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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