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Home My WebLink About38563-Z x Town of Southold Annex 6/16/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 1 CERTIFICATE OF OCCUPANCY No: 36969 Date: 6/16/2014 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 6955 Skunk Ln, Cutchogue, SCTM#: 473889 See/Block/Lot: 104.4-33.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/27/2013 pursuant to which Building Permit No. 38563 dated 12/12/2013 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: GARAGE CONVERSION TO DEN IN EXISTING ONE FAMILY DWELLING The certificate is issued to Todd,George&Alice (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38563 05-20-2014 PLUMBERS CERTIFICATION DATED Au o ' ed ignat 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#: 38563 Date: 12/12/2013 Permission is hereby granted to: Todd, George &Alice 1616 Hunterbrook Rd Yorktown Heights, NY 10598 To: construct a garage conversion to den in an existing single family dwelling as applied for At premises located at: 6955 Skunk Ln SCTM # 473889 Sec/Block/Lot# 104.-4-33.2 Pursuant to application dated 11/27/2013 and approved by the Building Inspector. To expire on 6/13/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $309.60 CO -ALTERATION TO DWELLING $50.00 Total: $359.60 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 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. TI New Construction: Old or Pre-existing Building: (check one) Location of Property: &rts S V_VKV_ L1� w�Ld��1hs House No. Street Hamlet Owner or Owners of Property: Obl?-X A70 411 C LE `�pp Suffolk County Tax Map No 1000, Section (0 Block b4 Lot 0)3. 2- Subdivision 33. 2Subdivision 6141_5 A�J_ feAM5 Filed Map. Lot: Pen-nit No. Date of Permit. Applicant: Health Dept. Approval: ly(Ik Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ A t Signa ure pF SO(/lyOlo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • i� roger.riche rtR-town.southoId.ny.us Southold,NY 11971-0959 C4UNTY,� ` BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Todd Address: 6955 Skunk Ln City: Cutchogue St: NY Zip: 11935 Building Permit#: 38563 Section: 104 Block: 4 Lot: 33.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Roslak Electric Inc License No: 3677-me 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 9 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 6 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches 3 Twist Lock Exit Fixtures TVSS Other Equipment: convert garage to living space Notes: Inspector Signature: Date: May 20 2014 81-Cert Electrical Compliance Form.xls OF SOUlyo6 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR SOF s • ao �iburnr`� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO [ ] FOUN ION 1ST [ ] RO PLEIG. ( ] F NDATION 2ND [ INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR 6�73 q SOpjyo ti �o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] R GH PLUMBING [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR FIELD Ilv3PB N REPORTI DATE I CONDOMS . Vt FOUNDATION(IST) Vj FOUNDATION(2ND) .4 ROUGH FRANnNCr& ON PLUMBING n INSULATION PER N.Y. STATE ENERGY CODE lz FINAL ADDITIONAL COMMENTS 0A -�— G,1, (ec Perm.-t e c 8d-N61 fez U) cJj z 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 �-7_ Survey Southold Town.NorthFork.net PERMIT NO. 3gu to Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: Approved IOC Mail to: DQJ4 M(�+�y Disapproved a/c Phone: Expiration 20 Building Inspector PPLICATION FOR BUILDING PERMIT NOY 2 7 2013 I�� — � Date 1�.Z'a— t3 , 20 INSTRUCTIONS a. Thi s-. p� , lzcata - mpletely 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 prernises and in building for necessary inspections. (SignatureQappicor name,if a corporation) n.o. or G e2.. C!!�zti-o G w N& M 3�' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of own&'of prerpj �s ; -"1Q (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. l S3'3'D kk Plumbers License No. Electricians License No. Q,6Lw G345MIC Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Sectionk>BIock b�Lot 633 L 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 ,�(tNGh6 "Mi" (10'5 1b b. Intended use and occupancy Skis 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ' 4-0m . 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 f 14. Names of Owner of premises 'IQUD Address Phone No. Name of Architect Address Phone No Name of Contractor 120" M[9444W Address Phone No. G31 TIS=4�0� 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. CONNIE D.SUNCH Notwy Public.8hft of Now Yolk STATE OF NEW YORK) Q� No. 1~Inm a506p COUNTY OF ) CCr *810n EXOM� Z� being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the tdq__ i2kCck9'(L.. (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`��re 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. Sworn4tbefore me this day of 2,0� Notary Public Signa ure icant PO.sw!17!1 .%m*S .MY I;OI/1,N.W ` gtiltlllNG(WART MRNT ' i M"+{,,j''i'�K sw 73 - 62-7o JO N AITE tA!KMATIM: {�tr�dio .+s N�r�sd i�rl�cxn�a►�c�n) •A�ldr�►: 9 5'S "Phorw No.: 3 '7 0 A/1MMMif Nb.: �� C�IMMk3~ lowill ot:L Tit1�Ay,1 ._.._._.._...... ......� 'BIMEF vawc yP rwNI OF MOAN (PlM Pf"Chm*) *mob ONO"for knomemoln. YES f %a 4ioud�+�n FM+e+► Vo you nood 0 TOM COMOM YES!NO TWO MMrnMM�'b, 09 gmn,. FNS 3Ph"f 100 M 200 304 360 4010 Otho 'Mow$Mrrklr. IM•oel�+� Ulld- llnLa^d lel MftW d I SWS 011- G I d l M AOS OW MhOW �1MMM10MMr. � � s1 • �� .� t�qA �� "V� REScheck Software Version 5.5.0 Compliance Certificate Project Energy Code: 2010 New York Energy Conservation Location: Suffolk County, New York Construction Type: Single-family Project Type: Alteration Climate Zone: 4 (5750 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: '6955 Skunk Lane Cutchogue, New York 11953 Compliance: Passes Compliance: 2.4%Better Than Code Maximum UA: 85 Your UA: 83 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Glazing Cavity Cont. Assembly or R-Value R-Value or Door UA Perimeter U-Factor Ceiling: Flat or Scissor Truss 274 30.0 0.0 0.035 10 Floor:All-Wood joistfrruss Over Uncond. Space 274 19.0 0.0 0.047 13 Wall: Wood Frame, 16in. D.C. 534 13.0 0.0 0.082 38 Window: Wood Frame, 2 Pane w/Low-E 54 0.300 16 Door: Solid 21 0.300 6 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application.The teduilding has been designed to meet the 2010 New York Energy Conservation Construction Code requirements in RESche 75.5.0 and to comply with the mandatory requirements listed in the 11 check Inspection Checklist. .,�� n.G��.c>g1�J� 25 2°73 Name Title Signa Date F, F NEWY DEECC R O�Qf r w n w ctFO 4,0 0 pROFESSI Project Title: Report date: 11/25/13 Data filename: Page 1 of 7 N/F DREWS N 69'48'50"E 125.00' A MONO WIRE FENCE GENERALLY NORTH Of PROPERTY LINE ,6 0.5' C i!� 1.6' DIAM. V CONC. COLUMN 0 17.8 m 5.8' N v 0.9'� 8.1' o 3,8 FRAME ..a 6.0' SHED O POURED CONCRETE '3117— MMAN, N FOUNDATION N _ ! PDND � o I c rTf 1 eRIC 23.8 7 \ 1 z I 7.9 WOOD DECK W AREA CELLAR THISIS AREA ENTRANCE STOCKADE FENCE c > N WOOD FRAME p STOCKADE v D /FENCE o � RESIDENCE 36.1' n 29.9' �� C) C) PORCH (COVERE) �NH t 0.3' O "� _ C) N N b � CONC MON CONC MON S 69.23 50 W 125,00 BAY AVENUE SURVEY OF PART OF LOT 140 IN MAP OF NASSAU FARMS SITUATE CUTCHOGUE, TOWN OF SOUTHOLD FM# 140 SUFFOLK COUNTY, N.Y. DATE FILED MARCH 28, 1935 SURVEYED FOR: ARTHUR BAUER rM# 1000-104-04-033.2 LAURETTA BAUER GUARANTEED TO: SURVEYED: 14 DECEMBER 2006 ARTHUR BAUER LAURETTA BAUER SCALE 1"= 30' COMMONWEALTH LAND TITLE INS. CO. AREA = 24,016 S.F. ; OR 0.551 ACRES GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY SURVEYED BY IS PREPARED, AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY, STANLEY J. ISAKSEN, JR. LENDING F LISTED THE ASSIGNEES OF THE LENDING INS AND TOTITUTION, P.O. BOX 294 GUARANTEES ARE NOT TRANSFERABLE To NEW U FFO L K. N.Y. 956 ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. 631 — 34-5835 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING — — --`— ----- THE LAND SURVEYORS EMBOSSED SEAL SHALL ICEN D ND RVEYOR NOT BE CONSIDERED TO of A vauD TRUE NYS L c. N0. 49 73 06R 1553 COPY. 1. 11 JAN 07 LOCATE POURED CONC FOUNDATION (GARAGE) ; I - +SedSt1�1r4��o�R.. '6A„ ZY-14 �o ►`f 2 8 6 i [ i)ATION -TWO K-QUIRED POURED CONCRETE 2. ROUGH-FRAMING.PLUf!BING, STRAI-P ING. ELECTRICAL&CAULK!^' O OD .;. INSU.AT;ON Irl A I 4. FINAL-CONSTRUCTION & ELECTRICAL X �� -Xt S,-� L i MUST BE COMPLETE FOR C.O. u � � �_ ��ts:1��'j �� ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NE!^J YORK STATE. NOT RESPONSIBLE FOR v DESIGN OR CONSTRUCTION ERROF:S Cid( ass sr3 4 �.. 0 � v E . _ fit u" _ - _-_--� .► ------ -.._._A � - - _ oF NEiy --- - -- --- - —�----- �� PSS�. DEP- 0 2.30 �, JOB BAY CREEK BUILDERS D. W. Mcgahan SHEET NO. OF P.O. BOX 602 CALCULATED BY DATE l CUTCHOGUE, NEW YORK 11935 (516) 734-6270 CHECKED BY{�L, — `r DATE SCALE --- — a�Li Ipwal 1T EOM®®bc,Grube,MU&01471.To D(ft%IDIS TOLL FREE I-W225-M