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HomeMy WebLinkAboutZ-37019 y�FF©l Town of Southold Annex 7/14/2014 54375 Main Road Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37019 Date: 7/14/2014 THIS CERTIFIES that the structure(s) located at: 8145 Great Peconic Bay Blvd, Laurel SCTM#: 473889 Sec/Block/Lot: 126.-9-15 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 37019 dated 7/14/2014 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: seasonal wood frame one family dwelling with front screened porch and accessory wood frame two car garage.*_ The certificate is issued to Smith Family Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 126-9-15 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. u rued gnature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 8145 Great Peconic Bay Blvd, Laurel SUFF.CO.TAX MAP NO.: 126.-9-15 SUBDIVISION: NAME OF OWNER(S): Smith Family Trust OCCUPANCY: ADMITTED BY: Carl Austin SOURCE OF REQUEST: Smith Family Trust DATE: 7/14/2014 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: Posts CELLAR: Pit CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: front screened DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: no GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: National Grid Gas AIR CONDITIONING: TYPE HEAT: none WARM AIR: HOT WATER: #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame 2 car STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 7/1/2014 �.a TIME START: 10:15am END: 10:45am 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 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. 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. csZOf New Construction: Old or Pre-existing Building: !� (check ne) Location of Property: V ��7� QC4/�/� °l-� . ,��GLft //Q ' House No. Street Hamlet Owner or Owners of Property: ca-tol 41�� Suffolk County Tax Map No 1000, Section 1.2 Block Lot �s 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: $ TV Applicant Signature 676- � 5--P_126 2 .3 44CS1�.A) CONSENT TO INSPECTION c the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned(1s) (are) owners)of a premise in the wn o Southold, located at which is shown and designa0ad on the Suffolk County Tax ap as District 1000, ll � Section�� , Block "Lot 1� That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Buildin s ector's Ojb for.th folio ing: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws,ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es)so with the knowledge and understanding that any information obtained in the conduct of such'inspections may .. be used in-subsequent prosecutions for violations of the laws,ordinances, rules or regulations of the Town of Southold'. Dated: 30 A—Le (Si a (Print Name) (Signature) (Print Name) *pF SO�Tyol. 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road CA Fax(631)765-9502 P.O.Box 1179 roper.riche rt(CD-town.southoId.ny.us Southold,NY 11971-0959 'Q �yeOUNTY,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Carl Smith Address: 8145 Peconic Bay Blvd City: Laurel St: NY Zip: 11948 Building Permit#: 39008 Section: 126 Block: 9 Lot: 15 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 X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph 100a Heat Duplec Recpt 7 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures 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 F51 Twist Lock Exit Fixtures TVSS Other Equipment: AS BUILT----ELECTRICAL SURVEY OF WHOLE HOUSE AND GARAGE----- ----------NO VISUAL DEFECTS------ Notes: Inspector Signature: Date: July 7 2014 81-Cert Electrical Compliance Form.xls OY STown Hall O�j�D � Annex 34375 Main Road Telephone(631)765-1802 (631)76 5 P.O.Box 1179 G Q roper•richertCaii�O`wn.sou�tf9i0Q .nV US Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: i. Address: ' Phone No.: - JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: C&T-) *Cross Street: *Phone No.: Permit No.: i. Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) i i (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 E Additional Information: PAYMENT DUE WITH APPLICATION 82=Request for Inspection Form v (I f TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT Z64 � a&b j,e4,70'&d FORMER OWNER N ,�} E ACREAGE p u>r. SW TYPE OF BUILDING RES. _ SEAS. VL. FARM COMM. I IND. I CB. I MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS y3 A a 4 1307 a6)cl tom .. 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Mlr1NF.(011 Won-15Hn FAX I051) etV-lbnrJ 'J,Y S. +!SC' NG. :J49a n.•Ir hlniny+nr rnr,rA.nr nnn.rl.J.u..nnn..4 KnnenA M,w.ymn,k uF sours L9 • 6*7 TOWN OB DING DEPT. 1802 IN;i ION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ AL/W [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VI TION % [ ] CAULKING REMARKS: DATE C INSPECTOR s 0 COW, TOWN OF SOUTHOLD BUILDING DEPT. t//TOWN C 765-1802 INSPECTION I FOUNDATION IST ] ROUGH PLUMBING FOUNDATION 2ND INSULATION FRAMING / STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTMT CONSTRUCTION FIRE RESISTMT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) r i CODE VIOLATION CAULKING REMARKS: DATE - 7 t/7 INSPECTOR E. S. KALOGERAS P. E. Con- ul'ting &_ginEE z ACEC Member Supporting Excellence In Engineering UNION SQUARE 727 UNION AVENUE RIVERHEAD, NY 11901 July 8, 2014 Ms. Carol Smith 8145 Peconic Bay Boulevard Laurel,New York 11948 Re: Structural Integrity of Residence and Garage at 8145 Peconic Bay Boulevard,Laurel,NY Dear Ms. Smith: Per your recent request,we inspected the residence and garage structures at the above captioned project on July 7th,2014,for structural integrity. Our findings indicate that both structures are sound and will provide many years of service. The signature and seal attached herewith certify as to the structural integrity of both buildings. If we can be of further service to you, on this matter, call us at your convenience. Very truly yours, E.S. K, LOGERAS,P.E. PSE of CONSULTING NGINEER ��Co KA0- E.S. Kalogeras, P.E. • �w IIr � I U JAIL 8 2014 B!_O!_,. EPT. TO'1Vri 0 , THOLD TEL: (631) 722-4040 FAX: (631) 722-4004 E-mail: Lkalogeras@msn.com LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: 1 . At�ACCOMPANIED BY: KEY AVAILABLE: SUFE. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: aA_4 � 4 STORIES: 6r"'te-' # EXITS: T/ FOUNDATION: /0J7__fBASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: _ 2ND FLR: ` 3RD FLR: BATHROOM(S): e\_Z, TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: ECK, TYPE: PATIO,TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONIN G TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS: C . FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES 6 GARAGE, TYPE OF CONST.: TORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. vt 1!5— � � J REMARKS: , INSPECTED BY: DATE OF INSPECTION: — TIME START: ��� END: /© < S