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HomeMy WebLinkAbout37958-Z ~~jF~,~"<_,} Town of Southold Annex 6/12/2013 P.O. Box 1179 ~ : ~ 54375 Main Road F1~ ~ ` Southold, New York 11971 .y~o! ~aa,' , CERTIFICATE OF OCCUPANCY No: 36295 Date: 6/12/2013 THIS CERTIFIES that the building RESIDENTIAL REPAIRS Location of Property: 1175 E Cedar Point Dr, Southold, SCTM 473889 SecBlock/Lot: 90.-3-18.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/18/2013 pursuant to which Building Permit No. 37958 dated 4/19/2013 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: minor repairs from storm damage as applied for. The certificate is issued to Harmon, Jeanne (OWNER) - of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37958 6/3/13 PLUMBERS CERTIFICATION DATED _ - ~ A oriz Signatare ,~yA;<..r,+ TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE e 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 37958 Date: 4/19/2013 Permission is hereby granted to: Hannon, Jeanne 32 W 76th St New York, NY 10023 To: construct minor repairs from storm damage as applied for; electric permit enclosed At premises located at: 1175 E Cedar Point Dr, Southold SCTM # 473889 Sec/Block/Lot # 90.-3-18.1 Pursuant to application dated 4/18/2013 and approved by the Building Inspector. To expire on 10/19/2014. Fees: ELECTRIC $90.00 Total: $90.00 Building Inspector Form No. 6 TOWN OF SOUTI30LD. 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: i . 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 Underwriters. 4. -Sworn statement from plumber certifying that the solder used in system contains less than 2110 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similaz 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 4, 1957] rion-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 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. C. Fees 1. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations [o dwelling $50.00, Swimmirig pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certifreate 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 - Kesiden[ial $15.00, Commercial $15.0!0` Date. 7 ~ New Construction: T O}d/or Pce-existing /B,,uilding: ? (check one) Location of Property: ~ ~ ~ ~ Cea/~.~ O;,tJ r E//2 . Fd J~ J ° k ~7 a ~ House No. Street ~ Hamlet Owner or Owners ofProperty: ~~~~{~-Q ~~1'1') U~ Suffolk County Tax Map No 1000, Section -l Block ~ Lot~^ Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: . e? Planning Board Approval: Request for: Temporary Certificate Final Certificate: ? (check one) Fce Submitted. ~ c, ~'l~ Applicant Signature SuuuKs ,q!'~ FPo( Town Hall Annexi?O~" Telephone (631) 765-1802 54375 Main Road ~ Fax (631) 765-9502 P.O. Box 1179 0 • Southold, NY 11971-0959 ~~Yp! ,~.DatiCy roger.richertCc~townsouthold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jeanne Harmon Address: 1175 E Cedar Point Dr City: Southold St: NY Zip: 11971 Building Permit#: 37958 Section: 90 Block: 3 Lot: 18.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Add'Rion Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures HID Fixtures Service 3 ph Hot W ater GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 3 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FiMUres Time Clocks Disconnect Switches 3 Twist Lock Exit Fixtures TVSS Other Equipment: repair StOrfTl damage Notes: Inspector Signature: 'f-~~.A-~ l4-E~~.itiJ4 Date: June 3 2013 Electdcal Certificate.xls _ ~o~,~,OF SM/Tgo6 ~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECT~RI/CAL (FINAL) REMARKS: ~o'~'"'`"~- ~ L C-= DATE ~ ~ INSPECTOR ~o~~,OF SOUty~6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ j INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: - c DATE ~ 3 INSPECTOR + ~o~.~,OF 80/~1~06 ~i~ TOWN OF SOUTI~IOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ~'J ELECTRICAL (FINAL) REMARKS: G ~ /3 ~ DATE INSPECTOR ` ~ - ~o~~OF SOUTyy6 ~p~©+ ~CpUNry; TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION ( ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARK DATE ~ INSPECTOR FIELD N REPOAT DATE CONIMENT3 , U,~ ro .J t~ 1~ FOUNDATION (1ST) U` x v C FOUNDATION (2ND) v ~ z 0 i Vi ROUGH FRANDNG & r H PLUMBING r, Cq t~7 INSULATION PER N. Y, c H STATE ENERGY CODE "Y~ T 3 ~ , ~ C FnvAL j ADDTTIONAL COMD4ENTS n l 1' O ~ z m LLA L G Q ' ~ i C r 2 7_~ d t~1 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTIIOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 7 9~$r -Check ~ Septic Form N.Y.S. D. E.C. ~ - _ Trustees Ill ~ r~.`~ .O. Application ~ ~ ' ~J i l ~ i i I, lood Permit F.~eamined ZO ~ ; ~ ~ ~ Single & Separate APR ~ ~ 213 ~ Storm-Water Assessment Form C~ntac : ~ Approved ~J~~g , 20 ~ ; y' i r ail to~. / d I ~ ~ I U / >T Disapproved a/c ~T - - Phone: ~O ~ . f Expiration__ .20(~_ Building Inspector APPLICATION FOR BUILDING PERMIT Date ~ ~ ~ , 20 ~ 3 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 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 Building Permit to the applicant. Such a permiC 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 buildingttf~o°r neces~j ry inspections. i~l ;WL`~ i,.~R '.~~-~i t-~ _ qq ~ J ~ (Signat of applicant or name, if a corporation) V•.. t: ~i~ ~NCN~ r. r ~~t~~;z~rro~ ~~~~'~'t~~~~(~ li~~li~ CER~It.,°, RFPROVEDAgNOT~% I- ~PlQ.~~-' Mailing r fappplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contrac~~l ~il~ uil er v N®TI~Y 9UI6DIN6 ®pPAp,TM1,iLivT !ir _ ~®~=1®02 ®AM fi~ 4 F~~.1 F~~i~ TF;L_ ~ k0 WINS IN9p~CTI~iPJ~a~ Name of owner of premises ~p l' ~ ~ ~ ~ ~ ~ ~ g®UNDATI9N = fiVVQ FtcQtJl~~® ~~lfl-P~I~R~~~hr-i t~~~- (As on the tax roll or latest de~d)q®UO;a t , . +gJO, FLUM~INd, If applicant is a corporation, signature of duly authorized officer ~fip/ Pt Fk~Ofi71CAl & CAUI K It,l€IiIJ:I~~)N (Name and title of c orate o tcer) 4 ~ _ ~~N5T~OCTION & ~L~C7RICA~ H€ O<~Pr1f'L~fi~ ~®R c d. Builders License No. ' ` ~ ' .N~TRUCTION SWALL Pl;uf=7 Tla~ Plumbers License No. ~ -L~ !'rt~M~NT~ OP TN€ C6L~L5 dl' rtP'.~1 Clectricians License No. RK ~IaT~- Nt~T ~~~P~NSIOL€ fOR Other Trade's License No. ~2~~ICN 9~ ~dT+S i RWCTION ~RRp1.~, 1. Locati n of an~ on whic proposed work be done: House Number Street Hamlet County Tax Map No. 1000 Section Block ~ Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises d i tended use and occupancy of proposed construction: a. Existing use and occupancy ~ ' F~ b. Intended use and occupancy ,5~~~~ 3. Nature of wor (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost X11 1~1~ ('l(r11?1 i~~/~- Fee (To 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 6. If business, commercial or mixed occupancy, specify nature and extent of each 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 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 Purchase Name of Former OwCne~r 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 14. Names of Owner of premis ~ Address Phone No. Name of Architect Address Phone No Name of Contractor 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 NO * IF YES, PROVIDE A COPY. STATE OF W Y 12K) S: COUNTY O t / / / being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe (~,M~I-,cx'~~ (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 efore me this - day of 20_. ~VIC~TOTN ~ ~ Notary PNoub10115 6ggN~~ew ~ " ~5ualiAed in SUNdk Cou ~ r/ v~ NotaryP is ~ ion piresJuly28, $ignatureofApplicant D . ~O~~OF SOl/lyo~ Town Hall Mnez * Telephone (63A 765.1862 54375 Main Road gy - - P.O. Box 1179 ~ Q f~eGfiCile7t(CtlI04Vf11~0~ nV US - Southold NY 1197I-0959 ~~~/~y~~,,~ 'YUN11i BUILDING DII'AR'I7~N'I' TOWPI OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~J 7 I I Tn ~ Date: ~ ~ 3 Company Name: ~ ~ ~ ~ Name: License No.: Address: Phone No-: +j t JOBSITE INFORMATION: {*Indicates required information) 'Name: ~ ~ 'Address: `1~, `i ti~ "Cross Street: 'Phone No.: Permit No.: '1 ~1 ` Tax Map District: 1000 Section: Block: ~ Lot: ~ "BRIEF DESCRiPTiON OF WORK (Please Print Clearly) ~ I ~ i ~ ~ ~ ~ ~1 C~ C~A'Yk~-~,,,~ VVl ~ ~ i.l dl~ (Please Circle All Tfiat Apply) *Is job ready for inspection: /~~5~~j ~ ugh in Final 'Do you need a Temp Certificate: YES /(N(~f Temp Information (If needed) ~ - *Service Size: 9 Phase 3Phase 100 150 200 300 350 400 Other *New SeNlce: Re-connect Underground Number of AAeters Change of Service Ovedtead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request Fw Fnspeclian Form i ~ , _ _ _ , ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREEf~~~ r~~. VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. I n c cii r~ 6Sr~ I ir1C~5 ~/Ct.~ ~G{q, ~r~ ~ S Vd TYPE OF BUILDING RES. a!` , _ SEAS. VL FARM COMM. CB. MISC. Mkt. Value LAND W IMP. TOTAL DATE I REMARKS ~ r`-' d. Q 7- HSON TOYSI"~H ~o~i#4`- -F(~ wor( ~ ~ , .a ~ j P!1 ~ aa' i °1.. j I ' f L'~-i^ ~ .i -~a -4- 1nlYir B ~y~(wG~ ~"uk ~ 6ocx ~.L 12 z3 b ' 6,5 ~ - r ~+'.(a ~c ~ i rc~ ="a42~~, UCl a -1- 3 'i - ~r ~ ~ ~r on - ~ 0 00 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE !`t~..uL FARM Acre Value Per Value `~`-c;~~ r Acre " ~r ` Tillable 1 ~'3 y'D ~ ~ ;i z. o Tillable 2 - A !d7 6 - „r'.~ C. Tillable 3 " ~ Woodland Swampland FRONTAGE ON WATER X Brushland FRONTAGE ON ROAD ~/Z ~ House Plot i DEPTH ` U2,, { ~ 6 ..r o I v BULKHEAD /I Total DOCK I - _ - r COLOR ~I. - ~ ~ i r~df. ti ' TRIM 3 r i ,~fi ~ r "Yaw ry. ~ j t ~ ~ ~i y ~ & jam, ~LL~- M. Bldg ,Z ~ ~ %~6 Foundation t+ Bath Z Dinette 9 Extension / ~X `2 ~ D ~ a ~ Basement ~ ~ ~ Floors ~ K. ~ u.. Extehsi ~ „ U~;:` ,f(° ° ~~6 y f Ext. Walls C/ Interior Finish S' LR. Extension Fire Place ~ Heat 9. DR. Type Roof Rooms 1st Floor BR. Porch, ~ ~ ~ ~ ~d0 Recreation Roo Rooms 2nd Floor FIN. B. Parch X ~ 4/ _ .P ~X r/ 2 0 ~ 25 oZ 30 ~ Dormer /,2 ~ ~ / : '?'r Driveway Garage Patio O. B. Total AFFIDAVIT Jeanne Harmon, being duly sworn, deposes and says: 1. I am the owner of property located at 1175 Cedar Point Drive East, Southold, NY 11971. 2. Hurricane Sandy caused substantial damage to the property because of several feet of salt water caused by flood tide surge which entered the house through the garage. 3. I retained William Toth of Wm Toth Construction and Management Corp. to repair the hurricane damage as described in drawings prepared by him. 4. William Toth is authorized to act as my agent in permit matters regarding the work which will repair the hurricane damage. Jeanne Harmon Sworn to before me this ~~day of Apri12013 VIC TOTH Notary Poblk New Ybrk No. 01 1 96 Qualified in Suffolk Comriv - Commission Expires July 78, 2 ~ 'C / r i LOT 1'q Eft(L iD~I/~A(+Gf L'CJA ~c CEKl{ INIIC~CILE iN IILL SU[IOLI(CO. N[ALTN OOT.MMOV%L 3Jr'f .D l r': JFFlCE 4: Mot' p9C - - N S NOV ( JOJ 1.. ~ _ - iOWH OF SOOMOID ;1%T[M[NT Or NT[NT 1'µ ~1/ ~ ~~~\V,\\ / iN[MITFR Y1rrLY 1ND L[WAO[OIfgSK SGLE O', I' Lv[rEMi rDR TNO RESID[NCE wuL it T~ ~ ~ COMfMM TO TML ST %NW1Rp OI TNC /lRFl1~IT _AC. e ~ YaS} O~IRDN PIFE SUF'OLK CO. O[R. OF NE.4TN RRVICQ ~I y j7 Y ~ / ATLICANT ~ ` ~ /x WrrOLK COUNTY D(IT, pI NLRLIX N[rOL[IgU[rr IRO•TX ORA SYyr \ SERVIC[S-IOR •IIROVAL Or I I ~y yn OCi 3019Ah[ n. ur x/~C^_~~5 / wNLTRUCTION ONLr m - ~ (g51 DATr e ~ r ^all ~ ~N.SREf. ND. 1C'S0'Z{S ~ F w e u3 ~ r' _ _ ~ I ~ G~"i 1 H1FlOLK CO. TA% M%r 0[SION.ITION \ ^ i. '1.~~, CE13r ai General Lniiail'lyi DIST. ¢CT LLOCN rCL ' ~l 9~ 6ervfeeY ',J ~ Fid l.CJ9V P~O H) \e9 OWN[R[1OORLR. 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