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Home My WebLink About36843-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 12/22/2011 CERTIFICATE OF OCCUPANCY No: 35356 Date: 12/21/2011 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 260 Founders Path, Southold, SCTM #: 473889 Sec/Block/Lot: 64.-2-24 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 11/21/2011 pursuant to which Building Permit No. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wh/ch this certificate is issued is: Lot No. filed in this officed dated 36843 dated 11/30/2011 "as built" shower stall in half bath as applied for. The certificate is issued to Sherman, David & Benitez, Roberto (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 11/9/11 36843 12/12/11 NYPC . 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 #: 36843 Permission is hereby granted to: Sherman, David & Benitez, Roberto 101 Clark St Brooklyn, NY 11201 Date: 11/30/2011 To: install shower stall in half bath as applied for At premises located at: 260 Founders Path, Southold SCTM # 473889 Sec/Block/Lot # 64.-2-24 Pursuant to application dated To expire on 5/31/2013. Fees: 11/21/2011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $200.00 $50.00 $250.00 Building Inspector Form Ho. 6 ~O~q~ O~ $OUTHOL~. 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 with the following: A. For new building or new use: 1. Final survey of Property with accurate location of all buildings, property lines; streets, and unusual natural or tol~graphic features. 2. Final Approval from Health D~pt. of water supply and sewerage-disposal (S-9 form). 3.. Approval of electric, al installation from Board 6f Fire Underwriters. · 4. 'Sw.om statement from pluml~er certifying that tho solder used in system contains less thma 2/10 of 1% lead. 5. Commemial building, industrial building, mtiltiple residences and similar buildings and installations, a certificate of Code Compliance'from architect or engineer responsible for the buildiag; 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) don-conforming us~, or buildings and "pre-existing" land use~: 1. Accurate survey of property showing all property line~, stre~s, building and unusu~l natumi or topographic features. 2. A properly c~mpleted 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 I. Certifica[e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, , Swimmir~g pool $50.00, Acce~ssory building $50 00, Additions to accessory building $50.00, Businesses $50.00~. 2. Ce~'tifieate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $:25 · 4. UpdatedCertificateofOccupancy- $50.00 · 5. Temporary Certificate of Occupancy - Residential $15.00:, Commercial $15.00 Date. New Construction: Location of Property: ' House No. Street . t ' ' · Owner or Owners or property: ~(IJ [/~. ~'~/4 ~ ~/U//t~t/~ //~1~4~7-~ . Suffolk Co.unty Tax Map No 1000, Section ' ' Bi~ook . 8ub6ivisi0n Pea-mit No. Health DepC Approval: 0Id or Pre-existing Building: ' (check one) Lot Filed Map., Applicant;.. Undea'writera Approval: Date of Permit. Planning Board Approval: Request for: Fee Submitted: $ 3~), (Q O Temporary Certificate Final Certificate: (check one) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (63 I) 765-1802 Fax (631) 765-9502 ro.qer, richertC, town.southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: David Sherman / Roberto Benitez Address: 260 Founders Path City: Southold St: NY Zip: 11071 Building Permit #: 36843 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Sei'vioe 1 ph ~ Heat ~ Dupleo ieopt ~ Ceiling Fixtures ~ HID Fixturesr~l~ Wall Fixtures Smoke Detectors Service 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture U Pumps Transformer Appliances Dryer Recpt Emergency Fixtures~ I Time Clocks Disconnect Switches Twist Lock Exit Fixtures [~ TVSS Other Equipment: as built 1st floor bathroom, 1 exhaust fan Notes: Inspector Signature: Date: Dec 12 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 l) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Z (~ ~ t_p~D Owner: iD- ~ (Please pr/i~t) /~' Plumber: ~JY P~_~ (Please print) Date: -,// I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. TOWN OF SOUTHOLD BUILDING DEPT. 765-t802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH~I3G~~ [ ]FOUNDATION 2ND [ ] I~'ATION [ ]FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) % [ ] ELECTRICAL (FINAL) REMARKS: //~/~ ~ ~' ~._~' DATE INSPECTOR TOWN OF ~ING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ]~TION [ W~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH)~ [ ] ELECTRICAL (FINAL) REMARKS: ~ ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~..]~ELECTRICAL (FINAL) REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING/STRAPPING [ L~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examiued 11/~'~,20~ I{ Approw'd I~ /~)20 Il Disapproved a/c Expiration PERMIT NO. NOV 2 1 2011 BtOG. D[PT. __ IOWN OF SOUTNOtD / Building Inspector 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 C.O. Application Flood Permit S[ngle& Separate Storm-Water Assessment Form M i]to: APPLICATION FOR BUILDING PERMIT Date .20 INSTRUCTIONS a. This application MUST be completely 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 sbowing location of lot and of buildings on premises, relationship to ad. joining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before 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 for inspection throughout tbe work. e. No building shall be occnpied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every bnilding permit shall expire if the tvork authorized has not commenced within 12 months after the date of issuance or has not been completed witbin 18 months from sucb date. If' no zoning amendmeuts or other regulations affecting tile 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 tile Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suflblk 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, ordinances, building code, housing code, and regulations, aud to admit authorized inspectors on premises and in building for necessary inspections. (Ma ng address of applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~tD tl)'~ Sl'ltrl~tt,'lt41[/ / gO~ ~ 8 ~ ~ (As odthe tax roll or latest deed) If applicant is a co¢oration, 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. ,tion.R..~ land on which_ propo, sed w, ork, will be done: o T'ou' s g,+7l."t u oi>zr/s P {et un c6 iici-t( House Number Street ' CountyTax MapNo. 1000 Section bq Block Z Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occopancy b. Intended use and occupancy ~ ~ ~ t~4~//~.~ 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 2, O0"g7 ~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work ~/.) $//-otd¢£ ~0 Fee ?,0/). 7~ %-~g.~r~-VZ, l~j~D.~cription) (To be paid ou filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extenf of each type of use. ?. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 9. Size of lot: Front 10. Date of Purchase Dimensions of entire new construction: Front Height Number of Stories Rear Depth Rear /(~'~ ! .Depth Name of Former Owner 1 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~' 1 3. Will lot be re-graded? YES NO '~Will excess fill be removed from premises? YES NO__ 14. Names of Owner of premises ~o~'t/'O i~/'~/,'~-t~ddress Phone No. ~,~}/ Name of Architect Address ~01 ~ I/(~'Z- Phone No Name of Contractor Address }4/}Tr-//"//¢~'/~Phone No. treIS2 ,// 15 a. Is this property within 100 feet of a tidal wetland or a freshwater ~vetland? *YES NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM1TS MAY BE REQUIRED. b. ls this property within 300 feet of a tidal wetland? * YES NO__ * 1F YES, D.E.C. PERMITS MAY BE REQUIRED. 1 6. 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 ~r · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~)/:~ ~6~ ~"'~/'a ~ ~"~ 19' tt//J 7-.-~,4' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above name& (S)He is the ~'~-J ~ W ~ CONNIE D. BUNGH Notary Public, State o~ New York No. 01~i./6i 850ou (Contractor, Agent, Corporate Officer, etc.) Quailed In 8ut~oSt County Commialon Expires April 14. 20/o~ of said owaer or owners, and is duly authorized to perfbrm 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 bis 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 ~ o%-{ <~j-- dayof~'.~V/CqVh,{C::w~l 20 ~ / Notary Public LAWOFFICEOF[A~IDJUDEJANNUZZI IOL~ ACCOUNT TO THE 0'~k2~ citibank' FOR ,'DODO ].r~ SD,' ~:O 8 l, OO ]. L, .O, ~, ,_. O 8 ].Oh l,r~ ~m-r~L,~ ! lUOI I-Ul~ I::LI-L; rRII~-'A'I. INSPECTION 1620 1-148-210 DO'LA.S ~ ~"~ BY: Company Name: Date: License No.: Address: Phone No.: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) (*Indicates required information) Block: ~ Lot: ~(./ (Please Circle All That Apply) *Is job ready for inspection: *Do YOu need a Temp Certificate: Temp Information(If needed] *Sen/ica Size: 1 Phase *New Service: Re-connect Additional Information: 3Phase YES / NO Rough In YES / NO Final 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Requestforlnspection Form '"¢~)~ ~'3 ~' ~"~<:~ "- t///~~'' ~ ~)' ~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 December 15,2011 David Jannuzzi, Arty PO Box 1672 Mattituck, NY 11952 BUILDING DEPARTMENT TOWN OF SOUTHOLD elcphone (631 ) 765-1802 Fax (631 ) 765-9502 RE: Sherman/Benitez, 260 Founders Path, Southold TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00 Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees#765-1892) __ Final Planning Board Approval. (Planning # 765-1938) __ Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 36843-Z alteration to bathroom RooF- L ,I -U 1 CE, P~Ah/ PLUMBING ALL prUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING Ira' Haspel Arcb-itect, P.C. 631465-2075 - phone 631-76S-5715- fax 516-398-8753 - cell ihaspel~ahaspe, Lcom- emafl UMBER CERTIFICATION LEAD CONT~ENT BEFORE ?TIFICA TE OF OCCUPANCY rOLDER USED IN WATER ~ UPPLY SY$TEM CANNOT ~(CEED 2/10 OF 1% LEAD. CCUPANCY OR SE IS UNLAWFUL ~ITHOUT CERTIFICATE