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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