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HomeMy WebLinkAbout33796-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 5/29/2012 No: 35715 Date: 5/29/2012 THIS CERTIFIES that the building SHED Location of Property: 6060 MAiN BAYVIEW RD SOUTHOLD, SCTM #: 473889 Sec/Block/Lot: 78.-4-46.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this offieed dated 4/7/2008 pursuant to which Building Permit No. 33796 dated 4/7/2008 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory shed as applied for. The certificate is issued to ELIZABETH TREMBLAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIHCATE NO. PLUMBERS CERTIFICATION DATED 33796 5/25/12 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEP, MIT NO. 33796 Z Date APRIL 7, 2008 Permission is hereby granted to: ELIZABETH TREMBLAY PO BOX 901 SOUTHOLD,NY 11971 for : ACCESSORY SHED IN REAR YARD AS APPLIED REPLACES EXPIRED BP # 20325 at premises located at 6060 MAIN BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 078 Block 0004 pursuant to application dated APRIL 7, 2008 and appro%~d by the OCTOBER 7, 2009. Building Inspector to expire on __ [ / Lot No. 046.003 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20325 Z Permission is hereby granted to: .~ o' "r'~... ...... .......... ..b..o....~..~ ~.....~...~.~ ...~,~..~..4 ......... : .~~...............:..~.~....~:.~.,.....!.:..~...~..~ ........... ~ ...~.~.......~.....:~.~~......~.~..~...~...~..~..,.. at premises located at ...~..O....~..~.........~..~........~....~.~.~)....~. ...... ~ ..... pursuant to application date~~.....~.. ................. , 19..~...~., and approved by the Building Inspector. Fee ~ ........................ Rev. 6/30/80 Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAx~tS~y: ~ ..... ~_ ~.~ This application must be filled in by typewriter or ir, k and submitted to the Building Department with the following: A. Eor new buildiug 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. Co:mnercial building, industrial building, mtultipl¢ residences and similar buildings and installatious, a certificate of Code Compliance from ardhitect 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: l. Accurate survey of property showing all property lines, streets, building and unusnal 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 Old or Pre-existing Building: Date. New Censtmction: Location of Property: ~:::X~'y /A~,.4~,/,~ _x~.~"]p~/~__~(.?~ ~../~ ~'/__ }loose No. Street Owner or Owners of Property:_ ~/~,2/~Z',o .z(~ ~:~//~ / Suflblk County Tax Map No 1000, Section ~7~.~? Subdivision (check one) Hamlet Block Filed Map. Applicant: Date of I'el mit. (check one) Permit No._,'~ Health Dept. Approval: Underwriters Approval: Plamfing Board Approval: ~ Request for: Tempo~ar5 Certificate Fee Submitted: $ ,~Or~*'~ Final Certificate: Lot ~,~.-~ Lot: Town Hall Annex 54375 Main Road P.O. Box 1179 S()uthold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ro.qer, richert~town southold.ny.us BUILDING DEPARTMENT TOWN OF' filOUTItOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Elizabeth Tremblay Address: 6060 Main Bayview City: Southold St: NY Zip: 11971 Building Permit #: 33796 Section: 78 Block: 4 Lot: 46.5 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 l~ Ind°°r l~l Basement l~ Service Only l~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Not Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Wall Fixtures I 11 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 Fixturesl I Time Clocks Disconnect Switches Twist Lock Exit Fixtures L~ TVSS Other Equipment: STORAGE SHED Notes: Inspector Signature: Date: May 25 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765- t 802 INSPECTION [ ]FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ~ C_~ [ ] ROUGH PLBG. [ ] IN~.~JLATION [ ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR_?~-~ TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 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 ~ INSPECTOR'~"~~ FIELD 1. FOUNDATION FOUr~DATIO~; 2. ROUGH FRAME & (1st) ¢2nd) .FLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMME~;TS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT -- 0~(; 9 ~-~' TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c .... . ....................... ......~ . ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ~ 3 SETS OF PLANS [ .' .-~.' [J ['' .'' - . SURVEY ........... ./... :! --~- SEPTIC FOR~I .............. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets of plans, accur{~te 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 publ/c streets ~r areas, and giving a detniled description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be c~mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 whatever until a Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or {egulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. [he applicant agrees to comply with al/ applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections. '" .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ( s n the tm3 roi1 or latest deed) it' applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~.).(~.~.A(./:~ .~. .............. Plumber's License No ........ ~ ................ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done. dC! .~'?.., .~,/.4( .A/...,~. 71/~'.k~../.~.o.,.~.~.. ' ... .......................................................... .... /..g:/.: ........... lIouse Number Street Hamle, t .~ .7/, ~ Cotmty Tax Map No. 1000 Section .. ~. 7.~ ......... Block . ..~. ' Lot Subdivision ..................................... Filed Map No ............... Lot (Name) ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............................. Repair .............. Removal .............. Demolition .............. Other Work ............ 4. Estimated Cost O~ -- 'z/',_.~--~__~5~ (Description) .......................... Fee (to be paid on filing this application) 5. Ifdwelling, number of dwelling units ............... Numbe · ~ · · If garage, number of cars ..... r of dwelhno umts on each floor ...... 6. If business, Commercial or mixed occupancy, specify nature a' ' · · 7. Dtmenslons of e,,~qn,, s*~,~+..-- .- - -~,.._._ nd extent of each tyre of use ' ' ,, s/~;~' ~' ~u~.tu,cs, liflny, vront 6~'--- - .,.-~--~'- ........... ~ ·. ,,. ont ../.er .......... Number of Stories .... O.~ti~ j ..... Kear t..~, ........... Depth· ~.~..~.t.. ...... ~nnensions of same structure with alterations or additions: Front ~D.epth ..................... Heieht ................. Rear ..... . 8. uimensions of entire new constru,-*~-Y~ ' '~' '~:~'~?~ ............ Number Stories . ' ........ 9. g~g~tf 1o~.?~. '.' ';$//' z_,N~umber of Stories..-Z~'.t~.~ .... Rear .Z ~ ........... Depth ~.~'.'~..~'. ........ 10. Date of Purfhrfs;t /.'-Ft'.-.//../-~.~.~(. ..... Rear.. ~7.,.O.t:P. ~ .';~o~.': j:: '~);;[~ '~>~,~--.'~.' ~.'/' '7~" ...... .................... ......... Name of Former Owner .................. 1 I. Zone or use district in which premises are situated .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .................................. 13. Will lot be regraded t~/O. W · ' ...................... ill excess fill be removed from premises: Yes No 14. Name of Owner of premisesff.~.~'...7~'~:.,q~.Z~, dres . Name of Architcct ~,,.,,,~, f- .~;2< ~kt s,~,-..,P~'~,,~ Phone N, ~92-'~x ~ ~'--' Name nrc,..*,- - ............. ~q'~'~'/'"~'-'~'°'4(' Address //~7".4~ .... ~.~ ~ '~ ...... ~ .q'.~.~ ... ........ ..actor ................. /g/x/ ................... raone r~o .............. ,.. i5. Is this property within 300 feet ;~' 7't'iYalAdwder~S~ "', ..... '_ ......... PhoneNo .......... · If es, Southol ,~.~_ m .... and. *Ye~. ~.. ' ..... Y d ~, x~us~ees ~ermzt may be requiri~.~ No ......... .... PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. rATE OF NEWyO~K~ ~u,vry OF..5;4 h .,?.o.c..m. .... S:S ............. · . woru, O¢po ,nd thC pp i ,.t (Name of individual signing contract) ' ' ore named. , is the. ~ ~/~ . ontractor, agent, corporate officer, etc.) .... said owner or owners, and is duly authorized to perform or have performed the said work and to m~e and file this ¢lication: that all statements contained ~ this application are truc to thc best of his knowledge and belief; and that the 'rk will be perfo~ed in the m~ner set forth in the application filed therewith. om to before me this ...... ff~ .... d~yof ...... ~:~g ~97A fa. Public ......... ~~& -- · ' County ... ......... TOWN OF $OUTHOLD PROPERTY RECORD CARD / - /: ~' ~ OWNER STREET VILLAGE DIST. SUB. LOT FORME~ OWNER "~ N E ,~_. ACR. S W ~PE OF BUILDING RES. ~: S~S, VL. FARM COMM. CB. MICS. Mkt, Volue ~ND IMP. TOTAL DATE R~RKS Tillable FRONTAGE ON WATER W~l=nd FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKH~D Total TOWN OF $OUTHOLD ~'~i~ERTY RECORD CARD~:! '~,: .~:.l--- ~ OWNER STREET VILLAGE DIST SUB. LOT FORMER OWNER N ~'~/~.'/: ' W ' v TYPE Of BUILDING RES. ~/ SEAS. VL t FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS Z. A~G~E ~ B. gILDING CONDITION. ' FARM Acre ~/alue Per .f V~alu~" Tillable 3 Woodland Swampland FRONTAGE ON WATER House Plot DEPTH ~.. BULKHEAD Total :. DOCK '- Extension~ Extension Extension Porch .. Garag~,/~ Patio O.B. L Ol COLOR TRIM Foundation Basement Ext. Walls Fire Place Type Roof Recreation Roorr Dormer Driveway Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floo= Town Hall, 53095 Main Road P.O. Box I 179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTItOLD April 18,2008 Elizabeth Tremblay P.O. Box 901 Southold N.Y. 11971 To Whom It May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: J An application for Certificate of Occupancy is not on file. (Enclosed) J No Electrical Certificate on file. J The Check is not on file -$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance fi.om Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval. BP #33796 Shed Town Hall Annex 54375 Main Road P.O. Box ! 179 Southold. NY 11971 0959 Telephone (631 ) 765 - 1802 Fax (631) 765-9502 November 28, 2011 BUILDING DEPARTMENT TOWN OF SOUTHOLD Elizabeth Tremblay PO Box 901 Southold, NY 11971 Re: 6060 Main Bayview Rd., Southold TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) ~_~Electrical Underwriters Certificate. __ A fee of $25.00. (Outdated check enclosed) 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. Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 33796- Shed 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 OF SOUTHOLD May 7, 2012 Elizabeth Tremblay PO Box 901 Southold, NY 11971 Re: 6060 Main Bayview Rd., Southold TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: v~ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) ~¢29~A $25.00. (Outdated check previously returned) fee of Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) __ 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: 33796- Shed ]] ~'lJ iO 32 JUL 2 819B0 SUFFO,LK CO. HEALTH DEPT. APPROVAL H. $. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYb~'E:MS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES (Si APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCT ION ONLY H. S, REF, NO,: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. :ceo o?8 4 '~ 4.4.~ ~4~,~ OWNERS ADDRESS: ' ' 22. HAEL~A~ TEL_ MY2-7622 DEED: L. P. .. TEST HOLE STAMP [o be satis£acto¢'~.~~ ' ~ LICENSED LAND 5UR' GREEN~RT ' ' ~EW YORK ~ 9 FR©NT iWt E NA/ H.ctGH T F~I~ G~ L~ V~ L \ ?