HomeMy WebLinkAbout40356-Z OS� Fad�4,-' Town of Southold
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P.O.Box 1179
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cia. i 53095 Main Rd
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% 0 c Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38083 Date: 2/3/2016
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 3475 Wells Rd,Peconic
SCTM#: 473889 Sec/Block/Lot: 86.-2-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/14/2015 pursuant to which Building Permit No. 40356 dated 12/17/2015
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"ATTACHED GARAGE CONVERSION TO LIVING SPACE IN A ONE FAMILY DWELLING AS
APPLIED FOR
The certificate is issued to Schupler,Joseph
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40356 01-26-2016
PLUMBERS CERTIFICATION DATED 11-20-2015 Mark Baxter
Au o2 atufe
asU�Fna, coTOWN OF SOUTHOLD
Vey BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
ySOUTHOLD, NY
..p 1 * .
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#: 40356 Date: 12/17/2015
Permission is hereby granted to:
Schupler, Joseph
7 Diamond Ct
Huntington, NY 11743
To: legalize an "as built" interior alteration to an existing dwelling (attached garage
conversion) as applied for.
At premises located at:
3475 Wells Rd, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-2-9
Pursuant to application dated 12/14/2015 and approved by the Building Inspector.
To expire on 6/17/2017.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $681.60
CO -ALTERATION TO DWELLING $50.00
0111 /btal: $731.60'
411111 (
Building Inspector
0-0
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. 7C f/f i
New Construction: Old or Pre-existingc
Building: 1,?-7- (check one)
Location of Property: J'4( GOELL,S % '` -0/(,1/0, Air
House No. Streets 1 1 Hamlet
Owner or Owners of Property: �l> P7� 50— ) PLe
Suffolk County Tax Map No 1000, Section v 5CD Block Lot
Subdivision Filed Map. Lot:
Permit No. 4035( Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate., / Final Certificate: V (check one)
Fee Submitted: $ -03
Appli ant Signatur-
�*s %�pF SO!/lyo
Town Hall Annex ; l : Telephone(631)765-1802
54375 Main RoadJig Z Fax(631)765-9502
P.O.Box 1179 : ce' i
• G @ 1 roger.richert(a�town.southold.ny.us
Southold,NY 11971-0959 . /i a 1
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Schupler
Address: 3475 Wells Road City: Peconic St: New York Zip: 11958
Building Permit#: 40356 Section: 86 Block. 2 Lot: 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: REP Electric License No: 46288-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 8 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures 6 CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture 1 Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 13 Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" - Electrical Survey" - "No Visual Defects"
1-Paddle Fan,1-Exhaust Fan, 1-Hydromassage Tub, 1-Electric Base Board Heater
Notes:
Inspector Signature: 502 Date: January 26, 2016
Electrical 81 Compliance Form.xls
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Town Hall Annex
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< y x Telephone(631)765-1802
54375 Main Road ; ce Fax(631)765-9502
P.O.Box 1179 G �; rf�` ��
Southold NY 11971-0959Zoo
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4-coUNTY,N ,offl
BUILDING DEPARTMENT -
TOWN OF SOUTHOLD
CERTIFICATION
Date: /11 01) a0114 able
Building Permit No. / / r /
Owner:-L34,4 34,4 & i)U �2/.� Sc /, L#>n
(Please print)
Plumber: - ' y/< 6 -t`',, -- —(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signature)
Sworn to before me this 9 0
day of AoveuAS-e r , 20 I
\ot-1=1:r?.,QA.Lut_A.L1)-/
EDITH REINWALD
Notary Public-State of New York
NO.01RE6024237
Public, u Qualified in Suffolk County
NotaryS CSN IL—County My Commission Expires May 3,2019
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TOWN. OF,SOUTHOLD BUILDING DEPT:
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: 6 � , `� �-�.�
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DATE 77/1:3ofre INSPECTOR 7:4
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, _ TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION '
- ,- '
[ ] FOUNDATION. 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ -] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) - 1,31 ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
iz.,tele---- =-7‘,/).----772,z-e____ --e)r-
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DATE. / V"[/6( I NSPECTO�` '
Codon Enc cines ng9 P.C.
New York State Licensed Professional Engineers
1755 Sigsbee Road 631-298-1986
Mattituck, New York 11952 1 Fax 631-298-2651
....) i_. _ _ r
December 31, 2015
DEC 3 1 2015 .J
Mr. Michael Verity _�
Principal Building Inspector BLDG DEPT -
Southold Town Building Department TOWN or P,DD:T`ln!D ,
54375 Main Road
Southold, New York 11971
Re: Permit#40356Z-Schupler Residence-3475 Wells Road in Peconic
Dear Mr. Verity :
I inspected the work completed at the residence located at 3475 Wells Road in Peconic and
found the work to be in conformance with the plans prepared by Eileen Santora and signed and
stamped by this office.
If you have any questions regarding this letter, please call me at 298-1986.
Yours truly,
-.. Mt,
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 ------'4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Jj� A -Survey
SoutholdTown.NorthFork.net PERMIT NO. C/ Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined q 411 ,20 Single&Separate
7 I
...f ) Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c I teGA( �1UtLEE,Phone: / ?3 '2'7g4
Expiration i 7___,20 ( IQ��C�G2g /✓ .Z
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— '765 -e-�30
i ,� r I Building Ir
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1 4 2015 PiL,
I,� DECICATION FOR BUILDING PERMIT
L. ()
----- I DateG6NjC `l , 20 /
UDC- 11EF I ;r 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 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, ousing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
4, ,._...._
Signa re o%f�ap�p��liicanntt or/n►a�me, if�a l corporation)
v Z.LO 1/ 1 4I�,)1i
.ockla.Wilvddressylf applicant)
d/%/ /446 Jay//9 3 -0444-
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises JO5Cfi. SC/7 UFLEi -
(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. Locgfland on which workwill be done._
81
House Number Street ,f-} --ccoliro4a;71i9 M c/
ppi�t 7fiamle
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vvsici3::.tt wra ,
County Tax Map No. 1000 Section (V6 Block 2 Lot 9
``,,`a��OF spUTyQ� `
Town Hall Annex 1 ) ( ' . .Y; if t Telephone(631)765-1802
54375 Main Road �, '•.;..:' .. ax(63 i]705- 5 2
P.O_Box 1I79 • G •' Q 4� roger_richert(afown_soutio�d_ny.us
Southold,NY 11971-0959 Z 0 .t ' of .
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/ BUILDING DEPARTMENT
1 TOWN OF SOU HOLD
APPLICATION FORELECTRICAL INSPECTION
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JREQUESTEaB Y: -C-,'"'PC
-C-,'"'P EG.-- Date: h /6.,8
. JCompany Name: - .P.,__E p • 1-E. I c---- - I ] -
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Name: - �GL% �.�1 ad � N Q -- , _
License No: • Z� / ' '` j
Addr-es : g ® 13 O?< to- 3 - Otx -7-7-J 6' . / j/ /l j"D <!--
Phone-No.: 63 / 7 6, 6,03r . ,
- JOBSITE INFORMATION: (*Indicates required information)/ - -
*Name: a 3-it � 4i,- t L` A- do •v/1(Z -
• - . .-. .
Address: 3q 7 s' fiv t f j 12e1 • • !t1 c--(e.,—/ y // fr,
*Cross Street: - . _ --
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*Phone No-: •--ttl- ti�(,ciri-�n '?!/G. qi'g_ ;9(0," -
Permit No.:
Tax•Map District: • 1000 Section: ee& Block: g. Lot:,
*BRIEF DESCRIPTION F WORK lease Print Clearly) _ _CC� -C/4-, x /v 0,4---1-70,A .5,6=,
L
5 ca : -'l� � c
(Ptease Circle All That Apply) _ -
is job ready for inspection: - NO. Rough In Final
*Do-you need a Temp Certificate: YES/ NO " . -
= ,
Temp Information (If-needed)
*Service Size: I Phase 3Phase 100 150 200 300 350 400 Other I
*New Service: Re-connect Underground Number of Meters Change of Service Overhead - .
Additional Information: PAYMENT DUE WITH APPLICATION .
- I
fk'
82-Request for inspection Form / i
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,, s _ �_ • , TOWN OF SOUTHOLD PROPERTY RECORD CARD . 1
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m OWNER - T' �-.
'STREETS C" 75 VILLAGE DISTRICT SUB. LOT
FORMER OWNER . l N. 1 Ea ACREAGE
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S TYPE OF BUILDING L `�
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w SEAS. VL. FARM COMM. I IND. CB. MISC.
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. LAND IMP. TOTAL DATE REMARKS
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NEW NORMAL BELOW ABOVE ,
Farm Acre Value Per Acre Value
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