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Home My WebLink About37032-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/9/2012 No: 35585 CERTIFICATE OF OCCUPANCY Date: 5/9/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: AS BUILT ALTERATION 3800 Wells Ave, Southold, Sec/Block/Lot: 70.-3-22.6 Filed Map No. conforms substantially to the Application for Building Permit heretofore 2/8/2012 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 which this certificate is issued is: finished basement (recreation room and bath) in an existine one family dwelling as applied for. Lot No. filed in this officed dated 37032 dated 3/2/2012 The certificate is issued to Gomez, Paul & Europe-Gomez, Ellen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 1 / 11 / 12 37032 4/19/12 George Fredricks 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 #: 37032 Date: 3/2/2012 Permission is hereby granted to: Gomez, Paul & Europe-Gomez, Ellen 3800 Wells Ave Southold, NY 11971 mo~ "As Built" Alterations to a Single Family Dwelling; (Finished Basement) Recreation Room, Bath, as applied for. At premises located at: 3800 Wells Ave, Southold SCTM # 473889 Sec/Block/Lot # 70.-3-22.6 Pursuant to application dated To expire on 9/1/2013. Fees: 2/8/2012 and approved by the Building Inspector. CO - ADDITION TO DWELLING SINGLE FAMILY DWELLING - ADDITION OR ALTERATION Total: $50.00 $1,011.20 $1,061.20 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 &all buildings, property lines, streets, and unusual natural or topographic features. 2. Fiual 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 iu system contains less than 2/I0 of I% lead. of Code Compliance from architect or eogineer responsible for tile building. 6. Submit Planuing Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or Imildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A proper}y completed application and consent to inspect signed by the applicant. Ifa Certificate o£Occupancy is den/ed, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $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. Updated Certificate of Occupancy- $5000 5. Temporary Certificate of Occupancy - Residential $15:00, Commercial $15.00 Hamlet New Construction: Old or Pre-existing Buildiug: (check one) Location of Property: House No. Street OWner or Owners of Properly: Suffolk county Tax Map No 1000, Section Su~'division Permit No. ,~ ~-~l~) '~ ~ Date&Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~'-O. ~¢,~,%~,'Y'i - Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: /~ (check ooe) Applican~ure Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (63 I) 765-9502 roger, richert~town, so uthold, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Gomez Address: 3800 Wells Ave City: Southold St: 11971 Zip: Building Permit #: 37032 Section: 70 Block: 3 Lot: 22.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: asbuilt DBA: Brian Brooks License No: 3613-e SITE DETAILS Office Use Only Residential [~ Ind°°r I~ Basement I~ Service Only Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY ServJceJph ~ Heat ~ Duplec Recpt ~ Ceiling Fixtures ~ HID Fixturess~~~ Service 3 ph Hot Water GFCI Recpt Wall Fixtures M Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures ,9~ CO Detectors Sub Panel NC Blower Range Recpt Fluorescent FixtureM Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures [~ TVSS Other Equipment: finnish basement Inspector Signature: Date: April 19 2012 81-Cert Electrical Compliance Form.xls Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD ,CERTIFICATION Date: Building Permit No. Owner: ,fl~.// Plumber: (Please print) (Please plint) x 3 I certify that the solder used in the water sUpply system contains less than 2/10 of 1% lead. Sworn to before me this dayof ~ ,20 ! Notary Public, ~ County (Pluml~ers Signature) NOTARY PUBLIC - ~TATE OF NL~¥ YORK hO. 01HY~18g~9~ QUALIFIED IN SUFFOLK COMMISSION EXPIRES o6/3o/2o.J_ '/~/~ a~/ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING/STRAPPING ROUGH PLBG. INSULATION FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~ ELECTR.~AL (FINAL) REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~,~UI. ATION [ ] FRAMING/STRAPPING [,~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH). [ ] ELECTRICAL (FINAL) REMARKS: , . ~ ' - ~ DATE INSPECTOR--~ May 8, 2012 ROSSETFI PERCHIK, A.I.A. ARCHITECTURE Michael Verity, Chief Building Inspector Town of Southold, NY PO Box 1179 Southold, NY 11971 RE: Paul Gomez Residence 3800 Wells Avenue Southold, NY Permit//37032 De~ Sk, - 8 2012 BkDG DEPI. IOWN O[ SOUIHO[ D All work at the above residence under the Permit//noted was performed according to NYS Building Codes. The Electrical Underwriters Certificate is attached. If you have any further questions, please do not hesitate in calling me. Sincerely, Rosse~i~erchik, A.I.A. 29 MAIDSTONE PARK R/) EAST HAMI:/FON, NY 11937 631.3244250 Phone 631.329,5977 Fax www.rpala.¢om TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined 2-- Expiration ¢~ ~ ff , 20~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST FEB - 8 2012 BLDG. DEPT. IOWN OF S~IITHOI D Building Inspector Do you have or need the following, before applying'? Board of Health ~4 sets of Building Plans Plam6ng Board approval Survey Check Septic Form N.Y.S.D.EC. Tmstees Flood Permit Storm-Water Assessment FOHll Contact: Mai] to: APPLICATION FOR BUILDING PERMIT Date 7_ · '7, ,20/, g- 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 showing location of lot and of buildings on premises, relationship to adjoining 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 the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every, building permit shall expire if the work authorized bas not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the 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 the Building Department for the issuance ora Building Permit pursuant 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 applicant agrees to comply with all applicable laws, ordinances, building code, housing code. and regulations, and to admit authorized inspectors on promises and in building for necessary inspections. (S'g ~r~e of~calt~cr na~e ifa corporation) (Mailing address of applicant) t tc't'h } State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremiscs "~P~'Ok, ~ ~t...~:~ ~----l~=,,.'Z_ (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. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section '749 Block ~.~ Lot ~ 29-, ~ Subdivision Filed Map No. Lot ii. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ¢--~'$ tb~c,L~ b. Intended use and occupancy. 5. If dwelling, number of dwelling units If garage, number of cars Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~ Bto,,~O , Fee Addition Alteration Other Work ~tta ttu-~--~ ~,&S.~'m~-e,,a"r- (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specit~, 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 Rear Height Number of Stories 9. Size of lot: Front Rear Depth Depth 10. Date of Purchase Name of Former Owner I 1. 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. Names of Owner of premises Address ~ 8oo ~ ~ Phone No. (.t, 3 ~ - ~ ~,g', (08 2~ 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 * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES NO ~- * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate Ibundation 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 · IF YES, PROVIDE A COPY. NO ~ STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Nmne of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of Now York (S)He is the No. 01BU6185050 '.Jualitied In Su//olk County ~ (Contractor, Agent, Corporate Officer, etc.} Commission Expires April 14, 201.~. 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 arid belief; and that the work will be pertbrmed in the manner set Ibrth in the application filed therewith. Sw/or.n, to before ~ne th~_ [ ~_ ~ day of 'r-~ .~ 20{~o~ Notary Public pplicant Town HaH Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971~)959 Telephone (631) 765-1802 r- er richeJ ''''F'ax (631) 76'~'pSQ2' u.. r[(cu.[own.soumo.~.ny, us BUILDING DEPARTMENT , TOWN OF SOUTHOLr~ APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: No.: Date: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: o *Phone No.: Permit No.: Tax Map District: 1000 Section: '~ o Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Tamp Certificate: Temp Information (If. needed] *Service Size: 1 Phase 3Phase 100 *New Service: Re-connect Underground Number of Meters Additional Information: (~/NO Rough In Final YES /9 150 200 300 350 400 Other Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form 8. e. 370. 9.. BUILDING PERMIT EXAMINER CHECKLIST Architect/Engineer: SCTM# 300(} -- 7° Property Address: ~ Oate Submitted: ~ ~ I ~- Date Reviewed: Owner: Estimated Cost: Zone: Conforming? __ City: ,9~~ Pre COs? Subdivision: Building Permits (Open/Expired): BP__-Z / C/0 Z-__, Info: BP__ -Z / C/0 Z- ., Info: BP __ -Z / C/0 Z- , Info: Single & Separate Search Required? Y o~.~ Determination: R.EQ. Lot Size: ACT. Lot Size: RBQ. Front__ ACT. Front REQ Side ACT. Side BP __-Z / C/0 Z- , Info: BP__ -Z / C/0 Z- , Info: _ REQ. Lot Cov. ~o~o ACT; Lot Cov. REQ. Rear__ PROP. Rear REQ. Height. ~-~ t ACT. Height. R ~ aL ~rvH $~0~'$ /I C T Water~nt?Yo~ ~ ' ~ ~ ~. lfy~, water body: '- ~ Panelg ~ Flood ~ne:. Bu~ea~BluffD~ffce: ' ~DITIONAL APPROVALS ~QUI~D ?L4US (~) SI~N~, ~L~O~U~V~Y oR 5'IRE P~N Suffolk Coua~ Health: Y o~ If yes, ~Bed~: *Date: / / *Permitg: Town Septic: Y-M - If no, certification required: Y or N Received: Y or N By: ~S DEC: e~cw~a5 Y o~- Date: / / Permit ~: or NJ Letter- Notes: Southold Trustees: Y or~- Date: / Permit ~: or NJ Letter - Notes: Southold ZBA: Y o~- Date: ~ / / Permit ~: - Notes: Southoid Planning: Y or~- Date: / / Permit ~: - Notes: Town Landmark C of A: Y o~TE: [ / ' *~S CODE ~ompliance (page 2): Y o~ Fee~ucture ~- ' ~lculatton: Foundation: 76¢ SF First Floor: ~ SF Second Floor: ' SF Other: ~ SF Total: "~ (~ 4 SF +InitialFee:$ ~ O, O0 + Additional Fee ( ): $ SF X $, + Initial Fee: $ + Additional Fee ( ): $ _5-o~, '~,0 t$ 50, ob F~ ~;~r',5-o-S'; (:,o TOTAL: $ /~OI ] .~ NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Grountl Snow Load: 20 Weathering: Severe__ .Frost Depth: 36"__ Design Temp: 11 __ Ice Shield Underlay: YES USE/OCCUPANCY CLASSIFICATION: HEIGtlT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/pREscRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/lq WALL STUDS: YtlN CEILING JOISTS: Y/1N FLOOR JOISTS: YIN LUIM[BER SPECIES AND GRADE: Wind Speed: 120MPH__ Seismic Design Category." B . Termite: M-H Decay: S-M Flood Hazards: GIRDERS: Y/N ROOF RAX~ERS: YIN WINDOW AND DOOR SCHEDULE: .MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N 'VENT 4%: NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RiSER DIAGRAM: Y/N LOCATION OF Ir[RE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE FEB 2 9 2012 BI DC DEPL ~rowN OF GLIDER XO Operator Units Mas. O~g. (mm) 3-0 (914) Rgb. Opg- (mm) 3-01/2 (927) Frame Size (mm) 2-111/2(902) Glar~ Size (rmv) 143/4" (375) Construction Details ITGL4842 ITGL4848' ITGL4860* ..... Rough Openin~ 1/2" la Frame$ize 1/2" [6] ~ ~ 1/2" XO Operalor Jamb Rough Opening 1/4" Triple Sash XOX Operator Jamb ITGL6036" ITGL6042' ITGL7242' ITGL7248' ITGL6060' ITGL7260' Head Jamb & Sill 8-0(2438) 8-01/2 (2451) 7-11112 (2426) 463/4" (1187) / 20 3/4'(327) ITGLTS9648' (Triple Sash) )etails and Elevations not to scale. · These windows meet National Egress Codes for fire evacuation. Local codes may differ. for fire evac uation if floor to sill height does not exceed 44" (118 mm). Local codes ma ~'O operation standard, OX operation oplional. Optional Glider Grilles, GBGs and SDLs are avaiJable in a standard Rectangu Jar cut shown. 3 When ordering 6 /~" (167 mm) or (173 mm)jambs, add Y4" (6 mm) to width and I/8" (3 mm) to height for Rough Opening, Frame Size and Masonry Opening. Glider Windows - Integrity Windows oors Home >Win od ws · Glider ~ ider Windo__ Ultrex® Advantages Page 1 of 2 REQUEST LITERATURE Project Planning Resource Cen Integrity Glider windows are exceptionally si~ to use because they are one of the few Glid~ designed exclusively for horizontal use. Bec; they offer the same contemporary sightlines Casement windows, Gliders are ideal where is not room for a swinging sash. Integrity Gli~ windows tilt inward in one simple motion for cleaning. Features · Low-maintenance Ultrex exterior; rich pine interior · Low-profile ergonomic sash lock · Sash tilts and remov( easily for cleaning · Glides smoothly with minimal resistance Sizes & Specs Sizes & Specifications ~ Wood Ultrex Glider http://www.integritywindows.com/Fiberglass-Windows/Glider-Wood-Ultrex/ 2/13/2012 Table Unit ~ ! (432} ] (5~I) ,,~f Basic Casement Unit Sizes Scale 1/8" = 1'-0" (1:96) CRI2 CN12 CR/25 CN125 C125 CN135 CW12 CW125 CX125 CW13 CXI3 CXW13 CR23 C135 CW1355. CX135'** CXW135* CR235 CN14__ C14 CWI4t * CX14 · CR24 CN145 C145 CWi45t* CX145* CR245 CR25 CR25 CN245 CN26 C245 12 CW235t * CW24t * C26 CW261' e L ALL REQ YOR~ DESll I,' m ,,_____- ;~7~- -.- - -c'.l/ . ,I. ,. '~ I ~ a' I ~ I , d ~ COM~LY WITH A~ __ :,~ ~,> III ~~ .~w ~a~ s~,~ ~ ~ow. co~s INSP ~R~IRED ' ~,~OTED ,~--~--i~ ~ ~ ~70~-- %PARTMENT AT 4 PM FOR THE lIONS: :/70 REQUIRED ONCRETE ;, ,~. PLUMBING. - ,,., ELECTRICAL & CAULKING AL - CONSTRUCTION & ELECTRICAL ST BE COMPLETE FOR CO. )NSTRUCTION SHALL MEET THE IREMENTS OF THE CODES OF NEW STATE NOT RESPONSIBLE FOR N OR CONSTRUCTION ERRORS. PL UMBER C ER TIFICA TION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANC' SOLDER USED IN WA TER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. IO, I ' & WATER LINES NEED TESTIN~ BEFORE COVERING _ f- ,, .. so~ ZBA...~ /5/,,,,~ SO~HO~D',O~G / /// / SOU~WNTRUST~ ..... N,~DEC