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HomeMy WebLinkAboutZ-39089 S�pFpl�.c Town of Southold 8/1/2017 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39089 Date: 8/1/2017 THIS CERTIFIES that the structure(s)located at: 2385 Nokomis Rd, Southold SCTM#: 473889 See/Block/Lot: 78.-3-42.2 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 39089 dated 8/1/2017 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with concrete porches and attached two car garage_* Note: This parcel is also known as 1860 Hiawathas Road. Replaces Pre C/OZ-38745. BP 2677 addition to dwelling COZ-2593. Open BP 41089 screened porch, Open BP 41744"as built"additions and alterations. The certificate is issued to Boergesson, Carl (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 78-3-42.2 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0 V V 0 • 6L- Q t orized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2385 Nokomis Rd, Southold SUFF.CO.TAX MAP NO.: 78.-3-42.2 SUBDIVISION: NAME OF OWNER(S): Boergesson,Carl OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Boergesson,Carl DATE: 8/1/2017 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: concrete block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: 2 front concrete DECK TYPE: PATIO TYPE: BREEZEWAY: yes FIREPLACE: GARAGE: 2 car DOMESTIC HOTWATER: oil TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWEAMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 8/1/2017 TIME START: END: Form No.6 TOWN OF SOUTHOLD V (� BUILDING DEPARTMENT D l� �r' DD TOWN HALL 765-1802 AUG - 1 2017 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building DepartmenAg"F M • TOWN OF SO LD 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. OttY ol&�7 New Construction: Old or Pre-existing Building: A / (ch one) Location of Property: q/ . � 1 qfl;z"Joe � House No. Street H mlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ZD t � 63/ �v�_ � /S Applicant Si nature 0 63 f - 74� 3 `77� PP g 450 R���iOU3 of Town of Southold 1/23/2017 g�O �r%y 53095 Main Rd Southold,New York 11971 :zo PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38745 Date: 12/28/2016 THIS CERTIFIES that the structure(s)located at: 2385 Nokomis Rd, Southold SCTM#: 473889 Sec/Block/Lot: 78.-342.2 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38745 dated 12/28/2016 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with concrete porches and attached two car garage.* Note: This parcel is also known as 1860 Hiawathas Road. BP 2677 addition to dwelling COZ-2593;BP 13379 accessory shed(9'x 10')COZ-15689; Open BP 41089 for a screened porch. The certificate is issued to Boergesson, Carl (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 78-3-42.2 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2385 Nokomis Rd,Southold SUFF.CO.TAX MAP NO.: 78.-3-42.2 SUBDIVISION: NAME OF OWNER(S): Boergesson, Carl P. OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Boergesson,Carl DATE: 12/28/2016 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: concrete block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: 2 front concrete DECK TYPE: PATIO TYPE: BREEZEWAY: yes FIREPLACE: GARAGE: 2 car DOMESTIC HOTWATER: oil TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: An addition to the accessory shed was constructed without first obtaining a Building Permit.A variance from the Zoning Board of Appeals will be required due to setbacks from the lot line. An"as built"building permit is required for the front porch, front deck,hot water heater and outdoor shower stall. REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 9/12/2016 TIME START: 9:55am END: 10:30am 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 q Date. b oy New Construction: Old or Pre-existing Building: I/ (check one) Location of Property: 3 C)-,) 1 V o I<Q 1 -RC) SQ ho 1J House N . 1868 I4iowa-�=�eget Taffi Hamlet Owner or Owners of Property: r p`2ry-2 ss p h Suffolk County Tax Map No 1000, Section Block Lot . Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: tz� — (check one) Fee Submitted: $ Illy Applicant Signature CONSENT TO INSPECTION G�r,� tcev-(NX 5 6 P ,the undersigned, do(es) hereby state: Own r(s)Name(s) That the undersigned (is) (are)the owner(s) of tlK premises in the Town of Southold, located at _��t� © �C��,{)c�' j K , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 7 g Block , , Lot�Q- . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ^ 1 cwLa t Signature) C4 Ld h (Print Name) (Signature) (Print Name) pF SOl1TyDlo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 iQ roper.riche rt(a)-town.southoId.ny.us Southold,NY 11971-0959 Q �yC4UNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Boergesson Address: 2385 Nokomis Road(1860 Hiawathas Road) City: Southold St: New York Zip: 11971 Budding Permit#: Pr cW\a 41089 Section: 78 Block: 3 Lot- 42.2 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 X Pool New Renovation 2nd Floor X Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph Heat OIL Duplec Recpt 37 Ceiling Fixtures 7 HID Fixtures Service 3 ph Hot Water OIL GFCI Recpt Wall Fixtures 7 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 DW Dryer Recpt30A Emergency Fixtures Time Clocks 19 Disconnect Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes: 1- Combination Smoke/CO Detector, 5- Paddle Fans, 1- Exhaust Fan Inspector Signature: Date: November 3, 2016 0-81-Cert Electrical Compliance Form.xls �Of SO�Iy i Town Hall Annex41 Ar T9m) R8 i 54375 Main Road '�Q! { P.O.Box II79 G roc er. Southold,NY 11971-0959 �Q DD ! OCT 1 4 2016 � BUILDING DEPARTMENT TOWN OF SOUTHOLD BfTf LDING DEPT. j APPLICATION FOR ELECTRICAL INSPECTIONT®wrt®F S®vTH®p.D REQUESTED BY, Date: Company Name: Name, License No.: Address: Phone No.: 1 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: ' *Cross Street: *Phone No.: — 76S`- 3 _ Jr W Permit No.: 0 S q -I— (C- Tax•Map District: 1000 . Section:-7_ Block: \3 Lot: /a, *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Q cAs 10 LA_ (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 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 82-Request for Inspection Form SURVEY OF PROPERTY A T SO UTHOLD TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-78-03-42.2 SCALE. V--20' AUGUST 12, 2016 7AGGARINO OB-12-2U016 N/O/F PETER 6RAN5FIELD •01E cMF N87'51"00"E 79.53 ' 1s.4 IUD ^ �� 11 16.3 22.4 GURt3 VI � N PLAN'S 1 •2 GONGRETE o ce 1 U DRIVEWAY o N O ms O Q cow- 10.0' GIJR6 �� � 3• 10.2 rn O tiI G G. 13.9' 10.2' >70 14.1 N/O/F _ C rn JEMGAP 51)11 LA-C, - rn - - 1.5'W. ct a 26.5' 29.3' y t (A r✓ Z �z o N O O L4 1Z) v �-oi s cM= N85'S8'00"W cw 80.DO' EDGE OF RAVEAEW NOKOMIS ROAD "`} I ■=MONUMENT 2 Y.5. LIG. NO. 49616 PEGONIG EYOK5, P.G. ANY ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION (631) 765 - 5020 FAX-(631) 765-1797 OF SECTION 7209 OF THE NEW YORK STATE EOUGATION LAW. EXCEPT AS PER SECTION 7209-SUBDIV1510N 2 ALL GERTIFIGATION5 P. O• 60X 909 HEREON ARE VALID FOR THI5 AMP APD COPIES THEREOF ONLY IF AREA=10,792 sq.ft. 1230 TRAVELER STREET 16'_067 SAID MAP OR GOPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 5OUTHOL0, N.Y. 11971 WHOSE 51GNATURE APPEARS HEREON. N " TOWN OF S UTHOLD iKOPERTY ItECOR•D - -CARD - r r /// OWNER STREET ' VI LI,AGE DISTRICT SUB. LOT w i L FORMER OWNER N r E 4d.12 ,1-ACREAGE WV- YYZt1� ZtLOF BUILDING JL + RES. r SEAS. VL. FARM COM/,A. I IND. I CB. I MISC. o LAND IMP. TOTAL DATE REMARKS l i F� Cav LO (0co 46 t- f 3 d 3 +' /2VFv AY-0 13379 c�sfr access �f� /c �-�a a33 -caoOk, SeReene4 pavetoo. NEW NORMAL BELOW ABOVE i�Z `4 _& er G -CJ Farm Acre Value Per Acre Va eCar �od &xazd 1W 1O Tillable i Ln Tillable 2 LO M Tillable. 3 Wcodland Swampland " -' Brushland 00 m --- m Douse Plot " _ m - Total mpM-T!pmmwImm -Rim on KJMI■MINIMMINEMP ]■IM■ ■IM■ _ .: .. �u ..-- . . ■■■©SMI■■i■■!■f�■■■i■ Foundation i• • �� Place ®® r '` l • rr ••• •• • / ! •t • Roorns 2nAq- t •• =j SOUryoFlo ���UUNTI,a� 1� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ J ELECTRICAL (FINAL) REMARKS: r 1C � 1 DATE INSPECTOR SoF SOnbTyo Q c ID H O cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 1 rD M� - -� C v Q� ©VV 'r DATE 12,11 alta INSPECTOR s P . goF o�Tyolo o o 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: �7P oke/ 4- (2, 0 bek" o�✓ t� DATE 1 r ?'tfI INSPECTOR LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: __LOT(S): NAME OF OWNERS ': OCCUPANCY: pe) 6, (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000 3 �-o SOURCE OF REQUEST:�.,� DATE: �Q DWELLING TYPE OF CONSTRUCTION; # STORIES: # EXITS: FOUNDATION: ° �� BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLI2: ' �" 2ND FLR,: 2- 3RD FLI2: BATHRGOM(S): �_ TOILET ROOM(S): �—'_ UTILITY ROOM: V _ PORCH.TYPEE: .�..., DECK, TYPE: .. . ' PATIO;TYPE: BREEZEWAY: - FIREPLACE: �–' GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: _ , HOTWATER: # OF KITCHENS: FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: _ �— STORAGE, TYPE CONST..- SWIMMING ONST.:SWIMMING POOL: �— GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. R - Co i- dd,(, v► �e Vt e w �9n. Deas ordf, Do b rnov-e + C o 'w-^-Pbvv 0 h( REMARKS: INSPECTED BY: a DATE OF INSPECTION: 0,17111-1141 TIME START: . END: _ . -0=3 Vv-`