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HomeMy WebLinkAbout36976-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 7/19/2012 CERTIFICATE OF OCCUPANCY No: 35828 Date: 7/19/2012 THIS CERTIFIES that the building Location of Property: SCTM#: 473889 Subdivision: ALTERATION 1035 Calves Neck Rd, Southold, Sec/Block/Lot: 63.-7-32 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/31/2012 pursuant to which Building Permit No. 36976 dated 2/6/2012 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for winch tins certificate is issued is: alter an existing bathroom as applied for. The certificate is issued to Fitzpatrick, Patricia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 5/25/12 36976 7/11/12 Mark Baxter 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 #: 36976 Permission is hereby granted to: Fitzpatrick, Patricia 1035 Calves Neck Rd Southold, NY 11971 Date: 2/6/2012 To: alter an existing bathroom as applied for At premises located at: 1035 Calves Neck Rd, Southold SCTM # 473889 Sec/Block/Lot # 63.-7-32 Pursuant to application dated To expire on 81712013. Fees: 1131/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLiNG - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $200.00 $50.00 $250.00 Building Inspector TOWN OF SOUT O ii!~,N 0r 50~r:~0! ~ APPLICIATION 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 of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S_9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/t0 of I% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for tile building. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showiug all property lines, streets, building and unusual natural or topographic features. 2. A properly completed app[icatiou and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees I. Certificate of Occupancy ~ New dwelling $50.00, Additions to dwelling $50.00, Alterations to dweUing $50.00, Swimming pool $5000, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. Certificate of Occupancy oil Pre-existiug Building - $100.00 Copy of Cectificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Corn mercial $15.00 Date>,~ /' 3I' ] 2.--- New Construction: Old or Pre-existing Building: ~ House No.Street OWner or O ners ofPropert (check one) Hamlet Suffolk County Tax Map No 1000, Section Su6division Permit No. ~ 6 q Q ~' Date of Permit. ~-~ [,2. Block '7 Lot Filed Map. Lot: Applicant: Health Dept. Approval: Planuing Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (63 l) 765-9502 ro.qer, richert~.town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Jay Fitspatdck &ddress: 1035 Calfs Neck Rd City: Southold St: NY Zip: 11971 3uilding Permit #: 36976 Section: 63 Block: 7 Lot: 32 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: East County Elec License No: 1005-6 SITE DETAILS Office Use Only Residential [~ Indoor ~ Basement ~ Service Only ~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures [~ HIDFixturess~] Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixturel I Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures LJ TVSS Other Equipment: wirlpool bath Notes: Inspector Signature: Date: July 11 2012 81-Cert Electrical Compliance Form,xls Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 )765.1802 Fax (631 ) 765-9502 BUII.DING DEPARTMENT TOWN OF SOUTHOLr~ CERTIFICATION Building Permit No. 3~- c? ~o/' ~_ (Please print) (Please print) Date: 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 (~ ,20 L)_. (Plumbers sigm~ture) CONNIE D. BUNCH Notary Public, State of New York No. 01BU6185050 Qualified in Suffolk County Commission Exl:,ires April 14, Notary Public, ,.~~ County TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI ON [ ] FOUNDATION 1ST [/~"ROUGN PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) DATE 35 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI ON [ ] FOUNDATION 1ST [~]~ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY INSULATION FINAL FIRE SAFETY INSPECTION [ ] FIRE RESISTAI/I' CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROU~~ (FINAL) REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JI..ATION [ ] FRAMING / STRAPPING [ ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAr.. ~ 11' INSPECTION [ ] FIRERESlST~fl'C0.SmUCTI~ [ ] FIRE RESlSTJXI' FF. NETRATI0. 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 [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [/~ ELECTRICAL (FINAL) REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEP~RTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved °~6~, 20 I ~ Disapproved a/c Expiration /~( (~ ,20 1'3 JAN 3 i 20!2 [i ~(; L'EP[ 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 ~C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector ?ATION FOR BUILDING PERMIT Date INSTRUCTIONS gl ' .2017.- a. This application MUST be completel3 filled in by typewriter or in ink aud submitted to tile Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showiag location of' lot and of bttildings on premises, relationship to adjoining premises or public streets or areas· and waterways. c. Tile v, ork covered by this application may not be cotnmenced 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 ,aork. e. No building shall be occupied or used in whole or itl part roi' 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 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. Tile applicant agrees to comply with all applicable laws. ordinances, building code, housing code, and regulations, and to a&nit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name. ifa corporation) (Mailing address of applicant) State whether applicant is owuer, lessee, agent, architect, eugineer, general coutractor, electrician, plumber or builder Name of owner of premises (/~S 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. ,~Z.~Z~/i?. ~ Electricians License No. Other Trade's License No. I. Location of land pn which proposed work will be done: t O . . House Number Street Hamlet County Tax Map No. 1000 Section _/')fi/. ~-, Block O~- Lot '7~7~. 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 ~ ~_..~:~1~-/ b. Intended use and occupancy 4~'v~l [l~f ~_~-~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~=, '~O ~. tv Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration~ Other Workl ~ l~M~l'~t0e-- ?50[:~l?.ev~ ' I (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 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 Rear Depth 9. 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'O'O~ 13. Will lot be re-graded? YES NO~ Will excess fill be removed from premises? YES__ NO __ 14. Names of Owner of premises~'/p_,lC, C~ ~l~ddress ~:~}~..lC ~ Phone No.~O~. 7(_o~fD' ~ Name of Architect Address Phone No Name of Contractor Address Phone 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 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 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 xvith respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says tbat (s)he is the applicant (Name of individual signing contract) above named, OONNIE O. BUNGH Notary Public, State of New York (S)He is the No, 01BU6185050 (Contractor, AgenL Corporate Officer, etc.) Qualffi~:l in Su~olk County - Comml~ion Expires April 14, 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 perforrned in the manner set forth in the application filed therewitb. Notary Publi~ Signature of Applicant Town Haft Annex 54375 Maia Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ro ' (631) 7 5 ger-nchert~o~n.souCu~5oq~.ny, BUn.n~C DEPAgrMENT TOWN OF SOUTHOLD APPLICATION FOP, ELECTRICAL INSPECTION Jcompany Name: ~ d~ ~1/ ~--~C, ' ]Name: ' / . ~License No.: /00~ ~Address: ~ ~l~ ~ ~O~(~ IPho?e No.: ' JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax. Map District: 1000 Section: (_~ -~. *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) Block: Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do.you need a Temp Certificate: (~)/NO YES / NO Final Temp Information (If neededJ *Service Size: 1 Phase 3PhaSe 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: .PAYMENT DUE WITH APPLICATION .82~Request for In~oeCdon Form Town H~ h.~nex 54375 Main Rc~d P.O. Bo~ 1179 Sou~, NY 11971~59 TOWN OF BOIYl~IOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: JOBSITE INFORMATION: (*Indicates required information) *Address: *Cross St~et: Pe~it No.: Tax Map Dimdct: DESC. PT ON WO.K (P ase . · ~ ~- ~ ,. (P!e~e Cite ~1 ~at ~ply) *Is ~b ~dy ~r insp~ion: ~S I NO Rough In Final *~.~u n~ a T~ ~te: ~S / NO Temp Information (If needed} *Se~,ice Size: 1 Phase 3Phase 100 150 200 ~3~ 350 400 *New Service: Re-connect Underground Number of Meters Change of Service Addttienal Information: PAYMENT DUE WITH APPLICATION Other 9o,0 0 ~B2,~Eequesl for Inspeclio~ Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ NY I 1971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 May 30, 2012 Patricia Fitzpatrick 1035 Calves Neck Rd Southold, NY 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) v'//' 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: 36976 - Alteration SUN ROOM GARAGE C; TE KITCHEN CER] BR NOt'IF ¥ BUILDING I-, - : , ' IN WA TER BR, CM CANNO ; .. ,~'~' OF 1%LEAD, ELEcL~RIC/~ L SOO.E REPLACE TUB REPLACE TOILET INSPECTIOi~;- .... ~,~ ~.~, ~ -~ O S.OWERREP~OEVAN'TV REPlaCE TILE FLOOR REP~CE LIGHT FIX'S 1035 CAkVES NECK RD. SOUTHOLD, NY BR EXISTING 8X10 EATH