HomeMy WebLinkAbout47380-Z �O�g�fFatea y Town of Southold 8/4/2023
C* P.O.Box 1179
10 53095 Main Rd
o , Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44379 Date: 8/4/2023
THIS CERTIFIES that the building SHED
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Location of Property: 625 Wood Ln.,Peconic
SCTM#: 473889 Sec/Block/Lot: 86.-6-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/10/2022 pursuant to which Building Permit No. 47380 dated 1/25/2022
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"alterations to existing non-habitable accessory structure as applied for.
i
The certificate is issued to Burke,Timothy&Nancy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47380 7/7/2023
PLUMBERS CERTIFICATION DATED
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�o�su FolTOWN OF SOUTHOLD
BUILDING DEPARTMENT
C* x TOWN CLERK'S OFFICE
SOUTHOLD, NY
�ol � ,,
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#: 47380 Date: 1/25/2022
Permission is hereby granted to:
Burke, Timothy
149 Split Rock Rd
Syosset, NY 11791
To: Legalize as built alterations to an existing accessory structure of a single family
dwelling as applied for. Additional certification may be required.
At premises located at:
625 Wood Ln., Peconic
SCTM # 473889
Sec/Block/Lot# 86.-6-7
Pursuant to application dated 1/10/2022 and approved by the Building Inspector.
To expire on 7/27/2023.
Fees:
AS BUILT-ACCESSORY $457.60
CO-ACCESSORY BUILDING $50.00
Total: $507.60
Building Inspector
�aOF SOUTy�
# * TOWN OF SOUTHOLD BUILDING DEPT.
o . 'R
`ycou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATI0WCAULKING
[ ] FRAMING /STRAPPING [ FINAL yh .
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATI [ ] PRE.C/O [ ] RENTAL
REMARKS:
00
DATE >-if lo k INSPECTOR
OF SOUJyolo f ( /6 K/ lidV ,Z4!
# } TOWN OF SOUTHOLD BUILDING DEPT.
��y�OUrrn,N�' 631-765-1802
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: ea"
/77
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DATE INSPECTOR
oF so�TyQl
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 aQ sean.devline—town.southold.ny.us
Southold,NY 11971-0959 Q�yCOw'N�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Timothy Burke
Address: 625 Wood Ln city:Peconic st: NY zip: 11958
Building Permit#: 47380 Section: 86 Block: 6 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Shed X
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures 3 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 5 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
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 5 4'LED Exit Fixtures Sump Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " SHED
Inspector Signature: Date: July 7, 2023
S.Devlin-Cert Electrical Compliance Form
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NAY 11971-0959
Telephone(631)765-1802 Fax(631)765-9502 https://www.southoldtownn.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. 73 go Building Inspector: '
JAN 1 0 2022
Applications and forms must be filled out in their entirety.Incomplete
applications will not be.accepted. Where the Applicant is notthe,owner,an BUILOINO oFpT
Owner's Authorization form(Page 2)shalt be completed.
TOWN OF SOUTHOLD
Date:1.5.2022
OWNERIS)OF PROPERTY: .
Name:Tim & Nancy.Burke sCTM#1000-86-06-07
Project Address:625 Wood Lane Peconic
Phone#:516-815-3147 1-Em—all�taburkel49@gmaii.com
Mailing Address:149 Split Rock,Rd. Syosset NY 11791
CONTACT PERSON:"
Name:Joan Chambers
Mailing Address:PO Box 49 Southold NY 11971
Phone#:631-294-4241 TEmaii-joanchamberslQ@gmaii.com
DESIGN PROFESSIONAL INFORMATION:
Name:Lou Schwartz
Mailing Address:? Ridgewood Street Bayshore NY 11706
Phone#:631-410-6838 Emaif:tlderunnereng@gmall.com
CONTRACTOR INFORMATION:
Name:unknown ( as-built)
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
ONew Structure DAddition DAlteration ❑Repair ElDemolition Estimated Cost of Project:
DOther As-built renovation&expansion of existing shed $unknown
Will the lot be re-graded? OYes IR No Will excess fill be removed from premises? ❑Yes BNo
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PROPERTY INFORMATION
Existing use of property:single family residence Intended use of property:single family residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 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 provided by
Chapter 236 of the Town Code. APPUCATION 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 buildingls)for necessary inspections.False statements made herein are
punishable as a pass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name):Joan Chambers Authorized Agent ❑Owner
Signature of Applicant: Date: 1.5.2022
STATE OF NEVI/YORK)
SS:
COUNTY OF S�U--JI-T"- I i�1
J OA �J�B G� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(Contractor,Agent, Corporat icer, 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
ar, d 9�
S h
day of JOWN G rQ 20 22--
otary Public
TRACEY L. DWYER
PROPERTY OWNER AUTHORIZATIONNOTARv PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
(Where the applicant is not the owner) QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2Q _
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
BUILDING DEPARTMENT- EleetrlcalInspect®r
Y'l ,
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Sox 1179
` Southold, New York 11971-0959
Telephone (631) 755-1302 - FAX (631) 765-9502
D �� rocierr@southoldtownnv.gov - seandgsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 3.27.23
Company Name: as-built prior to purchase by current owner
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ®1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Nancy and Tim Burke
Address: 625 Wood lane Peconic
Cross Street: Indian neck lane
Phone No.: contact Joan Chambers 631-294-4241
Bldg.Permit#: q-7-6120 email:
Tax Map District: 1000 Section:86- Block: 6 Lot:7
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
As Built mudroom and arbor and as-built expanded shed.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ® YES ❑ NO ❑Rough In Final
Do you need a Temp Certificate?: ❑ YES NO Issued On
Teirnp Information: (All information required)
Service Size[_11 Ph❑3 Ph Size: A # Meters Old Meter#
®New Service0 Fire Reconnect[]Flood Reconnect❑Service Reconnect®Underground Eloverhead
# Underground Laterals 0 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT ®lJE 46UITFI APPLICATV®IVU11
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PERMIT 9 Address:
Switches
Outlets I f I
G FI's
Surface I I
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special: A
Comments
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Burke Residence
625 Wood Lane, Peconic
1000-86-06-07
1.5.22
Amanda,
I submitted an application for a permit for the as-built shed and the as-built mudroom
and arbor at the Burke Residence. You returned them to me because they need to be
two separate permit applications.
Enclosed are the two applications.
The permit for the Mudroom and Arbor will be delayed until the Trustees Permit is "
issued.
Thank-you,
Joan Chambers
77
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SURVEYOR WHOSE 5I6NATURE AFrE ARS,MtEOM $Qu'IHaLD: A1.Y.
11971 = :'t
OCCUPANCY OR
USE IS UNLAWFUL
APPROVEDAS-NOT D WITHOUT CERTIFICATE
�7 Y
DATE.. B.P.#. OF OCCUPANCY
FEE; 0 .BY:
NOTIFY B AIDING DEPARTMENT AT
765-1802: `.B_AM TO .4 PM FOR THE
FOLLOWING'INSPECTIONS,:-".,,
1. FOUNDATION. .;TWO-REQUIRED
.FOR :POURED`CONCRETE:
2. ROUGH`-=FRAMING 8,,PLUMBING
3. INSULATION COMPLY V,71-1 ALL CODES OF
4. FINAL,`-'CONSTRUCTION.MUST,
NEW YORK'S TATE & TOWN CODES
BE.CONSTRUCTION SHALL
MEET THE COMPLETE FOR
ALL AS REQUIR AND CONDITIONS OF
REQUIREMENTS OF THE CODES OF NEW SOUTHOLD TOWN ZBA
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR ,CONSTRUCTION ERRORS. SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES
N.Yi DEC
Additional
Certification
May Be Required.
RETAIN STORM WATER RUNOFF
I (?C' I ! T rtlrn �r �.7r
OF THE TOWN (jour.
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BURKE RESIDENCE
625 WOOD LANE
PECONIC N.Y.
ROOFINGr ASPHALT/FIBERGLASS SHINGLES EXISTING: SINGLE FAMILY RESIDENCE
0o 1/2" DX PLYWD, SHEATHING SCTM# 1000-86-6-7
r` 2X10 RIDGE
2X8 RAFTERS @ 16" OC ZONE R-40 .55 ACRES
2X4 COLLAR TIES @ 32" OC
PROPOSED:,
AS BUILT — SHED
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GENERAL NOTES
UNFINISHED/UNHEATED 1/22" CDX PLAYED. SHEATHING
2X @ 16" OC WALL FRAMING 1, All work shall conform to the requirements of the Residental Code of New York
STORAGE BOARD 8, BATTEN SIDING State, County and Town Department Regulations, Utility Company requirements and
best trade practises.
z 2, Before commencing work the Contractor shall file all documents required by the
(\J Building Department, pay all fees required by local agencies and obtain all required
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permits.
00 3, The Contractor shall visit the site and verify all dimensions and the existing
conditions affecting the work prior to construction, Any discrepancies which would
interfere with the satisfactory completetion of the work described herein shall be
2X4 ACQ SILL BOLTED TO reported to the architect or property owner. Do not start work until such conditions
CONCRETE SLAB have been examined and a course of action mutually agreed upon. Failure to notify
the owner or architect of unsatisfactory conditions will be construed as an acceptance
of the conditions to properly perform the required work.
4, All Work is to conform to the drawings and specifications of the architect and
engineer consultants.
5, The Contractor is to maintain a complete and up to date set of plans on the
job site at all times
6. The drawings are not to be scaled under any circumstances.
SECTION 7, It shall be the Contractor's responsibility to ascertain all prevalling procedures
Including storage and toilet facilities,protaction of existing work to remain,access to
1/4" = V-0" work area, hours of permitted work,availability of water and electric power end all
other conditions and restrictions for this particular location in order to execute the
work in a careful and orderly manner with the least possible disturbance to the public.
8. The Contractor shall make the neccesary arrangements to utilities and services
_23'-01"Ztemporarily disconnected white performing the work as required.
1 74" x 84" OPEN ARCH 9, The Contractor shall provide all dimensions and cut-outs for other trades.
28" x 26" 28" x 26" 10, The Contractor shall provide proper shoring and bracing for all remaining structure
FIXED FIXED prior to removal of existing structure.
I 11. Plumbing, electrical, HVAC and similar work shall be performed by licensed
persons who shall arrange for and obtain all required inspections,The General
Contractor shall be responsible for scheduling all other Inspections as required.
12. The Contractor is solely responsible for construction safety and shell hold the
owner and architect harmless from litigation arising out of the Contractor's failure to
provide construction safety means and methods.
+�b+ SEATING AREA UNHEATED �;+ NOTE:
STORAGE EXISTING ARBOR IN THIS
LOCATION WILL BE REMOVED
A-101 SHED PLAN AND SECTION
A-102 SHED ELEVATIONS
UNHEATED
b STORAGE - -
d,
SHED PLAN AND SECTION
! UNHEATED v SCALE AS NOTED 8.18.21
%; STORAGE zo 2 ��]
POURED CONCRETE ,� D �-C U
N FLOOR TYP. N OCT 0 12021 J\S �fc' A 101
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4X4 HEADER TYP.
FIXED y FIXED BUILDING DEPT. = O F#2
_ TOWN OF SOUTHOLD
a�+ 77006cos
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SHED PLAND49
1/4"
= 11-011 Q JOAN CHAMBERS PO BOX
U
h JAN 1 0 2022 U SOUTHOLD 197
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TOMN,OF SOUTHOLD
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NOTE:
EXISTING ARBOR IN THIS F7=
LOCATION WILL BE REMOVED
OPEN ARCHWAY 06
06
NORTH ELEVATION EAST ELEVATION Q)Z"
1/4" = 1'-0" 8.18.21 1/4" = l'-O" 8.18.21 0'T 5:
REVISED 9.27,21 REVISED 9.27.21 x:og t
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NOTE:
EXISTING ARBOR IN THIS
ffiFF1
LOCATION WILL BE REMOVED
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WEST ELEVATION SOUTH ELEVATION
1/4" = 1'-0" 8.18,21 1/4" - l'-O" 8.18.21
REVISED 9,27.21