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HomeMy WebLinkAbout37735-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/13/2013 CERTIFICATE OF OCCUPANCY No: 36234 Date: 5/13/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 605 Saltaire Way, Mattituck, SCTM #: 473889 See/Block/Lot: 100.-1-19 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 1/2/2013 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 Lot No. filed in this ofliced dated 37735 dated 1/8/2013 which this certificate is issued is: KITCHEN ALTERATION 1N AN EXISTING SINGLE FAMILY DWELLING AS APPI,TED FOR The certificate is issued to Kalich, Richard & Motto. Mary (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37735 03-13-2013 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 SPECIFICATION8 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37735 Date: 1/8/2013 Permission is hereby granted to: Kalich, Richard & Motto, Mary 605 Saltaire Way Mattituck, NY 11952 To: Kitchen alteration in an existing single family dwelling as applied for. At premises located at: 605 Saltaire Way~ Mattituck SCTM lit 473889 Sec/Block/Lot # 100.-1-19 Pursuant to application dated To expire on 7/1012014. Fees: 1/2/2013 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - RESIDENTIAL Total: $200.00 $50.00 $250.00 Building Inspector Focm 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 ofproperiy 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 2/10 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 &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 unusual natural or topographic features. 2. A properly completed applicalion and consent to h~spect 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 ou Pre-existing Building - $~00.00 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: _ Old or Pre-existing Building: Date. (check one) House No. Owner or Ownem of Property: _ j~. Suffolk County Tax Map No 1000, Section subdivision Permit NO. -"~ ~ 7 _2~ ~.~-- Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Street Fee Submitted: Date of Permit. Block ./ Filed Map. ~ - [...~ Applicant: Underwriters Approval: Final Certificate: / (check one) Hamlet Lot Lot: 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.richert(~,town.sout hold. ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued TO: Kalich ~,ddress: 605 SaltaireWay City: Mattituck St: NY Zip: 11952 3uilding Permit#: 37735 Section: 1 00 Block: 1 Lot: lg WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE ~,ontractor: DBA: Duffy Electric License No: 44991-me SITE DETAILS Residectial ~ Commedcal New Addition Service 1 ph E~] Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Office Use Only Outdoor I st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Hot Water GFCI Recpt NC Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures ~ HID Fixtures Wall Fixtures I I Smoke Dotectors Recessed Fixtures ~ CO Dmecters Fluorescent Fixture J~ Pumps Emergency Fixtures J~ Time Clocks Exit Fixtures ~ TVSS Inspector Signature: Date: March 13 2013 Elect rical_Ceftificate.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~I~ATION [ ] FRAMING / STRAPPING [ 1/]' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARK_S: __ ~~__~--_~___~__ ____ DATE ~~/~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined I/~ .20~ Approved I/~ ,20~_~ Disapproved a/c Expiration '7/! 0 ,20 [ c/ BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. ~ ~7~' 5~ BI DG DEPT. TOW~a 0F SOLrI~t0[D Building Inspector 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 Storm-Water Assessment Form Mail to:~~~_ APPLICATION FOR BUILDING PERMIT Date _, 20 INSTRUCTIONS 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 promises, 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. q/ (Signature of applicant or name, ifa corporation) (Mailing address of applicant) /[9'-~ )/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises N0)~/ ~/~3 fi ] S ['Q (As on the tax roll or latest deed) If a~l~an~s~c~, sig~ure of d~ authorized officer ~ame and title of co,orate officer) Builders License No. ~]~- ~ Plumbers License No. ~'~ I~ - ~ ~ 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 l~O Block I Subdivision Filed Map No. Lot Lot lq State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~[ ~9o~F)(/)· r/}~) Fee If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (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 fi.om premises? YES NO__ 14. Names ofOwnerofpremises~OY~ ~/IC~ Addressjl~,,~l~oneNo. ~/7' ~J~--] '~q Name of Architect Address Phone No Name of Contractor I_~& ~ 9,4.% ~(flJ~]TD~' Address~/~/P ,,~ Phone No. ~ ~/ ~ $'~ -/~ b/:5'e:9 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES__ NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls 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) SS: COUNTY OF~ ~J~_~ I~_ ~ ~ }f_~. ~_ ] being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this r /"- Notary Publice ,~Y ' LOR~A ~ROVffCH N~a~ Pub~, S~ of N~ Y~ Q~I~ in ~k ~ C~ ~ 1~1~15 Signature of Applicant JAN 2 § 2013 P.O. Box 1179 ~o1~ ~ 1 l~l~ T,d~phoue (681) 765-1802 BUILDING DEPARTNI]~'VF TOWN OF 8OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Address: 3__~L,i ~0 % ~g I~d ~T ~ (~.o ,v ~/"~ jig'g-L/ 'Phone No.: ,,, ~'l'0 - "~o (2 - .~"'~ J JOBSITE INFORMATION: (*Indicates required information) *Address: GOE *Cross Street: ~o~ *Phone No.: 1000 . Section: Block: Lot:. Permit No.: Tax-Map District: *BRIEF DESCRIPTION O,F WORK (Please Print ,Clearly) ' L'-~;¥J~, ~ UP.V,,' (Please Circle All That Apply) *Is job ready for inspection: *Do-you need a Temp Oe. rtilicate: Temp Information (If-needed} *Sen4~ Size: 1 Phase ~New Sen, ice: Re-eonneot Addlt}enal Information: (~NO. Rough In Final 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Reqt~st for Inspection Form TOWN OF $OUTHOLD PROPERTY RECORD CARD OWNER, STREET ~ (~,.~ VILLAGE DIST, SUB. LOT ,.~ ~ FORMER' OWN ER N E ACR. ' ' ~; <__. S W ~PE O~BUILDING ~N D IMP. TOTAL DATE R~RKS AGE BUILDING CONDITION N~ NOR~L BELOW ABOVE FA~ Acre Value Per Value Acre 'illable FRONTAGE ON WATER Vo~land FRONTAGE ON ROAD Aeadow~d DEPTH ~ou~ Plot BULKH~D ~tal ~ ~ ~ ~ DOCK TRIM 100.-1-19 7/12 r. xtensio_n ~ Extension Extension Porch~ /)~ ~ Porch Breezeway Garage Patio Total Foundation Ext. Walls Fire Place T?~I Roof Recreation Room Dor?Z Bath Floors Interior Finish Heat Rooms 1St Floor Rooms 2nd Floor Driveway DR. BR. FIN. B New York State Insurance Fund ~Yorkers' Compensation & Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK 11747-3129 Phone: (631) 7564300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 542116284 LEX CONSTRUCTION & DEVELOPMENT TA LEXUS CONSTRUCTION & DEVELOPMENT 91 LAKELAND AVENUE PATCHOGUE NY 11772 POLICYHOLDER CERTIFICATE HOLDER LEX CONSTRUCTION & DEVELOPMENT INC TOWN OF SOUTHHOLD TA LEXUS CONSTRUCTION & DEVELOPMENT PO BOX 1179 917-14 & 917-15 LINCOLN AVENUE SOUTHOLD NY 11971 HOLBROOK NYl1741 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE I 1319 854-4 305548 04/18/2012 TO 04/18/2013 12/3/2012 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1319 854~1 UNTIL 04/18/2013, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 04/18/2013 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOTASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. RICHARD SCHANDEL (PRES) OF LEX MILLWORK INC (ENTITY) ONE PERSON CORP THIS CERTIFICATE IS ISSUED AS A MA'UI'ER OF INFORMATION ONLYANDCONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. U-26.3 NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/certlcertval.asp or by calling (888) 875-5790 VALIDATION NUMBER: 570177104 Suffolk County Executive's Office of Consumer Affairs VETERAHS MEMORIAL HIGHWAY ~ HAUPPAUGE, NEW YORK -I 1788 DATE ISSUED: 4/5/02 No. 31237-H SUFFOLK COUNTY Home Improvement Contractor License This is to certify that ............ _RICHARD M SCHANDEL ...... doing business as__ ....... LEXU_S__CON_S_T_R_U~TIQ_.N~& DEVELO_PM~__N_T__INC ........... having furnished the requtremenrs set forth in accordance with and subject to the provisions of applicable laws rutes and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR. in the County of Suffolk. Coun~ of Clifford C61¢man SUFFOLK COUNTY DEPAR'i'NIENT OF CONSUMER AFFAIRS HOME IMPROVEMENT CONTRACTOR RICHARD M SCHANDEL 31237-H 002 ~'~ ~ 04/01/2014 Additional. Businesses Director LEXCO-2 CERTIFICATE OF LIABILITY INSURANCE OP iD: MO 17J03/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATWE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cerBflGato holder Is an ADDITIONAL INSURED, the p~llcy(le$) moat be endomed. If SUBROGATION IS WAIVED, subject to the terms end conditions of the pollsy, nsrteln policies may require an endomemenL A statement on this certificate does not confer rights Io the ce~flcete holder in lieu of such endomemsnl(s). The Whflmore Group, Lid. 370 Old Counb¥ Road SIe.2ES Garden CKy, NY 11630 516-746-4141 5t6-746-787~ Lex Construction & Development 91 Lakeland Ave Patchogue, NY 11772 ~.sunss A:lnterstate Fire&Casualty InsCo ,muaE~ a :Merchants Mutual Insurance Co. 2O4 NNC# q,=KliriCAT~ HOLDER CANCELL~.TION SOUTHOL PO Box 1179 ,Southold, NY 1197t ~) 1988-~10 ACORD CO~O~ON. All ~gh~ msewed. ACORD 25 (20101~) ~e ACORD name and logo am mglste~d marks of ACORD THIS IS TO ,~.=r;Y,: ~' THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATES. NOT~MTHSTANDING At~Y REQUIREMEHT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VETH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUES OR M/W PERTAIN. THE INSURAHCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND COHOITIONS OF SUCH POUCIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlS CLAIMS. I ~'~ UWLm' ~ OCCUesENC~ Is 1,000,00O A X~ COMMERCtALG ENERAL LIABffJTY X LHBtO02228 06/08/12 06/08/13 ~ TO RENTED t~0,000 ~ c~,~sw~ ~ occ~ , ~ED ~CP (~v one peres) $,000 B ~- ~u'~o CAPI053317 10/30/12 10/30/13 8OO~LYINJURy(Petp~sen) ~ ~ ~M'~.M~_.~ _, .wm~..OF. ~O~=J~, .TI?NS./L .O~110NS ,' VEHICLES (At'ch ACORD t0t ;erulicam tloloer m inclualm as an add Ifona nsured. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: isceF~ I:: 100% CD's Dec. 24, 12 ~IC~_. OCCUPANCY OR USEIS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY po¢,¢~] Tm b]Al~LI :lb-~ l Il'lB A~~lJ __ --f ~o APPROVED AS NOTED DATE: ~///~ B.p.#..~"~'~,/;")'-~ NOTIFY BUILDING [~ i:/',RTMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS; 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMiNS & PLUMBING 3. INSULATION 4. FINAL - COiT..-TRUCIION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALl. MEET THE REQUIREMENTS OF THE COPES OF NEW YORK STATE. NOT RESPOIJ$1BLE FOR DESIGN OR CONSTRUCTICN ERRORS.