HomeMy WebLinkAbout40233-Z gUfWir40p, Town of Southold 11/17/2015
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P.O.Box 1179
W, 1 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37903 Date: 11/17/2015
THIS CERTIFIES that the building ACCESSORY ALTERATION
Location of Property: 2165 Reydon Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 80 -2-241
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/28/2015 pursuant to which Building Permit No. 40233 dated 10/30/2015
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
"as built"alterations to an existing non-habitable accessory building as applied for
The certificate is issued to Cashwell Jr,John&Rachel
of the aforesaid building
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40233 11/2/2015
PLUMBERS CERTIFICATION DATED
A h e ignatur
offal/%, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
4%pl 'PaIN-4
a 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# 40233 Date 10/30/2015
Permission is hereby granted to
Cashwell Jr, John
129 Stratford Ave
Garden City, NY 11530
To legalize an "as built" alteration to an existing accessory garage to a non-habitable
accessory storage building as applied for.
At premises located at
2165 Reydon Dr, Southold
SCTM # 473889
Sec/Block/Lot# 80.-2-24.1
Pursuant to application dated 10/28/2015 and approved by the Building Inspector
To expire on 4/30/2017.
Fees
ELECTRIC $90 00
AS BUILT-ACCESSORY ($424 00 �
Total $51400
%,w Cro Pi
Building Inspector
Foi m 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 0
3 Copy of Certificate of Occupancy-$25
4 Updated Certificate of Occupancy- $50 00
5 Temporary Certificate of Occupancy-Residential$15 00,Commercial$15 00
Date
New Construction Old or Pre-existing Building V" (check one)
Location of Property I'C- Y 4 w t? y L So U ab 1-n N y i f 17(
House No Street Hamlet
Owner or Owners of Property J(-*J C,/}$°kimiC(ti AJh P-&r-K�e—( 6)r—i
Suffolk County Tax Map No 1000, Section 00o Block Lot
Subdivision Filed Map Lot
Pen-nit No Date of Permit Applicant
Health Dept Approval Underwriters Approval
Planning Boaid Approval
Request for Temporary Certificate Final Certificate ✓ (check one)
Fee Submitted $ �_o
pplicant Signature
i
�®��ypF SOUry®lo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Pd, Box 117
Southold,NY 11971-0959 G ® O roper rlchert(a-town Southold ny us
�' i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To John Cashwell
Address 2165 Reydon Drive City Southold St New York Zip 11971
Budding Permit# 40233 Section 80 Block 2 Lot 241
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 X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 3 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 Twist Lock F1 Exit Fixtures TVSS
Other Equipment "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS"- Storage Shed
Notes
Inspector Signature Date November 2, 2015
Electrical 81 Compliance Form As
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a
�Of SOUL
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUG UMBING
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING / STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
iL2
hP 2--
DATE
DATE J INSPECTOR
i
OF SOUry�lo
r TOWN OF SOUTHOLD BUILDING DEPT.
r 765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) f ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: =
DATE �`� INSPECTOR c "
FIELD 3I1SPE4fi�CpN FPOkY`s AAS CO� ,NTS
FOUr DAITON(IST)
FOUNDATION(2ND)
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ROUGH FRAXWQ&
PLUMBING
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IN$UI,ATION PEA N.Y. H
STATE ENERGY COBE
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ENTAL
AJ7t}�`I TS
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• TOWN OF SOUTHOLD �s �jU bP 2oG o BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT ' pe, S /a Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 C)o oo �o 5d' -4 'sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502l �� purvey
SoutholdTown.NorthFork.net PERMIT NO. OG Check
Septic Form
NYSDEC
Trustees
—CO Application
Flood Permit
Examined 120 Single&Separate
Storm-Water Assessment Form
Contact
Approved ,20 Mail to
Disappioved a/c
Phone
Expiration —,20
f I Building Inspector
® l,J
NOV -6 ZO1� APPLICATION FOR BUILDING PERMIT
Date A/Q'%Je m h 4- Z , 20 15
l� INSTRUCTIONS
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 constiuction of buildings, additions, or alterations or for removal or demolition as herein desciibed 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
e4w Y-e4A,.,
(Signature of applicant oP4e,if a corpoiation)
12q ST(ZA �m �V Ee�cl
6AR-b a.O c cry , A)V 11-6-30
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
0 W nl Elz-
Name of owner of premises To 140 r - e-As 1-16%45 ZI, , TA
(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 be done
2 16 5' F-C%-Moat b p-iOF, Y v )T-Hy C-a , t 9 71
House Number Street `r,'.;, Hamlet
County Tax Map No 1000 Section So Block, ;,; �11- ;`,,C,,4,; ,.I ; .Lot
Subdivision Filed Map No Lot -
2 State existing use and occupancy of premises and intended use and occupancy of proposed construction
a Existing use and occupancy 61 A V�-A&L C
b Intended use and occupancCie sSo w y STV"C'16 6 611 to 1,y6, _
Cce556 I I
3 Nature of work (check which applicable) New Building Addition Alteration
Repair Removal Demolition Ot
(Description)
4 Estimated Cost C7 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
6 If business, commercial or mixed occupancy, specify nature and extent of each type of use
7 Dimensions of existing structures, if any Front l q 6 Co Rear q, Depth S
Height I . 0 pPAL4 Number of Stories 1
f�v C-C(C«.J6-,
Dimensions of same structure with alterations or additions Front Rear
Depth -2,0 ,S' Height g Pr Number of Stories ar
c4kt4- v
8 Dimensions of entire new construction Fiont ►U(N Rear t I3epth`(m+
HeighttjL Number of Stories
9 Size of lot Front (A `-f • �-S� Rear � �®
fo[� •� Depth (.Ju-t- >-,5-b- W)
10 Date of Purchase MAY (S 20 (5' Name of Former Owner btL- 'p tt k cr 'P G>;t,f'LEiLc
11 Zone or use district in which premises are situated R1~!,rl 9&)T- VALL,
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
t L_Y 14 u7 ��"c�e
ciorSt�d.)U� Address jo .>>I�t. Phone No b L �(a
14 Names of Owner of piemiseslbiiv!
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 property9 * YES NO t/
* IF YES, PROVIDE A COPY
STATE OF NEW YORK)
SS
COUNTY OF SU
Jahn Ca5hwdl i J fZ - being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ow o-cr
(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
olgj�=' day of QC--}�I'- 20 15
p
&qtVTARY
TRACEY L. DWYER1'PUBLIC,STATE OF NEW YORK L
Notary Pu c NO OIDW6306900 Signature of Applica t'
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,212-6—
�v6r,4 & LC41 n QC C2-55 PW_
(key User ma) 1 go, 00
pF SOUjyQfo (Q,G v glpl A k9-
Town
,Town Hall Annex t5 Telephone(631)765 1802
54375 141ainn Roadax
103 t]7-5- 5a2
P O sox 1179 o roger nchert(a town soot i0 fly us
Southold,[DIY 11971-0959 '� y
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY- _ Date. f
Company Name:
Name:
1
ki
License No.:
It
I
Address:
Phone No.: �(
s
JOBSITE INFORMATION: ('Indicates required information) '
*Name: CAf_T 1 J�T tib
*Address: i
10 lib R✓ Y Z
*Cross Street: r
*Phone No_: ! e10 y 3
Permit too.: As 6u]1+
Tax Map District: 1000 Section: 8Q Block: _ Lot .
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
I1
(Please Circle All That Apply) 1
*Is job ready for inspection: NO Rough In tna'
*Do you need a Temp Certificate: YES! 10 l
Temp Information (if neededl
*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 Inspectjon Form
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♦ Map of Reydon Shores
Filed July 2,1931 File No.631
Lots 6,7&8 Block"E"
MEASUREMENT IN U.S STANDARD
DATE TITLE No DT15-1923 TAXDESI4NAT10N DISTRICt 1(00 SECiION_L_BLDCK_?LOT(5)_�791_ 0 � Homestead Land Sury
4-29-2015 CCRTIFICDTO THEDIMUNSJONqSIIOWN HEREON FROM THE STRUCTURES TOT)III PROPER"LINEAMrORA ,fJ� �Q Phone 516-729-6297 30001lempsteat
SPECIFIC PURPOSE ONLY THEY ARE NOT INTrNDED TO BE USED FOR THE ERFCFION OF PENLTS, - T'
WestcorLandTrtlelnswanceCompany STRUCTURES OR ANYOTIIFRIMPROVEMENT ry �P O, Fax 516 520-0850 Lei
Southold y EMAIL HOME EADPB@GN
THE EXISTENCF OF RIGHT OF WAYS AND/OR EASLMFNTS OF RrC00D IF AN)NOT SHOWN ARE NOT GUARANTEED .9-
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CERTIFICATIONS INDICATED HEREON SIIALI t-- I i
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Suffolk COI'IL50FTHISSURVEY ALTERATION OR ADDITION a NONLYTOTIIEPERSONFORWHOMTHE
COUNTY NOT SEARING THE LAND SURVEY IS PREPARED AND ON 1115 BEHALFTO
TO A SURVEY APAP AND 5.EAR""SURVEYOR IEMOOS5E0 7TIETITLE COMPANY GOVERNMPNTAL AGENCY r� n
SEAL SHAH NOT 13 LI SEAL IS VIOLATION
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SECTION 7209,SUDDIVISION 2, r9
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1$-7295 John E Cashwell,Jr OF THE NEW YORK STATE TRANSIT:RABLF TO ADDITIONAI INSTITunoN5
EDUCATION LAZY OR SUDSf VENT OWNERS N Y$L S License No 050778
\k5�
Date
File #
TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM
Location of Complaints 5 Yom, C�n 2 SCTM# �--�� • l
Property Owner 9 11 Phone 5)L q D q" a3&/
Address c�4� ' Ny OT0
NATURE OF COMPLAINT.
( No L
ACTION TAKEN
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Optional. JJ /I,,
Complainant �-S�LC �/ 1 By Phone Mai( In Person(
Address ( Phone,
Report Taken By Date
Date Referred to Code Enforcement:
CODE ENFORCEMENT REPORT
SITE INSPECTION REPORT/DATE.! ��/�in' rn-Vve-C_
ACTION/DATE : _ G �lL
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Date
File #_26-61-
TOWN
_ 26-61 TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM
Location of Complaint �loJ� �� SCTM # �b`
I II �
Property Owner 4 L I P Phone
Address o-�
y
NATURE OF COMPLAINT
ACTION TAKEN
Optional A'SA—ByComplainant !"tel Phone Mail In Person
Address Phone.
Report Taken By —Date—
Date
ateDate Referred to Code Enforcement.
CODE ENFORCEMENT R/EPORT
SITE INSPECTION REPORT/DATE- 5 /S
CTION/DATE
PA P E(ZT�- �a�� SI Sf l� T� J0 � iv ��5� 0-eJ�
OgUEFO�,I•c Town of Southold 5/13/2015
53095 Main Rd
Southold,New York 11971
co
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MEMORANDUM OF "OLATION(s)
ISSUE DATE: 5/13/2015
REGARDING: 2165 Reydon Dr
SEC-LOT-BLK: 80 -2-24 1
ISSUED TO: Palmeri, Philip
67 Hilton Ave Apt Al
Garden City
LAW TYPE: TOWN OF SOUTHOLD CODE
SECTION: 144-8(A)(1)
DESCRIPTION: No person, firm or corporation shall commence the erection, construction, enlargement, alteration, removal,
improvement, demolition, conversion or change in the nature of the occupancy of any building or structure, or
cause the same to be done, without first obtaining a separate building permit from the Building Inspector for
each such building or structure
OBSERVED: On 5/6/2015 Gary Fish observed that the garage has been converted into a poolhouse with no permits
FF Town of Southold 5/13/2015
�O cGy 0 1
53095 Main Rd
co Southold,New York 11971
631-765-1801
COMPLAINT
To: Palmeri, Philip Complaint#: 2015-933
67 Hilton Ave Apt Al SCTM#: 80 -2-24 1
Garden City,NY 11530 Follow-up Inspection Date: 5/25/2015
Location: 2165 Reydon Dr
PLEASE TAKE NOTICE, a complaint has been registered against the location described above, in that the above named
individual(s) did commit or permit to occur the following offense:
Accy garage converted to pool house without a permit
This condition constitutes a violation of:
TOWN OF SOUTHOLD CODE
144-8(A)(1)
To Resolve: To avoid possible legal action, contact the building department upon receipt of this violation notice and secure
the required permit9—
s 7&g�natu're ����l■ Completq items 1,2,and 3 Also complete J
item 4 If Restricted Delivery is desired ❑Agent
■ Print your name and address on the reverse - ❑Addressee
so that we can return the card to you R o Re ived by(panted Name) C Date of Delivery
■ Attach this card to the back of the madpiece,
or on the front if space permits
1 Article Addressed to D s delivery address different from item 1? 13 Yes
If YES,enter delivery address below ❑ No `(
`
k3 Service Ty
G �L{�,p,� G rT� �/l� `!S 3� 13Certified Mad® ❑Priority Mail Express'"
(� ❑Registered ❑Return Receipt for Merchandise
❑ Insured Mail ❑Collect on Delivery y
4 Restricted Delivery (Extra Fee) ❑Yes
2 Article Number
(1"ransfer from service label) j
PS Form 3811,July 2013 Domestic Return Receipt
When on 5/7/2015, I did observe
On 5/6/2015 Gary Fish observed that the garage has been converted into a poolhouse with no permits
This property will be re-inspected for compliance on: 5/25/2015
Peter Doherty
J
OF SO(/ryolo
• o �by
cOUMY,� �
Jy
TOWN OF SOUTHOLD BUILDING DEPT. U"t�
765-1802
I N S pmm'k E T 10 IN
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING c
[ ] FOUNDATION 2ND [ ] ANCATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION! [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: c _ x
N
&A'
DATE
INSPECTOR
ADDITIONAL COMMENTS
in G sem- J Z
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,MELD INSPECTION REPORT DATE COMMENTS
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