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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.$.