Loading...
HomeMy WebLinkAbout38716-Z Town of Southold Annex 4/30/2014 P.O. Box 1179 54375 Main Road V Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36886 Date: 4/30/2014 THIS CERTIFIES that the building HVAC Location of Property: 565 Bailey Ave, Greenport, SCTM#: 473889 Sec/Block/Lot: 34.4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/4/2014 pursuant to which Building Permit No. 38716 dated 3/17/2014 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: heating and air conditioning_system for a one family dwelling as applied for. The certificate is issued to Turett,Wayne&Leighton,Jessica (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38716 4/29/14 PLUMBERS CERTIFICATION DATED �AA t rite Signa re � � TOWN OF SOUTHOLD 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 #: 38716 Date: 3/17/2014 Permission is hereby granted to: Turett, Wayne & Leighton, Jessica 47 Walker St New York, NY 100136006 To: install a new heating & air cond. system as applied for At premises located at: 565 Bailey Ave, Greenport SCTM #473889 Sec/Block/Lot# 34.-4-9 Pursuant to application dated 3/4/2014 and approved by the Building Inspector. To expire on 9/16/2015. Fees: FURNACEBOILER -RESIDENTIAL $200.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $90.00 Total: $340.00 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 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 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: (check one) Location of Property: Lp!l AV VV6W, 0 House No. Street Hamlet Owner or Owners of Property: } Suffolk County Tax Map No 1000, Section JV 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: $ A pl ant Signature pF SO!/ryol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 G • �� roger.riche rtCaD-town.southold.ny.us Southold,NY 11971-0959 �lyC4UNT`I BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Wayne Turett Address: 565 (522) Bailey Ave City: Greenport St: NY Zip: 11944 Building Permit#: 38716 Section: 34 Block: 4 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: DJK Heating License No: 5215 SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat gas Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: install central air conditioner and new gas furnace Notes: Inspector Signature: Date: April 29 2014 81-Cert Electrical Compliance Form.xls o��CO 1 i TOWN OF DING DEPT. 765-1802 IN N [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR i pF SO!/r�o� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE '* Z INSPECTOR FIELD INSPECTION E PORT DATE COMMENTS FOUNDATION(1ST) -- FOUNDATION(2ND) z o ROUGH FRAAllINO& V"y PLUMBING INSULATION PER N.Y. H STATE ENERGY COTE cz. 4 • FINAL ADDITIONAL COMMENTS Pei �s- a 4 b " (aliv keC ?q&l� o z _ Z d.. 1 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. �g�/(� Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: Approved J ,20 Mail to: Disapproved a/c Phone: 4 Expiration 1 / ,20_ Building Inspector APPLICATION FOR BUILDING PERMIT Dat6,� , 20 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 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. �. 11,� (Sign re of applicant or name,if a corporation) s' JVq(7� y 'L.Z pj�il. /tvENU&lCo xA' ","I, r 7. c. (Mailing address of applicant) r ._r. M tl 4 Slag wh th 6t:4 is`owner, lessee, agent, architect, engineer, general contractA *Qj rorbuilder DATE :/ /7 l G:P: �_-k, Name of owner of premises (ll/ F, Pr7P: (As on the tax roll or latest/ A 2 9 AM TO 4 PEA E�;,, If applicant is a corporation, signature of duly authorized officer FOLLOWING INSPECTIO®NS{:� 1: FOUNDATION-TWO ( dame and title of corporate officer) 1-dH i�UUrt�L vu"seH " 2 ROUGH,FRAMING.PLUMBING, Builders License No. SAPPING, ELECTRICAL&CAU1:K Plumbers License No. ',3'7 g-7 4 ilk"tJ=CONS 4 I ;�JAS=C©�JaTRUCTIQN &ELECTB'I Electricians License No. MUST SE CCMLF Other Trade's License No. Ai:l CONSTRUCTICNI ' {;i''` REQUIREMENTS OF YORK STATE: NOT Rt_ F 1. Location of land on which proposed work will be done: ORCONeuTRUvIi�, ^lL_6 t/t71\jvt �&�N poi House Number Str et Hamlet County Tax Map No. 1000 Section 3�-04-0/q Block Lot Subdivision Filed Map No. 2.? B 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 Removal Demolition Other Work ' MAV A-C, k,4W &otf (Description) h 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 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 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 '4. 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 ) being duly sworn, 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 day of 3' 20 19 Notary Public CRONNIE D. BUNCH ry Signature of Applicant Notary Public,State of New York No.01 BU618M Qualified in Suffolk County Commission Expires April 14,2 1011 L. Scott A. Russell James A. Richter, R.A. SUPERVISOR Michael M. Collins, P.E. SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Telephone#: (631)-765-1560 Fax#: (631)-765-9015 MICHAEL.COLLINS@TOWN.SOUTHOLD.NY.US JAMIE.RICHTER@TO".SOUrHOLD.NY.US Office of the Engineer Town of Southold STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET ( TO BE COMPLETED BY THE APPLICANT ) PLEASE NOTE: All Contact& Project Information Requested by this FORM is Nessary for a Complete Application. APPLICANT: (Property Owner,Design Professional,Agent.Contractor,Other) PROPERTY OWNER: (If Different from Applicant) NAME: --(A /V)A\i h e i(e� NAME: ADDRESS: Sz ' 9 a;16w Air ADDRESS: Telephone Number: Telephone Number: 1-7 6)2 !?o a$ Completed Applications can be picked up at the Engineering Department after being notified by the Department, or; it can be Mailed to the Applicant with the submission of a Self Addressed 8.5"x I I"Envelope&Appropriate Postage. DATE: Property Address / Location of Construction Work: 11?v &e SCTM *: 1000 QreeAID,.,i A/ _ District Section Block Lot Required Documents for Stormwater Review: Copy of Complete Building Permit Application. Stormwater Management Control Plan. (2 Sets) Note: SMCP's are required whenever Grading or Excavations exceed 5,000 S.F,when New Impervious Surfaces are created, and/or when existing Roof Systems, Driveways, Patios or other Impervious Surfaces are Re-Surfaced. De Minimis Projects will NOT be Subject to the Submission of a SMCP During the Stormwater Review! Note: These Projects would be Limited to Interior Renovations, Replacement of exterior Doors&Windows,Deck Construction with Loose Fit Decking, Installation and/or Modification of Mechanical Systems or other similar Wok A Complete Description of the Scope of Work Proposed under the Building Permit Application. X A Completed Stormwater Review Checklist. If No or NA are Indicated, Justification is Required. **** FOR ENGINEERING DEPARTMENT USE ONLY Reviewed By: Date: ❑ Approved: ❑ Additional Information Required: FORM SMCP-TOS JAN 2014 O�VS1111Qk CHAPTER 236 STORMWATER MANAGEMENT CONTROL PLAN CHECK LIST z DATE: APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) NAME: �Aj 11le' !� ,( S C T M #. 1000 Telephone Number: 917 61,-) 9626 District Section Block Lot S M C P -Plan Requirements: The applicant must provide a Complete Explanation and/or validation of all Information Required by this Checklist if it has not been provided! 1. A Site Plan drawn to scale Not Less that 60' to the inch MUST — If You answered No or NA to any Item, Please Provide Justification Here! show all of the following items: YE NO NA If you need additional room for explanations, Please Provide additional Paper. a. Location& Description of Property Boundaries b. Total Site Acreage. �0 n5 A h c. Existing-Natural& Man Made Features within 500 L.F. O o of the Site Boundary as required by§236-17(0(2). d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. 0� e. Limits of Clearing& Area of Proposed Land Disturbance. 0O f. Existing& Proposed Contours of the Site (Minimum 2'Intervals) O g. Location of all existing& proposed structures, roads, O driveways, sidewalks, drainage improvements&utilities. h. Spot Grades & Finish Floor Elevations for all existing& �O proposed structures. I. Location of proposed Swimming Pool and discharge ring. j. Location of proposed Soil Stockpile Area(s). k. Location of proposed Construction Entrance/Staging Area(s). 1. Location of proposed concrete washout area(s). �0 M. Location of all proposed erosion&sediment control measures. �0 2. Stormwater Management Control Plan must include Calculations showing that the stormwater improvements are sized to capture,store,and infiltrate on-site the run-off from all impervious surfaces generated by a two(21 inch rainfall/storm event. 3. Details&Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to: a. Erosion& Sediment Controls. b. Construction Entrance&Site Access. 00 c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) �0 d. Leaching Structures (e.g. infiltration basins,swales,etc.) FORM * S CP Check List -TOS JAN 2014 ' I o��o�so�ryo Town Hall Annex JxR J Telephone(631)765.1802 i> 54375 Main Road Q r �1ax W1)O7Ur rogerriche76S6O S.nV.us P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPAR'IEENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED B'Y�s Date: Company Name: C,2,4 Name: ' 7 v License No.: Address: 7 Db 14y Au Vo /I/V / Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: /tsyt - AI-44 7# rQ *Phone No.: 17 4f 2- i Permit No.: &'l to f Tax-Map District: 3000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) inrcb"� (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 -1 1 82=Request for Inspection Foffn f *pF SO�ryOlo Town Hall Annex Telephone(631)765-1802 54375 Main Road ax(631)765-9502 P.O. Box 1179 A Q Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD y b, December 27, 2013 Wayne Tudetf& Jessica Leighton F 47 Walker Street, Apt. 5A i New York, New York 10013-6006 RE: 565 Bailey Avenue, Greenport "?P S.C.T.M. //1000-34-4-9 Dear Mr. Tul�r'letr& Ms. Leighton: Due to a recent complaint, it was brought to our attention that your central air conditioning unit was installed without first obtaining a Building Permit. Please complete the enclosed forms with your check for $235.00 made payable to the Town of Southold. This fee covers the cost of the Buildin rmit, EI c� trill Permit and Certificate of Occupancy. When the permit is issued the only inspection required will be an electrical inspection by our Electrical Inspector Roger Richert. If you have any questions you may contact our Code Enforcement Officer, Peter Doherty at 631-765-1802. Respectfully, Southold Town Code Enforcement Peter Doherty 1. SURVEY OF LOT 14 & P/0 15 \ MAP OF \ BUCKLEY FARM, GREENPORT, L.I. FILE No. 298 FILED SEPTEMBER 5, 1914 y.S Rte• 25) SITUATED AT 0 ND �N GREENPORT TOWN - OF SOUTHOLD �4 SUFFOLK COUNTY, NEW YORK LOT 15 ,�yp S.C. TAX No. 1000-34-04-09 P/0 15 SCALE 1 "=20' �` P/0 LOT , , oo, a�,y, MAY 29, 2008 A71c, AREA = 8,039 sq. ft. 215 ash ��� 0.185 ac. 13 No'°- •s.4 - LOT O 6' s CERTIFIED T0: WAYNE TURETT • - `''' i ERa�' `'`; c ► JESSICA LEIGHTON • < _ -= .:� COMMONWEALTH LAND TITLE INSURANCE COMPANY HUDSON CITY SAVINGS BANK O3 ��` `�\ -. 17' *' �''r_`f �pRNE'N.pY '���� pY 7•-0 N UNAUiHORIZEO ALTERATION OR ADDITION TO THIS SURVEY SECTION 7209 I THE NEW YORK STATE EDUCATION LAW. `�!V L� COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SWILL NOT BE CONSIDERED �. . , 3•ZS TO BE A VALID TRUE COPY. CERTIFICATIONS INDKATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY • :. ice IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND �i LENDING WSI TUtpN LISTED HEREON. AND. TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CEffnFiCATIONS ARE NOT TRIWSFERABLE. >v THE EXISTENCE OF RIGHTS OF WAY -. AND/OR EASEMENTS OF RECORD. IF ANY, NOT SHOWN ARE NOT GUARANTEED. 2EPARED IN ACCORDANCE.WITH THE MINIMUM /1 THE Ll FOR TITLE AND SURVEYS AS ESTABLISHED Nathan Taft Corwin 111 ( THE LIALS. AND APPROVED AND ADOPTED )R SUCH USE BY THE NEW 7_�'TE WVD-... ILE ASSOCIATION. Land Surveyor j) t< I Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 v 1" 67 OFFICES LOCATED AT MAILING ADDRESS ��/AAtft C��` � 277 D��____ A..__.._ r�n e _ •nt.