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Home My WebLink About36880-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 6/23/2012 CERTIFICATE OF OCCUPANCY No: 35775 Date: 6/23/20 l 2 THIS CERTIFIES that the building DECK Location of Property: SCTM #: 473889 Subdivision: 625 Dean Dr, Cutchogue, Sec/Block/Lot: 116.-5-7 Filed Map No. conforms substantially to the Application for Building Permit heretofore 12/12/2011 pursuant to which Building Permit No. 36880 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: enclosed porch addition, deck addition and alterations to an existing one family dwelling as applied for. Lot No. filed in this officed dated dated 12/20/2011 The certificate is issued to Sullivan, Brian & Adams, Marjorie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36880 6/22/12 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 #: 36880 Permission is hereby granted to: Sullivan, Brian & Adams, Marjorie 253 W 73rd St New York, NY 10023 To: construct a porch & deck addition as applied for ~,~.~-F i:-, I',v;~ room O~ Date: 12/20/2011 At premises located at: 625 Dean Dr, Cutchogue SCTM # 473889 Sec/Block/Lot # 116.-5-7 Pursuant to application dated To expire on 6/20/2013. Fees: 12/12/2011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $499.20 CO - ALTERATION TO DWELLING $50.00 Total: $549.20 Building Inspector Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPt~ICy This application must be filled in by typewriter or ink and submitted to thc Building Department with the following: A. For new building or new use: 1. Final survey of proporty with accurate'location of all buildings, propetOy lines, strcets, ~ topographic featurds. 2. Final Ap,proff~l, .from ,H. eal~.Dgpt._of water supply and sewerage-disposal (8.9 forml.~)l 3..qpprovm oIe~ecmcat installation from Board 6fFire Underwriters. dUN ' 4. 'Sw. orn stattnnent from plumber certifying that tho solder used in system contains le~s thai 2/10 of I 5. Co momlal braiding, industrial braiding, multiple residences and similar buildin~s[--n ?-- of Code Comphanee'from architect or engineer responsible for the buildiug; ~ T0/.~.[q .6. Submit planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) don-conforming us~s, or buildings and "pre-existing" land uses~ 1. Accurate survey °f Pr°Perry showing all property lines,'strcets, building and unusual natural or topographic features. 2. A properly c-gmpleted 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. Certifica!e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, · Swimming po01 $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. UpdatedCertificateofOccupancy. $50.00 5. Temporary Certificate 0fOccupancy - Residential $15.00:, Commercial $15.00 New Construction: Old or Pre-existing Building: i ~/~ (cheek one) Location of Property: ~p~-~ D~'~q-x_) ~ ~t~rT~/&Oq ~. Hous~ No. Street Hanilet Suffolk ~:opnty Tax Map No 1000 Seetkm. J [ ~ Block · ~' Lot 7' ' ' 8ubdivisibn Filed Map. Lot: II~dth ~ Approval: Ondetwrite~ Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submilted: $ ~-'0. ~ _ Final Certificate: __'x~ (check one) Applicant Signatm-e (.~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY I 1971-0959 Telephone (631) 765 1802 Fax (631) 765-9502 ro.qer, richert~.town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Brian Sullivan ~,ddress: 625 Dean Ddve City: Cutchogue St: NY Zip: 11935 3uilding Permit #: 36880 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3,ontractor: DBA: Paul Burns Electric License No: 3897-e SITE DETAILS Residential Commerical New Addition Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Office Use Only Indoor ~ Basement ~ Service Only ~ Outdoor 1st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Hot Water GFCI Recpt NC Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures [~ HID Fixtures Wall Fixtures [~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture ~.~ Pumps Emergency Fixture~ Time Clocks Exit Fixtures [~ TVSS Notes: Inspector Signature: Date: June 22 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [~]' FOUNDATION 1ST [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] F~NDATION 2ND [ ~ FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT COIISTRUCTIO# [ [ ] ELECTRICAL(ROUGH) [ ]~ ,/~1~, ICAL(FINAL) REMARKS: ~~~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. ~SULATION FINAL [ ] FIRE SAFETY INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ REMARKS: ~ [ ] ROUGH PLBG. ~.J..NSU LATION [ ] FINAL [ ] FiRE SAFETY INSPECTION ] FIRE RESiSTANT PENETRATION ] ELECTRICAL (FINAL) DATE INSPECTOR ' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] R~OUGH PLBG. [ ]FOUNDATION2ND [ ]INACTION [ ] FRAMING/STRAPPING [//]~FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTIOR [ [ ] ELECTRICAL (ROUGH) [ REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-t802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~.ECTRICAL (FINAL) REMARKS: DATE ~.~~'/ i NSPECTOR~~-- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Examined Approved Disapproved a/c Expiration 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 Contact: Mail to: Phone: ~3U~l:lding Inspector U 'PLICATION FOR BUILDING PERMIT Date 'I~-~_... ~ ,20 f~ I BL [~G D': [:'l. INSTRUCTIONS a. This application MUST be completely filled in by t~ewhter or in ink and submitted to the Building hspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issu~ce of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pemit shall be kept on the premises available for inspection t~oughout the work. e. No building shall be occupied or used in whole or in para for any pu¢ose what so ever until the Building Inspector issues a Ce~ificate of Occup~cy. 5 Eve~ building pe~it shall expire if the work authohzed has not commenced within 12 months a~er the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the prope~y have been enacted in the interim, the Building Nspector may authorize, in writing, the extension of the pemit for an addition six months. Therea~er, a new pe~it shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment lbr the issuance of a Building Pemit pursuit to the Building Zone Ordinance of the Town of Southold, Suffolk 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 applicam agrees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, and to admit authorized inspectorsonpremisesandinbuildingfornecess~inspections.~ 0..t/, ~ (Signature of applicant or nlme, if a co~oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises BEaPrO CoOo.,l'dtqtO 4 1Nl~tg4o~ /4l>t~t~, (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. "i"'ff:,/q Plumbers License No. ,, Electricians License No. ,, Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Subdivision (Name) Section II ~, Block O 5 Filed Map No. Lot O 7 Lot State existing use and occupancy of premises and intended use and occupanc~'o-f proposed construction: a. Existing use and occupancy ~o6t~ ~-~m,~, b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~:::~t m:~r2a 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (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. 7. Dimensions of existing structures, if any: Front fi, g~ ~ Rear Height I,~ ~ Numberof Stories Dimensions of same structure with alterations or additions: Front Depth ~- ~ Height {~ ' 8. Dimensions of entire new construction: Front -----f Rear Height Number of Stories 9. Size of lot: Front [df~ Rear I ~O Depth Number of Stories Depth Depth Rear 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 from premises? YES__ NO 14. NamesofOwnerofpremises~4694o~ Ab.~,~% Address ~'ff ~ lOog~ PhoneNo. ~ ~q ~.r "~**~PhoneNo NameofArchitect ~U~g~ ~ ~ess~ ~lT~g~g Address .~ ,~m~.~ a06 Phone No. N~eofContractor I~m C~gx~. ~ · 15 a. Is this prope~y within 100 feet of a tidal wetl~d or a ~eshwater wetl~d? *YES ~NO ~ · IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property withn 300 feet of a tidal wetl~d? * YES NO~ · IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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. STATE OF NEW YORK) SS: COUNTY G; 2z~ to · ~-~ -'7~0 v}o? s ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the /~c ~/4 o c (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 tree 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~x before me thi~ C~( day of ,/)q C0J~/~ 0.~ Nota/y l~blic 20 (( Signature of Al~olicant MELANIE DOROSKI NOTARY PU[1LIC, State of New Yo~ No. 011104634870 Oualiried in Suffolk County ,., ,-,,,, Commission Expires Septernber 30, l}d ~ · / Town Of Southold · J~L~' )~ Erosion' Sedimentation & Storm. Water Run-off ASSESSMENT FOR:.'. J& ~T~,~ ~-~) ~ ~~~ ~ I I 4 Wil'l Ih~ P~oJec~ Require any Lafld FFaing, Grading ~r ~ ~e ~ ~ ~ ~0 Cubic ~ Mat~ ~an'any ~ ~ ~ ~ ~ R~u~ La~ DIs{u~ng Ac~lS~ ~ an ~ ~ ~ ~ F~e ~sa~ ( . S.F.) ~q~re Feel ~ ~ ~? ~ ~in ~e Hu~ (10~ fe~ ~ a We~ ~? 7 ~ ~ere ~ ~te ~pamg~ ~ ~ Gm~ R~ ~ V~ ~.~ . S']'~.']~ OF ~ YO]UC, CONNIE D.-~'O~=r~ COUN']~/0I~ ............................ S,~ Notary Publ~, S~te ~ New Yo~ No. 01BU61 ~ , ~'~-~-~i- ............... ~g ~ ~m, de~ ~~~ ~th~ ~ ...................... ~.~~:~) ......... · ~ ~ ~'~ ~ ~o~cd in ~c ~ ~t f~ ~ ~c app~ ~ h~ S~m to ~orc mc ~s; ........... . FORM - 06/~i 0 54375 Maia l~d P.O. Box 1179 Telephoae (631) 765-180~ ro~er -'-~--'~--(631) ' [REQUESTED BY: Icompany Name: BUff ~ENG DEPARTMENT TOWN OF 8OUTltO~.n APPLICATION FOR ELECTRICAL INSPECTIOH License No.: 3 ~ ~ ~ ~ ;~hone No.: ~ 31 - ~ C'- '~ 2.~ 5 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax*Map District: 1000 Section: I I to *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Block: zlq3y- Lot: · (Please Circle All That APply) *Is job ready for inspection: *Doyou need a Temp Certificate: ~-~1 NO YES / NO Temp Infm'matl~n {If n¢=ded) *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 for Inspec~13 Form Y vole . C~^~ ~ 0 FILED 3O SUR VE Y OF LOT 6 "D 0 WNS VIE W" OCT. 11, 1970 FILE NO. 5509 AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-116-05-07 0 30 60 90 Scale 1" = 50' JULY ~3, 1998 APRIL II, 2010 (prop. pool) CERTIFIED TO, ETHEL ENGELS COMMONWEALTH LAND TITLE INSURANCE COMPANY PECONIC ABSTRACT, INC. AREA = 54,852 sq. ft. ANY ALTER,'trlON OR ADDITIOt H-~I$ SURV£Y I$ A VIOLATION OF SECT/ON 7209 OF THE NE; ~RK STATE EDUCAPON LAW EXCEPT A3 PER ~EC710N 720~ UBDIVISION 2. ALE CERTIFICA hON~ HE~EON ARE VALID FOR THIS '.': AND CODIE~ THEREOF ONLv Ir SAID tdAP OR COPIES BEAR T~,L tJPRES~ED ~EAL OF THE SURVEYOR WHOSE SIGNATURE APFEAR9 *.~ ON. P. O. BOX 909 12&0 TRAVF.~iER 57R~ PT SOU THOL D, N Y :' ~ 9 71 98-245 \v~,/~lPlk4¢4 '1~o kl~,f~H '0