HomeMy WebLinkAbout35447-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
10/25/2011
CERTIFICATE OF OCCUPANCY
No: 35254 Date: 10/25/2011
THIS CERTIFIES that the building ALTERATION
Location of Property: 3600 LITTLE NECK RD CUTCHOGUE,
SCTM #: 473889 Sec/Block/Lot: 103.-9-13.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/10/2010 pursuant to which Building Permit No. 35447 dated 4/7/2010
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:
minor alteration to an existing one family dwelling as applied for.
The certificate is issued to
Moeller, Linda & Mcmillen, David
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 10/20/I 1
35447 10/21/11
tJoe Whitecavage
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. 35447 Z Date APRIL 7, 2010
Permission is hereby granted to:
LIN-DA L MOELLER
WASHINGTON DC, 20003
for :
MINOR INTERIOR ALTERATION TO Ai~ EXISTING DWELLING AS APPLIED FOR
at premises located at 3600
County Tax Map No. 473889 Section 103
pursuant to application dated MARCH
Building Inspector to expire on OCTOBER
LITTLE NECK RD CUTCHOGUE
Block 0009 Lot No. 013.003
10, 2010 and approved by the
7, 2011.
Fee $ 200.00
~'Authorized Signature
COPY
Rev. 5/8/02
Form No. 6
TOWN OF SOUTI~OLD
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 w!th the following:
A. For new building or new use: 1. Final survey of property with accurate location o f ali buildings, propcn'y lines, stroets, and unnsual natural or
topographic featUres.
2. Final Approval from Health D0pL of water supply and sewerage-disposal (S-9 form).
3-. Approval of electrical instalIation from Board 0f Fire Underwriters.
4. 'Sw.om statoment from plumber ce~ifying that tho solder used in system contains less than 2/I0 of 1% lead..
$. Commoroial building, industrial buildin§, m~iltiple residenees 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.
]For existing buildings (prior to April 9, 1957} lion-conforming us~, or buildings and "pre-existing" Inud uses~
1. Accurate survey of proPerty showing all property line~, streets, building and unusu~tl nsturai or topographic
features.
2. A properly ~0mpleted application and consent to nspect signed by the applicant. If a Certificate of Occupancy is
. denied, the Building Inspector shall state the reasons therefor in writing to thc applicant.
C. Fees 1. C~rtificai¢ of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
SwimmirJ. g 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
New Construction:
Location of Property:
Date. ~/¢ ~/~
Old or Pre-existing Building:
House No.
Owner or Owners o£Proporty: ~, ,~
Suffolk CopntyTax Map No 1000 Section
Subdivision
Street
Pl~mit No-J~/7 Date ofP. adt. ~
Health Dept. Approval:
Planning Beard Approval:
Request for: Temporary Certificate
Foe Submitted: $
(check one)
Hamlet'
Block Y " Lot "/-?, .-~
Filed Map. Lot:
Underwriters Approval:
Final Certifie. ate: V
, (check one) ·
~/~ppli~nl-Stignatt[re
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.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Linda Moeller
~,ddress: 3600 Little Neck Rd City: Cutchogue St: NY Zip: 1193~
3uilding Permit #: 35447 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electrical ContrLicense No: 3897-6
SITE DETAILS
Office Use Only
Residential ~ ~ndoor ~ Basement [~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: bathroom, radient floor heat, 1 heat lamp, 2 exhaust fans
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~_~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixture ~ Pumps
Emergency Fixturel~ Time Clocks
Exit Fixtures ~ TVSS
Notes:
Inspector Signature:
Date: Oct 21 2011
81-Cert Electrical Compliance Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (63 I) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
Owner: Z/~/~-
(Please print)
Plumber:
(Please print)
Date:
I certify that the solder used in the water supply system comains less than 2/10 of 1%
lead.
Sworn to before me this ,2 ~ '~4
day of ~c~-z~ , 20 / /
Notary Pub~ County
(Pl~mb~ignature)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [~J~G~H PLBG.
[ ] FO~UNDATION 2ND [ ] INSULATION
[ ~ FRAMING / 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 [ ]~JGH PLBG.
[ ] FOUNDATION 2ND [/.~ INSULATION
REMARKS:
[ ]FRAMING / STRAPPING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]RRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PEk,- I.ATION
DATE
INSPECTOR ~ '~
/ X /
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]~ULATION
[ ] FRAMING/STRAPPING [~j~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTOR
WN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH)
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
DATE /~/~///~
~', ~:[,ll INSPE N RT DATE
FO~A~ON (1ST)
~O~A~ON (2~)
. ROUGH ~G & _
PL~G
STATE E~R~ CODE
/~ I~
/ / ,'//~ ~.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO¥~N HALL
· SOUTiIOLD, NY 1~1971
Tlg~ ((~1) 765-1802
FAX: (631) %5-9502
Soultl01dTown. NorthFork. net
Exami.ed ,2010
Approved 1~/7~_~ 20]~
Disapproved a/c
Expiration I o/ 7 , 2011
MAR 1 n :,qO
sets ofl)lan~l~l~t~t~,~lot plan to scale
eZUmT No. 3Y y 7
Building Inspector
INSTRUCTIONS
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need thc following, before applying?
Board of Health st~'~
4 sels of Building Plato
Planning Board approval
Survey
Check
Septic Form
N Y.S.D.E.C.
Trustees ,4/~t
Flood Permit ~4/~ _
Storm-Water Assessment Form
Contact:
Mail to:
PERMIT
Date /~ ,~,4~'~'/¢t ,20/0
ubmitted to the Building Inspector with 4
Fee according to schedule.
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 Bailding Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
sha~l 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 Cet~ificate of O~upancy.
f. Ever~ buildfll8 i~it shall expire if the work authorized has not commenced within 12 months after the date of
issuance or h~ not been ~o~Pleted within 18 months fi.om such date. If no zoning amendments or other regulations affecting the
prop~ have been enactec! in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
additi~ix months. Thereafi~, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for thc issuance of a Building Permit pursuant to thc
Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordinances or
Regulations, for the constraction of buildings, additions, or alterations or ibr removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances building code, housin$ code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections ~ j a
'
(Signature oPapplicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ,~//Ar~M /~gO~£~-~ D4V/~' ///¢ti//Z,Z~'A/
(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 Eicense No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be.done:
t louse Number Street
~ la~et
CountyTax MapNo. 1000 Section /0~ Block Og Lot
Subdivision ~OAT-s' P,4~¢~ tt/~r,~Lt,~'tf p"~.$f~-~ Filed Map No. Lot.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exist~guseandoccupancy ,f]"O/ed't~E' dAtgP ~'h"J'l'/d/° ~flF-~e,,~ /Ig f/#~,~.f~[/~/~V/~J',/~d~r(e
b. Intended use and occupancy .~','~/~/-//F~ O/~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~g'g) 0oO
5. If dwelling, number of dwelling units ff
if garage, number of cars
Addition Alteration
Other Work,4z'g
(Description)
Fee
(To he 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. Dimensionsofexisting structures, if any: Front 87 Rear 8.7' Depth
Height. Number of Stories /
Dimensions of same structure with alterations er additions: Front ge ~ c ]z ~.. ~-~'4 Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front ,/~/',4 Rear Depth
Heigl'g Number of Stories
9. Size of lot: Front 4/~/' Rear 5*Z~' Depth
I 0. Date of Purehase /~ Name of Former Owner Z'~O/P/~'
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 ~e-graded? YES NO ~ Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect ,7'~/,4t~( ~e~-~'d',J'.O ~Address Phone No
Name of Contractor ,Pd*'/~'/- .~/r t'~¢~' 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 & I).E.C. PERMITS MAY BE REQUIREd.
b. Is this property within 300 feet of a tidal wetland? * YES ~ NO
'1~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate tBundation 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 lq() '~
· IF YES, PROV1DE A COPY.
STATE OF NEW YORK)
( OUNT '~' . -, SS:
~$t. ~ ~'/ ~ ~/> ~ being duly sworn, ~poses md says that ~jsjhe ap,licit
(N~e of individual signing con~t) ~ve nmed, UU~[E D. ~NCb
NO~ ~blie.State of Now ~.
~o. 01B~6185050
(S)He is the d~ ~ O?alffi~ ~ ~YffO~ C9~:t,
(Con.actor, Agent, Co.orate Officer. etc.) Commission Expires A~ri} 1.q 7C; / ~
ofs~d o~cr or ownem. ~d is duly au~orized to ~rfom or have ~rfo~ed ~e smd wo~ ~d to m~e ~d file this application;
that all st~emenls ~nt~d m ~is appl~tion ~c ~c to the best of his knowledge ~d ~lief; ~d ~at ~e work will ~
performed in the manner set forth in the application filed therewith.
Swx)m to before me this . ~ __
Notary P~[ic
Signature of Applicant
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
ro.qer r c h e rt~,~$ 3nl.)sTo~i~l~d. n y. u s
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.: ,.~,b'-~ fi" ')
Tax Map District: 1000 Section: I~ 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:
YES/(~) '~
Temp Information (If neededl
*Service Size: 1 Phase 3Phase 100
*New Service: Re-connect Underground
Additional Information:
Final
150 200 300 350 400 Other
Number of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
/~oo-/,~3-,°-/3.3TOWN OF SOUTHOLD PROPERTY RE~ORD CARD ;,,
OWNER STREET ,~00 VILLAGE DIST.' SUB. LOT
~r~H wJo~tl~r E~.~' ~~ ~*~'~ C~'~R~ ~PE~ BUILDING
~. ~ s~. ~. F~ co~. c~. ~,~. ~k~. W~,, p/ ~
I
W~I~ J FRONTAGE ON ROAD
i
H~ Plot ~ /
Total '- ~ - -
LAND
AGE
NEW NORMAL
Farm Acre
ilJable
!ffable ,2
ffable 3
Lodlond
'amp~and
>use Plot
BUILDING CONDITION
BELOW
Volue Per Acre
ABOVE
Value
Bldg.
Extension
Extenslen
Foundation ~ ~ Bath
Basement Floors
~t. Wails
Fire
PO rc h /
Interior Finish
Heal
Patio
~)r~veway
Por¢~
Rooms ]st Floor
Rooms 2nd Floor
Town Hall Annex
54375 Main Road
P.O. Box 1179
Soulhold, NY I 1971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 11,2011
Daniel Fischer
38785 Main Rd
Orient, NY 11957
Re: Moeller, 3600 Little Neck Rd., Cutchogue
TO WHOM IT MAY CONCERN:
The Following Item(s) Are Needed To Complete Your Certificate of Occupancy:
~'/Application for Certificate of Occupancy. (Enclosed)
~'0~ Electrical Underwriters Certificate.
'/A fee of $50.00.
__ Final Health Department Approval.
,.lumbers Solder Certificate. (All involving after
permits
plumbing
4/1/84)
rustees Certificate of Compliance. (Town Trustees #765-1892)
__ Final Planning Board Approval.
__ Final Fire Inspection from Fire Marshall. - Bob Fisher
__ Final Landmark Preservation approval.
BUILDING PERMIT ' 35447- Interior Alteration
:> FLOOR
'"' PLAN
~2
L *,3"' __
[ XIST[
S'[ORA,
I'ED
GENERAL NOTES:
1. ALL FRAlvBNG LUMBER SHALL BE GRADE STAMPED DOUGLAS FIR - LARCH, STRUCTURAL GRADE
NO. 2 OR BE'Il'ER.
2. ALL SHEATHING TO BE APA RATED, STURD-I-FLOOR, E3(POSURE 1, 5/8" IvHN. THICKNESS OR AS
NOTED.
3. ALL SUBFLOORING TO BE APA RATED, STURD-I-FLOOR, EXPOSURE 1, 3/4" MIN. THICIGNtESSJkLL
EDGES OF PLYWOOD TO BE SET ON SOLID BLOCKING. GI_UE AND NAIL PLYWOOD SUBFLOOR TO
IOm .
4. ALL HEADER'S 6'-0" AND OVER SHALL BE SUPPORTED WrrH DOUBLE UPRIGHTS, 9'-0" AND OVER
WITH TRIPLE UPRIGHTS. ALL HEADERS SHALL BE A MINIMUM OF 2) 2 x 8'S, OR AS SHOWN ON
DRAWINGS.
5. SOLID BLOCKING SHALL BE PROVIDED FOR ALL JOISTS AND FLOOR BEAMS AS PER N.Y.S. CODE, OR
AS NOTED, @ 8'-0" O.C. MINIMUM. PROVIDE 2" SPACEr FOR AIR CIRCULATION IN ROOFS.
6. DOUBLE FRAMING AROUND ALL OPENINGS (stairs, skylights, chimneys, etc.), OR AS NOTED ON
DWGS.
7. DOUBLE UP FRAMING UNDER ALL POSTS AND PARALLEL PARI1TION, OR AS NOTED ON DWGS.
8. ALL FLUSH WOOD CONNEt21'IONS SHALL BE FASTENED WITH RATED GALVANIZED METAL
CONNECTORS BY "TECO" OR APPROVED EQUAL.
9. NAILING SCHEDULE SHALL BE AS PER THE N.Y.S. BUILDING CODE AS A MINIMUM. ALL 2 x 6 STUDS
SHALL RECEIVE 5) 1Od NAILS AT SILL AND PLATE. ALL EX'I'ERIOR NAILS SHALL BE GALVANIZED.
10. PLYWOOD SHEATHING TO BE NAILED WITH 8d @ 4" O.C EXI'FARIOR EDGES AND
6d @ 12" O.C. IlNTERMEDIATE.
11. ALL INTERIOR AND EXTERIOR FINISHES, FLASHING AND WATER-PROOFING AS PER ARCldI'I'ECT
SPECS.
12. ALL ROOF RAFTERS SHALL BE ATTACHED TO THE PLATE AND STUDWD'I-I GALVANIZED
HURRICANE TYPE CONNECTORS BY "TECO" OR APPROVED EQUAL. FOR TIivIBER PILE FOUNDATIONS,
PROVIDE HURRICANE CLIPS AT ALL PERIMETER JOISTS TO GIRDER CONNEtJ'I'IONS.
13. ALL PRE-ENGINEERED LUMBER SHALL BE GEORGIA PACIFIC GPI SERIES WOOD I-BEAMS AND LVL
PRODUCTS OR EQUAL. ALL JOIST GIRDERS AND HEADERS SHALL HAVE BEARING S'I'~£ENERS
INSTALLED AS PER MANUFACTURERS RECOMMENDATIONS. WEB S'I'~'FENERS SHALL BE REQUIRED
AT ALL LOAD AND BEARING POINTS AT A MINIMUM. A SINGLE 1 3/4" LVL RIM JOIST SHALL BE
REQUIRED AT FLOOR PERIMETERS. HANDLING, STORAGE, AND EREtJ'IION OF COMPONENTS SHALL
BE AS PER MANUFACTURERS RECOMMENDATIONS.
14. ALL MULTII'LE LVL PRODUCTS TO HAVE 2 ROWS OF 1/2" DIA. GALVANIZED MACHINE BOLTS @ 12"
O.C.
TILR
2X 6PLATE
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
SOLDER USED~ NATER
SUPPL~ tCANTJOT
1% L~AD,
C ~LOOR
SECTION VIFT d'
SHED
72X6
W~IDOW
~½"H
NEW
DOOR
1 FLOORP .AIN
h" = 1'-0"
FY BUILDliMG ENT AT
1802 8AM TO 4PM )RTHE
- FRAMING &
[.ATION
COMPLETE FOR C,O.
JIREMENTS : NLr~/
STATE, NOT RESPOI BLE 5(~
CONSTBU&'I;,IO
CUPANCY OR
IS UNLAWFU
CERI'
OCCUPANCY
REQUIRED
HALL
DF