HomeMy WebLinkAbout33797-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
5/29/2012
CERTIFICATE OF OCCUPANCY
No: 35714
Date:
5/29/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ALTERATION
6060 MAIN BAYVIEW RD SOUTHOLD,
Sec/Block/Lot: 78.-4-46.3
Filed Map No. Lot No.
conforms substamially to the Application for Building Permit heretofore filed in this officed dated
4/7/2008 pursuant to which Building Permit No. 33797 dated 4/7/2008
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:
alterations, including windows, fir~lace and convert attached garage to family room, in an existing one family dwelling
as applied for.
The certificate is issued to
ELIZABETH TREMBLAY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 5/18/12
N-077362
Walter Berry
6/22/89
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII~JING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERI, IT NO. 33797 Z Date APRIL 7, 2008
Permission is hereby granted to:
ELIZABETH TREMBLAY
PO BOX 901
SOUTHOLD,NY 11971
for :
CHA/qGE WINDOWS,CONSTRUCT NEW FIREPLACE; & CONVERT ATTATCHED GARAGE
TO FAMILY ROOM AS APPLIED .REPLACES EXOIRED BP # 17959
at pr--m~ses located at 6060 MAIN BAYVIEW RD SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0004
pursuant to application dated APRIL 7, 2008 and approved by the
Building Inspector to expire on OCTOBER 7, 20~
Fee $ 50.00
~ Xuthorized S~9~e
Lot No. 046.003
ORIGINAL
Rev. 5/8/02
lt~wm' NO. B
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)
N9 0~7959 Z
Permission is hereby granted.to:~
v
....~.~...~.:.~...,.u..~.~...
,o ...~,...~.~,...~...~..~~.~.,...~..~
pursuant to application dated ....... .~14..C)~......c~..........'~.....~:.. ................ , 19~.CJ .... and approved by the
Building Inspectar.
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO!IrN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Depart~nent with the following:
A. For new building m' new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and u msual 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. Corranercial building, industrial building, multiple residences and similar buildings and installations, 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 ~o April 9, 1957) non-conforming uses, or buildings aud "pre-existing" land uses:
I. Accurate smwey of property showing all property lines, streets, building and unusual natm-al 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, Alteratious to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Busiuesses $50.00.
2. Celtificate of Occupancy ou 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, Co~rm~ercial $15.00
New Construction:
Locatiou of Proper~y:
Date. /~. ,2/~" Oo~''~
Obi or Pre-existing Building:
Itouse No. Street
(check one)
Hamlet
Sufiblk C. onnty Tax Map No 1000, Section _ Y,~D",~O~ . Block
Subdivision Filed Map.
Permit No. __~.~:~ 7' Date of Permit.
Lot:
Applicant:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ '
Underwriters Approval:
Final Certificate: ~
(check one)
'~ant S ~a~tu~e '2~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
I [qSJ 12
BUREAU OF ELECTRICITY
BB JOHN STREET, HEW YORK, NEW YORK 10038
~ ~ '
Date ,~0~ ]~
THIS CE~IFIES THAT
tt~;NR~ ,' 'rRE~BI~Y~ 6060
in t~ /oJlo~ing h~otion; ~ B~e~nt ~ Ist FI. ~ 2nd ~. ,%vtion Bilk Lot
FIXI~JI~ FIXTURES RANGES OVENS DISH WASHERS FANS
OUTtET$ SWITCHES FLUO~E~ENT OTHER
DRYERS FURNACE MOTORS FUTURE APflUANCE !IEEDIRS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF F~ET
SERVICE DISCONNECT S E R V I C
bIO. OF CC, COND A.W.G, NO. OF HI-LEG AW.G, !NO. OF NEUTRALS A.W.G.
OTHER APPARATUS:
.,.,.g,X 17<,8
This certificate must not be altered in any manner; return to the office of the Board if incorrect, may be
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF $OUTttOI~
CERTIFICATION,
Building Permit No.
Owner:
Plumber:
,~_lease print)
(please print)
lead.
oo
I certify that the solder us~cl in the water supply system contmns l~s than 2/10 of 1 ~
Sworn to before me this ~
day of /~'~.fi/ , 20 ,/2~'-
Notar/Public, State of New York
No. 01t06070081
Quali{ied i~ Sufi?~Counb/~.} t//
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [~/J' ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [ ] FINAL
REMARKS: ~/~,
/ ~'
DAT£ ~//?/~' ~
357 7
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
DATE
INSPECTOR
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~JLATION
[ ] FRAMING / STRAPPING ['~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REM~ARKS:______~
FOUNDATION
(1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
.PLUMBING
INSULATION
PER N.
STATE ENERGY
CODE
FINAL
ADDITIONA'L COMMENTS:
BLDG. DEPT.
· ,Tow. oFso .o,o
BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORM NO. I SURVEY ......... o
TOWN OF SOUTHOLO CHECK ..........
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
NOTIFY
$OUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL ................
MAIL TO:
.\pt, roved . .~..c~_. ~ . ~.2..., 19q. 3. Permit No.[ .~..~...
l~isapproved a/c ....................................
.....
( B u iTdTn g Inspector)
APPLICATION FOR BUILDING PERMIT
Date March 22 1989
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
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 giving, a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall 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
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 ail applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
· .......................
(Signature of applicant, or name, if a corporation)
· .B. 0~c. llT,. l~Iat~:ituck.,..N .. Z..11952 .......
(Mailing address of applicant)
State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................... .G.e or O, .Cor trac.e.ar ......................................................
Name of owner of premises Honr~..J,./I~'~mb3.a7 .....................................................
(as on the tax roll or latest deed)
It' applicant is a corporation, signature of duly authorized officer.
........... Robert. E..ItiZtz..-. L>~es .........
(Name and title of corporate officer) ·
ALL CONTRACTOR'S MUST BE SUFFOLK CODNTY LICENSED
Builder's License No ..........................
, 2z~5_lp
Plumber s License No .........................
Electrician's License No...~.6..~..5.E ...............
Other Trade's License No ......................
Location of land on which proposed work will be done~ . ~,.in. Bogrv±Ow. 2~oacLr .8ou,ghold.~..N,..~ .......
}louse Number Street Hamlet ~'~', 3
County Tax Map No. 1000 Section ...078 ............ Block ../4 .............. Lotp¢~L, .,~hlg-tu:%T .....
Subdivision ..................................... Filed Map No .... 162.9·-.6 .... Lot .......... ,. ....
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ......... .G.~l~¢g.o ......................................................
b. Intended use and occupancy ..... con.v.~r$od..to. ~..~-]-Y..t~0o.m.: .................................
3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ...X ......
Repair .............. Removal .............. Demolition .............. Other Work ...............
COZ/..~, ,,~...~i' .......................... Fee ~ S S ~[~ (Description)
4.
Estimated
(to 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 ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
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. Sizeoflot: Front ...................... Rear ...................... 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: ................................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name of Owner of premisesI~%V..T.~.m.'b.l.2[ ..... Address .M~t.i.n...B.ayx. i.~.w.-.S, q919]~o.7.65.-372.6 ......
Name of Architect ........................... Address ................... Phone No ............... :
Name of Contractor .Inland .tIome$ ,./m,¢, .... Address Box :117.,..l'~a'[;.t. .... Phone No.~98 .-9fi96 .....
15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... ,
*If yes, Southold Town Trustees Permit may be required.
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 comer lot.
STATE OF NEW YORK,
COUNTY OF...~l,.l.l*.l~J,J~: ...... S.S
............. .RobOr.~ .Eo. Hiltz .................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
t~bove named.
Ite is the ........ Col~.t:Eac/;or. .....................................................................
(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 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.
Sworn to before me this
................. 22md..day of. Maxch ............... 1989.
Notary Public .......... Su f f. ctlk ................
'~~li~a~t)
Inland Homes, Inc. ..
Town Hall, 53095 Main Road
P~O. Box I 179
Southold, New York 11971-0959
Fax (63 l) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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:
,,/ An application for Certificate of Occupancy is not on file. (Enclosed) t'~
No Electrical Certificate on file. ~-~'~6\:1~O~¢/0~ ~
~ The Check is not on file -$25.00
No Health Department Approval on file.
/~o final inspection has been made.
No Plumber Solder Certificate on file. (All permits involving plumbing being
issued after April 1, 1984)
Certificate of Compliance from Southold Town Trustees.
Approval of the Zoning Board of Appeals*
Final Planning Board Approval.
BP #33797 Alterations
Town Hall Annex
54375 Main Road
P.O. Box 1179
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: 33797- Alterations
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:
__ Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
v/' A fee of $25.00. (Outdated check previously returned)
Ainal Health Department Approval.
lumbers 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: 33797 - Alterations
Z
APPROVED AS NOTED
NOTIFY 8LJtL(~'.NC~ OEP~RTM~" '
765-1802 9 ~M 10 4 P~ FO;
FOLLOWING INSPECTIONS
1. FOUNDATIO~ TV~O
FOR POURED CONCR~E
2. ROUGH - FRAMING ~ PLUM;~
3. INSULA11ON
4. FINAL CON~TR~ION
BE CQM~.LJ'TE F,~)R C,O.
ALL CONSTRLICTI('~N ~ALL
THE REQUIREME~.;TS ~ THE
STATE CONSTRUCTION & ENERGY
CODES. N~ RESPO~IBLE
DESIGN OR CONSTRUC~N ERRORS~
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
* "' ,. SUFFOLK CO. HEALTH DEPT. ~F~OVAL
// STATEMENT OF INTENT
// THE WATER ~LY AND S~A~ DI~AL
/ ~E~ FOR THIS R~IDENCE WILL
*-~ . CO~FORM TO THE STANDARD~ OF THE
/ ~ /;~/ ~CE-I~_"I ~FFOLK CO. DEPT. OF HEALTH SERVICES.
// ~-~/ -/ ~LI~,~,~,~ SUFFOLK COUNTY DEPT. OF HEALTH
t ~.,~ ~/ SERVICES FOR APPROVAL OF
9~ .~.~ f _~ '-~--. I
~ . :~. TEST HOLE STA~
LICE~D ~ND S~Y~RS
~EE~RT ~W Y~K