HomeMy WebLinkAbout36615-ZTown of Southoid Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
10/1/2012
No: 35982
Date: 10/1/2012
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIFIES that the building
1490 WATER TERRACE, SOUTHOLD,
Sec/Block/Lot: 88.-6-13.16
Filed Map No.
RESIDENTIAL ADDITION
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/1/2011 pursuant to which Building Permit No. 36615 dated 8/9/2011
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:
screened porch addition, deck addition and outdoor shower stall addition to an existing one family dwelling as applied
for~
The certificate is issued to
MIKE & M1CHELLE FOGARTY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36615 4/19/12
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 #: 36615
Permission is hereby granted to:
MIKE & MICHELLE FOGARTY
1490 WATER TERRACE
SOUTHOLD, NY 11971
To:
construct deck addition & new screened room as applied for
Date: 8/9/2011
At premises located at:
1490 WATER TERRACE, SOUTHOLD, N,Y. 11971
SCTM # 473889
Sec/Block/Lot # 88.-6-13.16
Pursuant to application dated
To expire on 2/7/2013.
Fees:
811/2011
and approved by the Building Inspector.
S1NGLE FAMILY DWELL1NG - ADDITION OR ALTERATION $356.00
CO - ADDITION TO DWELLING $50.00
Total: $406.00
Building Inspector
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 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 installarion from Board o f Fire 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" 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. Ifa 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,
Swimmixig 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
Old or Pre-existing Building:
v'
New Construction:
Location of Property: / ~7/ q~)
House No.
Owner or Owners of Property: 43 1]F-g
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. s~ ~d~/D--
Health ~pt. Appro~l:
Plying Board Approval:
Request for: Tempora~ Ce~ificate
Foe Submitted: $ ~, ~/~/
Date of Permit.
Date. ~v._ /Z) - If
(check one)
Street Hamlet
Block 6 Lot /~. id
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: [// (check one)
-Applicant Fgi(at/uure
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 SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Michael Fogarb/
Address: 1490 WaterTerrace City: Southold St: NY Zip: 11971
Building Permit #: 36615 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Big Blue Electric LicenseNo: 35348-me
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
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
Other Equipment: sun room, 1 GFCI circuit breaker, 1 paddle fan
Ceiling FixtureseR~[~ HID Fixtures
Wall Fixtures ~ Smoke Detectors
Recessed Fixture I I CO Detectors
Fluorescent Fixtur Pumps
Emergency Fixture~ Time Clocks
Exit Fixtures ~ TVSS
Notes:
Date: April 19 2012
81-Cert Electrical Compliance Form.xls
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FO.~UNDATION 2ND [ ] INSULATION
[ ~,~FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (~R~OUGH) [ ] ELECTRICAL (FINAL) .....>
REMARKS:
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
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) ~3~,,ELECTRICAL (FINAL)
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING /~FINAL
[
[
[ ] ELECTRICAL (ROUGH)
REMARKS:
] FIREPLACE & CHIMNEY [
] FIRE RESISTANT CONSTRUCTION[
[
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
DATE ~' '~"~-- / ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INS~ATION
[~t~NAL
[ ] FIRE SAFETY INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
/
,/
DATE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork. nel
AUG
BLDG DEPL
Examined
Approved
Disapproved a/c
Expiration
~ ~ III II1 Do you have or need the following, before applying.
~// Board of Health
1 2011 I ' 4sets°fBuildingPians
Planning Board approval
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Building Inspector
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date 20__
INSTRUCTIONS
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 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 oftbe permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance oftbe 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 whetber applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~J~;'~c,~ 'l ~(J~C4~[I4', ~dqP,.{r~
(As on the tax roll or Idtest dee4)
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.
1. Location of land on which propo~d work will be done:
House Number Street
Hamlet
Block b
Filed Map No.
County Tax Map No. 1000 Section ~r~ Lot ['g~.{~F
Subdivision Lot
2. State existing use and occupancy of premises and intended use and occ~tp~ncy of propose, d construction:
a. Existing use and occupancy _ 51n~)(~_ £&~l., Q~ld6,r~ ~.J/
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building.
Repair Removal Demolition
4. Estimated Cost ~b0;
5. If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Fee
Alteration
(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.
7. Dimensions ofe~isting structures, if any: Front Rear c~ ¢! Depth
Height c~ - ~ ~ Number of Stories ?~g~J/.~- /
Dimensions of same structure with alterations or additions: Front
Depth },qt _ ~" Height ( (V '- 7" +//~ Number of Stories
10. Date of Purchase ~90~ I
Dimensions of entire new construction: Front Rear
Height
Size of lot: Front ~ Rear
Rear
Depth
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 ~] ~c~
Name of Architect ~g$-2r~c~[ ~ ~
Name of Contractor '~12
Address LA.c~4 4.4 r~X~ ~
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 MAYxB~ 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 .~f.
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
~.36L~bv~ ~ ~{.~r being duly sworn, deposes and says that (s)be is the applicant
(Name of indivktuai signing.contract) above named,
CONNIE D. BUNCH
},'1~,, ~ ,..- Notary Public, State of New York
(S)He
is
the
(Contractor, ~gent, Corporate Officer, etc.) Qualified in Suffolk County
Commission 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 tree 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 before me this , t~ .
dayof ct) (~ '-/LU/3~. 20_~
Notary Public
Town of Southold
Erosion, Sedimentotion & Storm-Water Run-off ASSESSMENT FORM
~m~m~' LOCATIO~ ~.C.TJL ~ THE FOLL0W3N~ AGn0N8 MAy REQUIRE THI 81IBIII~MON C~ A
$COPEO~'WOP~ - PROPOSED CON~-I'IiUCTION I'I'~.2M# / WOR~.&~E,~ I Y~s No
(1N~ Mm e~ll ~ndude MI nm-off cmaMd by ale
b. Wtmt is ~he TO~I Ame o~ Lm-,d Clemfng cle~ an&'or coetslm~on ac~es as well a~ a~
PROVIDE ~ PR~ DF.~CRIPI'ION--~--.-- I~ S~IUmS ,ndl~tk~ Stze & t. OC.m~,? Th~ '~ r~l
liem sh~ll Jnc~de MI Prapaeed Orede C~ end
Itam nm~ be rneJntaJned Ihmughaut the Ent~
E~ ---- I~ a chan~e ~ ~e N~ura r~_~
E~ Grade Inv.,ring more Ihan 200 Cubic Yan~
~ IV~ within any Pan~?
En~ an Ama In E~e~ M Fl~e 33~oueand
(5,0~1S.F,) Square FeM
6 Is them a Natural Wa~e~ Coupe Runn~g I~ough the
Si~? k th~ Project ~lhin ~e Tnmt~ee ju~
InckNf, r,O Commmaon aca,,me~ In,~vlng ~Y,I d~tmt~mtms ol less 1hen one (1) acm wham One HufmYed (100') of Heda3nt~ Dbi~ume?
mquked, ~ -- -- n~'~emm .-- .. -- be amd -- Remo~l a~ Vegetation md/a~ ihe Q~ns~uc~n of eny r~~
ffl'Al~ OF NEW YORK,
COUNTY OF .......................................... SS
And that hc/~he i~ ~he .......... I/~!.~4F
Owner and/or repre.~a~i~ of the O~r or Owns, and ~ duly authori~d to l~rform or haw perform~l ~he ~aid wod~ and to
mal~ and file tt~ application; fl~at all ~'at~ata~ contain~l in thk appliealion are m~¢ to the be~t of hia lmo~led~ and I~li~ff; and
thai [he ~rk ~I be I~f~rmed in th~ mann~ ~ fora in dae a~plkafion filed
............................................... dayof ............................................. (20 .....
No~ Public: ..................................................................................................................
FORM - O6/10
Tow~ I-Ia]l ?tonex
54375 Main Road
P.O. Box 1179
Soadx~, 1~r 11971-0959
Telephone (631) 76~!802
BUn ~l~O DEPARTM]~
TOWN OF SOl.rl~-IO~.~
APPLICATION FOR ELECTRICAL INSPECTION
Name:
NO.:
Date:
*Address:
*Cross Street:
*Phone No.:
JO'BSITE INFORMATION: (*Indicates required information)
*Name: /C~,
Permit No.: . ~)~,'~ lb-~'
Tax.Map District: 1000 Section: ~ .
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block:
Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Doyou need a Temp Ce[Ur. rote:
Temp Information (If needed}
*Service Size: 1 Phase 3Phase 100
~New Service: Re-oonne~t Underground
Additlenal Information:
(~,/NO ~
YES / NO
150 200 300 350
Number of Meters C,l~nge of Service
PAYMENT DUE WITH APPLICATION
F~al
.824~equest for Inspeclion Form
I - 26 - 2000 FOtdNDATION LOCATION
GUARANTEED ONL ~
.K;, NO. 04899Z
HAROLD E TRANCHON JR.P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
516-929-4695 ~
BACK ELEVATION APPaOVED AS NOTED
~CAL~: ~": ILO" DAT~r~~ ...... ~'P
J ~, BY
FOLLOWING INSPEC
IJSE IS UNLAWFUL ~. ~ouNo~*,o.
WITHOUT CERTIFiCAT: ~ *o,~..,*~*..-
~F OCCUPANt. ? ~
ELECTRICAL btL, bT BF COMF
INSPECTION REQUIRF' ~OU,R[.~
'" ~ ....... ~ETAfN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF ~HE TOWN C3DE.
[
ROOM
CATHED
PITCHED
5CREEN PANEL5
r~
ENLARGED
DOC~q
I'
ALIGN
b
FLOOR PLAN
SCAL~: ¼"= ILO"
PAGE:
2
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51MESON HG
CONNECTOR.
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CONTINUOUSLY AROUND
WITH LA%lICE SCREENING
DECK, ¢ POP. CH NOTE&:
DESIGN LOAD CALCULATION5
',,41NIMUM UNIFORMLY DIDTR.IBUTED LIVE LOADB (lbs,:)
EXTERIOR. BALCONIES GO
DECK5 40
I
IGR,OUND 5NOW LOAD 145 lb,.
ID'DIGN CATEGOR.Y J~'
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CLIMATIC AND GEOGRAPHIC DESIGN CI~ITFR, IA
NAILING SCHEDULE
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SCALE: ¼"= ILO''
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DAWDTER~ ¢ CAE I~&IL:
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CONTINUOUDLY AROUND
CO N C,'~FTE FOOTING
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HANG D.J. MTH
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