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HomeMy WebLinkAbout37788-Z Town of Southold Annex 6/21/2013 ~ P.O. Box 1179 54375 Main Road * Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36303 Date: 6/2 ] /2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 25 Moose Trail, Cutchogue, SCTM 473889 Sec/Block/Lot: 103.-4-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/4/2013 pursuant to which Building Permit No. 37788 dated 2/5/2013 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: ALTERATION OF EXISTING GARAGE ROOF AS APPLIED FOR The certificate is issued to Lonk Jr, Rudolph & Lonk, Jacqueline (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37788 OS-08-13 PLUMBERS CERTIFICATION DATED - - - _ Auth Si ature~' TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ ~ TOWN CLERK'S OFFICE 'm ~o'~ SOUTHOLD, NY ~~1 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 37788 Date: 2/5/2013 Permission is hereby granted to: Lonk Jr, Rudolph 8 Lonk, Jacqueline _ 25 Moose Trl _ Cutchogue, NY 11935 To: alter an existing attached garage roof as applied for At premises located at: 25 Moose_Trail, Cutcho~ue SCTM # 473889 Sec/Block/Lot # 103.-4-3 Pursuant to application dated 2/4/2013__ and approved by the Building Inspector. To expire on 8/7/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector Form No. 6 /f L J~ TOWNOFSOUTHOLD. BUILDING DEPARTMENT Qom' 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 fallowing: A. For new building or new-use: 1. Final survey ofpropetty with aceutate9ocation ofall buildings, property lines, streets, and unusual nature} 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 ©f Fite Underwriters. ' 4. 'Sworn statement from plumber cettifyitrg that rho solder used.in system contains less than 2l10 of 1% lead. . 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Comp'liance'from arohited or engineer responsible for the building: 6. Submit Planning Board Approval of completed site plan requirements. ' B. For existing bulldings (prior to April 9, 1957I non-conforming ns'es, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildin_ g and unusual natural or topographic features. 2. A properly ~pmpleted 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. G 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 OP. 2. Certificate of Occupancy on Preexisting Building - $100.00 3. Copy of Certificate o€.Occupancy - $:25 4. Updated Certifeate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 ' / - Date. . ~l__~ ~3 . New Construction: ? ~tOld or Pre-existing Building: (check oneJ - Location of property: ~ S / -t UO ,~O' ~/L f~ ! L. l (~2 l~TJ ~i [ilG House No. Street Hamlet Oanter or Owners of Property; ~ U ?.~U ~ ~ yE G / KJ~r' L O NK - Strffolk County Tax Map No 1000, Seth©n / d ~ Block _ O Lot d Sabdivision Filed Map. Lot: ' Permit No. 3 7 ! ~ ~ Date of Permit. ' `J • / Applicant: Health Dept. Approval: Underwriters Approval: . Planning Board Approval: Request for. Temporary Certificate Final Certificate: (check one)- Fee Submitted: $ _ A....G~~,.~ C; n.. ~r~,rP g11Ff01K Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ Fax (631) 765-9502 P.O. Box 1179 ~ • Southold, NY 11971-0959 'y~0! * ,?.~4~ roger.richert@town.southold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Ruddph Lonk Address: 25 Moose Trail City: Cutchogue St: NY Zip: 11935 Building Permit 37788 Section: ~ 03 Block: 4 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Goodale Elec License No: 783-e SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hd Tub Adddion Survey Attic Garage X INVENTORY Service 1 ph Hea[ Duplec Recpt 3 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall FiMures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Pand A/C Blower Range Recpt Fluorescent Fixture 5 Pumps Transformer Appliances Dryer Recpt Emergency FiMUres Time Clocks Disconnect Switches 7 Twist Lock Exit Fixtures TVSS Omer Equipment: 1-30a generator recpticle Ndes: Inspector Signature: Date: May 8 2013 Electdcal Certificate.xls TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOU ATION 2ND [ ]INSULATION [ ING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE ~ 3 INSPECTOR c/ ~ ~ ~o~~,oe souryO<o f®* TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTIOIV [ ]FOUNDATION 1ST [ ] ROUG BG. [ ]FOUNDATION 2ND [ ] I CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ ~ ~ ~ DATE ~ ~ INSPECTOR cccc........,,,,,,,,-,~~c~~-..~ ~o~~,Of SOUTyo6 Q TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE ~ ~ ~ 3 INSPECTOR ~o~~,OF SW/lp_ TOWN OF SOUTNOLD BUILDING DEPT. ®T~~ 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: ~ o<< DATE l INSPECTOR~~ FTELD • N 1tEPORT DAT$ CONIIVIEIVTB (~1 ro J FOUNDATION (1ST) oC ~ a FOUNDATION (2ND) cam, !v ' z c ItoUQa FRAMING & ~n ~ PI,UMBIAtO r INSULATION PER N. Y. STATE ENERGY CORE C -i • ~ O • 30 3 ~ 6 ~ FINAL AHDITIONAL COIVIMENTS 0 z - s3 d 9 ~ x A I., ~ TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, 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 ~~S b ' Check Septic Form N.Y.S.D.E.C. Trustees \ - C.O. Application Flood Permit Examined ~l s , 20~ ' ~ ~ ~ ~ 'i'~ Single & Separate ,V~ FEB - 4 2013 VII Storm-Water Assessment Form ~~t (I/(( ~ ontact: Approved~~, 20~ 1 F,~ Mail to:~QrQ/L SC n r~ Disapproved a/c to ~ ~i r_;nlr Phone: ¢ d S Expiration____ 20_ Building nspector APPLICATION FOR BUILDING PERMIT Date O L d , 20 INSTRUCTIONS a. This application MUS"f 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 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 shal I 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 penni[ shall be required. APPLICATION 1S 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, a ent, architect, tgineer, general contractor, electrician, plumber or builder `Janieufownerofpremises ~U~OC..F ~ J~ ®OF o,~J~ (As on the tax roll or latest deed) [f 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 Hamlet County Tax Map No. 1000 Section ~ ~ ~ Block O ¢ Lot ~ 3 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5/,y C F.~/yIl L y b. Intended use and occupancy ,S~ /I? ri 3. Nature of work (check which applicable): New Building Addition~,Alteration Repair Removal Demolition Other Work 120oF Ac.T£2iI-1?~.? (Description) 4. Estimated Cost 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 ,T'u~ v 9. Size of lot: Front SE ~ Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ ~ 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES//L~~ NO ? 13. Will lot be re-graded? YES_ NO Will excess till be removed from premises? YES NO_ 14. Names of Owner of premises L dpi! ~ Address Phone No. ?3 4 -'Lo5'a Name of Architect s'G f f W74'/Lrt. Address Phone No 7J ~ • t~ [ ~/f 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 NEW YORK) SS: COUNTY OF S'VF!'ULI~C ~ E~ being duly sworn, deposes and says that (s)he is the applicant (Name of indrordual signing contract) ab ve named, CONNIE D. BUNCH Notary Public, State of New York (S)He is the L No. 01BU6185060 (Coot ctor, Agent, or rate Of cer, etc.) Quay a ~n ~ Commission Expires April 14, 2~ 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. Swo t before me thi day of 20 3 Notary Public Signatur of pplicant L. o ,u K ~e~~~ Town of Southold Erosion, Sedimentation 8 Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATN)N: S.c.T.M. is ~y~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A " ~Y'°~ O00 ~ 03. CERTIFIED BY A E81~ON PROFESSIONALUINTRE 8 ATE O'F NE LY p SCOPE OF WORK -PROPOSED CONSTRUCTION 1TEM # /WORK ASSESSMENT Yes No What is the Total Area of the Project Parcels? Z O/ Q Z' ~ Will this Project Retain All Sbrn-Water Run-0R (IndtMe Total Area of all Parcels boated within ~ ~ °I A Generated by a Two (2') Inch Rdnfatl on Ske? the Scope of Work for Proposed Constluctlon) Is.F. r frnis Item will include all runo8 created by ske b. What is the Total Area of land Clearirg clearing and/or consWCtlort activitles es well as all ~ j arWlor Ground DisWrbance for the proposed D N E Site Improvements and the permanent creation of constrocgon actiWty! Impervious surfaces.) ~ - (S.F.Ibq) PROVIDE BRIEF PROJECT' DESC1tIPTION a+arur ~ddtlaal v.0u a NwOSe 2 Does the Site Plan and/or Survey Show Atl Proposed - ? Drainage Structures Indbatlng Size 6 Locatbn7 This Item shall include all Proposed Grade Changes and ]L 00 F ~ ~LI~~O~ A r Sopes Contronirg Surface water Fbw. Does the Site Plan arW/or Survey describe the erosion - ? ~jl to ~ 6 (-Al~~ and sediment control prectitx+,s roar vAll ba used to contrd ske erosion and storm water discharges. This Item must be maintained throughout the EnOre ConsWCtlom Period. 4 Will This Project Require arty Land Filling, Grading or ? Excavatlon where tlTere is a change to the Natures / Existing Grade Involving more than 200 Cubic Yards _ of Material wkhin any Parcel? rj Will this Application Require Land Disturbing AcliWaes ~ Encompassing an Area In Excess of Five Thousand ? (5,000 S.F.) Square Feet of Ground Surface? s Is there a Natural Water Course Running thratgh the ? Site? Is this Protect within the Trustees judsdictlon nsnarw Dec sNIPPP RaauiremeMS: or within One Hundred (100') feet of a Wetland or SuMNssbn of . SWPPP b repaired for all Conshugion actlvaks Nwxvkq avl Beach? disarrberwes d ane (1) v more acres; McWtling dUNNances of less also ane eve tlut 7 Wpl there be Site prepara0on on Existlng Grade Slopes ? ere pan of a larger cortnron plan that wa u0kretety d'UNrh one or mve eves or IeM; which Exceed F(tteen (15) feet of VertlCel Rise kl IrMUding CanskuWOn actlsities InvaNing soN daturbar:ces o/ less sun me ft) acre where One Hundred (100') of Horizontal Distance? the DEC has detenriud that a SPDES pemrlt k repulretl for storm water discharges. (aWPPP1 [Null mast tlra MlnNnum Raqulromams of tlu SPDES OarrirN Pemdt $ Will Driveways, Parking Areas or other ImpervouS ? for Storm Walar DbeMrgaa front ConsWCtlon actlNpl - PxmH No. OP-0.10-001.) Surfaces be Sloped t0 Direct Slorn-Water RUn-Olf 1. TM SWPPP ahetl be papered prbr u the subMlul of the NOT. The NOI aheA ha Into andla in the direction of a Town tof-wa sulxrtitled to the Departrrunt Prior u are corraruncertunt a wrubucibn evNOy. 2. The SWPPP shM desvibe the aroabn and sedkrtent mmrd preNma end where 9 Will this Project Require the Placement of Material, ? regWred, poskorubtrgbrt storm water mtnegemera prectloes Utat wN be used artdlor Removal of Vegelatlon and/of the ConsWetlori of any ? mnakacted W raduoe the pMdenb b storm water dlsdtaryea aM 4o assure conpllance wah the temp erM amd'NOru of this permk In edd0bn, the SWPPP aheA Item Within the Town Rightof--Way or Road Shoulder _ ~wY Potentlal sources d pollution whbh mry reasonahy be expeved b sensor the - Area? frw rria aw tqT rrasu4 a. rmr.saa.rt a tMiwrrsr spar) ptuAly of abrm watardlsdtarym. NOTE: HMy Answer ro fhetlana OM tlrreuph Nim b MawarM wah • Cheek Meek 3. Ap sWPPPs tlut regtdre the poetaonaWction stem water rrunapement Pravice In • Sax and au eonstruatlan sNadbtpWna M twM~wn 6,000 8F.81 Ama M area corrgortartl shat 0a prepared by a queiXbtl Deemn Professional Lbermed in New Vork • aurm-Water, Oradirp, Oralnpa a Erwbn ComrN Ran is RapukM bytlra Tawn of tltst b knoa/edgeabb kt tlu PnmdPiea aM predkes of storm Water MerugerrertL Soutlwl0 and Musl W Submtlmd for Review Prlar b baunru of Arty atdldkg Penna. (NOTE: A~~1~1 aRapaal bra Ceripste Apparwb0 S1'A1'E OF NEW YORK, ~ No 01 t3lJRt r a ' 0 COUNTY OF.....5/LG~~.~.~........ SS C)l ~'ri din ^ fi.y'k r:ounty 9~I L vale _,.,:Jn C~r:Nires Ap,l; '4, 2~G 1'ha[ I . ............./......:.~,~,~,,,,,,.,,.,,,(,,,T~f,(r, being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of indMaual egNng tbwrNMj And that he/she is the ............................................C (Owner, cos omen:: etc.) Owner and/or representative of the 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 herewith. Sworn to b~e/for+e/me this; , Notary Public:....~:~?~~.^..;-` ~ gnature d AppFCenl) FORM - 06110 ~ 0 Town Hall Annex 54375 Main Road ~ ~ Tel~erp~hone (631)~7gGSpI2802 P.O. Box 1179 ~ ~ rO~f 8r.[1Cttert(CDtpyyfjt~pU[hp1f1 nV Us SoudioM, NY 1197!-0959 `~//yyyy~~,,,,,,~~ ~l "vU111r,~~ BUII,DING DEPARTMENT ~rowrr of sov~rt~oin APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: ~ - f l3 Company Name: Name: License No.: Address: d %~G% Phone No.: ~ o~ JOBSITE INFORMATION: (*Indicates required inform,/a~tion) ~~~99 II~~ *Address: ~ S l ~ v ^ d ? g~ *Cross Street: ' *Phone No.: 3 ~ ~ _ Pem7it No.: 3'7 ~ ~ lbo Tax Map District: 1000 Section: Block: Lot: "BRIEF DESCRIPTION OF)A/ORK (Please Print Clearly) oZ C ~ /I~i G?I1--t,L ~ ( v v a~ ~i2e c~ {Please Gircie All T#~at Apply) *is job ready for inspection: ES NO Rough in Final *17o you need a Temp Certificate: YES NO 'temp Information (If•needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other "New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION c~ ~ 82-Request forlnspeclion Form ~!~?i'' 1 1YJ i` f:~ i~ ~ vy « yf {f _~'~Q~s•1re~,F~y~, 9 a 1. 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