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HomeMy WebLinkAbout37189-ZTown of Somhold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 6/26/2012 CERTIFICATE OF OCCUPANCY No: 35785 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: AS BUILT ADDITION 650 Rambler Rd, Southold, Sec/Block/Lot: 88.-5-21 Filed Map No. Date: 6/26/2012 Lot No. filed in this officed dated 37189 dated 5/3/2012 conforms substantially to the Application for Build'rog Pernfit heretofore 4/27/2012 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: "as built" above ground swimming pool addition with deck surround, fenced to code, to an existing one family dwelling as applied for. The certificate is issued to Anthony & Celeste Mauro (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37189 5/11/12 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 #: 37189 Permission is hereby granted to: Mauro, Anthony & Mauro, Celeste 61 Maple Dr Date: 5/3/2012 New Hyde Park, NY 11040 To: 'As Built', Addition to a Single Family Dwelling; Above Ground Pool & Deck, as applied for. At premises located at: 650 Rambler Rd, Southold SCTM # 473889 Sec/Block/Lot # 88.-5-21 Pursuant to application dated 4127/2012 and approved by the Building Inspector. To expire on 111212013. Fees: CO - ADDITION TO DWELLING $50.00 SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $1,324.80 Total: $1,374.80 Building Inspector Form No. 6 TOWN OF SOUTHOLD 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: 1. Final survey of property with accurate'location o f all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dgpt. of water supply and sewerage-disposal (S-9 form). 3-. Approval ofelectriea! installation from Board 6fFire Underwriters. · 4. '8w. orn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commcroial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance'from arohitect or engineer responsible for the building= .6. Submit planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) Uon~confoFming uses, or buildings and "pre-existing" land uses~ 1. Accurate survey of property showing all property lines, streets, building and unusoal naturai or topographic features. 2. A properly ~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. C, ertificaie 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 Date. New Construction: Location of Property: House No. Street Owl'~r or Owne~ o~ Property: ~t~J'~t:~ 0 N'y 5, - Suffolk County Tax Map No 1000, Section ' ~ ' Subdivision Health 13'~pt. Approval: Old or Pre-existing Building: Planning Board Approval: Date of Permit. (cheek one) Hamlet Block Filed Map. Applicant:. Underwriters Approval: Lot Lot: Request for: Temporary Certificate Fee Submitted: $ ~ ,6~ ' Final Certificate: (check one) 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 southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Anthony Mauro Address: 650 Rambler Rd City: Southold St: NY Zip: 11971 Building Permit #: 37189 Section: 88 Block: 5 Lot: 21 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 ~ 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 Dr~er Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures [~ HID Fixtures [] Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture ~.~ Pumps Emergency Fixtures[~ Time Clocks Exit Fixtures [~ TVSS supply GFCI protected power to semi-in ground pool, pump bonded, no light Notes: Inspector Signature: Date: May 11 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] IN~TION [ ~/FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION I ] FIRE RESISTANT PENETRATION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ELECTRICAL (ROUGHJt [ ] ELECTRICAL (FINAL) REMARKS: ~)~'~ '~ ~-~3 '~o-te~,~ 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) ~CTRICAL (FINAL) REMARKS: DATE~INSPECTO~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~IL'~TION [ ] FRAMING/STRAPPING [~'NAL ~ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY~NSPE~TION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~-~ ? ~2 / DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Examined '~"~- / , 20 Approved -~'-'"-- 3 . 20 ]~t PERMIT NO. 3 7 / q dlOHl,qos JO NMOI 'id 3 d 9 flt 8 Expiration Building Inspector 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 C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS J~rfC~ I 2"I~ ,20 fl.-- a. This application MUST be completely filled in by typewriter 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 pre~nises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be co~nmeuced 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 itl 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 Ilo 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 1S HEREBY MADE to the Building Depamneut 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 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 inspectious ~ (Signa~ture of ~tpp~l~ant or name, ifa corporation) '~-'~O ~ t (Mailipg addrgss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises__ /~_~'~r~.% T ~/~N~OIr&O (As on the tax roll or latest deed) 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. 1. Location of land on which [roposed work will b~, done~ House Number Street County Tax Map No. 1000 Section Hamlet Block OOO ~ Lot &J, ~ Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 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 Fee Addition Alteration Other Work ~ ,~v~ 14 ~o ~"'~-T ' (Description~ (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 . Rear Height. Number of Stories Dimensions of same structure with alterations or addit'rQns: Front Depth. Height Number of Stories 8. Dimensions of entire new construction: Front Rear .Depth Height 9. Size of lot: Front Dept~,,. 10. Date of Purchase ~'. 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YEar's NO__ Number of Stories Rear Name of Former Owner 13. Will lot be re-graded? YES __ NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Will excess fill be removed from premises? YE,S Address Phone Nb, Address Phone No Address Phone No. Depth Rear NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? * YES · IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this properly 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 foundation plan and distances to property lines. 17. If elevation at any point on properly 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 .) ]~f'h "~rl~vld~ ~ , ~{~ ~XJJ {~_O being duly sworn, deposes and sa~B~_~ant ~u - ~e (Name of individ~igning contract) above named, ~o~ (S)He is the (Con,actor, 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 dud belief; and that tbe work will be performed in the manner set forth in the application filed therewith. Sworn to before me this., _~'~i'~ davy of/~-~f~-~ l 20 Notary Public  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) ~'~'": 4 ."v'~ ~.~B"~-O '14 0 0..0 L .~OV~ ~-u.,: t.C.T.M. ~: 1~0 J Sa~fion BMPs, ~ Sco~ ~or ~qu~ of ~on A~ Will this Project Dlstu~ ~e (5) or M~e Acres at Any One Time Du~ng the Proposed Development ? Yes No a. Ooes the Applicani have a Oualifi~ ~ns~ctor On Staff To Condu~ the R~uired Inspections ? Yes InspecUons will Occur and ~r What Peri~ of Time ? Yes No c. Does the SWPPP Adequately Identi~ All Tempora~ and/or Permanent Soil S~baliza~ Measures ? Yes No d. D~s the SWPPP Adequately Idenfi~ a Complete by lhe T~n of Southold ? Yes No. ~.,,,~IE D. BUSH ST~T~ ~ N~ ~O~K, NOt8W P~l~, ~e m ~ Yom CO~ O~ ........................................... SS No. 01BU61 ~ de~~~4~h~c~ for eem~ .......... (N~'of ~;i;~i[~'~6 .................... Y ' ' ' And ~at he/she is ~e ................. ...................... ~;~ ~;~; ~ ~[~3i; ~;~i~ ~;,' ;tE~ ................................................................ O~er ~or represen~five of m~e ~d file ~s application; ~at · at ~e work ~11 be ~ffo~ed in ~e m~ner set fo~ in 0m application filed hereMd~. Sworn to before me ~is; ............................................... ~ ......... ~r;;;;;:;'~'~;~;i; .......................... Town Hall Annex 54375 Makn Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 763-1802 fo er' ¢31) 7 5 . .q .nchert~.t~w({n.so~So~.ny,_~_~ BUII .r~llqG DEPARTMENT TOWN OF SoIYr'I-IOLD APPLICATION FOR ELECTRICAL INSPI:CTION' Company Name: Name: No.: Date: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: ~- i(p -- ~ 01 r~ 0 ~ ~ (,.,. (/ Permit No.: ~'~ ] ~ 6~ Tax Map District: 1000 Section: c.~ c~ Block: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If neededJ *Service Size: 1 Phase 3Phase 100 *New Service: Re-connect Underground Additional Information: 82-Request for Inspection Form ~) NO Rough In Final 150 200 300 350 400 Other Number of Meters i.C;.,-,~ PAYMENT DUE W ~F~/.~,~-.~- .~[~ ~ F~ ~%~ ' ~.~ I 37187 BUILDING PERMIT EXAMINER CHECKLIST Applicant: A~qxix~,et/Engineer: SCTM# to00- Property Address: ~ Date Submitted: ~lt-~- ~7~- I ~- Date Reviewed: ~--~, Owner: ~/4~/~¢~.- Estimated Cost: Subdivision: ----- Zone: Conforming? City: ~ Pre COs? Building Permits (Open/Expired): BP__-Z / C/0 Z- , Info: BP__ -Z / C/0 Z- __, Info: BP. -Z / C/0 Z- , Info: Single & Separate Search Required? Y or~ Determination: REQ. Lot Size: ACT. Lot Size: RBQ. Front ACT. Front REQ Side ACT. Side BP__-Z / C/O Z-__., Info: BP__ -Z / C/O Z- , Info: REQ. Lot Coy. ,~o% ACT~ Lot ~;ov. __ REQ. Rear PROP. Rear __ REQ. Height 3~~ ACT. Height. RISer. 8o'rH $i0~&~A ~T 'ro eet Descript,on: Waterfront? Y or~ If yes, water body: Panel# __ Flood Zone: __ Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED pLtt~/~(~t) Sl~t~l~ ~t_~b~/$u~Vt[¥ oR 5'IRE PLAN Suffolk County Health: Y o~- If yes, *Bed//: *Date: / / *Permit#: Town Septic: y. - If no, certification required: Y or N Received: Y or N By: NYS DEC: eR~-nzcga/*$ Y or~ Date: / / Permit #: Southold Trustees: Y ore Date: / / Permit #: Southold ZBA: Y o~ ~ Date: /~/ Permit ~: Southold Planning: Y o~- Date: / /~ Permit ~: Town Landmark C of A: Y ~DTE: / / Notes: or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: *NYS CODE ~_ompliance (page 2): Y or N ~A(ol~kr~f~iv~ co~P~f$,~wto~V , ]Fee Structure: Foundation: SF First Floor: ,5'3 ~ SF Second Floor: SF Other: SF Total: 53 I SF Calculation: C~ OF o FIEG,~ ^$ + Initial Fee: $ + Additional Fee ( PooL. ): $ SF X $, ~-$ + Initial Fee: $ + Additional Fee 05 ~qlLT ): $~, +0 it.r0. OD OUlt. T rer~./-~C(og-.°co TOTAL:$ 15 o9-00,0o 2-.5-0. o o NEW YORK STATE CODE COMPLIANCE CHE'CICLIST C.LIMATIC/GEOGRAPHIC DESIGN CRITERIA: . Grounll Snow Load: ~0 Weathering: Severe __ -Frost Depth: 36" __ Design Temp: 11 __ -Ice Shield Underlay: YE8 . USE/OCCUPANCY CLASSIFICATION: HEIGtiT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: YfN HEADERS: Y/N WALL sTUDs: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: ¥/N LUI~BER SPECIES AND GRADE: Y/N Wind Speed: 120MPH__ Seismic Design Category." B , Termite: M-H Decay: S-M .. .. Flood Hazards: GLR_DERS: YfN ROOF 1LAJtTERS: YfN WENDOW PdxPD DOOR SCHEDULE: · MISSLE TEST REQUIREh{ENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N %rENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: YfN PLUMBING RiSER DIAGRAlvi: Y/N LOCATION OF F13R_E PROTECTION EQUIPMENT: Y/N TRuSs DESIGN: Y/N CERTIFICATION: Y/N CALCS: Y/N ENERGY TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) LOT 47 LOT 46 FM~ 2901 DATE FIDED DEC. 29, 1958 , PIPE FOUND LOT ,]1 WOOD DECK WITH 47.0' GARAGE UNDER 2 STORY RESIDENCE 177.89' ~ CM ASPHALT DRIVEWAY 49.6L TIMBER PLANTERS N 55' 02' 40"W 1.2' cS LOT 35 MAP of L01~ .32 TERRY WATERS AT BAYVIEW SITUATE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: PAUL ROSS ELAINE ROSS 183.40' FD CM ~CUBB~NO) SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK. N.Y. ~' NYS Li~ Ne. 49zTZ 01R1093 ,. I EXISTING HOUSE ~ ~ F- ----'--~ ~ ~ ,' Jf ',. u)~ 9'-9" \ 9'-9" ~ '":" 't~ 9'-9" "' - U ' '- ' -IRDER ~" '~/1'- '~ (2) 2X10 GIRDER ~,.. ~ ..... .~ .... ~,, ,,,E i , UPPER DECK ,,, II ~ .... ~ , .. ,,. ~ = 1,,,~ E . , ,, EXISTING 24X12 POOL ,,,~ , ,, ~ ,~ .... X , '55 IL, ~ ',', ~ ~ ~ ,,,,,, ~o~ ~,~, .4. ~. x5 %'%. ~~ 4~4xs' ,' '~Ls .................... '__ =~=~=~*~ '.. .'10 ~t, M~ ~,,, ~ .... .--~-~ ........................ ~ --.--~-s'----~ ~s:~ ,, '. S~kE: 1/4" = 1'-0" J '~/ OCCUPANCY OR ~~ USE IS UNLAWFUL COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES 3' ELECTRICAL WITHOUT CERTIFICATE AS REQUIRED~CC:~D',T:~SCF EXISTING HOUSE ~/ ~ ~! INSPECTION REQUIRED OF OCCUPANCY~T0~ ~ [/~ so~~~ .~ z ~FO~ ~ - ~ ~ Z EXISTING -, L _ m N i UPPER DECK ;i', {2~ 2~ ~~;;F;V' ~ A~PROVED AS NOTED 7551802 8AUTO4 PMFORTHE ' ~ --~'~ ~ ~ ~ ~ ~ FO:'LO~NG INSPECTIONS' April 21, 2012 ~ ..... 6¢0 -- (-- ~ _ ~ ~ ~ STRA~PlN6 E[ECTRICA[~ , -- ~ ~¢oL - ~ -~ 3 INSU~TION SHEET NO: FLOOR S~LE: 1/4" = 1'-0"