HomeMy WebLinkAbout37191-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
10/15/2012
CERTIFICATE OF OCCUPANCY
No: 35995
Date:
10/15/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
RESIDENTIAL ADDITION
500 CARROLL AVENUE SOUTHOLD,
Sec/Block/Lot: 75.-1-7
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore ~ed in this officed dated
1/1/1900 pursuant to which Building Permit No. 37191 dated 5/3/2012
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:
addition, including deck, to an existing one family dwelling as applied for.
The certificate is issued to
INEZ & JOHN BEYER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37191 9/18/12
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 #: 37191
Permission is hereby granted to:
INEZ & JOHN BEYER
365 LAKEVlEW AVENUE
Date: 5/3/2012
ROCKVILLE CENTRE, NY 11570
To:
ISSUED FOR ADDITION TO EXISTING ONE FAMILY DWELLING.
REPLACES EXPIRED B.P. # 20120
At premises located at:
500 CARROLL AVENUE SOUTHOLD
SCTM # 473889
Sec/Block/Lot # 75.-1-7
Pursuant to application dated
To expire on 11/3/2013.
Fees:
1/1/1909
and approved by the Building Inspector.
PERMIT RENEWAL
Total:
$50.00
$50.00
· 0~M' NO. ~
TO~N 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)
N~ 20120
Permission is hereby granted to:
...~.~.L.~...~.~..,~......~... ...........
.~ ..... ~.....~.., ...... ~ .......
County Tax Map No. 1000 Sect~c~_..~..-~...~. ....... Block ..... ..~..) .......... Lot No.......~....~ .............
pursuant to application doted .~l.~st..~.......~.~ .......... , 19.~.!..., and approved by the
Building Inspector.
Fee $..~.....,....,~
Building In.q~ctor
Rev. 6/30/80
Form No. 6
TOWN 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:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natura} or
topographic features.
2. Final Approval from Health Dgpt. of water supply and sewerage-disposal (S-9 form).
3.. Approval of electrical installation from Board 6f Fire 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, stt~,~ts, building and. unusual natural or topographic
features.
2. A properly .c~, 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
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 $15.00
New Construction:
Location of Property:
H~se No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Old or Pre-existing Building: (check one)
Street
Block / Lot
DateofPermit. 5" 3-/c~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
FeeSub,nitted:$ %0, ~?
Hamlet
7
Filed Map. Lot:
Applicant:,
Underwriters Approval:
Final Certificatel j
(check one)
A~t Sign~?~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1 $02
Fax (631) 765-9502,
mile r. richert~.town, southold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
sued To: John Beyrer
Address: 500 Carroll Ave City: Peconic St: NY Zip: 11958
guilding Permit#: 37191 Section: 75 Block: I Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
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
Service 1 ph
Service 3 ph
Main Panel
Sub Panel
Transformer
Disconnect
Other Equipment:
Heat
Hot Water
A/C Condenser
A/C Blower
Appliances
Switches
1-paddle fan
INVENTORY
Duplec Recpt
GFCl Recpt
Single Recpt
Range Recpt
Dryer Recpt
Twist Lock
Ceiling Fixtures '~~ ~ HID Fixtures
Wall Fixtures Ill Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixture Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: Sept 18 2012
81-Cert Electrical Compliance Form.xls
76.5-1802
BUILDING DEPT.
INSPECTION
[~/j FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
DATE
765-1~2
BUILDING DEPT.
INSPECTION
[ ] F~NDATION 1ST [ ] ROUGH PLBG.
/
[l,/J FOUNDATION ;ZND [ ] INSULATION
FRAMING [] FINAL
INSPECI'OR
765-1~0~
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[] FRAMING _ [,] F~NAL~
DAT~
INSPECTOR~~/
765-1~2
BUILDING DEPT.
INSPECTION
[~FOUNDATION 1ST [ ] ROUGH PLBG.
[~FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
DATE ?~~,~/ INSPECTOR.~ ~
/
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOU~iDATION 2ND [ ] INSULATION
[/-"]"FRAMING [ ] FINAL
REMARKS:
DATE/~[/~7/ INSPECTOR .~V?/~
765-18e2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLDG.
[ ] FOUNDATION 2ND [,~INSULATION
[ ] FRAMING
[ ] FINAL
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
TOWN OF ~G DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUG~G.
FOUNDATION 2ND [ ]/~ISULATION
FRAMING/STRAPPING [~] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
INSPECTOR
DATE
','ow. OF .o.,-.o-o ,,u,-,,,.o O-,,'.
__765-1802
INSPECTION
;oOuUNNDDAATT:oONN :SN: I I IRNOsUuGLHATPILoBNG'
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~.ELECTRICAL (FINAL)
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN.SUCTION
[]FRAMING/STRAPPING [/,~!~~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
~~------INSPECTOR
?'iELD '" '"'"-:'' '~
FOUI__JDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
BLDG. DEPT. TEL.: 765-1803
TOWN OF SOUTHOLD
(Building Inspector)
APPLICATION FOR BUILDING FERMtT
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
;ets 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
~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
zation.
c.' The work covered by this application may not be cbmmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
~hail .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 whatever until a Certificate of Occupancy
~hall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building 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, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
~dmit authorized inspectors on premises and in building for necessary in~.o~
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant) /
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
( the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No .... itt 7' 4.7. - fiJ'~' ' ' '
Plumber s L~cense No .........................
E ectrician's License No .......................
Other Trade's License No ......................
1. Location ofland on which proposed work will be done. .~.. . .OC.~.~.4f./.O. / .//. ./~. .//~. ./ ....... /.~f..,.~.a..
. .S. .o. .......... r'.o. . ....
House Number Street ......... [ ........ ~Hi~I'I;; ' .......................
~County Tax Map No. 1000 Section ....~..~. ......... Block ... 0.6 .......... Lot....~..'..~.. .........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
'-. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. x,sting use and occupancy ,,./...
. ........
3. Nature of work (check which applicable): New Building Addition . Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
4. Estimated Cost'~~:~ O67~ , O~5> ' I1 ~(cDg~sc-ripti°n)
· ' '2' ................................ Fee ............
(to be paid oa.filing this application)
5. If dwelling, number of dwelling units. O.//~. ....... Number of dwelling units on each floor· .~.~..~.~ .....
If garage number of cars
~i If business, commercial or mixed occupancy, specify nature and extent of each typic of use~ .............. ~! ......
Dimensions of existing structures, if any: Front...~..~. ':'. '~.... ' Rear ...~3.~ ...... ' Depth..2-~. ........
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front .... ' ............. Rear ..................
~D.epth .. ....7' :.' ............ Height .... i;.- ~ ............. Number o~f Stories .............. .
8. uimenszo.ns, q~ enure new construction Front A~. . Rear /~ n~th ? d') ~' ......
eight ./~ ............ Numberof Stories . . .~J} .~ ..... '~
9. Size oflot' Front Rear .... ;. ......':' "; " :z ' ;. .........
...... B' .............. ~-.4 .... ~ ..... ~e th .'~.7-C.,,, ~ ........
10. ~DateofPurch.ase .: .... ~ ............. ......... Name o~onner Owner ...~(4',r'l~} .... .~.
z~one or use district in whLh premises are situated ............ ' ......
Does proposed construe[ion violate any zoning law, ordinance or r~l'a}io'n"' ' ' '~i i i i
' . . t) t..,o;, i .rAddress 6.q , ff e No ................
15. Is this property within 300 feet of a tidal wetland? *~'e'~ .'.~ .'.' ~o..~. [.' ..............
*If yes, Southold Town Trustees Permit may be required.
-. PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions frem
property lines. Give street and block number or descriptioh according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF NEW YORK,
COUNTY OF ................. S.S
.... .I g.~ '/" ( .~.o,. ~.C k~.b ~. .......... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
~bove named.
te is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
:pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
york will be performed in the manner set forth in the application filed therewith.
;worn to before me this
;otary Public,
l~m ~~~ (Signature of applicant)
TOWN OF SOUTHOLD PROPERTY RE¢:ORD CARD
OWNER STREET VILLAGErDIST. SUB. LOT
~Om~RO~hER ' ~ E' . - .. ~CR._, I
.~. ~ S , W ~. , /.TYPE OF BUILDING / ~-~.
RES. W~' s~s. v,.. FARM ~ COMM. CB. ,,,,,SC. '~.t.~a,,.,e
LAND IMP. TOTALDATE REMARKS
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Vqlue
Acre
Tillable !
Tillable 2 ::
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland
FRONTAGE
ON
ROAD
House Plot DEPTH - ~h~ ~q~-',e~. ~, r.__~ ~-~
Total ~ ~r~ ~77. ~ '
M. Bldg.
Extension
Extension
z,-.' ( 3.¢ -- ?& ~,
COLOR
TRIM
Fo~'dation
Basement
Ext. Walls
Extension Fire Place
Type Roof
Porch Recreation Room
Porch
Breezeway
Garage
Patio
O.B.
Total
Dormer
Driveway
Bath
Floors
Interior Finish
Heat
Rooms I st Floor
Dinette
LR.
DR.
BR. 3
Rooms 2nd Floor FIN. B.
359
$ qo
kphone (631) 765-1802
~,~0 (631) 765-950~
wn.southord.ny.us
REQUESTED BY:
CompanyName:
Date:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
(*Indicates required information)
Permit No.:
Tax Map District: 1000 Section: ~2~' 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:
Temp Information (If needed]
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
3Phase
YES / NO Rough In
YES / NO
Final
1 O0 150 200 300 350 400 Other
Underground Number of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
Southold Town Building Department
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 75.-1-7
Permit #: 20120
Permit Date: 9/5/1991
Expiration Date: 3/5/1996
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
I~ated: 10/26/2011
Applicant:
Location:
Work Description:
,TAME5 & 'rNEZ QU~:NN
500 CARROLL AVENUE 50UTHOLb
RESTDENTIAL ADDT'I'J:ON
T55UEb FOR ADb'tigON TO Ex'rsTING ONE FAM'rLY bWELL'rNG
A FEE OF $50.00 I$ REQUIRED TO RENEW THIS BUILDING PERMIT.
Address:
JAMES & INEZ QUINN
365 LAKEVXEW AVENUE
ROCKVILLE CENTRE, NY 11570
The permit listed above has expired. Please contact our office as soon as possible to begin
the renewal process. All work on the project must stop on the expiration date.
THANK YOU,
$OUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
P.O. Box 1179
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 75.-1-7
Permit #: 20120
Permit Date: 9/5/1991
Expiration Date: 3/5/1996
Dated: 4/25/2012
Applicant: JOHN & INEZ BEYER
Location: 500 CARROLL AVENUE SOUTHOLD
Work Description: RESIDENTIAL ADDITION
ISSUED FOR ADDITION TO EXISTING ONE FAMILY DWELLING.
Owner:
Address:
INEZ & JOHN BEYER
365 LAKEVIEW AVENL~
ROCKVILLE CENTRE, NY 11570
Your BUILDING PERMIT #20120 has been referred to me because you have not responded to requests
to obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shah be used or
occupied in whole or in part until a certificate of occupancy shah have been issued by the Building
Inspector."
Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of
Southold in the amount of $50.00 to renew the building permit, or legal action will be taken against you.
Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00
p.m.
Respectfully Yours,
/
Michael Verity: Chief Building Inspector
Southold Building Department
26h5 9969 2000 0620 0~0~
cc: Damon Rallis Zoning Inspector
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (631) 765-9502
Telephone (631 ) 765-1802
May 25th, 2007
James A. Quinn
365 Lakeview Avenue
Rockville Centre, N.Y, 11570
RE: 500 Carroll Ave. (Addition)
SCTM # 75 1 7
Dear Mr. Quinn,
Please be advised that your Building Permit # 20120 issued September 5th, 1991 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of 50.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
AREA = ~.~ ACRES
SURVEY FOR
/NEZ OU/NN BEYRER
A T PECON/C
TOWN OF $OUTHOI. D
SUFFOLK COUNTY, N Y,
1000- 75- 01- O7
SCALE: 1" = 6O'
/tUG. 16, 1991
/7/'~ d E I'1 Prepared in accordance with the mi,.n'?um
/ ~ ~~'~ ........... slondords for lille surve s os est~lished
by the L.I.A.L.S. and a~roved and adopted
91- 232
J~
· O.O?Z'
BXTE. FimDF WALL
R~ROVED AS NOTE~
NOTIFY BUILDING DEPARTMENT AT
7n~-lR~t~ 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS
1, FOUNDATION · TWO REQUIRED '
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. iNSULATION
4. FINAL - CONSTRUCTION MUST
SE COMPLETE FOR C,O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
BR~jlr~q5
OCCUPANCY OR
USEIS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
2592.G