HomeMy WebLinkAbout38419-Z
~ypF Town of Southold Annex
~9 12/20/2013
,lP.O. Box 1179
a 54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36669 Date: 12/20/2013
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 900 Alvahs Ln, Cutchogue,
SCTM 473889 Sec/Block/Lot: 109.-2-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/7/2013 pursuant to which Building Permit No. 38419 dated 10/18/2013
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" 24' X 26' accessory _garage as applied for
The certificate is issued to Susan Evans
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38419 12/11/13
PLUMBERS CERTIFICATION DATED
Aut Si atur
TOWN OF SOUTHOLD
~'~"gilFfUl,~°4i
T x 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 38419 Date: 10/18/2013
Permission is hereby granted to:
Evans, Susan
900 Alvahs Ln
Cutchogue, NY 11935
To. as built" 24'X 26' accessory garage as applied for
At premises located at:
900 Alvahs Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot # 109.-2-1
Pursuant to application dated 10/7/2013 and approved by the Building Inspector.
To expire on 4/19/2015.
Fees:
AS BUILT - ACCESSORY $699.20
CO - ACCESSORY BUILDING $50.00
Total: $749.20
Building Inspector
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 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:
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.
New Construction: Old or Pre-existing Building: -Z (check one)
Location of Property: '100 hilm S ll,- r1E GU G1~GI9L'~
House No. Street Hamlet
Owner or Owners of Property: t VA1J R) 4?J SJS /M)
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit._/V: ~ Applicant:_
Health Dept. Approval: Underwriters Approval: _
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: -
Applicant Signature
pF SO!/ryolo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1171-0959 roger. richert(ciltown.southoId.ny.us
Southold, NY 11971
COUNi'1,N~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Susan Evans
Address: 900 Alvahs Ln City: Cutchogue St: NY Zip: 11935
Building Permit 38419 Section: 109 Block: 2 Lot: 1
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 X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures 1 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 1 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment:
Notes:
Inspector Signature: Date: Dec 11 2013
81-Cert Electrical Compliance Form.xls
oe souryo6
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTIO
[ ] FOUNDATION 1ST [ ] ROU LEIG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: &tj lZry'_
DATE INSPECTOR /
G (~i 11i OF SON
4cnmmW
ING DEPT.
TOWN OF SOU ;ON
65 180IN [ ] FOUNDATION 1ST [ ] ROUGH G.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE T/ INSPECTOR J
~~OF SOUTyO
uur+,
TOWN OF SOUTHOLD BUILDING DEPT.
o 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)
REMARKS:
l~~ / ~i7r~- r w
~a) L~~Y ~r Sze, b7
DATE (Z7 INSPECTORS'
.1,OF SOUTyo6
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 ] FI
RE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) 44-F--,L\ ECTRICAL (FINAL)
REMARKS:
DATE I INSPECTOR ~
FDMD FAIPIM DATE COMMENTS
1y
FOUNDATION (1ST)
a
FOUNDATION (2ND)
0
o
p
ROUGH FR4KWQ &
PLUMBIIVG
IMMATION PER N. Y.
STATE ENERGY CODE
Jl
FINAL
I
ADDITIONAL COMMENTS
a
J~ c
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 X sets of Building Plan
TEL: (631) 765-1802 /Planning Board approval
FAX: (631) 765-9502Survey
SoutholdTown.North Fork.net PERMIT NO. 3q Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 20 Storm-Water Assessment Form
Contact:
Approved Olk , 206 Mail to:
Disapproved a/c
Phone:
~~~-~~~-~6 (7~}
Expiration 20
F17 ~ i I Building Inspector
r
i
OCT - 2013~j PLICATION FOR BUILDING PERMIT
Date 2013
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 rite
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. Q
(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
Name of owner of premises CU~~ ~RIAA~ $U~~IJ
(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. Locati n of land on which proposed work will be done:
f L-VH H s 64-"1c GL) r~rl0~01'
House Number Street Hamlet
County Tax Map No. 1000 Section 0I Block Lot
Subdivision Filed Map No. Lot
jot- (314 4:~I e
2. State existing use and occupancy of premises and inte ed us n c pa cy o o e ion:
a. Existing use and occupancy 1VL D
13
b. Intended use and occupancy A
3. Nature of work (check which applicable): New Building 7d rtion 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 Z
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /
7. Dimensions of existing structures, if any: Front aN / Rear d H Depth oZ b '
Height 05 , °I it Number of Stories
Dimensions of same structure with alterations or additions: Front a N Rear g q
r
Depth ab ' Height Ot Number of Stories 1
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
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 Will excess till be removed from premises? YES_ NO_
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 v
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BEEXLQUIRED.
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 z
* 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, CONNIE D. BUNCH
Notary Public, State of New vo0
(S)He is the ~-~c-tj7- _ N0.01BU6185050
(Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk Couoiy
Commission Expires April 1-a. 2 l
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.
S rn to before me thi o _ pn c - ~
day of~ ` 20)-")
~o r~P LF QzV1/~ Q~
Notary Public Signature o Applicant
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FRONT ELEVATION
SCALE: 1/4" = V-0" SCALE: 1/4" = 1'-0"
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LEFT ELEVATION RIGHT ELEVATION
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SCALE: 1/4" = V-0" 0 max
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2X4 STUD WALL N Rr Q N 765-1802 8 AM TO 4 PM FOH I I ULLO'WING INSPECTIONS'
(TYPICAL) 1 FOUIJDATION - TWORECU'I ED
FCAI POURED CONCRETE
2 ROUGH- FRAMING, PLUME^IG,
q"CONC. SLAB 2%6 COLLAR TIE Si RAPPING. ELECTRICAL & C A'JL' 3 INSULATION
4 FINAL-CONSTRUCTION E LIE'.:
MUST BE COMPLETE FOR C 0"
LL~j 16" CONC 0 ALL CONSTRUCTION SHALL". RfC
MONOLITHIC IIC i M i i REQUIREMENTS OF THE CF'E~ YORK STATE NOT RESPON' i.L' f
DESIGN OR CONSTRUCTION ERn % DRAWN BY:
CROSS SECTION FOOTING
SCALE: 1/4" = 1'-0"
September 30, 201
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