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