
A th0 ' e Signature
oSOFFilt
o TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
"oy • SOUTHOLD, NY
poi
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#: 47914 Date: 6/6/2022
Permission is hereby granted to:
Parks AC Irry Trt
3995 Nassau Point Rd
Cutchogue, NY 11935
To: Legalize as-built finished attic storage in existing single family dwelling as applied for.
Additional certification may be required.
*Attic is Non habitable, NO Sleeping, storage use ONLY.
At premises located at:
3995 Nassau Point Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-9-5.3
Pursuant to application dated 4/29/2022 and approved by the Building Inspector.
To expire on 12/6/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $561.60
CO-ALTERATION TO DWELLING $50.00
Total: $611.60
Building Inspector
SO�ryol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviin(c-D-town.southold.ny.us
Southold,NY 11971-0959
OUNTV,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Parks AC Irry Trt
Address: 3995 Nassau Point Rd city:Cutchogue st: NY zip: 11935
Building Permit#: 47914 section: 111 Block: 9 Lot: 5.3
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 Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X 3rd Floor X Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures 2 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 7 CO2 Detectors
Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 1
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4 4'LED Exit Fixtures Pump
Other Equipment: 100A Sub Panel 20 Circuit/20 Used
Notes: AS BUILT NO VISUAL DEFECTS " Third Floor Converted to Conditioned Storage Space
Inspector Signature: Date: July 8, 2022
S.Devlin-Cert Electrical Compliance Form
Irg so q/Ll
# TOWN OF SOUTHOLD BUILDIN DEPT.
cou631-765-1802
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 [ ] RENTAL
.REMARKS:
New&A - 92r r C
Ca.s
AleeJ La �
e
DATE INSPECTOR
OF so(/ThO�
TOWN OF SOUTHOLD BUILDING DEPT.
couffm 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO H PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ]
FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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DATE SS till INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST) y
------------------------------------
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FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y. �y
STATE ENERGY CODE
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FINAL S �� i�
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldto.�6M.gov
Date Received
APPLICATION FOR BUILDING PERMIT
�fl, FE
For Office Use Only
D
PERMIT NO.. Building Inspe tor APR 2 8 2022
AP0,lications'a.ri.dfornis-must-bb filled'6ut.in theit.6ntirety.-Inc6rnpiete, BUILDING DEPT
TOWN OF SOUTHOLD
appli6tion's will not b&a6ce-p.t6d". Where th6�koolicant,is'6oi-th6:6Wheri.ein.
Owneet Authorlintion f6rm' :(Pag'p'2)shAll-be completed.'
Date: April 18,.2022
NER(S)PF,PROPERTY:
,bw
Name:Andrea Parks for Parks AC Irrevocable Trust SCTM# 1000-11 l .-9-5.3
Project Addre-ss:3995 Nassa.y
point Road, Cyt&99ye, NY 11935
Phone,#:631 276-2927 7ail:andiparks@aol.com
Maii.ing.Address:sarhe
CONTACT-PERSON:� -
Name:
Mailing Address:
Phone#- ail:
Frn'
DESIGN-PROFESSIONAL INF6kMAT;IONR
Name:Vincent Benic
Mailing Address:PO Box 92,_Southold, NY 11971
Ph one#:9 17 414-1925 Email:vince@vba.rch.com
CONTRACrOR INFORMATION--'.
Name:n.6
Mailing Address:
Phone#: Email:
DESCRIPTION-OF PROPOSE[)C.ONSTRUCTION
El New StruAtu re E]Add'tion ElAlteration EIRepair DDemolition Estimated Cost of Project:
201 . A $
[Wi I I the lot be re-grade d? E]Yes RNo Will excess fill be removed from premises? E]Yes R No
- ...--PROPERTY INFORMATION.'-.
Existing use of property:Residential Intended use of property:Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Residential this property? ❑Yes.BNo IF YES, PROVIDE A COPY.
8_Check:Box Aft r'.Reading:. The owner/contractor/design professional lixesponsible for all drainage and storm water issues:as provided.by
Chapter 236 of the Town Code: APPLICATION IS HEREBY MADE to the Building.pepartment for the issuance of a Building,Permitpursuant to the Building Zone-
Ordinance of the.Town of Southold,Suffolk;Cotinty,.New York and.other applicable.Laws;Ordinances.or Regulations;for the construction of buildings, .'• '
additions,alterations or for removal or demolitionas herein described.The applicant agrees to comply with all•applicable laws,ordinances,_buildirig code,. -
ho.using'code.and regulations and to.admit authorized inspectore,on premises.and in,building(s)for necesiary•inspections.False statements made herein are -
punisheble as a Class A misdemeanor pursuant to Section 210.45 of the New•Yoek State Penal.Law. "
Application Submitted By(print name): OAuthorized Agent 001wrier
Signature of Applicant: it
Date: 1 4/ qct
STATE OF NEW YORK)
SS:
COUNTY OF 5UA%L4L— )
Ail.jrjlt ata Pwa44s being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the c:�+�►nt��--
(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 ther I h.
Sworn before me this
day of APRA%— ,20 27-- r
Not i<agWLEIN
Notary ublic,State of NewybrR
No.01 ZW4634375
Qualified in Suffolk County
mission Expires May 31, Lfo
PROPERTY.OWNER AUTHORIZATI.ON�om
(Where the applicant is not'the owner)
I, N ILI I residing at
do hereby authorize to apply on
my behalf a Town of Southold Building De e for approv described herein.
ner's Signature Da
Pri ner's Name
L.0000
2
S�ffOL,� BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
o Town Hall Annex - 54375 Main Road - PO Box 1179,
o • Southold, New York 11971-0959 ;
y O� Telephone (631) 765-1802 - FAX (631) 765-9502.
rogerr(aD-southoldtownny.gov - seand(cD-southoldtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Pho a o: ❑I uest an email copy of Certificate of Compliance
Elec. Addr ss.:
JOB SITE INFORMA II Information Required)
Name: ?ct r G Tr r-ry r4•
Address: q(q6 Ct77
Cross Street:
Phone No.:
Bldg.Permit#: -email:
Tax Map District: 1000 Section: 'f f Block: Lot: 5.3
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: X_YEESFJ NO ❑Rough In XFinal
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 Reconnect❑Underground❑Overhead
# Underground Laterals n 1 F12 0 H Frame Pole Work done on Service? Y nN
Additional Information:
PAYMENT-DUE-WITH-APPLICATION
� `0
PERMIT# Address:
Switches I
Outlets I r
G F I's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special: I6 r ' of
Comments
OCCUPANCY OR
APPROVED AS NOTED USE IS UNLAWFUL
DAT .� a B.P. WITHOUT CERTIFICATE
E � -
FEE-$(j-�'U BY: OF OCCUPANCY
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION -.•TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
.3. INSULATION CC) 1ApLY WITH ALL �C)[`ES OF
4. FINAL - CONSTRUCTION MUST NEW YORK STATE & TOWN CODES
BE COMPLETE FOR C.O.
.ALL CONSTRUCTION SHALL MEET THE AS REQUI ED AND CONDITIONS O
REQUIREMENTS OF THE CODES OF NEW SOUTHOL-DTOWN ZBA
YORK STATE. NOT RESPONSIBLE FOR
.DESIGN OR CONSTRUCTION ERRORS. SOUTHOLD TOWN PLANNINE BOARD
SOUTHOID TO'JJN TRUSTE
N.Y.S.DEC
Additional
eation
WT 1k,Required., RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
EUCMCA.MWEMON RKUH D
415' VBA.
C� VINCENT BENIC ARCHITECT
DRIVEWAY C PO Box 92,Southold,NY 11971
80 CONI x--414 i9um
Issued/ReWslon
0)
PARKING 4/26/22. BD SUBMISSION
Pool
_z I
O
CL Z
Z) HOUSE 0 EXIST.
U ATTIC TO
OTTA E W REMAIN Drawings&specifications as Instruments of professional service
are,and shall remain,the property of VINCENT BENIC
ARCHITECT. No reproduction,in whole or in part,shall be made
Z N/TH without the written authorization of VINCENT BENIC ARCHITECT.
This document is Intended solely for the construction of the
projectnamed herein and shall not be used by any other parties
_ for any other construction without the written consent of
WVINCENT BENIC ARCHITECT.
J
EC
411' I
GENERAL NOTES: q APR 2 8 2022
E ` YE
1. THE ARCHITECT SHALL NOT BE RESPONSIBLE FOR THE SUPERVISION OF 3 SITE PLAN _ TOWN OF SOUTH,CONSTRUCTION.THE ARCHITECT AND/OR HIS AGENT SHALL BE ALLOWED ACCESS Scale:
TO THE CONSTRUCTION SITE. 0 10 20 30 40 60 60 70 Bo 90 100 FT
2. NO CHANGES SHALL BE MADE TO THESE DRAWINGS ACCEPT AS PER N.Y.S.
LAW CHAPTER 987.ANY CHANGES TO THE PLANS MUST BE APPROVED BY THE
ARCHITECT.ANY SUCH CHANGES SHALL BE FILED WITH THE BUILDING RED ARC,S//
DEPARTMENT AND AMENDED TO THE ORIGINAL BUILDING PERMIT.ANY STAIR DN
MODIFICATION OR REPRODUCTION OF THESE PLANS OR SPECIFICATIONS FOR 12'-11" TO BEDROOM C9�J�NG,
USE OTHER THAN THE INTENDED PROJECT IS STRICTLY FORBIDDEN WITHOUT BELOW' ATTIC TO
THE EXPRESS WRITTEN PERMISSION OF THE ARCHITECT. REMAIN
3. THE G.C.AND HIS SUB-CONTRACTORS ARE NOT TO SCALE DRAWINGS. *g r u * t
Q EXIST STAIR DN
GUARD -----�00
TO BEDROOM
Q OD — ON 2ND FLOOR
4. ALL ORIGINAL CONSTRUCTION DOCUMENTS, PHOTOGRAPHS, SKETCHES AND v
ESTIMATES SHALL REMAIN THE PROPERTY OF THE ARCHITECT AND SHALL BE RAIL
� I. 5 I 3� �
CONSIDERED AS INSTRUMENTS OF THE SERVICES RENDERED WHETHER THEY '=` ,l I; I I LEGALIZE VBA Pro TE OF
WERE EXECUTED OR NOT. a C'L'G LOPE ¢ Co 2 I FINISHED 67B.z
c N A 101 I �'�' I. ATTIC DraWNwn•
5. THE PHRASE"BY OWNER" IS TO BE CONSTRUED AS PURCHASED BY THE Y a ALIZE I STORAGE Checked:
OWNER, BUT COORDINATED, SCHEDULED, HANDLED,AND INSTALLED, BY THE i`
G.C.AND HIS SUBCONTRACTORS. Do
3 FINISHED ATTIC ROOM v6
M
0' STORAGE HABITABLE
6. THE ARCHITECT, DISCLAIMS ANY RESPONSIBILITY FOR THE DESIGN OF THE :o Y
ELECTRICALAND MECHANICAL SYSTEMS. I EXIST. ROOM `— I-- ROOM
A TIC T®, Vinci BeniC AIA,
7. THE COST OF THE BUILDING PERMIT SHALL BE PAID BY THE OWNER. ;
REMAIN NON EXIST.' NYS#014683
HABITABLE ATTIC TO. Project
ROOM REMAIN;. PARKS RESIDENCE
ENERGY CODES:
` : '
3995 NASSAU POINT RD
CUTCHOGUE,NY 11935
1. TO THE BEST OF MY BELIEF AND KNOWLEDGE, THIS SET OF DRAWINGS 7'-7 5/8" Drawing Title
MEETS OR EXCEED THE REQUIREMENTS OF THE ENERGY CONSERVATION CODE
OF THE STATE OF NEW YORK LATEST EDITION PLANS, NOTES
3 ALL WINDOWS AND SKYLIGHTS SHALL BE DOUBLE GLAZED,AND WEATHER FLOOR PLAN ROOF PLAN Drawing Number
STRIPPED,AND ALL DOORS SHALL ALSO BE WEATHER STRIPPED. 2 Scale: 0 1 Scale: 01 6 11 16 21 26 31 FT
3 4 5 6 7 8 FT /� '
4 ALL NEWAPPLIANCES,AND ITEMS SPECIFIED SHALL MEET THE ENERGY STAR. A-101