HomeMy WebLinkAbout38412-Z
yyFFp( f Town of Southold Annex 12/18/2013
'LIN) P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36665 Date: 12/18/2013
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 55 Seventh St, Laurel,
SCTM 473889 Sec/Block/Lot: 126.-1-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/2/2013 pursuant to which Building Permit No. 38412 dated 10/15/2013
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:
"as built" 2nd floor alterations as applied for
The certificate is issued to Haas, Brian
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38412 11/7/13
PLUMBERS CERTIFICATION DATED 11/4/13 Brian Haas
Aut} 0 ti~ d Si ature
TOWN OF SOUTHOLD
AMIN BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$ SOUTHOLD,NY
30R,6411
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 38412 Date: 10/15/2013
Permission is hereby granted to:
Haas, Brian
55 Seventh St
Laurel, NY 11948
To: construct "as built" 2nd floor alterations as applied for
At premises located at:
55 Seventh St, Laurel
SUM # 473889
Sec/Block/Lot # 126.-1-18
Pursuant to application dated 10/2/2013 and approved by the Building Inspector.
To expire on 4/16/2015.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $950.40
CO - ALTERATION TO DWELLING $50.00
ELECTRIC $125.00
Total: $1,125.40
Building Inspector
Form No.6 U
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:
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 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. IO/~~1~~
New Construction: Old or Pre-existing Building:
/ L(check one) 09 Location of Property: S S 7T "L f~/'~/~/ fylceC..
House No. Street j Hamlet
Owner or Owners of Property: j /,W ~l NN l~r r 69 [ 4f7 fr
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. -3Oc L~ Date of Permit. Applicant: _ p . SL y (,,J /{2..(` Z
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: V (check one)
Fee Submitted: $ - Applicary Si,n~ ature
pF SOUTyOIo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
P.O.
NY Box 1179 Nc
Southold, " S roger. riche rtCa)town.southold.nv.us
1-0959 4O
coulm
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Brian Haas
Address: 55 Seventh St City: Laurel St: NY Zip: 11948
Building Permit 38412 Section: 125 Block: 1 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Big Blue Electric License No: 35348-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 14 Ceiling Fixtures 2 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors 2
Main Panel A/C Condenser Single Recpt Recessed Fixtures 8 CO Detectors
Sub Panel A/C Blower Range Racial: Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 13 Twist Lock Exit Fixtures TVSS
Other Equipment: 1-combination co/smoke detector, 2-paddle fans
Notes:
Inspector Signature:, Date: Nov 7 2013
81-Cert Electrical Compliance Form.xls
~E so&ryo~
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765_9502
P.O. Box 1179 G Q
Southold, New York 11971-0959
u0
BUILDING DEPARTMENT
TOWN OF SOUTHOLD DEC 1 7 2013
.CERTIFICATION
Date:
Building Permit No. 3(41Z-
Owner: ~r t\ -14 aa S
(Please print)
Plumber: L't 1Qn -yGlaS !OW/IR~J
. (Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1 %u
lead.
J"~ T
(Plumbers Signature)
Sworn to before me this ! 3
day of /l1O v 200
GEORGE MISZKE
Notary public of New York
Qualified in Nassau County
I Commission Expires May 20,~QiY'
Notary Public, /Uk . dJ 4f County
I ~ ~ *~,pOF SUUly~~ lS/ V~ L1(~ ~ p aft ~
77/
TOW OF SOUTH G DEPT. 765-1802
1 PEC
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ]!N TION
( ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY ( ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
z ~
.1
DATE INSPECTOR
OF SOOTY„
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [Q FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS: \
DATE ! 3 INSPECTOR'
CHITECT
MARK SCHWARTZ & ASSOCIATES 28495 Main Road. PO Box 933 • CutchoRuc, NY 11933
631.734.41851 ww'x:mk%archl[CCL.com
October 14, 2013
Southold Town Building Department
P.O. Box 1179
54375 Main Road
Southold, New York 11971
Re: Haas House
55 7's Street
Laurel, New York
To Whom this may concern,
The existing sloped ceiling height at the second floor bathroom is 8 feet high at the south wall and 10
feet high at the north wall.
Please call this office if you have questions or require additional information.
Sincerely,
?MarkSchw 'test
i
OCT 15 2013
I-P1
Ala m n~ o
FIELD BWWMN VAPOR"T DATZ COMMENTS
~ro
FOUNDA'TON (IST)
y
FOUNDATION (2ND) jp
• Ul o
ROUGH F&AM[INQ &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
14
FINAL
ADDITIONAL COMMENTS
O
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s~
cr
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
NX.S.D.E.C.
Trustees
Flood Permit
Examined
Storm-Water Assessment Form
t Contact:
ed
Disapproved 20 V Mail to:
a/cT T Z
Phone:
Expiration , 20
Building Inspector
Eoplans, APPLICATION FOR BUILDING PERMIT
1 201 i
Date 20
LINSTRUCTIONS
is!completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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)
(Mailing address of applicant)
State whether applicant is owner, less , agent, chitect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises A,411 CFe
(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.
1. Location of land on which proposed work will be done:
5 s I t4 s70-
L gv~2~L
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of pre ises agd intended use and occupancy of proposed construction:
a. Existing use and occupancy 5ZAI C1oy1(,I / Wrff ~
b, Intended use and occupancy ?i7 ~E - ,e~ 6 PIC F(All r# eA0 f woe,
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(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 mix occupancy specify nature and extent of each type of use.
7. Dimensions of ext mg 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
v
9. Size of lot: Front f 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.>5~Will excess fill be removed from premises? YES_ NO_
14. Names of Owner of premises S Address Phone No.
Name of Architect S' L%.- Z 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 Z
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY 9,1, 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_X_
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
~ •
COUNTY OF SS
'k
rt- being duly sworn, deposes and says that (s)he is the applicant
L~~N
(Name of individual signing contract) above named, cDNNIE D. BUNCH
Nota*v Public, State of New York
(S)He is the kha No. 01BU6185050
(Contractor, Agent, Cor rate Of cer, etc.) tialived it] suffoik ev'T Cl~
Commission Expires April 14, 2_
of said owner or owners, and is duly authorized to perforin 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 before me thi
4 5 - day of ~n 20
Notary Public Signat Applicant
ho~~pF SO!/ryolo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road T T Fax (631) 765-9502
P.O. Box 1179 G
Southold, NY 11971-0959 ~1y00UHi`I ,N~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 1, 2013
Brian Haas
55 Seventh Street
Laurel, New York 11948
TO WHOM IT MAY CONCERN:
The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of $50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
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 - 38412 alterations to 2nd floor
REVISIONS:
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FOLLOWING `a.SPECTIONS:aq" rn =~a
FINISHING INTERIOR SPACES. 1 FOUNPATION { L
- TWO REQUIRED
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THESE PLANS -BARE E NOT A CERTIFICATION FOR POURED CONCRETE
OF EXISTING AS-BUILT STRUCTURAL COMPONENTS. D
L iM~l~~ 2 ROUGu -FRAMING, PLUMBING,
CERTAIN COMPONENTS OF STRUCTURE COULD NOT BE a ALL Pb WASTE
STRAFPi% ELECTRICAL & CAULK
EXAMINED THROUGH A ONE TIME VISUAL INSPECTION. & WAT LINES NEED 3 INSULATION
e
TESTING St. OP C:.. 4 F P :.L - CONSTRUCTION & ELECTRIC t
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~LUMSER CERTIFICATION MUST BE COMPLETE FOR C ,O 1 hw WF
° . ON LEAD CONTENT ? i iEALL CONSTRUCTION SHALL MEET THE DRAWN: Mil/MS
SLOPE 1/4' PER FOOT PITCH TO DMIN "'u. flrte mrw a (.k ,rt+ - SCALE: 1/4" 1'A"
,~LJCREOUIREMENTS OF THE CODES OF 4'A a f oR U:
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YORK STATE. NOT RFSP F^ \f.' O.au".01,2013
PLUMBING SCHEMATIC SOLDER USED IN WA TER DESIGN ORCOn,IRuC' LRICAL, sNEETM MRER
e I YI Ge~>1 I s f 5 1 ,ee L c L(_. N.T.S. SUPPLY SYSTEM CANNOT INSPECTION Rr
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