Loading...
HomeMy WebLinkAbout38273-Z rnypiFOtr Town of Southold Anuex 9/20/2013 P.O. Box 1179 ~r 54375 Main Road i~',p Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36455 Date: 9/20/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 1215 Country Club Dr, Cutchogue, SCTM 473889 Sec/Block/Lot: 109.-3-2.31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/15/2013 pursuant to which Building Permit No. 38273 dated 8/21/2013 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 McCullough, Linda (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38273 9/10/13 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD 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 38273 Date: 8/21/2013 Permission is hereby granted to: McCullough, Linda PO BOX 794 - - Cutchogue, NY 119350794 To: Installation of an accessory generator per manufacturer's specifications as applied for. At premises located at: 1215 Country Club Dr, Cutchogue SCTM # 473889 Sec/Block/Lot # 109.-3-2.31 Pursuant to application dated 8/15/2013 and approved by the Building Inspector. To expire on 2/20/2015. Fees: ACCESSORY $100.00 CO -ACCESSORY BUILDING $50.00 Tota . $150.00 _ - Building inspector f m~m N°.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled 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 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 I % 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: I. 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. CertiticateofOccupancy 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. S T 2 ( New Construction: Old or Pre-existing 1Building: (check one) Location of Property: ~ o'Zf ~ Clt.~ 1y ~ _ w c~l~~ House No,. S~tr/e~e[ ~ Hamlet Owner or Owners of Property: ~I n c~-et 1 C ~t- ~O _ Suffolk County Tax Map No 1000, Section / ~ Block 3 Lot o~ - 3 / Subdivision Filed Map. Lot: n Permit No. ~ p p~ / 3 Date of Permit Z~' Applicant: _ _ Health Dept. Approval: _ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ S Q -i Applicam Signauir ho~~pF SO!/jyOlo Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ ~ Fax (631) 765-9502 P.O. Box 1179 s~i,m~Id,NVn9~I-o9s9 ~ • ~o roper.richert(a~town.southold.nv.us 0~~,00UNF'10~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Linda McCullough Address: 1215 Country Club Drive City: Cutchogue St: NY Zip: 11935 Building Permit#: 38273 Section: 109 Block: 3 Lol: 2.31 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: DLT Electric License No: 4966-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 Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fiztures Smoke Defectors 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 Fiztures TVSS other Equipment: 20KW stand by generator with 200a transfer switch Notes: Inspector Signature: Date: Sept 10 2013 81-Cert Electrical Compliance Fonn.xls ~o~~,OP SOUTy06 ~ f n,~ '~1 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: ii'//,~~4'~ L-Gc.~ - O~ - ~'xlt~i4'`~G+2~ DATE la l INSPECTOR~~~~ ~ ~ ~ D ~ CJ~ ~J ~ Vii R, ~ a ~ C r C~~. ~ ~ ,.r ~ gOU~~ & U • C ItT~~.P`'i'It'13Z PS~H•'X. STATE'~GY OpD~ 4 Y ~ ~,px'TIONtiL COM1vI~xTS ~ ! O tom- D t 2 /G G ~ _ C U 13 OS" d _ 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.~~~~~ Check Septic Form N.Y.S. D. E.C. Trustees _ Flood Permit Examined , 20 ~ Storm-Water Assessment Form Contact: /n~ p. ;ypproved___ ~ ~ I , 20 Mail to: P• e. U . 1 yp Disapproved a/c ~ ~ 7?' ~ _ © 1 1 Phone: 6'! ~ - ~ aj t-'` ~ ~ S Expiration _.20 _ Building ns for I ~ APPLICATION FOR BUILDING PERMIT ~i'~'"~' AUG ~ ~ '~~13 I ~ Date S ,20 J ~I _J INSTRUCTIONS ~ J / ~ - a. TF,y~a}YfAiePki"''~ completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 se ,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 inay no[ be coininenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wil I 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 ifthe work authorized has not commenced within 12 months after the date of issuance or has not been completed within I S 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder a I y~ Name of owner of premises ~nrQn 17 r M ~ D U._ C, (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. Plumbers License No. Electricians License No. Other Trade's License No. I . Location of land on which proposed work will be done: o`Z ~ 5 C o t,~h~i"( t..~ ~1`1 V e ~~~Vl 19.E House Number Street Hamlet County Tax Map No. 1000 Section f oq Block ~ Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and int~jnded use and occup cy of proposed construction: a. Existing use and occupancy f"~5 I GYppP y1G'~ ~S- ~ ~ Y~eX-"' b. Intended use and occupancy S ~ C~l°_41C~ ~ ~ Y~t_~ `i_ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (~e~~v-~~r- (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 I .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? YESNO 14. Names of Owner 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 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. PERM[TS 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, (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 snake 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 before me this day o K 20 ~ c , Notary Public yl TOTFI Signature of App ica ~rY~Ru1~171 896 lbrk Commissln~n F.xni~ItiP~~ ' 8- 2Z- l3 Z p~ ~ ~g so of sorr $'3~ T Tyo~ Town Hall Annex lxf Telephone (631) 765-1802 , 54375 Main Road ~Fr,az (631) 765-502 P.O. Box 1179 G • O rOSIeLrlChertffDlOWn.SOU O .nV.US i Southold, NY l 1971-0959 ' ~UNi'l, BUILDING DEPART'11~N'i' TOWN OF SOUTHOLD APPLICAT{ON FOR ELECTRICAL INSPECTION REQUESTED BY: ~br ~ ! ~1<`~ Date: 3 ' Company Name: - Name: / ~iG/' License No.: j Address: 0 xc ~ Phone No.: 69'- - o - 8 0 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: 12. j S *Cross Street: ' *Phone No.: Pem,it No.: 3 a 7 ~ Tax Map District: 1000 Section: p p Bloclc~j~_ Lot: Qp a, . Q~ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~O /l(~? nth Pii , G_~ ~~s ~ (Please Circle Atl That Apply) *Is job ready for inspedian: YES Rough In Final *Do you need a Temp Certificate: YES NO t Temp Information (If needed} ~ ~ *SeMce Size: 1 Phase 3Phase 100 150 200 300 350 400 Other ` I' *New Service: Re-connect Underground Number of Meters Change of Service Overhead ' Additional Information: PAYMENT DUE WITH APPLICATION ,2 fl L? ~G.r~r e ~ c .~/ol l'1 o u~c ~ Ph r,~ 1 T~L~hr few c.~, f~ ~ G'QS 82-Request for Inspection Form . ' S- 22-13 o~~of soUryo C ~ ~ Town Hall Annex J~f Telephone (631) 765-1802 54375 Main Road ~ (6311765-952 roger.richertti~town.sou o .ny.us P.O. Box t 179 ~ Southold, NY 11971-0959 j BUILDING DEPARTMENT TOWN OF SOUTHO]LD i APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~h ~ f~?<`~ Date: 3 Company Name: - 'i Name: ~ ~il/~ License No.: Address: ~ ~f d ~ Phone No.: 6J'- ~ - o - 8 o JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: I~ jS *Cross Street: *Phone No.: ~ ' Permit No.: 'd '7 ?j Tax Map District: 1000 Section: p p Bloclcb~ ~ D~ Lot: QOa,. Q3~ *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~p ~((vl,/ ~reh LoU~ G G?.~a~r_ Lio af'C G~ ~ti ~v~od Gt/~Titnr-~i~- . n~~~ (Please Circle Ali That Apply) *Is job ready for inspection: YES Rough In Final I *Do you need a Temp Certificate; YES NO Temp Information (If needed) ~ *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Maters Change of Service Overhead ` Additional Information: n PAYMENT/DU/E WITH/APPLICATION 2 D L? ~f~r G' da C .11~-tilt' f{ B f/ f G p Pti ,1~ y' 1 82-Request for Inspection Fotm ~j L= 189.50 N.79° 55~ IO~~W 389.60 W p0 Z 2Ap d R = 25.00 ~~J~' L=37.24 ~ ~ O O~p~ d ~ 05 ~ 5a y19 lt. O 9 ~ ~ Z W ' J0 d O d V~ Z ,20~~\ ~ O _z z --I Y L~~ OWELIIryG OJT I V a~ t wry. e 9 ~9 ~ s ~ F~ 0 /~9 0 o p~ ~ ,per F 33 90 ~O J S ~ 3~ o~ ~ ~y `p ~ ~ / ~ ~ ~ S ..l\ .c tb~ a. / 5~ G - e _ ;aa+--+N~-'sv~1NI_ ~.da e.U.i~..yyy 2~ F ve .s a~p~:, a m ~Y ~6~. ~S ~ ~P° / 5~~ \4 dO \~(Ji ~c9. Q^ ~ 'Y A ~ ~go0 Q~ ~'!~<,.EI I O 5 ~ I O ~ 19NY ~ k~if~ ~1Y 1.~. .9° s'?, art-r. cr I •'•4,11.# rl 5iai V?i; ES SUFrJLK CO iJT`r !-:::,'oLT ARTMENT 'A FAMILY D'J4TELLUJG C:•,! ~IURVEY FOR Fi-D. 1'i~F. NO. ~ EG p ~ LOT E0,"CV NTRY CLUB ESTATES ° ~ Nov.zl,l9es DATE hIUV 1 ~ 1 MAY 9; 1985 AT'~ CUTCHOGU GATE JAN 4 1985 U FIOLD SCALE' I'~= 50~ THE SFWggE OIS~'OSAl.ANO W.47ER SUPpI.'Y FA%~ J~ F .,CFOUN Y, NEW YORK NO 84- 1323 LOCATI^N RAVE BE@N IN$p~TLJ 8Y 7 ; ' t`OUNO TO $E SATI$FA~yjO y, ' " U~ ~'111J1M~ tz6o._ELT RA r1 oN OR Ao of rloN ro 7+I IS ~E,SE OF /yEw ` ,Zjr_ SURVEY R A VIOLATIO~ Of SECTION 7209 OF THE ~y}-- NEW YORK STATE EDUOATI ON LIW ~ ~ • leOVA, KCOPIES OF~ THIS SWIVEY MOP GEARING THE LAND rR0 w. ~9 Chlsf ui Wastewater Mana (r~,j~, INKED SdAI OR Enl OSS EO SEAL SN0.Ll _Q~ yO t t NOT.! CON D FO SE a vALIU TWUE COPY ~ .j~ G RGUARAMTEES INDICATED NER[ON 9NLLL RUN ONLY TO Z HEALTH DEPARTMENT-DATA FOR APP THE PERSON FOR WHOM TNF SURVEY IS PRCPRR gC Q S~EVIAlF .W THE TnUE :OHPANt, OOP;,RN- ~E J NEAREST WATfR EIAIM~MI I NSOURCE Oi W1TER: PRIWTE %PUEL IC _ MEN (AL AGENCY AND LENOgIG IN4TITUTION l.5TF0 A BUFF CO. tAK MAP d1T IQ~,Q. Sf.C TION JQ9_REOCK .OS_LCT 2y~l NEREP'I. ANO TO THE RSSIpN EF.] OF INE LEHPl.a9 C PNEM ARE NO OWf LLINEE WI THIN 100 FEFT OF TIRO PROPERTY INS TI}; 110N OUAR4N1EE3 ARE NO7 1^i:'=; (,~„iJLE Ci NfR TN AN THOSE SNO WN HEREON TO AOOl TICNAL INSTITUTIONS OR 5UO SCOUT M'I ~ aO, 4689'' li TNF WATCR 3UPPlY AND SEWARC D1IPOSAL SY9TCN FOR THIS ROIDF NCE OWNERS BSI,, 1'ILl CONFOdN YO THE STANDARDS OF TMC SUFFOLK COUNTY OEPARTNCNT a OBlAM4[S SHOWN NCREON FROG: PI" PF?re LINE] RYA fr iIEAL TN SERVICES. TO EKiSTIM6 STRUCTURES AfiF FON A °'L :1:'.C C: JLP::N/T~ PVR P03E ANO ARE NOT TO RE U.;(O TC L'."e6L:3N PROPERTY ONES OR FOR THE ERECTION G? oC1:CgS ADORE 33 r<L YOUNG 8 YOUNG R~IVOERHEAD"NEW YORNKE NOTES: •=MONUMENT, ,=STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ALDEN W. YOUNG, PROFESSIONAL ENGINEER OF SUFFOLK COUNTY ON OCT 17, 1978 AS FILE N0.6738 AND LAND SURVEYOR N YS. LICENSE N0. 12845 HOWARD W. YOUNG, LAND SURVEYOR N 7NE lOCATg110F WLlL(Wj, SEPTIC TANN(377l CESSPOOLS(pl WOWM HEREON N.Y LICENSE ND 45893 ARE FROM FIELD 013ERWTIOM3 ANO OR DATA OETMNLO FROM OTHERS RRANOIS G SONS INC. 1006 ' • • •