HomeMy WebLinkAbout36632-ZTown of Somhold Annex
54375 Main Road
Southold, New York 11971
8/26/2011
CERTIFICATE OF OCCUPANCY
No: 35174 Date: 8/26/2011
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 50 Critten Ln, Southold,
SCTM #: 473889 Sec/Block/Lot: 70.-12-17
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
8/5/2011 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
which this certificate is issued is:
storage room altered to living space in an existing one family dwelling as applied for "as built."
Lot No.
filed in this officed dated
36632 dated 8/16/2011
The certificate is issued to
Nahas, Paul & Nahas, Barbara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36632 8/23/11
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 #: 36632
Permission is hereby granted to:
Nahas, Paul & Nahas, Barbara
PO BOX 1249
Cutchogue, NY 11935
Date: 8/16/2011
To:
Convert storage room into living space "as built" as applied for
At premises located at:
50 Critten Ln
SCTM # 473889
Sec/Block/Lot # 70.-12-17
Pursuant to application dated
To expire on 211412013.
Fees:
8/5/2011 and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ALTERATION TO DWELLING
Total:
$720.00
$50.00
$770,00
Building Inspector
Form No. 6
TOWN OF SOIJTHOLD
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 0f property with accurate location of all buildings; property lines, streets, and unusual nattu, al or
topographic featm~s. '
2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form).
3. Approval of electrical installation from Board 0fFire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commemial 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 ~f pr~perty sh~wing a~ pr~p~rty ~ines~ strcets~ bui~ding and unusu~ natura~ ~r t~p~graphic
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 applicant.
C. Fees
1. Certifica/[e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
· Swimming pool $50.00, Accussory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. C. eytifieate 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
New Construction:
Location of Property:
House No.
or Owners of Property: f~a
Owner
Suffolk County Tax Map No 1000, Section
Subdivision
Old or Pre-existing Building:
Street
·
Permit No. ,~'3.,~ Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Foe Submitted: $ .~"0.
Date. ~,~t~ ~ ZoH
(cheek one)
Hamlet
Block
Filed Map.
Applicant:
Underwriter~ Approval:
Final Certificate:
Lot t 7
(check one
A~cant Signa}ure /"
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971 0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
rofler, richert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Paul & Barbara Nahas
Address: 50 Crittens Lane City: Southold St: NY Zip: 11971
3uilding Permit #: 36632 Section: 70 Block: 12 Lot: 1;
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor [~ Basement ~ Service Only ~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: convert storage space to living space, 1 paddle fan
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~,~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Aug 23 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] libaTION
[~INAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) [
REMARKS:
DATE
INSPECTOR
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) ~ ELECTRICAL (FINAL)
REMARKS:
DATE~iNSPECTOR~~)-
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~SU~LATION
[ ] FRAMING/STRAPPING [//~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELE~i~ICAL (FINAL)
REMARKS: ~ ~/~ ~
DATE~/~~/
INSPECTOR
28495 Main Road · PO Box 933 · Cuu:hoguc. NY 11935
631.734.4185 / xl,.~.mksarchitcct.(om
August 01, 2011
Southold Town Building Depattaient
P.O. Box 1179 Main Road
Southold, New York 11971
Re:
Additions and Alterations to:
Nahas House
Southold, New York
To Whom This May Concern:
I have been to the site and reviewed the as-built construction. I hereby certify, to the best of my
knowledge, the as-built work has been completed as per plans and meets or exceeds NYS code
requirements.
Please call this office if you have any questions or require additional information.
Very truly yours,
Mark Schwartz
AIA
~OUN~ON (~ST)
FOUNDATION (2ND)
· ROUGH ~G &
PL~G
STA~ E~R~ CODE
,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined ~'//? ,20 (/
^pproved
Disapproved a/c
Expiration g/[ 0, 20 [3
AUG 4 201I
Bt DG DEPT,
10WN OF SOUfHOID
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 A]/~
N.Y.S,D.E.C.
Trustees
Flood Perrait
Storm-Water Assessment'"/" Form
Contact:
Mail to:
Phone:
Building Inspector
LICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20
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 pem~it
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 BuildingInspector 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 issuance 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.
(/'/ (S'gnature of applicant ~r ni~e, ifa corporation)
(M~iling addres~ of a~plic~nt) '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises /~tq~,{.. d,~.'b _/qd-..~dAx'n
(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.
1. Location of land on which proposed work will be done:
House Number Street ! [ Hamlet
County Tax Map No. 1000 Section 6 ?,~ Block' IL_ Lot i '7
Subdivision Filed Map No. Lot
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
Repair Removal
Estimated Cost A//~
4.
5. If dwelling, number of dwelling units
If garage, number of cars
Nature of work (check which applicable): New Building
Demolition
Addition Alteration
Other Work r,q'5 Atx ~ L~-
(Description)
Fee
(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
Height .~ g ~ Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front .-~],qZ v0 $ /4lJ°~ear
Height Number of Stories
9. Size of lot: Front / 5to ~ Rear ! ~ O Depth / 5/ ~ '
r~J~ ~' Rear
_Depth
10. Date of Purchase Name of Former Owner
11. Zone oruse district in which premises are situated 4e ~),~,o
/
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~
13. Will lot be re-graded? YES NO t/Will excess fill be removed from premises? YES NO__
14. Names of Owner of premises ~0/}u/· g~B~a ~hdff~ressC3~b42g ~,V. 119flYPhone No. 7~-ffoo7
Name of Architect Address / Phone No
Name of Contractor Address Phone No.
15 a. Is 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. ls this property 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 belo~v, 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, depose5 and says that (s)he is the applicant
(N.ame of individual signing contract) above named,
CONNIE O. BUNCH
Notary Public, State of New Yo~k
(S)He is the ~ o~l~U818fi050
(Contractor, Agent, Corporate Officer, etc.) Qu~ll{~l in 8~to~ Court]
Commission F_.x~ires Ap61 14.
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 true to the best of his knowledge and belief; and that the work will be
peribrmed in the manner set forth in the application filed therewith.
Sworn to before me this~
q ~-fS-~ day of~'tq. Jq't/~4L~ 20 [I
Notary Public
Signature of Applicant
Town of So.uthold
Eresi°n' SedimentatiOn & S~°rm'Water Run'Off ASSESSMENT FOR[
Pr~oi'EKi¥ LOCAT]0N: S.~T~ ~ '
~E O~WO~ PaO~S~
, .
PROTIDE ~ PR~ DF,8(II~'i]ON
' 0 ,,J (...,,,.,
/
Sworn ~o before me d~s;
............. ~?.....,, ........... ~,o~.~~ .......... .~0.././
FORM - 06110
am Prat °~'e lafget.comme~ Plan I~a~ w~ ~/E~nately d~sluda cee ~ mom a~e~ ~ land;
~A~ OF ~YO~ Nota~ P~l~ ~e ~ New Yo~,
CO~ O~ .............. - .....~ No. 01BU61 ~
Tdwa Hall J~l~C
~875 M~in l~gi
P.O..B(~ 11~9
· .,~hoid, NY ! 1~/1
ro~er, flche~.ny, us '
'REQUESTED BY:
Company Name:
Name:
Ucense. No:.:
TOWN OF SOUTHOLr)
APP.LICATION FOR FI FCTRiCAL INSPECTION
*Name:,
*Address:
*Cross Street:
*Phone No.:
permit NO.:
Tax Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 S~on:. o 7o
*BRIEF DESCRIPTION OF WORK (P. lease, pdm.Clea'rly)
81ock: '(~ LoC (7
/3 ,., '" '
ready for insp~. 'n:
.*Do you nc.c,d a Temp Certificate:
Temp-lnformation (If needed}.
*~ervice Size: 1 Phase'. 3Phase 100
*New Service: Re-~onnect Underground
Additional Information:
150. 200 300: 350 400 Other
Number of Met;m Change Of Service Overhead
PAYMEN1; DUE WITH APPLICATION
· /~/,Y. //97/
REScheck Software Version 4.4.1
Compliance Certificate
Energy Code:
LocetJon:
Construction Typo:
Glazing Area Percentage:
Heating Degree Days:
Climate Zone:
Construction Site:
2010 New York Energy Conservation
Construction Cede
Suffolk County, New York
Detached I or 2 Family
14%
5750
4
Owner/Agent:
NAHAS
lC .... E
Compliance: 12.5% Bettm' Than Code Maximum UA: 96 Your UA: 84
The % Better or Wmse Than Code index reflects how close to ct3mlY, ianoe the house Is based on code ~rade~ff m~.
It OOES NOT provide an esamate of e~ergy use or cost relative to a minimutt~code home,
Designer/Contractor:
Mark Schwartz, Architect
P.O. Box 933
Cutchngue, NY 11935
-631-734-4185
mksamhitect~optonline.net
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space
Wall 1: Wood Frame, 16" o.c.
Window 1: Wood Frame:Double Pane with Low-E
Ceiling 1: Flat Ceiling or Scissor Truss
Ceiling 2: Cathedral Ceiling (no attic)
,/
470 30.0 0.0 16
500 19.0 0.0 26
68 0.290 20
400 21.0 0.0 19
70 21.0 0.0 3
Coml~iance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building has been designed to meet the 2010 New Yo~k Energy Conservation
Construction Code requirements in REScheck Version 4.4.1 and to oomply with~ t~d~ requirements listed in the REScheck Inspection
Checklist. ~, ','~ ~!'-~,~L? ~--s~.
Na~le-Titt, ' ' --'~/ S~_~'~ /~lJ~ ~;~ Date/ / '
Project Title: Report date: 08/02/11
Data filename: Untitled.rck Paoe I of I
To~n 1~!i Annex
P.O. ~ox lin
. .Sou~hei~ NY ! 19'/1.09.~
REQUESTED BY:
Company Name:
Name:
Ucense No,:
Address:
Phone No.:
APPLICATION FOR ELECTRICAL INSPECTION,
JOBSITE INFORMATION:
*Address:
· *Cross Street:
*Phone No.:
Permit No.:
Tax Map Djstflct:
.1000 S~on: o 70 ' .~o~
~EF DEs~PTION OF WO~ (PI~ Pdnt
(*!ndi~ates required information)
/
· ,1/, Y:. //97/
. (pleaSe .Clinic AIl Tlmt/ApplY) '' ·
'qsJOb ready for Inspection:
you need a Temp Certificate:
?®mp'lnformation (If needed}-
~ervioe Si?e: 1 Phase
*New Service: Re*connect
Additional Information:
~) NO Rough In"'
3Phase ' 100 150.. 200 300: 350 400 Ofher
Underground Number of Metem Change Of Sen/ice Overhead
PAYMENT DUE WITH' APPLICATION
5'.G" 1-0'
f
\
AS NOTED
2,4" 4'
, - -Tr-).t 1.
PLUMBING,
ELECTRICAL & CAULKII
®
3.
4. FIN;L- CONSTRUCTION & ELECTRICAL
MUg~ BE COUPLETE FOR C O
,~.~QCON$~-~UCTION SHALL MEET THE
UIRE?zNTS OF THE CODES ~)ff~NEW~'
YORK STA; E NOT RESPONSIBLE FOR
DESIGN OR 30NSTRUCTION ERRORS· Jl~
I 1t4' , I I i/.,' MI¢;ffC~,IAM
ELECTRICAL
'ECTION REQUiRED'~""',*
OR
U%LAWFi
,
~v~, n~ CERTI
OF O(
,,.JPANOY
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