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Home My WebLink About35494-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~d{TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34435 I~te: 07/07/10 THIS U~TIFIES that the building ALTERATION Location of Property: 2460 SHIPYARD LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) Coualty Ta~ Map No. 473889 Section 38 .2 Bl~k 2 Lot 6 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 2010 pursuant to which Building Per~t No. 35494-Z dated APRIL 21, 2010 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 ALTERATION TO AN EXISTING CONDO (UNIT 5E) AS APPLIED FOR. The certificate is issued to RONALD A & DANIELLE M TADROSS (OWNER) of the aforesaid building. SUFFOLK CODI~rYDEPI~RTM~T OF HE~J~TH~PPROVAL N/A E~ECLrKIC3CL CERTIFICATE NO. 35494 06/04/10 PLUMBERS c~KTIFICATION DA'r~ 07/01/10 TODD DAWSON ature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEI~MIT NO. 35494 Z Date APRIL 21, 2010 Permission is hereby granted to: RON TADROSS (UNIT 5E) 2820 SHIPYARD LANE EAST MARION,NY 11939 for : BATHROOM ALTEP_ATION "AS BUILT" at premises located at 2460 6 SHIPYARD LA EAST M3LRION County Tax Map No. 473889 Section 038.002 Block 0002 Lot No. 006 pursuant to application dated APRIL 6, 2010 and approved by the Building Inspector to e~ire on OCTOBER 21, 2011. Fee $ 500.00 Signature ORIGINAL Rev. 5/8/02 TOW OFSOUrHO,.D ." 111 ~ ~ I~ i~ BUILD~GDEPARTMENT ttt HI .... ' I ~PLICATION FOR CERTIFICATE OF OCC~~ ~ application must ~ filled in by t~t~ or i~ ~d submi~ed to ~e Buil~g Dep~ent wi~ ~ 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. Sworn statement from plumber ceffifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installatious, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ,pre-existing" land uses: I. Accurate survey of preperty showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect si~ned 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 1. 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 Ocuupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certifleate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction:. Location of Prope~y: Old or Pre-existing Building: House No. 6<6. g Block Owner or Owners of Property: ,"~a~d ~ Suffolk County Tax Map NO 1000, Section Subdivision ~-e.,.~ ~c~ ~r permit No, ~ -%' ~ ri c] Date of Permit. (check one) Hamlet Lot Filed Map, Lot: Applicant: ~x,~n ~-~,.~.~>~ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~' rOD Final Certificate: ~/ (check one) Applicant Signature Town Hall Amlex ,54375 Main Road P.O. Box 117!) Southold, NY 11 !171-0939 Telephone (6~H) 76,M 802 Fax (63 l) 76,k9302 ro.qer, dchort~town southold.n¥.us B1 ;ILl)lNG DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: R Tadross Address: 24606 Shipyard La City: East Marion St: NY Zip: 1193! Building Permit#: 35494-Z Section: 38.002 Block: 2 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Wichter Elec License No: 4220-e SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures Service 3 ph Hot Water GFCl Recpt Wall Fixtures Main Panel A/C Condenser Single Recpt Recessed Fixtures Sub Panel A/C Blower Range Recpt Fluorescent Fixture Transformer Appliances Dryer Recpt Emergency Fixture~ Disconnect Switches Twist Lock Exit Fixtures Other Equipment: 2-exhaust fans HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS Notes: renovation of 2 bathroons Inspector Signature: Date: June 4 2010 81-Cert Electrical Compliance Form Town Hall, 53095 Main Road P.O..Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTF/OLD CERTIFICATION Building Permit No. ~ ~-- q q Owner: 9o,-ol3 (Please pnnt) Plumber: ~/-~c:~ ~tCOS~Of) tPlease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% !ead. Sworn to before me this day of~,,~0x,~ . 20 1, O (Plumbers Signature) N' C~ONNI£D.~UNCh omry Public. State of New York No. 01BU6185050 Qualified n Suffolk Count,/ ~ Commission Expires AprU 14~ :20 _/c~. Notary Pu ounty TOWN OF S~~~L~~~ INSPE I ON [ ] FOUNDATION 1ST [/r~ROUGH PLBG. FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY ] RRE RESISTANT CONSTRUCTION [ ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE INSPECTOR_~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT/ION [ ] FOUNDATION 1ST [~]' ROUGH PLBG. ~ ~ [ ] FOUNDATION 2ND [ ] INSULATION/ ///~ [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]~l~[~'r~'~~ [ ]R~"r,~rr~.~E'rm'~ REMARKS: /-~~ ~/~/~' ~ DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ]~ULATION [ ~]' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ] FIRE RESISTANT PENETRATION DATE INSPECTOR FOUNDATION (lST) ~OU'IW~TXON PL~G STA~ E~R~ CODE TOWN OF SOUTHOLD BUILDI.NG DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.Nor thFork.net Examined ,20 Approved Disapproved a/c ,20 Expiration ,20 PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: ~1, Phone: /~ I, 7~.~,. APR - 6 2010 I~[1)¢. BEPI. TOWN OF SOUTHOtD Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises 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 shall expire if the work authorized has not commenced within 12 months after the date of issuance or bas 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 permit for an addition six months. Thereafter, a newpermit shall be requlred. 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, Suflblk 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) owner, lessee, agent~ngineer, general contractor, electrician, plumber or builder State whether applicant is Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. q Plumbers License No..~ ~ ~t.,~. ~O~. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: 2820 House Number Street / Hamlet County Tax Map No. 1000 Section "~ , ~., Block ~ Subdivision Filed Map No. Lot Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction." a. Existing use and occupancy ff_-~3oo~,3~0,~ b. Intended use and occupancy ~:~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work ~o (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 9. Size of lot: Front Rear _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ ~x_. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO ~ill excess fill be removed from premises? YES NO 14. Names of Owner of premises ~,0~o T~t,~J.t Address 21~1o $~'~d, ~,~hone No. ~, ,~. Address~Phone No Name of Architect fllt. ~t~ct I~ NameofContractor ~.&~l~g C4~t,.'-~ Address PhoneNo. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ,,'~NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS~h.h~Y BE REQUIRED. b. ls this property within 300 feet of a tidal wetland? * YES /,~ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO ~He is the STATE OF NEW YORK) SS: C O UNTY OF'~ ~1~3~0 $' 10t~'t:6. ff.~.~' ~t.~ ~ being duly sworn, deposes and says that (s)he is the applicant (~ame of individual si~ing contract) above named, CONNIE Dm BUNCH No~ Public. Sbte ~ N~ ~ (Contractor, Agent, Co,orate Officer, etc.) Commission Expir~ April 14. 2~ of said owner or owners, and is duly authorized to perfom or have perfo~ed the said work and to make and file this application; that all statements contained in this application am tree to the best of his ~owledge and belief; and that the work will be perfo~ed in the manner set fo~h in the application filed therewith. Sworn to before me this. (-(44'~ day of ~'D~-i / 20 Notary Public Signature o~ Applicant ~- SCTM# 1000- ~ ~,aT- ~ ~ Subdivision: Property Address: ~9'~z~ ~ ~'-} Building Permits (Open/Expired): BP '~- -Z / C/0 Z- BP __-Z / C/0 Z- , Info: BP -Z / C/0 Z- Single & Separate Search Required? Y off'Determination: *Date Submitted: Date Reviewed: ~ - [dF ~ [o Estimated Cost: ~ Zone: -- .Conformiag?~ /J~S'~' City: ~---~'-/q~o'r,_ Pre cos? __, Info: BP__-Z / C/0 Z-__, Info: , Info: BP -Z / C/0 Z- , Info: _ REQ. Lot Size: ----- ACT. Lot Size: REQ. LOt Coy. __ REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear REQ. Height ACT. Height fy , w~r body: ~'~Panel# --'- Flood Zone: ~ Bulkhead/BluffDistance: ACT: LOt Cov. PROP. Rear ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y o~lfyes, ~Bed#: . *Date: / / *Permit#: '~- If no, certification required: Y or N Received: Y or N By: NYS DEC: raz-DzCSmTS Y o/N~- Date: / / Permit #: Southold Trustees: Y o~.~- Date: __ __ Southold ZBA: Y o~- Date: /__ Southold Planning: Y or~- Date: __ __ / Permit #: Permit #: / / Permit #: Town Septic: Y o ~(._~) or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: Town Landmark/xC of A: Y o~, TE: /. /~ *NYS CODE Compliance (page 2>~r N Notes: Fee Structure: Calculation: Foundation: SF 1. ( SF)- ( SF)= SFX $__=$ First Floor: SF + Initial Fee: $ o~.~'O, O o Second Floor: g'~l~-" It9t SF + Addition.al Fee ( ): $. Other: SF 2. ( .SF)- ( SF)= SF X $__=$ Total: SF + Initial Fee: $ + Additional Fee ( ): $ 62 ..qo, o 0 TOTAL: $ ..~o o, o o NEW YORK STATE CODE COMPLIANCE CItECKLIST CLIMATIC/GEOGRAPHIC D~SIGN CRITERIA: . Ground Snow Load: ~.0 , Wind Speed~ 120MPI-I. Seismic Design Category." B Weathering: Severe __ ,-Frost Depth: 36" __ Termite: M-H' Decay: Design Temp: I 1 __ · lee Shield Underlay: YES. Flood Hazai'ds: USE/OCCUPANCY CLA88IFICATION: ' HEIGIZlT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/pREscRIPTIVE roLL F miNC DESION ELmE rrS'O HEADERS: Y/N WALL STUDS: Y/N GLLDERS= YfN CEILING JOISTS: yflN FLOOR JOISTS: Y/lq ROOF ILAirTERS: YfN LUIVIBER SPECIES AND GRADE: Y/N WI3qDOw AND DOOR SCHEDULE: OK ,MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RiSER DIAGILAM:~/N LOCATION OF FIPd~ PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y~N TOTAL COMPLIENCE?~5~N (RETURN TO PAGE ONE) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 roger, richer1 BUILDING DEPARTMENT TOWN' OF SOUTHOI,I) APPLICATION FOR ELECTRICAL INSPECTIO BLDG, OEPT. TOWN OF SOUTHOLD REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: JOBSITE INFORMATION: (*Indicates required information) 'Name: '~"~OM "--~A-,,"'} ~ 5'5 *Address: o~- z~ (o0 ~ ~h,~ x~ *Cross Street: ~ ~,, ~/~ ,~ *Phone No.: ~ I~,~- ~ ~/~- Permit No.: ~ ~- ~ Tax Map District: 1000 Section: O ~, ~ o ~ Block: 0~o~ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES / NO Rough In Final YES / NO 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82~Request for Inspection Form AUTHORiZATION (print owner of property) (nauiling address) do hereby authorize Nigel Robert Willi~m~on Architect to apply for a building permit from (Age,10 The Town of Southold on my behalf. (Owner's signature) This certifies that CERTIFICATE OF INSURANCE ~ STATE FARM FIRE AND CASUALTY COMPANY. Bloomington. Illinois I"1 STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois [] STATE FARM FIRE AND CASUALTY COMPANY, Aurora. Ontario [] STATE FARM FLORIDA INSURANCE COMPANY. Winter Haven, Florida [] STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the cove~ges indicate~ betow: Policyholder O'TIT.E CONCE;'T$ Address of policyholder 46025 gt 48 Sour~old. NY 11971 Location of operations LOCAL Description of operations TI[£ T~STALIJ~T ION The policies listed below have been issued to the policyholder for the poticy periods shown. ~ i~urance desc~bed in these policies is suDject 3 all the tem~ _-',,~.,.,;ons, and conditions of those policies. The limits of liability shown may have been reduced by any gaid claims, POLICY PERIOD LIMITS OF UABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date i F.~ra~on Date (a't beginning of policy period) 92-1~C-Y172-gF Comprehensive 08-14-2009 ! 08-1~1-2010 . BODILY INJURY AND Business Liai~ility :, . PROPERTY DAMAGE · ¥1%'; ;Ib'&¥: fa'& ........................... I*'1 Contractual Liability Each Occun'ence $ 3., 000,000 [] personal Injury [] Advedising Injury General Aggregate $ 2,000,00o [] Products - Completed $ 2,0o0, 00o [] Operations Aggregate POUCY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date i Explrallofl Date (Combined Single Limit) [] Umbrella : Each Occurrence $ i"1 Other i Aggmgate $ POLICY PERIOD Part I - Workem Co,.,l~,-.s&t~on - Statutory Effective Date [ Expiration Date Wadders' Compensation Pm~ II- Employers Liability : Each Accident $ and Employers Liability : Disease - Each Employee $ ~ Disease - Pbiicy Limit POLICY PERIOD LikiiT.~ OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date i Expiration Date (el: beginning of poliCy period) THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRM AMENDS, EXTEN~S OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Ceddficate HoMer $outhold Town Buildin9 Dept Main Rd Southold, NY ~1971 BI ~C D£PT. TOWN Or SO~JT~OLD If any of the descdbecl policies are canceled I~efore their expiration date, State Farm will W to mail a wfittan notice to the ceflificale hotder · dsjrS I~efore certcellatiofl. H however, we fait to mail such nctice. no obiiga~on or ~ibiti~ will be Imposed on Slate Farm or ip a ,; te rep(efrttauvee.. Signature ~fAuthOrize;I Rel~r~ive ( ] AGENT ~/ ~%J4-14-Z010 _ Tfde Date ST~VEN KLI~S~NG Ageflt Name TelephonsNumbeP 631 363-2468 Agenr8 Code Stamp A~ent Code 2081 AFO Cede F555 Bedroom 2 SECOND FLOOR PLAN Both O Mstr Bath cl. I Mst~ Bedroom Deck ALL CONSTRUCTION SHALL MEET TFIE REQUIREMENTS OF TRE CODES OF NEW YQ~K STATE. COk PLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED ~ SOUIHOL~ PL.~NNING BOARD SOL;' . RUSTEES UNDERWRITERS CERTIFICATE REQUIRED PLUMBER CERTIFICATION ON LEAD,CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUP, PL Y SYSTEM ~ANNQT EXCEED 2/10 OF t% LEAD. PLUMBING ALL PLUU~iiNG & WATER LINE~;,NEED TESTING BEFORE, COVERING Bath Mstn I Bath PLUMBING RISER DIAGF-AM ..~-~. RooF :~', FLOO~_ Floor Plan II FRAMING PLAN NOTE: Y~." = ilo` D,~Tg 20''~' Afl~b '2010 PROPOSED BATHROOM RENOVATION Mr. & Mrs. R. TADROSS UNIT 5E FOR CLEAVES POINT CONDOMINIUMS 2820 SHIPYARD LANE' EAST NARIOh