The URL can be used to link to this page

Home My WebLink About38630-Z Town of Southold Annex 4/22/2014 P.O.Box 1179 r 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36868 Date: 4/22/2014 THIS CERTIFIES that the building ALTERATION Location of Property: 2820 Shipyard Ln, East Marion, SCTM#: 473889 Sec/Block/Lot: 38.2-1-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/6/2014 pursuant to which Building Permit No. 38630 dated 1/16/2014 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: BATHROOM RENOVATION IN AN EXISTING CONDO UNIT 2E1 AS APPLIED FOR The certificate is issued to Persan,Frederick&Persan,Ramona (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38630 04-14-2014 PLUMBERS CERTIFICATION DATED 01-16-2014 Mattituck Plumbing —A t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY 1 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#: 38630 Date: 1/16/2014 Permission is hereby granted to: Persan, Frederick & Persan, Ramona 75 W Fairview Ave Valley Stream, NY 11580 To: construct a bathroom replacement at unit 2E1 as applied for At premises located at: 2820 Shipyard Ln, East Marion SCTM # 473889 Sec/Block/Lot# 38.2-1-23 Pursuant to application dated ' 1/6/2014 and approved by the Building Inspector. To expire on 7/18/2015. Fees: COMMERCIAL ADDITION/ALTERATION $250.00 CO -COMMERCIAL $50.00 Total: $300.00 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 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). 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 2110 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. 8. For ez`tsting 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 property completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building lnspector'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$15.00 Date._ I & a U It- 'New Construction: y� Old or Pre-existing Building: L""' (check one) Location of Property: _!._ !oZga0 sh��lya,Qp� �onl House No. Street Hamlet Owner or Owners of Property: C -h Suffolk County Tax Map Ito 1000,Section ':Block ` Lot' Subdivision :.Filed Map. Lot: Permit No. Date of Permit. Applicant- Health Dept.Approval: Underwriters Approval: Planning Board-Approval: . Request for Temporary Certificate- Final Certificate: (check one) Fee Submitted:$ S 16 L/_ Applicant nature pF SO�IyOI Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O. Box 1179 V42- ro_per.riche rt((D-town.southo Id.ny.us Southold,NY l l 971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Fred Persan Address: 2820 Shipyard Ln unit 2E1 City: East Marion St: NY Zip: 11939 Building Permit#: 38630 Section: 3$.2 Block: 1 Lot: 23 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: G&S Electric License No: 578-e SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 3 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 7 Twist Lock Exit Fixtures TVSS Other Equipment: 2-exhaust fans Notes: Inspector Signature: Date: April 14 2014 81-Cert Electrical Compliance Form.xls �• SuFFac cr JAN 232014 •c Hall, 5309$ Main Road p FO Box 1 17 RI) 765 i s- \era YOIk 11971-0959 �0.( `� Ti lephond t67 1) BUILDIN(I'DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. 3 S6 So Owner: P"Cle S-,42.1 • (Please.print) .. Plumber: /i�i�T>��ccck u /�✓jiwGi (Please print) cenify that the solder used in the water supply system contains less than 2/10 of I lead. (Plumbers Signature) Swom to before me this j.1y of 20%, ' DENISE KING Notary Public. State of New York ReVtrafion #01 K160417'7 Qualified in Suffolk County Notary Public; County MY Commission Expoes May 1:. 2 • r of SO(/1�,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTMN [ ] 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) G � - REMARKS: "'� C DATE 3 INSPECTOR OF SOUlyo� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ f ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR LJ f # TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: CL,)Pz-/ DATE � � INSPECTOR IM I i ,± ;�svoata� a any r • �; • a r;� • r tr • r �� ti�� O • r c�!° tr �I r t e 9W - u OWN 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. ✓[j� Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined / 20 Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c Phone: X13/-$7.t-53 70 Expiration 120 Building Inspector PPLICATION FOR BUILDING PERMIT I Date l 20p INSTRUCTIONS O10 is app cation 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 demo Iitio as herein described. The applicant agrees to comply with all applicable laws, ordinances, building cod , h sing e a gula 'o and to admit authorized inspectors on preen^ises and in building for necessary inspections. i Y . (Signature of applicant or name, if a corporation) L Ma address of appl State whether applicant is owner, lessee; agent;architect, engineer, general contrfg(.e t icy plunP! r b 1 er FEE:. -. � NOTIFY BUILD Name of owner of premises rR ej Qe- I C. 765-1802 8 ,;�� a PM Fort T f,c (As on the tax roll or latest e Ur,,: REQUiI:L If applicant is a corporation, signature of duly authorized officer FOR POURS CRETE 4 i r 2. ROUGH-FRAIv' P, UMBING, (Name and titlf, on officer) STRAPPING, ELLS� ;iCAL&CAULKIN Builders License No- `4fG .�,�? ` 3. INSULATION 4. FINAL-CONSTRUCTION&ELECTRICAL Plumbers License No. .,o� `�a�.,,;,�,. n7 MUST BE COMPLETE FOR C.O. Electricians License No. �j 7f� — ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RES PONSIBLE FOR DESIGN OR CONSTRIi .TION ERRORS 1. Location of land on which proposed work will b done:4AA1 to-no- 0,J House Number Street Hamlet l County Tax Map No. 1000 Section c� Block Lot Q3 Subdivision 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair i/ Removal Demolition Other Work, Lc e Description) 4. Estimated Cost ( J(�, �aC) • J D 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 i 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 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 * 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. 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 ) /14�j L �.�_(Jp� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, COW41E D.BUNCH (S)He is the Coe rCw o�cc c Q 4 me 01 NI of Now York AM (Contractor, Agent, porate Officer, etc.) ousMNed in Suffolk County COMMW ion Expires April 1 a,21.1, 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. Swor Xo before me is day o ' 20 Notary Public Signature of Ap i nt SO�lyo{ � o Town Hall Annex 54375 Main Road Telephone(631)765-1802 � _,F 99 0022 P.O.Box 1179 G Q rogenrichert(cvfown souTnpitl ny us Southold,NY 11971.0959 'O y0 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: 1p � Company Name: . rq Name: ,o•2�c .F�..c..o ` License No.: 7 _ Address: , Phone No.: S-L l JOBSITE (NFORMATION: (*Indicates required infbrmation) *Name: _/ 6"D �1--�L--SA *Address: C��-A ,c S " T- 4; P a 01V I t;2 1� I *Gross Street: 5 (� y A n-f:> O�,4rzy o *Phone No.: 3/_ of Permit No.: Tax-Map District: 1000 Section: Block: Lot *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) Is job ready for inspection: NO Rough In Flna *Do-you need a Temp Certificate- YES(t 1� Temp Information(if needed) *Service Size: 1 Phase 313hase 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 4o .82-Request for inspection Form � C� ` Ll