HomeMy WebLinkAbout39280-Z FOJ,t Town of Southold Annex
10/31/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 37247 Date: 10/31/2014
THIS CERTIFIES that the building GENERATOR
Location of Property: 350 Richmond Ln, Peconic,
SCTM#: 473889 Sec/Block/Lot: 86.-14.6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/2/2014 pursuant to which Building Permit No. 39280 dated 10/17/2014
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 Ferraiuolo,Thomas&Ferraiuolo,Claudia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39280 10-22-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
4� H BUILDING DEPARTMENT
:.
TOWN CLERK'S OFFICE
SOUTHOLD, NY
77
,r
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#: 39280 Date: 10/17/2014
Permission is hereby granted to:
Ferraiuolo, Thomas & Ferraiuolo, Claudia
350 Richmond Ln
Peconic, NY 11958
To: Installation of an accessory generator as applied for.
At premises located at:
350 Richmond Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-1-4.6
Pursuant to application dated 10/2/2014 and approved by the Building Inspector.
To expire on 4/17/2016.
Fees:
ACCESSORY $100.00
CO -ACCESSORY BUILDING $50.00
Total: $150.00
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$15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3 S v I",(C.)-A/n (;,,,a kA "L:- �C___o 0 L C-
.
House No. Street Hamlet
Owner or Owners of Property: 77Yom4s T Ct L A u i ,-o �IZZ-4A U C). o
Suffolk County Tax Map No 1000,Section Block Lot ,
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
tore
SOUryOlo
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 �� ro_ger.riche rt(a)-town.southoId.ny.us
Southold,NY 11971-0959 'OIyCOUNT'1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Thomas Ferraiuolo
Address: 350 Richmond Lane City: Peconic St: NY Zip: 11958
Building Permit#: 39280 Section: 86 Block: 1 Lot: 4.6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RFG Electrical Cont License No: 4708-me
SITE DETAILS
Office Use Only
Residential X Indoor X 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 Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 20KW stand by generator with auto transfer switch
Notes:
Inspector Signature: Date: Oct 22 2014
81-Cert Electrical Compliance Form.xls
FIELD IlWE QN REP03 T DATE CON MENTS
FO (IST) .
FOUNDATION(2ND) LL..
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PLUADING
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INSULATION PER N.Y.
STATE ENERGY CODE L'
FINAL ,
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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 11471 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)763-9502 Survey
SentholdTown.NorthFork.net PERMIT NdCAA. Check
Septic Form
N.Y.S.D.E.C.
TnvNee s
C.O.Application
Flood Permit
Examined 20! Single&Separate
Storm-Water Assessment Fonn
7
7 Contact:
Approved .20_y Mail to:
Disapproved a/c /D V -
Pt,oc�a(�.— - S-T Il�! f
F.xpiratioi 20_/4
— — — Building
APPLICATION FOR BUILDIN am WW _
Date �� — ,20�
i OCT 2 2014 MSTRUCTIONS
a.This application M ST be letely filled in by typewriter or in ink and submitted to the Building Inspector with 4
an to s e.Fee according to schedule.
djn' p wing location f lot and of buildings on premises,relationship to adjoining premises or public streets or
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-
c.
orke.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 bean 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,anew permit shall be required
APPLICATION IS HERL-BY MADF.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,Ordunan oes 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 to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
95Z LR,,, j� wci. N4
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises //,O rvl AS 0';l 1 U G U
(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 Liccnse No.
Plumbers License No. ST T
Electricians License No. at c _
Other Trade's License No.
1. Location of land?�which sed w will be done:
Hoose Number Street Hamlet
County Tax Map No.1000 Section "locks_,,,
Subdivision Filed Map No. IJot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a Existing use and occupancy +� nX Af:�, e' s 1 0 k r,.c�
b. Intended use and occupancy
,r
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work 5 SRN d 1 y <frl C-Q ATa,1.
4. Estimated Cost Fee (Descri tion)
(To be paid on filing this application)
S. 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 hear Depth
Height Number of Stades
Dimensions of same structure with alterations or additions:Front hear
D9Ptl Height Ntmtber 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 whichre '
p mtses are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO
13.Will lot be regraded?YES�NO_Will excess fill be removed from premises?YES NO____
14.Names of Owner of premises Address Phone No,
Name ofArchitom Address Phone No
Name of Contractor Address Phone No.
15 a Is this property within 100 feet of 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)
f SS:
COUNTY OF
77kYYI 4.S (-C--02 22 A)y b A L2 being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Q w w-e_V-L_
(Contractor,Agent,Corporate Officer;etc.)
of said owner or owners,and is duly authorized to perform or have perfotmcd 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
perfonned in the manner set forth in the application filed therewith.
Sworn to before me this
I:LAK da of O C Zo�
�7�t_r1'i�wt
Notary Nbtic.� w ognatore ofApplicaM
svFF•IK�rfy�
No.01i6J(�O$c(c�
Qualified in SuiPr,i;c County
Commission Expires Feb.12,20Jb
Scott A. Russel w STOR.MWATER
3VPERVISOR MANAGEMENT
SOUTHOLD TOWN HALL-P.O.Box 1179t
t,,t '`
53095 Main Road-SOITPHOLD,NEW YORK 11971 r'���'Wt.._ r Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
DOFS THIS P'RONCT INVOLVE ANY OF THE F01.I0WING:
Yes No KHECK ALL THAT APPLY:
A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
B. Excavation or f illing involving more than 200 cubic yards of material
within any parcel or any contiguous area.
C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
F. Installation of new or resurfaced impervious surfaces of 1,000 square
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 a1>wswered NO to all of the questions above,STOP! Co nplete the Applicant section below with your Name,
Signature,Caitaet Inferm flan,Date ar County Tai 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 Namement.Contwpian
and a completed Check Ust Form to the Building Department wltG—yam Widing Pamit
APPt1CANT: (Property Omier.Dcxgn Profe-omal.Ageat.Gxmtracror.WWI) S.C.T.M. :: 1000 Darr
Oitrkt
NAME 4t,
.+ Section Block t
Cmtacl Inrcrrnat�
�o t' X 65 G o 6 G ``:r!'•_i3�_ILD'1r: `: PARTMI x"(14 t�ti.Y �:�
Revrwed 6y: ,
- - — — — — — — — — — — — — — — — — crate ��
Property Addrm/Location of Construction Work: — — — — -- - — — — — — —
S� w C l t iM d►� L.K1 w�' Approved for processing BUding Permit.
b Storrm, ter Management Control Plan Not Required.
V ��•d �� �� S (� ❑ Stormwater Management Control Plan is Required
(Fonvard to Engineering Department for Review.)
FORM + SMCP-TOS MAY 2014
Tann Halt Annex Tdephone(631)765-1802
05 Main roaernic�iert� "` m .nv.us
Sowhoid,NY 11971-0999
• i
i
BUILDING DF.PARTMF.iT t
TOWN OF SOUMOLD
APPLICATION FOR ELECTRICAL. INSPECTION
REQUESTED BY: .,Z Date: -
Company Name:
Name: '
License No.: g -
Address: 14D -1-1
I t-i 1 (a
Phone No.: L0 31 --I
JOBSITE INFORMATION: (*Indicates required inforrnatlon)
Name.
*Address: y
*Cross Street: �na�a jn LkAe JL 1.,=e—
*Phone No.. (�� - _�US - �OCoCp
Permit No.: .
Tax-Map District: 1000 Section: $(o Block:�_ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) ;r;
too avv-,o c,AA=42& r
FYI a i n �a..rn�1 a�c�ot_w►o dub �- {�a..�ert ao_o cz�� •
(Please Circle AN 7bat Apply)
*Is job ready for inspection: Is)NO Rough in Final
*Do.you need a Temp Certificate: YES NO
Temp informadon(If needed
*Service Size: 1 Phase Whale 100 150 200 300 350 400 Other
*New Service: Re-o n nect Underground Number of Meters Gunge of Service Ovedwed
Additional Information: PAYMENT DUE WITH APPUCATION
. Y
132 for tnspeWon Form
TOWN OF SOUTHOLD PROPERTY RECORD CARD M
ac
OWNER STREET VILLAGE DIST. SUB. LOT
(xY
FARMER OWNE N E�Sch +G ,
Sr, S W TYPE OF BUILDING
RES. SEAS. VL. - FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
ct co
em
--- 00, r J li 1 G $
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Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot 4 lta # BULKHEAD
Total ,, ,
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