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
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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