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HomeMy WebLinkAbout38748-ZNo: 37636 Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building ALTERATION Location of Property: SCTM #: 473889 Subdivision: 2460 Shipyard Ln, East Marion Sec/Block/Lot: 38.2-2-13 Filed Map No. Date: 7/1/2015 7/1/2015 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/19/2014 pursuant to which Building Permit No. 38748 dated 3/28/2014 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: BATHROOM ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Greenstein, Michael & Greenstein, Sandra of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38748 06-30-2015 PLUMBERS CERTIFICATION DATED Authoffd Sig natur gU 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 #: 38748 Date: 3/28/2014 Permission is hereby granted to: Greenstein, Michael & Greenstein, Sandra PO BOX 413 Teaneck.NJ 07666 To: Bathroom alteration as applied for. At premises located at: 2460 Shipyard Ln, East Marion SCTM # 473889 Sec/Block/Lot # 38.2-2-13 Pursuant to application dated To expire on 9/27/2015. Fees: 3/19/2014 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $200.00 CO - AL7��To G $50.00 1: $250.00 uilding 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 I% 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: Z,81Z,�i �� �j/� ���9��,C��� '. �.� , pA) House No. Street ` Hamlet Owner or Owners of Property:Jr- Suff lk County Tax Map No 1000; Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (/ (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roger. richert(atown.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Michael Greenstein Address: 2460 Shipyard Lane Apt. -6C City: East Marion St: New York Zip: 11939 Building Permit #: 38748 Section: 38.2 Block: 2 Lot: 13 WAS EXAMINED AND FOUND TO BE IN 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 Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY 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 1 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt 1-30 Emergency FixturesTime Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: BATHROOM ALTERATION Notes: Inspector Signature: Date: June 30, 2015 Electrical 81 Compliance Form.xls i D E C E � w 'Eo d4OCT 10 2014 BLDG. DEPT. TOWN OF SOUTHOLD 44o 1<2 I s 0 It L2 ct cou TOWN. OF SOUTHOLD BUILDING. D 765-1802 INSPECTION ] FOUNDATION,- 11ST ROUGH PLUMBING ]FOUNDATION 2ND INSULATION - 'FRAMING / STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT. CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: DATE -INSPECTO OE SOUIyo� Q` comm, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT S-oN [ ]FOUNDATION 1ST PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING/STRAPPING [ ]FINAL [ ]FIREPLACE &CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE � ` �\ 4INSPECTOR �`�n pF SO(/T�o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 iNSPECTIO-N.-. [ ]FOUNDATION IST [ ]ROUGH PLUMBING [ FOUNDATION2ND[ 13PSOLATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INFECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) [ ]CODE VIOLATION [ ]CAULKING REMARKS: C. ®. DATE INSPECTOR pf SOOTyo� o�ycoum TOWN OF SOUTROLD BUILDING'DEP7: 765-1802 INSPECTION.. ] FOUNDATION IST ] FOUNDATION 2ND ] FRAMING/ STRAPPING ] FIREPLACE A CHIMNEY ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) ] CODE VIOLATION REMARKS: [ ]ROUGH PLUMBING [ ]INSULATION C l FINAL [ ]FIRE SAFETY INSPEC770N [ ]FIRE RESISTANT PENETRATION ELECTRICAL (FINAL) [ CAULKING DATE �� INSPECTOR ' FIELD INSPECTION RD E, REPORT DAT FO ON (IST) ........... . .. FOUNDATION (M) ROUGH FRAAW Q PLUMING INSULATION PER N. Y. STATE ENERGY CODE FINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. Examined 120 Approved 120 1� Disapproved a/c Expiration ► / —) , / , 20 _ _-pE j p C n MAR t 8 2014 BLDG. DEPT• Tmm, 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 Survey Check Septic Form N.Y.S.D.E.C. -i- b • " Trustees Flood Permit Storm -Water Assessment Form Contact: Mail to: Phone: 47 is,— APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS L- ----- a. Ti i as pplication 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. ; FP?Ot 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. r (Sign ture of a icant r me, if a corporation) �_IaJ LQ,�4� >F� L ` l L ailin dress ofpplicanYr 7 State whether applicant'ts owner, lessee, agent, architect, engineer, general contractor, electrician, plumberuilder Name of owner of premises r-I&M s on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) r r= Builders License No.c Plumbers License No. Electricians License No. y ` Other Trade's License No. of lapd on which proposed work will bf done: House Number Hamlet County Tax Map No. 1000 Section `' i o— Block Subdivision Filed Map No. .';' 1✓ot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee (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. Height Number of Stories Depth 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 o RAN 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 NO 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. 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 (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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. Sworn to before me t is 2�D day of f� 20/ Nbi2 , tate of New York No. 01 SU6186060 Quail ied in Suffolk County Commission Expires April 14, 2�� Signature of Applipant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: oF so�lyo1 C aly��U,� Telephone (631) 765-1802 (631) 765- 5 er.richert own.sout�i(0 d. us 17 BUIL DING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR,, ELECTRICAL INSPECTION ZP JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District Date: 1000 Section: Block: Z Lot: *BRIEF ESCRIPTIO OF WORK (Please Print Clearly) N'S' ht_ (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 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 September 8, 2014 BUILDING DEPARTMENT TOWN OF SOUTHOLD Michael & Sandra Greenstein PO Box 413 Teaneck,NJ 07666 Re: 2460 Shipyard Lane, East Marion TO WHOM IT MAY CONCERN: Telephone (631) 765-1802 Fax(631)765-9502 The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) up. Electrical Underwriters Certificate. Vv A fee of $50.00. Final Health Department Approval. roval. (Awp Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 38748 — Bathroom Alteration �. `F �I _ryitNOTED • �_,,il,BY FiFy 'NG DEPARTMENT AT 765-1802 8 Ak TO 4 PM FOR THE FOLLOWING IN PECTIONS: 1. FOUNDATIO - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CO STRUCTION MUST BE COMPLE E FOR C.O. ALL CONSTRU TION SHALL MEET THE REQUIREMENT OF THE CODES OF NE" YORK STATE. OT RESPONSIBLE FOR DESIGN OR C0(STRUCTION ERRORS. I Co�-�,IiDLY WITH ALL CODES OF NEW yoR11K STA71 E & TOWN C S--• AS REQUIRED.- � , • _�. ARD eni rug,L�?n"TRf!�TFES oI f G-UPANCY OR SJSE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY