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HomeMy WebLinkAbout38611-Z Town of Southold Annex ~yOFw[~ 1/27/2014 P.O. Box 1179 r~r Main Road 54375 Southold, Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36736 Date: 1/27/2014 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 525 Rocky Point Rd, East Marion, SCTM 473889 Sec/Block/Lot: 31.-1-5.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/18/2013 pursuant to which Building Permit No. 38611 dated 1/6/2014 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" DECK ADDITION WITH PARTIAL CANOPY TO A SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kohler, Joseph & Kohler, Carolann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38611 01-24-2014 PLUMBERS CERTIFICATION DATED Autho F12rature Pow. TOWN OF SOUTHOLD x BUILDING DEPARTMENT ® TOWN CLERK'S OFFICE as SOUTHOLD, NY 1~s ~ nrrsan4 n 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 38611 Date: 1/6/2014 Permission is hereby granted to: Kohler, Joseph & Kohler, Carolann 525 Rocky Point R East Marion, NY ii To: Construction of an "as built" deck addition with partial canopy as applied for. At premises located at: 525 Rocky Point Rd, East Marion SCTM # 473889 Sec/Block/Lot # 31.-1-5.5 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 7/8/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $920.00 CO - ADDITION TO DWELLING $50.00 Total: $970.00 Building s ec 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 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 Date. New Construction: Oldor~ Pre-existing Building: (check one) Location of Property: 5~) 5 Pc)p Y Ppo 12w ~.p. &p _ House No. Street Hamlet Owner or Owners of Property: _ 0s~~;-o 1 wi _ Suffolk County Tax Map No 1000, Section ~J ( Block Lot Subdivision A~°POF- kA1L%-MAjj4dtJ h&04,- _ Filed Map. 8 (S t Lot: ~?C Permit No. Date of Permit. Applicant: _ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ r i Applicant Signa u pf S0 P4" o Town Hall Annex y yy Telephone (631) 765-1802 54375 Main Road T T Fax (631) 765-9502 P.O. Box 1179 Southold, NY 11971-0959 • ~O roger. riche rt(a)town.southoId.ny.us o~yCOU~,N~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Joseph Kohler Address: 525 Rocky Point Rd City: East Marion St: NY Zip: 11939 Building Permit* 38611 Section: 31 Block: 1 Lot: 5.5 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 Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures 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 A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: "as built" no visible defects, 4-post lights on deck railing Notes: Inspector Signature:- Date: Jan 24 2014 81-Cert ElecMcal Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSU [ ] FRAMING / STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) r I REMARKS: /Z A-id DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ]FOUNDATION 2ND [ INS [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR OF SON orcawlvTOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ;],!INAULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: OK 71~ C'. 0,. DATE 4~ INSPECTOR u DATE C'aNII1t$NTS. • FOUNDATTON (1ST) - ~ ~ f FOUNDATION (2ND) fi ' J1 0 Pou(m FfiglVillV; & PLUMING INSULATION PER N. X, STATE ET (;y CODE • FINAL w ADDMONAL Cobzv s i~E:6 T7 q U.- ~i Zz i 04- z C S ~d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BVII W NG DEPARTMENT Do you have or need the following, before applying? 4 1 OWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Q Survey SoutholdTown.NorthFork.net PERMIT NO. L-l~G ~1 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined b 20 ILA Single & Separate Storm-Water Assessment Form Contact: Approved , 20Tf Mail to: Disapproved a/c Phone: 77 -b a Expiration 120t r But mg 2013 APPLICATION FOR BUILDING PERMIT DEC 18 Date .20 INSTRUCTIONS rc-^ poi o 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. (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 3O_1~LPEI (As on the tax roll or latest deed) If applicant is a corporation, sigltature of duly authorized officer (Name and titleorcp,i3 o.ratg officer) Builders License No: Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of 1 1d on which r osed wo will be done: /J C- k- t4 Al . House Number Street Hamlet County Tax Map No. 1000 Section 31 Block Lot 473 '?9 131 ) -,S- , _r Subdivision p~t2~%ftkoj) k",ex 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 c7t N` GE, 'F wm 6, "q JAIL iM . L&II= b. Intended use and occupancy 5r=~M C-~ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work DaC~ (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 5 f - ~e 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 r Height Number of Stories f 9. Size of lot: Front 1 cb~ Rear t a Depth -5A 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated K60 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES NO Will excess fill 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 X * 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 A * 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 A * 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 Pulft, 8M9 of Now York (S)He is the NO.01BUf318b060 (I~ In S1 (Contractor, Agent, Corporate Officer, etc.) Commlealon Explroe AprA 14, 1, 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 tg before y e t Ks TM ~ '}-y~ da o 20 j " &u d, S Notary Public ignature of A cant ho~~Of SOUryolo Town Hall Annex Jr J~r Telephone (631) 765-1802 54375 Main Road P.O. Box 1179 Q ro ecrichert Southold. NY 11971-0959 JAN172014 J BUILDING DEPARTMENT TOWN OF SOUTHOLD s ,r APPLICATION FOR ELECTRICAL INSPECTION u REQUESTED BY Q 1 Date: Company Name: Name: License No.: ( . Address: i- Phone No.: JOBSITE INFORMATION: (*Indicates required information) i *Name: OS i *Address: w0c *Cross Street: ^~ss *Phone No.: 7 1 rz j X4/ - r° Permit No.: Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) E i (Please Circle All That Apply) *Is job ready for inspection: Y / NO Rough In Final *Do you need a Temp Certificate: _ YE / NO Temp Information (if needed) *Service 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 i 82-Request for Inspection Form n x. QQ 111777.. ei~ - r Q W O CX`w' p O 1 N l'ti o ~o o A W - p.~oNC, Pa,'.nW iw w:-~L I(oc~t g I~ s~b'~'00 ,t4. I ~d P x " 2;y Co" f. r - ~ - L Z n to LG( rjon A.o 1 0,1 k { APP CO D AS 2NO~ TED I r '10 do (2) 4xto do _ do DATE: 1 ~s I B.P.# ~.~S611 j X14 ~ N N q x Poor (rr P.cP. 6PFtia x• ?-b~~+r.cr.? 0 ( NOT] BILDING DENT A FY U (1)2}.~_` , 765-1802 8AM TO R THE _•o Ekt~7 tnt4 I «r- Q - FOLLOWING INSPECT- 14 oval.. 'Z FEE: B7-rE 1. FOUNDATION - TWUIRED lV N - - - - - - y- - - - - FOR POURED COb€cR J - 2. ROUGH : FRAMINMBING 3. INSULATION r a INAL - CONSTRUUST '4 LETE FOALL CONS MEET r COMPLY WITH ALL CODES OF REQUIREMENTS TES OF YORK STATE. NOT RSIBLE NEW YORK STATE & TOWN CNS OF DESIGN OR CONSTRERROR AS REQUIRED AND p e~aurunT(1NMZBA 4 ~6 u p a"NIM 130 A° A K I `7 T I N G.I 17g -tpT V~ L cX a K ~UTHOLD TC TRUSTEES t ' f MeT,~ IN OCCUPANCY OR x Tu t !USE IS UNLAWFUL` c- WITHOUT CERTIFICATE. I _ r OF OCCUPANCY - \ o e w I 125' t 1 - G • (a) 3 "C M 1~. ICT.70 - 3f - f - ~ • s r4b%41 op, jRf~E.'p M.P+i &159 'Ctb'lRf.: Fi~.'t k1b vac, V67 C*4t2~T Il 0 P4 t, 1 ~9