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HomeMy WebLinkAbout37498-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 10/18/2012 CERTIFICATE OF OCCUPANCY No: 36011 Date: 10/18/2012 THIS CERTIFIES that the building HOT TUB Location of Property: 50025 Route 25, Southold, SCTM #: 473889 Sec/Block/Lot: 70.-5-1 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 9/7/2012 pursuam to which Building Permit No. 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: "as built" hot tub as applied for. Lot No. filed in this officed dated 37498 dated 9/7/2012 The certificate is issued to Paterson, John & Paterson, Lynn (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37498 10/17/12 ~ign~ti~re Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 10/19/2012 CERTIFICATE OF OCCUPANCY No: 36012 Date: 10/19/2012 THIS CERTIFIES that the building SHED Location of Property: 50025 Route 25, Southold, SCTM #: 473889 Sec/Block/Lot: 70.-5-1 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 9/7/2012 pursuant to which Building Permit No. 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: "as built" shed as applied for. Lot No. filed in this officed dated 37498 dated 9/7/2012 The certificate is issued to Paterson, John & Paterson, Lynn (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 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 #: 37498 Permission is hereby granted to: Paterson, John & Paterson, Lynn 50025 Route 25 Date: 9/712012 PO BOX 378 Southold, NY 11971 To; construct "as built" hot tub & shed as applied for At premises located at: 50025 Route 25 SCTM # 473889 Sec/Block/Lot # 70.-5-1 Pursuant to application dated To expire on 3/9/2014. Fees: 9/7/2012 and approved by the Building Inspector. SWIMMING POOLS - ABOVE-GROUND WITH REQUIRED FENCING ALTERATION OF ACCESSORY BUILDINGS CO - SWIMMING POOL CO - ACCESSORY BUILDING Total: Building Inspector $500.00 $200.00 $50.00 $50.00 $800.00 Form No. 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 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 of Fire Underwriters.. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I 0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Co~npliance 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: I. 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 I. 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 Date. [~ (check one) Old or Pre-existing Build!ng.! Street House No. New Construction: Location of Property: .Date of Permit. · Owner or Owners of Property: ,~ ~ Suffolk County Tax Map No ! 000, Section Subdivision Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Sub,nitted: $ /-~'"0, ~)-~ Hamlet 7o -..5" eot / Block Filed Map. Applicant: Underwriters Approval: Lot: Final Certificate: (check one) licant Signature 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: John Paterson Address: 50025 Main Rd (RT 25) City: Southold St: NY Zip: 11971 Building Permit #: 37498 Section: 70 Block: 5 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 R Ind°or ~ Basement ~ Service Only~ Commerical Outdoor 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~.~ Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures ~ CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture ~ Pumps Transformer Appliances Dryer Recpt Emergency Fixtures~.~ Time Clocks Disconnect Switches Twist Lock Exit Fixtures ] I TVSS Other Equipment: self contained hot tub with GFCI protected disconnect Notes: Inspector Signature: Date: Oct 17 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN/,SU~TION [ ] FRAMING / STRAPPING [ ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~'~'/~/~ ~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ?/ 7 , 20] ~ Approved Disapproved a/c Expiration 3 ] ,) ' 20 ]¢ SEP - 7 2012 BLDG. DEPT. [O,",/Di OF SOUTHOLD PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.G. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: fO ~,~ 7~c~ Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ., 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 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 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. 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. Name of owner of premises If applicant is a corporation, signature of duly authorized officer ~'nature of.~I~ant or name, if a corporation) (Mailing address of applicant) :';"'" " ":' APPROVEDIASNOTE ' r r State whether applicant is ow'ne'( le~'S%;' hgent, 'architeCt, engineer, general contractor, electrician, p umoe o builder DATE: 9/./(~ B.P.# ~ 7q~y ~~ ~~ NOTIFY ~UILD~NO DEDAaTMENT AT .'~-.' .... ' ~<, 'w a ,.,., THE (As on the tax roll p,( l~9~k~¢)p~ '".a;:; r q~ (Name and title of corporate officer) Builders License No. ,,I Plumbers License No. ~NC;~.c:~r-_ ~,,'~_ FO GOOfi Electricians License No. UF'3N COMPLETION Other Trade's License No. BEFORE, "WATEFI" Location of land on which proposed work will be done: House Number Street Block County Tax Map No. 1000 Section Hamlet I AL ELEGTRG. , $PECTION EQO ED Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~,,,t ?/e ~.~:,,t, 4,.,, -~.ap~', e/e~c e b. Intended use and occupancy 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, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth 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 Rear Depth 9. Size of lot: Front Rear 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 Will excess fill be removed from premises? YES__ 14. Names of Owner of premises ~t~d,d ~,'8.'~..x.o,d Address Phone No. Name of Architect Address Phone No Name of Contractor '5',~7..- F' Address Phone No. NO 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 cfa tidal wetland? * YES__ NO · IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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 an.d, restrictions with respect to this property? * YES · IF YES, PROVID~W~i0~P~i'I* ! -- NO STATE OF NEW YOP-c~- SS: COUNTY OF .... ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of New York (S)He is the.. No. 01BU6185050 . -~ ~, Qualifieo in ~uttolk County "' (Contr~?~,r~ ~g. ent, Corporate Officer, etc.) Commission Expires April 14, of said owner or owners, a~d. lis duly author.:ized tX) p;rfor... ~.,~m.~erformed the said work and to make and file this application; that all statements contained jwihis,.applic~ti~ ~re true to the bOs}'0t'i~s ~r~o. wlgdge and belief; and that the work will be performed in the manner S~t fortli if~ tl~e .tlpi31'ieation filed therewith. Sworn to before me tliig "7--/43 day of , -~'?. ?,q~4 20 Notary Public Town Hall Annex $4375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (651) ?§$-1802 . (631) 7 ~ ro.qer, rlchertdt~n.sgu~[~J, ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTIO'N REQUESTED BY: Company Name: Name: License No.: ~,dd. ress: Phone No.: Date: JOBSITE INFORM.~.~_T. LON: (*Indicates required information) *Name: _~_~ *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1-000 Section: ?O *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) / Block: Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do· you need a Temp Certifi,cate: I Temp Information(If neededJ *Service Size: I Phase *New Service: Re-connect Additional Information: 3Phase Underground YES / NO Rough In YES / NO 100 1'50· 200 300 350 400 Number of Meters Change of serVice ~ve1 PAYMENT DUE WITH APPLICATION \~ \1 82-Reeuest for Insoection Form Final. 11971 Town of Southold Building Department Town Hall Southold, N.Y. 11971 John Paterson 50025 Main Rd Southold, N.Y. 1000-70-5-1 To Whom It May Concern, In order to get a pre existing C.O. for the above property it was necessary to obtain a permit for a pre-existing second bathroom in the above residence and in accordance to instructions received from the building department, show this bathroom was built prior to occupancy by Mr. Paterson. To accomplish this the previous owner, Mr. Raymond Terry, was contacted. During the conversation with Mr. Terry it was determined that the bathroom was constructed between 1946 and 1950. I hereby certify the above information to be correct. Sworn to before me this r yof Aao - 20 Notary. Pu~ '