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Home My WebLink About37890-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/8/2013 CERTIFICATE OF OCCUPANCY No: 36181 Date: 4/8/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 1285 Bayberry Rd, Cutchogue, Sec/Block/Lot: 118.-3-9 Filed Map No. Lot No. filed in this officed dated 37890 dated 3/28/2013 conforms substantially to the Application for Building Permit heretofore 3/15/2013 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 winch tins certificate is issued is: "as built" alterations to an existing one family dwelling, including boiler, hot water heater, electric and screened porch converted to enclosed porch, as applied for. The certificate is issued to Dipillo, Danielle & Dipillo, Frank (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37890 3/25/13 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 #: 37890 Date: 3/28/2013 Permission is hereby granted to: Dipillo, Danielle & Dipillo, Frank 12 Roberts Rd Warren, NJ 07059 To: alterations to an existing one family dwelling, including boiler, hot water heater, electric and screened porch converted to enclosed porch, as applied for. At premises located at: 1285 Bayberry Rd, Cutchogue SCTM # 473889 Sec/Block/Lot # 118.-3-9 Pursuant to application dated To expire on 9/27/2014. Fees: 3/15/2013 and approved by the Building Inspector. AS BUILT - SINGLE FAMILY ADDITION/ALTERATION CO - ALTERATION TO DWELLING ELECTRIC Total: $200.00 $50.00 $90.00 $340.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This appli~tion must be filled in by typewriter or ink and submitted to the Building Department with the following: 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 featur6s. 2. Final Approval from Health D~pt. of water supply and sewerage-disposal (S~9 form). 3.. Approval of electrical installation from Board 0fFire Underwriters. 4. 'Sw. om statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.. 5. Commeroial 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, streets, building and unusufil natural or topographic features. 2. A properly c:~mpleted application and consent 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. 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: Date. Old or Pre existing Building: _ L//'' Location of Property: / 2~5:>,5- House No. Owner or Owners of Property: _ . Suffolk County Tax Map No 1000, Section (check one) Subdivision Date of Permit. Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate __ Block ~' Lot ~ ~ '~ ~ Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: Fee Subtniue(I $ (check one Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roqer .richertt~,town.southold. ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Dipillo ~,ddress: 1285 Bayberry Rd City: Cutchogue St: NY Zip: 1193~ 3uilding Permit #: ~"~7'~ "~O Section: I 1 8 Block: 3 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Sontractor: as built DBA: License No: SITE DETAILS Office Use Only Residential ~ Indocr ~ Besement ~ Service Only ~ Commerical Outdocr 1st Floor Pool New Renovation 2nd Floor Hat Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 200a overhead service, replaced oil furnace Ceiling Fixtures~~ ~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO De{ectors Fluorescent Fixture Pumps Emergency Fixtures Time Clocks Exit Fixtures I I TVSS Inspector Signature: Date: March 25 2013 Electrical CerUficate.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [,~ ELECTRICAL (FINAL) REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ REMARKS: [ ] ROUGH PLBG. [ ] INS~ULATION [ ~J~INAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net PERMIT NO. 25 7 ~'~ O Examined Approved Disapproved a/c 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.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: Expiration /~/0/:'/, 20~ i [ I :---~~~ ~ ~mimng inspector INSTRUCTIONS Date. ~,: a. This application MUST be completely filled in by typewriter or in ink and submi~ed 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 baildings on premises, relationship to adjoiniug premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuauce 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 tbroughout the work. e. No bnilding shall be occupied or used in whole or in paa for any purpose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building pe~it shall expire if the work authorized has not commenced within 12 months ater the date of issuance or has not been completed within 18 months ~om such date. If no zoning amendments or other regulations affecting the prope~ have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. There~er, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depam~ent for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southo[d, 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 applic~t agrees to comply with all applicable laws, ordinances, buildiug code, housiug code, and regulations, and to admit authorized inspectors on premises and in building for necessmy mspecn (Signkture/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 Name of owner of premises ~) t~7//_/~ £ ~/1,.}/,~" ¢ ,.~/~'/if/F/~, ~_~.,~_~ (A~on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section /t/d6> Hamlet Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended, use and occup~a/~7 of proposed construction: a. Existing useandoccupancy ~ ~-,~,~,, ~:~'~ b. Intended use and occupancy 6~4~ 3. Nature of work (check which applicable): New Bailding Addition Alteration Repair Removal Demolition .Other Work fl20_.rd_.~t'/_., ~_.~ /~ --__--~'X ~lx:coSZZ~ ~ ,CoT t,v',qrg~ /'~K (15'escription) 4. Estimated Cost ( ~ ~c.c~'~-/ e~t'd~Fee ...cc/gee ¢ ~ J, - c-~ ~¢/.Cc/tcr~v/~j(Wo be paid on filing this application) 5, If dwelling, number of dwelling units [ Number of dwelling units on each floor / If garage, number of cars 2~- 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 Dimensions of entire new construction: Front Rear i Del~th Height Number of Stories Rear 9. Size of lot: Front Rear .Depth 10. Date of Purchase Nmne of Former Owner I I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO k//'/ 13. Will lot be re-graded? YES__ NO /Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises ~lP/c-t~o~ ~q/Ol& Address ~ Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES __NO g~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE I~EQUIRED. b. Is this property within 300 feet cfa 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. l 8. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF .) )/4'lJ[~ ~-~Qt/fi~-t~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual ~igning contract) above named, CONNIE D. BUNCH (Con Notary Public, State of New York (S)He is tbe No. 0~BU6185050 tractor, Agent, Corporate Officer, etc.) Qualified in Suffolk Count'/ ~ Comrnis;~;ion Expires Apiil 14, 2~__[ ~ of said owner or owners, and is duly authorized to perform or bare performed the said work and to make and file this application; that all statements contained in this application are tree to the best of bis knowledge and belief; and that the work will be performed in the manner set forth in the application filed tberewith. Sworn to before me this -- ~.~ '~)4~ day of ~ (~r~ 20 I ~ Notary Public x [~]~ignature of Applicant PAGE 01/01 REQUESTED BY: Co~lpafly Name: Name: BUILDING DEIP~ TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION LJce,se No.: . "' OBSITE INFORMAT ON: (Indicates required nformauo ) -- ,,~. Tax.Map District: 1000 . SectiOn: ~ Block: ,'~ -.. ~ ~iRIEF DESCRIPTION OF WORK (Please Print ~Clearly) ~ _ els job marly for inapecflon: -Do. you need a Temp Certifloat.e: , Temp Infon'nation (if- needed] *Selldce Size: I Phase 3Phase 100 Addtttenal Information: (~1 NO Rough In ~ 150 200 a00 350 400 Other Nul~:~'ofMet~s Or~r~e(~$en~ice ~ _PAYMENT DUE WITH APPLICATIOH 82q~-~p~t [or Inspecli~n F~rrn