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HomeMy WebLinkAbout36343-Z ~ypFF9(, f Town of Southold Annex 9/4/2013 P.O. Box 1179 54375 Main Road ~ ~p Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36486 Date: 9/4/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 385 Cross Rd, Cutchogue, SCTM 473889 Sec/Block/Lot: 103.-13-29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated pursuant to which Building Permit No. 36343 dated 4/25/2011 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 and additions, includin¢ fmished second floor, screened porch and covered porch on an existing one family dwellin¢ as applied for. The certificate is issued to Seligman, Oliver & Seligman, Gloria (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36343 3/30/12 PLUMBERS CERTIFICATION DATED 8/2/13 James Hannon on Sign ure eft' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY 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 36343 / Date: 4/25/2011 / Permission is hereby granted to: Seligman, Oliver & Seligman, Gloria 112-12 68th Ave Forest Hills, NY 11375 To: alter existing dwelling; to include 1st floor & new finished 2nd floor & screen porch addition as applied for At premises located at: 385 Cross Rd, Cutchogue, NY 11935 SCTM # 473889 Sec/Block/Lot # 103: 13-29 Pursuant to application dated 4/13/2011 and approved by the Building Inspector. To expire on 10/24/2012. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $1,172.00 CO -ADDITION TO DWELLING $50.00 Total: $1,222.00 Building Inspector Farm No. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTCFICATE 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 oc topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 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 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall stale tl~e reasons therefor in writing ro the applicant. C. Fees I . Certificate ofOccupancy -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 ofOccupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $ 15.00 j Date_ New Construction: K Old or Pre-existing Building: (check one) [ Location of Property: 7~~ ~o~~~OS/ ~U~ ~X~, r~L(f['~//D~UQJ.N~/~9.3J~ House No. /~~J Street ~ -D Har~et Owner or Owners of Property: r~~llJPf N'(TIDI J~ ~Ci1/C~/Y~~ ~ SufFolk County Tax Map No 1000, Section f~ 3 Block / 3 Lot ~ 9 Subdivision Filed Map. Lot: Permit No. 3 Date of Permit. ~ ~ Applicant: Health Dept. Approval: Usrdetwriters Approval: Planning Board Approval: Request for: Temporary Certificate _ Final Certificate: (check one) Fee Submitted: $ _ ApplicantSignatm o~~pf SO//jyo! Town Hall Annex yy~ ~ Telephone (63 O 765-1802 54375 Main Road T ~ Fax (63l) 765-9502 P.O. Box 1179 roper.richert(a~town.southold.nv.us Southold, NY 11971-0959 ~ _ . ~y00UNi'~,~~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Seligman Address: 385 Cross Rd City: Cutchogue St: NY Zip: 11935 103 Block: 13 Lot: 29 Building Permit 36343 Section: ~ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WRH THE NATIONAL ELECTRIC CODE contractor: DBA: Eagle Electric License No: 41622-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 42 Ceiling Fixtures 2 HID Fixtures Service 3 ph Hot Water GFCI Recpt 6 Wall FiMures 10 Smoke Detectors Q Main Panel AIC Condenser 2 Single Recpt Recessed Fixtures 77 CO Detectors 2 Sub Panel AIC Blower 2 Range Recpt Fluorescent fixture Pumps Transformer Appliances dw Dryer Recpl Emergency Fixtur Time Clocks Disconnect Switches 45 Twist Lock Exit Fixtures TVSS other Equipment: 3-paddle fans, 9 ft multi outlet strip, generator and transfer switch Notes: Inspector Signature: K Date: March 30 2012 81-Cert Electrical Compliance Form.xls CERTIFICATION '1 Dater k t,i~~ ( aD~3 Building Permit No. ~ owner: ~ 1; v er ~ ~ ~ c>r ~ ~ ; S Yv\ 0. ~ (Please print) Plumber: ~YaVh&5 ~,Ra~[v~? (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plum ers Signature) Sworn to ^before me this _ day of ~{-!1,(r U 20~ , _ _ A~ COLLEEN A. MONTRONY '/'yIWHY~/t' teary N b0 ~A06 32243 w YaAt puelified in Suffolk Oo?oznN. 7~. i^/ Commission Expires Aug .~Ll I Notary Public, ~~{pL/L County ~o~~,OF S01/l'Yo 3.63 TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ j INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FNIE RESISTANT PENETRATION REMARKS: ~1.Q~2"L ~ ~^o- a s-~-l~ ' DATE INSPECTOR - o~~,OF 80(/J~ 3~3~3 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [FOUNDATION 2ND ( ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION ( ] FIf1E RESISTANT aucnoa [ ] FIRE RESISTANT PEIIE7RATrON REMARKS: DATE s- 9 ^ ~ ~ INSPECTOR ~ ~ 3 ~ ~ 7a,..n yr s~OUTMOLD BUILvi~ DEPT. 765-1802 1 NSPECTION [ ] FOUN ATION 1ST [ ]ROUGH PLBG. S~~ ] F NDA N 2ND [ ]INSULATION [ FRAMIN G [ ]FINAL [ ]FIREPLACE EY [ ] FlRE SAFETY INSPECTION [ ]FIRE RESISTANT OONSiRUCTION [ ]FIRE RESISTANT PQIETRATION i REMARKS: d U " ~7 h- c` DATE INSPECTOR ~ ~ 3 4~,3 Soul~o TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 INSPEC N [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ l FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ( ] ELECTRIC# (ROUGH) [ ] ELECTRN:AL (FINAL) REMARKS(. ~r 7 / DATE ~ INSPECTOR o~.~,OP $W/T~ h 3 ~3 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND f~INSULATION [ ]FRAMING /STRAPPING FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECTRN:AL (FINAL) REMARKS: 1 ~ ~ ~ e ~//J yv" / DATE ~ - I' INSPECTOR • TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECT N [ ]FOUNDATION 1ST [ OUCH PLBG. [ ] FO DATION 2ND ]INSULATION [NG /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECTnRICAL (FINAL) REMARKS:-~~ti-.Y--~-~-~' 1"-~-~---~~ ~ c~ DATE r® ~ 7 ~ INSPECTOR _ ~~f TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPEC ON [ ]FOUNDATION i ST R GH PLBG. [ ]FOUNDATION 2ND [ NSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRIlCT10N [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (R ~GN~ [ ] E~~ ~ (FINAL) REMARKS: ~ DATE ~ ~ INSPECTOR ~~''L~Y't., 3~ 3 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FlRE RESISTANT CONSTRUCTION [ ]FlRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ - DATE ~ INSPECTOR TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN CATION [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTIIUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~-~'~n- ? ~ , ~u-~.-,fey. d~-~-.~ d•-~- ~ ~ DATED Z3 INSPECTOR _ _ _ y,,_ L~1 ~MOF ~r'F! ~r~UMi7 ~ o ~ TOWN OF SOUTHOLD BUILDING DEPT. L ~ 765.1802 1 NSPECTI ON [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ l FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH)ELECTRICAL (FINAL) REMARKS: i 22~ C9 DATE ~ ~ ~ INSPECTOR iD / TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] 1 CATION [ ]FRAMING /STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: `Z C~ ~ DATE INSPECTOR s ~b cow ~ ~ ~ ~ ~ ~~~a 0 ~ FO~A~O'1`t ~ ~ ~ ~ M Jl ~ Rpu ~~87¢iG fJ qe- .~e.~ N'~, ~ C ~g'ULA~ CODE z _ ` ! _ 7 33'3 ~c ~ ~ 7 2lU L i`' F~~' ~ ~ CQ~,NTS phD ~ _ 1 r~r L> o Y ~ L~ G 2 } ~ + ~ 1~. cart ; M , v i 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. ~j 3~~ Check _ Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20~ Storm-Water Assessment Form_ Contact: Approved 20~ Mail to: Disapproved a/c _ Phone: (3~' 2~~_ OC ~S rib-~vs-- ZJ 3! Expiration ~20~ pp I~ ~ ~ ~ t3utldmg 1 sn pector LS LIGATION FOR BUILDING PERMIT APR 1 2 2011 Date MAR . z 3 , 20 I I etoc. DEPT. INSTRUCTIONS town ov sourt{oto p tcatton 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 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 petmit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to [he Building Department for the issuance of a Building Petmit 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. 7 (Signature of applica t or name, if a corporation) .ZZ.q LAUR~1 ¢oAr~ C-PrSr IJo~rHl~Rr NY u73~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ANpREAS LETKovS1~Y ARGI-tIT~GT Name of owner of premises OLI VAR GL,C>2tA SEt-IC,MAtJ (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. $47~ -I-I 1vHN RoS1S Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: '16b NOLOCld AVE. ~xrtNstc~tJ Cutctdaay~ ~^f 1935 House Number Street Hamlet County Tax Map No. 1000 Section l03 Blo,ek 13 Lot Z9 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 SlttG1..L F'At-1(I b. Intended use and occupancy Sh~Qf.l~ F~MtL~' 3. Nature of work (check which applicable): New Building Addition Alteration K Repair Removal Demolition Other Work (Description) 4. Estimated Cost ~ 75 ~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units l 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 pery:eonstruction: Front Rear j Depth Height Number of Stories 9. Size of lot: Front ly5 Rear ly5 Depth ~2h` 10. Date of Purchase Name of Former Owner 11.L,one or use district in which premises are situated ~ 40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO X 13. Will lot be re-graded? YES NO 7~ Will excess fill be removed from premises? YES NO_ C~ 14. Names of Owner of premisesOLlytr2 5ArrucMAnl Address7(o~Nc~LOt~N AU>` Phone No. Name of Architect ANC~e~,S ~.t:TY.Dt13K~ F'1R~ Address22~ LAUt2~1 ~O. Phone No '757 ' CD2 o q Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 Feet of a tidal wetland? *YES NO * [F YES, D.E.C. PERMIT5 MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. t7."If elevation' aY anypoint on property is of 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) ~ Y SS: COUNTY OF ) ~t-IYJIZEA3 ~k I1~0 V slry being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the AP~ClI tT1=.CT' (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 befgze me this ~~A,~ ~1~/~CATHERIN SROM ~ New York Notary Public No: 4763885 Signature of Applicant CoOmmission Expftres ~/3o J i d~k Town of Soutt~oid ~~(_/~r~~/,`// Erosion, Sedlmentatlon & Storm Water Run-off ASSESSMENT FORM V ~ PROPERTY I.OCATI(iN: a.GTM.i{: THH FQLLO)MNO ACTIONS MAY RHQUNtH THH SUHNNSSH)H OF p ~ ( ~ ~OR1N-WAT 6RADDNI, DRAT AOH AND ROSIO CONTROL. CERTIFIF,D HY DHSION PR I~H ST71TH OF NEW YORK SCOPE OF WORE. -PROPOSED CONS"I'RI)Ci'ION ITEM # J WOAgASSFS&MENT Yes No . a what sa trte real Area d the Parbels7 ~ VvR this Project Retain AN sitxtrfWsler Rurr~Ofl (Inchlde TtAal Area W aN Parceb loomed wNnm Certeratad by a Two fr9 man ReANeN an sNe7 - ShaScopeoiWorkfaProposedConsbtldiort) (,.p.r,wxl (ifds~mwfAmciuudeeNrurcnoeatadbyaxa x b. 1Nhstie the Total Area d Land Claerkg deedn9 tasifor corlsYUCtlort ttl as 1vaN as aM andMr OrouW Dlebtrbertce focthe DroPt~ SNa mtprovetnertb altd'Ute parmenertt txeatlon of croRStrtlcNorlaotlvN7/1 (s.P.fla.a) ImperviotlasuttacesJ ~ Does the Stm Plan arwLor 3urNaY gnaw AN Proposed _ PROVIDE BR1IIr YSUJ~r DFTON IPmdaeaebrwwt'oa««Neaaatl p,amaBeSWdureslndk~lm9S~a&locadat?ThIs X Itarrl shat mrlttda aN Proposed Grade ( and. sbpee cdnwHng stataee water Flaw. ~ floes fire 8Ra Plan endlar Stmrey destsibe the aroebn and setltmerttooMrel Piat:tlces Nlat wNl be uWd b X tbrrtral site eroskn end dorm wear tNadtereea. Thta - - tt8in rtttrttbe rtid[tt8h/8d 1Mw9nDUt the 6AGe Constiilctlort Period. . - ~ WNI tMs Project Regtdre.arty Lwtd FiOktg. Greding a Fxpvatbn where there k e mange b the Natural ~ K ExisBnB Grade Imolvfng mere than 200 Cubic Yards of Materiel within any Parcel't CJ WNI this AppNcallon Require Lend DlSttlrb(n9 Activitles . F.rxxxr~asstng an Area in Excess of Five Thousand ~ X (5,Ot)0'S.F.) Square Feet d Ground Surface? _ $ IsthereaNaWrelWaterCourseRunningtfirotlgh~the ? , - ~ Site? is NWs Pro)ect wNhm the Trustees jurtsdictlorr X oEC R.avkamertb : a wNnm one Hundred 11007 feet of a Wetland ar st>an4aimda SVJPPP Ys regwedar ae coasaucson agNl6es uwoMngadl eeach7 dishaDanoe+rime(1)or mss aaea:mWdiq~dlebrearcasdlass aian meataeMat ' WNtstere be She preparation on F-astin9 Grade Sbpas ars panda tsperaannon plan Mat wa apknebN dam ease ar nwe dbra: which Exceed FReen (15) teat d WeNgl Rise to t( 4rdudne Carrstn+olorr arJNtl6a YrvaNing sae dbnabances Bless Man one (t) sae where p~ Hundred (tlw7 of Hor¢ontal.Distance? .'fie DEC )w tlelerrrined Met a SPDES permit b required for arenas wate`dtsohxges. - ' ~ (SYYPPP'a ShallewlaN eldmum Raquksmenb dttw aP0E9 oenaral Parma - $ WNI OrWewaYs, Parking Areas GI other hnpervkrus for storm Wat.r Gbdrrnr9ee awn Cona4uetlon aoerky -1+ernANo. GP-0-t0-007.) Surtaxes be Sbped to Dkect Sbrrn-Water RutrCff + J X t. 7ha ttwPPP amll re prepared tsx+r bMe sumtRtet d the NOLThs tt01 anal ce ~ into end/a m Me diredbrt of a Town rlghi-oLwaYr L.~J atrbrrdlbdbMelkpatanaMpdorbtlramranaiamaMdmruWWOneotNay. WINtMaPfdfeCtRequire~thePlaceRteMa/Metedel. 2 The eWPPP SImIdpcMe ere aroabn «aaedM«xooard practloee arawh«e 9 u re4~'b.p°Aapn^wabtmer!tlxaetlwpatw7bwedarMbr Removal ofVegetetlpneldlartheConstr;tcUonManlt cgreuellebreika:eetepoltYnbYrNdmraMardbdrorpgendbapue ~ ItBlltwunmNteTowrtFtlph4oFwayorRuedSho0ldef - complWtnwpr tli0 htnlr and axaNabdWspemiN.matlMbn. ass Stl~PP NaI Area?lnaseMwp NarYraq.d,.YixartenarnrNwaYNaaMr .tdmllN pdpaal aawap dpnlApm whltlr may rameitablrbe wryadedbatled th 807E 1rMyAnaerrmttwaaora oae tlveueh NerebMUar«ed wYha gteekhlarlc . gnelly detamvMerdbdnteaa manor a/M1M pga4nogon alb dhmibMOabbNwainAeeaeRilApa Yrara, S. r1N SYVPPPatltetMOute the poa4oapsuatlon abtmwebrmmNVnwaN~ asmrm~YVeIM,tNedkrg, Ikakuae66wbn eontroltMnbRWad.dbllMTownd canponenttlW ba'prapNad byagwMM Oaegn Prdewbrtal Lioarmadm NewYode souereW and Mu#tM Somaabd tarRaabw pdormbawnoed ArryBtdltena PNmIL MatbimttnbdpsabbmtM prltCbles era pacsaea dsbtm Wabr Aaensaemont ploTe At]adtrMt(.J)rraarA«wwars.drrtuMlonb RaquYedbre G7rrpklsAsplmlira) STA'T'E OF NEW YORK, COUNPY OF SS 17>at I, . Auo~ being duly swum, dtposes and says that heJshe;s the applicant for Peraaut, And that he/she is the ARC H t 7 ~ GT i.~i Owner and/or representative of the Owner or Owners, and is duly authorized to perform orhave performed the said work sad to snake and fik this application; that aU statements contained fn this application are taste 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 before me tltis; dk ...............................dayof....... K t CATHERINE Rise of New York Notary Public: 4/.11.^.~.~....F..-~.t~:':!~t'!~.'`~lo'tatr~.F.ubJic«St..'. No. 476~3fifi5""' (sgraa.e a nppl~anq FORM - 061'10 Commission EtWf~ ?'d 1) EAGLE ELECTRICAL GROUP, INC 1106 565 3A© AXLE EAST NC3A7HRORT, NY 11231 so-r,~emu .DATE. ~ ~ ,3 ~"p ~ r` ~ ~--v~ ~ 6' v , f REQUESTED BY: ~~A~i A-Ib~S?~, ~ ~ ~t Company Name:: - ~ tit ~ G-r Name: Y 4s ' r` t_ioense No.: ~ • 22 ~ Addn3se: S C7~ 3r ~ , ~ IJo<{~ ~ I~I~( Ptwne No.: f - S - 7 JOBSITE INFORMA'~70N: (;Indicatr~ requited irrforrnatPon) .'Nw~aJme: ~ ivn S pvc7•; a~1 ~ i e~ f l ~ Address: 0 'g ~ {Y .C- 7~`j'. Asa M. k *Pt,one ivo.: 6 . Permit No.: to ~f Tax Map District: 11700 Section: 1 ~.~---1- "BRIEF pESCR~TiON rt7F WORK (Pieaae Print Cleary) w d ~ LboT ` ~ nal ~S(~. + ~ laa~ ~-e~avG~-ion (phase Circle At1 That,Appty) "Is job ~Y for Inspediron= ~ Rough ,.t Final "DO you treed a Temp Gertlflrate: r'E~ Temp Information (ff neoded) gee: 1 NF>ise SPtrase 100 150 200 300 350 400 Other ~.~rneet Underground Pkrnlfer of (Metiers Ctrange of Servkxa Ovefiead Additional Irtformatlon: PAY II~jI DUE Wff Fl MPLICATION ~oF , S P ~ ~5 ~ ~ ~x s5, Y ~V pS11FF0(~f' ELI7.ABETH A. NEViLLE, MMC Town Hall, 63096 Main Road TOWN CLERK ~ P.O. Box 1179 y ~ Southold, New York 11971 RF,GISTRAR OF VITAL STATISTICS O ~ ~ Fax {631) 766-6146 MARRIAGE OFFICER 'yi~ Q`' Telephone (691) 765-1800 RECORDS OF MANAGEMENT OFFICER O! * ~ southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTI-TOLD • November 14, 201 I CERTIFIED MAIL RETURN RECEIPT REQUESTED Eagle Electrical Group, Inc. 505 3`d Avenue East Northport, NY 11731 Deaz Sir: The bank returned your check no. 1106 in the amount of $225.00 due to insufficient funds. The check was payment to the Southold Town for an electrical inspection. This office is required to collect the money for the check and a $20.00 returned check charge for each check. Payment must be cash, money order, or certified check. The total amount due is $245.00 ($225.00 + 20.00). Payment must be received be close of business on Friday, December 2, 2011. Failure to pay this amount within the specified time will result in the referral to the Town Attorney's office for collection. Thank you for your anticipated cooperation. Sinc~r'el~y" NOV ' ~ LYnda M Rudder i ~ Deputy Town Clerk enc --J TO'L _~i n_ I Oliver Seligman 760 Holden Ave. Cutchogue, N.Y.11935 RE: Extension of Building Permit # 36343 To Whim It May Concern: 1 am requesting an extension to permit the contractor to complete work which has not yet been completed. If you need to contact me you may reach me at the address above, not the address on the permit. We formally changed the address to the above at the Southold Town Hall. Or if necessary you may call meat 917-763-0178. Thank you. Very truly yours, ~f , Home owner V OC? 'J 2012 r-~r. r~..,'i'~ ~^~D ~O~~pF SOUTyolo Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ ~ Fax (631) 765-9502 P.O. Box 1179 Southold, NY 11971-0959 ~ ~ ~0 BUILDING DEPARTMENT TOWN OF SOUTH February 5, 2013 Oliver Seligman 760 Holden Ave Ext C_k'-k-' Cutchogue, NY 11935 / (x Re: 385 Cross Rd, Cutchogue - ` LJ ~ , C / I TO WHOM IT MAY CONCE ~ s\~- ~ ~ The Following Items (if Checked) Are eded To Complete Your C ificate of Occupancy: ~ Application for Certificate of Occ cy. (Enclosed) Electrical Underwriters Certificate. (contact your electnc~a A fee of $50.00. Final Health Department Approval. _~~yr~ Plumbers Solder Certificate. (All permits involving plumbing after a/~Iaa) Trustees Certificate of Compliance. (Town Trustees # ass-lasz) Final Planning Board Approval. (Planning # X65-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT : 36343 -Alterations Verity, Mike From: Ross Brothers <rossbrothers@optonline.net> Sent: Thursday, February 14, 2013 10:22 AM To: Verity, Mike Cc: Ross Brothers Subject: Seligman Residence Inspection Pics Hi Mike, Attached are pictures for the Seligman residence. The picture show the fire protection between the front porch and the house. Oliver & Gloria Seligman 760 Holden Avenue Cutchogue, NY 11935 Permit # 36343 If you need any more information please contact me at your convenience. Thanks, FEB 1 4 2013 I~?i L-..__. ____J t y r t ~ ~ 5 F qr , f~ . 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RRR~ ~ t- ~ ~ ~I ~ ~ ~ T , - ~ t,~'. ~ 4 Greg Ross Ross Brothers Construction 425 Birch Hollow Drive Shirley, NY 11967 T (631) 772-4204 M (516) 322-7619 F (631) 772-4203 New York State Insurance Fund Workers' Compensatiox & Disability Benefrts Specialists Since 1914 8 CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK 11747-3129 Phone: (631)756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^ ^ " ^ ^ 205031273 JOHN ROSS HOME IMPROVEMENTS INC 92 MORICHES AVE MASTIC NY 11950 POLICYHOLDER 'I CERTIFICATE HOLDER j JOHN ROSS HOME IMPROVEMENTS INC ' TOWN OF SOUTHHOLD BUILDING DEP 92 MORICHES AVE ~ 54375 ROUTE 25 MASTIC NY 11950 PO BOX 1179 SOUTHOLD NY 11971 j i POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE ' DATE 1905 467-7 484156 04/27/2010 TO 04/27/2011 4/4/2011 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 905467-7 UNTIL 04/27/2011, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 04/27/2011 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. JOHN C ROSS (PRES) OF JOHN ROSS HOME IMPROVEMENTS INC ONE PERSON CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/cerUcertval.asp or by calling (888) 875-5790 VALIDATION NUMBER: 93653392 y~.. SUFFOLK COUNTY OEPAR7MEN7 OF CONSUMER AFFAIRS HOME IMPROVEMENT CONTRACTOR JOHN C ROSS This cet8fie3 tlist the .w~..~ JOHN ROSS HOME IMPftOVEMENi31NC tamer is duy kCerISCU by the e...wm. mom.. Courtly of Suffolk ~ 05/01/1983 8476-H oso~rmtz To: From: Rita@titoloagency.com 4/4/2011 11:39:11 AM (Page 3 of 4) DATE WMmomrn ,Arc~~,:o CERTIFICATE OF LIABILITY INSURANCE guD4na„ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE9 BELOW. THIS CERTEFICATE OF IN6U RANCE DOES NOT CONSTRUTE A CONTRACT BETWEEN THE ISSUING INSUREH(SI, AUTHORIZED REPRESENTATNE OR PRODUCER. AND THE CERTIFICATE HOLDER. IMPORTANT: It Iha certHipte holder k an ADDRIONAL INSURED, the pofley(IEa) must De antlonatl. If SUBROGATION IS WAIVED, subJeet to the rums and condkiona of the policy, eerlaln pollcfea may require an endorsement. A statemont on Ihia eeRltleate does not confer rights to the ceAitieate holder in Ileu of such endonement(s PRODUCER N~TEA r John M TROIo Inc _ LoVUIID Anocgtas. Inc. PEE 631 5953599 jrAY (6311 6864 7 71 ~~AA~~G,,H0.EYtl 1 .(AIF, MPI. 64b0 Trsnak Rosd EJIAIL AppRESb _ _ _ ODPDW. NY t4O43 N6URE16~DIMG COVERAGE _ _ I_ pAIC f INaURPJI A. E65E%IN6URANCE COMPANY ~ 39020 INSURED INSURER ¦ : I John ROSa Home lNpmvemems, Ino. - L"~~~-" IMAIRER C 9x Merichas Avenue Mastic, NY t19b0 ntwRERD. _ WSURER E: 9 F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TIiIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONORION OF ANV CONTRACT OR OTHER DOCUMEFFT WITk RESPECT TO WHICH TH15 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. 7HE INSURANCE AFFORDED BY 7HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDRIONS OF SUCH POLICIES. LIMRS SHOWN MAY HAVE SEEN REDUCED 9Y PAIU CLAIMS. 1__._..__~... TYPE IN NSIINANCE - R POLICY NUMBER KO Y~F POUCY FYP UMRa GENERAi LIABKITY ' FACN OCCURRENCE f 1 000,000 A SDDB816 i 0612012010 08!20/2011 X COMMEILCUL GENERAL LMBhRY j PRF~ ~50p€NTEtl~ _ .JEA waIPFnnI,,,,. 3 1001000, _.~I CLAWYMADE ~~OGCUR ~ NED EYP IMY mspFngn)._ ly 1iD0O_ PERSONAL AADVINJURY 1 11000 00O - GENERAL AGGREWTE f _ 21000 000 GENT AGGREGATE LaAR APPLIESPER'. IPgODI1CTB.COMPIDPAGG 1f _...y000 O0t1.. X POLICV i PRO' I LOC I f i IN LI ! i AUTGMIOBRa LIAaRJTY (Eeameep!1 14 ANY AUTO 70DDRY INJURr (Pepwsw~) f ALL OWNED ~SCHEDIAED BODILY INJURYIP arvOFODi3 AUTGG AUTOS PROPERTY DAMAGE I NON-0WNED t I _ HIRED AUTOS ~ AVTOS [Pi amQgR] , ~ I I _ 1 VMaRELLA LU18 ~ OCCUR EACH OCCURRENCE ~ 4 I EYCEBa LIAB RAMS•MADE AGGREGATE S OED RETENTION ~ ~~14 WORKERS COMPEHSARON I W GTATIY IOTN I ANO EMPLOTEAa'LWILfIY YIN [,D9X.LMRE1 FR ANYpfNJPRETORTAPTNER'EYECVTrvE EL EACH ACCIDENT ~5 ~ _ GFFN:ERAIEMeFR FYCWDEDT ~ NIA I IMmdatgry h NNI ' E L OtSEASE EA EMPLOYE~j ! 11 yN. CI6TUi YMYN ~ _ Oe$CRIPTgN pF OPERAl10N5 ENOw ! E L DISEASE. POLICY LIMR ' { I I I I I i I I OESCRWTInN aF OPERATN)NS l LOCATgNB / VFNICLaS fAnuA AODRD 101, MtlN1eIW RemrrYT EshedWa, tl more ~pau N nqW net CERTIFICATE HOLDER CANCELLATION S NOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANI~LLED BEFORE THE EIIMRATIDN DATE 7NEREOF, NOTICE WILL BE DELIVERED IN Town Of SOUthOW ACCORDANCE WRH THE POLICY PROVISIONS. BuiMing Department $437$ Rte.x6. PQ BOY ~ 1 T9 AUl NORIZFO REPRESENTADVE Southold, NY 74871 ~~i ®1989.2010 ACORD CORPORATION. All righu reserved. ACORp 25 (2010!04) The AC ORD name and logo are registered marks nt ACORO rveium~_~ / . i l ~rG9.~ r'VIRr=~ GF P~JPF_'!~~ 1• i~ ~ Su,2v~EU F:74> / r % R` - - - Pv ' GUTCHO~JE' ~a Town! of Socrrs+ot.c,1V.Y. (~/04?TH q.!° CROSS ~;3 % ' i',. ~ r I a N.8603A0'E. ~'ad 1 y \ ~/7.~O.ta y,/sO/ 70.0 b "~~O ` ^v, iGrf el' AvC, ~9 4a~ ~ ~ j a 2 ~ a m y. - - jI}~-. ~.-..~,Z p ~ lb Scats: 40''c.4'y9~ o. c U Pw / \1 i'/f• 4\" ~6i\ Rrttot: ^uE~$ ~ a o w '9 am u / / Q O K ~ r~ L Y ^J L 41 a•~m m .I n - s 1 33--' ~ ~L a T u ~ z m_ O ~ ~~SS ionk ~ ~~1 O~L m r ~y : v . N a ' 0 ((q~~~ U V % ~ ~ ejp ~ ~ - - TJi-le Afo. $-63!6!7 J . ~ '9 a7sdvsne? a/sr. ~ ~ - Ica?`6efonr. ~ C 1M1 S~Bb'b3%IO ~iy .J2S~0 ~ . - ~ e ~ ~ or~t~~ m" ~Y: * ~ SF~µ- ^^,.'+.G`LuMM; Ate~' . ~~`(,OT .,N .L SAND EYORS r,~R, -Si1,{ ~,~t~'DR ~N6W YORK REScheck Software Version 4.3.0 Compliance Certificate Project Title: Oliver & Gloria Seligman Energy Code: 2007 New York Energy Conservation Construction Code Location: Suffolk County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-EleotriC Glazing Area Percentage: 14% Heating Degree Days: 5750 Construction Site: Owner/Agent: Designer/Contractor: 760 Holden Ave Extension Andreas Letkovsky Cutchogue, NY 11935 Andreas Letkovsky Architecture 229 Laurel Rd East Northport, NY 11731 ~ . d. , e' . dam; Compliance: Maximum UA: 126 Your UA: 112 ~ • tai. Ceiling 1: Cathedral Ceiling (no attic) 671 30.0 0.0 23 Wall 1: Wood Frame, 16" o.c. 576 13.0 0.0 41 Window 1: Wood Frame:Double Pane with Low-E 55 0.320 16 Door 1: Glass 24 0.350 6 Floor 1: All-Wood JoisVTmss:Over Unconditioned Space 671 30.0 0.0 22 The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the 2007 New York Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specificati s re in co li ith this Code. -~rt~prt~A$ _ LE I Leo ~ S tc ~ - _R/~ ~ Qpd~L B , 11 Name -Title Signature Date -~=~1 G ; . r. V ° 235 / .pF NF`s' Project Title: Oliver & Gloria Seligman Report date: 04l08I11 Data flename: \\Server\company\Division 4 -Technical\Div 4 -Department 12 -Production (Drawings)\D4 - Producrinn (Drawings)\Seligman\admin\Seligman Rescheck.rck Page 1 of 1 229 Laurel Road East Northport, NY 11731 Phone: 631-757-6204 Fax: 631-757-0628 I www.alarchitecture.com