HomeMy WebLinkAbout37250-ZFOL e
9 "
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
631-765-1981
CERTIFICATE OF OCCUPANCY
No: 37418 Date:
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 1527 Carroll Ave, Peconic,
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 74.-3-21
Filed Map No.
2/5/2015
2/5/2015
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/18/2012 pursuant to which Building Permit No. 37250 dated 5/24/2012
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:
WINDOW REPLACEMENT TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Hubbard, James & Hubbard, Ruth
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
AV
A e ign re
s TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
q 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 #: 37250 Date: 5/24/2012
Permission is hereby granted to:
Hubbard, James & Hubbard, Ruth
1527 Carroll Ave
PO BOX 266
Peconic. NY 11958
To: replace 12 windows as applied for
At premises located at:
1527 Carroll Ave. Peconic
SCTM # 473889
Sec/Block/Lot # 74.-3-21
Pursuant to application dated
To expire on
Fees:
11/2312013.
5/18/2012 and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $200.00
CO - ALTERATION TO DWELLING $50.00
Total: $250.00
f�
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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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
New Construction:
Location of Property: 1 5a7
JDate.
Old or Pre-existing Building:
t- l A \Pe
(check one)
OW It
House No.
�— Street JFHamlet
Owner or Owners of Property: JJ 1V%r_'�- S d- L p
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Block
Filed Map.
Date of Permit. Applicant:
Request for: Temporary Certificate
Fee Submitted: $ 50
Pa.. L'o jW
Underwriters Approval:
Lot
Lot:
Final Certificate: (check one)
Al�icant Signature
72— q s
cou
TOWN OF SOUTHOLD BUILDING DEPT.
76S.1802
INSPECTIO
FOUNDATION I ST
FOUNDATION 2ND
FRAMING/ STRAPPING
FIREPLACE & CHIMNEY
FIRE RESISTMT CONSTRUCTION
ELECTRICAL (ROUGH)
CODE VIOLATION
M le RM A M Be Oft.
ROU PLUMBING
OU
I I ULATION
U
F L
INAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
CAULKING
DATE
INSPECTOR
FIELD 'WPECT 3tEPORT
FOUNDATION (1ST)
DATE
CONDOMS
t9-� ro
Sv
�
FOUNDATION (2ND)
ROUGH FRAATING &
PLUMING
o
INSrULATION PER N. Y.
STATE ENERGY CODE
W
f
FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined 20�
Approved
Disapproved a/c
Expiration ly 20
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
PERMIT NO. ,'37�i,�� Check
Septic Form
N.Y.S.D.E.C.
FRnnFMAY
E o V I r Assessment Form
Contact18 2012 MLZ
BLDG. DEPT.
N 0E SOUTHOLD
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date 20
a. This application MUST be 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.
6 (Signature of applicant or name, if a corporaOr
tion)
,AIM I T C E RT I F I ��(Myaii mg a dr s01applicant)
�y
State whether applicant is own r "` sFe; ap nt i n eer, general cont 4a of, elkct cl0t,Tum�1 u e
Go ✓%+r0—C plolnBY
AT
Name of owner of premises1�-A ' O 4 Pry1 FOR THE
(As on the tax roll or lat a %°
Ifpp�qplicant is corporation, signature of duly authorized officer 010 C1",T1'"1N TWO R: OUIRED
�d.�eor — L0LkP P,;
2. State existing use and occupancy of premises;
a. Existing use and occupancy 5.11
b. Intended use and occupancy
intended use and occupancy of pr posed const ction:
� }c c*.i i— . ` V .S i CJ�2rn
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost C 6 � b
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
4—%
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
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—L/
13. Will lot be re -graded? YES_ NO--ZWill excess fillge removed from premises? YES_ NO
14. Names of Owner of premises �BS� F"` Address J/�% CtiiRsU R� 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 _ NOTARIAL SEAL
STEPHANIE CLIFFORD
* IF YES, PROVIDE A COPY. Notary Public
BROOKHAVEN BORO, DELAWARE COUNTY
STATE OF NEW YORK) My Commission Expires Nov 18, 2012
SS:
COUNTY OF )
P, 1, — 6Q,nllo� being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor—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. AO sand. uoiss0 6
Swo to before me this
(� day of 20 .Z
ublic
Signature of
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AIN= 3klyMy130 'OWOB N3AVH)IOOUO
0114nd ARoN
OtlOdd110 31NVHd31S
1V3S 1VIUVlON
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
J10,E iie,
rL 6 ve
Co
7
D e C,
FORMER OWNER
NE
ACR. 1317?
S
W
TYPE OF BUILDING
RES
SEAS.
VL.
FARM
comm. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
100 11--) IA
-<11'1170
ConS,'�, decJk- addip'on - 4 6-00,
3
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable
FRONTAGE ON WATER
Woodland
FR0NTAGE ON ROAD
Meadowland
DEPTH
House Plot
BULKHEAD
Tata,l
DOCK
Suffolk County Department of Consumer Affairs
VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788
DATE ISSUED: 4/7/2011 No. 48568-H
SUFFOLK COUNTY
Horne Improvement Contractor License
This is to certify that KYLE E BARRING
doing business as POWER HOME REMODELING GROUP INC
having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws, rules
and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME
IMPROVEMENT CONTRACTOR, in the County of Suffolk.
License Category
NOT VALID WITHOUT Additional Businesses GC
DEPARTMENTAL SEAL
AND A CURRENT
CONSUMER AFFAIRS
ID CARD
Director
NATIONAL HEADQUARTERS
2501 Seaport Drive, Chester, PA 19013
888 -REMODEL 917""
'IMW6" 0
Project Specifications
Windows: living room 1 104.0"x57.0"
Windows: living room 1 104.0"x57.0"
WINDOWS: Models SL 2700 Styles Bow Types 4 -Lite Configs End Casements
OPTIONS: Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details None
Windows: kitchen 2 35.0"x37.0"
Windows: kitchen 2 35.0"x37.0"
WINDOWS: Models SL 2700 Styles Double Hung Types None Contigs None
OPTIONS: Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details None
Windows: dining room 2 31.0"x37.0"
Windows: dining room 2 31.0"x37.0"
WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS: Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
Special Options (ie. Full Screen, Obscure Glass, etc) Full Screen No I Obscure Glass No I Specialty Color
No I Different Color Capping No I Trim Options Yes New Inside Casing No I New Outside Brickmold No I New
Sill No I New Stool No I New Apron Pine I Upgrade Head, Seat and Jambs No I Frame Options No I Remove
and Reinstall No
Windows: master bedroom 2 31.0"x37.0"
Windows: master bedroom 2 31.0"x37.0"
WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS: Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl Additional Details None
Windows: guest room 2 31.0"x37.0'
Windows: guest room 2 31.0"x37.0"
WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS: Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details None
Windows: guest room 2 31.0"x37.0"
Windows: guest room 2 31.0"x37.0"
WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS: Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details None
James and Ruth Hubbard
30-43684
April 10, 2012
48568
April 10, 2012 19:46 Page 2 of 3
NATIONAL HEADQUARTERS '^+
2501 Seaport Drive, Chester, PA 19013 j�G?1XlER
OM1. Fbme Henwdegnq Group -
888 -REMODEL
Project Specifications
Windows: bathroom 1 22.0"x37.0"
Windows: bathroom 1 22.0"x37.0"
WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS: Color White / White: Grid Pattern : None I Removal Aluminum / Vinyl 1 Additional Details
Special Options (ie. Full Screen, Obscure Glass, etc) Full Screen No 1 Obscure Glass Double Hung : Both
Sashes I Specialty Color No 1 Different Color Capping No 1 Trim Options No I Frame Options No 1 Remove
and Reinstall No
James and Ruth Hubbard
30-43684
April 10, 2012
48568
April 10, 2012 19:46 Page 3 of 3