HomeMy WebLinkAbout47001-Z ��QS�Ff01 cry Town of Southold 10/20/2022
P.O.Box 1179
o -
o 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43518 Date: 10/20/2022
THIS CERTIFIES that the building ALTERATION
Location of Property: 1025 Hillcrest Dr., Orient
SCTM#: 473889 Sec/Block/Lot: 13.-2-8.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/24/2021 pursuant to which Building Permit No. 47001 dated 10/18/2021
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:
addition and alterations, including as built deck and first floor bathroom,to existing single family dwelling as applied
for.
The certificate is issued to Hands I1I,William&Janet
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47001 10/10/2022
PLUMBERS CERTIFICATION DATED 9/27/2022 BfNiecuch,
Aho ize S nature
aO�sufeot,r�o TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
"oy • � . 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#: 47001 Date: 10/18/2021
Permission is hereby granted to:
Hands III, William
1025 Hillcrest Dr
Orient, NY 11957
To: construct additions and alterations and to legalize as-built deck addition and first floor
bathroom as applied for. Additional certification may be required.
At premises located at:
1025 Hillcrest Dr., Orient
SCTM #473889
Sec/Block/Lot# 13.-2-8.8
Pursuant to application dated 9/24/2021 and approved by the Building Inspector.
To expire on 4/1912023.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $513.20
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $220.80
CO-ADDITION TO DWELLING $50.00
Total: $784.00
Building Inspector
SOUlyol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q roger.riche rtO-)town.south old.ny.us
Southold,NY 11971-0959Q
IyOUN'i`1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: William Hands III
Address: 1025 Hillcrest Dr City: Orient St: New York Zip: 11956
Building Permit#: 47001 Section: 13 Block: 2 Lot: 8.8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Roslak Electric License No: 3677-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures 2 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 8 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 3 Twist Lock Exit Fixtures TVSS
Other Equipment: 2-bath fans (exhaust), 6-outside wall lights, 2-bathroom wall lights.
Notes: Alterations and up-grades in 2 bathrooms/laundry room.Added lighting on outside of house.
Inspector Signature: Date: October 10 2022
81-Cert Electrical Compliance Form.xls
®nxg SpUl�ol
� o
Town HallAnnex Telephone(631)765-18(
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
I BUILDING DEPARTMENT
�F 1r , TOWN OF SOUT]HOLD
DI
SEP 3 0 2022 ®
t" iLUic` '-Tax'' _
CERTIFICATION
qc�Date:- O`'
Building Permit No.
Owner. -N 5
(Please print)/,,
Plumber.
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signage)
Sworn to before me this �
day ofS �'� 20�c
SUSAN A.Ri7.7-Q
Notary public,State Of New York
No.Ol Ftt6'1&3458
Quaiionflein res tAarch 7,'ount�2�
Commission S%•4�
Notary Public, �'�� County
ho�alaf SOUTyO�O
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
.1
INSPECTION I NSPECTION f
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] 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:
i4vtnt
'\
L
"t
DATE INSPECTOR
o�aOF SOUTyO
# # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [XROUH PLBG.
FOUNDATION 2ND [ ATION/CAULKING
FRAMING /STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: on
tCA An
DATE 1 INSPECTOR
alz�l�v
OF SO(/T�°�
# # TOWN OF SOUTHOLD BUILDING DEPT.
,ourmN�'' 631-765-1802
INSPECTION
�7 va
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] 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 [ ] RENTAL
REMARKS:
e--
DATE
DATE 2 '� INSPECTOR F `
CHITECT
MARK SCHWARTZ &ASSOCIATES 28495 \lain Road•PO Box 933•Cutchogue, NY 11935
631.734.4185 1 www.mksarchitcct.com
October 14,2021
Southold Town Building Department
® E C E H E
54375 Main Road OCT 1 4 2021
Southold,New York 11971 DD
BUILDING DEPT.
Re: Hands property TOWN OF SOUTHOLD
1025 Hillcrest Drive
Orient,New York
To whom it may concern,
We have reviewed the existing as-built deck and provided as-built deck plans. To the best of my
knowledge,the deck,deck foundation and connections have been constructed to meet or exceed NYS
Code.
Please call this office with any questions you may have.
Sincerely,
Mark Schwartz
7
Member American Institute of Arclhil-eclure
FIELD.INSP CT30N R FORT. DATE S
77
FOUNDATION.(1ST) - C>
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F0 -.Tl.-PN:
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14
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ROU. TRAIYIIN.G:&
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INSULAlTI-ON..PER N.Y. ?�
STAMEN RGY CODE
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ods°ffar�'�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y 2 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy�o � Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtovmny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
E G�
it
For Office Use Only
SEP 2 4 2021
PERMIT NO. D Building Inspector: 4J
p
BUILDING OLPT.
TOWN OF SOUTHOLD
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: September 24, 2021
OWNER(S)OF PROPERTY:
Name: William and Janet Hands SCTM#1000-13-2-8.8
Project Address: 1025 Hill Crest Drive, Orient, NY 11957
Phone#: (631) 275-0135 1 Email: boxofivehands@aol.com
Mailing Address: 1025 Hill Crest Drive, Orient, NY 11957
CONTACT PERSON:
Name: Mark Schwartz
Mailing Address: PO Box 933, Cutchogue, New York 11935
Phone#: (631) 734-4185 Email: mksarchitect@optonline.net
DESIGN PROFESSIONAL INFORMATION:
Name: Mark Schwartz
Mailing Address: PO Box 933, Cutchogue, New York 11935
Phone#: (631) 734-4185 Email: mksarchitect@optonline.net
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: F-m711-
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes W No Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTY INFORMATION
Existing use of property: Single Fam. Res. Intended use of property: Same
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R_80 this property? ❑Yes ANo IF YES, PROVIDE A COPY.
❑Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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.
Application Submitted By(print n me): Mark Schwartz BAuthorized Agent ❑Owner
Signature of Applicant: Date: 9/24/21
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Mark Schwartz being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)heisthe Architect/Agent
(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
-4 day of20 2)
otary Pu lic
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900 PROPERTY OWNER AUTHORRATION C C4
QUALIFIED IN SUFFOLK COUNTY J
COMMISSION EXPIRES JUNE 30,2 02a (Where the applicant is not the owner)
ON
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
Buildinz Department Application
AUTHORIZATION
(Where the Applicant is,not the Owner)
�jy
I, � � 1�. Qhf�S —residing at � t'f�! l ,S
(Print property owner's name) (Mailing Address) 1
do hereby authorize OA 0K abuJAA-T-Z-.r-
(Agent)
faG ' to apply on my behalf to the
Southold Building Department.
1
r
n
/(0 e 1 r (Date)
(Print Owner's Name)
J
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
roger.richertaatown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: tom` "Rig 5 Date: . 2 ap z�
Company Name: 57G, /< IFA rc- 7-4/G -,zG
Name: Z-EM o 5 L, I�-
License No.: email: ,rt
\ Address: O r$0 Y,
Phone No.: (631) 7 3 --5'2-'7d
JOB SITE INFORMATION: (All Information Required)
Name: L✓�� f NQS S TL?
Address: /p -- �.� �r U �] , (19'-7
Cross Street: QkI J6.= .
Phone No.: -S' �74
Bldg.Permit#: 4/70® / email: �4
Tax Map District: 1000 Section: 3 Block: Z Lot: g » $
BRIEF DESCRIPTION OF WORK (Please Print Clearly) 7/o/zo�g
Circle All That Apply:
Is job ready for inspection?:i/A:ZC NO Rough In Final
Do you need a Temp Certificate?. YES 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
MAR ? 5 2022 ' �h �
& J lnsph FormAl
Town Hall Annex �� Telephone(631)765-1802
54375 Main Road N `= Fax(631)765-9502
P.O. Box,1179 it
Southold;NY 11971-0959
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: 2
Owner: �ILL 1&1 4 J410
Location of Property: a O�
Please take notice that the (check applicable line):
New commercial or residential structure
Addition to existing commercial or residential
::�Z: Rehabilitation to an existing commercial o residential s ucture
to be constructed or performed at the subject property reference above wilt utilize
(check applicable line):
Truss type construction (TT)
_ Pre-engineered wood construction (PW)
Timber construction (TC)
in the following location(s) (check applicable line):
Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature:
Name (person submitting this form): ��
Capacity(check applicable line): Ale
Owner
R_ Owner representative
TrussReg15.docx Effective 1/112015
REVISIONS:
O
VACANT
(FARM FIELD)
:APPROVED AS NCS
BROWN'S HILL ROAD � ING DEPARTMENT�?UiLDI�S_- Ct?ARTA4cNT AT
7F 5-ICO2 -8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. r','?IJNDATION - TVVO REQUIRED
N42037'50"W 150' FOR POURED CONCRETE
2. ROUGH - FRAMItNG & PLUMBING
3. "ISJLATLON
�.,
-;,NAL. - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
N N REQUIREMENTS OF THE CODES OF NEW
YORK STATE, NOT RESPONSIBLE FOR
PPE ON OR CONSTRUCTION ERRORS,
V1
COMPLY WITH ALL
CODES OF
NJEW YORK STA TE & TOWN CODES O
Li; -;cD ANFj CCND!T10NS OF
� /1� t,luBOARD O
`; l�•_I,.I_'tRU IEESCu
cc
G
OCCUPAf' CY OR
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USE IS UNLAWFUL
U
WITHOUT CERTIFICs 1 E
OF OCCUPANCY
LOT 5 LOT 6 LOT 7 vp mv ';n� rf
PUfl�lr�46a
H
PRaP06 3s'�� a Z
CANTILEV RED;PUNPOUT
EXISTING DECK N E D FLOOR V1 x
ELECTRICAL o �
-a -- - INS-PECTION REQUIRED
34' 4'
I ,��eJ�! BING
.
A�LPLUMBING WASTE. o
&YVATER LINES NEED
— – _ Ti`I�wG: FOPL CO`w'r=R1*!G c"
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EXISTING COVERED PORCH _ _ C/Hpq�O � \ X
O ro E N
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PLUI'�BER CERTIFICATION
1
ON LEAD CONTENT BEFORE E
CERTIFICATE OF OCCUPANCY Additional 0 z Ln
00
o o SOLDER USED IN WATER Certification
S.T. SUPPLY SYSTEM CANNOT
May Be Required. � U E
`14 N EXCEED 2/10 OF 1% LEAD.
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HILL CREST DRIVE
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SEP 2 2021 Q
BUILDING DEPT. _
TOWN OF SOUTHOLDcn
U
SCTM# 1000-13-2-8.8
Q
LOT 26
METES & BOUNDS FROM
JOHN C. FREERS LAND EDq�C,
��5 \11N sC,�
SURVEYOR 74 N * DRAWN:NI;
SCALE: 1/4"=1'-0"
PROPOSED SITE PLAN P C DATED: N� . }L .:, 1; A- JOB#:HANDS
0 9 Q- DATE:9/24/2021
1"= 20'
02/02/04 '9T 2233 y0 SHEET NUMBER:
NSOF NE`N PERMIT SET
REVISIONS:
10 FO6/2—1
—TO—/12/21
66-4-2
13'-6"1 16-8�3[" 13'-6-8"' 23'-721
8 --- I — ---
T-2-gl T-8-43" 5'-1 ii, T-
61-411 41 41 8 71-71' 0–2" 16-711
12"DIA.SONO
TUBES 36"MIN.
(TYP.)
12"DIA.S
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TUBES 36"MIN.
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13'-6-43" 13'-112" 13-t63"
4
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EX.3"0
STEEL COLUMN
_117M
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HSS 4.OXO.22 TUBE STEEL F Cf rl
COLUMN ON 4X4X1-0 CONC.
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PROPOSED EXISTING COLUMNS N
ASSUMED TO BE
PROPOSED FOUNDATION PLAN SUPPORTED W/30"X30"Xl 0"
CONCRETE FOOTING, BASED
NON PERMIT PLANS ON FILE EHE
W/BUILDING DEPT u
OCT 1 4 2021 cn
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BUILDING DEPT cr�
TOWN OF SOUTH&D <
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44;
DRAWN:NK
SCALE: 1/411=11-011
JOB#:HANDS
02 2 3-3') 0 DATE:9/24/2021
SHEET NUMBER:
PERMIT SET
A2-
REVISIONS:
66'
131-82 141-711 13'-82 24'
101-1-1 3'- T-8 6'-7 5'-
71-211 2" 2 T-2" 111-71' 9-21."
co
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00
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131-811 BAT 3'-4"
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SCALE
JOB#:HANDS
0 DATE:9/24/2021
233'� SHEET NUMBER:
0 N PERMIT SET
—A3
REVISIONS:
10/06/21 1
10/12/21 1
66'
13'-82,. 141-711 13'-82„ 24'
----------
31-81" T-8 __6_'-7 51-
71-2" 2 111-711
T
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2-91 LVL AS-BUILT DECK
3-94 LVL
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54 X 7 1.8E 5-41 X 17 1.8E d NE
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PARALLAM COLUMN PARALLAM COLUMN
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PARAL OLUMN//,/
DINING
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3-94 ML W/
2-1/2"STEEL 3 ML W/
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2-1/2"STEEL TYPE BA BEAM HANPER I I BATH
IN 4 LOCATIONS(TO BE 4-91MLW/ r)
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APPROVED PRIOR TO FLUSH BEAM
III I WORKSHOP
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; VERIFY VENT
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PARALLAM COLUMN REF
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MATCH RELOCATED MATCH RELOCATED PARALLAM COLUMN PARPLLAM COLUMN 00 E _cD
PICTURE IN FIELD PICTURE IN FIELD CN I u
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41'-821" 24'-32"
66'
LEGEND . ED
EXISTING
TO BE REMOVED NOTE:
PROPOSED ALL STRUCTURAL BEAMS ASSUME CEILING
JOISTS TO RUN PERPENDICULAR(FRONT Gtr y
PROPOSEDFIRST FLOOR PLAN TO BACK, PARALLEL TO RR'S) N DRAWN.NK
GC TO VERIFY EXISTING CONDITIONS IN SCALE: 1/4"=F-0"
FIELD AND NOTIFY ARCHITECT FOR ANY JOB 4:HANDS
N 1/4" -01, DESCRIPENCY IN EXISTING CONDITIONS (P 2339�j02 DATE:9/24/2021
FOR REVIEW AND STRUCTURAL CHANGES
<� SHEET NUMBER:
1.0 P NO PERMIT SET
A4
REVISIONS:
42
21 71-2" 71-91f 81-1112" 4'-31
- ---------- ----- - - - ----- - -------- ------ - — ------ -------- ----— - -- ---- -- - -- -- - ----- - - ---- �1
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