HomeMy WebLinkAbout40793-Z Town of Southold 7/21/2017
a i P.O.Box 1179
53095 Main Rd
X4,1 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39071 Date: 7/21/2017
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1020 Bridle Ln., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-8-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/24/2016 pursuant to which Building Permit No. 40793 dated 6/24/2016
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:
"AS BUILT"BATHROOM ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Krasner,Robin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38686 04-10-2014
PLUMBERS CERTIFICATION DATED 06-23-2016r\ Erik Enden
ut o ' ed Signature
�SUFFnt,r� TOWN OF SOUTHOLD
��o oay BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
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#: 40793 Date: 6/24/2016
Permission is hereby granted to:
Krasner, Robin
1020 Bridle Ln
Cutchogue, NY 11935
To: construct "as built" Interior Bathroom Alteration as applied for
Replaces BP#38686
At premises located at:
1020 Bridle Ln., Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-8-15
Pursuant to application dated 6/24/2016 and approved by the Building Inspector.
To expire on 12/24/2017.
Fees:
PERMIT RENEWAL $100.00
Total: $100.00
nspector
�SVFFoc,r TOWN OF SOUTHOLD
�� caGy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 38686 Date: 2/27/2014
Permission is hereby granted to:
Krasner, Robin
1020 Bridle Ln
Cutchogue, NY 11935
To: construct "as built" Interior Bathroom Alteration as applied for
At premises located at:
1020 Bridle Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-8-15
Pursuant to application dated 2/5/2014 and approved by the Building Inspector.
To expire on 8/29/2015.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
ELECTRIC $90.00
Total: $540.00
Building Inspector
o-
M
i i e
Form No.6
TONIN' 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 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 "
sting"land
1. Accurate survey of property showing all property lines,streets, building and unusual natural eo i topograph cuses:
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
I. 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 550.00.
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 $15.00
Date.
1 114 -
New Construction: Old or Pre-existingBuilding:g (check one)
Location of Property
House No.
�� �� Street Hamle
Owner or Owners of Property'V > ri (• - �
Suffolk County Tax Map 1000, Section LIZ Block
Lot j
Subdivision
Filed Map. Lot:
Permit No. Date of Permit.
Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request ior: Temporary Certificate
Final Certificate: (check one)
Fee Submitted:$ �� ---
VS
g' ' n ture
SOU��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.richert(-town.southoId.ny.us
Southold,NY 11971-0959 �' a
Own
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Krasner
Address: 1020 Bridle Ln City: Cutchogue St: NY Zip: 11935
Building Permit#: 38686 Section. 102 Block: 8 Lot. 15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: ETA Electric License No: 3795-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 2 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect Switches 4 Twist Lock Exit Fixtures TVSS
Other Equipment: 1-exhaust fan
Notes:
Inspector Signature: Date: April 10 2014
81-Cert Electrical Compliance Form.xls
3
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179. G ,
Southold,NY 11971-0959 ,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD D '
JUN 2 2 2017 3
BUILDING DEPT. j
TOWN OF SOUTHOLD 1
CER_TIFICAT_I-O_iV
Date: Cp I j
Building Permit No. � C`� p D-7
Owner: ►✓� I/� ►�t '�
(Please print)
Plumber: �� / /< GN 7M
(Please print)
o i
1
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead'.
i
(Plumbers Signature) - I
Sworn to before me this `2 3/40 i
day of GXX20J,6
I
Victoria A.Kirkpatrick
� NOW KI6154
Public01 State
cw Yak
No
Notary Public, 4--,Couniy Cuded In Silk Cou*
Commission Expires April 18.2
i
1
SOUT�O
eou
TOWN.OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ZROH PLEIG.
FOUNDATION 2ND [ ATION
FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
l�! Y -
DATE -W>iLINSPECTOR
FIELD R SPECTM REPORT DATE COMMENTS
FOUNDATION(1ST) may,
Vy
FOUNDATION(2ND)
ROUGH FRE AMQ&
PLUMING
SL
INSUL•ATION PER N.Y.
STATE ENERGY CODE
• Y
FINAL
ADDITIONAL COMMENTS
—! l
do l )o 00 I
z
m
v
o
,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 11971u �� 4 sets of Building Plans
TEL: (631) 765-1802 { Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S:D.E.C.
E C E V :E Trustees
Flood Permit
Examined 20J_� Storm-Water Assessment Form
FEB — 2014 t w-) - -�
Approved 20_tf� Mail to::'-ice
Disapproved a/c <-- 1
BLDG DEPT Jc�
TONIN OF SOUTHOLD Phone: 1-7 CJ
Expiration 20_/5
)Pak
Building Inspector
APPLICATION FOR BUILDING PERMIT
T
NDa 20
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 rem or dem lition as herein described, The
applicant agrees to comply with all applicable laws, ordinances,building cod , sousing c , and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
CAN D Y 0 re of applicant or name,if a corporation)
a i;' , : ;_, a 16 : � r (Mailing address of applicant)
1--"F ?i F e it \Jy
State whether applicant is ownerhesseeagnachitey e
n ineet, general contractor, electricrian, plumber or builder
APPRGOD AS i CITED
Name of owner of premis
(As on the tax roll or h.test
If applicant is a corporation, signature of duly authorized officer F`c ` -- n '
NOTIFY BUILDING DE-P,,,71,
Name and title of corporate officer 765-1802 8 AM TO 4 PM FOR TnL:
( p ) FOLLOWING INSPECTIONS
1 FOUNDATION-TWO RECD KLD
Builders License No. FOR POURED CONCRETE
Plumbers License No. Cl P 2 ROUGH-FRAMING,PLLJIVFING
Electricians License No.
STRAPPING, ELECTRICAL&CAULIAV-
3��5-L� 3. INSULATION
Other Trade's License No. 4. FINAL-CONSTRUCTION &ELECTRt�
MUST BE COMPLETE FOR C 0
1. Location of land on which proposed work will be done: ALL CONSTRUCTION SHALL MEET TF'E
IJ ' pL 1C N OF HE DEf1
House Number Street _ °'
0 1 CONSTRUCTION ERRORS
County Tax Map o. 1000 Section )O BlockLot
Subdivision , led Map No. Lot
��p� tom#��„�`�•�-
�E��c
2. State existing use and occupancy of premises and intended use nd occupancy of proposed construction:
a. Existing use and occupancy " )I nG ;,n i pone-
Intended use and occupancy dc�e. CJG 'e-�rp a W\
\3. -Nature of work(check which applicable): New Building Addition Alteration
�IRepair Removal Demolition Other WorkI Pv►-�r c�Y/6"Q Sowtn
(Description)
4. Estimated Cost /' ,-DOD - 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 Depth
Height Number of Stories
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-Z
i
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
-Z,
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor ka,,610- , AJers (nc • Address')5-�-3etloort-Wr7e- Phone No. b31- 1-7(� 07-OZ
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 1�
* 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, mist provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO-Z
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF �3avtjK)
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(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
3P-r, day dFiy Rjj-" 20
Notary Public GERALDINE ED hu at of Applicant
Notary Public-Stat of w Yor
N0.01 ED6 53
Qualified in Bronx out
My Commission Expires
.y
- *tf s�lyo! .
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P_O.Box 1179 • �Q roger.richert a own sCUIPQ nv us
Southold,NY 11971-0959
r�448Nf`I,�
BUILDING DEPAKrAMM T _
TOWN OF SOUMOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:-4
Date:
Company Name:
Name:
License No.:
Address:
Phone No.: (a 31_ g a— S`7 a
JOBSITE INFORMATION: (*Indicates required information)
*Name: �\J �.
*Address: "•i
*Cross Street:
*Phone No_:
Permit No.: I
Tax Map District:`,. 1000 Section:__ Block: ,.t5 Lot .1�5
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
�oYVI 1
(Please Circle All That Apply)
(�
*Is job ready for inspection: YES/ 0- Rough In Fina!
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 Form10�
i
Bunch, Connie
From: Robin Krasner <Robin@igroupnyc.com>
Sent: Wednesday, February 12,2014 3:38 PM
To: Bunch, Connie
Subject: FW: Punch List - Message is from an unknown sender
Robin Krasner
igroup
T 212 564 3970
C 917 337 9178
robin@i4roupnyc.com
www.iciroui)nyc.com
From: Robin Krasner<robin@igroupnvc.com>
Date:Wednesday, February 12,201411:39 AM
To:"connie.bunch @town.southold.ny.us"<connie.bunch @town.southold.ny.us>
Subject: Punch List
Hi Connie,
As per our conversation right now,please find the following"punch list"for our upstairs bathroom at our home located at
1020 Bridle Lane in Cutchogue, NY. I had sent in all of the permit paperwork and someone called me from your office to let
me know that my contractor didn't include a "punch list". Also, please know if there are any questions, my contractor will be
happy to meet with someone from your department or talk with him/her.
Punch List:
Electrical:Ran a gfi circuit to vanity and'installed lights to existing circuit.
Carpentry:Framed out shower area and installed new window into framed opening, insulated walls with R-19 and ceiling with
R-30. Installed drywall,speckled and painted. Installed floor,and wall tile,and cabinets.
Plumbing: Plumber roughed in fixtures according to layout and installed new fixtures.
Please do confirm receipt of this email and thank you for your assistance.
Best regards,
Robin
Robin Krasner
igroup
T 212 564 3970
C 917 337 9178
robin@iaroupnyc.com
www.igroupnyc.com
1 -