HomeMy WebLinkAbout38260-Z Town of Southold 6/4/2018
m P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39679 Date: 6/4/2018
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 2820 Shipyard Ln, East Marion
SCTM#: 473889 Sec/Block/Lot: 38.2-1-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/5/2013 . pursuant to which Building Permit No. 38260 dated 8/19/2013
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 EXISTING CONDO UNIT(1-D2), AS APPLIED FOR
The certificate is issued to Zimm,Michael&Zimm,Diane
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38260 05-31-2018
PLUMBERS CERTIFICATION DATED
Au o ' ignature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
yMe TOWN CLERK'S OFFICE
o . 19? 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#: 38260 Date: 8/19/2013
Permission is hereby granted to:
Zimm, Michael &Zimm, Diane
329 Ryder Rd
Manhasset, NY 11030
To: ALTERATIONS TO AN EXISTING CONDO UNIT AS APPLIED FOR.
At premises located at:
2820 Shipyard Ln, East Marion
SCTM # 473889
Sec/Block/Lot# 38.2-1-8
Pursuant to application dated 8/5/2013 and approved by the Building Inspector.
To expire on 2/18/2015.
Fees:
CO -ALTERATION TO DWELLING $50.00
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $375.00
Total: $425.00
Building Inspector
• MPR
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
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$50.00.
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
47-//
Date. e
New Construction: Old or Pre-existing Building: (check one)
Location of Property:
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No I000,'Section 319 Block 1Q, —Lot—
Subdivision
otSubdivision 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 Submitted: $ �
Applicant Signature
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 , ® roger.richert(cD-town.southold.nv.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Michael Zimm (Cleaves Point Condos)
Address: 2820 Shipyard Lane - Unit 1-D2 city,East Marion st: New York zip: 11939
Building Permit#. 38260 Section 38.2 Block: 1 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 5 CO Detectors
Sub Panel A/C Blower Range Recpt 40A Fluorescent Fixture Pumps
Transformer Appliances pW Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment: "Unit 1-D2 " Kitchen Renovation.
Notes: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS"
Inspector Signature: Date: May 31, 2018
0-Cert Electrical Compliance Form.xls
2,, (o qso
cou�m,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765.16®2
INSPECT N
[ ] FOUNDATION 1ST [ ROUGH PLE
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ECTRICAL (FINAL)
REMARKS:
1
DATE ?11111�3 INSPECTOR
Pte- oF sour
TOWN OF SO OLD B NG DEPT.
765-1802
INS E ON
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
OF SOUIyo�
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)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
I
DATE I NSPECTOR
FIELD R ME N IMPORT DATE Comlm NTS �
FOUNDATION(IST) all
FOUNDATION(2ND)
� t
ROUGH FRAMING&
PLUMBING
INSULATION PZk N.Y.
STATE ENERGY COME
a b
FINAL
ADDITIONAL COMMENTS
tV
• m
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 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 -� Survey -
SoutholdTown.NorthFork.net PERMIT NO C-�, 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:
Expiration ,20-11[s (ZV
"l3uilding Ins ecto
APPLICATION FOR BUILDING PERMIT
Date Is—
, 20_LJ
INSTRUCTIONS
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.
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, L p
a/1 S �a� 11El�C�j- '
(Signature of applicant or name,if a corporation)
�y lom« _8/V9, VAPgAIK AR 11c8.,
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
GCA9LXR Con�e.41-
Name of owner of premises Mihe_
�v l
(As on the tax roll or latest deed)
If appREpnt is a corporat' n, signature of duly authorized offc r
(Name and title of corporate officer)
Builders License No. / (o — f j'�
Plumbers License No.
Electricians License N,o.
Other Trade's License No.
1. Location of l and on whi h proposed work will be done;
J
House Number Stfeet Hamlet
County Tax Map No. 1000 Section ,�j$ a Block ! Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of prem' s and i Tided use and occupancy of proposed construction:
a. Existing use and occupancy t CjA —
b. Intended use and occupancy Cry J1&-eD
3. Nafu're of w6rlc(check which applicable): New'Building Addition Alteration
Repair Removal Demolition Other Work .6 U 1! t, ,Len0
(Description)
4. Estimated Cost , DC'C� 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 " t
6.' If business, commercial or mixed occupancy, specify nature and extent of each type of use.� QSI
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
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
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOX
13. Will lot be re-graded? YES NO-4-Will excess fill be removed from premises? YES NO /K
14.Names of Owner of premises l tke 2tA1j4 Address 6M),CO G4W Phone No. (?/7',;?70-d(a 37
Name of Architect Address— � Phone No
Name of Contractor ~M- Goin g v " Address Pure A&d . Phone No. ro 5/-V-C,6r -��3, s�
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 NOA
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY O ` r
being duly sword,deposes and says that(s)he is the applicant
(Name of individual signing contract)-above named,
(S)He is the
(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.
Swom.w before me this
day of 20L
Not llfibAiNp,FRIMORF Signature of Applicant
NOTARY PUBLIC STATE OF N.Y.
NO.01-4831353.S�UFFO COU
TERM EXPIRES MAY 31, CHRISTINA M.9141 MORE
NOTARY PUBLIC STATE OF N.Y.-
No.01.4831353.§UFFOU C-OUSY
TERM EXPIRES MAY 31, '' J
tog Fat/C BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Q • Southold, New York 11971-0959
p� Telephone (631) 765-1802 - FAX (631) 765-9502
dl `�
roger.richert(a-)-town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED Bl"': - -�36aA - --�,p�-�av�"-" - - " - -- --
Date: -
0
Company Name: qJM M
Name:
License No.: email:
Address: --
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: 6—PWf-> 'y-bfev J CZ020S
Address:
Cross Street: N W
Phone No.: (j , 'Z`3 S • 3`�g5^
Bldg.Permit#: email: In cCq, con qvi� c�,�; MOtI�•
Tax Map District: 1000 Section: Z Block: I Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle AII That Apply:
Is job ready for inspection?: Y / NO Rough InFinal
Do you need a Temp Certificate?: ES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION\� Civ
Request for Inspection FormAs
Apf SO(/p�®l®
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 10, 2013
Michael & Diane Zimm
329 Ryder Rd
Manhasset, NY 11030
Re: 2820 Shipyard Lane, East Marion
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
/ Application for Certificate of Occupancy. (Enclosed)
v Electrical Underwriters Certificate. (Contact your electrician)
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 411184)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept
BUILDING PERMIT: BP 38260 -
Z r� I`�
3
F co
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APPROVED AS NOTIC® � OCCUPANCY OR
DATE:14f 0 B.P�# f2G 6
FE •= !�-66 BY:= USE IS UNLAWFUL
NOTIFY BUILDING DEPARTMENT AT
WITHOUT CERTIFICATE
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: OF OCCUPANCY
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST COMPLY WITH ALL ( ODES OF
BE COMPLETE FOR C.O. NEW YORK STATE & TOWN CODES
ALL CONSTRUCTION SHALL MEET THE AS REQUIRED ND C -11`""T:O F
REQUIREMENTS OF THE CODES OF NEW
-
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. en' r,TrnrintG nninnnir�
SO'1 TEES
` ztmtA
.� o O 4W o
0 0
INSTALLER COPY
INSTALLATION SERVICES CUSTOMER CONTRACT-PROJECT SELLING
LOWE'S OF RIVERHEAD,NY,STORE#2921 STORE PHONE:(631)208-2190
1461 OLD COUNTRY ROAD SALESPERSON:JILL GAUDIO
co RIVERHEAD, NY 11901-0000 SALESPERSON ID: 1579574
Document Print Date:06/28/2013
t�
This is only a Quote for the merchandise and services printed below.This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agree-
ment, including the specifically completed pages of this document, the Terms and Conditions included with this document, the applicable portion(s) of Lowe's receipt, and any
U') other addenda or attachments hereto,shall be referred to herein as this"Contract."
PLEASE READ THIS ENTIRE DOCUMENT,INCLUDING THE"TERMS AND CONDITIONS." BEFORE SIGNING
W
C7
aLowe's Registration or Contractor License Number!Lowe's Contractor Name
Customer Name Home Phone
SS MIKE ZIMM 917-270-2637
O Customer Address Other Phone
2820 SHIP YARD LN
L City State/Province Zip/Postal Code
D EAST MARION NY 11939
Installation Address
-I- 2820 SHIP YARD LN
WO Installation City Installation State/Province Installation Zip/Postal Code
EAST MARION NY 11939
a
0 MERCHANDISE AND INSTALLATION SUMMARY
U
MERCHANDISE SUMMARY
w
0 53860 : 36002 : STK : FLR&WALL ADHSIVE-3 5(193344) : 3-1/2-GALLON TROWEL TILE ADHESIVE : HB FULLER CONSTRUCTION PRODUCT-QTY 1
x 55236 : 97518281786 :STK :SS 12X12 MESA BEIGE : 12-IN X 12-IN MESA BEIGE GLAZED PORCELAIN FLOOR TILE : FLORIM USA INC-QTY 32
a 84372 , PORC12C : STK . SS 12X12 CAPRI CLASSIC TILE : 12-IN X 12-IN CAPRI CLASSIC THRU BODY PORCELAIN FLOOR TILE : GBI TILE&STONE
o (INC)-QTY 104
109242 :A011 BA765CC1 : STK : CORNERSHELF BISCUIT :CORNERSHELF BISCUIT : DAL-TILE INTERNATIONAL INC. -QTY 1
cr 235534: 00562L ,STK - 12X12 F&H TRAVERTINE MOSAIC : 12X12 F&H TRAVERTINE MOSAIC: SUMMIT TILE GROUP LLC-QTY 20
co
235555 :20445 : STK : DRP 3X12 CHIARO/ONYX ELEGANT LST: DRP 3X12 CHIARO/ONYX ELEGANT LST : PLY-GEM MANUFACTURING-QTY 17
ce) 260610 :00966L:STK :8-IN CHIARO PENCIL LINER :8-IN CHIARO PENCIL LINER :SUMMIT TILE GROUP LLC-QTY 30
0
304822 :36302 : STK :GROUT BOOST SANDED 70 OZ. : 70 OZ GROUT BOOST STAIN-RESISTANT SANDED GROUT ADDITIVE : HB FULLER CON-
0)
� Store 2921 Project No. 384821781 for MIKE ZIMM Page 1 of 4
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