HomeMy WebLinkAbout39765-Z � SuffQ4� Town of Southold 8/20/2015
g I P.O.Box 1179
53095 Main Rd
\ *ot 49:, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37728 Date: 8/20/2015
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 1525 Albo Dr, Laurel
SCTM#: 473889 Sec/Block/Lot: 126.-3-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/13/2015 pursuant to which Building Permit No. 39765 dated 5/13/2015
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:
TWO CAR GARAGE AND BREEZEWAY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR
The certificate is issued to Turner,Robert&Turner, Theresa
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 015912 04-08-1998
PLUMBERS CERTIFICATION DATED
A villa ed S' nature
SVFFo TOWN OF SOUTHOLD
oti° ® '
� BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
i y 2
SOUTHOLD, NY
y�l * t
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#: 39765 Date: 5/13/2015
Permission is hereby granted to:
Turner, Robert & Turner, Theresa
PO BOX 296
Mattituck, NY 11952
To: Construct GARAGE(two car) & BREEZEWAY ADDITION TO EXISTING DWELLING
Replaces BP# 10333
At premises located at:
1525 Albo Dr, Laurel
SCTM # 473889
Sec/Block/Lot# 126.-3-17
Pursuant to application dated 5/13/2015 and approved by the Building Inspector.
To expire on 11/11/2016.
Fees:
PERMIT RENEWAL $57.50
Total: $57.50
(.
Build n9 I s•ector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. V.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 10333 Z Date ..... ...... , 19.x,,•
Permission is hereby granted to: Tic,/
a7m7,
Aifigr.q./.72.1.0.0 — -(7
to
_4./2/.2. r[a /c,
at premises located at . f.�� DirT. .142.C. ,;. ..,f ..•,
pursuant to application dated <-7(::: ,..I -'- , 1911., and approved by the
, Building Inspector.
Fee $../6
0
Building Inspector
FD LE ii..„ L, _ vy , in -
U11 ' Form No.6
MAY $ f r TOWN OF SOUTHOLD i
BUILDING DEPARTMENT
EI G DEPT
— TOWN HALL
t,;"!i',uR SOUTHOLD 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. 5 7 1ST
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: 1 S cZ S 0-1bo DR . j-.c kce l \Q . I
) o ed C
House No. - Street Hamlet
Owner or Owners of Property: N)U-er 1 '� T f1 f(e5Os. u(,U PVP
Suffolk County Tax Map No 1000, Section t a—(10 Block 3 Lot 1•-1
Subdivision Filed Map. Lot:
Permit No. /0 3,j Date of Permit. 7-3)- 7 7 Applicant: Obee-r 41. /a(ler
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: /7 (check one)
Fee Submitted: $ 5'7, sce2
el( ‘,._ V1.7:2----------___
7. SU - -eio,f A ftelo,
Applicant Signature
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THE NE .°, YORK erOARD OF FIRE - UNDERWRITE- 5, 7.-Ac4 ; 1 f-
w, $0;;1,,-192 l
BUREAU OF ELECTRICITY
' �, 85 JOHN STREET, NEW YORK, NEW YORK 10038 i
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' JU":,`,` t1'�,1..991 i`139"1i':9iti/90 i; 0231)5;
• Date Application No.on file
- •; THIS CERTIFIES THAT " ' l '-.2
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ,WI Y
R06 RT 1'i_ TURN ;{d , 115!6 ALSO f1Ri\ff:, 1.i-Vi(Zt';i,; itk,Y, !isn �
� in the following location; ElBasement El1st Fl. ❑ 2nd Fl, - l Dr,l'' Section "t'Block' 7 Lot i 13 `Y
,,3t1VF 17, 199.1 ?'
was examined on and found to be in compliance with the requirements of this Board.
L-1
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS I 0
RECEPTACLES SWITCHES
I OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W AMT K W AMT K W ' AMT K W AMT H P ;t
0.7. ,
c. 1.-4c ' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT'HEATERS MULTI-OUTLET DIMMERS 1} ",
AMT K W OIL H P GAS H P' AMT NO A W G AMT AMP AMT TRANS. AMT H P NSYSTEMS
O.OF FEET AMT WATTS
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IRSERVICE DISCONNECT NO OF S E R V I C E ;�
iti AMT. AMP TYPE mull,. I,0'2W 1,B'3W 3,Pf 3W 3,B'4W NO OPER%GOND OF UNCOND NO OF HI-LEG OF HI-LEG NO OF NEUTRALS OF NEUTRAL `
C.: -0 10!
4.
WI OTHER APPARATUS:
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GER9iIf:RAI, MANAGER �
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;, „• not-be altered in any manner; return to the office of the Board if incorrect. Inspector's may be identified by their credentials. Ir
•' This certificate must
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C;}PY FOR BUILDING DEPARTMENT. THIS COPY OP CERTIFICATE MUST NOT BE ALTERED 9N ANY MANNER.
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THE NEW YfoRK BOARD OF FRRE U E - ' R TE -S , fr-
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' i BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date 11''-. . ,,AV.'.: Application No.on file A 4 4 /// 'l 3', 1; i‘i, ' .
►s THIS CERTIFIES THAT
. only the electrical equipment as described below and introduced by the applicant named on the above application number in tli premises of
A-
R „, , ... ., „l,,� ti . ,, 5', MA , UGi, , N Y 'T
in the following locution; Lx.J Basement 0 1st Fl. El 2nd Fl. 1,,,,`.; Section; , Block,, int /
tens examined on M!+Nr.'I :.. J:'I-} and found to be in compliance t'Ith the requirements of this Board. i-
i• 'IXTURE ECEPTACLES SWITCHES ? RAI GES COOKING H CKS OVENS v' DISH WASHERS E; I•IAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W AMT liaM AMT. K W, AMT, K W H P Iyy 1• DRYERS FURNACE MOTORS FUTURE APPLIAECE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEAT ;RS MULTI.OUTLET DIMMERS .
lt
$1 ;PAT.
IMilII K.W OIL H.P. GAS I{,P. AMT. Na A.W G AMT. AMP. AMT, TRANS. FL F', PID.OF FEET SYSTEMS �tAMT. WATTS
• ■ ” ■ ■ ..-, ice
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• SERVICE ®ISCONN CT NO.OF S E R V I C 2
METER _
•� Amt. AMP.
TYPE 7.P! W 1,�3W 3,B'3W 3�Y AW NO OF C.COND. AWG
NO,OF HI-LEG A W, NO.OF NEUTRAI,tt A•W C'• 1�
•� ,_ EOUIP• PER�' A OF CC.COND OF •I;C'i , OF NEUTRAL 1
�q OMER APPARATUS:
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�, This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may bo identified by their credentials.
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765-1802
BUILDING DEPT. ,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING - FINAL
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REMARKS:
Air
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DATE INSPECTOR _
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\Z4-COUPit./ 5
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TOWN OF SO ' OLD B 1 LDING EPT. .r,--�,y
765-1802 l l /1
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INS I 14- 6(. Ci' C1:14 51P11
[ ] FOUNDATION 1ST [ ] ROU PLUMBING
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE `
INSPECTOR
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
7 •/
Examined . .\!/1. ` , 19 Application No. !.�! • . • . . . . . . .
Approved h , 19 , No /0
w '~
•
Disapproved a/c
.- ', .
(2-1/212-'466/' /./
(Bu4ing Inspector)
APPLICATION FOR BUILDING PERMIT
Date . 7' ?3 , 197q .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building
Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 buildings for necessa 7tion ,,().
k -ger
(Signature of applicant, or name, if a corporation)
TO.730X M4- — 72JC1/Y //95c2
(Mailing address of applicant)
State whether applicant s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ^013 /u12drl /Air
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. . . .
Plumber's License No. f;
Electrician's License No. '
Other Trade's License No
1. Location of land on which proposed work will be done.
-5/�S ALEa. lg1 VE A/1 r4- 1-"zia. . /c) .�
House Number / Street amlet
County Tax Map No. 1000 Section . . . . /Z '. . . . . . . . . Block Lot 17
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy -_ ' "�: I l�41:77.-. . . �� Ll 4.4
b. Intended use and occupancy Gj4( ,/.-3-Ca•c.• Vet-llC e9,5 • • • • •
3. Nature of work (check which applicable): New Building Addition ✓ Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost
'''37‘e7.--7__ AT
Fee
(to be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage,number of cars 71w 0
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 .24 ' Rear a4'
Depth ./, , 4."
Height-g'�(-'� /4' Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 9o.6° Rear . . . . ✓.Q?/./. . . . . . . . . . Depth 1 /45.5'0
10. Date of Purchase VG Name of Fopner Owner . .v0/ 11SQnI
11. Zone or use district in which premises are situated . . . ./--,A.U.I? ` �
12. Does proposed construction violate any zoning law, ordinance or regulation: / O
13. Will lot be regraded YGS _ Will excess fill be removed from premises: Yes NgJ
14. Name of Owner of premiss �CG�J Address41,�0 DT. MA r T MC hone No c9 -SS.Q3�?. . . .
Name of Architect/�L��� �� BA ELS Addre'ss ..4evm z�� +� v Phone No51L/ 546 -7Y&7
Name of Contractor ,5- /e/' Address Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
I < MaP h)a. iooSCeIIDd _ 126._-. _131.oc1-(__8_ _Lot _ _ 17 _ _
AL30 Ji1\ir
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STATE OF NEW YllerffS.S
COUNTY OF . .117-15q2,4
. Imo. J. W �''- being duly sworn, deposes and says that he is the applicant
Name of individual signing contract)
above named.
He is the 0 .CU.i.N I .1 -
(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 this
. .day of ' '-.-
et.17, 1977.
Nota 'ublic, 0 '0L .O: County, 1
ELIZABETH ANN It LLIa
VOTARY PUBLIC, State off New'fork (Signature of applicant)
)
No. 52-8125850, Suffolk Count
Term Expires March 30, 19.E.
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Town Hall Annex J U L 2 1 2015 1 ?
Tetephon- (631)765-1802
543751N,f;a Road N ax(6si)70"5 5 2
P.O.Box 1179 GC • Q �� roger.richert ar' towrt sorJtl7o�d rty.t�s
Southold,NY 11971-0959 :. y0,t1
--- courfrisw-00
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
1
REQUESTED BY: • Date: E i
Company Name: 1/
i J
•
- Name: - l -
License No.: -
Address: •
• Phone No.: - :
JOBSITE INFORMATION: (*Indicates required information) -
•
*Name: - -- RD[3eeT .4-1 fryer soy-, '77A-f'(-140 _ - - ,
*Address: I.SG)--5. 161-1130 D R;u Ura-1 , Oki
*Cross Street: - - - -
*Phone No.: (D31 {S0 fc -(0 '(3 Ci-o-go rt e TZ (,u—er-
Permit No.: 3 q-1 (r Se _
Tax-Map District: - 1000 . Section: 'a,(f• Block: 3 Lot: /7
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) . - "e d Li„d er,,,./(,---(--e i Is-//
c-eert l(a,I-� L.V 96 tro(�. ... I _
r -
(Please Circle All That Apply) _
*Is job ready for inspection:
,S5i NO. Rough In final
*Do-you need a Temp Certificate: YES iii'' •
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 -
` I Cir/r�� , ' '/&e -
is
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82-Request for Inspection Folin '� An%
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Town Hall Annex � ® : Telephone(631)765-1802
54375 Main Road Ali
Fax(631)765-9502
•
P.O.Box 1179caz
Southold,NY 11971-0959 a® •�
0
June 4, 2015
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Robert & Theresa Turner
PO Box 296
Mattituck NY 11952
Re: 1525 Albo Dr, Laurel
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
/Electrical
Underwriters Certificate.
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 411/84)
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 — 39765 — Residential Addition
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APPR Yom? AS NOTED
DATE: i 79 B.P. * Z/ `
CE1L1Fa� " ZIP^s16 '
2x6
FEE:___ —__-_:__- _BY: -.
JOISTS / NOTIFY BUILDING DEPARTMENT AT
It�t G .(� - 1
765-1802 9 AM TO
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____ �. — FOLI_�lh�tlN'C I!�'S I PM FOR THE
:;''-- ---•_HEADER DOUBLY Z'xg"' ACTIO\S:
PLAtr 21A4:" 3. FOUNDATION - TWO r
F`�? P'�'IJ^�D CONCRETE
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2. Pn'-'^I-H - FRAMING & PLUMBING
r � r.c_- rl.Yw�`aR 4. �I ^^� rr�I(T^ . IO�1 MUST
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2"xf���F:AhrtiN� DE C.:,•,, ___i r_ FOR C. 0.
ALL COaNST! C.".-12 I F.4
THE REQUIRE FLEA,-.-�` �,F Th N. T
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STATE CONSTRUCTION & ERV= GY
CODES. NOT RESPONSIBLE FOR
_ DESIGN OR CONSTRUCTION ERRORS.
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