HomeMy WebLinkAbout35998-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
8/4/2011
CERTIFICATE OF OCCUPANCY
No: 35112
Date: 8/4/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
PORCH
975 WATER TERRACE SOUTHOLD, N.Y. 11971,
Sec/Block/Lot: 88.-6-13.9
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
10/22/2010 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
which this certificate is issued is:
porch addtion with veranda to an existing one family dwelling as applied for.
Lot No.
filed in this of[iced dated
35998 dated 11/4/2010
The certificate is issued to
St John, Patrick & St John, Michaeleen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
35998 8/1/11
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. 35998 Z
Date NOVEMBER 4, 2010
Permission is hereby granted to:
P & M ST JOHN
975 WATER TERRACE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A PORCH ADDITION WITH UPPER VER3kNDA AS APPLIED FOR
at premises located at 975
County Tax Map No. 473889 Section 088
pursuant to application dated OCTOBER
Building Inspector to expire on MAY
WATER TERRACE SOUTHOLD
Block 0006 Lot No. 013.009
22, 2010 and approved by the
4, 2012.
Fee $ 375.20
/ ~'- Authorlhed Signature
ORIGINAL
Rev. 5/8/02
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 o f Fire Underwriters.
4. Sworn statement from plumber certifying 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 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 all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and coffsent 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
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:
Street
New Construction: /
Location of Property: q "] b
House No.
r~
Owner or Owners of Property: ,~ ~{~ ~0__J~
Suffolk County Tax Map No t 000, Section
Subdivision
Date of Permit. Il- q
Date.
Block
Filed Map.
-' I(..~ Applicant:
Underwriters Approval:
Final Certificate: /
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~0 -l)'~)[~t9
(check one)
Hamlet
Lot:
(check one)
Town Hall Annex
.54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
ro.qor.dchort~town.southold ny us
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Patrick St John
Address: 975 Water Terrace City: Southold St: NY Zip: 11¢71
Building Permit Ct: 35998 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: asbuilt DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Corn medcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: paddle fan on porch
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ].~ Smoke Detectors
Recessed Fixtures [~ CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixtures[~I Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Aug 1 2011
81-Ced Electrical Compliance Form
TOWN OF SOUT~ DEPT.
~65-1802
I N SPECTIO N ~'
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING/STRAPPING [~] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: //~/~/~-~ ~'~ ~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION ~ ! FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~]~E~LECTRICAL (FINAL)
REMARKS:
DATE ---~ /
INSPECTOR~'~~~-~
Jul-25-2~*~ Il:lOam
Fram-NEMSCHICK SILVERMAN ARCHITECTS
8315632138 T-052
POO2/OOZ F-350
Nemschick Silverman Architects p.c.
".. , the business of ARCHITECTURE_"
DaLe: M~rch IG, 20t I
Town Duddm~j
5out, hol~, New York
The ,~t; John Deck and Porch
5outhol~, NY
11971
TM: O~,.OG, 139
DrawlnO5 cla~: 03.10.200& #0~5- 1420
To whom ~: rna~./ concern:
To ~;h¢ b¢sf: of our H~nowl¢~j~,
~- 51;ructural framln~j ln~talla~;~on Tot' ~:h~ a~o¥~ r~dr'dn~ a??hdaL~on m¢¢L~ New York
5~at¢ l~ud~m~j
If you have any flu~5~;ion~ or woul~ I~k~ acJ~llt~onal InformatiOn about t:h~o
feel free to contacl: our office.
IR¢oarclS,
R~y Nemsch~ck, AIA
Nemschick ~ilverman Architects.
430 Green Way · Cutchogue, New York 11935 · 631 734,7007 telephone o 631.734.7347 facsimile · www.ns-arch.com
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFor k. net
PERMIT NO.
Approved
Disapproved a/c
Expiration ~
~ [~ ~ 7 ~ Building lnspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or nccd the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
OCr Date t . 20. to
INSTRUCTIONS
a{~ ~l~C,~ ~!~lication MUST be filled in by typewriter or in ink and submitied to the Building Inspector with 4
:. Fee according to schedule.
b. Plot I of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
e. 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.
£ Every building permit shall expire if the work authorized has not commenced within 12 months atter 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 permit for an
addition six months. Tbereatter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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 const~uctinn &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 coq~oratian)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on thc 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.
1. Location of land on which proposed work will be done:
q7s" ~'e~ T~',,~ r..~
House Number Street
County Tax Map No. 1000 Section ~,~ Block 0(~
Subdivision Filed Map No.
Hamlet
Lot I~J.q
2. State e, xisting t/se and occupancy of premises and intended us~ and occupan.cy of proposed construction:
a. Existing use and occupancy $l.~lc ~,l~b
b. Intended use and occupancy ~'-4 ~/~'~ , (
3. Nature ofwork (check which applicable): New Building. Addition ~' Alteration
Repair Removal Demolition Other Work
4. 'Estimated JI 0[ ~ Fee
(Description)
If dwelling, number of dwelling units
If garage, number of cars ~
(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 7[ -'7 t
Rear '71.7 Depth
Height .2~r Number of Stories
Dimensions of entire new construction: Front ,~. ~ · Rear
Height I~Jr Number of Stories ~
9. Size of lot: Front ~ 70 · Rear ~ ~O · Depth
Dimensions of sa.m~ structure with alterations or additions: Front ? 1.7 / Rear
Depth "~ ~.'~ Height ~'~' Number of Stories
~0,~r Depth Iq'
10)Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ~
__ NO ~' Will excess fill be removed from premises? YES NO__
12. Does proposed construction violate any zoning law, ordinance or regulation? YES
13. Will lot be re-graded? YES
14. Nalnes of Owner of, premises Address_ Phone No.
Name of Architect ~ &lw,'s.},~ ~i'~4~ Address/la
Name of Contractor Address 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 properly 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 __ NO ,~
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF __)
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, Coq>orate Officer, 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 tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth th the application filed therewith.
,/ / ,,~/
Swor~,t~efore me thl,~,.-~ ~ --_ !
°
I /
Notat7 Public, Slate ot New Yod~ !
~ofl. No. 01 $1497702S
Oualiliod in Suffolk Courtly t ·
. TOWn of Southold
t~[~/)~lEr°sI°ri' Sedimen~ati°n & S~orm-Water Run.Off ASSESSMENT FOR."'
--~ [ ....... ~ m~ ~ ~KIIPIED BY A UK~IUN P~E~iO~L IN THE SZA~ OF N~ YO~
SCOPE OFWORK - PROPOSEI) CONSTRUC'riON
(Ir~Jude Total Ama of alt Pafce~ located wlb'-dn f;L ~ ~-
b. What b h'm Total A~ea M t.and Ckmd~
and/or Ground ~ for. the pmpcMd
comtnmlon actlvily?
/ WOR~: A.~._'y, SUtW!~_
',mper~
DrBln;qle 8'~uclures In~;c";;"g ~b:e & LeeaU°n? Ttf's
~~~Wa~.
3 ~n~d~~
~P~.
4 ~ ~ ~R~m.~ ~ ~g. G~ ~
~ G~e In~g ~m ~an ~0 ~bic Ya~s
~ Material wi~ln any ~ .
5 ~11 ~ ~i~U~ R~u~ Land Di~ng
En~ an ~a ~ ~s of
(5.~*S.F.) ~ Feat of
6 Is ~ a NaOmi Water ~ Run~ ~ ~ ·
~ ~ ~ Hu~ (1~) f~t of a W~a~
~a~?
~e Hun~ (1~3 of H~I DIsta~?
8 WUI ~, ~ ~ ~o~ Im~
R~ ~ ~ a~
~T~W~S~
FORM - 06110
Tov~ Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1809
ro.qer, riche rtt~.t~ (v~!~o/~o~. ny. us
TOWN OF $olYrHOLD
APPLICATION FOR ELECTRICAL INSPECTION
!D BY:
Company Name:
Date:
Name:
License No.:
Address:
Phone No.:
*Name:,
*Address:'
*Cross Street:
*Phone No.:,/
Permit No.:
Tax. Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 Section: .__~) ~ Block:
*BRIEE DESCRIPTION OF WORK (Please PHnt CleaHy)
Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
YES / NO Rough In
YES / NO
Temp Information (If. needed]
Final
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Addltienal Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
OPEN SPACE
N. 3994'o9" W. H0.23'
WATER TERRACE
,i
R=300.O0
- ~1~e I~xls~ent:e or rlgl~t o~ ways an~ or easemcm,~
of record, if any, not shown are not §u~ranteed,
CESSPOOL, SEPTIC TANK end WATER
SERVICE LOCATIONS ARE BY OTHERS,
JOB NO. 00-820 FILE NO, ANGEL
SURVE*(ED FOR PETER T, McGUCKIAN 8 JEANNE!D, ~MITH
LOT NUMBER'7
MAP OF ANGEL SHORES
SITI~ATEO AT BAYVIEW
TOWN OF SOUTHOLD. SUFFOLK COUNTY. NEW YORK ' , ,.'
SCALE I" 50' DATE 12-16-2000: ~,.
8bARANTEED ONLY TO
PETER T. McGUCKIAN &J~ANNE D. SMITH
FLEET BANK
SUNf~ISE ABSTRAC-TTITLE E22-S-IGIR
N.Y. LIC. NO. 048992
.,I~ENN. LlC. NO. 21IIB-E
FILED MAP NO. 9729 DATE 8-2~1995 ':
HAROLD F. ~RANCHON JR~P.C,
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING
NEW YORK, 11792
6;~1 - 929- 4695
2XIO,,HEAOER VIF
I
t~HITE)
m~AIN m~AIN EXlSTINO ~WlCE ~RK TO
~ ~IN 5P~T ~AJN
HATCH ~ISTIN~ J I J
~ ~ ~ A-~c~IFy BUILDING D~PARTMENT AT
FOLLOWING INSPECTIONS
FOR POURED CONCRETE USE 18 UNLAWFUL
STRAPPING ELECTRICAL &CAULKINGW THUUT
MUST BE COMPLETE FOR
~ ~= I/4'= I'~" ~ ~= I/4 = I~ ~ ~= I/4"=/~ ;~,%N OR CONSTRUCTION ERR~.~. 0F THE TOWN
~ P~JECT TIT~: DATE. NSA PROJECT
~. JOH~ R~P~CE 05/18~008
Nemschick Silverman Architects P.C. ¢ 975 WATER TE~ACE
I I ~OUTHOLD, ~Y 11971
160 MAIN STREET, SUITE 200 ~ ~ DISTBCT: ~C~O~ I BLOCK: LOT: DRAWN BY:
SA~ILLE, NEWYORK li782
Phone: 63i ~32i30 F~: 63i 5632124 e. ns-arch.co~ ~c~c~v~,,,c~,c 88 OO 15.9 JTM
5LEEFEP.5. ON E~g MI£. EP~M ~ R.O~ \ ~ ~
FT. ~- :~] ~ ~ /T~P OF JOIST S"._ OTHE~I~ NO~D (~T TO FIELD INSPECTION A~
rd MI6~ L~ ~ ~IT TO ~TCH ~ISTI~ [ ~
I
~T~I~ FO F~H IN~RY ~ TO 60NS~6TION ~. ~VIDE P~ SHOULD m~ BE h P~BLEH.
~ A~ r ~I~L~ To
~ ~' U~ ~ ~l M/CRO~ L ~ ~ ~ / ~MPLE~ TO ~E TOT~ ~ATI~FACTION OF THE A~N~ ~ AS NOT TO IN~ ~ITH ~E MO~HENT
/
- lTffi INfOrMATION
~/~~~/~ ~ ~ I I ~/~r/~~/~ ~~ I I I I k~ /~.~ ~ ~o~
LOT ~OVE~E 2o~ H~ ~.3/.~ Z~
~ = ~/~ = I~ EXISTING= 2~./5.~ ,// %~.~/ IJ,~ ~ CAD FI~ NAME:
~/~
~ PEO~CT TI%E DATE NSA P~JECT
Nemschick Silverman Architects P.e. ~ ~.JO.~R~U~C[
". the businessofARCHITEC~RE." ~ 975 ~ATER TERRACE
~ ' ' ~ fOUTHOLU,~Y 11971 ~AL~ DRAWING NO:
160 MAIN STREET, SUITE 200 ~ DISTEICT: ~CTION- BLOCK LOT: D~AWN BY:
SAYVILLE, NEWYORK 11782
Phone: 631 5632130 Fax: 631 5632124 ~.ns-arch.co~ ~CO,~.~CTS~C. 8~ 00 1D.9