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Home My WebLink About40359-Z o�SUFFotq.CoG Town of Southold 5/12/2017 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38941 Date: 5/12/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 12555 New Suffolk Ave,Cutchogue SCTM#: 473889 Sec/Block/Lot: 116.-2-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/9/2015 pursuant to which Building Permit No. 40359 dated 12/18/2015 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 ENCLOSED PORCH IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Fitzgerald, Shawn of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ho d Signature �O�guFFnt,r�oTOWN OF SOUTHOLD ay BUILDING DEPARTMENT C3 TOWN CLERK'S OFFICE 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#: 40359 Date: 12/18/2015 Permission is hereby granted to: Fitzgerald, Shawn 12555 New Suffolk Ave Cutchogue, NY 11935 To: make alterations to an existing single family dwelling (enclosed porch area) as applied for. At premises located at: 12555 New Suffolk Ave,Cutchogue SCTM # 473889 Sec/Block/Lot# 116.-2-13 Pursuant to application dated 12/9/2015 and approved by the Building Inspector. To expire on 6/18/2017. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $261.60 CO -ALTERATION TO DWELLING $50.00 $311.60 OTC L Building Inspector 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: I. 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 I%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. al 101 is- New Construction: Old or Pre-existing Building: V/ (check one) Location of Property: 1 Z55S NM 5��0!V_ AV-C CwtGln��Ve—i House No. Street U Hamlet Owner or Owners of Property: C��1✓ S II++�a�/n ?i e{�Gl.� Suffolk County Tax Map No 1000, Section B I (P 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: $ GO 'AAVcart Signature cou TOWN OVSOUTHOLMBUILDING,�DEPT. 765-1802 INSPECTIO .- FO DATION I ST R GH PLUMBING T'? LUMl ]/UNDATION 2ND INSULATION OU IC FRAMING / STRAPPING FINAL ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTMT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: -- l"\ DAT SPECTOR IN qo" SOF s0 �o� Olo N o i cOUNiI,Nc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING A STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 14, y DATE S'/Iq b0l INSPECTOR FIELD MS =2 T� PORT DA99 COIV�EVxE 'SS ' FOUNDATION(1ST) FOUND�,TSQI`r(2ND) � f JL ROUGH FRAM NQ& .�.,,."r.........�-... PLMMING 0 . H INSULATION PEA N.Y. STATE ENE-PGX 00])E f, All FINAL I.. -Lt--. -cs - • m • b 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 ---3 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �j, ----J Survey SoutholdTown.NorthFork.net PERMIT NO. —1 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit, Examined ie,7 ,20 Single&Separate Storm-Water Assessment Form C1 j Contact: (� �( , ,` Approved 120 ` Mail to:i� �7 S Lck Disapproved a/c t- (12P/ Phone Expiration 120 Building Insp ctor P DEC 10 2015 iA" � LICATION FOR BUILDING PERMIT, - ----� Date 20 al DG IiFt'( - - C•E,jf, 1:fL! ,1_r 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. T.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.' i (Sign re o plicant or name, if a corporation) /Vetvvsut- a hodite- Ila ailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the ax 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. Location of land on which Iproposed work will -b-�edone: House Number Street t" ''' 't;!"'' `�`' 'H'am'let etli,caUGn' rl1E0•��t f • County Tax Map No. 1000 Section Blocky -:V"$X 3;J'f.' Lot f 3 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 -enddwtd exxy bny-) b. Intended use and occupand W610 StiILKSEV 1 3. Nature of work(check which applicable): New Building Addition Alteration X Repair Removal Demolition Other Work (Description) 4. Estimated Cost k5-00a,04 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units t 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 `1 Rear l Depth Height Number of Stories i , Dimensions of same structure with alterations or additions: Front ` Rear I I Depth Height= t Number of Stories 8. Dimensions of entire new construction: Front Rear =D pth Height Number of Stories 9. Size of lot: Front �d0 I (� Rear Depth 10. Date of Purchase' 'Name of Former Owner Q•f L�1 11. Zone or use district in whichpremises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOS 13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO 14. Names of Owner of premises • Kole Shaw '-�Address')9%P6W SAU-Joe, Phone NoA31)731-8 3 .71 Name of Architect Address Phone No Name of Contractor r" A/A&K Address I V Ymgld-d Phone No. &3/— 7 PG 'J 07 15 Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO F 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) COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individu4j signing contract) above named, (S)He is the A $)Y ✓/� (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 acevAXA- 20TRACEY L. DWYER NOTARY PUBLIC,STATE OF N ORK UjL .NO.01 DW6306900 QUALIFIED INSUFFOLK COjpmf NotaryPubl COMMISSION EXPIRES JUNE 30,Z#-& Signature of Applicant CNiCAC4 TITLC IPa :'1NCE GO1°ABY' ' ,�' �o/�a aci' - (5i5) 7Z7•�ti�;, TITLEt�� O S�/�YE1�Ef3 ROA? A Ir Ho C' ULA-, N JNAUTH04fM ALTt!ATI?N CQ A /Y \is TO THIS:L�VEY fS A YP:,T:•, SECTION 7:: :�;9 CE-7;1:t'-"/ KC 'f J� EP M.)N LA . °d CONI,CP T•t5° .i } p TfiE 1,"3 S ;V. t 7-0 .. A VAL,_ f i. S �-•— �- OF'LY TO TF: TITLE CC:?/-`••,u•'' ' TO THE ASS:s>•::S SUT:��N.CJA%.• . . - .., 1,. TO A.JITIONAL InShiUi':..o •D. 0'N\ERS. / UQ P'Q/'9'1"'enor.- -Ac, -A hC C►apJ"d Go. O-S �� ®rte "T L✓ 'c , L+eJ�.d.i.V 1.,.� ! ..:� .i. 4i.t E1 .� 1, !"_ '® 0'8'. �Ier,-Y 7-4"y i cl jl-;�Jo tj U'&tj e-- \1 '�"— f -"'.A Lj to M. Ju;'-QPANCY OR 'EdVE IS UNLAWFUL WITHOUT GERTIFICAr E a e�� - cc; OF OCCUPANCY ax�5--� -3 -o APPROVED AS NOTED xb, DATE:9.—/LIT: BY: FEE..— NOTIFY BUILDING DEPARTMENT AT 13ODES,OF 165-1802 8 AM TO 4 PM FOR THE :=OLLOWING INSPECTIONS: (ORK ST/tl",-E NTOWN CODES 1. FOUNDATION - TWO REQUIRED AS REQUi RED ANL-D-ee*Dff"lCrflS OF ;p -CR POURED CONCRETE ROUGH-- FRAMING & PLUMBING SodThCL0T0Vvl!PMN"H0ARD 4V A� -Q 6-441)))IA 3. INSULATION FINAL - CONSTRUCTION MUST SoffrittlOVVIES BE COMPLETE FOR C.O. 'ALL CONSTRUCTIONSHALL MEET THE !REQUIREMENTS OF THE CODES EW k�cs Ppq 1A YORK STATE. NOW, DESIGN OR CON4 T AV�Lu—j-a of A I w ewm4r lbbr '14S ELL– /V p k'-) Andersen Andersen Windows - Abbreviated Quote Report Andersen W. I Project Name: Greg Polak - --' Quote#: 113259 Print Date: 07/21/2015 Quote Date: 06/26/2015 iQ Version: 15.0 Dealer: RIVERHEAD BUILDING SUPPLY Customer: BUILD SMARTER.BUILD BETTER. Billing 1-800-378-3650 Address: WWW.RBSCORP.COM Phone: Fax: Sales Rep: CHRIS RAYNOR Contact: Created By: I Trade ID: Promotion Code: Item Qty Item Size(Operation) Location Unit Price Ext. Price 0001 4 CTR15101CR15(F/L) $ 761.99 $ 3047.96 ; ROSize=1'51/2"Wx6'01/2"H Unit Size=1'5"Wx6'0"H :2 , Composite Unit,White/White-Factory Painted, High Performance Low-E4 Glass, Finelight Grilles-Between-the-Glass, Perimeter Extension Jambs 6 9/16", White- Painted Complete Unit, Factory(Direct)Applied, Mulling Location: Factory(Direct), Mull Type:Narrow Transom, Mull Priority: Horizontal Insect Screen,White Hardware Pack, PSC,Traditional Folding-White Perimeter Extension Jambs,White-Painted,6 9/16", Factory(Direct)Applied, Complete Unit Zone.Northern Unit U-Factor SHGC ENERGY STAR@ Certified ------------------------------------------------------------- 1 0.27 0.31 Yes 2 0.30 0.29 Yes 1 0002 2 CTR1510/CR15(F/R) $ 761.99 $ 1523.98 " ' " ' i ROSize=151/2Wx601/2H Unit Size=1' " ' " 5Wx60H ' j 2 Composite Unit,White/White-Factory Painted, High Performance Low-E4 Glass, Finelight Grilles-Between-the-Glass, Perimeter Extension Jambs 6 9/16" - White-Painted Complete Unit, Factory(Direct)Applied, Mulling Location: Factory(Direct), Mull Type:Narrow Transom, Mull Priority: Horizontal Insect Screen,White Hardware Pack, PSC,Traditional Folding-White Perimeter Extension Jambs,White-Painted, 6 9/16", Factory(Direct)Applied,Complete Unit Zone:Northern Unit U-Factor SHGC ENERGY STAR@ Certified ------------------------------------------------------------- 1 0.27 0.31 Yes 2 0.30 0.29 Yes Quote#: 113259 Print Date: 07/21/2015 Page 1 Of 3 iQ Version: 15.0 Item Qty Item Size(Operation) Location Unit Price Ext. Price 1 0003 3 CTR2810/CX15(F/L) $ 980.79 $ 2942.37 I R0Size=2'8"Wx6'01/2"H UnitSize=2'71/2"Wx6'0"H j 2 Composite Unit,White/White-Factory Painted, High Performance Low-E4 Glass, Finelight Grilles-Between-the-Glass, Perimeter Extension Jambs 6 9/16" I White-Painted Complete Unit, Factory(Direct)Applied, Mulling Location: Factory(Direct), Mull Type:Narrow Transom, Mull Priority: Horizontal �j Insect Screen,White Hardware Pack, PSC,Traditional Folding-White Perimeter Extension Jambs,White-Painted, 6 9/16", Factory(Direct)Applied,Complete Unit Zone-Northern Unit U-Factor SHGC ENERGY STAR@ Certified ----------------------------------------------------------- 1 0.27 0.31 Yes 2 0.30 0.29 Yes j 0006 1 CTR2810(F) $ 307.76 $ 307.76 ------------= RO Size=2'8"W x 1'0 1/2"H Unit Size=2'71/2"W x 1'0"H Unit,White/White- Factory Painted, High Performance Low-E4 Glass, Finelight Grilles-Between-the-Glass, Colonial,3W1 H,White/White,3/4" (Includes 6 9/16" Factory Applied White-Painted Complete Unit Extension Jambs) Zone:Northern U-Factor:0.27, SHGC:0.31, ENERGY STAR@ Certified:Yes Quote#. 113259 Print Date: 07/21/2015 Page 2 Of 3 iQ Version: 15.0 Item Qty Item Size(Operation) Location Unit Price Ext. Price Subtotal $ 7,822.07 Total Load Factor Tax(8.625%) $ 674.65 Customer Signature 2.254 Grand Total Is 8,496. Dealer Signature **All graphics viewed from the exterior **Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other items. Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR®certified. ® This Image Indicates that the product selected is certified in the US ENERGY STAR®climate zone that you have selected. Data is current as of August 2014.This data may change over time due to ongoing product changes or updated test results or requirements. Ratings for all sizes are specified by NFRC for testing and certification Ratings may vary depending on the use of tempered glass or different grille options or glass for high altitudes etc. Project Comments: -- — — ------- --� Quote#: 113259 Print Date: 07/21/2015 Page 3 Of 3 iQ Version: 15.0 00, UM r— m+w.rwmuuausa REAR ENCLOSED PORCH RNCY EXISTING FRONT ENCLOSED PORCH Ims FRONT -ELEVATION El L FRONT ELEVATION RIGHT SIDE ELEVATION LEFT SIDE ELEV. RIGHT SIDE ELEV. LICE SET 1907 71 MIMZ-VAO, OX