HomeMy WebLinkAbout41088-Z �o�OSUFF�I'�cdG� Town of Southold 2/22/2017
a -
P.O.Boz 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38839 Date: 2/22/2017
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 24435 Route 25 Orient
SCTM#: 473889 Sec/Block/Lot: 18.-2-34
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/6/2016 pursuant to which Building Permit No. 41088 dated 10/17/2016
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:
SCREENED ROOM ADDITION OVER AN EXISTING DECK AS APPLIED FOR
The certificate is issued to Boyle,John
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41088 02-14-2017
PLUMBERS CERTIFICATION DATED
rriz
Signature
f
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
co TOWN CLERK'S OFFICE
oy • o� 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#: 41088 Date: 10/17/2016
Permission is hereby granted to:
Boyle, John
48-11 37th St
Long Island City, NY 11101
To: construct a screened room over an existing deck as applied for.
At premises located at:
24435 Route 25
SCTM #473889
Sec/Block/Lot# 18.-2-34
Pursuant to application dated 10/6/2016 and approved by the Building Inspector.
To expire on 4/18/2018.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $280.00
CO -ALTERATION TO DWELLING $50.00
Total: $330.00
Building sector
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
L 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. 066
New Construction: Old or Pre-existing Building: t/ (check one)
Location of Property:;2=� KJA�A�j e:Z� . ®21Q_KL- 11015-7
House No. Street Hamlet
Owner or Owners of Property: SJn+y W01 1 Liz,
Suffolk County Tax Map No 1000, Section I Block 92— Lot
Subdivision Filed Map. s Lot:
Permit NoHIM 1—`Date of Permit. Applicant: sr2_eN3
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate_ Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
soUry®l
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 O- Q
� �O roger.riche rt(a�town.southold.ny.us
Southold,NY 11971-0959
C®UN11,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Boyle
Address: 24435 Route 25 City: Orient St: New York Zip: 11957
Building Permit#: 41088 Section: 18 Block: 2 Lot 34
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Arthur Ruroede Electrician License No: 2334-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 3 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 Exit Fixtures TVSS
Other Equipment: Screen Room, 1- Paddle Fan.
Notes:
Inspector Signature: Date: February 14, 2017
0-Cert Electrical Compliance Form.xls
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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) [ ] ELECT ICAL (FINAL)
REMARKS: tyl
DATE Joh/ INSPECTOR
�pF SOUTy
�ycourm,��''
TOWN OF SOUTHOLD BUILDING DEPT.
765-16®2
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[
] )FOUNDATION 2ND [ ] INSULATION
[ RAMIN STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L)
REMARKS: R-PAILA Ar SAY [w
DATE 1I — INSPECTOR
1� OF SOpl�o
�y�OUNiV,N�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] OUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] IRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION PENSRMN
[ ] ELECTRICAL (ROUGH) [ ] ELECT CAL (FINAL)
MARKS: ���I0 ,oy / CKi
DATE 491 o INSPECTOR
ho��OF SOUlyOlo
(� �,7 10
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
`/]-4ECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE l �� �� INSPECTOR -
L��g �aOF SO�jyo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [Vf FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
.01
.10, 4VIL46 Vv4y6
V�
DATE INSPECTOR900
SO�lyolo
TOWN OF -SOUTHOLD-BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY " [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) F jiA ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR r
FIELD INSPECTION REPORT DATE NTS
go lfZ
FOUNDATION(1ST)
Hyy
---------------------------------
5 1F
V i
�C
FOUNDATION (2ND)
ovoy
ROUGH FRAMING& H
PLUMBING
I to-III
ulaq-�or�/ b tri .P�w►�-I�
INSULATION PER N.Y.
STATE ENERGY CODE ®l
FINAL
ADDITIONAL COMMENTS'.
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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
S.OUTHOLD,NY 11971 –C4)ets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 (3-Sryey
South oldTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
ees
[EC[E0VF' Dc.0. pplication ood Permit
Examined 1® ,20 Single&Separate
OCT " 6 2016 Storm-Water Assessment Form
VI Contact: wavy -,;
Approved ,20 $ ��-� Mac N
Disapproved a/c OF SU
Phone: 9`t3 5511 74-G
OF
Expiration Q 1204V
uilding In pe or
APPLICATION FOR BUIL NG PERMIT
Date 10& ' 2016
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,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
P.® - 60Y .S-91 Z yLto5— "A 'a (2_-Z�>
(Mailing address of applicant) C)�-a9,�I6-
1k`iu7
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises -3oKN Qo 11 Le
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name an title of corporate officer)
Builder Licen No.
Plumbers is rise No.
Electrician icense No.
Other Tr e's 'cense No.
1. Location of land on which proposed work will be done:
*4495* MAI+S4 01Z�e,��
Houses Number Street Hamlet 2>1 I'
–f
Lot
County Tax Map No. 1000 Section Block'' '' Z"
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 MQ,K T q"3_:-> ?e_k-%o eNx_L'0`SU_r'P' --SCoeeNglw,
b. Intended use and occupancy P ((0 ('r CeAh S.fr6jJ cA
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition= ,.jQ r ork_
i;1 (Description)
4. Estimated Cost ' rk>00 f t i F e "� r9 ""`
(To be#�l�N'i on filing this application)
5. If dwelling, number of dwelling units Number,o , iRle`llirii! nits �n9ch floor
If garage, number of cars
6. f business, commercial or mixed occ pancy, specify �aZu �adext^e ►tl �l'type of use.
7. Dim sions of existing structures if any: Front Rear Depth
Heigh umber of Stories
Dimension of same stru ure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entir ,,ew construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Fron/ \, Rear. Depth
10. Date of Pur ase Name of Former Owner
11. Zone or use district in which premises are situated 9_eJ5%N (13—L1 AAL
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V'
13. Will lot be re-graded?YES NO ✓ Will excess fill be removed from premises? YES NO
48-I► a-70- S - ti1'1 It►o-I
14.Names of Owner of premises >V E3OyLE Address L,N3!2�I sl I�CIkAj Phone No.
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 r/
* 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 property? * YES NO
—v/1"
IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF.SjFj
Eawa f irn- being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the V\,oac e
(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
day of yam' 201(o—
;�( 7).a'A TRA
EY L. DWYER
Notary Publ NOTARY PUBLIC,STATE OF NEW YORK Signature of Applicant
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2-Ll
3
SO!/Tyo
Town Hall Annex - j Telephone(631)765-1802
54375 Main Road N �e �ax(631)765- 512
P.O.Box 1179 G �Q roger.richert(a�town.sout o d.ny.us
Southold,NY 11971-0959 'O
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: A r f kz, , Vj4 a ej e Date: - 0-(�
Company Name: r r 7VlG�
Name:
License No.:
Address: c c'-
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: 9N 4 o s-
*Cross Street: 0Q\Q_�"3�-
*Phone No.: 34-7 I-) 4
Permit No.: LA 10-82
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(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
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OWNER STREET � k�� '" . -VILLAGE• D1�ST. SUB. LOT
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Swampland FRONTAGE ON WATER
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O��OF SOUryo!
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • Q
Southold,NY 11971-0959 'Q
�y�OU01
January 27, 2017
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mark Breen
PO Box 581
Orient, NY 11957
Re: Boyle, 24435 Main Rd, Orient
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy.
Application 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 411/84)
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 - 41088— Screened Room
o� tbll
SURVEY OF PROPERTY
66\c9� ��P� S4o �F qyo
KE, A T ORIENT
90� TOWN OF SOU THOLD
ti
SUFFOLK COUNTY , N. Y.
6
a? 1000-18-02-33 & 34
•l 0,� 8,q`s� 7.}E eo.r0� / 100 0 100 200 300
Scale 1" = 100'
OCTOBER 19, 1998
NIOI�1AN• � //
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F% •fib. � 'p \ � / ,
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AREA OF 1000-18-02-33 = 7.8814 cc
AREA OF 1000-18-02-34 = 22.4453 ac
TOTAL AREA= 30.3267 cc
\ 9 6y 5p� 6,1 40
v 2�io1p
CERTIFY TO:
41` g> °Fa p" \NIOI JOHN BOYLE
9 �• Ay �, ss P \/ CATHERINE BOYLE
■= MONUMENT
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0 \ \ ` 9p \A-13ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION � � � r XO 49618
> vG c^ \N OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, PECONIC SURVEYORS. P C
EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICATIONS (63 ) 765 - 5020 FAX 16311 7 1797
y HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P 0 BOX 909
A SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET
WHOSE SIGNATURE APPEARS HEREON SOUTH,OLD, N Y 11971 97-41 J1
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Coivi< i-',( vgl`'H ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED SOF
S(QulBOLD• 1
pPROVED NOTED S0U;QbFtWMtW6WARD
10 U i TOLDTOWN TRUSTEES
DAT 'FE �� N.
NOTIFY BUILDING DEPARTMENT AT
765-1802 B AW O 4 PM FOR THE
FOLLOWING INSPEC TIONS:
1 FOUNDATION - TV'JO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING y
3. INSULATION
4. FINAL - CONSTRUCTION MUST f f
BE.COMPLETE FOR C.O.
ET THE
A.LL CONSTRUCTION SHALL ME
REQUIREMENTS OF THE CODES OF NEW 'i f i
YORK STATE. NOT RESP ONERROOR
DESIGN OR CONSTRUCTION-
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