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HomeMy WebLinkAbout37938-Z FO[ Towu of Southold Annex ~ 7/10/2013 P.O. Box 1179 54375 Main Road ~ a Southold, New York 11971 ,4 1 } '~a CERTIFICATE OF OCCUPANCY No: 36391 Date: 7/10/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 295 Fanning Rd, New Suffolk, SCTM 473889 SecBlock/Lot: 117.-4-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/5/2013 pursuant to which Building Permit No. 37938 dated 4/15/2013 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: accessory generator as applied for The certificate iS issued to Leoniak, Peter & Leoniak, Valerie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37938 6/20/13 - PLUMBERS CERTIFICATION DATED _ Authorized Signature "'"°'~-a TOWN OF SOUTHOLD G` 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 37938 Date: 4/15/2013 Permission is hereby granted to: Leoniak, Peter 8~ Leoniak, Valerie 295 Fanning. Rd New Suffolk, NY -11956 To: install an accessory generator as applied for At premises located at: 295 Fanning Rd, New Suffolk SCTM # 473889 Sec/Block/Lot # 117.-4-10 Pursuant to application dated _ 4/5/2013 and approved by the Building Inspector. To expire on 4/15/2014. Fees: ALTERATION OF ACCESSORY BUILDINGS $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 Building Inspector Form 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 Ure Building Department with the following: A. For new building or new use: 1. Final sturvey of property with acetirate 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 thaE the solder used in system contains less than 2JI0 of 1 % lead. . 5. Comtnerraal building, industrial building, mtiltipte residences and similar buildings and installations, a certificate of Code Compliahce'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, ar 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 to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Addifions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre,existing Building - $100.00 3- Copy of Certificate of Occupancy $2S 4. Updated Certificate ofOccupancy - $50.00 S. Temporary Certi(ca[e of Occupancy -Residential $15.00, Commercial $I 5.00 ~ -'~~F" New Construction: .~7_ Old or Pre-existing Building: _ (check oneJ Location of Proper : ~ (~J } tJ Cj House No. Street Hamlet Owner or Owners of Propcrty:J 19/t \ ~ V ~~~(F ~r.F d ~ Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. LoL Pernvt No. Date of Per-arit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval _ Request for: Temporary Certificate _ _ _ Final Certificate: _ (check on ) Fee Submitted $ ~ V~ i - _ Apt icani Signature Y6X^'~ ggFFO(K Town Hall Annex ~~0~ C~l~ Telephone (631) 765-1802 54375 Main Road ~ ~ Fax (631) 765-9502 P.O. Box 1179 0 • Southold, NY 11971-0959 'y-lyol # ~,D,O~/~' roger.richertla~town.southold nv us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Peter Leoniak Address: 295 Fanning Rd City: New Suffolk St: NY Zip: 11956 Building Permit 37938 Section: 117 Black: 4 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Pumillo Electric License No: 2300-me SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 100a Heat Duplec Recpt Ceiling Fiztures HID Fixures Service 3 ph Hot W ater GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 100a A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent FiMUre Pumps Transformer Appliances Dryer Recpt Emergency Fixures Time Clocks Disconnect t00a Switches Twist Lock Exit Fixtures TVSS other Eguipment: 100a overhead service, 10KW standby enerator with transfer switch Notes: Inspector Signature: Lw ( Date: June 20 2013 Electrical Cert'rficate.xls ~o~~,oF souryo6 ~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]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: DATE ~ ~ ~ 3 INSPECTOR~~ FIELD ON ~tEPORT DATE COMb1ENTS ro FOUNDA~iON (1ST} ~ bl C FOUNDATION (ZND) ~ ~ z 0 ~ . y ROUGH FItA1121NG & t~ PLUMBING 4 7 R7 INSULATION PER N. Y. STATE ENERGY CODE S FINAL ADDITIONAL CO NTS gg~~ ~J l a ' CD G - O !N ~ ~ ~ rn "'bA L~ 0 Z~ e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN F'IALL - Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans r y ~7+{ TEL: (631) 765-1802 Planning Board approval FAX:. (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 37~3~ Check 1'UG , 00 Septic Form N.Y.S.D.E.C. Trustees C.O. Application J Flood Permit Examined ~ ,20 Single & Separate Storm-Water Assessment Form ' ~ ~ Contact: Approved .y- , 20 Mail to: Disapproved a/c T T ~t C,, Phone: p Expiration / , 20 Lj~j ~j' ~ ~11 Building Inspector l i APPLICATION FOR BUILDING PERMIT Li~ APR -5 2013 i,.JI I ~ Date , 20 r INSTRUCTIONS I~~ ~~~olo 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. a 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 [he 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, an regulations, and to admit authorized inspectors on premises and in building for necessary inspections. li ,t, , ,';'i { ~ n, (Signatw~e o applicant or name, if a corporation) r. ~r~~l~~kS- N-CuEEFa~KfJ`~ Il"?~L-z AP~R~~Q~~l~ant) State whether applicant is owner, lessee, agent, architect, engineer, general(p,~~t /f i~ Aar#-~~~~erbuilder Name of owner of premise ~ ~~~r~l tC t~ao~~5~8 AA't TO ~ i="n cr.r • ; - G INSPECTIO^.~ (As on the tax roll or late9f(i11~901~~TI0N - TVJO v " If applicant is a corporation, signature of duly authorized officer FOR POURED C`'t' 2 ROUGH-F°Ris~N~ (Name and title of corporate officer) STRAPPING. ELEG~Rt1 . Builders License No. 3 INSULATION 4 FINAL-CONSTRUG~10` ' Plumbers License No. MUST BE COMPLETE F0 Electricians License No. ~~~~~,-~~~a~ ALL CONSTRUCTION SHAL', ' Other Trade's License No. REQUIREMENTS OF THE I YORK STATE. NOT RESPC ~ ~ DESIGN OR CONSTRUCTION Eki ;JRJ 1. Location of land on which roposed work will be one: , 1 ~-louse Number Street Hamlet County Tax Map No. 1000 Section Block ~ Lot ~ U 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 Intended use and occupancy ~ ~F,1 q,.~'SL 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (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 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 1 l .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 premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 . Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B 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 ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, COQ"~nIE t~. ~3ir;~~^' i Notary Pubfia, :'hats ct N~+~ `.-C:i (S)He is the (Contractor, Agent, Corporate Ofticer, etc.) Corr~m s:ur e 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 leis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. S~or i to before me thi day of ~`I 20 Notary Public Signature of Applicant ~o~~of s~ryO6 Tam Iii9 Amax ~ ~ TdepUooe (686US7~6s5~1868 OS emr tt~ !?49erridtatt~.~Ifmwla.nY.as - Soathotd NY 11971-0959 BUILDING DITARZ'MELV'I' TOWN OF SOUTHOLD APPLICATION F,Q/~~t ELECTRICAL INSPEGTION REQUESTED BY: Y j~~, M) ~ Date: / 3 Company Name: U M i ~.~~--"Z~2 t Name: .~-017 ~ f LicenseNo.: o`~`3Un M. Address: ~X ~2- U4-tt.?ZE?~..- N. Phone No.: 5'1 ~O ~j0 JOBSITE INFORMATION: (*Indicates required information) 'Name: ~~il~~i~. ~ D ~ I AiC "Address: 2-x(5" ~priJ tJt iJG 2O ~ N~ ~ L }@J._____ j_q ___~o 'Cross Street-. "Phone No.: "'~'~lk -'$2.~ Permit No.: - ~ ~ k Tax Map District: 1000 Section: 1 1 Block: Lot: T O t "BRIEF O CRiPTION OF WORK (Please Phnt Clearly}y~~ ~`~>GR~. II~STA{,t,)DN 3 - Cwt-. W l'12-~5 /9'N~ ~~i ~f2 §Z. (Rlease Circle AN 7"hat Apply) *Is job ready for inspection: SSAS~,,{,{/~~~~NO~~,~ Rough in Final *Do yntr need a Temp Certificate: /\n~gh~U) ~ Temp Information (If needed) ` \ *Service Size: 1 Phase 3Phase 100 i50 200 300 350 400 Other `'New Servlce: Re-connect Underground Number of Meters Change of Service Overfiead n Additional Information: PAYMENT DUE WITH APPLICATION ~ >2~ t?-rz,~-~~ LD ~Cw ~ A~ - ~~~a~ ~ o ~ ~ ~ 62-Request for Inspection Form ~ ~o~~OF SQ/jTyo6 INamRmd ~ ~ ~~Tel~epixa~6ne81(,673U7651864 . - P.O. liox 1179 ~ Lr~er•~he+~ Sa~ nV US Sout[~old NI t 197[-0959 ! p - ,Y' S J ,BUILDING DFd'AR`I'MEN'I' TOWNI OF SOUTHOI[.D APPt_iCATION FOR ELECTRICAL INSPECTION REQUESTED BY: SQ17 Y ~r>~ ~ ~ l C~ Date: - ~ / 3 Company Name: to M) ~ ~~c._~`Z( Name: ~-©17 n,t Z ~p License No.: oZ~jQ C~ M• . Address: Z'jo)C ~a3 1.-~t~zt?~_ (Jej Phone No.: 57 6 ~O JOBSITE INFORMATION: (*Indicates required information) *Name: P~jI~iR. ~ ~ N i A1C `Addr'ess: 7l--(5 ~pr-~J N'1?J T 2.~ *Cross Street: `Phone No-: lk ~~~g Permit No.: ~ Tax Map District: 1000 Section: I~ Block: Lot: ` "BRIEF DESCRIPTION OF WORK (Please Print Cleady) ~~p~~~.{~-b~ 11:)S-r~k-yDN (Please Circle All That Apply) •Is job ready for inspection: YES 1 NO Rough In Final "Do you need a Temp Certificate: YES Temp Information (If needed} *SeMce Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *NeW Service: Re-connect Underground Number of Meters Change of Service O ead Additional Information: PAYMENT DUE W1TH APPLICATION - ~i u2r ti~ i2 82-Request fw Inspection Form l D/~ N ra .IC Gh~T~.voti(_ I su"~ Z' I51. iy j 7 n ° F g a W 4 41 h 111 15r~u~ 50 I onrv[ O 1/.i V~G .I a; z ~-m" " b- I ~ N N. dl' 21' 3C" W. 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