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HomeMy WebLinkAbout41690-Z ��Q�SUFFOt,�'rap, Town of Southold 5/31/2017 P.O.Box 1179 w' 53095 Main Rd Gy?jo� �ao�g Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38984 Date: 5/31/2017 THIS CERTIFIES that the building ALTERATION Location of Property: Crescent Avenue,Fishers Island SCTM#: 473889 Sec/Block/Lot: 6.-7-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/31/2017 pursuant to which Building Permit No. 41690 dated 5/31/2017 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: "as built"heating system and electric service as applied for. The certificate is issued to Keating,Ann Marie&Foley,Paul of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41690 5/25/2017 PLUMBERS CERTIFICATION DATED Authoriz ignature esu o��ca y TOWN OF SOUTHOLD BUILDING DEPARTMENT z 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#: 41690 Date: 5/31/2017 Permission is hereby granted to: Keating, Ann Marie & Foley, Paul 45 Crest St New London, CT 06320 To: as built" heating system and electric service as applied for. At premises located at: Crescent Avenue, Fishers Island SCTM # 473889 Sec/Block/Lot# 6.-7-3 Pursuant to application dated 5/31/2017 and approved by the Building Inspector. To expire on 11/30/2018. Fees: ELECTRIC $85.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $400.00 CO -RESIDENTIAL $50.00 Total: $535.00 Bui ' spector 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 'y Date. d;Vl New Construction: Old or Pre-existing Building: VI/ (check one) Location of Property: cM6— t ,.re_JCGa► /9f1� House No. Street Hamlet Owner or Owners of Property: a� d p/ A P,,o Suffolk County Tax Map No 1000, Section Block 02 00 Lot OQ 4 60,E Subdivision Filed Map. Lot: e�n,ve'&P�D C'g044AF c 91VW. b y Permit No. L4 I G I n Date of Permit. Applicant: bay Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ _4J y (-tea I Applicant Signature CONSENT TO INSPECTION the undersigned, do(es) hereby state: bgyyer(s me s 4� 44at the n6e'si ne is a e h'e" � s. - $ owner(sg o the premises in the Town of Southold, located at `, C/eS� ,� ;sem �' &/ which is shown and designated on the Suffolk County Tax Map as District 1000, Section&OD , Block a 00 , Lot 4-go That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: E&c-6- a/ 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. s� Dated: (Si at (Pr�i"i`itNTame) (Signature) (Print Name) 0f SOUj�,®l � o Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 �� roger.richert(a-town.Southold.ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Keating Address: Crescent Avenue city Fishers Island st: New York zip: 06390 Budding Permit#: 41690 Section: 6 Block: 7 Lot: 3 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 Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph 100A Heat X Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect 100A Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS" Notes: 100A Overhead Service and Existing Heating System are Code Compliant. Inspector Signature: Date: May 25, 2017 0-Cert Electrical Compliance Form.xls flY� pf SOUIyo lY ,moo �o TOWN OF SO'UTHOLD BUILDING DEPT. 765-18®2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] IN LATION, [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 9,eC. O DATE �� 3� INSPECTOR �� f� i 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 41 sets of Building Plans TEL:_(631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey Southoldtownny.gov PERMIT NO. lILCheck Septic Form N.Y.S.D.E.C. ' Trustees, C.O.Application Flood Permit Examined 57 920 D Single&Separate D Truss Identification Form MAY, 1 9 2017 Storm-Water Assessment-Form Contact: Approved L,20 f BUILDING DEPT. Disapproved OF SOUT80LD` a/c Phone: l-72-7—Vf 0 Expiration '20 Bu ng Inspector APPLICATION FOR BUILDING PERMIT Date 920 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 td 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. i2aly, L j nature of a . icant or if a corporation) (M ' ng addr ss of applicant) //37,0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Attorneys for Estate Name of owner of premises Estate of Deborah E . Dixon ' (As on the tax 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. L"ocatibn'o,f land ori�1vh ch`proposed work will be done: cent Avenue Fishers Island, New York ,,.;293�5'J, ,,`s•;-;ak�;.;, House"Nu"rri'bet Hamlet County Tax Map No. 1000 Section 006 00p Block 07 -00 Loto Oo 2 "+.603 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 .'Single Family f e s i d e n c e b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition 'Alteration Repair Removal Demolition Other Work�ZI d (Description) 4. Estimated Cost �' e°�' d • (,To be paid on filing this application) 5. If dwelling,number of dwelling units 1 �.4r Nimber?of d Hing LuiWs on each floor If garage, number of cars js 6. If business, commercial or mixed occupancy, specify,n1turie�,anr ,extenttpf each type of use. 1 �icr+A 4.5'%RFs �L.F+a.�e 1�V ?11*v t.iA - 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories 1 1 12 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth �o/7 10. Date of Purchase Name of Former Owner Af��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 X Will excess fill be removed from premises? YES NO 14.Names of Owner of premises2/0s F�►y,u p Address 4f6 rte," Phone No.l3/-7a7-6,1/o0 Name of Architect Address v�h. , �v V"`9d 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. k STATE OF NEW YORK) SS: CO TY0 , ) being duly sworn, deposes and says that(s)he is the applicant (Name of individua -signing contract)above named", (S)He is (Contractor,Agent, Corporate Officer, etc`.)., _ ;4 of-said owner or owner "'and,is duly authorized to perform,or have perforfned 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. ;' `14ACEY L.,DWYER. „ NOTARY PUBLIC,STATE OF NEWYORK .Sworn to before me this No.01DW6306900" day•of- 20�� _, F QUALIFIED IN SUFFOLK'COUNITY, CO MISSION,EXPIRES JUNE 30,2plB .Notary pub :`; ,_ N;Signafure'of'Applicant'' y:'; D [Ec[�U'V[E D MAY - 1 2017 BUILDING DEPT TOWN OF SOUTHOL D + .., r s . SU F �- 0 L K � ye,a, B U R E A U q� ; 40 Nottingham Dr., Middle Island, NY 11953 Y E _ E C r R t A_ Telephone: 1 631495 8136 tNSPtC ' ORS, r> ;=- Fax: 16319806455 Email: SBEIGS@gmaii.com Date: Sep 01 , 2009 Application No.: 11055 CERTIFICATE OF TEMPORARY SERVICE INSPECTION Service Size: 100Amp , 1 Phase New Service: No Re-Connect: No Under Ground: No Number Of Meters: 1 Change Of Service: YES Overhead: YES This certifies that the electrical service equipment installed at the location named below, has been reported to this bureau and the use of the same is permitted for up to ninety (90) days or until recalled from the above date. An electrical inspection will be conducted when the applicant notifies this bureau that the installation is complete. a Issued To: Annmarie Keating Site Location: 2935 Crecent Ave, Fishers Island, NY 06390 Installed By: NI Electric LLC Daytime Phone: (860) 625-3939 License No: 34408-ME Inspected By: Gene Surd! Information for the electric power company Service will be ready for electric company inspection: Service is ready for inspection. Service connection required by: Upon satisfactory inspection. NOTES C SMITHS FINIEPLSTEIN., LUNDBERG, ISLER AND YAKAR®SKI� IIP ATTORNEYS AND COUNSELORS AT LAW 456 GRIFFING AVENUE, CORNER OF LINCOLN STREET RIVERHEAD. N.Y. 11901-0203 (631) 727-4100 FRANK A. ISLER HOWARD M. FINKELSTEIN SUSAN ROGERS GRUN FAX (631) 727-4130 RETIRED GAIR G. BETTS JEANMARIE GUNDERSON PIERRE G. LUNDBERG DANIEL P. BARKER RETIRED CHRISTOPHER B. ABBOTT FRANCIS J. YAKABOSKI JEAN K. DELISLE OF COUNSEL REGINALD C. SMITH 1926-1983 May 31, 2017 Town of Southold Building Department ATT: CONNIE Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold,New York 11971 Re: 2935 Crescent Avenue, Fishers Island,NY (DIXON2935 Crescent Avenue, Island,NY (DIXON/KEATING) Dear Connie: Enclosed please find our check#40248 made payable to the Town of Southold, in the amount of$535.00, representing the fee for the electric/heating CO for the above referenced property. Kindly email a copy of the CO and receipt for my file to igundersongsfliy.com, and mail the originals to my office. I have enclosed a self-addressed stamped envelope for your convenience. Thank you again for all of your courtesies and assistance in this matter. Very trul yours, Je arie Gunderson JMG:dim Enclosure d JUN 5 2017 BUILDING Dom. TOWN OF SOUT HOLD of so�lyD� Town Hall Annex 54375 Main Road Telephone(631)765-1802 P.O.Box 1279 G ,r (631)765- 5 �o roaer.richert(atywn soutfio� ny us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: Address:- Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: 09 *Cross Street: c� - _ G Permit No.: Tax-Map District: 1000 Section:pd4.do Block: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YE / NO Rough In Final *Do you need a Temp Certificate: YES / NO Ternp 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 FISHERS ISLIVID SGVIlD J a ar = U . 0)U c2 $ ul Q m 6 CD O 3> moo` -- C U GRE`.rLENT A UO (OJ' a)m� 2 i Ly Lu SITE W m� CRESCENT AVENUE J 44'40 E CONCRETE WALK N 8644'40)_E --� DRILL HoUff N 86' 5 (FOUND) 800 S 8644_40_W --IRON PIN 2000' (TIE LINE) 8281 V/112 79 LEAD PLUG (FOUND) WI 128 44 I (FOUND) (TIE LINE) S o I LOCATION MAP SCALE 1"=400' OVERHEAD MAP REFERENCES Z Un(TYP; Iy N/F z 1 SURVEY MAP PREPARED FOR JAMES P THOMPSON&JO-ANN M N IN JAMES P THOMPSON & m I THOMPSON CRESCENT AVENUE FISHERS ISLAND,NY SCALE 1'=20 EL JO-ANN M THOMPSON FEET JULY 14,1994 CHANDLER,PALMER&KING ARCHITECTURE, 2 ENGINEERING AND SURVEYING 110 BROADWAY NORWICH,CT 06360 0 n RIGHTS OVER 0, EXISTING DRIVE Or = F Y Q I / NOTESPARW d O O 3,000f SQFT1 THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE L Ir)1 N > } DWELLING INDICATED HEREON ANY EXTENSION OF THE USE BEYOND THE 2 POE CORNER OF CONCRETE N/F V �f1115 + i J/ FOR BULKHEAD JO-ANN M PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR ¢ O Z �r� ENCROACHES 1'OVER EXCEEDS THE SCOPE OF THE ENGAGEMENT cD z i 5000' PORC PROPERTY UNE THOMPSON W Al U 2 SPIXE 2 IT ISA VIOLATION OF THE STATE EDUCATION LAW FOR ANY > m N 8644'40 E (FOUND) N490074 PERSON,UNLESS ACTING UNDER THE N ANY W OF A LICENSED w g Q) I W107472 LAND SURVEYOR,.TO ALTER AN ITEM IN ANY WAY V) O U N I I o c 3 ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND N N/F f o i $� I I SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL w ( _ ERNEST W pWgadNG , II1 I ARE THE PRODUCT Of THE LAND SURVEYOR O 0 N 4 MIDDLEI-ON I m I 4 COORDINATE DISTANCES ARE MEASURED FROM U S COAST AND a = GEODETIC SURVEY TRIANGULATION STATION'PROS" F- V) GATE In 5 SITE IS IN THE TOWN OF SOUTHOLD,COUNTY OF SUFFOLK TAX W y m I MAP 1000, SECTION 006,BLOCK 7,LOTS 2&3 m f o l mo ABOVE y m I 6 TOTAL AREA-7,150*SQUARE FEET GROUND OIL TANKS 7 SITE IS LOCATED IN ZONING DISTRICT LB �NNG� ©NnNHG� PARCEL II 4,150± SQ. FTI CERTIFIED TO. N z FE CEIr JAMES THOMPSON u SUSIE THOMPSON Z - z $N60 ,g{gp —� NEW PENN FINANCIAL,LLC o m FIDELITY NATIONAL TITLE INSURANCE COMPANY o 5000' — O ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS u! 2000 OF THE NEW YORK STATE LAND TITLE ASSOCIATION - 5 86'44,40•W S 86'44'40 W > MER TONE _ TITLE NO F17-7404-104205-SUFE w (NOT FOUND) N/F PIRATES COVE MARINE 0 LEGEND F PROPERTY LINE ¢ _ ABUTTERS UNE EDGE OF PAVEMENT rc I r EDGE OF GRAVEL � m ' ________________ OVERHEAD WIRES m NOW OR FORMERLY N/F 0 _ 3 UBUTY POLE BOUNDARY POINT O QUALITY CONTROL CERTIFICATION GROUP REVIEWED DATE DATE 04/20/2017 °TM M SCALE 1" = 20' 20 10 a 20 NVE SHEET'1 OF 1 GRAPHIC SCALE W FEET PROJECT # 2017811 N f.l Electric LLC D Cr State tic.#103910 S.CN.Y tic.#34408-NSE MAY - 1 2017 September 2,2009 TOWN OF SOUTOLD ATTN: Ann Marie Keating RE: 2935 Crescent Ave. Fisher's island NY,06390 Request for 7., For the following: Furnish and install(1) 100 amp mast service with new code compliant circuit breakers for existing Murray panel and loads to replace weather damaged existing service. Lump Sum Quote:$2,400.00 Permit Included (See Attached) Deposit:$1,200.00—PAID—8-25-09-Check Number 5070 Amount Due:$1,200.00 Foe Nle Sincerely, Nick Nowosadko N/1 Electric LLC-6 Fairway Lane,Old Lyme CT.06371 Email:NlElectric@hotmaii.com-Phone:860-625-3939-Fax:86043 - ::'i ,qua••; "x- {;: 'ry'3r<,, a-svr;Se;';