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Home My WebLink About37313-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 7/11/2012 No: 35816 Date: 7/11/2012 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 480 N Bayview Road Ext, Southold, SCTM #: 473889 Sec/Block/Lot: 78.-9-4l Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/30/2012 pursuant to which Building Permit No. 37313 dated 6/20/2012 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: "as built" bedroom in unfinished basement and "as built" second floor alterations in an existing one family dwelling as applied for. The certificate is issued to Hanlon, Robert & Frankel, Jessica (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37313 6/25/12 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 #: 37313 Permission is hereby granted to: Hanlon, Robert & Frankel, Jessica PO BOX 178 Orient, NY 11957 Date: 6/2012012 To: alter basement & second floor "As Built" as applied for At premises located at: 480 N Bayview Road Ext, Southold SCTM # 473889 Sec/Block/Lot # 78.-9-41 Pursuant to application dated To expire on 12/20/2013. Fees: 5/30/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $1,373.60 $50.00 $1,423.60 Building Inspector Form [No. 6 TO~ OF $OUT~OLD 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: ]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 featur6s_ 2. Final Approval from Health Dopt. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sw. om statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate of code Compliance'from architect or engineer re~onsible for the building~ 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) ~ion-conforming uses, or buildings and "pre-existing" land uses'.' 1. Accurate survey of proPerty showing all property line~, streets, building and unusual natural or topographic features. 2_ A properly ~mpleted appiication 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. 1. Certificate 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, 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 $ l 5.00 New Construction:. Location of Property: Old or Pre-existing Building: (check one) House Own6r or Owners o? Property: . Suffolk County Tax Map No 1000, Section Subdivision Street Hamlet Block (] Lot q/ Filed Map. Lot: Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Date of Permit. Applicant: Underwriters Approval: Final Ce~ificate: ~/ (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 Telephone (631 ) 765-1802 Fax (63 I) 765-9502 ro.qer, richert~town.southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Hanlon-Frankel Address: 480 North Bayview Rd Ext City: Southold St: NY Zip: 11971 3uilding Permit #: 37313 Section: 78 Block: 9 Lot: 41 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Ind°°r ~ Basement I~ Service Only~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCl Recpt Wall Fixtures ~'l Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures ~ CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture I'~ Pumps Transformer Appliances Dryer Recpt Emergency Fixtures[~ Time Clocks Disconnect Switches Twist Lock Exit Fixtures [--I TVSS Other Equipment: 1-combination smoke/co detector, 3-paddle fans, 2-exhaust fans Notes: Inspector Signature: Date: June 25 2012 81-Cent Electrical Compliance Form.xls 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) '~FELECTRICAL (FINAL) REMARKS: DATE ~ INSPECTO~ TOWN OF SO~NG DEPT. INSPE I'ION []FOUNDATION 1ST []FOUNDATION 2ND []FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] IN. ION [~'~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION [ ] ELECTRIC~LL,(ROUGH) [ ] ELECTRICAL (FINAL) REMARK .~-~ ~ ~, ~.~ ~-o~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] ROUGH PLBG. [ ] INS/JJLATION [ ] FRAMING / STRAPPING [ i/]'~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] 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.NurthFork.net Examined Approved Disapproved a/c Expiration PERMIT NO. t 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 iFIood Permit Single & Separate Storm-Water Assessment Form Mail to: OeoW ci'~-~ - q,51- q=~ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 4'// 2 i-- 20 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 be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in 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 il'file work authorized has not commenced within 12 months after the date of issuance or has not been completed within [ 8 months from such date. If no zoning amendments or other regulations affecting the property have been enacted iu 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 Buildiug Departmeut for the issuance of a 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 tbr removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, houskg~'iS'bd?, and regulations, and to admit authorized inspectorsou )remises and in buildin~ for necessary inspections,// ~(~'~"~ (Signature of applicant or name, if a corporation) pa. (Mailing address of applicant) State whether applicant ~s owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises fi, ge ,.3~'-~,~/ ~:, //,,~/,/}. ~ ..,. ? ,-JF:JJ/r/l A' ~e,,q£1,2t ~ (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. Location of land on which proposed work will be done: [louse Number Street Hamlet County Tax Map No. 1000 Section 7~5' Block O Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occnpancy of proposed construction: a. Existinguseandoccupancy 2~wo 5TO~ /P4-:f/bF/vT-I.4t- ~a/6~'z/,V~. b. Intended use and occupancy 3. 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 Addition Alteration Other Work ,4~ av,'Z-7- Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor I' 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 10. Date of Purchase Rear Depth Name of Former Owner /Au/24~ Zfl'tC~g'~/¢ 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 j Will excess fill be removed from premises? YES NO t,~ Address ~. o. ,3~× /~f Oglc~r Phone No. ~/ 14. Names of Owner of premises ~0 8(4/7' q, qNLolV t 3¢f;1(,4 Name of Architect Address Phone No q/:7 q~F/ 4'i'4e[ ,/c6g ,.- Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO V * 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. 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 NO · IF YES, PROVIDE A COPY. STATE OF NEW YO~RK) SS: COUNTY '~"~d~ ~lJg Vqt- ~[ ix O,.g~ [ ~) ir-") being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, 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 and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swom to before me thi~ ! NOb~ ~blic, S~ ¢ N~ York ~.. No. 01~6190696 ~ua fled in S~olk ~un~/. Siguamre of Applicant Nota~ Public ~mmission ~¢ires July 28, /~ - 57. q - ~//TOWN OWN ER FORMER OWNER OF SOUTHOLD STRE~ :/"%0 N ~'-OPERTY RECORD VILLAGE W ACR. CARD RES. SEAS. VL FARM TYPE OF BUILDING CO ~M~. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS /~ o ,5-/0 o x7/4- o'-"0 / Value Per Value Acre SUB. LOT . bAeadowk:nd DEPTH House,~ot-..., BU LKH EAD To~*' ~ DOCK AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD ;OLOR 78.-9-41 4/07 Exteneion Extension Extension Porch Breezeway Garage Patio Total Foundation Basement 7~" Ext. Walls Fire Place Type Roof Bath Floors Interior Finish Heat Rooms ]st- Floor Recreation Room Rooms 2nd Floor /_~,~--/. Driveway inette LR. DR, BR. FIN. B Tovm H~ll 54~75 M~n Ro~d P.O. Box ~)~thold, NY 11971-0959 Telephone (631) 765-1809 BU{Y ~ING DEPARTMZ, NT TOWN OF $OIJTHOLD APPLICATION FOR ELECTRICAL INSPECTION Company Name: Date: Name: License No.: ~,ddress: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: ,~o~'~.j~ ~-~: /~//~/~c~x ~ ~e5~,C~ *Address: ~) ~/~ ~V/e~ ~ ~' *Cross Street: ~, vA~ ~ ~ Permit No.: Tax. Map District: 1000 Section: '7 ~' . Block: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do-you need a Temp Certificate: ~/NO YES~O Temp Information (If needed) ;~~:'. ~ OPh"o ~oo ~o Q~ ~oo ~o ~oo o~er *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82~Request~rlnspecfion Form ...~OLJ'T'I4OL.~D 1 J $ ~ 'PLUMBING ~2.t~ ~-~' ALL PLUME NG WASTE TE~$'ING 8~FORE CO~, E ] N~ PLUMBER CERTIFICA T~fO~ ~RTIFICATE OF OCCUPA~CY E~ ~I0 OF 1% LEAD CBPANCY OR O l}[S UNLAWFUL NOTIFY BUILDING AT 765-1802 8 AM TO 4 PM FOR THE FOLLOV~ING INSPECTIONS: 1. FOUNDATION- TWO REQUIRED FOR POURED CONCR~ 2, ROUGH- FRAMINg, PLUMBING, STRAPPING, ELECTRICAL & CAULKIN~ 3. INSULATION 4, FINAL- CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREUENTS OF TIlE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTI(~I ERROR~ CERTIFICATF JUN 2 0 2012 BLDO. DEPT TOWNOFSOUTHOLD ELECTRICAL NSPECTION REQUIRED