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HomeMy WebLinkAbout40617-Z �,, �U���Fat'f�© Town of Southold 5/11/2016 x a P.O.Box 1179 d 53095 Main Rd 4 - oor Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38266 Date: 4/25/2016 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 655 Eagle Nest Ct., Laurel SCTM#: 473889 Sec/Block/Lot: 127.-9-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/7/2016 pursuant to which Building Permit No. 40617 dated 4/13/2016 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"BASEMENT ALTERATION(PLAYROOM)TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR Note: Amended to include electrical certificate The certificate is issued to Novak,Thomas of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40617 04-27-2016 PLUMBERS CERTIFICATION DATED 1 41 A ed ignature � Su&FOt'�cD Town of Southold 4/25/2016 g y� P.O.Box 1179 T 53095 Main Rd yqj ao� Southold,New York 11971 Ot CERTIFICATE OF OCCUPANCY No: 38266 Date: 4/25/2016 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 655 Eagle Nest Ct., Laurel SCTM#: 473889 Sec/Block/Lot: 127.-9-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/7/2016 pursuant to which Building Permit No. 40617 dated 4/13/2016 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"BASEMENT ALTERATION(PLAYROOM)TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Novak,Thomas of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED • • o ' d Signature ,e , ,.. TOWN OF SOUTHOLD �o� cS BUILDING DEPARTMENT TOWN CLERK'S OFFICE ;Ie.,* g4, 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#: 40617 Date: 4/13/2016 Permission is hereby granted to: Novak, Thomas 655 Eagle Nest Ct Laurel, NY 11948 To: legalize an "as built" basement alteration (playroom) to an existing single family dwelling. At premises located at: 655 Eagle Nest Ct., Laurel SCTM # 473889 Sec/Block/Lot# 127.-9-7 Pursuant to application dated 4/7/2016 and approved by the Building Inspector. To expire on 10/13/2017. Fees: CO -ALTERATION TO DWELLING $50.00 AS BUILT - SINGLE FAMILY ADDITION/ALTE' A TION $961.60 Total: $1,011.60 49 -- Building In -ctor 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 C/� Date. D l 07-j New Construction: Old or Pre-existing Building: C (check one) Location of Property: U .cc 6-4.31 4es)- rO q4 ret House No. Street Hamlet Owner or Owners of Property: c.) S � '�'�"`reevi _ 0 Ct Vc Suffolk County Tax Map No 1000, Section i « Block I Lot if Subdivision Filed Map. Lot: Permit No. -O (49 ( 1 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted. $ 5 0 -‘0 Applicant Signature ,•••0*of SO(/1,,0 „s ti® 0 Town Hall Annex ; Telephone(631)765-1802 54375 Main Road ; N\ Fax(631)765-9502 P.O.Box 1179 ! Q 0 roger.richertlaRtown.southold.ny.us Southold,NY 11971-0959 Y ••• ... .'- • BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Thomas Novak Address: 655 Eagle Nest Court City: Laurel St: New York Zip: 11948 Building Permit#: 40617 Section* 127 Block: 9 Lot: 7 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 X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 20 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures 1 Smoke Detectors 2 Main Panel NC Condenser Single Recpt Recessed Fixtures 19 CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 7 Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes: .7Inspector Signature: Date: April 27, 2016 Electrical 81 Compliance Form.xls o�.pf SOUjdp� 1 /72 y G --4"cOUNi'1,*�,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] 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: 7 DATE I INSPECTOR ' 4,0f S01/45, � (\ 1 0 =�y� 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) k] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ("5 rrti DATE -I 1`7 / INSPECTO ' :' . • , y� r''LLD 7T7SPE(C?N tE ''O .x • DAT,B . , , - - COMN MS • , ' . 6. ,„s 'QUNDA'ON(1ST) , - FOUNDATSQN'(2ND) NM `C3�► MI 0 g ROUGH 'R .MIN' & - ' , ' ' PLUMBTN'G • ' •• , ' 4p MI • 1 . ' �. .. i I ' ' ' 0\ $ INSULATXON IDEA N. H STATE ENERGY CODE • - , 4.. , t . /f . FINAL • 1 •. , ' ,. • • • . . . a . . . . . .. I . . . .... " _ , : _. . _. F' ...- , ' 2 / V Z , 1 ' , • ',Z • ••- - +r TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL --26v Siamma lay e vvij Board of He h SOUTHOLD,NY 11971 (aft eke �--:N l�~---4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 4Nrepr curt n1' ' SoutholdTown.NorthFork.net PERMIT NO. hec es 410 .6 / Septic Form N.Y.S.D.E.C. D5�1 , Trustees D 1 ©[ 1]Y[ _.0.Application Flood Permit Examined ' , ,20(-1-7) ((b APR V -ingle&Separate *� Storm-Water Assessment Form • • .ct: Approved ,20 BUILDING a ail to: ./W S 41)4k Disapproved a/c Phone: 6 3/-,9-7, -`z rd-9 �0 (-3 Expiration ,20 � 3/ 3%J -�d--,� D Buildin_ n pecto APPLICATION FOR B ILDIN RMIT Date r r I. --.., 20/6 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 1,8 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. . /:%r4911--- ‘/171-4-----/— (Signature of applicant or name, if a corporation) óck pfe8d- C�+1I(4�( f `�` `" (Mailing address of applicant) //5‘ti T State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises ..,3 1446 S V M Ct,Vl(2,p,‘ 1\)0 O a k (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. . ., 5' 16? . . of land on hich propose( work will :,e don-: 10,/1-- , ,�JJ / r House Number Street • :1 -'s{'''::''`•'- = •`-1'r- -i -" Hamlet County Tax Map No. 1000 Section,? '•/a;'�7 -'r,i;, .,Block.r�xL9 5, 93 Lot a° 7, Subdivision /)- ? Filed Map No. 0 U/ Lot d(' 7 2. State existing use and occupancy of premises and intended use land ow^upancy of proposed construction: a. Existing use and occupancy '/'/ e/.40 i /�5�`� t ,,CQ `� b. Intended use and occupancy, Sf iK ie._ �C1,wt,rtee„ e ge,,ideA4-,(.. c i 3. Nature of work (check which applicable): New•Building Addition r Alteration_./ Repair Removal Dedi molition Other Work f ,7 1'g �.f 4gSe4,,�PAF i (Description) /('/ < 12t 0. � �•�� `'�� d ''; 4. Estimated Cost fl!o b e paid on filing this application) 5. If dwelling, number of dwelling uriits Tte 'af d ilinerrti'ts on each floor -€.4N If garage, number of cars )-- �� rfM 6. If business, commercial or mixed occupancy, siva', � `� f each type of use. T �rM 7. Dimensions of existing structures, if any: Front C/ Rear 6113 Depth A54:;7 Height 7 / Number of Stories 2_ _ Dimensions of same structure with alterations or additions: Front 6 �/ 3 Rear 6.13 Depth 1/ Height )-- 7 ' Number ofStories_ 8. Dimensions of entire new construction: Front )--- 6 1 Rear 3 Depth 3?. Height )-7 / Number of Stories p-- 9. Size of lot: Front � 0/ • d 2-- / Rear / eDepth -- --,.14-C10. Date of Purchase os=a-e-i f�y Name of Former Owner .ch efrvi 6 r d'10 In/l.tiP s 11. Zone or use district in which premises are situated / 0 0 V 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO .' '''' ( 13. Will lot be re-graded? YES NO e Will excess fill be removed rom pre � ises? YES NO •� 14. Names of Owner ofpremises 1,o Ai,.S i C Address b� �- e l't'd- r- 'Phone No.b."3.3/—3/=5- b CJ S Name of Architect `(,'''',/ + ii., Address((& vie - . Phone No 63/-73Y-a-7 5r Name of Contractor ,' . ' Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES /O * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM!TSXAY 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 a on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. 1--)431MQ OLOre)15 flU 1 0-etio STATE OF NEW YORK) Yew,C+9 0tiS S: COUNTY OF ji�-FO � `11CC1a5 Nova k being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the CO--' IJ )v R (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. 7/±)- } day of Mri I 20 I 6 TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK )cirl% jp-cuay d , /,U7 'C A NO.O1DW6306900 G Notary Public 7 QUALIFIED IN SUFFOLK COUNT 'nature of Applicant COMMISSION EXPIRES JUNE 30,2 Or/ • -,�'�,o�*OF S•O�lyol , i 0ti O Town Hall Annex ( Z Telephone(631)7651802 )) E 54375 Main Road ; N 65-9502. P.O.Box 1179 (631)7uthold � roger_richert town.southo a.nyus i ©E1'V � O couffro%so' APR 1 4 2016 BUILDING DEPARTMENT TOWN OF SOUTHOLD BUILDING DEPPLICATION FOR ELECTRICAL INSPECTION TOWN OF SOUTHOLD - • • - REQUESTED BY: afi3(. .1 P Date: " c/—/ V. Company Name: Name: - - - License No.: Address: • Phone No.: - - • JOBSITE INFORMATION: (*Indicates required information) *Name: As,,,,,-4,3 /OD a/PC . *Address: 5`,c•--- L t t\ e8.d- . • *Cross Street: 4- , - *Phone No.: • 3/- 31� 0 317 9-76-1, -CP2'L Permit No.: 7 3 80 Tax-Map District: - 1000 _ Section:. /19-7- Block: y Lot: 7 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) • - • ri,vsilst,,a ec.,,e_i,-4,e,,,d-- • • • (Please Circle All That Apply) *Is job ready for inspection: O Rough In - Final *Do you need a Temp Certificate: YE O ' 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 4dditional Information: - PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form ' X' . V .e ..,:7 C0 _,,i_O, •••#' . TOWN OF SOUTHOLD PROPERTY RECORD CARD (On n VD() ,-- I -7::27-9 '7 a CO OWNER STREET 45- VILLAGE DIST. SUB. LOT 7 it10vvv s # ['4c a rr-eel XI ak ..i . c\a I .1\,L,-- -if Cei to 4 Leitrwe J r ( Gdcie+-( \dzvv E74r74 FORMER OWNER N E ACR. Ic; p.7 CCG1ern Yi 'o[Ale--1;16 W TYPE OF BUILDING R P ( ;ti i/(zi ` f ��+f i�r`I� eI-? Y 1 C"`31*4� �.�� `I"1';='S� �F�t'�'" \ 4_42...„.44.p.... RES.oc,I SEAS. VL. ,,,,,75,-/i FARM COMM. CB. MICS. Mkt. Value '� LAND IMP. TOTAL DATE REMARKS - / ?j�/4� �p�2.s9©�- �.� Cly -2.,(0 iro r._) 6-< < •� -s' 4S) /t0/ 4 - L- I I a.5(1 (� o. ) - �D i d ,.en I/%e ) 40 8/1<C/75 \ .? I.)1-..D P'L..) 1 .7)6A C)0D p I t,o c71) n(50C ' ? A(1--- 3 toc . 1'� 91 1 ga-' i_ )lqa?.o gto- .( r 5m Sch er/Il ion' gamta�dl '. 7a,•T.n' (4e_-,0 3o o `�� -le(�©0 i �- I a/ I9 5/ /Qci - J_1Igl;ga_tol- t lire' Hi ?7./Nnvalc vis -eperc6d 1 Ih rNr7 'Moo ct 3 o b / '14 i oa,b /00 6i'2 l�b_n I/n�cpf1�.r �}l�1 g7oZ 57 ---- ?45 c9 / "�.k-t oc /r)Azi 6 e,24740 cf,n dBe. oe) �7 �tp aS - /GA i s/5-7.-0h1 ��n • Pa v � � 2.iK � tea. 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Bldg. 1 - -z75 , GeRA.R.1156.)s''''' 4S1A ‘ 8 l S Foundation '-' ,, , Bath • ,8 1/4.t. 1-0k4i,(30 4 :.(\,.., ,Extension y1/45k = 96c, \ 1112_ . 416? I Basement . •Cs 1,\ /Floors ..,......= Extension CE1 X 12-=., t Cp et ' — Ext. Walls e , . v ‘t\A•lL CL APInterior. Finish . . Extensionfag Fire Place (t.'S (k) Heat `1".t.E, r - _ '...) F-41.14! Aft • : ii`le..TC7.:, ..- c 1 G' \ „ esi,„1 4v 2:4x (5;o3c70. 5436' i'0, .. , Porch 94537) , Zroq- SO Pool Attic{8Z . Deck ---- ) co i ,?_5 L 2--$ ....-- Patio • , Rooms 1st Floor - .) Bre• :.0 : 0 - kj,...- Driveway Rooms 2nd Floor I . i --- Garage e,r6ZKZ,R.,7- '14 811t 1LS Co...S ' O. B. ' 0) To SS '-'-'-- ' 0:\I . . . 111YlClt'. — Jos No. 98-16 - 8: -i�'ers .rrr' SUFFO ' ►4 I' . h:t: t- APPROVA1.of CONSTRUCTED WORKS IFOR A IiINGLZ WAMILY litYSWLNG$ "00661 O lD > i.AY,e,,,..,,1 .� ,.Rio - yg Thr scw*se 6 and water supply facilities at this location have bens, Ie pc dad sdlor canned by this Dcpartn ent o other agent.les nrcd t>vnd to bey y• oFF00/(1 ROOMS. 1 St r en A.Costa,P.L'„Cidef gamer Wmterand WastewatetMana ? / EFEN '—i Pte` • o 5 O Dp oal d er23'E 1t3 1 0 • 0 vt C. P0' CACTO q Z WELL Q\ FIELD MEASUREMENTSVAVEYOm \ p rn se ea \ °t \ Z 2DSTwt Cj. \ t• 0) fig Down 6.4 WOOD STEPS \/ / 2A '/_. \ CEJ /( BAY \ co N WOOD STEPS 2210 392 N 267 B.rJ V, lift el FRAME w 911sv000sErs \\OLE -I tD 30.7—t° O -1 L 34'-.. r x000PORCH wo 0)\\ \ rn to 2••3 V 32 47 MOD steps c1Vo 0 �7 O D \ --1/� G) �Ir/ SEPTIC g in 55• r— ze \ P 063' LP r� LP40 rn N Zl i 8 8 p M Ile 587°I I LP wOpD i gaNw,� R-45.00 R=390.00 L,-109.18 \ S 79.254 92.13. 1.:.039A9 ,.. . EAGLE NEST COURT j 50.] s 100o,,17'E 25.00, FILE No. 7770 8/30/84 Unaaa,onued elterabon«addition to this document is a violation or Section 7200 of rhe New York State Educe on Law Certifications indicated hereon shall run only to the person for Whom It is prepared SURVEY OF: LOT 7 and on umution behalf hereo theon,Tod Company,Goaces of the elApayondonsor MAP OF GOLDEN VIEW ESTATES enmuque bated bareon,and to the assignees of the lending hrstdutans a subsequonl avners. Copes of this document not beano the professional's inked seal or embossed LAUREL TOWN OF SOUTHOLD seal shah not be Considered a valid true copy r The offsets dlme�ad e and ereon from structures ended toguiproperty lines SUFFOLK COUNTY, NEW YORK for a specific purpose and use and therefore are not Intended to guide the erection of fences,retaining walls,pools,planting areas,addildn to buildings orany Other consWcbon Theueee fnghtofxaysandloreoeemeetsofrecad,Barry,notshoemare not araMSURVEY DATE: 4130199 SCALE: 1"-50' CERTIFIED ONLY TO: .41:0 NE y THOMAS NOVAK AND MAUREEN NOVAK v DESTIN G.GRAFI I EST!N G.G RAF ' SUFFOLK FEDERAL CREDIT UNION `ND SURVEYOR LAKE SHORE ABSTRACT INC. .I<< ?"' t,, u FIRST AMERICAN TITLE INSURANCE COMP ;1 r. Woodlawn Road • OF NEW YORK ) #05046704%, . •.cky Point, N.Y. 11778 By DESTIN G.GRAF N.Y.S.LIC No.50067t1 6- 1-3442 \SIO At' , , . . . _ , 0,, r . . .. __________. N . . , , , , . Lo kW Z 2 1P • c `« _, _i ( l..rx✓'t...`L.�A I o IQ, ' 1',lIlT . 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