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Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 8/22/2012 CERTIFICATE OF OCCUPANCY No: 35902 Date: 8/22/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ACCESSORY GARAGE 315 Fleetwood Road, Cutchogue, NY, Sec/Block/Lot: 137.-4-14.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/28/2011 pursuant to which Building Permit No. 36784 dated 10/28/2011 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: accessory one car garage as applied for. The certificate is issued to Giniger, Evan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36784 6/27/12 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 #: 36784 Permission is hereby granted to: Giniger, Evan & Walsh, Gerry 305 E 91st St New York, NY 10128 Date: 10/28/2011 To: Demolition & Construction of an Accessory Building; Detached Garage, as applied for. At premises located at: 315 Fleetwood Road, Cutchogue, NY SCTM # 473889 Sec/Block/Lot # 137.-4-14.1 Pursuant to application dated To expire on 4/28/2013. Fees: 10/28/2011 and approved by the Building Inspector. CO - ACCESSORY BUILDING ALTERATION OF ACCESSORY BUILDINGS Total: $50.00 $574.50 $624.50 Form INo. 6 TOWN OF SOUTHOLD. 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 w!th 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 iustalIation from Board 0fFire Underwriters. 4. Sw. orn 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" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusu~l natural or topographic features. 2. A properly c~mpleted 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 New Construction: ~ Old or Pre-existing Building: Location of Property: House No. Street · Owner or Owners of Property: Suffolk Copnty Tax Map No 1000, Section /3 '~" Block Certificaie 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 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 (check one) Hamlet Date of Permit. /tO -2 7 - Filed Map. / / Applicant:. Underwriters Approval: Final Ce~ificate: Subdivision Pelmit No. _~:'7~-//'~ __ Health D~pt. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~-~). c.~ rot /4. ! (check one) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qer.dchert~town.southold.n¥.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Evan Giniger Address: 315 Fleetwood Rd City: Cutchogue St: NY Zip: 11935 Building Permit#: 36778-36784 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: BJ Electric License No: 2670-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ 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 NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Ceiling Fixtures ~ HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~_~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixturesl.~ Time Clocks Exit Fixtures [~ TVSS Other Equipment: 200a underground service, 4-combination smoke/co detectors, 2-paddle fans I-GFCl circuit breaker, 4-ARC fault circuit breakers Notes: Inspector Signature: Date: June 27 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. ~' 765-1802 //iNSPECTION [~/] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~~---~ ',~~ ~///~~-' ~ o~-/'~ ~/~-~) DATE /? INSPECTOR ,'~~/'-'~ TOWN OF SOUTHOLD BUILDING DEPT, 765-t802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]~JJNl~l~rl~,~.~ [ ] INSULATION '~ [.~FRAMING/~.~I~ [ ]FINAL [ ] FIREPLACE & CFIII~I~EY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRIC~AL) REMARKS: <_~~x~ ~/ DATE INSPECTOR ~~~/ 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ~J~ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE __ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSU~LATION [~]~NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) . [ ]ELECTRICAL (FINAL) REMARKS: ~/~ ~ ~ ~- / / / / TOWN OF'SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 ,~ A~ 4 sets of Building Plans TEL: (631)765-1802 / ' ])!/t/~J-./-~//[/(,CV- x~ Planning Board approv~l FAX: (631) 765-9502 [ ~ ~ ~ ~ ~ ] Survey ~ SoutholdTown. NorthFork. net ~PER~T NO~ ~ t / ~_~ Check~ ~ ~ ; - ~ Septic Form ~ ~ ~ N.Y.S.D.E.C~ ( ~ I~ , ~ 7 ~ ~) Tmstees~ ~ _ ~ ~ C.O. Application · -- '' X ~~ ~ ~ Flood Pe~it ~ ExaminedIO- r:ol*~ '~ ~/ Single & Sep~ ' [ ~ ~ Sto~-Water Assessment Fo~_ Approved [O--~ ,20 '[~~' [O 7~'( ~ ContaCt~ailto: ~'~~;~ Expiration ~ ~--(~Z, 20 [-~ ~ Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,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 9sed i~.~ ~wh°!e orJn vart for any nttm~e wl~ ~,~ ........ ~u_~. n,~ x.~ .... appiica~lt State whether is owner, lessee, agent~engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~:;L,',4~ ~[a/la,!~'/~, (As on the tax roll or latest.deed). If applicant is a corporation, signature of duly authorized officer (Name and fftlq 0f CorPbfate Officer) Builders License 1'4o: : Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 3/5' Fc oaz2 House Number Street Hamlet County Tax Map No. 1000 Section //3 1 Block t~ 4 Lot / (~ f Subdivisibn 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 b. Intended use and occupancy ,ff~ ,J7 ~,~ 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair Removal Demolition ~)~ Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, co~cial or mixed occupancy, sp~'cify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear .Depth Height. Number of Stories 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 9. Size of lot: Fron¢ ~"' '"~ 1~ .~ t/~Rear/r~c- Rear .Depth .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ ~-- O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES }Z~ NO Will excess fill be removed from premises? YES /~( NO 14. Names of Owner of p~mises (-f~[.tbtl~./'~ Address Phone No. Name of Architect ,[,-~ ~'/,,~',~F/~ 7' ~ Address Phone No Name of Contractor f~/4/C/J' (. ~',,q-~::>~',,~ Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES W/NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. (S)He is the ~ ~ n'lRII611tS080 (Contractor, Agent, ~or~orate/Officer, etc.) Ouallf~l ha Suffolk County ,.,, ,.~.. commlallon Exptre~ April 14, 2LZ/ 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 t,o before me this ^ /~ . (zP-~"x day of ~" 20 'il Nolary Public BUILDING PERMIT EXAMINER CHECKI,IST" Applicant: . ~¢9~ Architect/Engineer: scm# 1000 -/3 7- q- - } ~. I Property Address: , ,-~/,--~ 7~'--~~L°''ff-t~ ~ Ci~: ~ Building Permits (Open/E~pired): BP ~ -Z/~0 Z- ~ , Info: BP~-Z / ~0 Z- , Info: BP -Z / C/0 Z- 8ingle & Separate Search Required? Y o~Determination: 'Date Submitted: [ 0-/~ { [ Date Reviewed: " ~ Estimated Cost: Subdivis?on: Zone:Conformi.g? Pre COs? ~ BP__-Z / C/0 Z- , Info: , Info: BP -Z / C/0 Z- , Info: _. REQ. Lot Size: ~ ACT. ~t Size: X%~g~ ~Q. ~t Coy. ao~ ACT: ~t ~v. ~Q. Front ~ ~CT. Front 0K ~9 Side ~ ACT. Side ~ k ~Q. Re~ PROP. Rear ~ ~Q. H~ight. 35 ACT. Height 0~ ~ R~. 8~x8 ~lb~ ~ A ~T 0 K ~ N ' Waterfron~?~or ~ ~- ~~~ )~ ~~, ' ~ ~ '~ ~) Ify~, water body: ~~~Panel~ ~l~od Zone: ~ Bui~ea~BluffDistanee: ~DITIONAL APPROVALS ~QUI~D ~C~ S (¢) Sl~a~, $~ak~ °~$uRV~ ~ ~ fluffolk County Health'~or N - If. yes, *Bed~'. 3 *Date: ______t / ~1~[ *PermitO;. ~t~ ~- Town fieptic - If no, certification required: Y or N Received: Y ~r N By: ~S DEC: ea,o~cw,n~r N- Date: b.~/fl Permit ,: 1- ~7J~-~fl~7~r NJ Letter- Notes: · .o4L Southold ZBA: Y o~ Date: / / Permit ~: - Notes: 8outhold Planning: Y o~- Date: / / ~ Permit ~: - Notes: Town Landmark C of A: Y o~TE: / / ' *~S CODE ~ompliance (page 2): Y or N Calculation: Pff~oLIrl~ Fee Structure: Fou~datiom SF First Floor: I t~0¢] SF Second Floor: ~f SF Other: 1)EPtoLITIoN ! SF Total: ~&5~' SF I ST FLoo~ AS BUILT FEE ~g$.5-' x $ ,' ¥o :$ x / GAga~ + Initial Fee: ~o. ,a 360 S6~$.~0 oo+~, o0 FLooD $ qoy..t $ I oo.o , ~ 00,t~ ~' - ..... NbJ k'dcTrok a ELE 2TN CAL ~ ~- Cu, P~-h_ FOR S O ALL ~ONSTRUCTI 3k SHALL MEET THE RE©UIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATK:IN I.!As itEEN,~PfftOV~o ELECTRICAL INSPECTION REQUIRED OCCUPANCY OR USE IS UNLAWFUL W!THOUT CERTIFICATE OF OCCUPANCY COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF SOUTHOLD TOWN ZBA SOUTHOLD TOWN P'~NNING BOARD ~,.~-__ SOL;THOL RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. BUILD UP GRADE A~ REQUIEED FOP. DI~IVEglIAY 19'-5¼" 11'-6" 3'-3" 10'-10¼" 1). 8' THICK POURED COl~ EXTERIOR OF FOUNDI COATING. 2),FOUNDATION TO HA~ TO HAVE 2 - #5 CONTI UNDISTURBED ~OIL (M FOUNDATION SLAB TC GENERAL CONT ROUGH ELECTR lO'-O" A'¥VJ251 4'-3W2" t (2) 2X10 DF#2 HEADER 10L0" 7'-6" $ 7'-6" TEMPERED A",X/251 10 -I~A IOXIO FG COLUMN 1S )PRI 1). PLATE HEIGHT AT 9'-0" UNLESS OTHERWISE 2). EXTERIOR WALLS TO BE FRAMED WITH 2X 3). EXTERIOR SHEATHING TO BE 1/2" THICK F 4). DOUBLE UP FLOOR JOISTS UNDER PAP, ALL J~LOCKING AT 8'-0" O.C. AND MIDSPAN. 5). PROVIDE 2 - 2X10 DF#2 HEADER5 OVER AL OTHERWISE NOTED. ALL OPENINGS OVER ON EACH SIDE OF OPENING. PROVIDE 3 J/ MICI:~OLAM HEADERS. 6). REVIE'~ PLANS FOP, OPENINGS REQUIRIN( 7). SHO~UEP, WINDOW TO HAVE VINYL JAMB HARDWARE. ~F ANY DISCREPANCIES Bb-P~EEN THE DRA~UINGS, THE SPECIFICATIONS, AND THE FIELD CONDITIONS, AND SHALL REQUE~' CLARIFICATION BEFOI 2×8 DF#2 C.I @16"0C 5/B" TYPE-X SHEETROCK 2X6 ACQ SILL PLATE COP-R-TEX TERMITE FOAM SILL SEAL (SL~B TO SLOPE TO OH DOOR) TYPICAL GARAGE FLOOR: 4" CONCRETE SLAB c/w FIBRE MESH REINFORCEMENT 6 mil POLY VAPOR BARRIER COMPACTED GRANULAR FILL 16"XB" CONC. FTG. (2) #$ REBAR BUILD UP GI~,DE AS REQUIRED FOR DRIVD~AY AND THE FIELD CONDITIONS, AND SHALL REQUE~I' CLARIFICATION BEFORE COMMENCING 'g~ORK. CONTRACTOR SHALL VERIFY ALL I Gl AND REMEDY ALL DISCREPANCIES 'gglTH ARCHITECT PRIOR TO THE COMMENCEMENT OR CONTINUATION OF