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HomeMy WebLinkAbout36574-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 12/18/2012 No: 36092 Date: 12/18/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 6990 Main Bayview Road, Southold, Sec/Block/Lot: 78.-6-13.1 Fried Map No. Lot No. conforms substantially to the Application for BuilcYmg Permit heretofore 7/22/2011 pursuant to which Building Permit No. 36574 was issued, and conforms to all of the requirements of the applicable provisions of the which this certificate is issued is: "as built" bathroom alteration to an existing one family dwelling as applied for. filed in this of[iced dated dated 7/22/2011 law. The occupancy for The certificate is issued to Saccamano, Katherine & Ors (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 12/13/12 36574 12/3/12 ~/~K Plumbing & He0ting Aut~ri//ed Sig/tature ~/ 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 #: 36574 Permission is hereby granted to: Saccamano, Katherine & Neil (Kirsch, Mary) 6990 Main Bayview Road Southold, NY 11971 Date: 7/22/2011 To: "as built" bathroom alteration to an existing one family dwelling as applied for. At premises located at: 6990 Main Bayview Road, Southold, NY SCTM # 473889 Sec/Block/Lot # 78.-6-13.1 Pursuant to application dated To expire on 1/20/2013. Fees: 7122/2011 and approved by the Building Inspector. CO - ALTERATION TO DWELLING SINGLE FAMILY DWELLING - ADDITION OR ALTERATION Total: $50.00 $400.00 $450.00 · ~n~ Inspector 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 aceurate 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 2/10 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 (prier to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey o f Property showing all property line% strects, building and:unusual naturai or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state thc 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. Ceytificate of Occupancy on Prc-existing Building - $t00.00 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: House No. Owner or Owners of Property: /tT~ Suffolk County Tax Map No 1000, Section Subdivision Permit H~alth Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Date of Permit. Foe Submitted:~c~ ~"&'~,- ' ( /c~' ~'~/ Date.~ /- ~) ~ Old or Pre-existing Building: (check one Street v Filed Map. . Applicant: Underwriters Approval: Lot /E, I Lot- ~ ' Hamlet Final Certificate: / (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, richertC, town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTI-IOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Saccamano ~,ddress: 6990 Main Bayview Rd City: Southold St: NY Zip: 11971 3uilding Permit #: 36574 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: home owner DBA: License No: SITE DETAILS Office Use Only Residential ~ 'nd°°r ~ Basement ~ Service Only I~ Corn medcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY ServiceServicelph ~ Heat3 ph Hot Water U Duplec Recpt ~ Ceiling Fixtures ~] HID Fixtures ~GFCI Recpt Well Fixturess~ Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescent FixtumL I Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures [~ TVSS Other Equipment: bathroom renovation, 1-exhaust fan Notes: Inspector Signature: Date: Dec 3 2012 81-Ced Electrical Compliance Form.xls Town Hall, 53095 Main Road P.O. Box 1179 flouthold, N~r ¥0~ 11971-0959 Fax (631) 765-9.502 T~l~'l~l~OnC (63~.j 765-1802 BUILDING DEPAR~ TOWN O~ CERTIFICATION (Please print) (Please D~tc: / 2 / / ~ / ~ o i 9_ I - ! I certify that the solder used in the water supply system eonl~ns less than 2/10 of 1% lead. CAROL HYDELL NOTARY PUBLIC - STATE OF NEW YORK NO. 01HY6189695 QUALIFIED IN SUFFOLK COUN'~[~ COMMISSION EXPIRES 06130120..J.k~/ DEC 18 20; BLDG DEPT. TOWN OF SOLJ]HOLD TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT ION FOUNDATION 1ST [~] ROUGH PLBG. ] FO~JNDATION 2ND [ ] INSULATION [~/]~FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: /~-~-~- ~- INSPECTOR ,~ ~/ INSPECTI FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ~LECTRICAL (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) ~ELECTRICAL (FINAL) REMARKS: DATE iNSPECTOR~~~~:~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ,] INS~ION~ FRAMING/STRAPPING [ ~"FINAL []FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RF. SISTANT CONSTRUCTION [ ] FIRE R,ISTANT PENETRATION []ELECTRICAL(ROUGH) []ELECTRICAL(FINAL) REMARKS: ~~-J~"~ ~ DATE TOWN OF SOUTHOLD BUILDING ~DEPARTMENT TOWN'HALL SOUTHOLD, NY 11971 TEL: (631) 765-1502 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examiaed ::Z ,20 I 1 App,'oved Vt,.._ r~_~...__, 20 [{ Di's'a;b'lS'r o v e d w'c Expiration / ~¢:¢q-0 ,20 _/3 PERMIT NO. Building Inspector 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 Fot'm N.Y.S.D.E.C. Trastees Flood Permit Single & Separate Storm~Water Assessment Form Contact: _r',o,, Go-z' I oo' taoc __o.% Phone: APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST be co:npletely 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 Bailding 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 pan for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. 1~ 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 fi'om such date. If uo zoning amendments or other regulations aflkcting the properly 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 Depamnent for the issuance ora 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 mildings, additions, or alterations or for removal or demolition as herein described. The  ' pplicable laws, ordinances, building code, housing code, and regulations, and to admit ;rd in building for necessary inspections. ~ ~e, ifa corporation) I0k~,,r,; 9; SOUTdOLD (Mailing addres~ofapplicant) l [ ~ { State whether applicant is owner, lessee, ag~c~gineer. general contractor, electrician, plumber or builder Name of owner of premises o (As on the tax roll or latest deed) If applicant is a corporation, signature of duly attthorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 7' ~9 Block d52ffz~ Subdivision Filed Map No. Lot { 5o { Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:.~ a. Existing use and occupancy ('~4~ t.'~Oe3 ~k'~z~l_ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair X" Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units [ If garage, number of cars Fee Addition Alteration Other Work (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 Real- Height Number of Stories _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 Names of Owner of premises p~(.4.~,k,4~..a.~o Address Name of Architect Address Name of Contractor Address 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 5 14. Phone No. Phone No Phone No. ~5 5 a. Is this prope~y within 100 tbet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE ~UIRED. 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 · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~'1 b ~¢c¢'&.} 1.¢',~'¢ being duly sworn, deposes aad says that (s)he is the applicant (Name of individual signin~ contract) above named, CONNIE D. BUNCH Notary Public, State of New York (S)He is the No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) CommlusionOUallti~lExpim~ln SutlofkAprilCountY14, 2 ~) ~ of said owner or owners, and is duly aulborized to perfbrm 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 pertbrmed in the manner set forth in the application filed therewith. S~r~ to before me this 44x day of ~X. ~5_ 20 I~ Notary Public Signature of Applicant ~' Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (651} 765-1802 ro.,er. BUII,I~ING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Date: Name: License No.: Address: Phone No.: *Name: *Ad d re s s: *Cross Street: *Phone No.: Permit No.: Tax Map District: JOBSITE INFORMATION: (*Indicates required information) 1000 Section: "-/~f' Block: ~ Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) (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: YES / NO YES / NO Rough In 0~"'At ~/ kt~ 3Phase 100 150 200 300 350 400 Underground Number of Meters Change of Service PAYMENT DUE WITH APPLICATION Final OttlLer Over.~l (~{~ 82-Request for Inspection Form Date File # TOWN OF $OUTHOLD C. OMPLAINT REFERRAL FORM Property Owner: ~)(~-..C-~,ll~t~3.-~ Phone NATURE OF COMPLAINT: ACTION TAKEN: Optional: Complainant: Address Report Taken By:. Date Referred to Code Enforcement: ,By Phone__ Phone: Date Mail In Person CODE I~NFORCEMENT REPORT SITE INSPECTION REPORT/DATE: ACTION/DATE: Town Hall Annex 54375 Main Road P.O. Box I 179 Southold. NY 11971 0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 December 11,2012 Kathy Saccamano 6990 Main Bayview Rd Southold, NY 11971 BUILDING DEPARTMENT TOWN OF SOUTItOLD TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: __ Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. __ Final Health Department Approval. ~ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) __ Final Planning Board Approval. (Planning # 765-1938) __ Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 36574 - "As Built" Bathroom Alteration i=MONUMENT ~ e=PIPE I om familiar with the STANDARDS FOR APPROVAL AND CONSTRUC770N OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by fha conditions set forth therein and on the permit to construct. The location of wells and cesspools shown hereon ore from field observations and or from data obtained from others. ANY ALTERATION OR ~DDInoN TO THIS SURI~EY IS A WOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCAtiON LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERnFICATIONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF' THE SURVEYOR I/vHOSE SIGNATURE APPEARS HEREON. ELEVATIONS REFERENCED TO N.G.V.D. AREA-29,851 80. FT. SURVEY OF PROPERTY A T BA YVIEF TOFN OF $OUTHOLD $U??OLK COUNTY, N.Y. 1000-78-06-13.1 SCAL~. I~40' OCTOBER 17, 2005 N. KS. LIC. NO. 49618 P.C. (631) 765-5020 FAX (631) 765-1797 P,O, BOX 909 1230 TRAVELER STREET sou~om, N.r. ,,97~ 05-237 II I I NEW 2x.*~ ,JO,SiS (,d I-EEAT N LC, Ti COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUlRE~ r b'~D TOW~ NLW '/'2' ¢RZEN BOARD lYRICAL Al ALI B&THROOM I) CONFRACIOR SHAL. PROVID[,' DUST PROOI PARIlTION NL-CLSSARY fO PRO'Fl'Cf ADJACEN"I ANtAS IHA~ MAY 8F_ AFFEC'['D DURINC LbEMOLIII©N AND NFW ALTERATK)N WORK, CONTRACTOR SHAI.L I.EAVE Tile AREA CF WORK ADdACFNI AREAS 1'4 CONT[NdOUS SAFE AND SAN~'IARY OPFRATION. FOLJNDATICN N()TES ELECTRICAL L,.k>]lN,~ 2X8 JCL', o I2 This projecl does hal ~n,aludo cny foundation work, INSPECTIONREQUIRED ~0 RLMA,N EXISi q~G ~.¢) PARTIAL FLOOR FRAMING PLAN Scale: 1/2"=1'-0" REPu*,CE =Xla liNG FXI'FRRIOR WA[ L A~aEMBLY (,SLE _EG;END) NEW NEW IOIL~ NEW VANITY AND SlhqK WD SUB FLOOR WIITM FINISHED FLOOR AS~ SFIFCrFD BY OWNFR Scale: 1/2"=1'-0" FRAMINO N O~ E,!}; i) 1his projec[ 2) A'I ¢romlrg lamber t,o be Douglas Fir No.1 grade, R.OOF SYSTEM iNStjI ATION lilts projec~ in(dudes replacemrnt of existing R 11 insulation PLUMBING ON CERTI~i~A~OF "SOLDeR USED IN WATER SUPPLY sYSTEM.CANNoT EXCEED2/IO OF I%~,LEAD. SJ,~, ROOM t IVINO ROOM I AREA OF" WORK SEE PARTIAt PI RATH ROOM BED ROOM 4 ROOM AN S Scale: =1'-0" PARTIAL PLAN General Notes 25 35 4o 5o .60 .80 ,- ~ PM FOR THE ,_,,5T BE COMPLETE FOR C O. REQUIREMENT80E THE CODE8 OF NEW YORK 8TATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, No, Revision/Issue Date Mladen Bay R.A. PO Box 165 475 Hill Road Southold, NY 11971 631 765-4180 Kathy &~Saccamano ~0 Main Bayviow Road Southold, ~Y ~ ~7~ """ 7/11/11 A--' As Noted