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HomeMy WebLinkAbout39119-Z Town of Southold Annex �ytNrfOl,t ,, 10/31/2014 tP.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37248 Date: 10/31/2014 THIS CERTIFIES that the building GENERATOR Location of Property: 910 New Suffolk Ave, Mattituck, SCTM#: 473889 Sec/Block/Lot: 114.-12-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this oificed dated 8/7/2014 pursuant to which Building Permit No. 39119 dated 8/18/2014 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: ACCESSORY GENERATOR AS APPLIED FOR The certificate is issued to Donlin,Carole (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39119 10-22-2014 PLUMBERS CERTIFICATION DATED Authorized Signature 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#: 39119 Date: 8/18/2014 Permission is hereby granted to: Donlin, Carole 910 New Suffolk Ave Mattituck, NY 11952 To: install an accessory generator as applied for At premises located at: 910 New Suffolk Ave, SCTM #473889 Sec/Block/Lot# 114.-12-8 Pursuant to application dated 8/7/2014 and approved by the Building Inspector. To expire on 2/17/2016. Fees: ACCESSORY $100.00 ELECTRIC $85.00 CO -ACCESSORY BUILDING $50.00 Total: $235.00 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: Old or Pre-existing Building: (check one) ir Location of Property: 910 N Ew S.,E6111 14yC, �rf�O L� House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section J / `f Block 12 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: $ Applicant ' nature SDUjyOlo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G roger.riche rt(CD-town.southoId.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Donlin Address: 910 New Suffolk Ave City: Mattituck St: NY Zip: 11952 Building Permit#: 39119 Section: 114 Block: 12 Lot: 8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Glen's Electric License No: 4770-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 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 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 Fixtures Time Clocks Disconnect Switches Twist,Lock Exit Fixtures TVSS Other Equipment: 20KW stand by generator with 200a transfer switch Notes: Inspector Signature: Date: Oct 22 2014 81-Cert Electrical Compliance Form.xls FIELD RtSPELTI014REPORT DATE COMMENTS FOUNDAtION(1ST) FOUNDATION(2ND) 10 r ROUGH FIND& c. y PLUMBING J ►J INSULATION PER N.Y. STATE ENERGY CODE 4 FINAL V ADDITIONAL'CO1VIlYtENT • . g C• � Fy V �y 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 Suryey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.0' Application Flood Permit Examined 8 (10,20 Single&Separate Storm-Water Assessment Form Contact: Approved 6520 Mail to: Disapproved a/c Phone:_ �� Expiration ,20_Lt �, ^ ' uilding Inspector F___711-7 �I ,1 PPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS pletely 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. (Signatur o applicant or name,if a corporation) 3o- a 7 (Mailing VN TED State whether applicant is owner, lessee, agent, architect, engineer, general contractor-, i�\ 1pin Pr ar bdioe{>< EL- /GolL, r_-F0 _E: BY.Y,1�'C Name of owner of premises CAS L E D o N 44#"V i '4 > Y (As on the tax roll or latest deed)-. - I ' ^ r" h If applicant is a corporation, signature of duly authorized officer ' i N LriW L. C_0 P2 CERT r%A, (Name and title of corporate officer) _ Builders License No. ,F 'ANC 1! Plumbers License No. Electricians License No. 4-f-7?0 -Hilt , , r :I r.uc1 ,N SAt I'%Fl 7H,1- Other Trade's License No. 1. Location of land on which proposed work will be done: DESIGN OR CONSTRUCTION ERROr;3 !Z/o AI&V House Number Street Hamlet County Tax Map No. 1000 Section // Block !�Z_ 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 b. Intended use and occupancy �o l'l e4—A'4-r0 P-- 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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 14.Names of Owner of premises Address 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 ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (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 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 t!�4� day of20 NV CONNIE D.Netwy-PuBUN Nota Pub is o.01 State 5 n ture of Applicant rY No.01 BU6185050 PP Qualified in Suffolk Countye7i Commission Expires April 1�4,210 i o��pE SO�iryo! � o Town Hall Annex Telephone(631)765-1802 ' 54375 Main Road ONO P.O.Box 1179 G Q roger.richertfa te`wr%sout O nV US Southold,M'11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION ' REQUESTED BY- Date: Company Name: 6 '�Sa . crr Name: License No.: Address: c Phone No.: 3�� - JOBSITE INFORMATION: (*Indicates required information) 'Name: �oN `-rA) l�,SiQEA& F. I "Address: Nom,, ;v FFA c A *Cross Street: 0 10 a tjF.0 LA- . *Phone No.: Permit No.: Tax-Map District- 1000 . Section: //Y Block: !Z Lot:_ 2r *BRIEF DESCRIPTION OF WORK(Please Print Clearly) e �,.-- r (Please Circle All That Apply) *Is job ready for inspection: YES/(jW Rough In Final *Do-you need a Temp Certificate: YES/ NO Temp Information(if.needed) Clfo %SMF' AJo��� *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 I - � I 82=Request for inspection Form 1. w Scott A. Russell ,�a S`7C'OI[LIMMA\T)EIR� SUPERVISOR MA\1 A(G 1E 1ENT SOUTHOLD TOWN HALL-P.O.Box 1179 'pWyl of So u th o l d 53095 Main Road-SOUTHOLD,NEW YORK 11971 CHAPTER 236 - STORMWATER MANAGEMENT-WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) ' DOES THIS PROJECT INVOM AN Y OF THE ; (CHECK ALL THAT APPLY) Yes No E [� A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. E t [✓j�B. Excavation or f illing involving more than 200 cubic yards-of material within any parcel or any contiguous area. ��. Site preparation on slopes which exceed 10 feet vertical rise to ,�. � 10.0 feet of horizontal distance. QB 'D. Site preparation within 100 feet of wetlands, beach, bluff or coastal = erosion hazard area. QElx�. ite preparation within the one-hundred-year floodplain as depicted i on FIRM Map of any watercourse. impervious surfaces of 1,000 square i . ❑ F. InstalIatlon of new or resurfaced mp ` feet or more, unless prior approval of a Stormwater Management , Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. Date: APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.0-T.M. 1000 District NAME &CT�« - _ �� IN Section $Jock Lot FOR BUILDING DEPARTMENT USE C�, L Contact Information 1p53 Reviewed By: — - - - - - - - — — — — — — — — — — Date � 1(J Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — Approved for processing Building Permit- 1(� �J � /� U — — Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required_ (Forward to Engineering Department for Review.) FORM - SMCP-TOS MAY 2014 TOWN OF SOUTHOLD RRORERTY RECORD CARD OWNER STREET q10 VILLAGE DIST. SUB. LOT rce- A T r, 7-61 C' FORM R OWNER N E ACR. r * V�' Kyom 0.47 S W TYPE OF BUILDING :ES. d SEAS. VL. FARM COMM. CB MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 4-e ae) 359 �. ! I ZL D �� �. . ra tl 1 �' Z tD t r -•�-4 �{-U r '"' t..r �zaCAD A t-1 s , _ 1 Svcs J y© av 9 a - lmi n vn/ ca0 1 1 1 - � AGE5-00 BU NDIT© Z NEW NdlIWAL BELOW ABOVE FARM Acre Value Per Value 9 r Acre h 1 IJ e ! 'illable 1lee zo , co 01%:n `illable 2 1 'illable. 3 Voodland wamplond FRONTAGE ON WATER rushland FRONTAGE ON ROAD o .e 9---- .S"s�'ca louse Plot DEPTH i BULKHEAD 'otal DOCK : -5f f *MAI -4- ' r PON No moms w Rr.'11�1�! !i�l�Irmo MEMNON NVIENOMMONOMMUMN MMMMEN k S -�v wM00wr:MMMWNZ1 91000 1MUSAIRIWOMENOMMMMMSOM MMMMMMU1MwMIIDIIMMMMMMMMMMMMM MSMM"=vMxMMMIIMMMMMMMMII1FF MMMMMMMMMMvM Foundation Basement Fire Place ype Roof Recreation Rooms 2bd Floor . sfra.sl wY' dl !& • • qq s• p ANT n .q r .` ;e ■■■����� ■■■■■■■■■■■■■■■■■■ , ■■■u- E�■iil��■■■ti■1�iiriir` ri�i' i`iii ■i i■■ilii■i; 3�ii■ii�iiii■■■■■■■��: ■■■iiia■� !!■■■■■■■■■■■■■■■■■ _ ■■■■■■■■M■■■■■■■■■■■■■M■■�■ ■■■■■■■■■■■■■■■■■■■■■■■■ •• Foundation . .. `t y g • r 5 .. r I� fi ♦ • • * NNS" s NEW ` UFFOLK AVENUE N S I I 0 I I I v I I ► 1 I � A n L— ---1 n I rn A Q I I ` m m" t P � ��`(�� 3 t ,2 r AOlt fn 10l m I d ^, In I o X t a Dec < r q n rn LOw eR IIEGK ti 22-5" DONLIN RElbMG ICE Ak LEAR DESIGN ASSOCIATES, LTD.. 910 NF—\N SUFFOLK AV.-M&TTITUGK PROP. 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