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Home My WebLink About36214-ZTown of Southold Annex 54375 Main Road Southoid, New York 11971 9/28/2011 CERTIFICATE OF OCCUPANCY No: 35239 Date: 9/23/2011 THIS CERTIFIES that the building RESIDENTIAL REPAIRS Location of Property: 25335 ROUTE 25, ORIENT NY, 2 SCTM #: 473889 Sec/Block/Lot: 18.-3-13 Subdivision: Filed Map No. conforms substantially to thc Application for Building Permit heretofore 3/2/2011 pursuant to which Building Permit No. Lot No. filed in this officed dated 36214 dated 3/2/2011 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: REPAIR FRONT EXTERIOR WALL DUE TO WATER DAMAGE The certificate is issued to Kuhn, Gertrude (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36214 9/23/11 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 #: 36214 Date: 312/2011 Permission is hereby granted to: Kuhn, Gertrude 39 Summit Ave Staten Island, NY 10306 To: repair front exterior wall due to water damage At premises located at: 25335 Route 25, Orient SCTM # 473889 Sec/Block/Lot # 18.-3-13 Pursuant to application dated To expire on 8/3112012. Fees: 3/2/2011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $200.00 $50.00 $250.00 Building Inspector BUILDING DEPARTMENT TOWN HALL 7654802 APPLICATION FOR CERTIFICATE OF occUPANcy This application must be filled in by typewriter or ink and submitted to the Building Dcp~utment with the following:. .4. For new building or new use: 1. Final survey 9f property with accUrate location of all buildings~ property lines, streets, and unusual natural, or . topographic features. 2. Final Appr°val fr°m Health Dapt. of water supply and sewernge_disposal (S_9 form). 3~ APPr°val o f electrical installation from Board 0 f Fire Underwriters. 4. Sworn statement from pluml~or certifying that the solder used in system Contains less than 2/10 of l%'lead. 5. Commercial building, industrial building, m~ltiple · residences and similar buildings and iustallationa, a eertifica~ 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" laud uses: 1. Accurate survey of property showing all property lines, streets, building nndunusufil natumi 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 applicant. C. Fees 1. Certificate °f OccupancY - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, . Swinuning po01 $50.00, Acc~sory building $50.00, Additions to accessory building $50.00, Businesses $50.06. 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 New Construction: Old or Pre. existing Building: House No. street 8uff'olk County Tax Map No 1000, Section 8ubdivisibn P0tmit No. 35~)'~ ,q .OateofPermit. (check one) Hamlet Block Filed Map. . Applicant: ['I~alth Dept. Approval: Planning Board Approval: .tequest for: Temporary Certificate :oe Submitted: $ 5° ' (~ ~ Underwritera Approval:_ Final Certificate: (check one) Lot Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qer, richert~,town southold.n¥.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: G Kuhn ~ddress: 25335 Rt 25 City: Orent St: NY Zip: 11957 ~uilding Permit #: 36214 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: Daniel Wilcenski Elec ContLicense No: 4723-me 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 Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Main Panel NC Condenser Single Recpt Recessed Fixtures Sub Panel NC Blower Range Recpt Fluorescent Fixture Transformer Appliances Dryer Recpt Emergency Fixtures Disconnect Switches Twist Lock Exit Fixtures Other Equipment: front entry HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS Notes: Inspector Signature: Date: Sept 23 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IILg~CTION [ )FIRERESlSTANTCOflSTRUCTIOfl [ ]RRERESlSTANTPENETRATION REMARKS: DATE, __ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOU~TION 1ST [ ] ROUGH PLBG. [ ]~Q~UNDATION 2ND [//~ FRAMING / STRAPPING ~1~L~ N [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] RO~IQH PLBG. FOUNDATION 2ND [~] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ]FI~ INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [//~ FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~ DATE __ '~~---INSPECTOR~ TOWN OF SOnG D EP~TT~~ ~-~'~'~ INSPECTi ON [ ] FOUNDATION 1ST [ ] ROU~LBG. [ ] FOUNDATION 2ND [ ] ~LATION [ ] F~MING/ST~ING [ ~INAL [ ] FIREP~C~& CHIMNEY [ ] FIRE S~ INk. ION [ ] FIRE ~~ ~~ [ ] ~RE RE~ ~N~TI~ [ ] ELECTRICAL (ROUGH) [ ] E~AL (FILL) REMARKS: DATE INSPECTOR FO~A~ON (lS~ FO~A~ON (~) ~M~A~ON PER N. Y, STATE E~GY CODE ~1/~. ~DITION~ C0~ENTS TOWN OF SOUTHOLD BUILDING D. EPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1502 FAX: (631) ?65-9502 SoutholdTown. NorthFork. net Examined ,~1~, ,20 [[ Approved 3t ~', 20 II Disapproved a/c 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 N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mailto: d~VIg'vl ~4J~gf Expiration f~ [~,2~0 ~ f~'t~ Building Inspector APPLICATION FOR BUILDING PERMIT [ INSTRUCTIONS Date.L ard ! 20 t t be completely filled in by typewriter or in ink ~d submiRed to the Building Inspector with 4 sets of pl~s, accurate plot pl~ to scale. Fee according to schedule. b. Plot pl~ showing location of lot ~d &buildings on premises, relationship to ~joining premises or public s~eets or ~eas, and wate~ays. c. ~e work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to ~e applic~t. Such a pemit shall be kept on the premises available for inspection t~ou~out the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever umil the Building lns~ctor issues a Ceaificate of Occupancy. L Eveu building pemit shall expire if the work authofi~d hm not commenced within 12 months after the ~te of issmnce or h~ not been completed within 18 months from such date. If no zoning mendments or other regulations ~ecting the prope~ have been enacted in the interim, the Building Inspector may authorize, in writing, the extemion of the pemit for an addition six months. The~a~er, a new pemit shall be required. APPLICATION IS HE,BY MADE to the Building ~pmment for the issuance of a Building Pemit pum~t to the Building Zone Odin~ce of the Town of Southold, Suffolk Count, New York, ~d other applicable Laws, Ordin~ces or Regulations, for the conduction of buildings, additions, or alterations or for removal or demolition m herein descried. ~e applicant ~mes to comply with ~1 applicable laws, ordin~ces, building code, housing code, ~d regulations, and to admit authorized indictors on premises ~d in building for necess~ inspections. (Signature of applicant or name, if a 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 ~e (-~ (~.~ ~(U~L~4 (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 w.~rk will be done: House Number Street Hamlet County Tax Map No. 1000 Section /o° Block -~ Lot /3 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy ¢)/~/~ ~m,b~ £~$)Oe~qe.~ b. Intended use and occupancy_ 3. Nature of work (check which applicable): New Building Repair ~- Removal Demolition 4. Estimated Cost ~t ~, ~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ..... / It 7. D~mens]ons of exlsttng~structures, if any: Front ~ d, ~'~ Rear Depth Height //~/"~ Number of Stories /. ~' Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height 9. Size oflot: Front 10. Date of Purchase Rear Number of Stories Rear [~[- 0 Depth Name of Former Owner ,,J ¢ .Depth oTZ I. O 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO NO__Will excess fill be removed from premises? YES__ NO__ 13. Will lot be re-graded? YES Address 0(~ t4~ Phone No. Address JAM/q~r_~.~ Phone No Address tA~'Jr.~ Phone No. ! 5 a. ls this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B,E ~EQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 14. Names of Owner of premises Name of Architect Name of Contractor 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO · IF YES, PROVIDE A COPY. CONNIE D. BUNCH STATE OF NEW YORK) NotanJ pt/olio, State of New York No. 01 BU6185050 s$:~__ COUNTY Commission Expires .aofi114, 2 (=9 t ~._ Da ~q~l ~-4~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the D~ (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 true 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 this, , r'~/*'x.~[ day of/h/'~C~ 20 ~ , No~blic ~ ' ' ~ S]rcof Ap~cant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 .~,ax (631) 765-~5q2. rorer r chert(~,town soutno~a ny us BUILDING DEPARTMENT TOWN OF SOUTHO~.~ APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: JOBSITE INFORMATION: (*Indicates required information) *Name: ~-', 14 o d ~{ *Cross Street: ~ / ~ Tax Map District: 1000 Section: Block: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~~ ~j (Please Circle All That Apply) job ready for inspection: ~L~'~'" ~ NO Rough In *Do you need a Temp Cedificate: YES/~ Temp Info~ation (If needed] *Se~ice Size: 1 Phase 3Phase 100 150 200 *NewSe~ice: Re-connect Underground Numberof Meters Lot: Additional Information: 300 350 400 Other Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Erosion, Sedimentation & Storm-Water Run-off A-_q-q~_F~_$MENT FORu SCOPE OY WORK - PROPOSRD CONSTRUCTION ITEM# / WORKA88FSSMFJqT I Yes No (hlcludeTo~al.~aofa~lParcel$1ocetedwllhin c~/~4/¥~ ~'- I Will this Project Rofa/n All Stoflll-~lter Run. OIf the Scope of Work fo~ Proposed Cor~mc~n) Generated by a Two (2") inch Rainfall an Site? b. What is the Tofal Area of Land Clearing iS.F./Aoes) (3~M item v,ill IncJude all mn-off created by site and/m' Ground D~,~turbence for ~e proposed cteadng and/c~ construction acfivilJea as we~ as all conetmction acllvity? impervious surfaces.) PR. OVID* BRIEF PROJgCT DESCRiPIION ePmvae~s~sa,,d~ 2 Does ~e Site Plan andlc~' Sun/ey Show NI Proposed Dmiflage $1mctures Mdtcaling Size & ~,? Th~s /~-/DY/ ~: ~/,~1 ~/~ Slopas Conlg~3ng Surface Water Flow. //~/~L~I~// r~,/~. /I~)dLC(J J~/~Mr ~ Itommustbemainlainedthm~JghoutgaeEofim r:~etlng Grade Invoking mom than 200 Cubic Ymds of MateHal with~ any Parost? 5 Wll Ibis Applicalian Requim Land Dtetorbiflg Ac~Nifies Encompassing an Ama In Excess of Five 'K3susand (5,000 S.F.) Square Feet of Ground Surface? 6 Is b'lem a Natural Water Co(~rse Running through ~e Site? Is this Project wiOtin tile Tmsteas jurisdictiofl General DE PP r~,,,- : orwithinOne Htmdred (100') feet of a Wetland o~ are Prat o~ a la~ger eomlnofl p~an that wfli ~nat~y disturb ofle or more aca-ea o~ h~ ;noluding Corot maY, on ad~av;ties involving s~l Clsturbances of less ~an one (1) acta v/nam which Exceed Fifteen {15) feet of Veflk:al Rise to me DEC hm detem~lnaa u~at a SI=DES ~ is mqa,~ ~or stetro water dlsa'arges. Oae Hundred (100') of I-IorLa3ofal Distance? Surfaces be Sloped to Direct Storm-Water Run-Off z The SWPPP shall dmmrlbe ~le ~,,,~1~ and sedllllent eontr~ practicea and where 9 Wal Ulis ProJast Require the Placemeof of MeterlaJ, STATE OF NEW YORK, ~ L./_~<: £, z'/ Notary Publlo, State of New York COUNTY OF ..%..J....,..~.~..l..~...~.... ......... SS No. 01BU6185050 ,~,~ ~a~ ~). ........ g y sworn, aeposcs and says ~ he/mc ~s the ~oplic~n[ for Pmmi~ And that he/she is the ]'~ ~ ................................................ : ............. :~.~-~.~i ............................................................... Owner and/or representative of~he O~er or Oa~ers, and is duly authOriZed to perform or have performed Ihe said work and to make and file this application; that all st~ments contained in this application are true to the best of}m lmowledge and belief; and that the wark will be performed in the manner set fo~d~ in the application filed here~4fl~. Sworn to before me ................ ............... ........... 2r2";;5 ..................................... ................ ~IDTING STOOP EXIDTING POUNDATION FRONT ~L~VATION ~XISTING SiDE WALL5 TO REMAIN FLOOR ELAN KUHN RESIDENCE CONNECTOR, BETWEEN EACH STUD REBUILT ~IDTING FRONT WALL NEW' __ Nb~V 2" X G" 5TUD WALL ~ ~' CD× PLYWD. 5HPATHING TO MATCH ~ISTING ~,~ISTING P J TO REMAI ~IDTING EOU NDATION WALL TO I~EMAIN SECTION "A" h, = I ' O" SCALE: ~ WALL LEGEND: WALL TO DJ=MAIN NEW' CONDTRU CTION 2" X G" FRAME ,R.- I D INSLUAT[ON W/ I LAYER~" PLYWOOD PROVIDE 3 2" X lO" H~ADER5 ABOVE ALL NeW WINDOW5 ¢ DOOP4 APPROVED AS NOTED DATE '~ />.[~ / NOTIFY BL,'LDING U YORv S';-I, k," RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS EXISTING HOUSE FOOTPF~ u, = iLO,, SCALE: a PAGE-