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Home My WebLink About36694-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 12/28/2012 CERTIFICATE OF OCCUPANCY No: 36098 Date: 12/28/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: RESIDENTIAL ADDITION 160 Apple Ct, Southold, Sec/Block/Lot: 70.-1-6.7 Filed Map No. conforms substantially to the Application for Building Permit heretofore 9/8/2011 pursuant to which Building Permit No. 36694 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: Covered porch addition to an existing single family dwelling as applied for Lot No. filed in this officed dated dated 9/16/2011 The certificate is issued to Mozer, Terri & Mozer, Brian (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36994 11/13/2012 e 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 #: 36694 Permission is hereby granted to: Mozer, Terri & Mozer, Brian 160 Apple Ct Southold, NY 11971 Date: 9/16/2011 To: construct a porch addition to an existing single family dwelling as applied for At premises located at: 160 Apple Ct, Southold SCTM # 473889 Sec/Block/Lot # 70.-1-6.7 Pursuant to application dated To expire on 3/17/2013. Fees: 9/8/2011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $252.00 $50.0O $302.00 Building Inspector Form Fo. 6 TOWI~ OB' $OUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF ocCUI'ANcy This application must b~ filled in by typewriter or ink and submitted to the Building Department with the following: .au For new building or new use: 1. Final survey 9f property with accurate location Of. all bmldings~ 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 0fFim Underwriters. 4. Sworn statement from pluml~r c~rtifying that the aold~r used in system contains less than 2/10 of 1%'lead. : 5. Commercial building, industrial building, m~Itiple reaiden~x~ and similar buildings and installations, a c~rtificate of Code Compliance from architect or ~agineer 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 "pr~-existing" land uses: 1. Accurate survey of property showing all property lines,'streets, building and:unnsu~l naturaJ or topographic features. ' 2. A properly completed appfication and consent to inspect signed by the applicant. If a Certificate of Occupancy is denie~l, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees t. Cextifica!e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $.50.06, · Swimming po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00: 2. C,e~tificate of Occupancy on Pre-existing Building - $t00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certifmate of Occupancy - $50.00 - 5. Temporary Certificate 0fOccupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: ' House No. Owner or Owners of Property: Date. q/g/It Old or Pre-existing Building: ~ a n atTtO~check one) Streei Hamlet Suffolk .County Tax Map No 1000, Section 8ubdivisibn TO .DateofPermi,. ¢-]~- l/ 0 I Lot ¢', 7 Filed Map. Lot: Applicane Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate ,ec Submi.ed: $ / Underwriter~ Approval: Final Certificate: (check one) ADolicanl Sitmature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY I 1971-0959 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: Mozer Address: 160 Apple Ct City: Southold St: NY Zip: 11971 Building Permit #: 36694 Section: 70 Block: 1 Lot: 6.7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Shaw Electric Inc License No: 33381-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only [~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures Wall Fixtures Recessed Fixtures Fluorescent Fixture Emergency Fixture., Exit Fixtures porch addition, 1-paddle fan, other work was existing] HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS Notes: Inspector Signature: Date: Nov 13 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [//] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] ~DATIO# 2ND [/] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTAHT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ) ELECTRICAL (ROUGH) [ ) E/I.EmK)AL (FINAL) REMARKS: ,~~ ~ ~~ ,/~ // DATE ~~~---- INSPECTOR ~'~' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~J3G. [ ] FOUNDATION 2ND [ ]~JCATION [ ] FRAMING/STRAPPING [~']~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ~ ] ELECTRICAL (FINAL) [ ] ELECTRICAL (ROUGH) REMARKS: ~/~'~-~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (651) 765-9502 SoutholdTown. NorthFork. net Examined ' 20 // Approved Disapproved a/c /?(/ , 20/; Expiration ~//7 '20]3 a sets of pi; ,This application. MU[ST be comp e · ~, !;~ PERMIT NO. ,~/~ q 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 Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Building Inspector ,ICATION FOR BUILDING PERMIT Date INSTRUCTIONS ly filled in by typewriter or in ink and submitted to the Building Inspector with 4 tccordiug 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 issuaace 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 tile 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 tile 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on promises and in building for necessary inspectious. (Signature of applicant or name, ifa corporation) /go (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ["'~tae~ ~c~l~ ~,¢~; ~'~Ot.c.g.- (As on the tax roll or latest deed) If' applicant is a corporation, signature of' duly authorized ofricer (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: /go tq POce_ House Number Street Hamlet County T~ Map No. 1000 Section Subdivision Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'ll'3..~t~_ ~O~rlFit(..~t dLLlP(t_!O_~ b. Intended use and occupancy eOO, C.~..~DDtTlOr~ Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition .~0~-~ Other Work Alteration Fee (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 8. Dimensions of entire new construction: Front .?- 0 ~ Rear ,'9-,0 t Depth Height Number of Stories Rear 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 ~x 13. Will lot be re-graded? YES__ NO ~ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address 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 MAY BE 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 · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) COUNTY OF gM '~hC.;a: ~ ~ X~ ¢1 ["/10~-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~,~ rX ~-q-- (Contractor, Agent, Corporate Officer, etc.) 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 true to the best of his kaowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this / ./ ~ -~ ~'~~ UNDA 8. CAR Exper.. Nov. Town Hall Annex .5487.5 ~ Road P.O. Box 117~ Soul,old, ~ ! 1~/1-0~$9 TOWN OF SOtrl~OLn APPLICATION FOR ELECTRICAL INSPECTION BY: Company Name: No.: lO.iV,IL_ JOBSITE INFORMATION: *Name: *Address: / b 0 *Cross Street: *Phone No.: (*indicates required information) Permit No.: 3 (~ (~ ~ L/ Tax.Map District: 1000 Section: '-] O Block: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That ApPly) *Is job ready for inspection: *Do-you P. ccda Temp Certificate: Temp Information (If-neededJ *Service Size: 1 Phase 3Phase ~New Service: Re-connect Additional Information: ~NO Rough In 100 150 200 300 350 400 Olher Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH AP,PLICATION ~.o .~ 82-Request for Inspection Fom3 ~ ~'~'~'~ SCDHS RE~. # 92 SO 51 ~0)~ N AREA = 12,804 sq. ft. CERTIFIED TO' WALTER I'L BERRY MICHELLE A. BERRY THE LONE ISLAND SA VINGS BANK FSB SUPERIOR ABSTRACT CORPORA T/ON TNW-S-543958-14 ANY ALTERATION OR AD~ITION TO THIS SURV£Y IS A VIOLATION OF ~C~ ~0~ ~ THE NEFY~ ORK STATE ~b~ ~ ~. ~ ~E VA~ FOR THI$'UAF AND COP6'~ TH~EOF ONLY ~ ADDIT'IOJ~ Y TO COMPLY ~TH t~4110 LAW TF. RM ° AL TERr~D BY ' I~J~T ~ ~ ~y ~ AND ALL $URVEYOR$ UTILIZIN~ A COPY OF ANOT'k~ ~URt~'YOR'$ WP. TERMS SUCH · IN&~ECTED ' AND · BROUi~HT~ - TO - DI~TE ' ARE NOT IN COMPI..44NCE ~TH THE L.4W. The locations of wells and cesspools shown hereon ore from field obserwlfion$ and or from dota ohio/ned from olhers. SURVEY OF LOT 14 "MAP OF $OUTHOLD V/LLA$" FILED JUNE25, 1992 MAp NO. 9237 A T SOUTHOLD TO WN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000- 70- 0)- 6.7' -' Scale: 1" = 4 O' March 11, 1992 JUL Y 15, 1992 (foundation) revise 09111/£002 1210819~ PECONIC ~ORVEYORS, P.C. (63[) 765 - 50EOFAX (631) 765 - 79?' P.O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 93- 114 "~,~ ,~ I& ",~¢ - IZ ~846 1 ~v~7 d '1 I. FOUN 4. FINAl AT THE )UIF~ED ~, ~UST ' E FOR F OCCUPANCY OR USE IS UNLAWFUL ~'fT HOU-T- CERT..E ICJLTE_ OF 0 C-~..'.'.'.'.'.'.'.'.~ C~ F OCCUPANCY USE IS UNLAWFUL WITHOUT CBRTIFICATE OF OCCUPANCY APPROVED AS NOTED RETAIN STORM WATER ~UNOFF PURSUANT TO OHAPTER 23~ OF THE TOWN CODE. UNDE~,~JR!TERS ~ERTIFICATE REQUIRED ENT AT THE 1. FOUND TWO 2. ROUGH - & PL MBING 2. 4. FINAL MUST ~- W A~C E- N y,' F '~ ~ OCCUPANC~ OR ~ Is USE iS UNE~,WFUL WITHOUT-CBRTIFICAT: OF OCCUPANCY APPROVED AS NOTED FEE' ~L~F~ BY .~/.~~ NOTIFY BUILDING D~ADT~4FL~ ;, 765-1802 8~ TO 4 PM ~O~ TH~ FOLLOWING INSPECTIO~NS 1 FOUNDATION- TVVO REu JIRED FOR POURED CONF RF 2, ROUGH-FRAM)NG PL'JM5 3 INSULATION 4 FINAL -CONSTRUCTrCN A E_E ~TRIC 4L MUST BE COMPLETE FOF REQUIREMENTS OF THE 3ODES OF DESIGN OR CONSTRUCTION ERRORS RETAIE STORM WATER RUNOFF PURSUANT TO CHAPTER 236 -t