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Home My WebLink About39110-ZTown of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 2/26/2015 No: 37449 Date: 2/26/2015 THIS CERTIFIES that the building GENERATOR Location of Property: 350 Paddock Way, Mattituck, SCTM #: 473889 Sec/Block/Lot: 107.4-2.12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/5/2014 pursuant to which Building Permit No. 39110 dated 8/15/2014 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: accessM generator as applied for. The certificate is issued to Weissbach, Marc & Weissbach, Shari (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 39110 2/19/2015 Gr Authorized Signature Permit #: 39110 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) Permission is hereby granted to: Weissbach, Marc & Weissbach, Shari 2909 Frankel Blvd Merrick. NY 11566 To: Construction of an accessory generator as applied for. At premises located at: 350 Paddock Way, Mattituck SCTM # 473889 Sec/Block/Lot # 107.4-2.12 Date: 8/15/2014 Pursuant to application dated 8/5/2014 and approved by the Building Inspector. To expire on 2/14/2016. Fees: ACCESSORY CO - ACCESSORY BUILDING ELECTRIC Total: Building Inspector $100.00 $50.00 $85.00 $235.00 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. g — .�- - %/ New Construction: Old or Pre-existingBuilding: ch g (check ane) Location of Property: J -S -Z) W 6-L% yo House No. Street Hamlet Owner or Owners of Property: MV C,J(^ISS e, Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ Block Filed Map. Applicant:_ Underwriters Approval: Final Cen Lot Lot: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 roqer.riche rt(a-town.southoId. ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCF SITE LOCATION Issued To: Marc Weissback Address: 350 Paddock Way City: Mattituck St: New York Zip: 11952 Building Permit#: 39110 Section: 107 Block: 4 Lot: 2.12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: R.J. Corazzini Electric License No: 33419 -ME Oil t Ut I AIL, Office Use Only Residential X Indoor X Basement Commerical Outdoor X 1st Floor New Renovation 2nd Floor Addition Survey Attic INVENTORY Service Only Pool Hot Tub Garage 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: 48 KW Stand By Generator with 400A Transfer Switch Notes: Inspector Signature: Date: February 19, 2015 Electrical Compliance Form.xls FIELDIlNSPE ON jjjl�IRT DATE COMMENTS �. • FOUND,piTi0l+z (IST) FOUNDATION (ZND) o rA ROUGH FR MTN r& y PLUMBING � c� tr! INSULATION PER N. Y. `3 STATE ENERGY CODE FINAL '1 G `r35 3 z . rn TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? PERMIT NO. 1511/0 '0 Examined o , 201 11111444... JJJIIII Approved 5--,204 , 204 1 AUG -5 2024 Disapproved a/c n ' uii01_D Expiration 20 / i Building Inspector Board of Health 4 sets of Building Plans_ Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit (Single & Separate Storm -Water Assessment Form Mail to: Phone: -707-1 -i j o F " °'"' }� APPLICATION FOR BUILDING PERMIT AI'MR0:- ►..'� DATE: i"' ' f7 --- Date 8' S� , 20 1Y INSTRUCTIONS tj V..,. r' 1� ! i"1 1. fir _ %'rIl I:p 4_I �'^I A s S-18 1AS,ap}�licatiott�*completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 7 9 }qy� �J[Te plot, plan to scale. Fee according to schedule. �._1V V 11 • 5 J otrp ari �pNyit lA q?iop of lot and of buildings on premises, relationship to adjoining premises or public streets or RCS"l��' e vo k ,ccwefeoib, r� lis gpplication may not be commenced before issuance of Building Permit. 2.ory approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit sml' " p "� ther je ya jlole for inspection throughout the work. 4. N, u di sbafl'',be occupied or used in whole or in part for any purpose what so ever until the Building Inspector t u i e if the work authorized has not commenced within 12 months after the date of '1a. - u is ''' ' -�� ' n e . 'cp i 18 months from such date. If no zoning amendments or other regulations affecting the pr� ji j ie�l�j the Building Inspector may authorize, in writing, the extension of the permit for an ad d six Mont S. hereafter, 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. OCCUPANCY OR �� C . USEIS UNLAWFUL (Signature of applicant or name, if a c oration) WITHOUT CERTIFICATE &X 162-6 �6 ,rl-eoz-b. tJy OF OCCUPANCY (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name o�owner of premises If apant is a co tion, si ature of (Name and titfe o orporate officer) Builders License Pl mbers License No. E ctricians License No. 1A 1419- M 1� 46 (As on the tax roll or latest deed) -ized officer Other Trade's License No. 1. Location of land on which nroDosed work will be done: House Number Street j County Tax Map No. 1000 Section ` Block Hamlet Lot C� ` ' 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 5to c-i—C r4e"^ I , i j b. Intended use and occupancy �C 3. Nature of work (check which applicable): New Building n Alteration Repair Removal Demolition__ Other W (,,1L- 7?i}-3(L (Description) 4. Estimated Cos��' Doo . "'o Fee 5. If dwelling, number of dwelling units If garage, number of cars (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 Height Number of Stories, Rear Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Depth 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 Rear 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 'Y' 13. Will lot be re -graded? YES NO Will excess fill be removed from premises? YES NO_>0 " No. %/ %-W ' La?- 0 14. Names of Owner of Ada Name of Architect Address MAT �(7�ctx �,JV Phone No Name of Contractar:Vgbp� C, C-9b-tA" Address •c:- • w MS Phone No. 163k �5girt6L�o N 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.lineis. ; 17. If elevation at any point on property is at 10 feet or below, must provide topographical dedon survey. 18. Are there any covenants and restrictions with respect to this property? * YES NCS * 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 CQsJ (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. XS orn to bore me thi 1 ;, day o/;¢/1 20 \ 8jTA } NIE D. BU Notary Public Notary Public, St of No York gnat e of Applicant No. 01 SU 185050 Qualified in Su olk C - my t G Commission Expires pri 14, 2____ r Scott A. Russell SUPERVISOR z SOUTHOLD TOWN HALL - P.O. Box 1179 p 53095 Main Road - SOUTH OLD, NEW YORK 11971 ST(0)RIMMA,T]ER 1\\4, \NA(G 1E 1ENT 'own of Southold CHAPTER 236 - STQRMWATER MANAGEMENT -WORK SHEET DOES ( TO BE COMPLETED BY THE APPLICANT) (CHECK ALL THAT ADPL n ❑ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. 71 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 10.0 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. :]ME. Site preparation within the .one -hundred -year floodplain as depicted on FIRM Map of any watercourse. :1 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 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. APPLICANTc (Property Owner, Design Professional, Agent, Contractor, Other) Property Address / Location of Construction Work: A j b X.,e_ t -,J _r__ _14--7'%-�I DJrje-SrL— FORM - SMCP - TOS MAY 2014 S.C.T.M. 1000 Date: Section ' Block Lot ` FOR BML DII\G DEPARTI•iL-'NT USE ONLY'"' Reviewed By: / Date `� I ------------- Approved for processing Building Permit. Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) SOUryo� Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 roger.richert wtouvn.so6ut1io9d.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name:fVi�C_ 'v)L'' $s' 4*Address: _H5 -0P W d'e- I_ - w (q. A *Cross Street: *Phone No.: Permit No.: Tax -Map District: 1000 . Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) 4CC_-�jL� 41-70� .-1 , - I - Date: ?/_� "/ (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 {� / �v do Sv r- b� TOWN OF SOUTHOLD PROPERTY RECORDkA D _. OWNER STREET _3,5DVILLAGE DtTj SUB. LOT 13 I a c a I-'27 -Wr))� T ES ACR. r �� REMARKS TYPE OF BLD, �• �. S � ,j Z- � �x.,Zb Uva • PROP.CLASS P 3. ,75-1- t a c e 5-9�2 LAND IMP. TOTAL DATE 3 0 P,.5-00 2 5 200Ji FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT r; -Hock, 0, ACR. RE ARKS Val �,e e. ct py) TYPE OF BLD. Ile PROP. CLASS LAND IMP. TOTAL DATE L I 0 -7 Ok) 94P - L i ✓-7E�vj2 88-9 - V�ii t--rqm w�' -ro vri-A A// p t W Ia,S.iP- Va Ike- [Ta in :Lv— f x..Yi./.xafc a> In 60 na La..*) t zxw-\_ ol 4e>e 3YOO oo 1_1? 5, 9 0 0 zdot< < 0 " ro n a-- I a Lc, daqhD�el t/06-9 - O'Connor A -S] 0 o5 P * -s 09 to (o i , c C.7 - I I IC6 i3 P* _;;Iz 32— rwbe Rwl e, - �s lacts 3.2 S 3 Jog Sp*,3qqq� -rip 6r# 4 - re- Dk LTJ 3611 2177,00&0 Ll aV53,oW� &'Y)r0y_k � 14 A>-� FRONTAGE ON WATER TILLABLE 1-1(a) FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT 0 3 10 TOTAL t L MOMME MENNE F , ,�"- �� x7