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Home My WebLink About39628-ZSUFFDt�� Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 37516 Date: THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 57128 Route 25, Southold 4/20/2015 4/20/2015 SCTM #: 473889 Sec/Block/Lot: 63.4-5.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/31/2015 pursuant to which Building Permit No. 39628 dated 3/31/2015 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: kitchen alteration and handicap ramp addition to an existing one family dwelling as applied for. The certificate is issued to Tillinghast, Thomas of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 4/14/2015 36954 4/23/2014 SterA& Glock Plumbing �uotK TOWN OF SOUTHOLD BUILDING DEPARTMENT o TOWN CLERK'S OFFICE PB . 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 #: 39628 Date: 3/31/2015 Permission is hereby granted to: Tillinghast, Thomas 57128 Route 25 Southold. NY 11971 To: Additions & Alterations to a Single Family Dwelling; Handicap Ramps & Kitchen, as applied for.Replaces BP# 36954 At premises located at: 571.28 Route 25. Southold SCTM # 473889 Sec/Block/Lot # 63.4-5.2 Pursuant to application dated 3/31/2015 and approved by the Building Inspector. To expire on 9/29/2016. Fees: PERMIT RENEWAL $320.00 Total: $320.00 Permit #: 36954 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: Tillinghast, Thomas 19 Woods Ln East Hampton, NY 11937 To: Additions & Alterations to a Single Family Dwelling; Handicap Ramps & Kitchen, as applied for. At premises located at: 57128 Route 25. Southold SCTM # 473889 Sec/Block/Lot # 63.4-5.2 Pursuant to application dated To expire on 7/28/2013. Fees: 1/17/2012 Date: 1/27/2012 and approved by the Building Inspector. CO - ADDITION TO DWELLING $50.00 SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $320.00 Total: $370.00 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. V All ?I - New Construction: Old or Pre-existing Building: Location of Property: ouse No. Street (check one) �0VTLJp1D Hamlet Owner or Owners of Property M d� �. �1 LL 1 }V(r IJA97 Suffolk County Tax Map No Subdivision Permit No. 306V Health Dept. Approval: Planning Board Approval: 1000, Section C 3 Block [ Lot . "T• --_ Filed Map. Lot: Date of Permit. 1 `17 %, Applicant: Request for: Temporary Certificate Underwriters Approval: Final ,Certificate: V/1 (check one) Fee Submitted: $ Sol Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 pF SOUj,�o� 0 CA O! • iQ �®UNTY,N� BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roger. riche rt(aD-town.southoId. ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Tom Tillinghast Address: 57128 Main Rd Rt25 City: Southold St: NY Zip: 11971 Building Permit#: 36954 Section: 63 Block: 4 Lot: 5.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Scharadin Electric License No: 3540-e 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 6 Ceiling Fixtures 2 HID Fixtures Service ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 7 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 5 Twist Lock Exit Fixtures TVSS Other Equipment: exhaust hood With fan Notes: Inspector Signature: Date: April 23 2014 81 -Cert Electrical Compliance Form.xls f I lL lll` C Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: o f f41 is— Building Permit No. -39 Owner: (P a print) Plumber-r�rZIUCIC e-IL)rVV6' (Please print) lead. Telephone (631) 765-1802 Fax (631) 765-9502 I certify that the solder used in the water supply system contains less than 2/10 of 1% (Plumbers Signature) Sworn to before me this 1 1 of , 20 I S Ruth Love Notary Public State of New York No. 01 L06054063 Qualified in Suffolk gounry Commission Explr6a QVIAWO Notary Public, a County �o��oF so�ryoo 4ourm,N TOWN O1='SOUTHOLD BUILDING) DEPT. - 765 -1802 1"NSPECTI0 [ ]FOUNDATION IST [ ] RO W PLUMBING [ ]FOUNDATION 2ND [ } SOLATION [ ]FRAMING /STRAPPING E FINAL [ ] FlREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION I I FIRE RESISTAMT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) [ ]CODE. VIOLATION [ ]CAULKING eruweva- r DATELNSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined I ' ?_� , 20 1 Approved 1 20 Disapproved a/c Expiration Zr &0 20-0— D E C E 0-0— pECEE V JAN 17 2012 BLDG, DEPT. 1 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval PERMIT NO. 3 4 `'5-� f Building Inspector Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date W/ -z,-- , 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 (Signature applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises '( PcmA-S C • 1 k LL11JG PP S' (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 License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work -will .berth id: i� lh�t;<�,�.:�`J1.�.� House Number Street Hamlet iigx.i gac>d+..'.4S7ii"r'lL'� t. ' County Tax Map No. 1000 Section Block `� Lot — � Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and ipttended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work/(check which applicable): New Building Addition Alteration Repair 1/ Removal Demolition Other WorkP MD % �PS r, -TC 010-ryescriptioJ M 4. Estimated Cost 50000-0 5. If dwelling, number of dwelling units If garage, number of cars Fee (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 Depth Dimensions of same structure with alterations or additions: Front `- I,Rear Depth Height Number of Stories,' Dimensions of entire new construction: Front Rear Depth 'ti ` Height Number of Stories i 9. Size of lot: Front 10. Date of Purchase ar ame of Former Owner 11. Zone or use district in which premises are situated Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re -graded? YES_ ,oNn-Wil l excess fill be removed from premises? YES___ NO_,_ 14. Names of Owner of premises —i v+. -pw NrqjqST�ddress 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 NOVj_ * 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) COUNTY OFY—Itffi. Qyyl f r being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) bove named, (S)He is the W Nrx (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. LINDA S. CARLSON Sworn to before me this Notary Public, State of New York da of Q i 20_ No. 01 CA6137178 Qualified in Suffolk County Commission Expires Nov. 14, 20 :4w–�!Notary Public Signature of Applicant 0 Town Hall Annex 1, Telephone (631) 765-1802 54375 Main Roadax (631) 76JR5Q P.O. Box 1179 G Q rogerAcheddlittown.soU O .ny.US Southold, NY 11971-0959 Zltl BUILDING DEPARTMENT TOWN OF SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: 1 `' . L C 11),C4 S -% Date: 'H.lu d TZ, Company Name: Name: License No.: o Z^ Address: PO /3 0A C3 % C Phone No.: 3)— 7,6' JOBSITE INFORMATION: (*Indicates required information) Name: *Address: *Cross Street: *Phone No.: . Permit No.: Tax -Map -District: 1000 Section: -25 Block: L/ Lot: �. *BRIEF DESCRIPTION OF WORK (Please Print Clearly) C.i�p rS r-7"G�' C/� 8 >v /-CA I7; - CRS (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 313hase 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 BMequest for Inspection Form Southold Town Building Department P.O. Box 1179 54375 Main Road .Southold, New York 11971 (631)765-1802 Parcel ID: 63.4-5.2 Permit #: 36954 Permit Date: 1/27/2012 Expiration Date: 7/28/2013 BUILDING PERMIT RENEWAL LETTER Dated: 5/23/2014 Applicant: Tillinghast, Thomas Location: 57128 Route 25, Southold Work Description: RESIDENTIAL ALTERATION Additions & Alterations to a Single Family Dwelling; Handicap Ramps & Kitchen, as applied for. A FEE OF $320.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: Tillinghast, Thomas Address: 19 Woods Ln East Hampton, NY 11937 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold, New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. a, i 1:ee A ll in i I i 1°s P'� i j t J I'/ �l /�/Z Z t n f9j( • r l — — { . r � F I 3 � d •1•" 4 � i 11 i i � I � , j � , •f . I i m to SET (25.9) STK 01 NOh, OR F O RMeRty 's<sq. (24.1) �'U h'OO 111 ��/C pwgRO mull. h�q rFR TEST HOLT_ by McDonald Geosclance 7 - 24 - 2000 Brown 6111) learn O'.. 2' Brown silty sand W. 5' , Pala brown fine 1. j ..arse sand SW 17' NOTE 'LOCATION OF WATER MAINS AND ADJOINERS WATER SUPPLY BY z ELEVATIONS ARE FROM THE SEVAGE WORKS - STUDIES FIVE EASTERN TOWNS SUFFOLK COUNTY 1 Mie existence of fight c:r Trr.-;,.; •'.. :ce3^Rt5 ref record, it any, DO: tSu .:.:. ... .. i. 4-9-2200! FINAL SURVEY, SET REAP, STK c it 11-21.2000 FOUNDATION LOCATED 9-18-2000 SHOW PROF WATER SERVICE LOT AREA --40,990 sq•It N C (p 0 �r I, � D \1i •Yi n,fi v:l .:1 '!:' .:ll rV I K v -nr" .0 n.,` .u:n•ri .. •cL^5 _ _ Is r'- SURVEYEDFOR JOHtl?IRMA .NUTTER Rl Cn III -- ': •''1T SITUATED AT SOUTHOLD TOWN OF SOUTHOLD, SUFFOLK COUNTY, NY. 0. SCALE I' = AO DATE 7-12-2000 FILED MAP NO DATE GUARANTE F_0 ONLY TO TA% MAP NO 1000-63.4.52 IREf ONLY) DISK 221 mon. II HAROLD F. TRANCHON JR. P.C. THE .SUFFOLK COLIN I Y' NATIONAL BANK LAND SURVEYDR m GI 1866 WADING; RIVER -MANOR RD. WADING RIVER, r _ / �. . A i '1� 1' - ,1. ( �/ � NEW YORK, 1 1792 f 1 r r m !I p v`T ED 5.5) I• N.54.53'50"E 145.57' (27 2 ) T n a m IT! w N 70 O - \ t Serr<e N V, z � O y; o i �\ \ o Id. iI 'FN/EL aA5E 373 rri m .mon. DRI 65 rn m _ Oa. Zeparchd h� 9 _ 321 z 1. �O r„ C) A A mz / jm �z�- In 5' 310 - 42 1'--- � P fl e eespeoi Z m r- 1d. z mon. x r m P zI z m to SET (25.9) STK 01 NOh, OR F O RMeRty 's<sq. (24.1) �'U h'OO 111 ��/C pwgRO mull. h�q rFR TEST HOLT_ by McDonald Geosclance 7 - 24 - 2000 Brown 6111) learn O'.. 2' Brown silty sand W. 5' , Pala brown fine 1. j ..arse sand SW 17' NOTE 'LOCATION OF WATER MAINS AND ADJOINERS WATER SUPPLY BY OTHERS AND ARE NOT GUARANTEED ELEVATIONS ARE FROM THE SEVAGE WORKS - STUDIES FIVE EASTERN TOWNS SUFFOLK COUNTY MAP IFF 38 11-6-2000 Mie existence of fight c:r Trr.-;,.; •'.. :ce3^Rt5 ref record, it any, DO: tSu .:.:. ... .. i. 4-9-2200! FINAL SURVEY, SET REAP, STK 11-21.2000 FOUNDATION LOCATED 9-18-2000 SHOW PROF WATER SERVICE LOT AREA --40,990 sq•It Ica ,alUenNftfs "',`CAUD nt.:.:rl JOS NO 00.253 FILE NO 657D •Yi n,fi v:l .:1 '!:' .:ll rV I K v -nr" .0 n.,` .u:n•ri .. •cL^5 _ _ Is r'- SURVEYEDFOR JOHtl?IRMA .NUTTER Rl -- ': •''1T SITUATED AT SOUTHOLD TOWN OF SOUTHOLD, SUFFOLK COUNTY, NY. 0. SCALE I' = AO DATE 7-12-2000 FILED MAP NO DATE GUARANTE F_0 ONLY TO TA% MAP NO 1000-63.4.52 IREf ONLY) DISK 221 JOHN MUTTER !RMA NUTTER HAROLD F. TRANCHON JR. P.C. THE .SUFFOLK COLIN I Y' NATIONAL BANK LAND SURVEYDR \ 1866 WADING; RIVER -MANOR RD. WADING RIVER, r _ / �. . A i '1� 1' - ,1. ( �/ � NEW YORK, 1 1792 1 NY LIC NO. 048992 516 -929-4695 HAROLD F.TRANCHON JR. PENN I IC- W / CD 72 " ?'f �'411, 'NU o7S rr F�. _FLA -1 -ba a r � �L �, N V i W f - T E C H N O L i F s - This is an original design and must not be released or copied unless applicable fee has bee _i d or job Cl). conditions. order placod. n a"s X001 i M All Drawing #: 1 3D636` + BFB m v w N N�= P . UI IIy ALL:PA WA LtIG1i(; WASTE TE TING BEFORE 66, VCA COMPLY WITH ALL CODES OF NEIN YORK STATE & TOWN CODES AS REQUIRED OLD TOWN ZBA SOUTHOLD NING BOARD /A SOUTH0 �OWNTRUSl P . , DEC PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CF_RTIFICATE OF OCCUPANCY SOLDER USED IN'WATER SUPPLY SYSTEM -CANNOT EXCEED 2110 OF 1% LEAD. 360 ELECTRICAL INSPECTION REQUIRED f` 7:- ~�/ ED AS NOTED EH'�B.P.# � 33oE00 BY DING DEPARTMENT AT . ":I TO 4 PM FOR THE F( -.II .,, ti. IN.:pECTIONS: 1 F .%:N - TWO REQUIRED CONCRETE i'I NG, PLUMBING, - \:,3 ELECTRICAL & CAULKING 3 1 -,:,TION 4 = ',;L - CONSTRUCTION & ELECTRICAL M UST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. All dimensions _size designations v�20 given are subject to verification on job site and adjustment to fit job f - T E C H N O L i F s - This is an original design and must not be released or copied unless applicable fee has bee _i d or job Designed: 10/18/2011 Printed: 11/19/2011 conditions. order placod. n Design2 All Drawing #: 1