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Home My WebLink About36810-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 6/1/2012 CERTIFICATE OF OCCUPANCY No: 35725 Date: 6/1/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: RESIDENTIAL ALTERATION 2820 Shipyard Ln, East Marion, Sec/Block/Lot: 38.2-1-39 Filed Map No. conforms substantially to thc Application for Building Permit heretofore 10/27/2011 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: kitchen renovation in an existing one family dwelling (condo unit 4K) as applied for. Lot No. filed in this officed dated 36810 dated 11/14/2011 The certificate is issued to Yellin, Jeffiey & Luby, Cindy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36810 5/14/12 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 #: 36810 Permission is hereby granted to: Yellin, Jeffrey & Luby, Cindy 41 Sherwood Gate Oyster aayl ~I-Y ~1 i771 Date: 11114/2011 To: construct a kitchen renovation At premises located at: 2820 Shipyard Ln, East Marion SCTM # 473889 Sec/Block/Lot # 38.2-1-39 Pursuant to application dated To expire on 5115/2013. Fees: 10/27/2011 and approved by the Building Inspector. SINGLE FAMILY DWELL1NG - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $200.00 $50.00 $250.00 Building Inspector 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 follmving: A. For new building or new use: 1. Final sm'vey 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 (8-9 form). 3. Approval of electrical installation from Board 0fFire Underwriters. 4. 'Sw.orn 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. 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 6~mpleted 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmilig pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.015. 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, Cominercial $15.00 New Construction: Location of Property: Date. .t~/~V / Iqr ~_~9/[ Old o,r Pre-existing Building: (check one) House No. ~ J Street . Ow erorO er ofP operty: Suffolk County Tax Map No 1000, Section '~ Block & Date of Permit. Filed Map. /~ g,9 ? / Applicant: Underwriters Approval: Final Certificate: V// Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submilted: $ Hamlet ~ ~,(checkone) ~l~ant~ignature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 119714)959 Telephone(631)765 1802 Fax(631)765-9502 rofler, dche~town.southold.n¥, us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Yellin/Luby Address: 2820 Shipyard Ln, Unit 4K City: East Marion St: NY Zip: 11939 Building Permit #: 36810 Section: 38.2 Block: I Lot: 39 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: RJ Corazzini Electric LicenseNo: 33419-me SITE DETAILS Office Use Only Residential 3 Ind°°r ~ Basement f~J 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 A/C Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: kitchen renovation,bath room exhaust fan Ceiling Fixtures ~[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures I 8J CO Detectors Fluorescent Fixtur,~ Pumps Emergency Fixture Time Clocks Exit Fixtures TVSS Notes: Inspector Signature: Date: May 14 2012 81-Cert Electrical Compliance Form.xls Town 54375 Main Road Soulfiol~ New York ! 1971-0~JS~ TOWI~ OF ~Olr~-~tOt.r~ O' easc print) . (Please l~tht) -CRRTIttlCATION lea~d, certify that tl~ s°lder u~ed' in'tim wnt~ supplysystem ~°ntnins leasthnn 2/10 Of 1% :* ": CONNIE D. BUNCHI ' Notary Public, State of New York No. 01BU6185050 Qualified In Suffolk County ~'-,I Commi~slon Expires April 14, 2 C..'__~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~(~TROUGH PLBG. [ ] INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION [ ] FOUNDATION 1ST ] FOUNDATION 2ND [ ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: INSPECTOR~1~' ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 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: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [//~NAL [ ] FIREPLACE & CHIMNEY~ [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~~'~ ~ DATE INSPECTOR--~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~J. ECTRICAL (FINAL) REMARKS: DATE INSPECTOR~--~-~ TOWN OF SOUTHO~ '.D BUILDING DEPAR~I MENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Examined _ fl !~c~,20 /i Approved _ _¢L[.20 Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health '"'""q 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Expiration '~/ 0(;~ 9_1 ?_0'1 ILk--J/ N F RBUILDINGPERMIT -I ~ I Date ,20 ~.~?,;~,n ~ INSTRUCTIONS ~ST be completely filled in by ~pewriter or in ink and submiaed to the Building Inspector with ~ sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationsbip 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 tbe applicant. Such a permit shall be kept on the premises available lbr inspection throughout the work. e. No building shall be occupied or used in whole or in pag for any purpose what so ever until the Building Inspector issues a Cegificate of Occupancy. f. Eve0' bnildiug pemlit shall expire if the work authorized has not commenced within 12 mouths aher the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the propert> have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Tbereafier, a new permit shall be reqnired. APPLICATION IS HEREBY MADE to the Building Depamnent fbr tile issuance ora Building Permit pursuant to the Building Zone Ordinance of the To;~n of Southold. Sufiblk County. New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or fbr removal or demolition as herein described. Tbe applicant agrees to comply with all applicable lax~s, ordinances, bnilding code. housing code. and regnlations, and to admit amhorized inspectors on premises and in bnilding for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) owner, lessee, agent, architect, enginee~l con~lectrician, plumber or builder State ;vhether applicant is Name of owner of remlses (-.~t ~ × £ ~' .,x t /q //- (As on the tax roll or latest deed) ~ ap~)icant },g~fi~mtion, signature of~ly author~ed officer d~N~e and title of corporate omcer) e~cense No. ~q I Plumbers License No. ~clq ~ ~ Electricians License No. '~ ~ q - ~ ~ Other Trade's License No. Location of land on which proposed work will be done: &~&l.O House Number Street Hamlet County Tax Map No. lO00 Section ~ , ~ Block 5 Lot ~q Subdivision Filed Map No. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~l,g. ~P~¥~b~. Co~OCy 3. Nature of work (check which applicable): New' Building Repair Removal Demolition 4. Estimated Cost ~ 5. If dwelling, number of dwelling units If garage, number of cars Intended use and occupancy ~.M'(Sk, E- ~ e,~c,,q ~70*-~O O Addition Alteration J Other Work ~t"~6,~'~te~ ~.e,-~OV~-rtol'A. (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 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 Depth. Height Number of Stories Rear 8. Dimensions of entire new' construction: Front Height Number of Stories 9. Size of lot: Front Rear 10. Date of Purchase Rear Depth Name of Former Owner .Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning laxv, 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 ofpremises(30qOy L~,-,/ Address O~q~ t4 i/_ Phone No. ,~} NameofArchitect h~-~ Ce,o¢_rga-.~\ Address Po~:o~12ol PhoneNo Name of Contractor ~g-~,~t., (.x:~T Address POgrom- ctcB\ PhoneNo. t-4~o'~-D-Iqb 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES * 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. NO 16. Provide survey, to scale, with accurate tbundation 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__ NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O1~~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNOH Notary Public, State of New York (S)He is the No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Qual~ in ~tmoik Oou,,ty ~.-. Oommleelon Expires Apri! 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 Notary Public L~re of Applicant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0~59 Telephone (631) 765-180~ ro.qer, richertdt~w~!s~o~u~o~fi.ny, us BUILDING DEPARTMENT TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: /O-- .,l//-// JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: (*Indicates required information) 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) (Please Circle All That Apply) *Is job ready for inspectiOn: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES /~%..~ .~Rou,qh In Final YES 3Phase 100 150 200 300 350 400 Other Underground Number of Metem Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Town H~ Annex 54375 M~ Ro~d P.O. Box 1179 Southold, NY 11971-0959 Te]ephone (601) 76.5-1802 ax (631) 7 5 ro~er, riche rt(~own.soururu~l~5o(~(~, ny. us BUILDING DEPARTMENT TOWN OF $OUTI-IOLT~ APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Z',~. (/~//~! ~, Company Name: ~,_-~'r~/4 gz, ~ ..' ~/~ ~, ~ ~ame: ~o ~ / t ~ , ~ ~O/~Z,~ / ~. Date: /-,~ JOBSITE INFORMATION: (*Indicates required information) *Phone No.: Pe~it No.: Tax Map District: 1000 Section: ~ Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) //: ../ 4. _, / .:,-.,,- (Please Circle NI That Apply) *Is job ready for inspectiOn: *Do you need a Temp Certificate: Temp Information (If. needed) *Service Size: 1 Phase 3Phase 100 *New Service: Re-connect Underground ~NO YES/~ Additional Information: Final 150 200 300 350 400 Other NumberofMetem Change ofService Overhead PAYMENT DUE WITH APPLICATION 82-Request fo, Inspection Form Town Hall Annex 54375 Main Road P.O. Box I 179 Southold. NY 11971-0959 Telephone (63 I) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 24, 2012 Jas-Mar Construction PO Box 481 Southold, NY 11971 Re: Yellin, 2820 Shipyard Lane, East Marion 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 4/1/84) __ 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: 36810- Kitchen Renovation [2ff_.f't, OL ITID NI FL.~N and obtained by the Con~ractor. Scheduling ~nd oblainin§ reqmr~i inspection~ mm authorities hivlrr~ Uff M4" = I'-0" BUILDING DEP, {IMENT AT UIRED 3 INSULAr'ION ALL CONSTRUCTION SHALL '~,E ET THE YORK SPATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, IqO'T~ ' ELECTRICAL , INSPECTION REQUIRED Kitch~ Renovation fo~ CAndy Luby DemoUfion Plan, Moor ARS 10/18/11 RFVISED: 1 OF