HomeMy WebLinkAbout37783-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/29/2013
No: 36261 Date: 5/29/20 ! 3
THIS CERTIFIES that the building OTHER
Location of Property: 1140 Crown Land Ln, Cutchogue,
SCTM #: 473889 Sec/Block/Lot: 102.-7-1!
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated
1/28/2013 pursuant to which Building Permit No. 37783 dated 1/31/2013
was issued, and conforms to all of the requirements o£the applicable provisions of the law. Thc occupancy for
which this certificate is issued is:
ACCESSORY GENERATOR AS APPLIED FOR
The certificate is issued to
Rapuano, Orazio & Rapuano, Julia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37783
04-30-2013
Authorized Signature
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 #: 37783
Permission is hereby granted to:
Rapuano, Orazio & Rapuano, Julia
1140 Crown Land Ln
Cutchogue, NY 11935
To:
construct an accessory Generator as applied for
Date: 1/31/2013
At premises located at:
1140 Crown Land Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot # 102.-7-11
Pursuant to application dated
To expire on 8/2/2014.
Fees:
1/2812013
and approved by the Building Inspector.
ALTERATION OF ACCESSORY BUILDiNGS
CO - ACCESSORY BUILDING
ELECTRIC
Total:
$100.00
$50.00
$85.0O
$235.00
Building Inspector
Form No.,b
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 Underwritera.
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 ofcempleted 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 pr°perly completed application and consent to inspect signed by the applicant. If a Certifioate of Occupancy is
denied, the Building Inspector shall state the 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. CertiflcateofOccupancy 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
V/// Date.
New Construction: Old or Pre-existing Building:
LocationofProperty: //,tr/O {~-~-0Od~' Z/IA/Z)
House No. Street
/-5/- /_3
(check one)
Hamlet
Owner or Owners of Property: ~-~&Z-/~9 ~
Suffolk County Tax MapNo 1000, Section ! r.) ~.,
Subdivision
PermitNo..~'"}~ OateofPermit. /- ~i']3
Block O '7 Lot
Filed Map. Lot:
Applicant:
//
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: *
Underwritem Approval:
Final Certificate: ~
(check one)
,~..~/Applicant Signature
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
rocler.richertCb, town.southold, ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Rapuano
Address: 1140 Crown Land Ln City: Cutchogue St: NY Zip: 11935
3uilding Permit #: 37783 Section: 102 Block: 7 Lot: 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: License No:
SITE DETAILS
Office Use Only
Residectial ~ Indoor ~ Basement ~ Service Only ~
Commericel Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt
Main Panel NC Co~denser Single Respt
Sub Panel NC Blower Range Recpt
Transformer Appliances D~er Recpt
Disconnect Switches Twist Look
Other Equipment: install 10kw standby 9enerator with auto transfer switch
Ceiling Fixtures ~[E~ HID Fixtures
Wall Fixtures ~! Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixture Pumps
Emergency Fixtures Time Clocks
Exit Fixtures ~ TVSS
Inspector Signature:
Date: April 30 2013
Electdcal_Certificete.xls
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) [~L 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. uet
Examirw. d
Approved
Disapproved
PERMIT NO.
3 77
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
planmng Board approval
Survey
Check
Septic Form
)Bu~)d/ing Inspector
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 for and of hoilthngs on premises, relationship to adjoining premises or public streets or
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 Betiding 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 Occupaeey.
f. Every building permit shall expire if die work authorized has not commenced within 12 months afl. er the date of
issuance or has not been completed within 18 months from such date. lfno 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 slx months. ThercaRcr, a new permit shall be required.
APPLICATION IS HEREBY MADE Io thc Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of die Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the cons~uction of buildings, additions, or alterations or for removal or demolition as berein described. Thc
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
author/zed inspectors on premises and in building for necessary inspections.
~ (Signature of applicant ~r wame, ifa corporation)
State whether applicant is owner, lessee, agent, architect, engineer, , o~id, lu.~, or bmld~r
(AS on the tax roll or latest deed)
If applicant is a corporation, signature Of duly attthorizcd 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 o~n w~ich p_ropqsed work will be done:
H/Co c; O_x2 L,q
Ho~ N~r S~et
County Tax Map No. 1000 Section
Subdivision
' 3. INSULATION
4 FINAL - CONSTRUCTION & ELECTRICAL
MUST BE COMPLETE FOR CO.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
f__.~/.,27--(~,,5/ E ES R
RS
Bilk 0 ~ot // ELEC,
Filed Map No. ~ ~, ~, ~, W, .
State existing use and occupancy ofpremise,~ aad intended use and occupancy ofpreposed construction:
~- Existing nse and occupancy ~/~! t/t<) ~'~ [4~/L(~'
b. Intended use and occupancy. ,
3. Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost
Fee
Addition Alteration
Other Work//..)ST~d:}// ~"7~F9/~ (Description)
(To be paid on filing this application)
5. If dwelling, number of dwelling units I Number of dwelling units on each floor
If garage, number of cars
6. If business, commemial or mixed occupancy, specify nature and extent of cach type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front /J / ~ Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear .Depth
Height Number of Stories
9. Size of lot: Front. Rear Depth
10. Date of Purehase / ? c/~j Name of Former Owner ~.~'t/31~,
1 l- Zone or use district in which promises are situated ,~9
12. Does proposed construction violate any zoning law, ord nanee or regulation? YES NO
13. Will ot be re-graded9 YES NO Will excess fill be removed fi.om premises? YES NO
14. Names of Owner of premises Address Phone No
Name of Amhitecl Address Phone No
Name of Contractor Address Phone No.
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 BEJtEQUIRED.
b. Is th~s propotXy 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 lbundation 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 --q~l:" )
~ }' I ~ ~'} ' ~[ ~0M e~ ~ O being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is th~ //2/~
(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 fde this application;
that all statements conta/ned in this application ~e ~me 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
2'7 _dayof ,O~--Pr~a~Att-t/ 20 I~
~ Public
Signature o f Applictant '
To*va Hatl A~.~
54375 MaJa Road
P-O. Box 1179
Sou~old, NY 11971-~59
Name:
BY.'
Name:
BOw ~ING DEPAffI'MENT
TOWN OF SOUTHOLD
APP~LECTRICAL ~PEcTION
JOBSITE INFORMATION:. (*Indicates required information)
*Name:
*Address: --//
*Cross Street:
*Phone No.:
Pe~ff No.:
T~.Map DistriCt: 100~.
Lot: / I
*BRIEp DESCRI~ION OF W~K (~ease Pdnt Cleady)
*Is job ready for inspection:
*Do-you need a Temp Certificate:
Temp Information (If. needed)
*Service Siz)e: 1 Phase 3Phase
Addit!enal Information:
for In~l~on ~orm
//
YES/~ Ro~h In
~NO ~1
100 150 200 300 350 .400 OUter
Underground Number of Meters Change of Service Overhead
_PAYMENT DUE WITH APPLICATION
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