HomeMy WebLinkAbout38237-Z Town of Southold Annex 5/13/2014
,` P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36902 Date: 5/13/2014
THIS CERTIFIES that the building ALTERATION
Location of Property: 59095 Route 25, Southold,
SCTM#: 473889 Sec/Block/Lot: 56.-2 40.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/30/2013 pursuant to which Building Permit No. 38237 dated 8/7/2013
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:
PORCH ALTERATION TO A SINGLE FAMILY DWELLING AS APPLIED FOR
Corrected 5/13/14 to change the a olication date from 1/1/1900 to 7/30/2013
The certificate is issued to Murray,Nicholas&Murray,Joan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38237 02-05-2013
PLUMBERS CERTIFICATION DATED
y
A ed ignature
y�fi9C,1• Town of Southold Annex 5/8/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36902 Date: 5/8/2014
THIS CERTIFIES that the building ALTERATION
Location of Property: 59095 Route 25, Southold,
SCTM#: 473889 Sec/Block/Lot: 56.-2-10.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/1/1900 pursuant to which Building Permit No. 38237 dated 8/7/2013
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:
PORCH ALTERATION TO A SINGLE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Murray,Nicholas&Murray,Joan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38237 02-05-2013
PLUMBERS CERTIFICATION DATED
Autho�qd Si ature
TOWN OF SOUTHOLD
� a 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#: 38237 Date: 8/7/2013
Permission is hereby granted to:
Murray, Nicholas & Murray, Joan
6260 Horton Ln
Southold, NY 11971
To: porch alteration on an existing single family dwelling as applied for.
At premises located at:
59095 Route 25
SCTM #473889
Sec/Block/Lot# 56.-2-10.1
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 2/6/2015.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $227.20
CO -RESIDENTIAL $50.00
Total: $277.20
ff-� -
Buil g spector
Form No.6 93
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 ofelectrical 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. SubmifPlanning 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 $15.00
Date. L
New Construction: Old or Pre-existing Building: /Z (check one)
Location of Property: 59.0 q S !e 25 SOQ!&o)gk A)%4_ i igt3 I
House No. I /Street — ) Hamlet
Owner or Owners of Property: A)/`011 O'�}s ��►'W rj?1L,yQ C.1
Suffolk County Tax Map No 1000,Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. 7' (3 Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board'Approval: /
Request for: Temporary Certificate- Final Certificate: ✓ (check one)
Fee Submitted:$
Applicant Signature
Town Hall Annex p� cP Telephone(631)765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179 v •
Southold, NY 11971-0959 y�1Jdl # �.�0�' roger.richerta-town.southold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Murray
Address: 59095 Route 25 City: Southold St: NY Zip: 11971
Building Permit#: 36212 Section: 56 Block: 2 Lot: 10.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Platinum East Electric Inc License No: 34091-me
SITE DETAILS
Office Use Only
Residential X Indoor x Basement X Service Only
Commerical Outdoor x 1st Floor x Pool
New Renovation x 2nd Floor x Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat oil Duplec Recpt 46 Ceiling Fixtures 27 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 10 Wall Fixtures 24 Smoke Detectors 2
Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures 2 CO Detectors
Sub Panel A/C Blower 2 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances N Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 2-combination smoke/co detectors
Notes:
D V
IN 81JIMING PT.
Inspector Signature: Date:feb 5 2013
Electrical Certificate.xls
32),�7 2— r4fs yo
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 L)
REMARKS: - -�
DATE INSPECTOR
i
�� �o��Of SObjyo�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUG LUMBING
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] 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
t;H a gt;!4�.+►fM��)� ,i�'"�►!��+� � : M; r r �r,�.�'..
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
'BUILD)NGrDEPARTMENT 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. � 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 17(,, Mail to: CeAA JJ
Disapproved a/c U►Q. AQX -770 sn,ij 4w N1
Phone:
Expiration ,20
LrJUL �� � �`_ �- ildin ec or
APPLICATION FOR BUILDING PERMIT
3 0 2013 �,.,J Date .�j V)14 310 , 20 13
. INSTRUCTIONS
N OF OUITHOn
e 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.
x
N/OA!i?_46 Ndx_��
(Signature of applicant or name, if a corp n)
C car 2 a �5ovTA5zDrt t l 9 7
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
a WA)E�K
Name of owner of premises ti (',kn `f}S 4h USLCtA i
(As on the tax r ll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. H
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
s9 fA 5 PnIrf-P, a5 Snv-W4 A 1 U r r l 1
House Number Street V Hamlet
County Tax Map No. 1000 Section 5( Block Q Lot 1 r
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 S f de nm
b. Intended use and occupancy ���CG,
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work Afed
(Des-c-ription)
4. Estimated Cost 501000 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 +t�
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 m(ek 6wn c, W Address 59495 /l iyi► ad Phone No. 765 - 148q
Name of Architect Address Phone No
Name of Contractor Ge nArrd Qad,;ZiAl, Address 29S /onL,�lw Phone No. 7d6— 6 y
shwlzo"W
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 V
* 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(� )
Xf� d�,»�'�ll�, being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, CONN&E D. BUNCH
Notaly Public,State of N "v,'orv,
No.01B0518505'
(S)He is the Qualified in Suffolk
(Contractor, Agent, Corporate Officer, etc.) com �aion Expires Avr'
_
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 20
w�P
Notary Public ignature of Ap icant
SCOTT A. RUSSELL r,:q` JAMES A. RICHTER, R.A.
SUPERVISOR MICHAEL M. COLLINS, P.E.
Qt
TOWN HALL - 53095 MAIN ROAD l IA + TOWN OF SOUTHOLD,NEW YORK 11971
Tel (631) 765 1560 Fax (631)-765—9015
111t:...11I,i.<'(31 11I:S u.1 t)4 I.1C)1::1:):N.l.:r15 � r�1(Il ]11e(Il l x it et:)1'vN.CO( 1 r.e)t I),�..
OFFICE OF THE ENGINEER
TOWN OF SOUTHOLD
TORMWATE MANAGEMENT CONTROL PLAN REVIEW COVER SHEET
(To be completed by the applicant)
TO: Engineering Department PLEASE ATTACH:
FROM: Building Department ❑ A copy of the completed Application for
Building Permit
DATE: t x0Permit
❑ A complete set of Building Plans
APPLICANT: ' 0 1
❑ A completed Chapter 236 Stormwater
PERMIT#: Review Checklist
S.C.T.M#: 5l0
BRIEF PROJECT DESCRIPTION: &;a -� �c� os
LL X t N h1 eK OU 5 -SIA61
Xts-I' I N9 Ite gai"A&f . I,LK ADy
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S�rPi d
7/22/2013
•r:rn.
`pstlEF04(At DATE:
CHAPTER 236
APPLICANT: C S t)RSA
Stormwater Review Checklist S.C.T.M.#: lew- - 2 - A
PHYSICAL ADDRESS: 59095 p6U+G
Stormwater Management Control Plan Requirements Yes No NA If No or NA, Please Provide Additional Information
1. Plan drawn to scale of not less than 60 feet to the inch showing:
a. location and description of property boundaries
b. total site acreage
c. existing and natural and man-made features on and within 500 feet
of the site boundary as required in §236-17(C)(2). _
d. test hole data indicating soil characteristics and the depth to water �(
e. proposed limits of clearing and the total area of proposed land
disturbance
f. existing and proposed contours of the site(minimum 2' interval)
g. location of all existing and proposed structures,roads, driveways,
sidewalks, drainage improvements and utilities
h. spot grade and finished floor elevations for existing and proposed
structures
i. location of the swimming pool discharge ring K
j. location of proposed soil stockpile area(s)
k. location of the proposed construction entrance/staging areas X
1. location of the proposed concrete washout area
m. location of all proposed erosion and sediment control measures x
2. Plan includes calculations showing that the stormwater improvements
are sized to capture,store and infiltrate on-site the runoff from all
impervious surfaces generated by a two-inch rainfall
3. Detail drawings(required for plan approval)provided for:
a. erosion and sediment controls X
b. construction entrance
c. inlet structures(e.g. catch basins,trench drains,etc.)
d. leaching structures(e.g. infiltration basins,swales,etc.)
REVISED 7/24/2013
RAIN RUI DOFF Dwelllny
HOUSE- 3487 x x Base. fir. EL ( FX MADE
• l 0.17 = 593 cu.11. 16.9 �'I r
593142.2 = 14 VF.
PROVIDth - 3 drywells 8'0 14' total depth- a IE.I
ST -�
EXISTING WELL IN BASEMENT TO NON-POTABLE re rt 13J 149 a'i 3.1 sL 1rATER q T.� I d' 3' nk
PROPOSED W SEP
SYSTEM TIC _�
4- BEDROOMS , SW SAM
1- A0M gal PRECAST CYLInDRICAC SEPTIC�re --_I EL .156,
LEAC1Ia POOLS 8'1 x 4'llgWd depth WITH sAhd SP
3' SAND (SW C01 LARS
N/CIF GEORCEL, GAFFGA uNN EL WT ROAR 0. 14.7
DWELLING (PuMc
water)
n3n_7ffl1'' SET .SURVEY OF PROPERTY
AT SOUTHOLD
NO WELLS 1150' \
C.P. .1�, , E \_ .j\""' / LA»" TOWN OF SO UTHOLD
ftVAR N 69
sir tx..l>:e SUFFOLK COUNTY, N. Y.
! �
q 04R 1000—M-02-10.1
l e's SCALE` 1'-30'
£ G I m AX Y 1.A .2002
i JULY 28, 2010
GAR Ze1• AUG. 31, 2010 (b.oA
TEST BO/NGeorcknce 1.7£ �� � a J
NOV. 5, 2010 (revision)
by 7129110 0 ,o r:" FEB. 9, 20 11 loddlllonr)
EL 18.4 -W O
6D,7rk.Brown Loam Z 1q, %�,
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' 0. 49618
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
APP 0 ED AS NOTED
DATE: B.P.#
FEE: BY�
NOTI Y BUILDING DEPARTMENT AT
�— 765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION *' _
4. FINAL - CONSTRUCTION MUST o 0
BE COMPLETE FOR C.O. t
ALL CONSTRUCTION SHALL MEET T E
REQUIREMENTS OF THE
YORK STATE. NOT RES ONSIBLE FOR
c� DESIGN OR CONSTRUG71ON ERRO
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COMPLY WITH ALL COD S OF
q",. NEW YORK STATE & TOWN CODES
AS REQUIRED
_ So �� M✓w
N SO iv SEES
�I
CCUPANCY Ofd
SE IS UNLAWFUL ,r"
WITHOUT CERTIFICATE
OF OCCUPANCY
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