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Home My WebLink About37744-Z c4itr Town of Southold Annex 11/8/2013 P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36602 Date: 11/8/2013 THIS CERTIFIES that the building ALTERATION Location of Property: 15437 Route 25, East Marion, SCTM 473889 Sec/Block/Lot: 23.-1-6.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this otTiced dated 1/1/1900 pursuant to which Building Permit No. 37744 dated 1/11/2013 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: alterations to an exitisting sinele family dwelling as applied for The certificate is issued to de la Vega, Frederick & Higgins, Lawrence (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37744 9/12/13 PLUMBERS CERTIFICATION DATED 10/14/13 Mattituck Plumbing A ed gnatur /I TOWN OF SOUTHOLD BUILDING DEPARTMENT 55 ) TOWN CLERK'S OFFICE a 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 37744 Date: 1/11/2013 Permission is hereby granted to: de la Vega, Frederick $ Higgins, Lawrence 344 W 23rd St _ New York, NY 10011 To: Alterations to an exitisting single family dwelling as applied for. At premises located at: 15437 Route 25 SCTM # 473889 Sec/Block/Lot # 21-1-6.1 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 7/13/2014. Fees: SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $200.00 CO - ALTERATION TO DWELLING $50.00 Total: $250.00 ~I 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 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 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 of 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 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 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 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 - Date. 1 ~q -1 -2j New Construction: Old or Pre-existing Building: ? (check one) Location of Property: 1 G,st3"' Mr4r tJ Q{Z ii 1!!IQTLt c.t~ House No. Street Hamlet Owner or Owners of Property: rL:. AE L/s y nn L N t C~lry I .~I S Suffolk County Tax Map No 1000, Section z 3 Block Lot Subdivision Filed Map. Lot: Permit No. 'j 'I Ljq Date of Permit. Applicant: '(M"„/lei Coj..T_ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ A cant S' na ure pF SOUTyolo Town Hall Annex y Telephone (631) 765-1802 54375 Main Road 4 T Fax (631) 765-9502 P.O. Box 1179 ell roger. riche rt(c)town.southold.ny.us Southold, NY 11971-0959 N' ~~~OOUN1'1 N~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Fred DeLaVega Address: 15437 Route 25 City: East Marion St: NY Zip: 11939 Building Permit#: 37744 Section: 23 Block: 1 Lot: 6.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Ice Electric License No: 4586-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 16 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 4 Smoke Detectors Main Panel ABC Condenser Single Recpt Recessed Fixtures 24 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 1 Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 11 Twist Lock Exit Fixtures TVSS Other Equipment: 3-paddle fans. 1-exhaust fan Notes: Inspector Signature: :Zv,r,. e z~ Date: Sept 12 2013 V 81-Cert Electrical Compliance Form.xls " ~SUFFO(,~c • ~o 0 N ~ >•I! Nall. 53095 Main Rood PO Box 1179 y~ O\. Fax (631) 765 N111 Yolk 11971.0959 Tclcpnon, (6)i) BUILDINO'DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: A7 1 Y r Building Permit No. 37'744 Freder;cac da10..1a9A Owner: L.Awrence ;4i55i n5 Plumber: , /~n b`,.tea (Please print) I cenify that the solder used in the water supply system contains less than 2/10 of I lead. (Plun Ign ituri S~\orn to before me this dj>, 01' 20,/~/ DENISE KING Notary Public, State New York Registration #01K16041757 Qualified in Suffolk County My Commission Expires May 15, 2C/ \~olary Public; County Y OF TOWN OF SOUTHOLD BUILDING DEPT. 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) RE`MARKS: DATE Z~ INSPECTOR hOoOF 80N;6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECT ON [ ] FOUNDATION 1ST [ ROUGH PLEIG. [ FOUNDATION 2ND [ ] INSULATION [t/:---FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE D3.Z.S'/ INSPECTOR ~~,o~soury~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION iST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ ' INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROU H) [ ] '7 REMARKS: ~y DATE INSPECTOR o~MOF SO//j~ ti TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [l [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~C] ELECTRICAL (FINAL) REMARKS: DATE 2 ~3 INSPECTORQ 3 / ~o~aoe souryo6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE °2 3 l INSPECTOR FIELD MEMSOLNREPORT DATE Cownvm.NTS ~ ro FOUNDAVON (1ST) S c FOUNDATION OND) r x y . ROUGH FRAMING & PLUMBING J ~f 3 i Ta INSULATION PERN.'Y. STATE ENERGY CODE FINAL ADDITIONAL CommNTS (G e~ c 3 mac. D G o l ~ ~C_ ~z - bLc z 1 d 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. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined /I .20 /3 Single & Separate Storm-Water Assessment Form Contact: Approved ~t 20L3- Mail to: Disapproved a/c Phone: r'J'V~ Expiration 20~ / . ng Ins ctor Ij f , D PPLICATION FOR BUILDING PERMIT 1I - 9 2013 JAN ~ Date ~q• t3 20 11t, INSTRUCTIONS el'~n; r~rr. a. This appli4t4iF6rr'~ pletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ohplans, 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 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. (Signature of applicant or name, if a corporation) V,o Qek t4s3 MATrrfX3Lr- tJ`t Ug,6z (Mailing address 9f applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 1 ~ p (n6 LA. - d L~ 2&.1LG t~s u~1S . (As on the tax roll or latest deed). If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Pmt ¢,p kA= Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1 eta GZoafl ~A~ t~A~Z1o House Number Street Hamlet County Tax Map No. 1000 Section ~7j Block Lot L~ 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 06r-m & I _ b. Intended use and occupancy : ~l yEr.1M &L-- 3. Nature of work (check which applicable): New Building Addition Alteration ? Repair Removal Demolition Other Work ?NTV!&te2 2tJ~?e..14 (Description) 4. Estimated Cost ppt OpC~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units_6V~ &-_Number of dwelling units on each floor A. If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. xA 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 Dep91 r , r Height Number of Stories 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 from premises? YES NO ''541- A Z4IV T-r 14. Names of Owner of premises t, be. L.AVjr & Address P Phone No. Name of Architect Address 14011 Phone No Name of Contractor t5ceicyarAA.3 CoAw Address Ra.Bak 1453 Phone No. Z`~~ 53l°I M~~'n'Ryck- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES_V' 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 O1SA:-erCL4- A ckLIka Al being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract above named, CONNIE D. BUNCH rvotary Public, State of New York (S)Heisthe No. 016,16165050 (Contract Agent, Corporate Officer, etc.) CommOualitled in Suffolk County ission Expires April 14, 2-U to 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. S~yon o before me this 'Rn day of 066\ 201c)- ~~n~~ 1 Notary Public Si nature of Applicant OF SO~ryo~ To 5 ~~AO a ' Tdq)bom ())631) 7esds02 543 P.O. Box 1179 • roger.richertCt>t9wh 1$oUCt1tl ny US SwAold, NY 11971-0959 BUIMING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: es _ Date: 3 Company Name: Name: 114ss License No.: Address: S~ ~vPr , tf 7v, ~f a Phone No.:. ie/ 4~ 3/ - 7 3 JOBSITE INFORMATION: (*Indicates regq ired information) `Name: *Address: /S ~3 rI *Cross Street: ~~?/.q36 Cmsswq *Phone No.: &3/ 3 ~ ~ Permit No.: 7 Tax-Map District: 1000 Section: Block: Lot: *BRIEP DESCRIPTION OF WORK (Please Print Clearly) o X2A (Please Circle All That Apply) *Is job ready for inspection: NO. R h I Final *Do you need a Temp Certificate: YES~~ Temp Information (9 needed) *Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other * w Service: Re-oonnect Underground Number of Meters Change of Se?y~~ Qvei ea~ Additional Information: PAYMENT DUE WITH APPLIC - i I i il~41 MAE 19 13 LJ E3li ~ f1CPi. 82-Request for inspection Form 7 • ~i~~~iDE MfJ~~~vr~c 1Z,,~~~'s S~f'c i~i~ <77~~ s tv~ ° ELECTRICAL ruV APPROVED AS NOTED DATE:-Z/-/Z-/.L- B.P. # ~z LfFEE: ~'Op~ P,/. NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE OCCUPANCY OR FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED USE IS UNLAWFUL FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMSING WITHOUT CERTIFICATE INSULATION 4. FINAL - CONSTRUCTION MUST 0 OCCUPANCY BE COMPLETE FCR C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Fff LL, c SLOWS DOOR MASTER 13EVRDOM nft~os 5EDROO - M r1 i b'-3 1/4' 3 S'-b- (vailtrl MEN CLOSET Ub~if. srtKS, - - W4' STOW SLAB, MOOD CAS Sao; :y. . 7 @E~ MA5rER DREBSINe `nl- I BATH ROOM •1'11~fs \J f~It FLR) M1'ICCV FlR~ m 5K11itffY Mma, f. ns 13T%66'), low STONE S.Pe 4 R>rMOU s YZ M+Coamw m ~ 2'-II' STAFRHALL • sia~ro 1 1•lEvl T{~~ m waF i ~ L r m io G16s61H ; S~F`ei F2.2 a I S ~ uL-4 HFEAu 2ND FLOOR PLAN - PROPOSED ALA 4 5 crow ~r"a w?, ~.ly kS -V x °041t9X/h HI66IN5 / DE LA VEDA RE51DENGE SGHULTE PARK ARGHITEGTS DECEMBER 3, 2012 212-242-6552 MASTER 5EDROOM X i% R M u SAiH GL05 ri x l1 R M 5TAWALL t 2ND FLOOR FLAN - EXISTING HIG61N5 / DE LA VE6A JRE5IDENGE 5GHULTE PARK ARCHITECTS DEGEMBER 3, 2012 212-242-6852 i i PECK ABOVE 2W R OM ABOVE WYYIB.Bgd1 . 1NST~s.d_t._,_liB rt__Liil~i~~ N~yJ levy 41~. S~ r4~k+auT_-. 4~°4 ® rtel~-u UnUT ?M1 BURY HN.L ~J Im tiyam ~cwE -rim T.-E HiWN5 / PE LA VE6A EUIPENGE EXI5TINFi E RH FLOM PLAN 5GHU TE PARK ARGHITEGM JLL-( 2l, 2011 1694 s.F. 212-242-6652