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Home My WebLink About37022-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/13/2012 CERTIFICATE OF OCCUPANCY No: 35536 Date: 4/13/2012 THIS CERTIFIES that the building Location of Property: 180 Booth P1, Greenport, SCTM #: 473889 Sec/Block/Lot: 41.-1-20.1 Subdivision: Filed Map No. RESIDENTIAL ALTERATION Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/21/2012 pursuant to which Building Permit No. 37022 dated 2/28/2012 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: basement converted to recreation room in an existing one family dwelling as applied for. The certificate is issued to Kidby, George (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37022 4/4/12 ~t h~rized/Sigr~ture 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 #: 37022 Permission is hereby granted to: Kidby, George 180 Booth PI Greenport, NY 11944 To~ convert basement to Recreation Room as applied for Date: 2/28/2012 At premises located at: 180 Booth PI, Greenport SCTM # 473889 Sec/Block/Lot # 41 .-1-20.1 Pursuant to application dated To expireon 8/29/2013. Fees: 2/21/2012 and approved by the Building Inspector. SiNGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLiNG Total: $540.40 $50.00 $590.40 Building Inspector Form No. 6 TOWN OF SOUTHOLD 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 topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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: ) ~ House No. Owner or Owners of Property: ~ ~_"P ~..~ ~,- Suffolk County Tax Map No 1000, Section Date. Old or Pre-existing Building: L"/' (check one) Street Block Hamlet Subdivision PermitSo. 3'7C) ~-~,~ DateofPermit. Filed Map. Applicant: Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) ¢;a nt Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 119714)959 Telephone(631)765-1802 Fax(631)765-9502 rofler, riche~town.southold.n¥.us BUILDING DEPARTMENT TOWN OFSOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION issued To: George Kedby Address: 180 Booth PI City: Greenport St: NY Zip: 11944 Building Permit#: 37022 Section: 41 Block: 1 Lot: 20.1 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 Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures ~~ HID Fixtures ~WalIFixtures~ Service 3 ph Hot Water GFCI Recpt Smoke Detectors Main Panel NC 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: finnish basement Notes: Inspector Signature: ~'%-~/:¥'~ Date: April 4 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FIREPLACE & CHIMNEY ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL /~ (R(~U_GH) / [ ] ELECTI~CAL (FINAL) R.ARKs: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. ~INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESiST~wrr CONSTRuo'rlON [ [ ] ELECTRICAL (ROUGH) [ REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ [ ]fiRE RESISTANT CONSTRUCTION [ [ ]ELECTRICAL (ROUGH) [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION ] RRE RESISTANT PENETRATION ELECTRICAL (FINAL) REMARKS: DATE 3'70 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS~JLATION FRAMING/STRAPPING [~.~FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) DATE INSPECTOR ~ROBERT O'BRIEN RE. CONSULTING ENGINEERING S£RVICES 2074 MAIN ROAD, P.O BOX 456, LAUREL. NY 1194B 631-298-5252 February 28, 2012 MAR - 1 2012 BLDG DEPT. TOWN OF ,%OUENOLD Town of Southold Building Department Southold, New York SCTM No. 1000-41-1-20.1 180 Booth Place Greenport, NY To Whom It May Concern: With respect to the construction of the proposed recreation room at the above- captioned residence, I hereby certify that it will comply with the insulation requirements as listed in Table 402.1.1 of The New York State Residential Energy Efficiency Code for a conditioned basement space. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined q:~ ~, 20 /~ Approved /o~'/~, 20/.~ Disapproved a/c PERMIT NO. 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 NYS.DEC Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: I [ Date , 20~ - [ INSTRUCTIONS BLDG DEPt ~ , ~ ..:n ......... compmte~y nneo in oy typewriter or in ink ~d submitted to the Building Inspector with 4 sets of pimps, accurate plot pl~ to scale Fee according to schedule. b. Plot pl~ showing location of lot ~d of buildings on premises, relationship to adjoining premises or public streets or areas, ~d wate~ays. c. The work covered by this application may not be commenced before issu~ce of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applic~t. Such a pe~it shMl be kept on the premises available for inspection throughout the work e No building shall be occupied or used in whole or in pa~ for ~y pu~ose what so ever until the Building Inspector issues a Certificate of Occupm~cy. ~ Eve~ building pe~it shall expire if the work authorized h~ not commenced within 12 months after the date of issuance or h~ not been completed wi~in 18 months from such date If no zoning mendments or other regulations affecting fl~e property have been enacted in the interim, the Building Inspector may aufl~orize, in ~iting, the extension of the permit for ~ addition six months ThereaRer, a new permit shall be required ~PLICATION IS ~BY MADE to the Building Dep~ment for the issuance ora Building Pe~it pursuit to the Building Zone Ordin~ce of the Tom of Southold, Suflblk County, New York, ~d other applicable Laws, Ordin~ces or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applic~t agrees to comply with all applicable laws, ordin~ces, building code, housing code, ~d regulations, and to admit authorized inspectors on premises ~d in building for necess~ inspections (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 Oc-. r<.._ Name of owner of premises C' ~. ~ ~X (:::, [- ~ (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 License No. Electricians License No. Other Trade's License No. I. Lo~ation of la~l on which proposed work will be d~e.,; __ ~ t louse Number Street Hamlet County Tax Map No. 1000 Section ql mock Subdivision Filed Map No. Lot C:~[~- I Lot 2. State existing use and occupancy o f premises and intended use~and occupanqy of pronosed construction: a. Existing use and occupancy [~, ~a'.~-~)~.O) ~ ~ (.. ~ 4~, ~-. b. Intended use and occupancy '~[ ~ 2 ~) ¢fO7i~ C 3. Nature of work (check which applicable): New Building. Addition Alteration Repair Removal Demolition Other WorklT~ ~c~ ~ ~-~4~[q) (Description) 4. Estimated Cost lO /O~>~'O Fee ('Fo be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 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 Rear Depth Height, Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size oflot: Front Rear .Depth 10. Date of Purchase Ntune of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zo,~ law, ordinance or regulation? YES_ NO / 13. Will lot be re-graded? YES NO ~/Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. / 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO L~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. I6. 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 sur~. 18. Are there any covenants and restrictions with respect to this property? * YES NO · iF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY O~ being duly swom, deposes and say~ [~.t~t (Name of individual signing contract) above named, Notary Publi~, Stele of Now York No. 01BU6185050 (S)He is the t~,,=lSts~l in 8u~olk Count'/ _ (Contractor, Agent, Corporate orticer, etc) Com~'~qion Ex~im$ April 14, 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 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. To,#n Hall Annex 54375 M~Ja Road P.O. Box 1179 Southold, NY 11971-0959 Tclcphone (631) 765-1802 ro er rich ' _~F~ (631) 76.~-psq2, ,q . ert(cq, lown.sou[noK~ ny us BUILDING DF, PARTNIENT TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~'f.C~,,~. Date: Name: ~lame: License No.: No.: *Name: *Address: *Cross Street: *Phone No.: Permit No.: JOBSITE INFORMATION: (*Indicates required information) Tax.Map District: 1000 Section: ~ ~ *BRIEF DESCRIPTION OF WORK (Please Print Cleady) Block: I Lot: (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 Additienal Information: 100 Underground YES / ~ Rough In YES / NO Final 150 200 300 350 .400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82~Request [or InspectJon Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 BUILDING DEPARTMENT TOWN OFSOUTHOLD April 6, 2012 George Kidby 180 Booth Place Greenport, NY 11944 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 4/1184) __ 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 · 37022 - Recreation Room .J UNi.AWFL!_ 2. PLUMBING, ,ELECT, EICAL & CAULKING 3. INSULATION J 4 FINAL- CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NE'¢J YORIf~,~TJYT-E~OT RESPONSIBLE FOR TO THE BEST OF MY KNOWLEDGE, "RUE' AND PROFESSIONAL JUDGMENT, (;(~GN OR CONSTRUCTION ERRORS ELECTRICAL ~~T INS~CTION REQUIRED