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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