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HomeMy WebLinkAbout38074-Z .+p~ Town of Southold Annex 8/29/2013 ~}~yF* v~ P.O. Box 1179 = 54375 Main Road 'i5 ~S7 Southold, New York 11971 fi. l a.. ~ `"`~ra~+tfD CERTIFICATE OF OCCUPANCY No: 36476 Date: 8/29/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 8581 New Suffolk Ave, Cutchogue, SCTM 473889 Sec/Block/Lot: 116.-1-1.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofiiced dated 5/28/2013 pursuant to which Building Permit No. 38074 dated 6/5/2013 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: accessory generator as applied for. The certificate is issued to Brush, James & Brush, Nancy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38074 8/28/13 PLUMBERS CERTIFICATION DATED Authorized Signature 5'`~F~~~-.. TOWN OF SOUTHOLD BUILDING DEPARTMENT a~ ' TOWN CLERK'S OFFICE ~ SOUTHOLD,NY ~y~! f 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 38074 Date: 6/5/2013 Permission is hereby granted to: Brush, James & Brush, Nancy _ 8581 New Suffolk Ave Cutchogue, NY 11935 To: install a Generator a as applied for At premises located at: 8581 New Suffolk Ave, Cutcho~ue SCTM # 473889 Sec/Block/Lot # 116.-1-1.2 Pursuant to application dated 5/28/2013. and approved by the Building Inspector. To expire on 12/5/2014. Fees: ACCESSORY $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 i Building Inspector 4 form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT "GOWN HALL 765-1802 APPLICATION FOl2 CERTIFICt1TE OF OCCUPANC7' 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 natura} or .topographic features. 2. Final Approval from Health Dept. of water supply and seweragedisposal (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 7110 of 1 % lead. S. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliauce'from architect or engineer responsible for the building: 6. Submit Planning Board Approval of completed site plan requirements. B. For ex}sting buildings (prior to April 4, 1957) non-conforming uses, or build}ngs and "pre-existing" land uses: I . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly spmpleted application and consent [o inspect signedby the applicant [f a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in venting to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $50.00, Additions [o 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 Certifteate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of.Occupancy - $.2S 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $ i 5.00, Commercial $15.00 Date. - =~y/3 New Construction: Old or Pce-existing Building: (check one) Location of Property: ~-~b~/ ~J: ~ ti _ 4 ~ ~ House No. Street Hamlet Owner ar Owners of Property: ~/~Q-/~((,c/ y 1 i/>~( /L ir(S Suffolk County Tax Map No 1000, Section j ~ tp Block ~ ~ Lot ~r Z Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate _ _ Final Certificate: (check one) Fee Submined g - _ _ - ~ _-d Ap_ icantSign ure ~O~~pF SOpjyolo Town Hall Aonex yy Telephone (631) 765-1802 54375 Main Road ~ T Fax (631) 765-9502 P.o. sox u~9 e roper. richertCa~town.southold.nv.us Southold, NY 11971-0959 ~ O~~NfV 0, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: James & Nancy Brush Address: 8581 New Suffolk Ave City: Cutchogue St: NY Zip: 11935 Building Permit 38074 Section: 116 Block: 1 Lot: 1.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Alan Hubbard Elec License No: 4285-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS otner Eguipment: 14KW standby generator with automatic transfer switch Notes: Inspector Signature: ~6y,vt Date: Aug 28 2013 81-Cert Electrical Compliance Form.xls ~o~aoF souTy~ ~ TOWN OF SOUTHOLD 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: r N t?~ - D1~ DATE /3 INSPECTOR ` TOWN OF SOUTHOLD BCILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMF VT t)u coo have or need the following. before applcing7 TOWN HALL Board of Health SOUTHOLD, NY 11971 t sets of Building; Plans TEL: (631) 765-1802 Planning board approval FAX: (631) 765-9_502 survc>__ _ SoutholdTown.NorthForl<.net Ph:R~VIIT ~'O. 3~t~t`~ Check Septic Form _ _ N.Y.S.D.E.C. ll~ustees CO. Application- _ _ Flood Pennrt Examined ~ . 30~ Smgle & Sc.pai ttc _ _ Storm-Watu ASSCSSmUII Porm Contact: Approved _ _ ~~S , 20 ~ Mail to: Disapproved a/c _ ~~j~ ~ Phone:-~_~-~_~~-~~_. Expiration _ ~0~ _ ~ I~, ~ Buildin~~ Inspector ~ APPLICA"PION FOR BUILDING PERMIT I j! MAY 2 8 2013 _ nat, a - ~ ~~;!1~lil~ INS"CRUCTIONS I rt,;,, l= "a. °l"rsapplication MUST be competeh filled in h~ hpcwritcr ur in ink and submitted to the Buildim_ Inspector with a sets of plans. accurate plot plan to scale. Pee according to schedule. b. Plot plan showing location of lot and of buildings on premises. relationship to adjoining premises ur public streets ur areas, and waterways. c. "The work covered by this application nta~ not be cununcnual hcfnrc issuance of Building Permit. d. Upon approval of this application. the Building Inspector ~~ill issue a Building Permit to the applicant. Such a permit shall be kept on the premises available lix inspection throuehuut the ~~urh. e. No building shall be occupied or used in whole or in part for any purpox hat so ever wail the Building Inspector issues a Certificate of Occupancc. f. Every building permit shall expire it the work authorized has nut commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no arcing amendments or other regulations affectim_ the property have been enacted in the interim. the Building Inspcct~~r nun authorize, in writing, the extension of the permit fur an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY 11AD1, to the Building Ucpartntent li~rthe issuance ofa Building Permit pursuant to the Building Zone Ordinance ofthc Town of Southold. Suffolk Counh.'S'e~~ York. and other applicable Laws. Ordinances ur Regulations. for the construction of buildings. additions, or ahcrations or liar removal or demolition as herein described. The applicant agrees to comply with all applicable la..s. ordinances. building code, housing code, and regulations and to admit authorized inspectors on premises and in building fur necessarc inspections. i(._, ~ yi"'~ (Si~z~ tore of applicant or name. if a corporation) - (Mailing address of applicant) ~~~cQ ~ N4~4 State whether applicant is owner, Ic„ec_ agent. architect. cn~~inccr_ ~scncral coat ~ [ r electrician, lam er or builder fpA~ ~ 3 -.P P.. MJtI~Y BJ~gbrJ~. tKf~poPTkE~ Name of owner of premises ~M~~ ~ ~N>`5 S ~ 7(u5~lgp2- 8kµ TU 4 pft" F4tZ - - - (As on the tnx roll cal atest deed) ON.~ If applicant is a corporation. signature of duly audlorired ollicer 4i r (Name and title of corporate officer) ~ ~I,i,~W,~ Builders License No. IINf~Uhb?m1~N1 Plumbers License No. ~ft49Ul~~Ml~~f~mlalN1~11~IC/,rl Electricians License No. _ ~ILII~~mI~M1311NP6kR Other Trade's License No. E ~1~U~1~Iq~$~F11N1~~@I~plEw P ~P I ~ House Numberd on whichStreet,sodIl be d~~c: ~~A~~ hamlet County Tax Map No. 1000 Section I ~ ~ _Block ~ Lot 1 t 2. Subdivision I filed Map Nu. Lot 2. State existing use and occupancy of premises and intcndrd use and occupancy of proposed construction: a. Existing use and occupanc}' _ b. Intended use and occupancy Qrv e.2y~~~'L - p~ g ~urN,~ ~ t°,e ,r~AiQ4 oi,~m ~y~, 3. Nature of work (check which applicable): New Buildine_ Addition Alteration Repair Removal Demolition Other Worh (Description) 4. Estimated Cost I~ee (To be paid on filing this application) 5. If dwelling, number of dwelling emits Number of dwelling units on each floor If garage, number of cars 6. If business commercial or mired occupancy. specih~ Halm ~ and extent of~each type of use. 7. Dimensions of existing structures if any: Front car Depth Height ~ Number of Stories Dimensions of same~tructure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new coti~truction: Front Rear Depth Height Number of Stories_ 9. Size of lot: Front Rear Depth 10. Date of Purchase N~rE~ c of Former Uwner 1 1. Lone or use district in which premises are seer tcd 12. Does proposed constriction violate any zoning lav ordinance or regulation'? 1'I;S NO l3. Will lot be re-graded? YES NO Will excess t I be removed from premises? YES NO_ + 14. Names of Owuer of premises 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 I~reshwater wetland? "YES NO 1F YES. SOUTHOLD TOWN TKUS'T'EES & D.G.C. PI[RMI'fS MAY f3E REQUIRED. b. Is this property within 300 feet of a tidal wetland? ~ YIr:S NO IF YES, D.E.C. PERMITS MAY BE REQUIRI'iD. 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 leer or below, must provide topographical data on survey. 1 K. Arc there any covenants and restrictions with respect to this propert~~'? YI?S NO IF YES. PROVIDE A COPY. Sl'ATF:OPNFW YORK) SS: COUNTY OF ) being duly ,~.orn, deposes and ,a~ s that (s)he is the applicant (Name of individual signing conh~act) above named, CONt~71E 0. @UNCH Notay Public, Stats of fVe~~~~~ York No.O16U6185050 (S)He is the ~ € (Contractor. Agent, Corporate OI liter. etc.) Commission Fspera~ ~s~:;"4. ~-__w of said owner or owners, and is duly authorized to perform or have performed the said woiic 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 f filed therewith. Sworn to before me this ask `~-~t day of '0 ~~j C-p.c~ rv~P - _ t,1 Notary Public ~ ign• urc of Applicant +v. ~ - - - ~'UFF{~Lt*( .1'{Ei11LTM ~1L-.Tr7~~ 1 - _ ` T ~"V' _ : 1 'r'~_ ` _ r r _ ! ~ ~ ya~TS { ~ ~ ;J i _ j 37AT£MENT DF.INTh't+1T ~ ~ - i ~ . ' - THE WATER SUPPLY AND SEIMAGE D?SP06 . ,g~,lz` ~ ~ ! r -`/Si~... 12 2~ . SYSTEMS fOR TtltS R£StDENCE lAftL-~- . ~ , a ' aDNC. ~ I 1 ~ ~ ~ CONFORM T© THE SfANOAR~i OF :7~FIE " } ' ~ _ a ti suFFOLx co. o£~r. of MEAiTti saz+n - - ~ ~ r to T'.7'~N C}F ~Z')L~ {!`;.:~C ts) eLl , - t ~ ~ ~ i ApM,~CM~IT z 11 q' I ~ ~ ~ D~ OF FIEALTH ' iT'r` f ~ ~ j ~ ~~~S~Y F~ Y ayyE ONLY suFFOLK cauNrr D£rT. of taw ~ J a,/ SERVICES - fOR l1FPA~OVA1:;: OF _ ~ 1'' ~ ~ 1 ~ ~ - ~ ~ CONSTRUCTION O1ilL:Y p ~ ; j s y 3 _ I_, _ DATE: ~ ~?i- ~ . i'"I `@' ~ ~ - , ~ ~ < ~ 6 S,'~JlhSo~ bbilt~~ H. S. REF.NO.: $tO'9d-irJ~6 3 1 ~ ~ W ~ OMiXird ~ tlt Of Ci'~it APPROVED: T'l--r-6~. i i F to iQ wsY• y ~ i~ ' ~ ~r.'~~ ~,Iw~~ y ~ i ~ `s_r ~ . l.A~+? SUFFOLK TAX MAP DESf6`l~i1T10N - i' ~ fl Q ~ L~ 81 ?.n k ousts. P.E.. ~ DIST. SECT. BLOCx >ACL . ' - u~ ~ ~o Q ~ ~ z ~ ~ per. a were~.ba w.~w'N.e" I I6 43` - i.p _N cu vsE* i-~/SY'~`' _L{ ~ ~ ` a OWNERS ADDRESS: ~ -r ~ ~ ~ ~~p~ \ ` ~ .1 MN'S.t-. -~7,I~~ S.F; DEEa: L. ~~9~ P. 2i i ~ 1Li - ~ ~ - ~ ' rJ = PfP~ TEST HOLE SIAINP ` \ x«~a.eaem • ` 1 m .r.e.rr.wriw,~r T.._ ' ~ ~ - r ~ ~ 1, ) ~ 7OP_501L etmx ueey nHP not eearip ~ ' ~V \ ~ _ ~ -V {~l EmygycM1 YM00 xel or - \ ieM W! oW Ea apnsiEery ~ \ \ i E7 + ~ ^ ~ ~ \ ~ I AMEfJD~ IJOV.2t~t`~'Xt m ..esemxwar. i - ~ \ ~ ~ ~ u NIAY Z~ }~S L~+M ~ cr+r ouw PCr_o~m wMhon~, L~. sully \ ~ 1 r , ~ f" cP ~c.aa s KI•ieCerK9eM ~ .i .l` ` ~ _ o , - Q ~ - JUNE 7, Ig)7 uu.::;ic nerean miC _ v .(Tt m +ssroozcm cf ma kncp moo- - , d ~ ~ Guaranmes are rq bW4upM ,e . 3 ~ m ~«.rawa.e Q ~ ~ ll~ - ~ ~ ~ ~ ''4 TITLE t.10.AC~945O~ SEl1l - ~ . - t~s r - ; ~ J OF N f :~+i'a, Je~+... ~ HOUSE ~ ~ ; ~ L3ti GA.N ~SO P~~P '9H O ~GK V r ~ ~ f,1A710NALSAI~AG.T~1E_-C34nd~i~TLS~- K ~ oo~}` 'c t ~5~ c. ~ L~ 4.t7\'hQSsf i t_ F ~,I~~-~ * ¢ F~'_.,~F ~ ,r .i, ~ +F. f OCT f ~ ; WATE7~ _ ,`~~$~3~ ~.T~I~Jt"s.t~f'!Y Ff2Clt. ;`~3i?~i~d ~ ! Jj ~ 1tQD£R~GK'VANIIIYL.P.C oF~!o . ii~~ 1f//w.r.. 7 [s,GF ,c, sir ~{~`a~a~i ~ W{t~l~J'~ WAY .l`~!/'e~it tom.? `~cano ' ~ ~ ~ LICENSED LANG SURY YOBS 3 Y" C:. r Lf s. `E .~C~. ~IJ ~ ~ H~ ~~1..~... ~ V~~a ~ ` ~ f' ~ - GREENPORT NEW YORK .r+xi+ - - vV`- ~ 1~i a~ s, k yy ii } ~ A~ ~ i x. _ - ~y< rLL rv,, Po 9 ~ k -a- M r, ~~M n"s _ KOHLER CQ METRIC PRO E DIMENSION PRINT iaizoResa - - - ADV-8424 D ~3~0~ `f ® o ® o ® ® ® ® ® ® ® _b , r.~~ ~ - - ~ _ _ _ _ - , r - - - ~KOHLER CO mergic!aRO.e ~ - - ~ OIMENSIDN PRINT 14/20RESA ~ ~ "v ADV-8424 D ~ r I ii gPl y + IJ " t, ~g , err R ~ ~ti ~ ° m 4 a S aS~=r efi 1 e W .Z (Pk• ~ r i i~{z _ ti.d ~Sy~ ~ ~ ~ _ ~1. i 2 CM a 'y ;i`S ~ . s y ~ »n, wS e eFl :ietuu L ` . d~v • KOMLER CO. Meraic vaoe DIMENSION PRINT wizoaesn - - AOV~8424 O 8 T 6 5 4 3 2 OCCUPIdD SiRpC iU RE OCCUPIED SiRUCtUFE OCCUPIED SLRCCr_RE OCCJP Eo Si0.JCib9E D rM 8 M_IV SERV'CE DCOd SEi B" M:N. S£kVICE DOOR ~I mii _ SEi a ~~`a 7 ~ z C s[AV.cE oooe s_ m=_ _ _ I sERVlce oooR _ a ET- GRAVEL OED ai EXHAUST END - ~ 6 ~N. GRAVEL ON ALL REVAiNING _ID_S 0 ii. -ECOMM N ED Vh _~o a CISiA NCE - jp RCCEPTR9LE _ it E%HApSi IS AIMED AWAY OR PARALLEL i0 Si9 LC iNAE. tl EXeALST is ryOT DIRECTED Ai PLAY AREAS. PAT AS OF OrHEA AAEAS WHERE PEO°LE LONG0.E6AiE- 0 o~ 3; rHE NEAAESi WiNpOW. VE Ni, DOOR GA S~M,;A3 S'RL.'iORE OPENING IS Ai IEASi 5 FEET IRON rHE E%1AUST EkD OF rHi cEr. dl SEi WAS FdOPER OrFSEi P0.0M SiAUC'UdE- NOiE- 51 WINDOWS 6 DOOFS Orv AD:ACE rvi WA LiS ARE LLOSED- I1 i4E FECUIRED D'~S rANLC FR04 A SrFUCiURE IS JEPEADENL ON SiaiE ANO 61 EDANACE AND OiH_R SIMILAR INrAXES AAE Ai ~EASI ~.0 FEET P0.0M LOCAL LODES. NPPA 37. SiANDA0.05 E%HAUS? END OF SEi. - rOR rHE INSALLai104 0.Np LSE Of 1) WEED figVRIER AVp 3 INCH 'r~Cx GRAVEL 9AS _ LOCATED TO ARE VENT STATIONARY COMbUSiION EV614E5 6FASS 8 WEEDS =ROM GxOWl N6 i00 CLOSE r0 THE SEi. ANp GAS PJ R9~NE5, 9A?ES THIS el NO xLAAiS SHRUBS OR Oi HER COMOLSi18LES ALLOWED N pI ST ANCE SHOULD BE Ai LEAST 5 FEET GRAN F_ AREA. tMINIMUM ~ Fi. PAOM E%NApST ENDL idOM A COM6UCTiBLE SiRJCiUFE. 21 fOR INSLALL0.ilON5 NEAR NON-COM0u5i19LE 91 SENSITIVE PrAN-S, Pgi10 iUANIi~RE. EiC. APE Ai LEAST e FEET FRDM E%+qL<r END 0° SEi. SiP UC iURE, A MINIMUM D~SigNCE OF IB" IS REOLIRED LO EM1'S UFE PROPER GENERATOR COOLiK6. i0l REFER i0 OWNERS MAAUAL EOF OT HEF iNSiALLA 710N CONSTRAINiS- A III NO PLANTS. SiRU35, 03 Oi@ER COM&J SiiBLES ALLOWED WIiFIN iB" OF aIR INigxE A .FCC o.:[ ~~>F 3: ~ ~i ICORLER C4 ut~wc rnoE e s-so-i[ s[E S.se rMSw ~ isv>ei as :.v p , -u w-m .ms eurwrsoci eo¢i scorn: w-si Wore woerso: ¢-e, mu of ia~ xix. s Fr - x¢owsxom sovso: ~o-a. i of x. ~s~. °i soom rznvosoi svr . ~,xa o -u m-s. a-1. ol. c-s. i ~ro uxssmexnux[. snslrlvFx pDIXEN5WN5°PRINT rs. ac.' wrt rzwvm; uai ~~xiurvx s n. n - "vvroox la?z ~F.l I MnaPES~ nw~un nm.~ soom. ia~n wrzs vro.ao ianmm u _ voX is _ix. i I ~ADV-8424 D 8 7 6 5 C 3 2 I