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HomeMy WebLinkAbout41289-Z ®�OSUFFG�jfcoG� Town of Southold 5/25/2017 3 P.O.Box 1179 0 v' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38971 Date: 5/25/2017 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 3470 N Bayview Rd, Southold SCTM#: 473889 Sec/Block/Lot: 79.-2-3.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/4/2017 pursuant to which Building Permit No. 41289 dated 1/13/2017 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 Solman,Alan L. &Jennifer L. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41289 05-11-2017 PLUMBERS CERTIFICATION DATED Of A t ed Signature TOWN OF SOUTHOLD ��oti° �ooy BUILDING DEPARTMENT TOWN CLERK'S OFFICE of_• 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#: 41289 Date: 1/13/2017 Permission is hereby granted to: Halsey, Paul 95 Rising Ridge Rd Ridgefield, CT 06877 To: construct interior alterations to existing single-family dwelling as applied for. At premises located at: 3470 N Bayview Rd, Southold SCTM # 473889 Sec/Block/Lot# 79.-2-3.5 Pursuant to application dated 1/4/2017 and approved by the Building Inspector. To expire on 7/15/2018. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 ilding 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: 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. 7 New Construction: Old or Pre-existing Building: (check one) Location of Property: ,3 �-1 IV13j'�T �' �l�z✓ ��J�aLo House No. Street Hamlet Owner or Owners of Property: AL-� :JE J/JI'j::::E� SoZ.. MAJ Suffolk County Tax Map No 1000, Section Block Lot �3 , Subdivision Filed Map. Lot: Permit No. T Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one). Fee Submitted: $ �� C Applican gn ure 30!/ry®lo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • aQ roger.richertO-)town.southold.ny.us Southold,NY 11971-0959 '01 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Solmon(Halsey) Address: 3470 North Bayview Road City: Southold St: New York Zip: 11971 Building Permit#: 41289 Section. 79 Block: 2 Lot: 3.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Paul Burns Electric License No: 3897-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 18 Ceiling Fixtures 8 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 4 Smoke Detectors Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures 22 CO Detectors Sub Panel A/C Blower Range Recpt 20A Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt 30A Emergency Fixture Time Clocks Disconnect Switches 12 Twist Lock Exit Fixtures TVSS Other Equipment: 7 ft. Plug Mold, 1- Range Hood, 20 ft. LED Cabinet Lighting. Notes: Inspector Signature: Date: May 11, 2017 0-Cert Electrical Compliance Form.xls I,V OE 50Ulyol � o _ N o 0 Dry N TOWN-OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [VrFFRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 1 cl DATE Y�' 1�t �' INSPECTOR \9LV)Ptf'-"l *OF SO(/ryolo 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) [Y ELECTRICAL (FINAL) REMARKS: DATE 4 INSPECTOR Z �Of SOUTy �o� olo cou N o -TOWN OF SOUTHOLD BUILDING DEPT. 76518®2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE ANSPECTOR FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(IST) ®(' ------------------------------------ '� C FOUNDATION (2ND) ROUGH FRAMING& o y PLUMBING r INSULATION PER N.Y. STATE ENERGY CODE q��^ V� FINAL ADDITIONAL COMMENTS -3 � �. S l e l CGRP x d 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) 765-1502 Planning Board approval FAX: (631) 765-9502 VV � SurySoutholdTown.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 2 Contact: Approved3 ,20-11Mail to: Disapprov4a/c Phone: Expiration ,20 Bui 'ng Inspec or JAN 4 2011 PLICATION FOR BUILDING PERMIT Date % , 20 /7 WELDINGDEM INSTRUCTIONS a.-WWWW IRP e 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) /D 1-2e 5;0t T1 0 c-) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name f owner of premises �-�.+ ct L:Q (6?K_ SO L-fA AJ (As on the tax roll or latest deed) If a licant is a corp tion, sig e of duly a lYorized officer (Name and titl o rporate officer) B ilders License No. 4 P umbers License No. lectricians License No. Other Trade's License No. 1. Location of land on which proposed wo k wil be do e. 3�7® Jog;!( 64yV1eZ_) House Number Street Hamlet County Tax Map No. 1000 Section Block Lot J Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises an_d ante ded usea d N�Z ancy o fproposedonstruction: a. Existing use and occupancy ej� t-C, l j �/oc> r b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration_ Repair Removal Demolition Other Work 11-� (Description) 4. Estimated Cost � 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 , -- Depth Height Number of,S�tores 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories =fl' AA3, 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ZK 13. Will lot be re-graded? YES NO Will exc ss fill be removed from premises? YES NO �D(i°� 14.Names of Owner of premises"�N Address Phone No. Name of Architect f Address Phone No Name of ContractorsK0 L-C-OA103CIJ Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES , NO Y * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY 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, (S)He is the L©-J%�dY-e-MAL` (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 wiI l be performed in the manner set forth in the application filed therewith. Sworn to before me this day ofQ - O 20 uC)P4NIle b.�UP�CI�I �,f public State of N Notary Public No.0966618 0 Signat e ofApplicant Ouaiified in Say k Co �(� Commission Expir s April 4,2_ Ake 13T S Town Hall Annex 41 nSOME ,�`l 54375 Main Road U . P.O.Box 1179 Q roer.ric OW Southold,NY 11971-0959 ! y0 D FEB 1 4 2017 BUMDING DEPARTMENT RUILI3ETG DEPT. TOWN OF SOUTHOLD TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL. INSPECTION REQUESTED BY. �� ,res Date: Company Name: Name: License No.: Address: 106 Phone No.: 3) _ 36 5- v 7� JOBSITE INFORMATION: (*Indicates required information) *Name: �� 1^11 OA *Address: 3 z-17d r7`k ou V/i ew JZ/- 50u±A 6 4/ *Cross Street: AJ0, 4 *Phone No.. Permit No.: 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 ough In Final ") *Do-you need a Temp Certificate: S t NO Tennp 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 824Request fbr lnspedon Foam Iia,C-d SURVEY OF LOT #S MAS' OF "JAMES K DAWSON" a y -- F I LED 10-16-85 AS FILE # "7cl87 0FHE,Tw 51TUATE: BAYVIEW N aff"co xmO "�"t TOWN: SOUTHOLD �MWALOF � 5 JFFOLK GOUNTY, NY "�FAY� W j9AR 0 7 2007 Ks-vwn mo.�'^ -n 3-c�i�5 SURVEYED 08-2q-2005 7 �,: Wo"t ��1 Mow FOUNDATION LOCATION 12-0'1-2005 _ CJ ��� �lrlld' FINAL SURVEY 12-22-2006, REV. 05-01-200-7 `- 5UFFOLK COUNTY TAX # A 1000 - -lq - 2 - 3.5 - - SUFFOLK COUNTY DEPT. OF HEALTH w JIM e SERVICES REF? RIO - 03 - 0025a �v �+ •'rt CERTIFIED TO: Judy Kozorn Ba S62-0 '40IPE 1 150.00 ' 3 7-5 3t5 c�j > • � Q � � rt�5.oe ?q, •, o Fj�M��S� ry 1 = -- -• i --- ' / yY 1 n O N i i i i ash o0 68 833 -umevtnpn sed sacra{wn m d99[t 1pr to a rey man pearin6 a 7¢enmrd Innd ub-n C sea ls,f e ' r,p tat ran ,1 s9alen 7209 !up-vr,llon q of In, I -un1Y Nem I.-Stator etaEnuc{tlen td+ t topica /r't Ina pr,91nd1 nr to l'surreys NOTES: edraep its m mdep seal nallnOtgc sl9erear to pe aaild true ■ ly Inc9lMONUMENT pt,eo si s e'tnthe e ]Sting code o/Practic{ far t{nd Surreys spook ed Uy N.Nar York State A!!e<latton or-.1 eas tone{ l{np Sur yes pr 1. Selo cert111Caf Ipn3 ons 11 run only 0 PIPE to lne person Lpr°non tnt surrey is prepares and pn h"pencil tp the Iltle[oepany pprernmen- tel agency end lend,np Inst ltu[Idn Itetea nerepn• anp to tnr dSs 3gnee9 al Inc lend lnq in9L"'­ JOHN [ut ton Cer[tltcd- AREA = 45,515 5F OR 1.05 AGRES tions ere nat tranllerep le to adds{[anal tnitl[u[mas JOHN L. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAP_HIG 5GALE 1"_ 40' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.—TIGBR\PROS\99-352A g 41 I 11r i APPROVED AS NOTED x ¢ DATE: 3 B.P. Vt�_ FEE: d•� g �- NOT!FY BUILDING DEPARTMEAN AT i If 765-1802 8 AM TO 4 PM FOR THE --- -- _ FOLLOWING,INSPECTIONS: LA .�:VL T"s` � 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ' - ''" ""'. —`� 49 2. ROUGH - FRAMING•& PLUMBINGi/ --- -� �_ • . 3. INSULATIONI 4. FINAL CONSTRUCTION MUSTITT —�— BE COMPLETE FOR C.O. \ . �`� .s �J- ALL CONSTRUCTION SHALL MEET THE — — - 14 REQUIREMENTS OF THE CODES OF NEW YORI< STATE. NOT RESPONSIBLE FORY,a DESIGN OR CONSTRUCTION ERRORS. 3 00 ° COMPLY WITH ALL CODES OF J = , t NEW YORK STATE & TOWN CODES • � � � „� AS REQUIRED AND CONDITIONS OF ---------- mL RETAIN STORM WATER RUNOFF PAN Y - ----- -- m _ QCc(� ®� PURSUANT TO CHAPTER 236 -�`` OF THE CODE. s USE 1S UNLAWFUL ELECTRICAL --- - ~ -= - _ ---- --- ------- - -- -- op _ P WITHOUT CERTIFICATE WSPECTION REQUIRED OF OCCUPANCY a 6tj Ir 411 POST , -'� J(' �+'bjl¢iY%)�--t•�".='iT�[�� � 'CM 1Ii1'I, A .. .0. � � t� -. r� n_ t'-{ , 1 2 :� � �-Erol-41UVI \IIN 6 • -� + I .. - �w?w�rts�",.TL-'s+•.yy'w.....oo-.a,.>„�,.....+:wo«nca+...we,.'���. r.w.+. ,-deg 4`+m'� •���r"_2.'q=a �.a?`�Y' y * r i , It - 1 _ •._• ° Jam..•� f� .;6,,�` .�i :w•C. � ! 1 � _ ! - �. �• ta�.�,[, [ 3 r •- - 'u .`'� sl3y,f'��,. _ fit,_,' •�,w t u i`-i' ��'fY�„i+?, � { r }' l/�• � tt// �.-.�_� �..-�..-f _� � ._� �,;`rg.-.h,r,,'` _ iia; L ��^-.`�.-�eJe'e�;:v5} °f,' � �� , 1 _L:_LC��'Il�_� _-- M T -. `..T �V'r•�a+--,V-=Y� 14 1/••�• 1 '�+ �, � 11 >•ya _ ter. _ _ r_�--rc."^s�+ora•=�zs.r[cma-�.�-�•r>�r.�s-=s�:��^c^x�.•raa ���y 4A�}�°�L•2<•^. h '� 1 V I i