HomeMy WebLinkAbout36409-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
8/8/2011
CERTIFICATE OF OCCUPANCY
No: 35124 Date: 8/8/2011
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIFIES that the building
560 Fishermans Beach Road, Cutchogue,
Sec/Block/Lot: 111.-1-16
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
ALTERATION
Lot No.
5/17/2011 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
filed in this otticed dated
36409 dated 5/23/2011
which this certificate is issued is:
Alterations to a Single Family Dwelling;
Window Replacement (2), Relocate Washer & Dryer, as Applied for.
The certificate is issued to
Curran, Frank & Curran, Sandra
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36409 7/29/11
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 #: 36409
Date: 5/23/2011
Permission is hereby granted to:
Curran, Frank & Sandra
PO BOX 739
Cutchogue, NY 11935
To:
Alterations to a Single Family Dwelling;
Window Replacement (2), Relocate Washer & Dryer, as Applied for.
At premises located at:
560 Fishermans Beach Road, Cutchogue
SCTM # 473889
Sec/Block/Lot # 111 .-1-16
Pursuant to application dated
To expire on 11/21/2012.
Fees:
5/17/2011
and approved by the Building Inspector.
CO - ALTERATION TO DWELLING
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
Total:
$50.00
$200.00
$250.00
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 o f 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% 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:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent 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 applieant.
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. Cartifieate of Occupancy on Pre~existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Ceaificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Date.
Old or Pre-existing Building: (check one)
' ~
H~use No. Street Hamlet
Lot
Owner or Owners of Property: -~-~qx:~-,,_~ c~,~mc:~c$:~
Suffolk County Tax Map No 1000, Section /// Block
Date of Permit.
Subdivision
Permit No. ']~ ~ 4z'd;>~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~---O, ~,~.~
Filed Map.
-~ 3 -// Applicant:
Underwriters Approval:
Final Certificate: ~~e
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971 0959
Telephone (63 I) 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
Issued To: F & S Curran
&ddress: 560 Fishermans Beach Rd City: Cutchogue St: NY Zip: 11935
3uilding Permit#: 36409 Section: 1 1 1 Block: 1 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Doroski Electric Inc License No: 2941-e
SITE DETAILS
Office Use Only
Residential [~ Indoor [~ Basement ~ Service Only ~
Commerical Outdoor 1 st 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 A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: paddle fan
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~.~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixtur~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: July 29 2011
81~Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [~. ROUGH PLBG.
[ ] FOUNDATION 2ND ~ INSULATION
~ [ I FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAr,- ~ ( INSPECTION
REMARKS: (~,~~ ~ _-
DATE ~' ~ '- /I INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] I~LATION
[ ]FRAMING / STRAPPING [~/J FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANI' PENETRATION
] ELECTRICAL (FINAL)
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) [
REMARKS: ~
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~ULI~ON
[ ] FRAMING/STRAPPING [,~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL(ROU~G~[. ] E~LE~CTRICAL(FINAL)
REMARKS-' ~
DATE
INSPECTOR / ·
TOWN OF SOUTHOLD
BUILDING DEP~.RTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. nor thfork.net/Southold/
PERMIT NO.
Examined ~ - ~fl ,20
Approved ~- ~ 23 , 20 I I Mail to:
Phone:
Expiration
. ~: PPLICATI G PE
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
Contact:
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 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. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the i~suance of a 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 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) I ~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~b3(-~ ~ ,,~ ~ O'~ C O I~ ~ ,4~t~ '
(As on the tax roll or latest deed)
If appli_~ccant 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 on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
t//
Block ~ / Lot
Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy
b. Intended use and occupancy S tM 6q-~
V~3 i~oo~J.g - 2.-
3. Nature of work (check which applicable): New Building Addition
Repair Removal Demolition Other Work
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor t~J/nX---
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front Rear _Depth
Height. Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. Size oflot: Front ['7~9, 06. RearCt"/,4(~ ~ '2-O,S~Depth
C.-O M.XT~O O'Ul o,,~ ·
.Depth
10. Date of Purchase
Name of Former 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 V/Will excess fill be removed from premises? YES__ NO
Cc) ~ p~A-td ' Address ~(t:~O ~ _~ver_~ ~OPhone No. ~3 ~' - 07.-04
Address Phone No
it/C- Address VO
15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland.'? *YES ~/ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMrFS MAY BE REQUIRED.
b. Is this property within 300 feet ora tidal wetland? * YES ~/' NO__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
14. Names of Owner of premises
Name of Architect
Name of Contractor IF::sOq- ~
'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.
STATE OF NEW YORK)
SS:
COUNTY OF )
~> ~ ,:~W CO ~ l~ O ~(~ ¢[ being duly sworn, deposes and says that ts)he is the applicant
(Name of individual signing contract) above named,
tS)He is the ~)/~J Tl~ ~ ·
(Contractor, Agent, Corporate 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 in the application filed therewith.
ST~,,t~ before me this day of
Notary Public
20 Il
CONNIE D. BUNCH
Notary Public, State o~ New Ym'k
NO. 01BU6188050
Qualified In Suffolk County
Commi~lon Explr~ Aprfl 14, 2 ~___~/~
Sou~hoh:l, NY !
REQUESTED BY:
Company Name:
Name:
~loen~e No.:
~hone No.:
BUI~.r~NG DEi~AK~IENT
~v~PLI CATION FOR ELECTRIC~.I,~
'Address:
*Cmsli Street:
*Phone No.:
Permit No.:
Tax Map District:
1000.__ Section:. . , 13k~ck:....I Lot: n
*BRIEF DESCRIPTION 3F WORK (P~ee Pnnt Clearly)
<~~ ._ ~~ z ~'~.. - .... .., .........
Final
(PleMe Ck, ele All That ,a~pply)
*la Job ready for inspection:
*Do you need a Tamp C.~diflcate:
Tamp Information (If m, Kled]
*Service BLze: 1 Phale 3Phlle
'New Service: Re-cc,nnect
1 oo ~ $0 200 300 31f0 400 Other
Underground Number of Vii,tern Change of Service OvM'nMd
PAY~;~E WITH APPLICATION
Information:
8,?..l~qll~ll. fei' Intpe0lion F,:rm
BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted:
Applicant:
Architect/Engineer:
SCTM# lO00-- I{{
Property Address:
-- I -- I(~ Subdivision:
,5"~O ~-'~5'ffO('/4t~A/,~ ~gt-A~2ff ~b, City:
Estimated Cost: "~r/~'"¢°°' o o
Zone: Conforming. ~
C~{-r¢ t~ o ~t~ ~- Pre COs?
Building Permits (Open/Expired): BP__-Z / C/0 Z-
BP__-Z / C/0 Z- , Info: BP __-Z / C/0 Z-
Single & Separate Search Required? Y o~)Determination:
RBQ. Lot Size: ACT. Lot Size:
KEQ. Front ACT. Front REQ Side ACT. Side
REQ. Heigh[ ACT. Height R~I. ~OTH SlOeS
ProjectDescription: ,4 L T~-I~/bT/~AI 5 7-q ,4 _~/A/~I..~
Waterfront? Y or N?
ff yes, water body: Panel# Flood Zone:
__, Info: BP -Z / C/O Z= , Info:
, Info: BP -Z / C/0 Z- , Info:
ACT. LOt Cov.
PROP. Rear
REQ. Lot Cov. __
REQ. Rear
ACT
¢
Bulkhead/Bluff Distance:
ADDITIONAL APPROVALS REQUIRED ¢Lt~$(ht) Signal>, .~/_~ SURVt[Y ot~ 5,'11'1[ Pt-AN
d
Suffolk County Health: Y 0 - If yes, *Bed#: *Date: / / *Permit#: Town Septic: Y- h/
- If no, certification required: Y or N Received: Y or N By:
NYS DEC: PRE-DEC 9/1/75 Y 0[~- Date:
Southold Trustees: Y oral- Date: /
Southoid ZBA: Y or~- Date: / /
Southoid Planning: Y or~- Date: /__
town Landmark C of A: Y o~DTE: __
CoN?g~-CT~R klC~-at_~ ~
Notes:
/ / Permit #:
/ Pernfit #:
Permit #:
/ Permit #:
/ /
or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
*NYS CODE ~_ompliance (page 2): Y or N
Fee Structure:
Foundation:
First Floor:
Second Floor:
Other:
Total:
Calculation:
SF
SF
SF
SF
SF
AS BUILT
X$, --$
+ h~itial Fee: $
+ Additional Fee ( ): $
SF X $, --$
+ Initial Fee: $
+ Additional Fee ( ): $
dl so.oo
--O-
~,-oo ~ Oo
TOTAL:$ ~--oo, oo
NEW YORK STATE CODE COMPLIANCE CHECICLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
· Gro~lnd Snow Load:
Weathering: Severe __ . Frost Depth: 36"
Design Temp: 11 __ Ice Shield Underlay: YES
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
FULL FRAlvlING DESIGN ELEMENTS: Y/N
IlEAl)ERS: Y/N WALL STUDS: Y/N
CEILING JOISTS: Y/N FLOOR JOISTS: Y/N
LUIV[BER SPECIES AND GR_&DE: Y/N
Wind Speed: 120MPH Seismic Design Category: B ,
Termite: M-H' Decay: S-Id
Flood Hazards:
GLR_DERS: Y/N
ROOF IL61FfERS: ¥/N
WI3x!DOW AND DOOR SCHEDULE:
· MISSLE TEST ILEQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: ¥/N
VENT 4%: Y/N
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RiSER DIAGRAM: Y/N
LOCATION OF FITLE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: YfN
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
(R E S Ctl Ec K~
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
W C-24 /INDOV
EXI~ '.DOOR&S* ::)OP
40 CHANGE
PLUMBING
ALL PLUMBING WASTE
& WATER LINES NEED
TESTING BEFORE COVERING
ELECTRICAL
INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHOLD TOWN Z~A
SOUTHOLO TOWN ?~J~ING BOARD
__ SOL;'FHOLD T,%r~ T~L$ F-:S
__ N.Y.S. DEC
RELOCATE WASHE,~.&
DRYER INTO EXIST.
MUDROOM
D
REPLACE EXIST. W1NDOWS
W/NBN TO ACCOMODATE W&D
NO HEADER CHANGE
NEW C-24 WINDOVVS
5'-0 1/4'
EXIST.
EXJST-~NTRY =WD. RM.
A?PR0VED AS NOTED
Nfh~!Y t BUILDING DEPAR~ENT
7'.: '~02 8 AM TO 4 P~ FOR THE
F OWING INSPECTIONS:
¢~dNDATION- TWO
FOR POURED CONCRETE
2 ~ :OH-FRAMING PLUMBING,
5~RAPPtNG ELECTRICAL ~ CAULKING
3 INSU~TION
4 ¢iNAL - CONSTRUCTION & E~CTRIC~
MUST BE COMPLETE F~ C.C.
ALL CONSTRUCTION S~ ~
REQUIREMENTS OF THE C~ ~ ~W
YORK STATE ~T E~
DESIGN ~ CONS~T~ E~.
CURRAN RESIDENCE
1/4"= 1'-0" 5.11.11
ENVIRONMENT EAST INC.