HomeMy WebLinkAbout33060-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32887
Date: 12/14/08
THIS CERTIFIES that the building SOLAR PANELS
Location of Property: 205 CR 48
(HOUSE NO.)
County Tax Map No. 473889 Section 113
(STREET)
Block 12
MATTI TUCK
(HAMLET)
Lot 10.4
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 15, 2007 pursuant to which
Building Permit No. 33060-Z
dated
MAY 22, 2007
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 INSTALLATION OF SOLAR PANELS ON AN EXISTING COMMERCIAL BUILDING AS
APPLIED FOR.
The certificate is issued to THOMAS & ELLEN TALBOT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMEI!lT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
117453C
10/22/07
PLUMBERS CERTIFICATION DATED
N/A
~
Signature
Rev. 1/81
~C\.I
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
w
~
API'LlCATION FOR CERTIFICATE OF OCCUPANCY
,
This application must be lIlIed III 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. Swom statement from plumber certifying that the solder used in system contains less than 2/1 0 of 1 % lead.
5. CO/illnercial 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 aud "pre-existing" land uses:
1. Accurate survcy of properly 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
I. Certificate of Occupancy. New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy nn 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
Date.
J-- / Y /~ '(,
New Construction: _____.___ Old or Pre-existing Building: v'
Location of Property: ;) c 5' C'"~~7 ;2."..( lj<-h
.
House No. Street
- -<7 I '-,1 ~/'J f-
Owner or Owners ot Property: ----./flbW'rl' L/ ((for " H .()~ .
(check one)
/"1;1-/1, 1v"t
Hamlet
Suffolk County Tax Map No I 000, Section
II '3
Block
JJ---
Lot
/1), Y
Subdivision
Permit No.
(jute 7
Filed Map. Lot
ApplicantY/;o I-
~--
j '1;bft, i) LDate of Penn it.
~.-"--------_._.._._---
Health flept. Approval: __. 1/1
Planning Board Approval: ....if!?
___ Underwriters Approval:
Request for: Temporary Celtificatc
/^ DO
Fee Submitted $ ? 1/
Final Certificate:
t-//
(check one)
~. 737'75
CO-c 3JSB 7
/X,.,( 1Itf&f
Applicant Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
33060 Z
Date MAY
22, 2007
permission is hereby granted to:
THOMAS & ELLEN TALBOT
205 RT 48
MATTITUCK,NY 11952
for :
INSTALLATION OF SOLAR PANELS ON AN EXISTING COMMERCIAL BUILDING AS
APPLIED FOR.
at premises located at
205 CR 48
MATTI TUCK
County Tax Map No. 473889 Section 113
Block 0012
Lot No. 010.004
pursuant to application dated MAY 15, 2007 and approved by the
Building Inspector to expire on NOVEMBER 22, 2008.
Fee $
250.00
ORIGINAL
Rev. 5/8/02
Electrical Inspection Certificate
Issue Date
1012212007
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 286-6642
Application Number
117453C
Issued To:
Street:
Village:
Mr. & Mrs Thomas Talbot
205 County Road 48
Mattituck
Section:
113
Block: 0012
Zip: 11952
Lot: 010004
Town: Southold
Contractor: Ridge Electric Contracting, LLC (Ll
Lie. # 1895
Was examined and found to be in compliance with the National Electrical Code
X Commercial NV Defects Pool 1st Floor X Indoor Basement Hot Tub
Residential Det. Garage Attic 2nd Floor ,X Outdoor Addition Survey
Switches Receptacles Fixtures GFI Heaters AlC Fans
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
Bldg Permit 330602
Other Equipment
Photo Voltaic System
10.0KW
1-100 amp Raintight Subpanel
4-20 amp Inverter Disc.l1-30 amp Raintight
!Disc.
({.If / jh4J~\
Hugo S. Surdi
President
Rough Inspection:
Inspector:
Final Inspection: 08/01/2007
Inspector: John Me Mahon III
This certificate must not be altered in any manner Inspectors may be identified by their credentials
330b'DZ-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING 0-FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON
REMA~C~
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DATE
INSPECTOR ~ ~
FIELD INSPECTION REPORT DATE I
COMMENTS
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FOUNDATION (1ST)
FOUNDATION (2ND)
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PLUMBING
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INSULATION PER N. Y.
STATE ENERGY CODE
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ADDITIONAL COMMENTS ~
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TOWN OF SOUTH OLD PROPERTY RECORD CARD
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OWNER -..- ;JcS -".
STREET VILLAGE DIST. SUB LOT 4
Qr}lCt S of felleY) (~ "'--.. ~<6 M<,"I+ + ,-r 9 . r . {(
1C11 bOT '-~ 'K rr{ M I H.0r'( Slj~.J
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ACR. \ -:) REMARKS tkr
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TYPE OF BLD. ..../
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Adam PROPo.CLASS .,-
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LAND IMP. TOTAL DATE
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'1~y Ilri/QS-Lli7/3:J3/r.-IlcIClm ASSx., ft.! 7Q1 ~wI- #1C},/f.)('O
2- I 0'> 7'00 2)'<>;:'/ Iq/'/?7 6/1'; hI, 131'~cO<1 :?3.!L CO))::} Aj l: lCiJjly(a L 13 ;1'1 ~ :J'-I")l ~
z , 0<"> lcolO 3\00 ./ 1//" JOa IIJJ4h'1-BP':/r:J'-II./87- C!.orJ'Cf ft1a('/".VI-I''Shr'l :...)/o-pi,c.=c'2, ~7~
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FRONTAGE ON WATER TILLABLE 6,;28 e f3<-!':
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FRONTAGE ON ROAD WOODLAND
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DEPTH MEADOWLAND 7..000
BULKHEAD ~/LOT \ ac'':''~
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M. Bldg. ~2b Foundation p Bath
~5'1-.60 - CB
FULL
Extension Basement L Floors
SLAB
Extension Ext. Walls 'S-k.~\ ~ Interior Finish
Extension Fire Place Heat
Patio Woodstove
Porch Dormer
Deck Attic
Breezeway Rooms 1st Floor
Garage Driveway Rooms 2nd Floor
,Ib.-r.. ;;'7
O.B.. Z '1730 ::. 7}...0 .S-o 3bD
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Pool
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COLOR
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BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/ PERMIT NO.
Examined 11 . 20~
APProVcd~,20_
Disapproved ale
Expiration
Mail to:
1 ~ (
Phone: ~ tLL. ...
-.l\;"3
'~7
! 15 2r
APPLICATION FOR BUILDING PERMIT
Date_t^aj
1\
,20~
INSTRUCTIONS
8. This application MUST ;be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
--sets of plans, accurate plot plan to scale. Fee according to schedule.
b Plot plan showing location oflot and of buildings on premises, relationship to adjoining pr~mises 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 shal1 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 pennit 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 Pennit pursuant to the
Building Zone Ordinance of the Town of South old, 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.
Sun Str-eaJv\ USt\ LLC
(Signature of applicant or name, if a corporation)
17v;l.{ ~il~~dQ,mJ:!J~, NY InftJ g'
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Corrfmcfv r
--r7xJMOS
+- S U .f>(\ ,Q/.DOt
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
Name of owner of premises
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Loea:t(r~ndo~~hi Maih/vcK.
House Number Hamlet
County Tax MJf' ~~ I ~OO Section I \ 3 . Block _ 11-.. L. ot I d .4
Subdivision.~JLlSsaC..L~.:\e~_ Filed Map No. ?JOb L____Lot m.._.___.__
(Name)
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost $ t../ro; ~cD
2. State existing use and occupancy ofpremis~and intended use and occupancy of proposed construction:
a. Existing use and occupancy 1-"-\ Olc.h lne Shop-
b. Intended use and occupancy 1-1 aChivw.) ,5hc>p
Addition 1\l!eration
~erWor9snlQ.r NAn.Q..1 rY)S'ft:J..({~Y)
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
6. Ifbusiness. commercial or mixed occupancy, specify nature and extent of each type of use. --M Dr h r V\. ((
7. Dimensions 0 existing structures. ifany: Front g) , Rear ~ l
Height ' Number of Stories :J
NA
(To be paid on filing this application)
Number of dwelling units on each floor
Depth
1S'
5"/op
9. Size oflot: Front
Dimensions of same structure with alterations or additions: Front Sall'\l
Depth S4.w\R. Height SOlft".l Number of Stories
8. Dimensions of entire new construction: Front S~ Rear J....t4,n\..I
Height t>~ Number of Stories ,JQn1.(
t SO '
10. Date of Purchase 2-IQQS- Name of Fonner Owner
Rear SCi~
,{'a d'l-E'
Depth
Sc..nv
Rear
(SO'
Depth l( 00 '
h(()'M !fsS(JU; IPs
11. Zone or use district in which premises are situated " f)
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO $
13. Will lot be re-graded? YES ~ NO ~ Will excess fill be removed from premises? YES ~ NO - rl-llr ,
14. Names of Owner ofpremises~Address 205 CR..4r Phone No. 63/- Zqr-/~ 8 'I
Name of Architect Address Phone No
NameofContractorSlNl 5+..-4'"",", (lor!. LL..<:.:Address 17(o/J C/2 $q Phone No. cD~I-2.n-0051
SO~/il.r>\ptr>'h
15 a. Is this property within 100 feet ofa tidal wetland ora freshwater wetland? .YES_NO '1/
. IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? . YES_NO \/)
. IF YES, D.E.e. PERMITS MAY BE REQUIRED. -'j"-
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
Sun S-t-reo.
(S)He is the
of said owner or owners, and is duly authorized to perfonn or have perfonned 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
perfonned in the manner set forth in the application filed therewith.
Notary Public
CHRISTINE L. DONATO
NOTARY PUBLIC-STATE OF NEW YORK
No. 01006113407
Qualllled In 'uftolk County
Commllllon bplr.. JUly 26. 100.
8'~~
Signature plicant
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ROOF PLAN
ALL ALUMINUM MEMBERS TO BE 6105 T5
ALLOY
ALL SOL T5 TO BE SAE GRADE 5 STAINLESS
STEEL OR BETTER, WITH STAINLESS STEEL
WASHERS. PLATES AND NUTS
NOTE
50 - GE SOLAR
PANELS: GEPVp-200
200 Wotts
585"
38.6"
Length
Width
Thickness
14"
LEGEND
PROPOSED SOLAR PANEL
INSTALLATION
POSSIBLE FUTURE SOLAR
PANEL INSTALLATION
THIS IS TO CERTIFY THAT WE HAVE CHECKED
THE ROOF STRUCTURE FOR WIND, SNOW,
UN8ALANCED SNOW, LIVE AMD DEAD LOADS
8ASED ON ASCE 7-98 AND FOR
CONFORMANCE WITH THE NYS BUILDING CODE
THIS ROOF STRUCTURE IS ADEQUATE TO
SUPPORT THE PROPOSED lOADS
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