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HomeMy WebLinkAbout38743-Z r' -g'FF014" . Town of Southold Annex 7/11/2014 �o`p c�oi P.O. Box 1179 $ 54375 Main Road coo ' �► � .' Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 37015 Date: 7/11/2014 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 155 Lake Dr, Southold, SCTM#: 473889 Sec/Block/Lot: 80.-3-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/24/2014 pursuant to which Building Permit No. 38743 dated 3/27/2014 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: alterations and additions, including deck to an existing one family dwelling as applied for The certificate is issued to Pin kham Gilbert E Trust&Pinkham Doris T (OWNER) - - - - - - of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38743 7/8/14 PLUMBERS CERTIFICATION DATED 7/1/14 Frank Meyer Aut r)d' S' nature TOWN OF SOUTHOLD o`FSUFot0° 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 #: 38743 Date: 3/27/2014 Permission is hereby granted to: Pinkham Gilbert E Trust m& PinkhaDoris T Trust 7200 3rd Ave - - - - - Sykesville, MD 21784 To: alterations, addition and deck addition to an existing one family dwelling as applied for. Replaces 17382. At premises located at: 155 Lake Dr, Southold SCTM # 473889 Sec/Block/Lot# 80.-3-14 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 9/26/2015. Fees: PERMIT RENEWAL $127.70 CO -ADDITION TO DWELLING $50.00 Total: $177.70 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. New Construction: IIOld or Pre-existing Building: (check one) �Q / Location of Property: 11 � Lc �' � ) I� L4 U t, �a Flouse No. II Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No �L� 4 5 Date of Permit. - Applicant:_ Health Dept. Approval: Underwriters Approval: Planning Board Approval Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature pF SO(/l�o yrµ* Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 C/31. o roger.richert(aD_town.southold.ny.us Southold,NY 11971-0959 co BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Gilbert Pinkham Address: 155 Lake Dr City: Southold St: NY Zip: 11971 Building Permit#: 38743 Section: 80 Block: 3 Lot: 14 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 Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 20 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors 1 Main Panel A/C Condenser Single Recpt Recessed Fixtures 6 CO Detectors Sub Panel A/C Blower Range Recpt elec Fluorescent Fixture Pumps Transformer Appliancesdw Dryer Recpt 1-30 Emergency Fixtures Time Clocks Disconnect Switches 16 Twist Lock Exit Fixtures TVSS Other Equipment: 1-paddle fan, 1-exhaust fan ELECTRICAL SURVEY------------NO VISUAL DEFECTS Notes: Inspector Signature: (' Date: July 8 2014 81-Cert Electrical Compliance Form.xls rq S0(/T�o Town Hall Annex ~O l� Telephone(631)765-180.2 54375 Main Road Fax(631).765-9502 P:O_ Box 1179 Southold,New York 1 197 1-0959 CQU ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD -CERTIFICATION Date: Building Permit No. Owner: �C (Please print) Plumber: ��'�/�'Jl//� /�� c l (Please print) I certify that the solder used in.the water supply system contains less.than 2/10 of 1%0. lead. (Plumbers Signature) Sworn to before me this *.: day of _ 20 " ONNiE D. BUNCH Notary Public, State of New York No.0 i B06155050 Quayfied in aLiffolk County �;csrnmission Expires April 14,2_O./ Notary Public,���- ���� County l�39v M.1802 BUILDING DEPT. INSPECTION [� FOUNDATION 1ST ( ] ROUGH PLBG. I FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: �a.�" oc DATE � d INSPECTOR .iX� � 76s-ieo2 3 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. j FOUNDATION 2ND P-rINSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE .2 � INSPECTOR SOF so(/l�, ooUN('1, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] 1 ATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE V10 ATION [ ] CAULKING REMARKS: 1 � 1 DATE -q// 7 INSPECTOR 7Y3 TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU LBG. [ ] FOUNDATION 2ND [ ] [ ] FRAMING/STRAPPING [ FI l [ ] FIREPLACE & CHIMNEY [ ] FRE SAFE INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ j FIR ISTANT PENETRATION [ J ELECTRICAL (ROUGH) [ J ELECTRICAL(FINAL) REMARKS: lj-L- DATE �-1�3//, INSPECTOR OF SO//j�o� n TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] 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 / INSPECTOR I: LD I;:Si �,::�u;� ��Jh.- �� UXMEENT� 103 F OU14DATION ( 1st ) Fhb FOUNDATION ( 2nd ) myb 2 . 9 Or 7i•� z(� 0 ROUGH FRAME & ` PLUMBING KlA Nj _ � x3 . ra ItJSULATION PER N . Y. H STATE ENERGY CODE 4 , L FINAL MA, .y ADITIOPI L COMMENTS : ,rA lFL Ia ��c�� s�, H C (/ti CT] b [=7 -ti H BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . . . • • • • • • . . - SURVEY X . . . TOWN OFSOUTHOLD CHECK .#Cj3`/• • • • • • • • • • • . • • u BUILDING DEPARTMENT SEPTIC FORM TOWN - TOWN HALL • • • " " " " ' COUTHOLD, N.Y. 11971 NOTIFY p• TEL.: 7G5-1802 CALL �, � _ .374 Examined/ . . . . . . . . . .. 1904 MAIL TO : /.�. . . . . . . . . . . . Approved . :/,/• . . . . . . . . . .I 194f Permit No. . ./. 73 JF.2 er car �fio�r�s Disapproved a�/e . . . �i9vtlt�r+L�'/ 1 ?7/ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . Duil g Inspector) 1 APPLICATION FOR BUILDING PERMIT �l. . BLDG. ut,,, Date 151 TOWN OF SOUYPOLD •• • INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building sets of plans,accurate plot plan to scale. Fee according to schedule. Inspector,with 3 b. Plot plan showing Iocation of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building shall be kept on the premises available for inspection throu� o Permit to the applicant. Such permit e. No building shall be occupied or used in whole or in part for anrk. shall have been granted by the Building Inspector. y purpose whatever until a Certificate of Occupancy ' 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 applicabre laws, ordinances, building code, housing code, and regulations admit authorized inspectors on premises and in building for necessary i spec ns. a , and to (Signgture of applicant, or name, if a corporation) (Mailing address of applicant)• • . • • • • • • • State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Fame of owner of premises G/f?E' . . . . . . . . . .y.�. . . . . . . . . . . . . . . . . . . . . . . . . /.-!��`�lPf-s-, •��.r�' ��,��-y,� �• •/f�I;�7'L��•�,� (as on the tax roll or latest deed) . . . . • ' • ' f applicant is a corporation,signature of duly authorized officer. • • • . • (Name and title of corporate officer) Builder's License No. . . . . ...!. ... . . .. . . • . . � � Plumber's License No. . . . . . .�bf�'Tj?C,�°?*• Electrician's License No. Other Trade's License No. • .��1,/, Ged H• Location of land on which proposed work will be done. . . • , House Number Streets ' • • • • • • . k):I-Np.ot,�• Hamlet County Tax Map No. 1000 Section . . . c7.? Btock . . . . . . �? /� . . . . . . � Subdivision . .l!.��y � 1. ��43'� ` ''.S . . . . . . . . . . . Lot . . . . • . . . . . . . . (Name) . . . . . . . . . . Filed Map No. . .`r7-�; �F- • . . . Lot . ./•'• • State existing use and occupancy of premises and intended use and occupanc /��� F • • - a• Existin^ u / /'� Y of proposed construction: use and occupancy . . . . . . .' -e •,! r. . b• Intended use and occupancy . . . . .:S:E'��.`. J` ??. -j • . ..t.r'1_',s•. • . . . . . . . . . . - • ��,ate:: 's. ,.,�..�,�. . .. . . . . . . . . 3. Nature of work (check which applicable): New building Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . Addition . . . Alteration e!, • . " . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other %Vork . . . . . . . . . . . 4. Estimated Cost . . . . , , • • • . • (Description) • • . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. If dwelling, number of dwelling units , . , , , , , � (to be paid on filing this application) If gara,e,number of cars . . . ' ' ' ' ' ' ' • Number of dwelling units on each floor . _ 6. If business, commercial or mixed occupancy, ecif • • • • • • • • ' . ' ' ' ' ' ' ' ' ' ' ' ' • • • 7. Dimensions of existing structures, p Y nature and extent of cacti type of use . ,�Y/�.• � � • • • • • • ' Hei"lit . /.Q;�, b res, if any: Front . . . ;. . . . . . . Rear , , d ' r . . . . . j . ✓:Cit. . Depth . . 2.A. . Dimensions ' '' ' • • Number of Stories . . . , ,f,� ' ' ' ' ' ' . . . . . . . ons of dame structure with altcratio . . . ' ' Depth .. ,� '. — /z�!ti/�h ns or additions: Front . . : . . . . . . . . . . . . .Rear }!s'•'; w�ty' S. Dimensions of entire new Aids IIn: Front.nt : t q • • . • • • • , , , • Number of Stories . . . Height fi�i�tion: Fro . . . . . . . . . . Rear • • • . . . . . . . . . . . . . Number of Stories . • • • • ' ' ' ' ' ' ' • • • • • Depth 9. Size of lot:.Front . . ��'. :�. . . . . . . . . . ' - . . . . . . . . . . . . . . . 10. Date of • . . . . . . . . . . . . . Rear . . . . . 4� , .r . . . . Purchase . ./.QES. ;Z De th ��' u* ,3%p'. 1]. Zone or use district in which p m • • • .are situ Nmc eer ' /{�^ lc.e�,;¢-• • • " 12. D remises situated �•%� l �•�� 1 L7,�-�,, . , . Does proposed P posed construction violate any zoning law, ordinance or regulation: _ 13. Will lot be regraded . .�( , , . (f? , • • ' ' ' ' ' ' " 14. Name of Owner of premises Vi�i �✓, E� ' ' • • • • Will excess fill be removed from • � • • • • . • •Yes c m premises: Name of Architect . . . . . / >. . . . � . Address!S 3 !t -P fO,;�"✓.! . . . . Phone No. 74,, 7;! N Name of Contractor . . . f #z '44 . • ' ' ' ' ' • • Address . . . . . . . . . . . . . . . . . . . Phone No. 15-Is this ro • • • • • • • • • Address . . , p property located within 300 feet of• a •tidal •wet•landon*No. *If yes , Southold Town Trustees Permit may be required. YES•' NO. . . .� � PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions frorr property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 1"z�clf 11::�:Ice r "TATE OF NEW R :OUN,TY�OF . .c �,(, f 1l S.S (Name of individual si;niiig contract) • • being duly sworn, deposes and says that lie is the applicant Bove named. cis flit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate. officer,.e.tc.) • • ' ' ' ' ' said owner or owners, and is duly authorized to perform or have performed the said work and to make plication: that all statements contained in this application arc true to the best of his knowledge and belief;and irk will be and file this performed in the manner set forth in the application tiled therewith. that the "Orn to before me this . . . . . . . . /X . . . .day of :L . �. . . . ., 19 ( .G� t1r}• Public, _ ,�� .w� . . . . . . County i HawY Now YM* . . . . . . . . . . . . . . . . . . . . . . . . . Quin SolMkCou (Signature of applicant) mon 80"Oecember 8 JUL - 1 2114 �0'\\0 SlifjryD� Town Ii i Telephone(631)765-1802 g Q2 r P.O.Box 1179 G Q roaer.richertdiow6N)676 offs nV us j Southold,NY 11971-0959 �O ; BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION ' REQUESTED BY: � Date: Company Name: i Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates re wired information) *Name: *Address: *Cross Street: *Phone No.: j' - 7 4 2— Permit Permit No.: 3 g7 3 Tax-Map District: 4000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 1 h I (Please Circle All That Apply) *Is job ready for inspection: ES NO Rough In Final *Do-you need a Temp Certificate: YES/(g j 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 82=Request for inspection Form �n I *oF so�lyol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 i • 0 Telephone(631)765-1802 Southold,New York 11971-0959 ' ,yc4UNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD July 3rd, 2007 Pinkham Gilbert E. Trust 5 Maplewood Ct. Hilton Head Island, SC 29926 RE: 155 Lake Dr. (addition/alteration) SCTM# 80 3 14 To Whom it May Concern: Please be advised that your Building Permit# 17382 issued September 1St, 1988 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $127.70; ataecan schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, ' SOUTHOLD TOWN BUILDING DEPT. Gilbert E. Pinkham 7200 Third Ave. C-136 Sykesville, MD 21784 Southold Building Department PO Box 1179 Southold, NY 11971 Gentlemen, Please find enclosed a check for$177.70 to inititiate the process of obtaining a CO for my summer cottage at the following address: 155 Lake Drive Reydon Shores Southold, NY 11971 Connie informed me that you have a file in your office on our expansion and renovation project in about 1990. If there are any questions please feel free to call me at (443)609-3179 or email me at gilpinkl _aol.com Very truly yours, "�— 'c/'�"'&"--,,, Gilbert E. Pinkham 3 A pF SO�jyol. Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �outm,� BUILDING DEPARTMENT ` TOWN OF SOUTHOLD May 15, 2014 { Gilbert & Dolores Pinkham 7200 3"d Ave Sykesville, MD 21784 RE: 155 Lake Dr, Southold TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: It11 Application for Certificate of Occupancy. (Enclosed) E Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Tt-Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Punning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 38743 — Addition/Alteration - ' M1 , , , , c, __.,... nom. s .. ., �. '... 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