HomeMy WebLinkAbout35431-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
9/9/2011
CERTIFICATE OF OCCUPANCY
No: 35192 Date: 9/9/2011
THIS CERTIFIES that the building ALTERATION
Location of Property: 1560 LAUREL AVE SOUTHOLD,
SCTM #: 473889 Sec/Block/Lot: 56.-1-2.25
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/24/2010 pursuant to which Building Permit No. 35431 dated 4/2/2010
was issued, and conforms to all of the requirements o£the applicable provisions o£thc law. The occupancy for
which this certificate is issued is:
interior kitchen alteration to an existing one family dwelling as applied for.
The certificate is issued to
Cardi, Mathew
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
35431 10/25/10
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35431 Z Date APRIL 2, 2010
Permission is hereby granted to:
MATHEW J CARDI
1560 LAUREL AVE
SOUTHOLD,NY 11971
for :
INTERIOR KITCHEN ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
at premises located at
County Tax Map NO. 473889 Section 056
pursuant to application dated MARCH
Building Inspector to expire on OCTOBER
1560 LAUREL AVE SOUTHOLD
Block 0001 Lot No. 002.025
24, 2010 and approved by the
2, 2011.
Fee $ 200.00
ORIGINAL
Rev. 5/8/02
Form ~o. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOYVN HALL
765-1802
APPI ACATION FOR CERTIFICATE OF OCCUPANCY
This application nmst be filled in by typewriter or ink and submitted to the Building Department with the fbllowiug:
A. For new building or new use: 1. Final survey of properly with accurate location of all buildingS, property lines, streets, and unusual natural or
topographic features.
2. Final Approval fi-om Health Dept. of water supply and sewerage-disposal (S-9 form).
Approwd of electrical installation from Board of Fire Underwriters.
4. Swolql statement fi'om 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 f¥om architect or engineer responsible for the building.
6. Submit Phmning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming rises, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
~¢2at u res.
2 A properly complelcd application and consent to inspect signed by the applicant. Ifa 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. Ccrtificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy- $.25
4. Updated Ce~qificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction: _ _ Old or Pre-existing Building:
Location
of Property:
House No. Street
Ow, ror Ow,,ers o,'Prope.y:
Suflblk Ctuu y lax Map No 1000, Section ~ Block
SubdMsion
(check one)
Hamlet
ooo /
Filed Map.
Date of Permit. ~/07¢// ~O Applicant:
..... Underwriters Approval:
t lealth Dept. Approval:
Lot O~,~e _. ~:~-~5~'~
Lot:
Planning Board Approval:
Request fbi-: qemp~.rary Cemficate
Fcc Suhmitted: $ ~D~c') ' -'/-) O
Final Certificate:
(check one)
loxln 1 fall ,\ililux
P.t). Box 1
Soutllold, Nh' 11971-09,39
Telephone (631) 7d.5-1
Fax (631) 71i.5-9502
ro.qer, dchert~town southold.n¥.us
B! ~ILI)IN(; I)I,~I'ARTMENT
TOWN O1e SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: M Cardi
Address: 1560 Laurel Ave City: Southold St: NY Zip: 11971
Building Permit#: 35431 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electric License No: 3897-6
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~J Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph L~ Heat ~ DuplecRecpt ~ CeilingFixtures ~ HIDFixtures~
Service 3 ph Hot Water GFCI Recpt
Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture I I Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures~ J Time Clocks
Disconnect Switches Twist Lock Exit Fixtures [~J TVSS
Other Equipment: 1-exhaust fan, elec oven, cook top
Notes: kitchen renovation
Inspector Signature:
Date: Oct 25 2010
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ I FIRE RESISTANT PENETRATION
] FOUNDATION 1ST
] FOUNDATION 2ND
FRAMING / STRAPPING
] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTO~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ]ROUGH PLBG.
[ ~]~INDATION 2ND [ ]INSULATION
[~:IAMING / STRAPPING [ ]FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: /~.~.~ ~'.
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [. ] I~LATION
[ ] FRAMING/STRAPPING ~] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REI
FT~.T.T~ ]N$1~CT~ON RF_.~ORT DATE
FO~A~ON (1S~
FO~ATION (2~)
~S~ON PERN. Y.
STA~ E~R~ CODE
TOWN OF SOUTHOLD
BUILDING DEPA~,RTMiENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined ,20
Approved
Disapproved a/c
,20
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
Surve~
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
Building Inspector
PLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20/O
pletely 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 befbre 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 fbr 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 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 tbr removal or demolition as herein described. The
applicant agrees to cmnply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building fol' necessary inspection~, _/,,t~/q ~
(Sig~afiSre of ap_~a""~t or name, ifa corporation)
(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 the tax roil or latest deed)
licant, is.a corporation, sig~u/~f duly authorized officer
(Name and title of corporate officer)
Builders License No. 6'772-- '~.~-
Plumbers License No. oQ~o ~ - ~
Electricians License No.
Other Trade's License No.
Location of land on which propose4 work will be d~ne:
/ 6T;o flY6
House Number Street
Hamlet
County Tax Map No. 1000 Section ~"~__.~
Subdivision
Block I Lot ~, ~)..~'
Filed Map No. Lot
Statea. existingExistingUSeuseandandOCcupanCYoccupancyOf premise.si an~t~se and occupancy of proposed con~struction:
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work
(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
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Size of lot: Front Rear Depth
Rear
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__ Will excess fill be removed from premises? YES__ NO
14. N ames of Owner of premises
Name of Architect
Name of Contractor"l~t')-,O
Address
Address
Address ~t O, Igc:~ "1 ~ ~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO ~
* lF YES, D.E.C. PERMITS MAY BE REQUIRED.
Phone No.
Phone No
Phone No. ~
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 N~
· 1F YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY O F~}~,
(Name of individual signin~
(S)He is the
being duly sworn, deposes and says that (s)he is the applicant
(Contractor, Agent, Corporate Officer, etc.)
CONNIE D. BUNCH
Notar~ Public. State of New
Qualified in Suffolk Count'/
\
Commission Expires April 1.4 20 ~-
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.
Sworn to,before me thins_
C'-'-~"'['~ day of J'~
0
Notary Public
Sig~i~tu~nt
TOWN OF SOUTHOLD PROPERTY RECORD CARD
RE~RKS
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
TILLABLE
MEADOWLAND
HOUSE/LOT
TOTAL
Extension
Patio
5/,o
/~-
/~7
I IPII I I
I lb I I,~l
Fire Place y.~"~
Bath
Heat
TRIM
R
Town Hall Annex
54375 Main Road
P.O. Box 1179
Sou~hold, NY 11971-0959
Telephone (63l) 765-1802
· _Fax (631) 765,-,95Q2
ro.qer.nchert~,town.soumo~l, ny.us
REQUESTED BY:
Company Name:
Name:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
Date;
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: /L'/~7~ ~'~-. J;
*Address:
*Cross Street:
*Phone No.:
Permit No.: 3~'~3 !
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If neededl
*Service Size: I Phase
*New Service: Re-connect
Additional Information:
(~/NO
YES / NO
Final
3Phase 100 150 200 300 350 400 Other
Underground Number of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
BUILDING PERMIT EXAMINER CHECKLIST
Architect/Engineer: ~o/~-)
*Date Submitted: 3 ~ o2~c~-IO Date Reviewed: ~--I --I 0
SCTM# 1000- ._V-~, / - ,,~ r ~P"~Subdivision: ~
Property Address: /..~6 0 ~-'P~-~ ~
Building Permits (Open/Expired): BP ;II~]~Z-Z / C/0 Z- ~-9~g,~info: A/b
B?__-Z / C/0 Z-__., Info: BP__-Z / C/0 Z- , Info:
Single & Separate Search Required? Y oO Determination:
R~Q. Lot Size: ACT. Lot Size: REQ. Lot Coy. __
REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear__
REQ. l~Ieight. ACT. Height
Proj :
Waterfront? Y or N? //' (/ '
If yes, water body:
Estimated Cost: .~ v ,_._
Zone: ..... Conforming9 ~
City: ~ Pre COs? ~
BP Y~'8'~-~Z / C/0 Z- , Info:u~~
BP -Z / C/0 Z- , Info: _
ACT: Lot Cov.
PROP. Rear
Panel#
Flood Zone: )~ Bulkhead/BluffDistance:
ADDITIONAL APPROVALS REQUIRED
Suffolk County Health: Y or N- If yes, *Bed#: *Date: / / *Permit#: Town Septic: Y or bi - If no, certification required: Y or N Received: Y or N By:
NYS DEC: eRe-D~C 9a~7s Y or N - Date: / / Permit #: or NJ Letter - Notes:
Southold Trustees: Y or N - Date: / / Permit #:
or NJ Letter - Notes:
Southold ZBA: Y or N- Date: / / Permit #:
- Notes:
Southold Planning: Y or N - Date: / / Permit #:
- Notes:
Town Landmark C of A: Y or N DTE: / /
*NYS CODE Compliance (page 2): Y or N
Notes:
Fee Structure:
Calculation:
Foundation: SF 1. ( SF)- (~ SF)= SFX $ =$
First Floor: SF + Initial Fee: $
Second Floor: SF + Additional Fee ( ): $
Other: SF 2. ( SF)- ( .SF)= SF X $ =$
Total: SF + Initial Fee: $
+ Additional Fee ( ): $
c~O 0 , pry
TOTAL:
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
. Ground Snow Load: 20
Weathering: Severe __ . .Frost Depth: 36" __
Design Temp: 11 __ -Ice Shield Underlay: YES ~
USE/OCCUPANCY CLASSIFICATION:
· HEIGI:IT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/pREscRIPTIVE
FULL FRAMING DESIGN ELEMENTS: Y/N
HEADERS: YfN WALL STUDS: Y/N
CEILING JOISTS: YfN FLOOR JOISTS: Y/Iq
LU'~BER SPECIES AND GRADE: YfN
Wind Speed: 120MPH__ Seismic Design Category." B
Termite: M~H Decay: S-M
Flood Hazai'ds:
GI1LDERS: YfN
ROOF R_AFFERS: Y/bt
WI]qDOw AND DOOR SCHEDULE:
· MISSLE TEST REQUIREMENTS: Y/N
EGRIgSS 5.7 S.F.: Y/N
LIGHT 8%: Y/N
~rENT 4%:
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/'N
PLUMBING RISER DIAGILAM: Y/N
LOCATION OF FI/UE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTEFICATION: YfN
ENERGY CALCS: Y/N
TOTAL COMPLIENCE?~
(RETURN TO PAGE ONE)
Kitchens & Baths
Complete Kitchen & Bath Remodeling
SHOWROOM: North Road Commons, Unit 19
22355 Route 48, Cutchogue, New York 11935
· DESIGN · SALES · INSTALLATION
P.O. Box 789 · Southold, New York 11971
Phone: 631-765-5772 · Fax: 631-765-6196
March 23, 2010
To: Building Department
From: Ron Morizzo Kitchens and Baths Inc.
Cardi residence: 1560 Laurel Avenue, Southold, NY 11971
Remodel Kitchen
1. Remove kitchen window- over sink.
HOf'ii::Y ?,(iiLS}?: ' q x~NT AT
FOLLOW1:45:
2 ROUG-{ F~],",,:ii,:(i
4. FINAL - CO;,;7~PbC',
BE COMPLETE 705, CO.
ALL COi',!STRUCT~DN S?J L ~2Ei' %42
REQUIREMENTS OF 'iHE COUES OF
YORK STATE. NOT RE~FONSiSLE FOR
DESIGN OR COb(S'iI:¢JCT!ON EitRORS
2. Frame out for new Andersen CN335 window (new double 2 x 12 header).
3. Remove double ~vindow in Eating area.
4. Frame out for new Andersen Frenchwood glider 6068 (new double 2 x 12 header).
5. Upgrade insulation in exterior walls to R-15.
6. Upgrade outlets in kitchen.
II'you have any further questions, please do not hesitate to call.
PLUMBING
ALL PLtM~ WASTE
& WATER LINES NEED
TESTING BEFORE COVERING
UNDERWRITERS CERTIFICATE
REQUIRED
~/,,/~d- PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 OF i% LEAD.
"~ ~-~NStRU,,tlO'~ SHALL
,,cz'[ 'I-HE REQUIREMENTS OF THE
,,.~1..,~ ul' ,',,: ~ ,,, :r, STAI E.
cT)iv:Fi_'~; 'r/H ?,L .... DES OF
'¥C',.-,t< b i A, ,:. & ~ OWN COD S
NEW ........ " "- E
AS REQUIRED; ,-, ,
--~_7~._~.__~ S~: BOARD