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Home My WebLink About37266-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 10/3/2012 No: 35983 Date: 10/3/2012 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 520 GABRIELLA COURT MATTITUCK, SCTM #: 473889 Sec/Block/Lot: 108.-4-7.23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application fbr Building Permit heretofore filed in this officed dated 5/30/2012 pursuant to which Building Permit No. 37266 dated 6/1/2012 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: finish second floor in existing one family dwelling as applied for. The certificate is issued to ROBERT BOPP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTIt APPROVAl, ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 10/1/12 37266 9/12/12 ttrizTimothy Horton 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 #: 37266 Date: 6/1/2012 Permission is hereby granted to: ROBERT BOPP P.O. BOX 4O3 MATTITUCK, NY 11952-2477 To: FINISH SECOND FLOOR AS APPLIED FOR At premises located at: 520 GABRIELLA COURT MATTITUCK SCTM # 473889 Sec/Block/Lot # 108.-4-7.23 Pursuant to application dated To expire on 12/1/2013. Fees: 5/30/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $540.80 $5O.OO $590.80 Building Inspector l%rm N~. 6 TOWN OF $OUTHOLD 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: ,6. For new building 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 (8-9 form). 3.. Approval of electrical installation from Board 6fFire Underwriters. 4. '8w. om statement from plumber ceffifying that the solder used in system contains less than 2/I0 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 P!anning Board Approval of Completed site ptan requirements' B. For existing buildings (prior to April 9, 1957J don-conforming uses, or buildings and "Pre-existing" land uses'; 1. Accurate survey of property showing all property lines,~s~, building and unusual natural or topographic features. · 2. A properly ¢gmpleted application and consent to i ' · ~ · · nspect stgned.by the appl cant. Ifa Certtficate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificaie of Occupancy = New dwelling $$0.00, Additions to dwelling $$0.00, Alterations to dwelling $50.00, , Swlmmilig po01 $S0.00, A~¢essory building $50.00, Additions to accessory building $$0.00, Businesses $$0.00; 2. Certificate of Occapancy 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: Location of Property: _.. House No. Owner or Owners o? Property: _. Suffolk Copnty Tax Map No 1000, 8ecti0n _. ?~ ,Cf' :Subdivision Permit No. ~q ~k~ Date of Permit._ ~e - / Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificatc ZeeSubmiued: $_~ - _ Old or Pre-existing Building: Street · (check one) Bieek _ q Lot Filed Map. _ Lot: - i ~, Applicant:. /). ~' /9 p Underwriter~ Approval: Final Certificate: __~b'~ (check one) Hamlet : Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971-D959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 roger, richert~.town, so uthold, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Bobby Bopp ~,ddress: 520 Gabriella Ct City: Mattituck St: NY Zip: 11952 Building Permit #: 37266 Section; Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: Big Blue Electric License No: 35348-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Com m erical Outdoor 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage Service 1 ph U Heat Service 3 ph ~ Hot Water Main Panel NC Condenser Sub Panel NC Blower Transformer Appliances Disconnect Switches Other Equipment: INVENTORY GFCI Recpt Single Recpt Range Recpt Dryer Recpt Twist Lock 2-exhaust fans, 1-wirlpool bath Ceiling Fixtures ~~] HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture Pumps Emergency Fixture Time Clocks Exit Fixtures U TVSS Notes: Inspector Signature: Date: Sept 12 2012 81-Ced Electrical Compliance Form,xls Town Hall Annex 54375 Main Road P.O. Box 1179 Sou~hold, New York 11971-0959 Telephone (63 I) 765~ 1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: (Please print) Plumber: · ' (Please print) 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 [ , Notary Public, "~'¢ {' County ALBENA MITOVA NOTARY PUBLIC-STAlE OF NEW YORK NC 01 MI6249841 Quaillled In Suftolk Couhty My Commission ~xooe! Octo~)4~ 1 I. 2015 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPEC/T ON FOUNDATION 1ST [/] ROUGH PLBG. ] ~UNDATION 2ND FRAMING / STRAPPING [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE ///~//£~J INSPECTOR TOWN OF SOUTHOLD BUILDING DEP'~ INSPECTION FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY ~ ELECTRICAL (ROUGH) [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTO~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~,~'INSULATION FRAMING/STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION ~ FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~ ~.~_- _ INSPECTOR 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: INSPECTOR~--'~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ROUGH PLBG. 1 ,.s.~'A~°. ~AL [ ] FIRE SAFETY INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: '~.. ,~_/ DATE INSPECTOR_~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined d~//, 20 ,~d~ Approved Disapproved Wc Expiration /')///, 20 ~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, belbre applying? Board of Health 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: t' Building~ns'pector Phone: t~c~q- q6, APPLICATION FOIl BUILDING PERMIT Date ,20 INSTRUCTIONS a. Tiffs application MUST be completely filled in by type,,sriter 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 b? this application may not be commenced before issuance of Building Permit. d. Upou approval oftbis application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on tile premises available for inspection thronghout tbe work. e. No building shall be occupied or used in whole or in part for any pnrpose 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 amend~nents or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, iii 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 tile 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) ( Mailing address of applicant) State whether applicant is ovmer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 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. (JXs~on the tax roll or latest deed) l. Location of land on which proposed work will be done: House Number Street ]OV,,h (E 5, ,i:l! Hamlet County Tax Map No. 1000 Section } ~)~ Block q Lot --/. ~, '~ Subdivision Filed Map No. Lot State existing use and occupancy of premis~e8 and intendecjk use ~,nd occl~pancy of proposed construction: a. Existing use and occupancy 4F~:5~t..e (1 ~,~62_% b. Intended use and occupancy ~,x_z~ ~ Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Alteration (Description) (To be paid on filing this application) Number of dwelling nnits 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 Dimensions of entire new construction: Front Height Number of Stories Rear .Depth Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. 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 fi'om premises? YES NO 14. Names of Owner of premises '-~n~9.~.LT "~0 ,¢,o Address %a0~a.~l ~7/,ct~},H~,~Phone No.~3l-~5~z-{-q0q'~- Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet cfa 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 tbet cfa tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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 STATE OF NEW YORK) SS: COUNTY OF .) ~t'~/)--~-[" ~79/.2 ~ being auly sworn, deposes and sa.xs that (s)he is tile applicant (Nam'e~6i'individua sigh/ia contract) above named, CONNIE D. BUNCH Notary Public, State of New York (S)He is the ~,,, n-m~ m.mr-,n~n (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County.a ~ Commission Expires April 14, 2(.~LU of said owner or owners, and is duly authorized to perform or have perfbrmed tile said ~ork 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 tberewith. Sworn to before me thi,t,,t ~'-~ dayof ~1\OA5~- 20]03- Notary Public Jun 01 12 09:33a NYSDOT 6314511390 p.1 Date: To: Re: June 1,2012 JAMES J. DEERKOSKI P.E. 260Deer Drive Mattituck, NY 11952 (631) 774 7355 Town of Southold Building Dept Bopp Gabriella Court Mattituck, NY To Whom It May Concern: This letter certifies that the Plans submitted on the above mentioned pr, oject meet all State a_nd Local Egress, Lighting and Ven~ion Codes. Any questions feel free to call. ,, "J~meJs ~x~D~. e~oski P.E. Town of Southold - Chapter 236 - Stormwater Management ~ SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) TelephoneS: I Fax#: Telephone#: I Fax#: · roperty Address: Brief Descripfon of Construction Activity, Proposed Structural BMPs, Soil S~abalization BMPs, Project Scope and/or Sequence of Construction Activity S.C.T.M.#: 1000 ~ 1'4 r'l'__~I Will this Project Disturbe five (5) or More Acres at [~] Any One Time During the Proposed Development ? Yes No a. Does the Applicant have a Qualified Inspector On ~ [-'-"] Staff To Conduct the Required Inspections ? Yes No Inspections will Occur and for What Period of Time ? Yes No c. Does the SWPPP Adequately ldenlify AII Tempora~y ~ and/or Permanent Soil Stabalization Measures ? Yes No d. Does the SWPPP Adequately Identity a Complete ~ ~ e. Does the SWPPP Indicate Additional Site Specific [-'--] Prac ces that Will be Utilized to Protect Water Quality ? Yes No Of Intent and SWPPP Acceptance Form for Review ~ ~ by the Town of Southold ? Yes No STATE OF NEW YORK, Notary Public, State of Now York COUNTY OF ........................................... SS No. 01BU6185050 Qualified in Suffolk Coun~.~ Th,~t l, .....~..O..Ya~...~2.....~:.~.l~'.~ ............................... brag duty ~worn, And that he/she is the ............................................ (~M,h~'ri3i,i;ir~i;'r:'.~'gTGy'fi'o'ii;'r'ai'e"Gi(gi,;.'~t~j ................................................................ Owner m~d/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statemenLs contained in this application ;Lre tree to fl~e best of his knowledge that the work will be performed in the manner set ti*rth in the application flied herewith. Sworn to bc~re me this; ............ '~'~'""~'~ 're' ........... day,of .--t~---.~ .............. , ........ SWPPP Assessment FORM: 03-12 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (6~1) 765-1809 met.richer t~ (wn~.[g~uru~. ny. us BUn ~lN~ DI~AKIMF2~ TOWN OF 8OUTF/O~ APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: Ucense No.: Address: Phone No.: Date: JOBSITE INFORMATION: (*Indicates required information) *Name: *Add[ess: *Cross Street: ¢'T *Phone No.: Permit No.: · ~7~G TaxMap District: 1000 Section: J C)?, Block: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Lot: (Please Circle All That Apply) *is job ready for inspection: *Do-you nccd a Temp Certificate: Temp Information (If needed) *Service Si/e: 1 Phase 3Phase 100 *New Service: Re-eonneot Underground AddiUenal Information: (~ NO Final~,~ YES(~ ,~,,~ ~C~ 150 Num~ of ~t~ ~e PA~ENT DUE WITH APPLICATION 824~'equest for Inspection Form Compliance Certificate PLUM AL'_ PLUMBlt & WATER LII TESTING BEFOf ..~,~_: ~om ~ Yo,~ E.~rg~ c~, c~,~,*,, c.,~ PLUMBER CER ~ ~~n ON LEAD CO.El ~ ~ ~ ~ CERTIRCA TE OF C ~ ~: ~ ~~ SOLDER USED ~ ~ suPPLY SYSTE~ ~ ~ EXCEED ~I0 OF _ ~, AWF ~~~~"~~~ ..... ~' g?Ao(~ AS NOTED ~ ~~ ~1~ S~LE: 1/8" = t'-0" , BP ~ 7~ ~ M TO 4 PM FOR ~G INSPECTIONS: ~ .DATION - ~ REQ~RED POURED CONCRETE ~ ""~~~ , ~o~GH-F~MiNG, PLUM~G, . ~ 5~P APPING, ELECTRICAL & CAULKIN~ .. · Z,NAL - CONSTRUCTI~ & E~CTRICAL "2~, MUST BE C~ETE F~ C.O. ALL CONSTRUC~ ~ ~ ~ YORK STA~ ~TRES~NSIBLE F~ ~r~N O~ CONSTRUCTION ERRORS. ~ 'ntm: Pa~e 1 ~4 PLUMBING SCHEMATIC Et ECFF~ICAL N,T.S. INSPECIi' IOH, BIEQI. IIRED ~ING ES NEEt. 'CA TION r BEFORE ';CUPANCY 'WATEF~; OANNO ;[~ ~% LEAD~ DRAWN BY: MH May 21, 2012 SCALE: 1/4" = 1'-0" SHEET NO: