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Home My WebLink About36840-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 8/3/2012 CERTIFICATE OF OCCUPANCY No: 35866 Date: 8/3/2012 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 1085 Gin Ln, Southold, SCTM #: 473889 Sec/Block/Lot: 88.-4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/14/2011 pursuant to which Building Permit No. 36840 dated 11/28/2011 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: enclosed porch addition to an existing one family dwelling as applied for. The certificate is issued to Friedman, Michael & Friedman, Ilana (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36840 7/24/12 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 #: 36840 Date: 11/28/2011 Permission is hereby granted to: Friedman, Michael & Friedman, liana 56 Cambridge Rd Great Neck, NY 11023 To: construct an enclosed porch addition to an existing dwelling as applied for At premises located at: 1085 Gin Ln, Southold SCTM # 473889 Sec/Block/Lot # 88.-4-9 Pursuant to application dated To expire on 5/29/2013. Fees: 11/14/2011 and approved bythe Building Inspector. S1NGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $252.00 $50.00 $302.00 Building Inspector Form No. 6 TO'vVN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANcy Tiffs 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 Dopt. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board 0fFire Underwriters. 4. Sw. om 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 enrtificate of Code Compliance-from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of 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 the reasons therefor in writing to the applicant. C. Fees 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. 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 New Construction: Location of Property: Date. ~/O~ ~ Z~t Old or Pre-existing Building: (check one) House No. Street · Owner or Owne~ o; Propeay: ~~ ~ · Suffolk County Tax Map No 1000, S~tion ~ 8u~sion " Permit qo. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Date of Permit.//- ~ - // Block Filed Map. Applicant: Underwriters Approval: Final Certificate: J (check one) a/ Hamlet Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY I 19714)959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qer, richert~,town.southold.ny.us BUILDING DEPARTMENT TOWN OF 8OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Freedman ~,ddress: 1085 Gin Lane City: Southold St: NY Zip: 11971 Building Permit #: 36840 Section: 88 Block: 4 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Express Electric LicenseNo: 3653-me SITE DETAILS Office Use Only Residential ~ Ind°°r F~ Basement ~ Ser~iceOnly~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: PORCH, 1-paddle fan Ceiling Fixtures ~] HID Fixtures ~'~ Wall Fixtures [~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixtur~ Pumps Emergency Fixture Time Clocks Exit Fixtures L--~ TVSS Notes: Inspector Signature: Date: July 24 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~UNDAATT:oONN :SN~ [[ ]]IRNOsUuGHLAT~LOBNG' [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRIC~L.(FINAL) REMARKS:~ DATE ~INSPECTOR ~~~,/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]~NDATION 2ND [ ]INSULATION / ~/] FRAMING/STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR/~~/~/ .~[//] FOUNDATION 1ST [ ]ROUGH PLBG. ~/[ ]FOUNDATION 2ND [ ]INSULATION · / / [ ] FRAMING/STRAPPING [ ] FINAL / [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] R~ ~sktr~rr ~lls'm~tt~ [ LECTRICAL (ROUGH) [ REMARKS: ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) 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 ~~__ INSPECTOR ~'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOU~ION 1ST [ ] ROUGH PLBG. ] F~UNDATION 2ND [ ] INSULATION / FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI~NAL) REMARKS: -'~-/~f/.~ /e.~- ~/..~,/_~ DATE ~/~//~/~ PECTO TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~LATION FRAMING/STRAPPING [g'J FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SouthoidTown. NorthFork. net Examined Disapproved Expirati°nI PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact: :ATION FOR BUILDING PERMIT Mail to: Phone: INSTRUCTIONS Oate II. tv,2o II 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 slxeets 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 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 Inspec~r may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION lS HEREBY MADE to the Building Dcparlanent 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 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 inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofowncrofpremises ~ ~i q [~/~C- ~l~.-I~t£~ (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: House Number Street Hamlet Block (~/ Filed Map No. County Tax Map No. 1000 Section ~ ~ Lot q Subdivision Lot 2. State existing use and occupancy of premises and inter)~led use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ I~ ~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition )<7 Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commemial or mixed occupancy, specify nature and extent of each type of use. c r eaov . 7. Dimensions of existing structures, if any: Front ~ ~ Lb Rear 'r}OL&' Depth Height I~t'O */~ Number of St~es I ' 8. Dimensions of entire new construction: Front Height /aP '-~ ~ Number of Stories 9. Size oflot: Front $q0.O~ Rear I c/O, O Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear I Co Depth ; 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 ~, 13. Will lot be re-graded? YES/~ NO__Will excess fill be removed from premises? YES __ NO/~ ' 14. Names of Owner of premises Name of Architect ~ ~(.-O~k~' Name of Contractor ~-I~2,> 1~. Address Address Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO/~- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY I~E~REQUIRED. 9* 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 NOX · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ~(_30~ gl (~ ~LU~/1~ g' being duly sworn, deposes and says that (s)he is the applicant (Name of indi¥idual signing contract) above named, CONNIE D. BUNCH Notary Public, 8tala o~ New Yo~k No, 01BU61860~0 (S)He is the (Contractor, Agent,~Corporate Officer, etc.) commlealon Explr~-~ot~l-~-~,~-'20/.)~ 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. Sworn~ to I)efore me this Notary Public Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSEBSMBNT FORM I'ROPI~' LOC~'rlofl: ~K,C.T.M ;K THIE FOLLOW/NG A~TION8 MAy REQUIRE 11~ ~ OF A ~ C,E.m mrmr. u BY A Gi~i~ i~ROFESIIONAL IN ~ ~I'ATE OF N~W YQI~K. a. Whal is ~e Total Area oi' Ihe ~ Pamela? ([ncl.d~ Total Are~ of afl Parcels Iocalsd ~hin I W'gHhla P~ec~ Retain AIl Slon~-~ffer Run. Oil PROV1DE BRIEF PROJEC~ DF..~Clllri-lON ~ ~.~ p~... v,,.~~) Ilera shdl Include all Proposed Grade Changes and D~e ,Stmclures In~ SIz~ & ~,? T~s Slopes Conimll~g Sur face Water Flow. (5,~ S,F.) ~u~ F~ ~ ~nd 110 Town Hall Annex $4B75 Main Road ' P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-180~ ro(:mr, rich e r t(~i~t~w(~n !~ o7 u~5o(~(~, ny. u s BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: :Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: / / ' *Phone No.: Permit No.: 3 8Ho Tax Map District: 1000 Section: c,~ Block: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) Lot: '? (Please Circle NI That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information(If,needed] *Service Size: I Phase *New Service: Re-connect Additional Information: 3Phase 100 Underground (~:/NO YES Final 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION S2-Reouest for Inspection Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (63 I) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 24, 2012 Michael Friedman PO Box 1059 Southold, NY 11971 Re: 1085 Gin Lane, Southold TO WHOM IT MAY CONCERN: The Following Items 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 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: 36840 - Enclosed Porch FREI DMAN RESIDENCE DACI(, ELEVATION DCAL~-: ¼"= ILO'' LEFT 51DE ELEVATION SCALE: ~' = I' 0" RIGHT 51DE ELEVATION II,~ OF SCALE: ¼"= I'O" IN APPROVED AS NOTED I'~)TIt~ BUILDING DEI~ARTMEN 7~-18~ 8~TO 4PM FOR FOLEO~NG I~PEC~IONS: 1 FO~TION - ~ REQUIF FOR POURED CONCRETE 2 ~UG~-FRAMING, PLUMDNG $TRAPP~NG, ELECTRICAL & :UPANCY OR IS UNLAWFUL JOUT CERTIF )CCi,,! PANCY iPECTION REGU tkl o U_ 22~ PAGE. / / / / / / / / / / / / ~ AREA TO REMAIN PP. OV. ~FO×iED#45TE~L CF, AWL AP.~A (TYPICAL BOTH 51D~5) IN FOUNDATION AD CP~AWL ~FACE WITNIN NEW CRAWL BPACE: 4" P. CONC. BLAB ON COMPACTED P[IJ4 DAMP PP-,OOF PEPdMETEP-. (TYPICAL NEW AI~EAS) FOUNDATION PLAN h,= iLO,, DCALE; 4 ~ ~POSED NEW 3-SEADON~ ROOM I WALL LEGEND: FLOOR PLAN SCALE: ~L,,= iLO,, FOUNDATION WALL LEGEND: D(15TIN G FOUNDATION WAUTO REMAIN OUTLINE OF DECKTO BE REMOVED 6" FOUlaRD CONCRETE ,' ,', t -, FOUNDATION WALL PAGE: 2 I DfiSIGN LOAD CALCULATION5 MINIMUM UNI?OP~MLY DISTRi[3UTED LIVE LOADS (Ibsf) J GR.OU ND SNOW LOAD J45 Ib~. CLIMATIC AND GEOGR.APHIC DESIGN CI~ITER.IA APPR.OX. RIDGE *1' FLOOR H EIGHT ro AHGN =WITH EXISTING MATCH :?ASJCNSOFFIT, PLATE ¢ WINDOW 4 C520 CONNECTOR. ALL R.AFTER.5) C.T,, EXPOSED ¢ ~iNISHED UNHEATED NEW CRAWL SPACE BUILDING SECTION "A" SCALE: 4I''= ILO" 14~" X D ½" LVL HEADEP4 I G" 0 C. W/ R- J 5 INSULATION ¢ 8' COX PLYWD, 5H~,THIrqG W/%YVEK' HOUSE WRAP; . ~" DIAM ET~R. ANCHOR. BOLT5 W/7" MIN, D~PTH ~ 46" O,C. FOU N DATION WALL W/ GENERAL NOTES: FOUNDATION NOTES: FRAMING NOTES: FLOOR PLAN NOTES; ELECTRICAL NOTES: PAGE: 3 51TE PLAN 5CALE~~2 ~-'' = ILO" Tol;al Ar~a (exls~ 4; new): 3204 sq,fL TOTAL LOT COVERAGE: I ~5,3% RUNOFF CALCULATION5: x ,I G7 x 7,5 = 20G oallon5 GIN Iu~,N E EXISTING HOUDE'~ TO I~JZMAIN LINE INDICATED BUILDING ENVELOPE EDGE OF DECK -- BEING REMOVED G" ¢ PVC PIPE PROM EACH LEADER TO DRYWELL NEW' 4LO" dlam¢l;~r X 2'-0" deep DRYWELL NEW' ROOM FP-..EI DMAN 40.0' PAGE: 4