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Home My WebLink About40911-Z ��4�g�FF�l��oGy Town of Southold 4/6/2017 3. P.O.Box 1179 a 53095 Main Rd �'jN, �yo� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38893 Date: 4/6/2017 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 905 Aquaview Ave, East Marion SCTM#: 473889 Sec/Block/Lot: 21.-241 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/4/2016 pursuant to which Building Permit No. 40911 dated 8/16/2016 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: ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Waterview Revocable Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40911 04-06-2017 PLUMBERS CERTIFICATION DATED rrizo Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT N TOWN CLERK'S OFFICE oy . SOUTHOLD, NY �jal � 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#: 40911 Date: 8/16/2016 Permission is hereby granted to: Weile V R Revoc Trust 905 Aquaview Ave PO BOX 223 East Marion, NY 11939 To: make alterations to an existing single family dwelling as applied for. At premises located at: 905 Aquaview Ave, East Marion SCTM # 473889 Sec/Block/Lot# 21.-2-11 Pursuant to application dated 8/4/2016 and approved by the Building Inspector. To expire on 2/15/2018. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 To 1: $250.00 dildi Inspector Form No.6 - TOWN OF SOUTROLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIF KATE 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 ofcompleted 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 --------------- --ff---��--------- ------------------- - -- - ----- - ----------------- Date. i`TL'�- •, New Construction: Q Old or Pre-existing Building: (check one) Location of Property:_ 90 f- gcJa-v"�w �� a-✓i�� House No. Street Hamlet Owner or Owners of Property: (la y✓rew /�t v'oc 1-o,&1c l�vS 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: $— '50 Applicant SigrkukjV 1 SOUTH,®l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 .o �® roger.richert(aD-town.southoId.ny.us lyCOUNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Waterview Revocable Trust Address: 905 Aquaview Avenue City: East Marion St: New York Zip: 11939 Building Permit#: 40911 Section: 21 Block: 2 Lot. 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: All Pro Electric License No: 33703-ME 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 INVENTORY Service 1 ph 200A Heat Duplec Recpt 9 Ceiling Fixtures 9 HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 3 Smoke Detectors 2 Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt 50A Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect 200A Switches F], Twist Lock Exit Fixtures �] TVSS Ll Other Equipment: Move Service Underground, 3- Combination Smoke/ CO Detectors, 4- Exhaust Fans Notes: Assorted Electric Up Grades Throughout House. Inspector Signature: Date: April 6, 2017 0-Cert Electrical Compliance Form As zly / 7 Aj 0. f' Z-[-eh CUr��v �-c c�l f.•J' �h /��c p19-11 D [E(Z[Eovf� D APR - 4 2017 BUILDING DEP T. TOWN OF SOUTHOLD SOUTyOI N o o TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPEC ION [ ] FOUNDATION 1ST [ ROUGH PLEG. [ ] F UNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: OVA 1 Vn b mh I ow ® ?os{- D O�s tv, ltq% Av DATE 9 "t (0 INSPECTOR s I o��pF SOUIyo ti �o N 0 0 rtV TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] UGH PLEIG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION 04VIP11 [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS.-0 t-o 4 v oy m 6tio C;,-tv t U*l i Tj rQ, CAV jji4 A �L Vl�i'ov✓ IL DATE INSPECTOR qojI OF SO(/Tyo H O i 0 MY TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: @P� t vto • hD r'N Q vl DATE' Y INSPECTOR FIELD INSPECTION REPORTTDATE COMMENTS FOUNDATION(IST) y -------------------------------------- FOUNDATION -----------------------------------FOUNDATION (2ND) �►�� 1 �g"� bl �' s �t vr� � ROUGH FRAMING& 9 PLUMBING 1 y �- 'I r INSULATION PER N.Y. 1vm STATE ENERGY CODE coyrtit Alil VI • 3 fes{ ic- Tvwz &4vir4.1 FINAL , 6 ADDITIONAL COMMENTS °t 1 hr S t t 4A a kvnJ av d� 1 1p svb I& %V p h4 � � • O 0 Z m 9 � x H s 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 u Survey SoutholdTown.NorthFork.net PERMIT NO. 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: Disapproved a/c Phone: _;17c�- 7U Y3 Expiration 2 120 Building Inspector APPLICATION FOR BUILDING PERMIT fl Date 4vq" 3 520 /4 AUG, - 4 Z01 INSTRUCTIONS a.IOKTX69MIAMST be completely filled in by typewriter or in-ink and submitted to the Building Inspector with 4 sets of XQfiqWQL4 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /fo vdo_4 A 27-vsL e, (As on the tax roll or latest d ) If applicant•istd-co'rporation,ysignature of duly authorized officer (Name:°and','title,--of'corporate officer) Build'e'rs I;icerise'No'.-' `^ "4Q9057-ff Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street rr Hamlet County Tax Map No. 1000 Section a4 ( Block Lot 1 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 lc"?Ce b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration ✓ Repair Removal Demolition Other Work (Description) 4. Estimated Cost &ej'6W 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. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear f Of ? eyh Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner r- 11. Zone or use district in which premises are situated 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 14. Names of Owner of premises Address 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 * 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH Notary Public,State of New York (S)He is the No.01BU61S50b0 �MFWU III OLIMIK County (Contractor,Agent, Corporate Officer, etc.) Commission Expires April 14,i_90 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 q�L4,`day o 20_ ►''!e u Lf Notary Public Signature of Applicant Town Hall Annex Telephone(631)765-1802 54375 Main Road � � ,ax(631)765-g5 P.O.Box 1179 ar roger.richert zown.south I ny us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: P/10 �G�C /2 � , Date: ;ompany Name: Vame: Co f CLV) - _1cense No.: _33:703 11F_ , kddress: P- 0. 80Y. 203 veo uc l q3 I , hone No.: cell 9 3 83 g4_I pholle. (3/ -2 ql 00 eel. IOBSITE INFORMATION: (1ndicatesrequired information) - Name: CJ2fCrV t c Lb Rcuoc f t 0'sf Address: q OS #9 2 u aV I'ew. HLIC. 1V(Vrib n Cross Street: ---- Phone No.: 'errnit No.: q 0 9 'ax-Map District: - 1000 Section: - Block: Lot: _ 3RIEF DESCRIPTION OF WO (Please Print Clearly) g00 U 4ea round Seruilcc &1641'ons. Tease Circle All That Apply) s job ready for inspection: (a/ NO Rough In in )o-you need a Temp Certificate: YES/ NO emp Information(if needed) iervice Size: qs313hase 100 150 00 300 350 400 Other 4ew Service: Re-connect QnidNumberofMatefs Change of Service Overhead Iditional Information: PAYMENT DUE WITH APPLICATION -82-Request for inspection Form �Q �` D [ECIEDME D APR - 4 2017 BUILDING DEPT. TOWN OF SOUTHOLD P 1 � �, d D01fpLY v,'MTv. ALL D\NN CODES 0Nf • . \\� NEW YOR'►�STNVE & DATE p.�f. AS REQUIRED N N T AT .w�- i i i u } f-LR (IFI�A�I®�E NOTIFY SIi �.� -io4a �,A FOR THE 1 �,_p j(1�hI�dTRUSTEES LUM, G ®NTEd�TQEF® CY 765-1802 S n'� 0.1;NG INSPCCT!Ci4S' ��' pi�I Le^� FOLL `� TION i'4`,' f REC;U;RED rI. �� CERTIFI� TE OF QC�T R 1. Fo NPouREa p �-® d ��`®ER-�SE N, �T FRAMING & PLU,,,g1NG ,8y, 'TEM. ' `, E 2. ROUGHRAID IN suppUINSU LATIC)^1J 'D_.,�F-',,;t<..�t; - cTRUCT�ON MUST -- �- E}�, COi.; 4. FINAL BE COivl-I_ET Is ALL CONSTRUC i IOPI SHAW DES-OF NHW s� T�F�cpl, REQUIRE. 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