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HomeMy WebLinkAbout35587-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 6/4/2012 CERTIFICATE OF OCCUPANCY No: 35729 Date: 6/4/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: FIRE REPAIR 35995 MAIN RD CUTCHOGUE, Sec/Block/Lot: 97.-1-21 Filed Map No. conforms substantially to the Application for Building Permit heretofore 5/12/2010 pursnant 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: fire repairs, including covered porch and deck, to an existing one family dwelling as applied for. Lot No. filed in this officed dated 35587 dated 5/25/2010 The certificate is issued to Elizabeth & Mark Macnish (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIHCATE NO. PLUMBERS CERTIFICATION DATED 11/1/10 35587 5/31/12 e 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) PERMIT NO. 35587 Z Date MAY 25, 2010 Permission is hereby granted to: ELIZ~BETH M MACNISH 35995 MAIN ROAD CUTCHOGUE,NY 11935 for : EMERGENCY FIRE REPAIR TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 35995 MAIN RD County Tax Map No. 473889 Section 097 pursuant to application dated MAY Building Inspector to expire on NOVEMBER CUTCHOGUE Block 0001 Lot No. 021 12, 2010 and approved by the 25, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTItOLD 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: t. Final survey of property with accurate location of all buildings, property lines, streets, and unusual uatural 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 certifyiag that the solder used in system contains less than 2/10 of I% 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 Plamfing 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 writiug to the applicant. C. Fees }. 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- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Location of Property: _~6~6~ 5 ~ ("~i g'x ~-~. House No. Street OWner or Owners of Property: Suffolk County Tax Map No 1000, Section Su~'division Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~[- (check one) (..J Hamlet Block i Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (check one) / ' ' ~,l~rl~ai~t Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765 9502 ro.qer, richert~town southo d.ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Elizabeth M Macnish Address: 35995 Main Rd City: Cutchogue St: NY Zip: 11935 Building Permit #: 35587 Section: 97 Block: 1 Lot: 21 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Mike Wilson Electric Inc License No: 5139-me 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 Service 3 ph Hot Water GFCi Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 1-exhaust fan Ceiling Fixtures [] HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures [~] TVSS Notes: Inspector Signature: Date: May31 2012 81-Ced Electrical Compliance Form.xls Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765,1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Owner: (Please print) Plumber: ~ ( {d t;~ 'J--l~ (- (Please print) Date: /11/ lead. I certify that the solder used in the water supply system contains less than 2/10 of 1% Sworn to before me this '3 day of _ ., 20 Ir3 Notary Public, I~ONNI[$. DOROSI{I ~ofav] Ptt blic, State Of No. 01006095328 Svffo County Term Ex/] res July ?, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI !ON [ ] FOUNDATION~ 1ST [/~'ROUGH PLBG. I ] FO~U~DATION 2ND [ ] INSULATION [/,/]' FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAfe:~ ~' INSPECTION [ ] FIRE RESISTANT CONSTRUC110N [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~/~//~/~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~,RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [~] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE_~/~ INSPECTOR ~~~_ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 15T [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ [ ] ~l~.,~'r~m'r~ [ REMARKS: [ ] ROUGH PLBG. ~(~ INSULATION [ ] FINAL ] FIRE SA~c, ~ INSPECTION ] fiRE RF~STANT PENETRATH)N DATE ~ - / ~ - / o INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ] RO.~! PLBG. [ ]/~iSULATION [~'] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ REMARKS: ] FIlE RESISTANT C0NSTRUCTION [ ] FIRE RESISTANT IIENElliATION · / \¥ 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) ~L~LECTRICAL (FINAL) REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD B U ILE'nlN G DEPARTMENT ]'OWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c 5/> f,2o/V 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 N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Expiration 1/1~03, 20 {I /fl/~,~ ~ ~ ~ ~ ~ ~ ~ ~ ~Insp~ctor ~ ~PPLICATION FOR BUILDING PE~IT State whether applicant is owner, lessee, agent, architect; Engineer, Name of owner of premises ~/7 ~ ~ [~ 14 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 has 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 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 all 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) ijSE kq UNLAWFUL 'ViTH()LITCERTIFICA 3o 7 /qT,.r 5oozing? (Mailing address of applicant) general contractor, electrician, plumber or builder PROVED AS NO, ,ED C,--.C. # . rh 17~ ~3 c r~ ~S ~=. e,.,~,,_.. ~ . If ap~9$o~oration, si~ature 0f duly authorized officer ~_. 8 ~ TO 4 PM FOR THE '. · , . - ~ . - ............ ~,,~'~ ~J~.L 1. FOUNDATION ~ g~me ana m~e o~ co.orate omc~EET THE ~En~ q~ .... ~ ........ F~ ~m--;: ' '"- Builders License No. /~/~d ~ ~ ' STRAPPING, ELECTRICAL g CAULK~NS Plumbers License No. Electricians License No. m,nr.,,,...-.. ^. ........ ~ unuJ. n imll Eno ~,[1"[ I IFIbhl Other Trade s License No. MI:UUIMI::U 1. Location of land on which proposed work will be done: ¢, 3. INSULATION 4. FINAL- CONS'?RUCTiC~ ~ ELL:_: m~L MUST BE CO~,~F: ~TE' ~0~- ~ t%L C' qS' P JCTIC, N S~'~LL ~' ~ rHf ~Er ",E~'~NTS OF !~E C ~;r gO:: ~; ST/ NOT RESPuNSk :)R ~ ~/~ ~ C 0 TC~I6 ~ O ~SIGN ~ COndUCTION ERRORS House Number Street County Tax Map No. 1000 Section Subdivision q7 Block D [ Filed Map No. Hamlet I~ETA/N ,STORi~i WAT£~ RUNOFF PURSUAI~I~tr~.r~u ~ ~ O~ ....... ,~n 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy ff lto~L~: (cyOr~lCV' b. Intended use and occupancy 3. Nature ofwork..(check which applicable): New Building_ Repair ~ Removal Demolition 4. Estimated 5. If dwelling, number of dwelling units / If garage, number of cars Fee Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor / If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Z Height ~ O Number of Stories Rear ~ 52. _Depth Dimensions of same structure with alteratio, qs or additions: Front 2~ P-- Depth ~ '-~ Height ~ o Number of Stories Dimensions of entire new construction: Front Height Number of Stories Size of lot: Front ~0 Rear 'pt.{. ff~' Rear ..T P__ 10. Date of Purchase ~/u/c~/t-O'°~j Name of Former Owner 11. Zone or use district in which premises are situated J~ ~/0 Rear Depth _Depth ~,-~ }'7tt~(203/ 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.flJYEE~S NO 14. Names of Ownerofpremises ~P~u~ Address c~14ogu~' PhoneNo. NameofArchitect O~¢eqr ~g~- Address OOX/gtz ;oorgO~oneNo NameofContractor~0~t~ go~ Address,~ PhoneNo. 7~V-~(~ 15 a. Is this prope~y within 100 feet of a tidal wetl~d or a ~eshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this prope~y within 300 feet of a tidal wetl~d? * YES * 1F 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO X.-'/ STATE OF NEW Y=Og~L) SS: COUNTY. O_.F~_.__--.....i , ' . t3: ,, - M~ ' 7' ~ ; being duly sworn, deposes and says that (s)he is the applicant (Name of ln&wduat si~g contract) above named, C0tt~lt£ Notary Public, 8tare of Nsw ¥0r~ ~ ~ N0.01BU61850§0 (S)He is the : (Contractor, Agent, Co.orate Officer, etc.) Commission of said owner or owners, and is duly authorized to perform or have performed ~h~ said work and to make and file this application; that all statements contained in this application are tme 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. Notary Public ' / Signature of Applicant : ~-LLS BO,,2dtD MEMBERS · Gerard E Ooehriugc~. Chairman Lydia A. Tc, rtora George Homing Ruth D. Otiva VLqc~nt OrIando BO.a~RD OF .,43~PEALS TO~' N OF SOUTIIOLD Sou~h~dJ To'xn I-t::dl 53095 Main Road P.O. Box 1179 Southold, New '~t, rl: 11971-0950 T~lepho~e {63i'~ 765-1 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF SEPTEMBER 5, 2002 Appl. No. 51 ;'2 - ELIZa, BETH MAONISH and MARK MACNISH. Lo~afion et Property: 35905 Main Road, Cutchogue; Pamel 97.-1-21. SEQRA DETERMINATION: The Zoning Board of Appeals has visiter the properb/ unde~ consideration in this application and date[mines that this review falls undo[ the Type II cote,2ory of the State's List. of Actions, without an adveme effect on the environment if the project i$ implemented as planned. PROPERTY DESCRIPTION: This property contains approximately 20,500+- sq. fl. total lot size with 90 ft. frontage along the nortli side of the Main Road (a/k/e Slate Route 25) in Cutchogue The p~opedy is improved with a single-family dwelling with existing setbacks as follows' 9.9 and 10 fcet on the east side: 30 ll. on the weal side; 23.5 from the front perch and 3 i .7 feet from lhe corner of the dwelling foundation area; and a vast rear yard arco. BASIS OF APPL. IDATION: Building Department's December 17, 2001 (and June 7, 2002) Notice ur Disapproval denying a permit to construct additions/alterations tO the existing dwelling. The reasons stated in Ihe Disapproval are: (a) one side yard is less than 10 feet for alteralions and addition, (b) the total combined side yards is less than 2~ ~oet for alterations and addition, and (,;~ tile front setback for an addition is proposed al less than 35 feet. FINDINGS on FACT The Zonin0 Board of Appeals held a public head[19 on this application on August 22, 2002. at which time written and oral evidenr:e was presented.. Based upo~ ali testimony, documentation, p~,-,onal inspection of the property and the area, and other evidence, the Zoning Board finds tee follo~'&~u feels lo be tn.m and re;event. AREA VARIANCE RELIEF REQUESTED: Applicants are requesting .... REASONS FOR BOARD ACTION: Based on the testimooy and record before the Eeard a~d per, mini inspecffon, the Board makes the fallowing, healings: '~ Grant of a varianc~ by way or alternative relief, with Conditions. will nol produce at1 undo:qrabl~ change iu character of, nelgt~borhood or a ¢letdmen! to nearby properties The app~ic, ant W~Shes construcl 8S8 Sq. ~. for a pomh and 824 sq. ft. for an addltlon, whic~ includes one-stoP/ height at the east nnd soutl~ ends of tt~e ex,ting dwell;n0. aJld two-sto~ height at thc nodh end o( the house The new construction will be 10 teat ~.9 and 8 feet 3t its closes{ points to the east side line ~ns~ea,'3 of 15 foot. The tmnf ye< (soulh side of dlo dwelling) ls proposed far heiahl ahd ~Jh a greater setback than [ha* applied for. The existing setbae~ is 23.5 feet to a small parch, and Ihe ~lew {runt yard wit1 be increased hum 23.5 feel tO 25 feet al ~ls closest points to tee front lot I[ne. 2. Applicants' request tat a setback at 19.7 feel itl.stear3 of the cede requ;remen! of 35 fl. is · .-Page 2 - September 5, 2002 Variance Apl~l, No. 5172 - E. and M. MacNish 87-1-21 at Cutcbo§ue requirement. Therefore, the alternative relief is more Conforming than those existing within 300 feet of this building. 3. The benefit sought by the applicant cannot be achieved by some method, feasible far applicant to pumue, other than an ama variance because the building Is existing and the lot is nonconforming as to let size and Iol width, and the proposed location of the additions ia feasible [o the applicants. 4. The ar~a variance is not substantial. 5. The proposed veda nco will not have an adverse eft~ot or impact on the physical ar environmental conditions in the neighborhood or distdcL No evidence has been submlttod to suggest the ncw Io~atio[t of the additions er alfemtlons will have an adverse effect er impact on the pbysicat er ~hvlmnma.tal conditions In the neighbedmod or district. /BOARD ACTiON/RESOLUTION: In considering all ortho above i'adors, the following action was tCkcn' On molien by Chairman Goehringer, seconded by Member Orlando, it was t;he ~ re, de j,u.u~ & a ~ ~ ~ d~;.~;;b=:~la;,~. SUBJECT TO THE FOLLOWING CONDITIONS: The Board of Appeals reselYes the dght to visit the srte regarding compliance with tbs. coodltions of this approval, end conditions of Special Exception No. 5161 under this date, before a Certificate of Occupanoy (or Certificate of Compliance) is issued. This action does not authorize er condone any Curre~t gl future use, setback or other feature of the subject property th~l may violate the Zoniu(j Code, other than suc~ ~ses setbacks and other features es ere expressly addressed in this Homing af Fishem Island was absent.) T~llS Resolutlon,j~as"duly adopted (4~,~'~?~// - i r; -, qJ',-,I ": '-!-:.- ' ' Town of Southoid Erosion, Sedan & $'---~0~ A-~-'ESSMENT FOR'I PROPER~tL~.~ATION: * S.C.T.M~: ~ THE FOLL~ING A~IONS ~y REQUI~ ~E 8UR~i~ION OF ~ ~ / i ~l ~-~-~--WA~K G~i~G D~N~p ~D ERO ....... -- -- ~ - =.~u F __::::- SION ~ROL PU DIs~d ~on Bilk ~ G=~; errED BY A DE-.;.. PROF=~L IN THE ~A~ OF N~'Y~ Item Number:. (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No Will this Project Retain Ail Storm-Water Run-Off Generatud by a Two (2")Inch Rainfall on SRe? / (This Item will include all run-off created by site clearing and/or construction aclMties as well as all Site Improvements and the permanent creaiton of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures thdicating Size & Location? This item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl -- Will this Project Require any Land Riling, Grading or Excavation where there Is a change to the Natural r~ Existing Grade Involving mere than 200 Cubic Yards of Matedal within any Pamel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Th0usand (5,000) Square Feet of Ground Surface? r'~ Is there a Natural Water Coume Running through the Site? Is this Prelect within the Trustees Jurisdiction °r within One Huedred (100') feel of a Weflaed or Beach? Will there be Site preparation on E.'dsting Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or In the direction of a Town tight-of-way? Will this Project Require the Placement of Matedal, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? r~.~.~-7 / NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitred for Review Prior to Issuance of Any Building Permftl EXEMPTION: Ye.__~s No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answerad Yss to this Questtun, a Storm.Water, Grading, Dralnege & Erostun Control Plan is NOT Requlredl STATE OF NEW YORK, COUNTY OF ..~~..... SS That I bei ................................................................................ ng duly sworn deposes and says that he/she is the applicant for Permit, (Name of individual signfng Document) CONNIE D. BUNCH And that he/she is thc ................................................ N0tary Public, State 0f New Y0r~ .......................... ............................. · ,,~ ~ ~porateO~cer, ac.) ~ualifiedinSuffokCounty ~.. Owner and/or representative of the Owner of Owt3.or'~ ..A :. a.J.. .t - .. ~;ommissjon Expire%April 1~ 20 t~ -- -, ,-,u ,~ umy aumonzeo to penonn or nave ponormedthe saia work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and beliet~ and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before rne this; [ .~7..~ day of "' ......................... : .................. , ................. (Signature of App~canl) ..................... Towa I-Jail Am~x P.O. Box 1179 · Southokl, NY 11971-0959 Telephone (631) 765-180~ BUILDING DEPARTMENT TOWN OF SOUTHOI.n APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required infomlation) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: ,I 1000 Section: . O~-t Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~ ~,..,..~'~ ~ I kJ t (Please Cimle All That Apply) *Is.job ready for inspection: ~'Do you need a Temp Certificate: {~;>/NO RC~ougk I~ Final YE.S Temp'lnformation (If needed}- *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Sen/ice Overhead Additional Information: PAYMENT DUE WITH APPLICATION ~q~ .©0 82-Request for Inspection Form /o o o - 77- TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FORMER OWNER STREET~ ~ '' VILLAGE $ ACR. TYPE OF BUILDING FARM LAND IMP. TOTAL DATE COMM. CB. MICS. REMARKS Mkt. Value SUB. LOT F' AGE NEW NORMAL BELOW ABOVE FARM Acre Value Per V~lue Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland Hou~P,~l~ BUILDING CONDITION DEPTH BULKHEAD DOCK Total 97.-1-21 2/05 COLOR TRIM 1st 2nd PC ~ll~. ~'~'~r~re' ~ t¢,Z~:) 5~ 5~ Foundation c~ FuLLFin'B'CO,SO Bath Dinette Extension ~ ¢5 ~ Basement CRAWL PARTIAL Floors Kit. Extension Extension Fire Place ~,o; ~ ~ Woodstove BR. Patio Porch ~tZ; [~ 2~ ,~5~ ~t Dock Faro. Rm. Deck Garage l'oxln I lall :'xnncx 5 t375 Mai. Road P.(). Bo× I lY9 SoulhoM, NY 119714)959 Tck'l)llcn it' (631 ) 765-181)'-) I:ax (6;ll) 7654t502 1½[ I11 ,DIN(; 1)I:J)ARTM I'2NT TOWN OF SOUTHOLD October 4, 2010 Elizabeth Macnish 35995 Main Road Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ 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 Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35587-Z fire repair 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 September 16, 2011 Elizabeth Macnish 35995 Main Rd Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: '/'/ Application for Certificate of Occupancy. (Enclosed) v/' Electrical Underwriters Certificate. ~/^ fee of $25.00. 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. Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 35587- Fire Repair Town Hall Annex 54375 Main Road P.O. Box 1179 Soulhold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 Janua~ 11,2012 BUILDING DEPARTMENT TOWN OFSOUTHOLD Elizabeth MacNish 35995 Main Rd Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: l~Application for Certificate of Occupancy. (Enclosed) '~'Electrical Underwriters Certificate. (~A fee of $25.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 35587- Fire Repair AREA=t~o2$O .50. FT ANY ALTERATION OR ADDITION TO ~ 5~RVEY 15 A VIOLATION OF SECTION 720~0F THE NEW YORK 5TA ~ EDUCATION LAW. ~,¥¢[rPT AS P£R SECT/ON 7209-SUBOIVIEION 2, ALL CERTIFICATIONS H~ON AME VALtO FO~ THIS MAR AtV~ COMIES ~-E~OF' ONLY IF ~ ¥~ ~ ~.Otl~S BEAR THE IMPRESSED S~AL OF THE SURVEYOR FiF~O~ ~R~NA TUMr~ A~EAR~ HEREON. SURVEY OF PROPERTY AT CUTCHO~UE TO,tN OF SOUTHOLD SUFFOLK COUNTY, N.Y. lO00-9~-OI-EI $EP~ 4. 2003 {631) 765-5~ {6,.T1) 76,5-1797 P.O. ~70X 909 .... SOUTHOLD, N.K 1~9Z1' 102-~ ,/ NO KNOWN ~URFACE WATER~ O~ V~ ~ t.A,~ WlTH~N ~ FEET OF IUBJECT PARCEL ONE PRNATE ~ff:l ~ EXIST8 WtTHIN 11~ FEET OF ALL OTHER ~ PRO~RllF~ ~EKNED /- TA~# ZON~ FLOO'D USE Exl~l~ BUILDIN~ ,/,,REA HOUSE ~80 sq, It, PROPOSED PORCH ADDIT)ON SiTE DATA .44 ACRE8 - tI,22~ SQ. FT. 10~ - 97 -01 -21 40~RESII~NTIAL "X" (OUTSIDE 500 YEAR FLOOD) SINGLE FAMILY DWELLING ~INGLE FAMILY DWELLING 6~ll m:l. ft. 124 I(I. ft. t,2~0 sq. ft. TOTAL 2,702 Iq. ft. LOT COVERAGE EXISTING 7.4% PROPOSED 14.1% OWNER ELIZABETH M, MACNISH 35~5 Main ftoad I . ~ - Cutchogue NY 11935 ~ -J ~ ~'~,-, ~ , t f ~=. SURVEYS, SO~LD, NEW YOftK, ~TED: N~EM~R 27, 2~1 Traveler Street Southold'N.Y. 11971 sc~, ,._ z.' :Y~'~:._~.~.~....~.:~~~ , : I°~~~~ I ~_~ t I '+ N0t1~: ENTII~E ~ OF FOUNDATION TO HAVE C~ W WATERIq~QOFING ~ IN~TALL.ED A~ IMWJFACTUM~O BY "~RACE', "CA~J.I~E" O~ APIm~OV~D EQUAL 4" IN FRQM THE O4~N~R8. BOLTI  I////~C~.~ ~ ~ Iarchitect I r-tttttttt ilii1 N4 A-A \V ~ ,/~ '-'F ~ L----F_---"v'A~'I" I ~ -z~.~ ,~',--L..,. ~.--- .-~ / ,4.-" ----'--~' -~" -- .... · I NO~: EXIS~NGWO~ -- 'L-- - / v { EVERYRO~F~MINGMEMBERMUSTHAVEA~GH~NDRESISTA~MECHANICAL TO RE~IN 1230 Tra eLer Street Southold CONNECTION MAOE TO THE SUP~R~NG TOP ~ OR GIRDER AS PERCOOE. /I ~ ~ * ~,?~"7~ / /~ C~NECTORSM~TBEGALVAN~nORSTA~S~S~EL~M~UFACT~EOBY NOTE: NEW~n~Tn ~ ~ ~.~,~/ 631- 765 - 5455 J "81M~ON 8~NG ~E" 8~D ~D INSTAL~D ~ ACCORDANCE ~ ~UFACTURERS P~VIDE ~D I~TA~ "iCE & WAT~ SH[~" ~ ~UF~REO BY O~CE OR ~ e= ,u~-~;;;; -- ~ ] ~'-~% ~:' I