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~_r`(p`"ylFFpt, f <,t Town of Southold Annex 7/25/2013 P G P.O. Box 1179 - 54375 Maiu Road ~ Southold, New York 11971 * ~ CERTIFICATE OF OCCUPANCY No: 36414 Date: 7/25/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 1 1575 Main Bayview Rd, Southold, SCTM 473889 Sec/Block/Lot: 88.-1-11.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 2/3/2012 pursuant to which Building Permit No. 36984 dated 2/8/2012 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: kitchen renovation and window replacement in an existing one family dwelling as applied for. The certificate is issued to Winkler, Curtis & Winkler, Rita (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36984 7/24/13 PLUMBERS CERTIFICATION DATED o ' ed Si ature ?~,a°V~~A'<•.._r TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ ~ TOWN CLERK'S OFFICE SOUTHOLD, NY 'bbl .~s°?, 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 36984 Date: 2/8/2012 Permission is hereby granted to: Winkler, Curtis & Winkler, Rita 214 Fox Ln Northport, NY 11768 To: Alterations to a Single Family Dwelling; Kitchen Remodeling & Window Replacement (whole house) as applied for. At premises located at: 11575 Main Bayview Rd, Southold SCTM # 473889 Sec/Block/Lot # 88: 1-11.2 Pursuant to application dated 2/3/2012. and approved by the Building Inspector. To expire on 8/9/2013. Fees: CO -ALTERATION TO DWELLING $50.00 ELECTRIC $90.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $496.00 Total: $636.00 B ilding Inspector Form No. G TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCX 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: I. 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 seweragedisposal (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. 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. B. For extsting buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-existing" land uses: I. Accurate survey bf 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 [he reasons therefor in writing to the applicant C. Fees 1. Certificate ofOccupancy -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 Preexisting Building - $100.00 ' 3. Copy ofCertificate ofOccupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. Z~~J~~Z j~Iew Construction: Old or Pre-existing Building: x (check one) Location of Property: /l"S7~ ~j}/rU f~G~l~~~tJ ~I~ (J~GL~ House No. Stree Hamlet Owner or Owners of Property: ~~/~n1~jry~t ~1~-1,{~~f~'t- Suffolk County Tax Map No 1000, Section `7 , ~J~l>`l Bloclf~~ ~ J z Lot Subdivision 2 Filed Map. Lot: Permit No. ; >~i~ c~ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) F;b Fee Submitted: $ Annlirant Sianan,.o rash ~FFO( Town Hall Annex ~pp~ c~~k Telephone (631) 765-1802 54375 Main Road ~ Fax (631) 765-9502 P.O. Box 1179 0 • Southold, NY 11971-0959 'y~yol ~ ,~.DO~y~ roger.richert(ciltown.southold.nv.us -nzm~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Cudis W inkier Address: 11575 Main Bayview Rd City: Southold St: NY Zip: 11971 Building Permit 36984 Section: Block: 1 Lot: 11.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: home owner DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixures 4 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescein Fixture Pumps Transformer Appliances Dryer Recpt Emergency FiMUres Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: I(ItCheD alteratlOn Notes: Inspector Signature: (77~'~G, 6 Date: July 24 2013 Electrical Certificate.xls ~ mil/ <~N~~-lam ~o~~,OF80//jy06 1 W Q~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ - DATE ~ INSPECTOR ~O~~,oF sour, ' * TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [~/J ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) R'\EMARKS: C~1,~- G Z 3 l~ ~ DATE INSPECTOR ~~,OF SOUK ` Q ~F®+F ~L' l TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION ( ]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: l~ ~-o-- c DATE ~ ~ INSPECTOR ~~f ~ ~q,Of 3UUly 11 ~ C7'EvL ~f ~ /j.,~E r K~.eE C ~~1 'rUOUllf1'~ ~ TOWN OF SOUTNOL ING DEPT. 765- 02 INSPECTION [ ]FOUNDATION 1ST ( ]ROUGH PLBG. [ ]FOUNDATION 2ND ( ]INS N [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL ( OUCH) [ ]ELECTRICAL (FINAL) REMARKS: ~ ~ ~ t-~+~~ DATE J ` Y INSPECTOR ~ i~ * ~Of SOUry~~ n ~ r ~ I ~I ~ ~ TOWN OF SOUTHOLD BOIL ING DEP . ~ 765.1802 ~ h 1 NSPECTI N [ ]FOUNDATION 1ST [ ]ROUGH P [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) REMARKS: ati rte-- v ( ~ DATE 7 j~ INSPECTOR 3 ~ ! ~.~,Of SOOIy~ TOWN OF SOUTHOLD BUILDING DEPT. T65-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR o~~oF soury~ ~ 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: /~-G~1Z ~•-e. ~ v fL DATE ~ Z t INSPECTOR FIELD N itBPORT DATE CONIII4ENT3 'tl FOUNDATION (1ST) ~ ~ FOUNDATION (ZND) ~ ~ O U.~ ~y ROUGH FRAMING & PLUMBING C ' ~ W INSULATION PER N. Y. y STATE ENERGY CODE 3 ~ _ G b FINAL ADDTTIONAL COMMENTS ~ -1- c rr -In lam- C. ~ ~ . O rn z ~ o x d r TOWN OF SOUTHOLll BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOCITHOLD, NY 11971 4 sets of Building Plans TF.I.: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 p Survey SoutholdTown.NorthFork.net PERMIT NO. ~ G~ Check Septic Form N.Y.S.D.E.C. Trustees CO. Application r- Flood Permit - I!~amined . 30 ~ ~ Single & Separate- Storm-Water Assessment Form Contach Approved 20 Mail to: I~~ _ Phone: p~- p- Gzpiranon f 0(~'~- ~ p. 30f~,G~ T"//%'~~G~ n (D I~ ~ 11~ ~ Building Inspector FEB - 3 2012 PLICATION FOR BUILDING PERMIT el oc otFt. Date_~ ~ , 20 /2- rcv~rv nr sa~.~rtoto INSTRUCTIONS 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 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 he kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in ~a-hole or in part for any purpose what so ever until the Building Inspector issues a Certif icate 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 fi~om 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 Zonc 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 ~yith all applicable la~a~s, ordinances, building code, housing co nd regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ( i ~ ~ of applicant or name, if a corporation) //~75' /yl/l/w~9c1~~u /2YJ (Mailing address of applicant) ~UTf~~~J State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder DGt~.y~'!Z Name of owner of premises _ [~"_~L'~~~ (As on the tax roll or latest deed) I f applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Iflcctricians License No. Other "I~rade's License No. I. Location of land on which proposed work will be done: l/57~5 ~iv~1~1r~r~U r~ ,~~Tf/~J house Number ° Street Hamlet ~73Y~1 ~.-l~//,~ County "1'ax Map No. 1000 Section Block Lot ~o~~oF sQ~,Tyo~ Town Hall Annez ~ ~ Telephone (631) 765-1802 54375 Main Road fi~q ~q P.o. Boz 1179 G - e roger.richertCa'~~own so_u'}fi0 a nV Us Southold, NY 11971-0959- ol~~ 'uU1Y 11.~V` BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRIGAL INSPECTION REQUESTED BY: ~~,/N~La,~ Date: ~ 3 ~ /Z Company Name: Name: License No.: Address: -Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Address: //57S L~/~L~//f~,~ *Cross Street: /1j9I~1r5'l67t. ~ ' *Phone No.: G3i~ /ff fy .7 Permit No.: 310} Tax-Map District: 1000 Section: Block: ° ~ - - ~ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ,faTC~~ ~'~/ti~-r ,/1~-' . ~~n~,-~~ ,nom n _a,~cr/~~ G.,,~TS . (Please Circle All That Apply) *Is job ready for inspection: YES NO Rough In Final *bo you need a Temp Certificate: YES / NO Temp Information (If needed) 'Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-conned Underground Number of Meters Change of Service Overhead Additiona' lJJlnformation: PAYMENT DUE WITH APPLICATION a,, ~ DJ l a- 82-Request fot Inspection Fonn ~ G ~l ~ ~o~~pf SO(/T~OIO, Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ ~ Fax (631) 765-9502 P.O. Box 1179 ~ Q Southold, NY 11971-0959 ~ ~1y00UNT'1 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 19, 2013 Curtis Winkler 11575 Main Bayview Rd Southold, NY 11971 TO WHOM IT MAY CONCERN: The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing aver 411/84) Trustees Certificate of Compliance. (rows trustees # ass-tasz) Final Planning Board Approval. (Planning # 765-~s3a) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 36984 - Alterations e.P ~ 36q Sys BUILDING PERMIT ,E-X}A ,MINE`R'C~,,HEQ~C~h{LIST 4Date Submitted: °2 ~3 _ ~ ~ Date fR~ew7i~e~wed: a ^ - °Z Applicant W " Owner• W '-'Q" - ArchitectlEngineer: Estimated Cost: SCTM# 1000 - ~S - ~ - ~I , oZ Subdivision: Zo(n7e:.~-Q~p ~ Conforming? Property Address: ~ ~-S 7-~ ~~'`'w ~G~~v-~-2u''_ ~ City: ~~-0~""T°`~ pre COs? Building Permits (Open/Expired): BP -z / Go z- ,Info: BP -z / Go Z- ,Info: BP -Z / GO Z- , [nfo: BP -Z / C/0 Z- ,Info: BP -Z / GO Z- ,Info: Slagle & Separate Search Required? Y o~N Determination: SToRMWll.1-~ RuNq.~F REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. d 0 °Jc ACT: Lot C;av. _ REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear REQ. Height. 3$~ ACT. Height REet, BOTH SIDES ACCT c Project De$cripti ~ c~ owl t Waterfront? Y o t~Qe r If yes, water body: Panel# Flood Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALSREOUIRED pLgNS(y~~51GNED,SeALED_SuRVEY nR S'ITE PI-AN_ Suffolk County Health: Y or~- If yes, *Bed#: *Date: *Permit#: Town Septic: Y• N - If ?o, certification required: Y or N Received: Y or N By: NYS DEC: eRe-nsc vans Y or(~Y- Date: Permit or NJ Letter -Notes: Southold Trustees: Y or/~ -Date: / / Permit or NJ Letter -Notes: Southold ZBA: Y or~- Date: Permit -Notes: Southold Plauning: Y or~- Da//t~~e: Permit -Notes: Town Landmark C of A: Y or ~i/DTE: / / *NYS CODE Fompliance (page 2): Y or N CoNTRA-cTOR l1cE'NSE_DISABILITy t.l/181LITy,_Wo~kMENS CoMP~NS.fT/O.V_~ N,ot s•- , Fee Structure: Calculation: ? Foundation: SF ~ 3 8 X $ , ~S, First Floor: SF + Initial Fee: $ 2- a O 0 0 Second Floor: SF + Additional Fee Lam: $ Other: SF SF X $ , Total: f 3 ~ SF + Initial Fee: $ + Additional Fee $ a-SS , a-tl C of O FEE ~ Saba AS BUILT FEE ~SS" TOTAL:$ .S~o, ~O r _ ~j_•._ - ~1 q t[~ I l . c ~ ~ ~ MI lwt~7 L ~ f I 1/5t?~~'~~ ` ~ l f YrY ~ 3 I , r { t ! ~ /fit g o~ ~~t i3 ~ APPROVED AS NOTED ~ 1~ok~i~~. ~ E i n << ~ ~ 8 7ri~kS r-l ! z r D TE'~ ~ f ~ X0,`{0 ~%e ! ~1~~~/'J 13 N ~ E l5 ~ NOTIFY BUILDI G ~ P TMENT AT ! ~ ~ ~ - 765-1802 8 AM PM FOR THE PLUMBING I 6~ _ Q' W ~ j~ ~ OLLOWING INSPECTIONS. ALL PLUMBING WASTE ` f t ~ FOUNDATION -TWO REQUIRED & WATER LINES NEED FOR POURED CONCRETE ' TESTING BEFORE COVERING 'E, _ W 3~,3p ' ~ l~ ~ ROUGH -FRAMING. PLUMBING. ` I ` ~j_„( -C STRAPPING. ELECTRICRL' & CAULKING- ,./'tee 7° t- wi't' Y 1 ~ INSULATION ~ ~V ^ FINAL - CONSTRUCTI L~ T C~ ~ - MUST BE COMPLETE C.J ~ U ~ LL CONSTRUCTION SH ~ ~ ~ _ V r3 RE ' BEk - FR % / ~~~d "/"DESIGN OR CONSTRUCTION ERRORS. C~ ~ / `'~L ihti}~tFi ~ ~RT(F~CATION ~N LEAD CONTENT BEFORE ?~RT`FICATE OF OCCUPANCY COtv?PLY V~'ITR ,=,LL CODES OF cAL~„~ES~clulsrs.. =ALDER USED 1N WATF_R NEW Y CODES 7~s-x7a-x73o ASR QUIR ~ 1 ~~"Pi Y SYSTEM CA1•'~-<- nz~s • ~rct~~r~s • sarr~s ~ 27r.S ?,v1 a-1ti~2 S UTHOLDTO BOARD 23.26 ST67NWAY 5T. AST.. N.Y. SOUTH WIdTRUS'iEES = ELECTRICAL Z, Z- I v I OEC IhIgP~CTIO~t RE(.IUIRED - g~ o . r x Na ~~i ~1. - _ cam. , CrvlNn:iLJ ~G~, V.,'f1J~~\n.~ ~ot2._ 3 I ~ r . ~ . ~ p~,?~ 'may"~r.~v ~ ~ z ~~~u7~ E~ o i ~ ~ I~ ...Y. ~ r - j- m ~ sf l~ v ~ _ .max / ~ _ ~y y l!'2 2' ~ ~ 1 l ~if Jam"` ~6 rs r f m N N m CALL'TFiE SPECfAL15'fS" i i ~71n&~2g74273©p~ q - r. P~LL~ it Wi ~ ~ ~ ~~~rJ! ~T~~~NS ~ $14~nJ 3 ' 23-2857'EINWAYSF.AST.,IY:Y. ~~^7r~ IM ~ t~ r ~Zf ~ ~