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38746-Z
1};7- t� �..-�, Town of Southold Annex 9/22/2014 P.O.Box 1179 T 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37166 Date: 9/22/2014 THIS CERTIFIES that the building ALTERATION Location of Property: 2820 Shipyard Ln, East Marion, SCTM#: 473889 Sec/Block/Lot: 38.2-1-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/18/2014 pursuant to which Building Permit No. 38746 dated 3/28/2014 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: "as built"alteration for a bathroom in an existing one family dwelling(condo unit IAl)as applied for. The certificate is issued to Wanamaker, Barbara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38746 9/25/2014 PLUMBERS CERTIFICATION DATED ut riz Sign ture ,-.:`,:`"- TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN CLERK'S OFFICE N1 * ��, 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#: 38746 Date: 3/28/2014 Permission is hereby granted to: Wanamaker, Barbara 8 Russet Ln Huntington, NY 11743 To: As built alteration (bathroom addition) as applied for. At premises located at: 2820 Shipyard Ln, East Marion SCTM # 473889 Sec/Block/Lot# 38.2-1-1 Pursuant to application dated 3/18/2014 and approved by the Building Inspector. To expire on 9/27/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 Bui in 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 Dat/e. New Construction: Old or Pre-existing Building: i/ (check one) Location of Property: 11At k b ac) ���t►�����Z�� ( N11� I��T M��2 t Otl House No. �� GL�e� 0-1, Street Hamlet Owner or Owners of Property: QA 1S A t 2 A- 871`\fit- Tn Suffolk County Tax Map No 1000,Section 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: $ C ica Sig ature *pF SO!/Tyol. 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �o roger.riche rt(aD-town.southoId.ny.us Southold,NY 11971-0959 Q �yCOUNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Barbara Wannamaker Address: 2820 Shipyard Ln Unit 1A1 City: East Marion St: NY Zip: 11939 Building Permit#: 38746 Section: 38.2 Block: 1 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: CoraZZini Electric License No: 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 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 4 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 10 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 8 Twist Lock Exit Fixtures TVSS Other Equipment: 2-exhaust fans Notes: Inspector Signature: Date: Sept 25 2014 81-Cert Electrical Compliance Form.xls o�su�Fot,��o o� Gyp W _ Town Hall,53095 Main Road 0 Fax(631)765-9502 P.O. Box 1179 'j'�O ��� Telephone(631)765-1802 Southold,New York 11971-0959 1 �► BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: I 1 - `A Building Permit No. _ �g Ll Owner: Q Q(4- 111 Nti �C 12 (please print) Plumber: eoG c— (2e-'rr '/ 'yec (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. lamb ature) Sworn to before me this day of 20 /C/ Notary Pat.Slats of Now yo* 01108�in,SUM Coudy No.MBE4b94689 Notary Public, County i pF SOpr�o� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] 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 Frank Wolfgang Uellendahl Architect 123 Central Ave POB 316 Greenport, NY 11944 t: 631.477.8624 e: frank@frankuellendahl.com September 4, 2014 Submitted to: Building Inspector's Office Town of Southold Project: Alterations to the Wanamaker Condominium Apartment #1A1 at Cleaves Point, East Marion LETTER OF • Permit # 38746 PLUMBING PRESSURE TEST This is a letter to certify that the plumbing pressure test performed at the altered bathroom of the above referenced residence was successful. No leaks were detected. I herewith certify to the best of my knowledge that all work was performed as per NYS code and as per the building permit plans. i erely, 0 E(ZF rank Uellen RA w, I I • 021ro�'�� l� SEP 11 2014 i FIELD RM ON REPORT DATE COMMENTS FOUNDATION(1ST) FOUNDATION(SND) , 1 �0 ROUGH FVCF& PLUNMING f I I 11 INSULATION PER N.Y. ;y STATE ENERGY COVE FINAL t I • I 1 ADDfrioNAL COMMENTS 1 a g C, b 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: 631 765-9502L` `� Surve SoutholdTown.NorthFork.net PERMIT NO.�/��??,,� p l� Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined _,20 Storm-Water Assessment Form :!!VZ_1 Contact: Approved 20 Mail to: Disapproved a/c 2 f Phone: Expiration 20�� Buil spector APPLICATION FOR BUILDING PERMIT 17 2014 Date %J 1 � , 20 LJ INSTRUCTIONS a. Thisvplicat b 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. J P��-M -��,► ► z�� Com.. (Signature of applicant or name,if a corporation) 'D 'LDr L1 b\ SD_T�-Aa (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engine Qeneral contractor, ctrician, plumber or builder Name of owner of premises P►-a 6 a aea. vAt-kv� '%Aev kL%&(L (As on the tax roll or latest deed) If app cant is a o o , signature of duly autho 'zed officer acS (Na e a title of corporate officer) Builders License No. �9q I F. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: ut._k I A t 'a Sam I House Number Street Hamlet County Tax Map No. 1000 Section-�6, ;- Block Lot 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 t`\C3 D= \=A t-\ b. Intended use and occupancy \F A��% 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost lt)o ©O'D 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 0-0\\ Name of Former Owner 1 l. Zone or use district in which premises are situated / 12. Does proposed construction violate any tonin 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 (5A 6A2F1-\M(+`yA�A6ress� 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 ) IS `, co',j!gn,-D�r_i_iS being duly sworn, deposes and says t6 6AM icant (Name of individual signing contract)above named, Notary pudic,Stele of New York No.01 SU61 SW50 (S)He is the VYLA T QueaRW in Suffolk County ontractor, gent,Corporate Officer, etc.) Commmion ' 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 b performed in the manner set forth in the application filed therewith. MrAt before me thi day of 20j 4-eNotary Public of Applicant Albert J.Krupski,President Jame ng,Vice-president $ut:F�a'�- 'Town Hall �� CSG 53095 Route 25 Artie Foster O P.O.Box 1179 Ken Poliwoda j ti Southold, New York 11.971-0959 i Peggy A. Dickerson y 0-0 T 'Telephone(631) 765-1892 �,l, + �� Fax(631)765-1366 BOARD OF TOWN.TjjUS'j'I CS TOWN OF SOUi'HOLD _ June 6, 2002 l i Mr. Mat( D. ivans Suffolk Frivironmental Consulting, lnc. I i Maitl Street .0. Box 2003 Bridgehamhten, NY 11532-2003 W,,: AMELIA hiE NDOZA 38015 Main- JItl., (bier:# SCJ'lst#`1.5_2- 15. 1 Dear fair. ivans: The Srnrlhold T(-v;vn Board of Trustees reviewed the survey;l;,i.,:l r)rt:�?:�� 3(IOt 111(1last rf.viscd May 2-0, 2002 and determined the proposeel struct11res t„ he out ? tl'c %-Vedaiid jurisdiction un(1er Chapter 97 of the lc�wn V!�eliand (�'o(1e. However, any activi(y 1vi(Ijill ioO, of a Wetland line of tale Coas',al 12rosioll Hazard Area would require further review from this office. This detemination is nota detern>inalion frons any other agelx_y. If you have any further questions, please do not hesitate to rail. Sincerely, Albert.l. Krupski, Jr. President, Board of Trustees AJUins New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40-SUNY,Stony Brook, New York 11790-2358 lewd Phone:(631)444-0365 - FAX: (631)444-0360 1W Website:www.dec.state.ny.us Erin M.Crotty Commissioner Letter of Non-Jurisdiction -Freshwater Wetlands Act ,July 19, 2002 Amelia Mendoza 48 Palace Gardens London, UK W84RR Re: Mendoza Property Main_Road_,. -- - __. Orient, NY 11957 SCTM# 1000-15.0cwZ&�01 DEC# 1-4738-034 Dear Ms. Mendoza: Based on the information you have submitted,the New York State Department of Environr V� Conservation has determined that: Your proposed project,to construct a single family dwelling,garage, pool,guest house, and b,fir. as shown on the survey prepared by Joseph A. Ingegno last Tevised Ju66 Ig'2002, is more tihwr 100 feet from regulated freshwater wetlands. Therefore, no permit is required under the Freshwater Wetlands Act (Article 24 of the Environmental Conservation Law). Be advised,that all construction,clearing,and/or ground disturbance must remain mora th_. feet from the freshwater wetland boundary. In addition,any additional work,or modification.::: project as described, may require authorization by this Department. Please contact this such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining necessary permits or approvals from other agencies. Very truly yours, JeRoEvans Administrator cc; Suffolk Environmental Consulting I �OP7A70 'nu AC :C I 7W7 I I SO01 �jryo Town Hall Annex 54375 Main Road Telephone(631)765-1802 !: �ax(631)765 5Q2, P.O.Box 1179 Q roQer.rlchertiOWn.SOut�O nv us Southold,NY 11971-0959 j BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Z 1 --I°►—iti Name: License No.: Address: Phone No.: 335 g9cl Z JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: ��•t >r . �►40� nl �,.�. *Cross Street: *Phone No.: Permit No.: L (� Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) I pt 00 r o C-CSSA- (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 82=Request for Inspection Form LJ -IFICATION C C L At_+L CODES OF :N LEAD CONTENT BEFORE NL-',,N '(J."K S TA-+ & TOWN CODES AS REQUIRED 3TIFICATE OF OCCUPANCY APPROVED AS NOTED ')OLDER USED IN WATERnAT F- B.P.# B -5UPPL Y SYSTEM GANNu I S 0 IJ�l 1. 1 U VV N F 9%lMGVffii&- EXCEED 2110 OF 19ol LEAD. FEE. BY: NOTIFY BUILDING DEPARTMENT AT T;*!TR64Eis 765-1802 8 AM TO 4 PM FOR THE PLUMBING FOLLOWING INSPECTIONS: ALL PLUMBING WASTE 1. FOUNDATION - TWO REQUIRED &WATER LINES NEED FOR POURED CONCRETE TESTING BEFORE COVERING 2. ROUGH _ FRAMING & PLUMBING 3. INSULATION PDBE COMFF TTEIOFOR C.O. SHALL MEET THE M S OF THE CODES OF NEW EQUIRE RK ST NOT RESPONSIBLE FOR BE R!CONSTRUCTION ERRORS. F-- 4'-8- 09, O A � Frl C/-) --o OCCUPANCY OR 0 USE 132UNLAWFUL []�D = WITHMT CERTIFICAT 00 OF OCCUPANCY 00O ID 12'-1* 4 J/2' 4'-5* 2'-2' 2 1/2' 4'-11" 2 112' 91-0. C/-) F-r-1 CLOSET D 36'X80° c/) co 00 oli CD C313 CTZ) CC) ° o 0 CD FT 41 Im 00 O 00 0A 5,-0" 5'-6 1/2' (r)COPYRIGHT 2014 FRANK W. UELLENDAHL, R.A. ALL FLOOR PLANS AND ELEVATIONS ARE PROTECTED UNDER FEDERAL COPYRIGHT LAW. ALL PLANS ANDI E OF ELLENDAHL R.A. THE RIGHT TO BUILD ONLY ONE STRUCTURE FROM THESE PLANS IS LICENCED EXCLUSIVELY TO THE BUYER. m CA -0 WANANIMR F 7 CD CD C/') CD CD rn CD Z ==j CD m cDcD 02/25/2014 AS-BUILT PERMIT APPLICATION CD r" El