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Home My WebLink About38621-Z Town of Southold Annex 2/4/2014 P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36756 Date: 2/4/2014 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 4025 Great Peconic Bay Blvd, Laurel, SCTM 473889 Sec/Block/Lot: 128.-3-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/23/2013 pursuant to which Building Permit No. 38621 dated 1/13/2014 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" alterations for bathroom in an existing single family dwelling as applied for The certificate is issued to Cassidy, James (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38621 1/31/14 PLUMBERS CERTIFICATION DATED 1/6/14 IJAAy Plumbing & ljyating Aut 4ed' atur TOWN OF SOUTHOLD BUILDING DEPARTMENT ® TOWN CLERK'S OFFICE SOUTHOLD, NY f 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 38621 Date: 1/13/2014 Permission is hereby granted to: Cassidy, James 4025 Great Peconic Bay Blvd Laurel, NY 11948 To: "As built" alterations to an existing single family dwelling as applied for. At premises located at: 4025 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot # 128.-3-13 Pursuant to application dated 12/23/2013 and approved by the Building Inspector. To expire on 7/15/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $541.50 CO - ALTERATION TO DWELLING $50.00 Total: $591.50 Quilding Ins F-~-"- rORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29908 Z Date DECEMBER 5, 2003 Permission is hereby granted to: JAMES R CASSIDY LAUREL,NY 11948 for CONSTRUCTION OF ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 4025 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 128 Block 0003 Lot No. 013 pursuant to application dated NOVEMBER 17, 2003 and approved by the Building Inspector to expire on JUNE 5, 2005. Fee $ 150.00 Authoriz Signature COPY Rev. 5/8/02 Form No.6 TOWN OFSOUTHOLD 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 user 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). I Approval ofelecttical installation from Board of Fire Underwriters. 4. Sworn statement hrom plumber certifying that the solder used in system contains less than 2/10 of I % lead. 5. 6mmercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fromarchitect or engineer responsible for the building. 6. Submit' Planning Board Approval of completed site plan requirements. B. For existing buildings (prior foApril 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 S50.00; Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 I Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 .5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~J Date. G 01(3 New Construction: Old or Pre-existing Building: V/ (check one) Location of Property: 4 LJIO~`i f~~ e~qrl IJD House No. Street Hamlet Owner or Owners of Property: C Suffolk County Tax Map No 1000, Section 'Block r5 3 Lot ` Subdivision Filed Map. Lot Permit No. Date of Permit T- ~e11 ~Jl/1 Applicant: ~Glk Health Dept Approval: Underwriters Approval: Planning Board-Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ pplicant Signature ~o~apF SO!/lyolo Town Hall Annex Telephone (631) 765-1802 54375 Main Road T Fax (631) 765-9502 P Box 117 Southold, , NY 11971-0959 roger. richert(a)town.southoId.nv.us ~1~00UNi'1,0c~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: James Cassidy Address: 4065 Peconic Bay Blvd City: Laurel St: NY Zip: 11948 Building Permit 38621 Section: 128 Block: 3 Lot: 13 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 1st Floor X 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 1 Wall Fixtures 1 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 2 Twist Lock Exit Fixtures TVSS Other Equipment: BATH ROOM, 1-exhaust fan Notes: Inspector Signature: ~L Date: Jan 31 2014 81-Cert Electrical Compliance Form.xls CERTIFICATION Date: G Building Permit No. ~ba Owner://1f , G~6S"-4 (Please print) Plumber: ~T- / (Please pri06 I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day c~cLzc 20 / Notary Public, County EILECN STRAND NOTARY PUBLIC, State of New York No. 01 S-i 6001493 Qualifioo in Suff ik County Commission Expires Jane;ary 12, 20%j TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]ROUGH PLBG. I ] [ ] IN ATION FRAMING /STRAPPING [ FINAL I ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR o~.~OF SO//l~ C I/ 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 [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) REMARKS: T-S i 4~dt'~ L2c'~. G/C DATE l INSPECTO iftj~ FIELD INSTECIMN REPORT DATE COMMENTS W ro OC' FOUNDATION (1ST) FOUNDATION (ZND) ' N ROUGH FRANONQ & y PLUMBING m INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS r is 1~ ~'153~ (~F51 'tY4-~ L` Z m z . ~H g °z 4 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) 763-1802 Planning Board approval FAX: (631) 765-9502) Survey SoutholdTown.NorthFork.net PERMIT NO. ~v n oc_l Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20T Storm-Water Assessment Form t 3 Contact: Approved 20_ Mail to ~&"Z/ L~~1l~Gt GI Disapproved a/c Phone: i 3e3 472 Expiration 20 Building Inspector C 2 3 2013 Li~ation % LICATION FOR BUILDING PERMIT Date ~ 20 13 INSTRUCTIONS 1V[Ug' T-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 aherafrons 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 ~l1Lf~l?~G7- Name of owner of premises O&X- 675 G~ SSl04~ (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: '4,ne,5 ~FFcOx>!~ FAA'/ R--clo G.Z)L,~PE! House Number Street Hamlet County Tax Map No. 1000 Section 124tF> Bl""" i,~r A'e C .luCIUU C.+ U :::i a„r :3 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy JSIC-r(JTI~L b. Intended use and occupancy ~~~/L2~iL 1t7,~L 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work- A15 -e-S-0/67- (Description) 4. Estimated Cost Fee 04-e' ,~-'rte (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 72,61 Rear 7446 Depth 44-t Height /2 a 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 Storm 9. Size of lot: Front 200 Rear 25, 02 Depth '/D 10. Date of Purchase Z2-14•'98 Name of Former Owner 3069~-:PH 0Eiu /COG d 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO .V 13. Will lot be re-graded? YES_ NO V Will excess fill be removed from premises? YES_ NO 14. Names of Owner of *se d~ue5 OQ tCi?NAddress ~D0 i?ee.~t 4~i1 hone No. 2 - 729 Name of Architect 4n U 1/ Ll611,6t__ctl rlr7~Address Phone No 4?? 6 2~k , Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 1? * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BQUIRED. 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF 6O being duly swom, 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. Sworn to before me this 2of G1er 20 oI WV Lt. Nnt rR1ldiioTARYPUBLIC-STATE OF NEW YON Cio;ihirnnfAr Brant No. OIHYOI88880 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES OM2Q,~ 2 22Z 4N Town Hall Ann" 54375 Main Road 41 41 Telephone (631) 765.1802 P.O. Box 1179 ' roaer.richerttatov m so%515. nv us Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: - Z Lj < CU-71 L )?7~d! Date: ` e Company Name: ~r-- Name: License No.: Address: E Phone No.: _ JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: eAR(e. ) Vp~ I29,CG4Z *Cross Street: *Phone No.: l03/ 298 2b 4-P Permit No.: Tax Map District: 1000 Section: Block: Lot: / *BRIEF DESCRIPTION OF WORK (Please Print Clearly) AppLLL lack) a2 6 a-;THi20~ 7~r7~' Cr1.~}s ~~12t~ lr( (Please Circle All That Apply) *Is job ready for inspection: YES NO Rough In Final *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 Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION i I 82-Request for Inspection Form ho~~pF SO~ryolo Town Hall Annex yy Telephone (631) 765-1802 54375 Main Road T Fax (631) 765-9502 P.O. Box 1179 G Southold, NY 11971-0959 ~1y00UNi'1,0c~ BUILDING DEPARTMENT TOWN OF SOUTHOLD January 28, 2014 James Cassidy 4025 Great Peconic Bay Blvd Laurel NY 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) I l 0 S 1 Electrical Underwriters Certificate. (Contact your electrician) v13 A fee of $50.00. p~P Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) 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 38621 - "As Built" Alterations 1/2" C TABLE R301.2(1) Ridge CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA Coot Ceilin SUFFOLK zxa 2x6 Wind SUBJECT TO DAMAGE FROM Ice shield Overl-SEISMIC DESIGN Design underlay- Food Vinyl SPEED (mph) CATEGORY Wealhedng Fdepth Termite Decay Temp required hazards Well I _ Vinyl 120m^!i C Severe 3'-0" Moderate Slight to ii YES Asperkwn 1/2"c to heavy moderate 41PmA. & lorm low TyveP 1/2" C 2x4 1/2" C, 5/8" T Al lea bedre Insul; R-13 19 0 - 2-5.07- RR-3 30 R-13 t FRAMIN S 1. H 2. A 3. C d 4. C 5. P m0 6. F 7. V p 8. J Q 9. T Q ~So, I O ~o'I tv DESIGN -30.6 Zo.e 1stF o o C lir nr Root Grou ~z •b Deck PQOPOSE Build 1-`STORY ADO' r'o?J Lo r 30' /l 2QO.ao ~ F C,O N IC 5 AY DO U L f- /A R- D Ex. First Fl. 1- 1 Ex. 2nd Fl. Ex. Garage Ex. Deck SITE PLAN Ex. Porch 1.4.0 Ex. Portico 30'-0" r m'. AS-BUILTS As-BUILT BATHROOM OCCUPANCY OR USE IS UNLAWFUL ° 0 EXISTING STRUCTURE WITHOUT CERTIFICATE x ® AS-BUILT WALL OF OC N Q STUDY BEDROOM 2 SCTM# = 1000-128-03-13 M TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK RESIDENCE ,'_L CODES 5F " N' / TOWN CODES LOCATION PLAN s'-r 4 112 " 7,-1 1/2 einrrlnnlC OF LAUREL, NY 4065 PECONIC BAY BLVD 0 0 BOARD 0 Sv ARCHITECT FRANK UELLENDANL P.0 BOX 316 GREENPORT, NY 11944 O ~ TEL: 631-477 8624 w OWNER O w 00 = JAIAES R CASSIDY KITCHEN 0 0 3 z DEN 3 4025 PECONIC BAY BLVD LAUREL, NY 11948 DINING ROOM BATH 1 631-298-7026 Dq r`~CS E 2 GARAGE C 1 0 APPROVED AS NOTED DATE: i I3 B.P. # FEE: LIVING ROOM BEDROOM 1 s NOT ft BUILDING ?P;T A? o 765-1802 8 AM TO d FOR TH_ m FOLLOWING INSPECTIONS: 1. FOUNDATION - TVVO REQUIRED FOR POURED COF;CRETE o 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST FLOOR PLAN BE COMPLETE FOR C.J. n W DATE: 12121/2013 ALL CONSTRUCTION SHALL MEET THE SCALE: 3/16 = 1'-0" REQUIREMENTS OF THE CODES OF NEW 3 FLOOR FLAN YORK STATE. NOT RESPONSIBLE FOR AS•BUILT PERMIT APPLICATION= AS-BUILT DESIGN OR CONSTRUCTION ERRORS. FOR INTERIOR ALTERATIONS: BATHROOM ADDED DWG NAME og A-1 DWG. NO