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Home My WebLink About38623-ZFFat r'� Town of Southold 3/20/2015 .: P.O. Box 1179 �53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 37476 Date: 3/20/2015 THIS CERTIFIES that the building ALTERATION Location of Property: 295 Bayview Ave, Greenport, SCTM #: 473889 Sec/Block/Lot: 52.-5-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/26/2013 pursuant to which Building Permit No. 38623 dated 1/14/2014 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: interior alterations (plumbing, electric) as applied for. The certificate is issued to Leslie & Regina Cohn (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 38623 3/12/2015 Aut rued Signd ure (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 38623 Date: 1/14/2014 Permission is hereby granted to: Santacroce, John (Cohn) 9331 Avenel Ln Port Lucie, FL 34986 To: Interior alterations (plumbing, electric) as applied for. At premises located at: 295 Bavview Ave. Green SCTM # 473889 Sec/Block/Lot # 52.-5-26 Pursuant to application dated 12/26/2013 and approved by the Building Inspector. To expire on 7/16/2015. Fees: SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: Building Inspector $200.00 $50.00 $250.00 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 #: 38623 Date: 1/14/2014 Permission is hereby granted to: Santacroce, John (Cohn) 9331 Avenel Ln Port Lucie, FL 34986 To: Interior alterations (plumbing, electric) as applied for. At premises located at: 295 Bavview Ave. Green SCTM # 473889 Sec/Block/Lot # 52.-5-26 Pursuant to application dated 12/26/2013 and approved by the Building Inspector. To expire on 7/16/2015. Fees: SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: Building Inspector $200.00 $50.00 $250.00 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. 3 — New Construction: Old or Pre-existing Building: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Street e- a G� Block Filed Map. Permit No. 2) t�(j ;� /� % Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ /O Applicant: Underwriters Approval: (check one) Lot Lot: Final Certificate: (check one) Applicant Signature Hamlet Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 ��pF SOUjyI Heat Duplec Recpt 1 Ceiling Fixtures Hot Water GFCI Recpt Wall Fixtures A/C Condenser Single Recpt Recessed Fixtures A/C Blower Range Recpt Fluorescent Fixture Appliances DW Dryer Recpt 1-30 Emergency Fixture Switches Twist Lock Exit Fixtures 1 st Floor Electric Wall Heater, Basement Laundry Area. 0 CUUNTY,�, BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roper.riche rt(c-town. southoId. ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Leslie Cohn Address: 295 Bayview Avenue City: Greenport St: New York Zip: 11944 Building Permit #: 38623 Section: 52 Block: 5 Lot: 26 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: "AS BUILT' DBA: License No: ,1 I It Ut I AILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Heat Duplec Recpt 1 Ceiling Fixtures Hot Water GFCI Recpt Wall Fixtures A/C Condenser Single Recpt Recessed Fixtures A/C Blower Range Recpt Fluorescent Fixture Appliances DW Dryer Recpt 1-30 Emergency Fixture Switches Twist Lock Exit Fixtures 1 st Floor Electric Wall Heater, Basement Laundry Area. HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS Notes: Inspector Signature: - ,�� Date: March 12, 2015 Electrical Compliance Form.xls rsf so P4?�'- -Z TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 q2!�2 INSPECTION FOUNDATION IST FOUNDATION 2ND FRAMING/ STRAPPING FIREPLACE & CHIMNEY FIRE RESISTANT CONSTRUCTION ELECTRICAL (ROUGH) CODE VIOLATION REMARKS: r-1 41,f I ROUGH PLUMBING ]INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION �)�ECTRICAL (FINAL) [ I CAULKING DATE, Ilk f INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 ] FOUND ] FOUNDATION 2ND ] FRAMING /STRAPPING ] FIREPLACE A CHIMNEY ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) ] CODE VIOLATION NSPECT,�ON TION 1ST [ IROUGH PLUMM REMARKS: ��. G BING [ ] INNATION [ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) [ ] CAULKING DATE 03 INSPECTOR�� FIELDII�TSPE 4N WORT FOUNDATION (1ST) r�rrrrw.rwwwTwwrr.rrr.rrrrrrrr DATE COMIENTS cl . FOUNDATION (2ND) . ROUGH FRAMING & PLUMBING to w ) } G y { S • c INSULATION PEI. N. Y. STATE ENERGY CODE FINAL — 1 -� y 206 ADDITIONAL COMMENTS , �6 .z m TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.North Fork.net PERMIT NO. Examined '0 Approved I 20� Mail to: Phone: / a- j — ,ci� CCL . .� Buil to e APPLICATION FOR BUILDING PERMIT BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Check Septic Form N.Y.S.D.E.C. Flood Permit Storm -Water Assessment Form Contact: Disapproved a/c --VJ �� i q.j +I ac 26 �_-- -- 7-7-7- INSTRUCTIONS Date�^ 1 f snro 20 Ld-. J'lus•,app#4&ion completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets a e 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, an to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) fru p // tiyli?Y6 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 2e3/ie w / (As ethe tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (144md an the df e'drporate officer) Builders icpn"se leo, _ Plumbers License No. Electricians License No. f8�/ Other Trade's License No. 1. Location of land House which proposed Street County Tax Map No. 1000 Subdivision be done: gv f 0/41 Hamlet Section d5 a • b O Block 0,5. CSD Lot_ Filed Map No. Lot 6.60 2. State existing use and occupancy of pr�e.�nises and intended us and occupancy of proposed construction: a. Existing use and occupancy S/hot %/� b. Intended use and occupancy- ��'ly 3. Nature of work (check which applicable): New Building Addition Alterati99n Repair Removal Demolition Other Work(� Ch�- (Description) 4. Estimated Cost 4 OU Fee 5. (To be paid on filing this application) 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_ 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. NO 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 8&WIE' H (Name of individual signing contract) above named, Notary Pte' State of New York (S)He is the No' 01MAISti0b0 (Contractor, Agent, Corporate Officer, etc.) In �I 14, 2 21 Commission Expires Ap 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. worn before me is day _ 201-3 Notary Public Signature of Applicant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 79965-1802 roaerAchertCa O`wr%soutno9d.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Z.e-o'r co tA Date: Company Name: Name: License No.: A A,4-- ,. 1,17.1 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax -Map District: 1000 . Section: CS -oy Block: V ^.p o Lot: o) • as *BRIEF DESCRIPTION OF WORK (Please Print Clearly) . '4� r 14j0v-p Oea'r; c dor 6CAt%s bi Zer - A&I ol,� /h C el -r' -rri C ffm-1, / J-\ Ic (Please Circle All That Apply) *Is job ready for inspection: YES / O Rough in Final *Do you need a Temp Certificate: YES / NO Temp Information (If needed) *Service Size: 1 Phase Whase 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 (( 1 82=Request for Inspection Form 0 9 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 4`41'_ �oF SO(/r�o COUNT`I,Ncr� Telephone (631) 765-1802 (631) 765- 5 roger. riche rt _�own.sout o02 d.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: Address: Phone No.. / JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District bbd' y ,3Y6,�3 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) -3>4L w�/A'e *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed) *Service Size: *New Service: YES / NO Rough In YES / NO Final 1 Phase 3Phase 100 150 200 300 350 400 Other Re -connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82 -Request for Inspection Form 2 - I a_ �/ Is— /YOLP P)L)M6�� i1wc4we %lhC.P fX/17-/'ohc� Adl Ail ZP A J,/ )-��e-llo-c- " ovcz, /V/ c('49 k i1c APPRT40 . DATE: I i'..P. off` Fes. FEE.,_. NOT FY LUILD;ii,l, -NT AT 765-1802 8 kM f ;= =i )R THS: FOLLOWING INSPECIImo" T Iu"`d " ; l) r;l::sJ:".ED 1. FOUNDA FOR POURED GC; ITE 2. ROUGH - FR j'>Ii G LL!^ '"'I" G 3. INSULATION 4. FINAL - COPS _-Tf II,IC T V 1`4 MILIST BE COMPLETE - FO C.''). ALL CONSTRUCTIOiV SHALL tt.i ET THE REQUIREMENTS OF THE CODES OF NEW YORK STATI E. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. J 4U CC �:'v < <_NT BEFOr 'L=ICATE OF OCCUPANC 'r :-OLDER USED IN WATER >iJr''PL Y SYSTEM CANNOT EXCEED 2110 OF I% LEAD. AONddn000 �o 31V0lJilU301noHllM lnJMVINn si 3sf' UO AONddnojo PLUMBING A' i. PLUMBING WASTE a, > ATER L.! -S f�t= COVEHi"; '