HomeMy WebLinkAbout36753-ZTown of Southold Annex
54375 Main Road
Somhold, New York 11971
10/21/2011
CERTIFICATE OF OCCUPANCY
No: 35252
Date: 10/21/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
AS BUILT ALTERATION
3610 Bridge Ln, Cutchogue,
Sec/Block/Lot: 84.-5-11
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/27/2011 pursuant to which Building Permit No. 36753
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:
Lot No.
filed in this officed d~ted
dated 10/13/2011
"as built" second floor alterations as applied for.
The certificate is issued to
Damiani, Brad & Damiani, Denise
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 10/17/11
36753 9/12/11
Burt's Reliable inc
Autho~zed Signature
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#: 36753 Date: 10/13/2011
Permission is hereby granted to:
Damiani, Brad & Damiani, Denise
3610 Bridge Ln
PO BOX 1082
Cutchogu®, Ny 11935
To:
obtain a permit for "as built" second floor alterations as applied for
At premises located at:
3610 Bridge Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot # 84.-5.11
Pursuant to application dated
To expire on 411312013.
Fees:
9/27/2011
and approved by the Building Inspector.
SINGLE FAMILY DWELL1NG - ADDITION OR ALTERATION
CO - ALTERATION TO DWELLING
Total:
$832.00
$50.00
$882.00
Building Inspector
Form
TOWN OF
BHILDING D~PARTMEI~r
TOWN H~.LL
765-1802
APPLICATION FOR CERTIFICATE OF occUPANcy
This application must be filled in by typewriter or ink and submitted to the Building Department with khe following:
A. For new building or new use: 1. Final m~rvey 9f property with accurate location of all buildings~ property lines, streets, and unusual namr4d or
. togographic features..
2. Final Approval from Health DepL of water supply and sewerage-diaposal ($_9 form).
3-. Approval of electrical installation fi'om Board 6f Fire Underwriters.
4. Sworn statement from plumber certifying thgt the solder used in aystem contains le~s than 2/10 of 1%'lead. :
5, Commercial building, industrial building; muitipte 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. F~r existi~g bui~dings (pri~r t~ Apri~ 9~ ~957) n~n~c~nf~rming uses ~ ~r bu~~dings and "pre-existing~~ ~and uses:
1. Accurate survey of property sh?wing all property lines, streets, building and:unusufil naturai 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 of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00~
· Swinuning ponl $50.00, ^ccessory 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: ~ G/O
House No.
Owner or Owners of Property:
'b~'olk .County Tax Map No 1000, Section
Subdivisibn
Date.. 7?' ~ c~- [?
Old or Pre-existing Build~ug: ~-~'~ (check one)
ffHamlet
Pe~nit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate.
Foe Submitted: $
· Date of Permit.
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate:
ye'.5
(check one)
Aoolicant Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
rofler, richort~town.southokt.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Brad Damiani
Address: 3610 Bddge Lane City: Cutchogue St: NY Zip: 11935
3uilding Permit #: Section: 84 Block: 5 Lot: 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
~ontractor: 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 Wall Fixtures L~J Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixtur Pumps
Transformer Appliances Dryer Recpt Emergency Fixture~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment:
Notes:
Inspector Signature:
Date: Sept 12 2011
81-Ced Electrical Compliance Form
Town Hall Annex
54375 Main Road
P,O. Box 1179
Southold, New York 11971-0959
Telephone (63 ! ) 765,1802
Fax (63 I) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOI,D
CERTIFICATION
Date: / ~)/,~ 7/il
Building Permit No. ~ ~ '7 ~- 3
Owner: '~ ~--gC~ * ~ ~a,~.,'~ .oi
Plumber:
(Please print)
(Please print)
I certify that thc solder used in the water supply syste
lead.
./
Swom to before me this
dayof 0P){0be.f' , 20 II
1%
(Plumbers Signatnre)
Notary Public, ~,~'-~gt g. County
BERNADETTE L. TRPLIN
NOTARY PUBLIC it4844893
State ot New York
Residing !n Su~olk County
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~SULATION
[ ] FRAMING/STRAPPING [L,.,]~INAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) [
REMARKS,:
DATE
INSPECTOR
FO~A~ON (1S~ ~
" ~
, >
STA~ E~ cODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork. net
Approved
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or ueed the following, before applying?
Bom-d of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Single & Separate
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
T-~ ~ 0 ~ g ~ ~. ['~1- //~Bnilding Inspector
'[ et~g 5[PT 1-- ~ INSTRUCTIONS Date. ~-- ? ,20//
[ T0W~ 0~'S0Ur~0LB ,.I , -
~. ~ms application MUST be completely filled in by typewriter or in mk and submitted to tbe Buildiag Inspector x~itb ~
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot piaa showing location of lot and of buildings on premises, relationship to aqjoining premises or public streets or
areas, and waterways.
c. The work covered by tbis application may not be commenced belbre issoance of Building Permit.
d. Upon approval of this application, tbe Bailding Inspector will issne a Building Permit to the applicant. Suci~ a permit
shall be kept on the premises available for inspection thronghout the work.
e. No building shall be occupied or used in whole or in pad for any purpose what so ever until the Building inspector
issues a Cedificate of Occupancy.
f. Eve~' building permit shall expire if the work authorized bas not commenced within ]2 months after the date of
issoance or bas not been completed within ] 8 nmntbs fi'om such date. If no zoning amendments or other regulations aft~cting the
propert? bare been enacted in the iaterim, the Building Inspector may autborize, 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 Depadment R~r the issuance ora Building Permit pursuant to the
Building Zone Ordiuance of the Town o~Southold, Suftglk 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, ordinauces, boi{dlng code, boosing cede, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name. ifa corporation)
(Mail.s address of applicant)
State whether applicant is owner, lessee~ agent, architect, engineer, general contractor, electrician, plumber or builder
(As on the tax roll or latest deed)
It' applicant is a corporation, signature of duly attthorized 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 pro_posed work will be done:
House Number Street ~"
Hamlet
County Tax Map No. 1000 Section Lot
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 2-;.-~¢/'e' r/~tt,','.~/ ~e'~ .
b. Intendeduseandoccupancy fl/~z'~&x ~o ~,',~ I~,~ ~
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
Estimated Cost Fee
If dwelling, number of dwelling units__
If garage, number of cars
(Description)
(To be paid on filing this application)
__Number of dwelling units on each fioor
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
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
9. Size of lot: Front Rear 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 Will excess fill be removed fi'om premises? YES NO
14. Names of Owner of prem,ses'/~"~P/'~)'~*'xt ?~',o,~, Address ~ '*'/J'*'2¢(*/,,,5¢'x Phone No.
Name of Architect ~e t~,4:~/~ ~ ~t%' Address Phone No
Name of Contractor Address Phone No.
15 a. ls this property within 100 feet cfa 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 fee! cfa tidal wetland? * YES NO ~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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
· 1F YES, PROVIDE A COPY.
NO /~5
STATE OF NEW YORK)
SS:
COUNTY OF )
~/~//q b ~.~/qfl'f/-Ofi-'// being duly sworn, deposes and says that (s)he is tile applicant
(Name of indiwdual signing contract) above named,
CONNIE D. BUNCH
(S)He is the Notary Public, Slate of New York
No. 01~G~,I C~.~=0
(Contractor, Agent, Corporate Of'ricer, etc.)Oual~:l In Suffo~ County ,..
Commission Expires April 14, 2(~J. ~.
of said owner or owners, and is duly attthorized to pcrfbrm or have performed tile said work and to make and file this application:
that all statemeuts contained iu 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.
Sw.~rn to before me thB ,, t
~Aoq4'X dayof~:~--.O~'cx%/'d~20 l/
Notary Public
Signature of Applicant
~llwn Hall A~I~IflOS JO N~OI
APPLICATION FOR ELECTRICAL INSPECTION
Telephone (631) 765-1809
ro.qer, dchert(~,t~wCn3.~s) o7~1~ .ny.us ~;~
REQUESTED BY:
Company Name:
Date:
Name:
License No.:
~,ddress:
Phone No.:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
JOBSITE INFORMATION: (*Indicates required information)
*Name: /'~.~/~D ~_/9/~'//~,",'
*Address: [P2~,O ~,~ /~ ~,/~/~.,.~,~ //~--
1000 Section: ~ ~ Block: ~ Lot: / /
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
· (Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed]
*Service Size: 1 Phase 3Phase
*New Service: Re-connect
Additional Information:
100
Underground
YES / NO Rough In
YES / NO
150 200 300 350 400
Number of Meters Change of Service
PAYMENT DUE WITH APPLICATION
Other
Overhead
82-Requestforlnspecaon Fon'n
/
11 '-41//' 11 '-4" 2'-9" 7'-9Y2" LU
4Ul" PLATE HEIGHT 4'-1" PLATE HEIGHT
,
'-, I ~ z~o~
........................... ~ ........... ~ ................. ~ ..................................
F-.. ! ,, . COMPL¢ Wt! h ALL CODES OF '~z
!I
I ~ "-'~ $ R EQU I R E D J~4~T-~q~
/L 2,-11,., LL 3,-o,, LL 4'-7'//' II lo,-1.1,, . . s0~0L:0w~,zs^ ~oo..,..,_,.
,/~'~ ¢O /~ ~R¢:"~,', APPROVED AS NOTED /---~-~_ S0bT,~J~W~'E.:S .-
....... '~'~- '__'-. __.. DATE'/ ti' 1! BP # ~"..
~c'&/~. J l/~"~- 1,_n- 'O:;FY BUILDING DEPARTMENT AT ~,,.,.~,.,j~
1 ;'):JND~TION - ~ WO REQUIRED
:OR POURE~ CONCRETE
2 qO'J2H FRAM,NS, PLUMBING,
STRAPPING. ELECTRICAL & CAULKING
4 FINAL-CONSTRUCTION & ELECTRICAL
~us~ ~ CO~T~ ~o. O 0
. . , . f~ . ~ f~ ALL CO~STRUCTION SHALL MEET THE ~ SHEET NO:
/) ¢"¢~, ~ ....... J/ ~~ REQUIREMENTS OF THE CODES OF NEW
~ .... YORK STATE NOT RESPONSIBLE FOR
~ ~/ C~ DESIGN OR CONSTRUCTION ERRORS
4Ul'' PLATE HEIGHT
/
11 '-4'//' 11 '-4" 2'-9" 7'-9Y/'
~ -- 4'-1" PLATE HEIGHT ,'r,,r TT fT 4'-1" PLATE HEIGHT
....................... .... .... .............. .... ......
, G
4L1'' P~ HEIGHT 4'-1" P~TE HEIGHT
' ~' In~l? II ~/_~
PLUMBING SCHEMATIC ~'t~(4 '~ ~/~'
N.T.$.