HomeMy WebLinkAbout39340-Z p�l]FFp(,�C Town of Southold Annex 12/17/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
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•mal. ,�.��
CERTIFICATE OF OCCUPANCY
No: 37332 Date: 12/17/2014
THIS CERTIFIES that the building ALTERATION
Location of Property: 6260 Horton Ln, Southold,
SCTM#: 473889 Sec/Block/Lot: 54.-3-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/3/2014 pursuant to which Building Permit No. 39340 dated 11/3/2014
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"screened porch addition to an existing one family dwelling as applied for.
The certificate is issued to Murray,Nicholas
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39340 12/16/2014
PLUMBERS CERTIFICATION DATED ^
ho ' ed Si ature
��o�SnFFat oo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
• �r SOUTHOLD, NY
.001
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#: 39340 Date: 11/3/2014
Permission is hereby granted to:
Murray, Nicholas
PO BOX 212
Southold, NY 11971
To: SCREENED PORCH ADDITION replaces BP#24169
At premises located at:
6260 Horton Ln, Southold
SCTM # 473889
Sec/Block/Lot# 54.-3-16
Pursuant to application dated 11/3/2014 and approved by the Building Inspector.
To expire on 5/4/2016.
Fees:
PERMIT RENEWAL $87.50
ELECTRIC $90.00
Total: $177.50
Building Inspector
FORM NO. e
TOWN OF SOUTHOLD
BUILDING DEPARTMENT �f
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
i
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
O /
N24169 Z Date ....l: ... .. . ..... .................... .. 19f.�.. .
Permission is hereby grante to:
. .. - �
............... �..::.�. �� ........ ..
.. ........... ..........` �. �...a... ... �.�..... .. .. .......... .� �........
... . . .... . . ..,...
............ ..............::.-..............................................
.....................................................i......... ..... ...... .................... ........
of remises located at... ...� :�.........� ................... .............. ............ ...
County Tax Map No. 100d Section .....,.. �.. Block ....... ......... Lot No. ..Z� ............
pursuant to applicatio dated .............✓. ............. 19�� and approved by the
.... ,
Building Inspector.
Fee �..�� .. ....
r�e�
1
. ....... . .............
'
Building g Inspect
V
Rev. 6/30/80
Form No.6 �
TOWN OF SOUTHOLD
BUILDING DEPARTMENT .765-- 5471 r ^ n
TOWN'HALL /. V-h
765-1802
ull
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$15.00
Date. AJOI,) .3 20/)j
New Construction: Old or Pre-existing Building: (check one)
Location of Property: �y A4 n� lJ���ctf v. l 1 01171
House No. . . Street Hamlet
Owner or Owners of Property: fS,�.Z /%)Mog(A
Suffolk County Tax Map No 1000,Section Block 3 Lot
Subdivision Filed Map. Lot:
Permit No. �u.14 9 Date of Permit. / 41� Applicant:
capp1 d -For- awe
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
> >gnature
o��of so�ryQ�
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
OR
P.O.Box 1179 �� roger.riche rt(a)-town.southoId.ny.us
Southold,NY 11971-0959 Q
�yOOUNT`1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Nick Murray
Address: 6260 Hortons Lane City: Southold St: NY Zip: 11971
Building Permit#: 39340 Section: 54 Block: 3 Lot: 16
WAS EXAMINED AND FOUND TO BEIN 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 1st Floor X 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 1 Wall Fixtures 1 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 2 Twist Lock Exit Fixtures TVSS 11
Other Equipment: SCREEN PORCH---AS BUILT---ELECTRICAL SURVEY---NO.VISUAL DEFECTS
1-paddle fan
Notes:
Inspector.Sighature: Date: Dec 16 201.4
81-Cert Electrical Compliance Form.xls
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ]
FOUNDATION 2ND [ ] 1 ULAYION
[ ] FRAMING [ FINALrCzL�/
[ ] FIREPLACE & CHIMNEY
REMARKS:
Jr-
DATE 6117,0 S INSPECTOR
11,1.11 Ill;il'I;l:l Illll I11.1'lllll' I1�1•l:
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LI �,
BOARD OF IlrA rii . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTIIOLI) SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN 11ALi. SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y_ 1 197 1
e EEL: 765—I P02 NOTIFY y
IT CALL
Examined. .... .., 19. MAIL TO: .4c1:'�l (a .1 Le. .
Approve( .... ...9: 19 L A Permi t .. :.'.i ' i ?.Chi::f Qx. I O....11.........
Di. a/c ............................ ... 0 aJ .1 .�.�...
1 —9 Coco
' Building.Inspoector)'.•
AP I CATION FOR BUILDING PERMIT 4 1
Date. .F.��4�I..-I. . . ,
INSTRUCTIONS
a. 'Ibis application must be completely filled in by typewriter or in ink and sulmitted to the Building Inspector with
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan sixwing location 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 application.
c. Tile work covered by this application may not be cmimenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throxip)iout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of.
Occupancy shall have been granted by the Building Inspector.
r
APPi.ICAT1O N IS 1V312EBY 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 retraval or demolition, as herein
described. Tile applicant agrees to comply with all. applicable laws, ordinances, building code, housing code, and
relnrl.ations, and to admit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or. name, Yfia corporation)
(Mailing address of applican') i U.1 )u
���►�'�o�c�i�.-�-I 1 ��r11
State wlx:ther applicant is owner,, lessee, agent, nrc:hitect, engineer, general coiiLrnctor, electrician, plumber or builder.
`)P)I lCO-� JY`� Llul_:1� �t�I�i7S Y�C),j_lF6{
Name of owner of premises ...��:�"'(�� ..I-. ... ..... , l�� ..:1:..�1.A ��'�°'d�e�h�•��.������....
(as on the tax roll or latest (ked) 8.FtL-k��v
If applicant is a corporation, signature of duly authori7.ed officer. F r,.._ 8Y:
....-•---...... G? .�y L�.�. .. ..... Pif}CII=Y [yUIL..lP,l�s 411=
765-
'1802 9 AM TO PM Fon Twi
(Name aril title of corporate o ff icer) FOLL.f�lA�I !G INSPECTIONS:
'i. 1�fli.lIlDATlON! - TRS f3 o~C:",:FI.lii'f G
OCCUPANCY OR
F(Al POURED CONCRETE
Builders License No. �� �� � �A�� F�� ?, €�OWG€-i - F1iJt,Ib9ING ,& PLC=�.�l'.imo
Plumbers License No. ........................VJITHOUT CERTIFICATE :� 'i\I;Li .`'�w %4 �� SI'i�� t� �;
Electricians License No. ..................... OCCOPANCY B71-CQIF 3V,k..E,IF" 1= ri f•'.0"
e
�',l..i,. -rt:�)�'+I`'i•TF•ttlt',"fIL)Itl �i•d.fll.,I~, Duly•f.:j'
Other Trade's License No. .................... ''4ls ;�1 d'.11lPi!'+r,f, THE
Location of land on whiclt proposed work will be done............................ 'I:`'Tr:jt�E `:I:�?3�f: If1B.. �
•-• -- .. .... .............. .............rr.
house Numberllmld?etQ
Ccxmty Tax p No. 1000 Sectioin ...n
Ma ....... Block ......... Lot ...�.L 1t.
Subdivision ..................................... Filed Flap No. ............... lot ...............
(IJ.-me)
2. State existing Use mxl occupancy of 1weinises arxl intended use aril occupancy of proposed construction:
a. Existi;ig use and occupancy .. .1� 1' ... ...................................
b. Intended use and occupancy .....�c 0— ..............
$�?4?'e71A.£'df61.pill•
). N►lu►e of work (0 -ck vAddh alr)llcable): Nmi Ikoildinl; ......... . Arklition .. .: Alteration .�
Itc-pair ............ ltomoval Derrol i L ion ....... Odrtn-i*wk
(Description) ��
4 t ip
. Esrhted Cost:::.y{��.1:: :�'... fee ..�.. y_ O�F ...................................
(to be paid on filing Lhis application) .
S. if chaellinll, rxarioer of dwelling unit's ............ timber of thiel Iing units of, eac3► floor .: .............
Ifgarage, umber of cars ..........-.......................
G. If liusiness, eornnercial or mixed occupancy, specify nature and extent of. eacli LLype of use....-:-:................
7. Dimensions of existing strictures, if any: Front...12 ...... Rear .. .`r...... DepLI. .j D .
llcigl►t ..Q.................... Umber of Stories .....0.......... .
Dimensions of-sane structure with alterations or additions: FrontRear
Depl.lh ....l.Q........... lleiglht a ........... Umber of Stories..._..... .
B. Dimensions pf entire new construction; Front Rear ............... DepLh ..............
lleil;Jrt ......................... Nlrrber of Stories ... .. ....
). Sine of lot: Front +i .............. I?--ar ...............n. Depth
ID. lkote of I'urclhase ,J __(__...... N:>t►re of Forcer lamerJ:J�� �� � �JL�� } �� -ice}��.f� -•i�
11. Zone or use district in wl►icar premises are situated .R.u.�.>iG .-ice ! �� ...................................
12. Does prolx►sed coustruct ion violate any zcxhing 1 rrw, ordinance or regulation: A.-JO,,,,,,,,,,,,,,,,
13. 'Will lot be regraded ........... ........ .Will excess fill
1i l l bee rest oved frcxm prehni sea: YES ND
��!�.t. � �t. 7�cklreh's .�Q��L? 1 1`�Q�:) NK.Ie No.-7-.A-
14. Mares of (krr�r of premises •L•� ' ,
Naphe of Arch h i tec L ...... -5C)L.)'fl.-IC hlj
............ Acklress ............................... Phone No. ............
............
Nrrlre of. Contractor ,�. ....................... Acklress .�X..r.�.�'._._-............... No. ..
15. is this property within 3M feet of a tidal. wetland? * YI1S .......... No ..1 .,..,
*IF YES, SfJ IXID TC)I,IEI 1141SIMI.S PENIT MAY lila R?A11PIA).
PIAT DIAGRAM
I.cx:aLe clearly and distinctly all Imildings, whell►er existing or prolx)se(1, ant) indicate all set-back din►ensions
Frere property lines. Give street and block nnber or description according to deed, and slxow street n rr►es and indicate
A►etlrer interior or corner,lot.
I'A'IE. (A- NAW YMK1,
IAINIY (A
` Z ..�ic) ..............1XIir►!; duly :worn, d(1)ocine, aril whys (haL h(t is. the nppl ic•ant
Nr1110 of indivhchkhl signing contract)
Ixrve nixivd, O c
(WIlLrac(or, nl;ent:, corlxorale officer, etc.)
f ::aid omier for owners, mil is-duly mAl orized Co perfohm or have lx'rfornr-d the said work aril to nuke aril file this;
pplication; Ural ell statemients ccn►taim-d in Ibis applicaticnr are Lroe to the best of his krxrwledl;e and WHef; mil
hat the wcnk will be performed in I.he prunrer set forth in Lire application filed therewith.
worn ``Lc► before Ire this l"
L. (lay o ..[`:� ...
Notary 1'►rblZ._
Y
ZNprNYork (Signature, of Applicant)
Cotttnllgton � Opo.too
� .
I
SO�IyD�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road (631}765- 5Q2
P.O.Box 1179 G Q ro enrichert �'o`wn.soutf�iolQ.n .us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION '
REQUESTED BY:
C �J� ► ��—. Date: 3
Company Name: Sp S
Name: '
License No.: is
Address- 1
_fOM _AJ I
, .
Phone No.: 1
JOBSITE INFORMATION: (*Indicates required information)
*Name: Na�C
*Address:
*Cross Street:
*Phone No.: 1
Permit No.: 393
Tax Map District: 1000 Section: Block: _ Lot:
—
*BRIEF DESCRIPTION OF WORK(Please Print Cleariy)
r
(Please Circle All That Apply) !
*Is job ready for inspection: tY
NO. Rough In ina!
*Do.you need a Temp Certificate: . NO
Temp Information(if-needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other I .
.0
*New Service: Re-connect Underground Number of Me ers Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
� a . D
.82=Request forinspeebon Form
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Section 72 of Ilse New Y".Mm.
E�d�tcatlan •
` cat,les of thl curvsy map not bearb,
&,e land su is Inked seal or
bossed I shag not,bo consldsrert
to s a valid true copy, .
/ GLa:ant®es lndlcated trete shat r,-,
"vto the person for whom Lye survw
ors-a
r red and on his behalf to tf,-o-'
2-1to c'cmpEnY guvemmentsl agarrv, T-10 f
lend•Ing irsti:utlon listed hemo;"and ..
t:"tic sss;37:zs df:f:w londing insti-
w;ic r.C�cr •- cro not
T�-••
10 adduional ins:„u;iuns or suir.:nquc--A
TOWN OF SOUTHOLD PROPERTY RECORD CARS?
OWNER STREET � � � VILLAGE DIST. SUB. LOT -7-
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.:`., .Q.S tt kr
FORMER OVtiI ER N . E ACR. .
SW _ TYPE OF BUILDING
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- -
RESP SEAS. .,VL. FARM 'Comm. CB. MICS. Mkt. Value
LAND IMP:' TOTAL I DATE REMARKS
i
/ d `� I L�E!'�+ / • f7, lz>llgZ3 ASSa---D lame,6 �.
'17 f-ffc 1 Al ?eh", A 191411--
0,2 Z/ I .. �G� Ol 7 S3`� h�ctx� acs ! cr rricicr�_
'r — cions-ruck- -5cycened-W a a s-' 6 tk+
AGE I BUILDING CONDITION 6vo vole ls-U, qly
MEW NORMAL BELOW ABOVE I
FARM Acre Vialue Per Value
Acre
Tillable I - FRONTAGE ON WATER
'Hoodland I FRONTAGE ON ROAD G -! -
fj
Meadowland DEPTH f
House Plot BULKHEAD
Totals . I DOCK
.- •.—. -
1 • C F -aar. �;
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