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Home My WebLink About35951-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 8/23/2012 No: 35905 Date: 8/23/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 ALTERATION 2820 Shipyard Lane Unit 4K, East Marion, Sec/Block/Lot: 38.2-1-39 Lot No. filed in this ofliced dated Subdivision: Filed Map No. conlbrms substantially to the Application for Building Permit heretofore 10/6/2010 pursuant to which Building Permit No. 35951 dated 10/18/2010 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: bathroom alteration to existing one family dwelling (condo unit 4K) as applied for. The certificate is issued to Yellin, Jeffi'ey & Luby, Cindy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 8/16/12 35951 8/20/12 e~i~nat ulte FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35951 Z Date OCTOBER 18, 2010 Permission is hereby granted to: C LUBY 2820 SHIPYARD LA UNIT 4K E MARION,NY for : BATHROOM ALTERATION TO AN EXISTING CONDO AS APPLIED FOR at premises located at 2820 39 SHIPYARD LA EAST MARION County Tax Map No. 473889 Section 038.002 Block 0001 Lot No. 039 pursuant to application dated OCTOBER 6, 2010 and approved by the Building Inspector to exlmire on APRIL 18, 2012. Fee $ 273.60 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OccUP.SdqCY 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). 3. Approval of electrical installation from Board 0fFire 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 existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud uses~ 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. A properly ~,.mpleted application and cor~sent 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 I. Certiflca{e 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 Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre~existing Building: (check one) Location of Property: ~0 .~Lc?c? ~ ~', House No. Street Hamlet · Owner or Owners of Property: Suffolk C{~unty Tax Map No 1000, Section Subdivision Permit No. 05 ~'~ 1, Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 5'~) - ~7¥ DateofPermit. /~) ~17;" lO Filed Map. Lot: Applicant: Underwriters Approval: . Final Certificate: (check one) f\ Ap~l(cant Si~ature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 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: Luby ~,ddress: 2820 Shipyard Lane, unit 4k City: East Madon St: NY Zip: 11939 3uilding Permit#: 35951 Section: 38.2 Block: 1 Lot: 39 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: Klein Electric License No: SITE DETAILS Office Use Only Residential l~~ Ind°°r ~ Basement I~ Service Only f~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: bathroom renovation, l-exhaust fan Ceiling Fixtures~~ R HID Fixtures Wall Fixtures I 11 Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS Notes: Inspector Signature: ~; ~'~1/('~ '--~--'"'~ate: Aug 20 2012 81-Cert Electrical Compliance Form.xls Town Hall, 53ff95 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1g02 BUILDING DEPARTMENT TOWN OF 8OUTHOLD CERTIFICATION Building Permit No.. 5 q c] 5-- / O er: (.please print) Plumber: 6 e~Oq ~ g~ ~l~e pfint)~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST /[~OUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SA~-,-, 'f INSPECTION [ ] FIRE RESISTANT IT:NETRATIO. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIR[ ~'r co. STRUC'nO~ REMARKS: DATE '~ ~ ~ DEPT. INSPE I' [ ] FOUNDATION lOT [ ] · [ ] FOUNDATION 2ND [ ] I~ULATION [ ] FRAMING/STRAPPING [ ~/]*FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE ~:~//5~/~ 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 INSPECTOR~ FOUNDATION (1ST) . ROUGH FRAM~G & PLUNIB]~G m~ON ~ ~. ~. STA~ ~ CODE , ~. TOWN OF SOUTHOLD BUILDING'DEPARTMENT TOWI~ HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.Nor thFork.net Examined ,o/,'g, 20 Approved t °/5~,20 /{9 Disapproved a/c Expiration r/(5 20 [ > PERMIT NO. '3.5- q '~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board apj~roval Survey ~""- (_$~tll! Check ~ w Septic Fora N.Y.S.D.E.C. Trustees Flood Pe~it Sto~-Water Assessment Fo~ Contact: Mail to: ~. ~l~m~ go.~ lT~ ~ ~. ll~t Phone: ~l. 83~. oct 6 l~uilding)nspector 2ATION FOR BUILDING PERMIT Date ~ ~ oOrolg~_ ,20 It9 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and suNnitted 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 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 Build/ng Department 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, lbr 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, if a corporation) (Mailing address of applicant) owner, lessee, agent,~tect~engineer, general contractor, electrician, plumber or builder State whether applicant is Nameofownerofpremises lq~., {' H~...~. (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. 15'774/q~' Plumbers License No. Electricians LicenseNo. Other Trade'sLicenseNo. Location of land on which proposed work will be done: 2820 House Number Street Hamlet County Tax Map No. 1000 Section ~S,, ~2. Block I Lot ~q Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy $~.lq~.~. f4.H~/-~ l)~,l~.~q b. Intended use and occupancy S,aq~.~ I~.~*~ ~O--~bufe¢. 3. Nature of work (check which applicable): New Building. Addition Repair Removal Demolition Other Work Alteration 4. Estimated Cost Fee 2.2.3. ~ 5. If dwelling, number of dwelling units If garage, number of cars Iqi~/4-. K (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Height Number of Stories Dimensions of same structure with alterations or additions: Fro ~nt Depth Height Numbbr of Stqrigs 8. Dimensions of entire new construction: Front Height Iq/g. ' Number of Storie~ . · .. 9. Size of lot: Front Rear _Depth Rear Rear! ~11-_._.; Depth 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 X Will excess fill be removed from premises? YES__ 14. Names of Owner of premises (JuJ~q Name of Architect Name of Contractor IH~rr~d 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. Address ~qJr~. I1~ a,.l tl??t Phone No. Address ~ra~'t~ ,t~'t~ Phone No &~. 8J~-. q74.O 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 YORK) SS: COUNTY 1~§~.1. ~,~Sr~r kJ~, ,~tat,,,3 ~}~¢~,~,~,v being duly sworn, deposes and ~~e applicant (Name of individual signing contract) above named, ~ ~ ~ ~ ~ Y~ ~. 01~1~ ~He is the (Contractor, Agent, Co.orate Officer, etc.) ~'"'~'. , ,~'~ ~ ...... ~'-~ of said owner or owners, and is duly authorized to peffom or have perfomed the said work and to make and file this application; that all staements contained in this applicaion are tree to the best of his knowledge and belief; and that the work will be perfo~ed in the ;n~ner set foah in the application filed therewith. Sworn t~,..before me this ~ dayof OC~T~O fl~ 20l~ Notary Public v/, S~nature of Applicant . . ToWn of Southold /~/)~ Eromon, 5ed,mentatiOn & S~orm-Water Run. Off ASSESSMENT FOR:.~ FORM - 06110 ( I w~" t~ ProJ~ Reta~ ,~ 8term-Wa~- Run. Off ~enera~d by a Two (2') Inch Rainfall on 8~e? of Mate~al ~in any ( ,~0 S.F.) ~uam Feet 6 Is ~ a NaOmi Water ~ ~ ~ Hun~ (10~) feet of a W~a~ ~a~? One Hundred (1 ~3 of H~l.Dista~? 8 W~l D~, ~ ~as ~r ~ UNTY OF ~'~LL..~..~; ......... SS No. 01BU6185050 , ,., ~ - Qualified Iff Suffolk County _ / ~ of ~,ud ~ ~ ........ t~,mg amy sworn, acposes ana say~ ttm he/she is the appEcant for Permit, And fha he/~ ~ the .... ~.,~..~ ........................ i~:~:~'~"~:aai ............................................................ L. O~ner and/or rcpre~ea~ative of the Owner or Owners, and Ls duly authorized to perform or have performed thc said work and to make and file this apphcala0n, that all statements Con~uned m this applica~on are line to the be~t of his knowledge and beliet~ and that the work. will be performed in the manner set forth in the app]icat/on flied herewith. ,~wom to before me this; Tram Fall/~a~ 54~75 Maia Road P.O..Box 1179 . Somhold, NY 11971-0959 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION [ESTED BY: Name: Date: Phone No.: JOBSITE INFORMATION: *Name:, *Address: *Cross Street: *Phone No.: Permit No.: (*IndiCates required information) . Tax Map District: 1000 Section: ..:~. '2. Block: '1 Lot: *BRIEF DESCRIPTION OF WORK (Please. Print. clearly) (Please Circle All: That Apply) *Is.job ready for inspection: *Do you need a Temp Certificate: Temp'lnformation (If needed}- *Service size: 1 Phase 3Phase *New Service: Re-connect Additional Information: 100 Underground YES/.(~ Rough In ' YES ~..~__~ Final 150 200 300: 350 400 Other Number of Metem Change of Service Overhead PAYMENT DUE WITHAPPLICATION .~ ~ 82-Reeuest for Insl3ecflon Form T~wn Hzll Ann~ P.O.Box 117~ · .Sou~old, NY 11971~ BI_m'~IHG DF.,P~ TOWN OF APPLICATION FOR ELECTRICAL INSPECTION ESTED BY: CompanY Name: Date:, g?¢ ~cJ/': ~ JOBSITE INFORMATION: (*!ndi~,ates required information) *Name:, *Address: *Cross Street: *Phone No.: Permit NO.: Tax Map District: 1000 Section: %~-. o~- Block: '1 Lot:..'~c} *BRIEF DEscRIPTION OF WORK (Please Print clearly) · (Please Cimle All Tltat .Apply) *Is job ready for Inspection: .*Do you need a Temp Oertifl°a{e: Temp'lnformation (If needed}- *Service size: 1 Phase 3Phase 100 *New Service: Re-connect Underground 150 200 Number of Meters Rgugh In"' 300: 350 Change Of Service Additional Information: PAYMENT DUE WITH APPLICATION 400 Other. io )~¥ lO Overhead AUTHORIZATION (print owne~ of property) ! residingat ~15~vvt)tv} ~v'~, 0'-/5/~'r/~'4~/,///7/ //77/ (mailing address) do hereby authorize Nigel Robert Williamson Architect to apply for a building permit from (Agent) The Town of Southold on my behalf. II II II II 11 I1 I1 11 11 11 11 Jl GARDINER S BAY extg. closet I [ ~-x~g. Mstr. Bedr~m~ 2;o" ......... ~ ~EHOV~. EXTG M&LL. FE; ALL PLUMBIN~ & WATER LINi TESTING BEFOR~ ON LEAD CONTEN] PROPOSED MASTER BATHROOM Iextg. c~set F-XT~. 'TUg TO Extg. Nstr. Bedroom E.xrc. w,u!~ I BE ~HOVgb. ( F.u. ~ x I extg. closet I EXISTING MASTER BATHROOM LAYOUT PROPOSED BATHROOM ALTERATION I~ooF NOTED .Bp. # ,~3 / BY /~,,~4 ~ .1_~ ~F~-. BUILDING DEPARTMENT ATc. o,I~-~---% 8 AM TO 4 PM FOR THE lNG INSPECTIONS; - TWO REQUIRED ~'. )URED CONCPETE P,.UMB~NG. ~PING. ELECTRICAL & CAULKING . CONSTRUCTION & ELECTRICAL NTS OF THE C ~UMBING RIS~ DIACR~M UNDE~W~!T?S ..... " GROSS FLOOR AREA 59 sq. ft. 0 U~ E Mr. & Mrs. LUBY $O&ug ~" : I'-O" b~Tr_, 4~ 00% ,2..010, UNIT 4K CLEAVES POINT CONDOMINIUMS 2920 SHIPYARD LANE EAST MARION N.Y. B~dg.~6 1 I -o" ( Admin~. Bldg. 5 ' O A R D I N E R S B A Y ~ ~,~,6'r,...oo~. ~eev~r SITE PLAN REPLACEMENT AT I ASSOCIATION SC.IH. 1000-3B-7-42,8 & 38-24, 4.5