HomeMy WebLinkAbout36189-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
5/1/2011
CERTIFICATE OF OCCUPANCY
No: 34921
Date: 5/1/2011
THIS CERTIFIES that the building
Location of Property:
SCTM#: 473889
Subdiv~ion:
RESIDENTIAL ALTERATION
2950 Minnehaha Blvd, Southold, NY 11971, 2
Sec/Block/Lot: 87.-3-42
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
2/16/2011 pursuant to which Building Permit No.
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
winch this certificate is issued is:
Lot No.
filed in this officed dated
36189 dated 3/2/2011
alter an existing bathroom as applied for.
The certificate is issued to
Sweeney, James & Sweeney, Susan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 4//20/11
36189 3/18/1
Burts' Reliable
'~°A~A o~ed Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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 #: 36189
Permission is hereby granted to:
Sweeney, James & Sweeney, Susan
31 Homestead Ave
Date: 3/2/2011
Garden City, NY 11530
To:
Alter an existing bathroom as applied for.
At premises located at:
2950 Minnehaha Blvd, Southold
SCTM # 473889
Sec/Block/Lot # 87.-3-42
Pursuant to application dated
To expire on 8131/2012.
Fees:
2/16/2011
and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ALTERATION TO DWELLING
Total:
$200.00
$50.00
$250.00
Building Inspector
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1°/3 lead.
5. Commercial 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 and "pre-existing" land uses:
1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and co~sent 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.
New Construction:
Location of Property:
Owner or Owners of Property: .~fa.~.~A e
Suffolk County Tax Map No 1000, Section
C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on 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
~/// Old or Pre-existing Building:
House No. Street Hamlet
z~'~7 Block '2 Lot iT/ ~-
Date. ~ '-~ -- \ (
(check one)
Subdivision
Permit No. ~ ~,
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ .~
Filed Map. Lot:
Date of Permit. ~ - g - ] [ Applicant:
Underwriters Approval:
Final Certificate: '~
(check one)
Applicant Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
ro,qer, richert~town.southo d ny us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Sweeney
~,ddress: 2950 Minnehaha Blvd City: Southold St: NY Zip: 11971
3uilding Permit #: 36189 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Ice Electric lng LicenseNo: 4586-me
SITE DETAILS
Office Use Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Reopt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: exhaust fan-1
Ceiling Fixtures I~ HID Fixtures
Wall Fixtures I'~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixturel.~ Pumps
Emergency Fixtures[~ Time Clocks
Exit Fixtures [__J TVSS
Notes: bathroom renovtion
Inspector Signature:
Date: March 18 2011
81-Gert Electrical Compliance Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802
Fax (63 [ ) 765-9502
BU]]-,DING DEPAR. TIVIEN'I"
'I'OWIN' OI~ SOU'I"IiOLB
..CERTIFICATION
D.te: 4-
Building Permit No.
Owner:
Plumber:
(Please pridt)
(Pl~e prat)
I certify that the solder used in the water supply system contains less ~ha~ 2/I 0 of 1%
/ (Ph~mbers ~ignature) ' · .
Sworn to before me this ~-
· day ot~ [~(')'{ , 20 {{
Notary Public, ,~0 ~Ol [. County
BERNADE~E L. 'fAPLIH
NOTARY pUBtJC 04844893
State ,)~ New York
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
ROUGH PLBG.
INSULATION
FINAL
FIRE SA~-,-, '/' INSPECTION
FIRE RESISTANT PENETRATION
[ ] FIRE RESISTANT CONSTRUCTION [
REMARKS:
DAT
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [~ ELECTRICAL (FINAL)
REMARKS:
DATE
~~iNSPECTOR_~~~~'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
I NSPECT IOi I
[ ] FOUNDATION 1ST [ ~ROUG/~PLBG.
[ ] FOUNDATION 2ND [ ] I~I~.ATION
[ ] FRAMING / STRAPPING [ ~,..~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SA~..., ~ INSPECTION
[ ]
REMARKS:
DATE
INSPECTOR
TOWN OF SOUTHOLD
BUILDINC~DEPARTMENT
TOWN'HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
_/
Examined ~/~' · 20 ~(
Approved ~/2-.- . 20 I I
Disapproved a/c
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 Fom~
Contact:
Mail to:
uilding Inspector
Phone: 734 --~'~ ~2.
APPLICATION FOR BUILDING PERMIT
Date /U~.i~ /ff' ,20 II
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and suNnitted 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 has not been completed within 18 months from such date. If no zoning amendruents or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit tbr 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 Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordinances or
additions, or alterations or for removal or demolition as herein described. The
laws, ordinances~ building code, housing code, and regulations, and~to admit
ilding for necessary inspections. ~ /
FEB 16 20il
.~ (Signamre--ofa/p~"~t~or name, ifa corporation)
BLDG. DEPT.
TOWN OF $O[ITHOLD
(Mailing address of applicant) ~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~/tv~ ~ ~'~'~'~'0 ,50~' t¢~n q
(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.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land Oll which proposed work will be done:
House Number Street
CountyTax Map No. 1000 Section
Subdivision
Hamlet
Block --~
Filed Map No. Lot
2. State existing use and occupancy ofpremi,~es and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~,~.~ _j~ ~,,} ,y ,~
b. Intended use and occupancy .]~-¢~.~,~'~ ~ d.
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number ofdwelling units
If garage, number of cars ('~
Addition Alteration X
Other Work
Fee
(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 Fenner Owner
11. Zone or use district in which premises are situated
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 ,~
14. Names of Owner of premises '~,~),,' Address
Name of Architect" Address
Name of Contractor l-~.~r '~- ~.~#,~ ~- Address
Phone No.
Phone No
Phone No.
15 a. ls this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet eta 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
STATE OF NEW YORK)
SS:
COUNTY OF )
1~(1l~,~7I'-- l-~[rl~'~ beJ ng duly sworn, deposes animally, l~l~N~t.1 the applicant
(Name of individual signing contract) above named, Not~/PulSe, ~ o~ ~ York
NO. 01BU6186050
(S)He is the
(Contractor, Ag'en~Corpm:ate Officer, etc.)
of said owner or owners, and is duly authorized to peribrm or have performed the said work and to make and file this application;
that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn ~o before me this. ~
]/~: ~x day of ~ ~t 20~L~
Notary Public
'I'Ow~ OF 8OTJ'I'~OT~:
~PP.u0aTION FOR EL~0'rr~aL INsP~oTiON
iCompan? Name: ' __.7_.<: ~
Name:.
*Address:
· *~.ross Street:
*Phone No.: '
Pi~rnit No.:
Tax Map .,Di~dcC
JOBSI:'rE INFORMATION: (*Indicates. required information)
· 10o0 Section: . -l~ck:. Lot:
*BRIEF DE8cRIPTION OF WORK. (Please F~int..Olea'rly) ' ,~'7~
· .( .~ear, e.ar~e .~ t~plY)
q~jOb ready for .inspe~ti.en:
.*DO you r,c~cd' a Tem. p Ceiiifieate:
Temp.lnformation {If needed],·
*8e. rvl~ SE.e:' 1 Phase. 3Phase
*New Servtoe: 'Re-conneot
Additional' Information:
t00 '1§0 . 200 300: ' 350
Underground Number of Metem Change bfServlce
PAYMENT DUE WITH· APPLICATION.
400 Other
Oved~ead
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 119714)959
Telephone (631 ) 765-181)2
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 18, 2011
James Sweeney
31 Homestead Ave
Garden City, NY 11530
RE: 2950 Minnehaha Blvd., Southold
TWO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
__ Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of 50.00.
Final Health Department Approval.
~ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
__ Trustees Certificate of Compliance. (Town Trustees #765-1892)
Final Planning Board Approval.
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 36189-Z alter bathroom
NEW 3'-0" x 3'-0"
lEAD?AN ,SHO~
'~ ,EED 2.11
BATHROOM PLAN
FOUN
F~R ,~
RuUG~
STRAF
3 iNSUL/
4 F~NAL ~
MUST ~
ALL CONS
REQUIRE1
YORK STA
DESIGN Ol
8 AM TO 4 PM FOR i,,b:
NG INSPECTIONS:
DATION - TWO REQUIRED
0 It,~F-D CONCRETE
- I~RAMING. PLUMBING,
~I~G, ELECTRICAL & CAULKING
TI(~N
)NSTRUCTION & ELECTRICAL
:OMPLETE FOR C O.
iCTION SHALL MEET THE
ITS OF THE CODES OF NEW
NOT RESPONSIBLE FOR
)NSTRUCTION ERRORS.
ERTIFIOATE
ELECTRICAL
INSPECTION REQUIREi
BATHROOM RENOVATION
AT THE
5WEENEY RESIDENCE
2950 MINIHAHA 15LVD
50UTHOLD, N.Y.
LEHNERT
CONSTRUCTION