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HomeMy WebLinkAbout40648-Z Town of Southold 11/4/2016 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38647 Date: 11/4/2016 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 215 Pierce Dr, Cutchogue SCTM#: 473889 Sec/Block/Lot: 136.4-11.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/20/2016 pursuant to which Building Permit No. 40648 dated 4/26/2016 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: REAR AWNING ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Brigham, Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40648 10-26-2016 PLUMBERS CERTIFICATION DATED orized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE oy . SOUTHOLD, NY �p1 � dao 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#: 40648 Date: 4/26/2016 Permission is hereby granted to: Brigham, Susan 215 Pierce Dr Cutchogue, NY 11935 To: construct a covered roof (awning) addition to a single family dwelling as applied for. At premises located at: 215 Pierce Dr, Cutchogue SCTM # 473889 Sec/Block/Lot# 136.-1-11.1 Pursuant to application dated 4/20/2016 and approved by the Building Inspector. To expire on 10/26/2017. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $260.00 CO -ADDITION TO DWELLING $50.00 Total: $310.00 CBU6'iljd6ng Ins or 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 r Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 0--1 r) WL �-<-t_.� _m . 1�35 House No. Street Hamlet Owner or Owners of Property: Lia q 4, 6 1"1 If A Suffolk County Tax Map No 1000, Section Block Lot Subdivision �—" A tp&-,,' b ) b )) ? - Filed Map. Lot:,^ .sQ—.S�o Permit No. �(� Date of Permit. Applicant: SLS rl Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signatu OF S0�/�y®l � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 ® i� roger.riche rta-town.southold.ny.us Southold,NY 11971-0959 U01 BUILDING BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Brigham Address: 215 Pierce Drive City: Cutchogue St: New York Zip: 11935 Building Permit* 40648 Section- 136 Block: 1 Lot: 11.1 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 Basement 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 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 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 FixturesTime Clocks Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" - "AS BUILT" Notes: Rear Porch Over Hang ( Roof) Inspector Signature: Date: October 26, 2016 0-81-Cert Electrical Compliance Form.xls i TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 4 INSPECTION [ FOUNDATION IST [ ] ROUGH PLUMBING [ ] F NDATION 2ND [ ] INSULATION [ FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATIO [ ] CAULKING REMARKS: r . t tA DATE �� �� INSPECTOR-2? ` SOF SOpjh, �o� olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ LYANAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 0 V, QDVI c DATE -9 INSPECTOR OE SOUlyolo U lycoUM'1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE lG' INSPECTOR �1i How. MW PEE EVA ! • RNIMUN, 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 Survey SoutholdTown.NorthFork.net PERMIT NO. `( o Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined _'20 Single&Separate Storm-Water Assessment Form Contact: Approved _';20 Mail to: S l Q A 6 J'/a[/�QI•v, Disapproved a/c of 15 J�t;la ,04 • �-�('C&Iqlw� Phone.13 yId 43 Expiration ,20 l D DD Building Inspector APPLICATION FOR BUILDING PERMIT APR 2 0 2016 Date 9`�O , 20� BUILDING DEPT. INSTRUCTIONS T0MiQ9 ST 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,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. q (Signature of applicant o ame, if a corporation) P Or. 11935 (Mailing address of ap(Acant) State whether applicant s owner, ssee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises �1 (As oV 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'sLicense;No: 1. Location,of land on which proposed work will be done: House Number Street Q Hamlet County Tax Map No. 1000 Section )-j �p Block Lot Subdivision Q Filed Map No. 5 Lot s S b —5 e 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 occupanc6 , Pq 3. Nature of work (check which applicable):New Building Addition X Alteration, Repair Removal Demolition Other Work N (Description) 4. Estimated Cost 1 D C)D ' 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. ( b x 1D 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories 1DX is Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stores-, g g'ktr,r'i{P_. �'"'� ,1 8. Dimensions of entire new construction: Front Rear + -r Depth Height Number of Stories &-vvg._ 9. Size of lot: Front 1 `l Rear. I `1 5 Depth 10. Date of Purchase Name of Former Owner 2. 11. Zone or use district in which premises are situated Lj D 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 4 5 P L"cb_61-1 i� 14.Names of Owner of premises&k,o S n��14rnAddress� - Phone No. 3 y` b6 Name of Architect 0 im F� i lei Address >>`�a-5 Phone No d-9? Name of ContractorAddress Phone,No. 51 i6 -- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * IF YES, SOUT80LD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO )e- * * 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 X * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) Lt e' 9 AA_AV\- being duly sworn, deposes and says that(s)he is the applicant (Name of individual sigrkhg 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 rk will be performed in the manner set forth in the application filed therewith. CdtS�l a �� Notary Public,State of New York No.01 BU6185050 Sworn o before me thi Qualified in Suffolk County A day of 20� Commission Expires April 14,2Q�L ` -'L Lo�4��_ A, t Notary Public Signature of 4plicant "XLrr Scott A. Russell � stile `��� ATO R M[WA\T EIK SUPERVISORM[A\N A\GIEM[)EN T SOUTHOLD TOWN HALL-P.O.Box 1179 Q �� 53095 Main Road-SOUTHOLD,NEW YORK 11971 l Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES THIS PROJECT INVOLVE ANY OF ')<'lH[]E FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑[ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑Q B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑© E. Site preparation within the one-hundred-year floodplain as depicted - -on-FIRM Map-of any watercourse-.- - ❑� F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT. (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. 1000 Date. #: ,,` 2 / !,� Distract NAME: �Lk 'v �GJ t'� V� 1-3`P __L � l]' I Section Block Lot FOR BUILDING DLPAY'r 1L'NT t; t; ONLY Contact Information � � � ��l � �`/� Reviewed By: qo Ilk - - - - - - - - - - - - - - - - - - . Property Address / Location of Construction Work: — — — — — — — —Date — — — — — — /� Q 1 Approved for processing Building Permii. //�` S i' C4 � Stormwater Management Control Plan Not Required la—L_fr_ , A4=4 M 3 ❑ Stormwater Management Control Plan n)Required (Forward to Engineering Department for Review) FORM * SMCP-TOS MAY 2014 i ry VtP� * 50 VD[q� QLJ , of,So�ly 0 Lf i TT Town Hall Annex Telephone(631)765-180r< 54375 Main Road / (631)765-995 2 P.O.Box 1179 . Q roger-richert .town.soutr OILV.us\ 4 � Southold,NX 11971-0959 Q�yCOU '� � ®� BUILDING DEPARTMENT ' - - - _- - - -- -. ---TOWN OF SOUTHOLD - - - - APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY- Date: 3b- l Zo Company Name: - - Name: License No.: Address: Phone No.: 1- 3 9 — 1 JOBSITE INFORMATION: (*Indicates required information) *Name: �L� n *Address: , *Cross Street: BA6-k e5-\ *Phone No.: 110-3 [=)'?14-H 1 Permit No.: 1AL1)64-'S Tax-Map District: 1000 Section:T3 - Block:_ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) t C, I (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-ned di *Service Size.,;,',,, ; 1 Phase3Phase 100 150 200 300 350 400 Other 'a I . *New Service-i Re=connect w1Jnderground Number of Meters Change of Service Overhead ' Additional Info„r'r"tion:,:- r:�-� PAYMENT DUE WITH APPLICATION s-.� 82-Request for Inspection Form, t—Y } E TOWN OF SOUTHOLD P90PERTY RECORD CARD OWNER STREET VILLAGE ' DISTRICT SUB. LOTS tj 4�qr ice" T RM 5ROWNER-)P/1 - r��"1qe(4a-d-f- N E ACREAGE C— r I Ann,r" I.1-1 , 5C CL!/-ib e S W TYPE OF BUILDING RES. r SEAS. VL. FARM comm. I IND. I CB. I misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS Auil- _Z1,elwll C�L q- od, 7c, L ?elg yo r pool D ,a-z 4c 311 P, e�— L lna-ztel p49-5- 51-tev',f,�4' AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Gw Swampland Ch y 0;/ es /��,/v -q Brushland Ll L Fv a"tha J� rt r, House Plot Total WN OF SOUTHOLD PgROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. .4- k1 �-ee 0 e� /C 510 FORMER OWNER N E ACREAGE S W TYPE OF BUILDING JC f7 f 1-7, RES. SEAS. SEAS. VL. FARM comm. I I IND. CB. I misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS ' I Z, e -j— -x- 22 76'19' "A q 0 0 !�0L.D (F,91"jL1)AA- 5r-1JM,Tz 7-6 LJ , Z- Sc9A'7-z- P tra�� I- '?a02 90dMIZZ 70 /9 , SC-1614122 f,2'7?- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD q_ Tillable I' BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plo', '-, Toto I ,, ri ,=t: �' '�' ,+�?—T� 4.�-r'a�P.5�'��A� `•y S+� ,J+�`S:{T .�ij> � � 1 I I � t,x:° 't.;�t, r°•td°f„�ct�°k:r AJ'�ii J��, -�ti�;�ygg,ia.::"'� j? 4., � ".,i •i.x ,*�` �.h•. {<.. j~ t<.11diay��'e c'••i t°z.`t �;".r '� ay. — ,�'` 3. �'', ff�,-�,t,• :t' �a `5.;r:�r',}�N X.+'• ,`.Y I 4 a -•«i If __— I V1. Bldg. I Foundation �g`'"'v Both Extension �6 Basement Floors xtension - Ext. Walls 1r Interior Finish a 3q �-„' I � — .xtension Fire Place Heat A Q Porch Roof Type Porch Rooms 1st Floor 3reezewby Patio Rooms 2nd Floor garage: 3 n 1 Driveway Dormer a. � v v ✓ r i 1000— 136.00-01.00-011.001 N/F G.A. & P.L. Brown N/F E. & F. Acquisto z N 73021'10" E `�% 175.00' C FOUND IRONI 0 ,FOUND p p PIPE 1001 CONC MON CD 57 56 55 54 53 52 51 50 49 Ico 53 9' 58 I I W W a tD Q cr t( N LL N CONC PATIO 1425' WITH AWNING CELL ENT LOTS 50 TO 56 INCLUSIVE ® 7 5484' 1ELTGETiE T 59 27 111' FILED OCTOBER 29. 1928 MAP NO. 856 oM 1 STORY FRAME 51' C1<J T'C11-I®CG TjIF, N DWELLING W TOWN OF SOUTHOLD, 110' sa SUFFOLK COUNTY, NEW YORK m 154 I I M 1 IN. = 30 FT. APRIL 14, 1993 60 0z RESET I GUARANTEED TO: 13000' IRON PIPE I T SET NAIL IN BASE CONC MON S 7321'10" W 175.00' OF BROKEN MON CHARLES D. BRIGHAM SUSAN A. ENGELHARDT NORTH FORK BANK TICOR TITLE GUARANTEE COMPANY PIERCE (50'WIDE PAVED) of NEW y ti O �. CAN A, 410. o st�nv Ile, j�Cpl PAUL T. CANALIZO, SURVEYOR ���,tlO,e HAMPTON BAYS, NEW YORK pF SO(/r�®� 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Southold,NY 11971-0959 Q a �yC®UNT`I,� September 27, 2016 BUILDING DEPARTMENT TOWN OF SOUTHOLD Susan Brigham 215 Pierce Dr Cutchogue NY 11935 TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy. pplication 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 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 — 40648 —Awning Roof S� o `� A 41 I AS 1 �R.,* ,. �� ;)ATE:,--- Ise �r._�� AT THE FOLLOWING IN;S*,PLI".T10NS: •._ ? n FO!.J�,.DnT!�.;;iJ - T`sv,",I REC�UI;;ED { �,•, I FOR POURED CONCRETE r ROUGH - FRA' ING & PLUi;'91NG G 1 3. INSULATION ..� ,__- F�^• � �. FINAL CONSTRUCTION JUST �^ f � _ BE COMPLETE FOR C.O. C®Ttl �� � ALL CONSTRUCTION SHALL h�"EET THE V'V ITHOUT C REQUIREMENTS OF THE CODES OF NEW CCCUPAN Cy YORK STATE. NOT RESPONSIBLE FORI> DESIGN OR CONST RUCTION ERRORS. ,-L ;'ODES OF ., & TOWN CODES x TOf 4 i'` f-Ya.7 Ft,L�s.0 E FIN...' _•. ° �_�..� � e- Dc v, f F I u:j J 4 rJ f • I i 1 I t i it it 1 N , ! i u l ] —R y I