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HomeMy WebLinkAbout41479-Z Town of Southold 8/16/2017 o - P.O.Bog 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39133 Date: 8/16/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 11985 Soundview Ave, Southold SCTM#: 473889 See/Block/Lot: 54.-5-46.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/28/2017 pursuant to which Building Permit No. 41479 dated 3/30/2017 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: PARTIALLY FINISHED BASEMENT TO AN EXERCISE ROOM AND BATHROOM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Boltz,William&Erhardt,William of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41479 07-13-2017 PLUMBERS CERTIFICATION DATED 08-16-2017 Gere BerryJr a ho ' Signature I Q�guFFot�co TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT y 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#: 41479 Date: 3/30/2017 Permission is hereby granted to: Boltz, William & Erhardt, William 345 E 56th St Apt 15F New York, NY 10022 i To: make alterations to an existing basement as applied for. At premises located at: 11985 Soundview Ave, Southold SCTM # 473889 Sec/Block/Lot# 54.-5-46.2 Pursuant to application dated 3/28/2017 and approved by the Building Inspector. To expire on 9/29/2018. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $562.80 CO -ALTERATION TO DWELLING $50.00 Total: $612.80 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: 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 "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. -3'27-1:7 New Construction: Old or Pre-existing Building: (check one) Location of Property: � �� S?ExJ JDUl6-(,j House No. Street Hamlet Owner or Owners of Property: I LL-L 4-r- - i✓�f�/(// L.D Suffolk County Tax Map No 1000, Section Block Lot 'Tb . 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: $ �lJ Applicant Signator SO!/j�,ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �Q roger.richert(cD-town.southold.ny.us Southold,NY 11971-0959 olyc.UM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Boltz/ Erhardt Address: 11985 Soundview Avenue city.Southold st: New York zip: 11971 Building Permit#: 41479 Section: 54 Block: 5 Lot: 46.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Paul Burns Electrical License No: 3897-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 17 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors 1 Main Panel A/C Condenser 1 Single Recpt 1 Recessed Fixtures 23 CO Detectors Sub Panel A/C Blower 2 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches $ Twist Lock Exit Fixtures �] TVSS Other Equipment: 1- Combination Smoke/ CO Detector, 1- Exhaust Fan, 1- Base Board Electrical Heater. Notes: Inspector Signature: Date: July 13, 2017 0-Cert Electrical Compliance Form.xls Town Hall,53095 Main Road {7 Fax(631)765-9502 P.Q.Box 1I79 �� s- d� � Telephone(631)765-1802 Southold,New York 11971-0959 ] �y .. o L�CCGOd� BUILDING"DEPARTMENT D T OWDT OF S®UMOLD AUG 1 6 2017 BUMDING DEW. TOWN OF SOUTHOLD CERT7F1CAT10DI Date: f� l Building Permit No. . Owner: Cc.�l w� 733 c—I (please print) Plumber: CY e&rz-,e-- _ :T [3cr� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. urrlbers Si Sworn to before me this� day of20_Z� Notary Public, County AW SAND&CIERRY ICY Pak,Sga1j of NOW told No.tilBE4694680 ��y0�jW dr SuNolk Co�ugtlY�ol$ ESO ` 0 Ulyolo N O TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPEC ION [ ] FOUNDATION 1ST [ OUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ �RAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIR ESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL) REMARKS: '1 DATE INSPECTOR SO[/lyo� com,� t 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) [ ] ELECTRICAL (FINAL) REMARKS: DATE l� ? INSPECTOR O )Leo Uryolo cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE �3 INSPECTOR sot TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Ulu JA t/ DATE 24Y INSPECTOR r r ,4 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) y ------------------------------------ G" FOUNDATION (2ND) z h'rv►if9laothim -5:b0adirul Ns .1 ROUGH FRAMING& y PLUMBING I INSULATION PER N.Y. gch y STATE ENERGY CODE ? FINAL ADDITIONAL COMMENTS 5— (po R .00 5 114V10019 -7 m � Z d - b y TOWN OF SOUTHOED' 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) 7654802 Planning Board approval FAX: (631) 765-9502 r ' 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 3 Storm-Water Assessment Form �i Contact: Approved 20 V Mail to: Disapproved a/c /, Phone-lbs— 1510 Expiration ,20 `j j L�) DC[E0V[E Building ns ector D ArrLICATION_ FOR EUILD PERMIT MAR 27817 - Date , 20 �tJIILDYNG DMyr. INSTRUCTIONS Tao"JgFATPbe 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 approy,all of this applicafion,'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 building's, 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 gx"50 J '0, (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 f,J I L_L—t/--f"%_ ���j� 4-- LJ 9L_k-_off (As on the tax roll or latest deed) If� plicant is apgrporatio signature ofd authorized officer (Name an itle of corporate'officer) uilders L'icense No. lumbers License No. lectricians License No. Other Trade's License No. 1. Location of land on which proposed work wile done: House Number Street Hamlet 7 County Tax Map No. 1000 Section Block Lot e Subdivision Filed Map No. Lot 2. State existing use and-occupancy of emises and intended use and occupancy of proposed construction: a. Existing use and "occupancy '- el_ &g-w 1- q b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Rem oval „ Demolition Other Work 7K (Description) 4. Estimated Cost �6or per) ' 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 ` . s} Rears Depth Height Number of;Stor es ! 8. Dimensions of entire new construction: Front,', Rear tDepth, i`°.°..t Height Number of`Sfories 9. Size of lot: Front Rear Depth s F .•,`, �°" 5't'` 10. Date of Purchase 'Name of Former Owner ' H. Zone or use district in which premises are situated 1 . Does proposed,construction-violate any,zoning law, ordinance or regulation?YES NO 13. Will lot be re=graded? YES NOWill excess fill-be removed from.premises?YES NO 1 . Names of,Own'er of premises l� ° Address Phone,No. Name of Architect Address = Phone No Name of Contractor ` Ad'dres's Phone No. If a. Is this property within'100 feet of a tidal wetland or a freshwater wetland? *YES ,N( NO IF YES, SOUTHOLD',TOWN TRUSTEES &'D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within'300 feet of a tidal wetland? *'YESNO ° IF YES, D.E.C. PERMITS MAY BE REQUIRED.- 1( . Provide survey, to scale, with accurate foundation plan and distances to property lines. 1 — If elevation at any point on property is at 10 feet,or below, must provide topographical data on survey. 1 S. 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 ) C o%_ being duly sworn, deposes and&, tkaasltpe applicant (Name of individual signing contract)above named, Notary Public,State of New York No.01 SU6165050' (S)He is the CZQualified in Suffolk County (Contractor,Agent, Corporate Officer,etc.) Coulon'- , 6 xph-ea =aPril i6Q fo i 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 I be performed in the manner set forth in the application filed therewith. Sworn to before me this.' day of iywcjh 20 L", -L I L Notary Public Sign",6o�Applicant f of S ifjry Town Hall Annex 41 Telephone(631)765-1802 54375 Main Road �r�a g Q P.O.Box 1179 G Q QgerAchertd-i8W i.SO(5l0515.my US 3 Southold,NY 1197I-0959 Bua DING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION r REQUESTED BY: Date:_ V/„/I--? Company Larne: L12 Soras n Name: a✓I (L gcwas License No.: 3 - Address: b i _> Aj 6 50�L)tL�. /w Phone No.:. 6,31— ,36,57-- e-1 7 3 s I JOBSITE INFORMATION: (*Indicates required information) *Name: C'e-f-1 4ei"f , 30 Hz *Address: /J9�4.Sf So�a►�.(`vde�/ �J� 5�.�.��G/ *Cross Street: oris I *Phone No.: Permit No.. Li 114� Tax-Map District: 1000 Section: Block: Lot: I *BRIEF DESCRIPTION OF WORK(Please Print Clearly) i (Please Circle Al(That Apply) Is job ready for inspection: �/ NO Rough In Final *Do-you need a Temp Certificate: YES/ NO Temp Information(lf needed) *Service Size: 1 Phase 3Phase 900 150 200 300 350 400 Other ;'New Service: Re-connect Underground Number of Meters Change of Service Overhead �4 Additional Information: PAYMENTT DUE WITH APPLICATION ��, ,824Request for lnspeefion Form TOWN OF SOUTHOLD PRO PIERTY RECORD CARD , q1 OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWN R N $ E ACR. h ``fU l of lo�_'.7-S, /�Ieysr .4de i- `+�i" ;5'tfa/vz: ® Sf —t des - S W TYPE OF BUILDING -- t ,�— � Y. �� s�.�! l3�i /y4�;�r°��.c.4 re°e,,.� ��d"}s xt f u.Y ty RES. E o, SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS r //00 lav Al ��, Z,7'. )412,-,FV �e'� i r PLC ,J//Ok4 Nf dc� f AGE BUILDING C NDITION r NEW RMAL P f "A OVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK 41 OLOR I I, IL RIM 13 k y �N. Isf• _ ,moi S.' ��'{:3 �� �ill 5 � :ts�r:i^.;, "�`;,:::�;�.g=7��:,,:. "x:,^v"• ,'1'�'�'±'+�} ':C^ ,I 7i f�` ,Y;..r .;"yM«Y N'�Jo,{,k»,J's�'t••h-:SF4-C✓•:~.'w",�i•'�'\4• �;4�..W ..'.s`..:,�.,moi ;'-;v=i•�`�. •. �.,...:.a. 54.-5-46.2 03/2016 )_1 M. Bld J /s '�_ f�!. " ��i Foundation Bath Dinette Extensi 0 AG X ;4,E". �© �; d .} d'/Basement —U Floors f!U— (� K. _ Extension J. °� X_i b ` ® Ext. Walls v�Y�, Interior Finish S LR. e Ex�tension `�' r .3 d ly a, Ie Fire Place Heat DR. F, G/ 1 .2 </6— ` I F 6ter— S Type Roof Rooms 1 st Floor BR. PorchRecreation Room Rooms 2nd Floor FIN. B. L l �,I.� a� ► ` , Dormer Breezeway Driveway Garage Patio 0. B. Tota I. 4--15 4 I ' S.C.T.M. NO. DISTRICT: 1000 SECTION: 54 BLOCK: 5 LOT(S):46.2 t �' LAND N/F OF- 1 HYATT•'AND AL-BERTSON LMY' POND r r MON.:- c�� rrrrr rr - - R,♦. .Q� rr .-- r -rte PIPE T �0��"o rrrrrr � ` •� rr 30� rr _ LAN OF /F MOUSIADES � I MON. I ,1` PIPE 20-9' O twc WOOD DECK �• a t N 29.0• I 7.5' �\ ~ 12.4 \� - - O 1 STY, 17tH. 11.5 - — - - - — - -- — N I DWEUIJV PIPE i /11985 i. 25.1' LANDOF /F LAND N/F i 3 'a I _ C E OF 91.3 3.1 3 . MANOS CAPELLUTO I" CDNC. 0: I COVER D - _ 7.0 m N 00 STOOP $ NICE o _ C ~ I SONE ORNOW 'rC1 y ` 2 .0 5.3'lb Vj Ln n• �" m I N 18 814.88' N. ' 175.00 N. 2051,100"w 1 EDGE OF PAVEMENT ,1 g, ••av �. SOUNDVIEW AVENUE = 7HE WATER SUPPLY, WELLS ANQ.CESSPOOL- �,5 LOCATIONS SHOWN ARE FROM FIELD ,OBSERVA77ONS -AND OR DATA OBTAINED FROM OTHERS AREA: 6,503.51 S .FT: or 1.07 ,ACRES ELEVATION DATUM.• _________________________ - UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED•SEAL SHALL NOT BE CONSIDERED TO BE-A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE-PERSON FOR WHOM THE-SURVEY IS PREPARED-AND ON-HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TUTION LISTED HEREON, AND- TO THE ASSIGNEES OF-. 'THE LENDING-INSTITUTION, GUARANTEES ARE-NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON_FROM-THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC'PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED-,TO_•MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS..;EASEMENTS - AND/OR SUBSURFACE STRUCfiURES-RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF.SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: -WILLIAM BOLTZ; WILLIAM ERHARDT, MAP-OF: FIDELITY NATIONAL TITLE INS. CO.; ----------- FILED: _ JPMORGAN CHASE BANK, N.A.;: SITUATED AT: SOUTHOLD TOWN OF:SOUTHOLD KENNETH, M. •-•.10YCHUK L.S. SUFFOLK COUNTY," NEW YORK' _ Land Surveying and, Design - P.O. Box- 3, Mattituck, New York, 11952 FILE # 12-55- SCALE: f"=40' DATE:APRIL 2f, 2012 PHONE (831) 298-1888 FAX (831) 298-1588 N. Y. S. LIC N0: 50227 _ maintaining the records of Robert J. Hennessy ..,s .T:s:• _ - _ -`"sac ^s'� - �• _ - - _"�. •,%t'-- - '��c.-- 1- �=::F,gsgp - �' " ..�-2-'•- .>' :s:. rg`r- y. - e _.a-w�. s=.c_ - - •r - '� _� --s:ea�->?�-�."{:z� e. 'a�•- 2= =,:• .:>,. - .fc_ ex-' - �i i.:t. .�.:.. .: gin--�, - �-�:+•u, =_.�'ns-� fi=r e;-. '�"•� -'s' - - F~bs�• _ ''�i ' y.�a--._ :.,Y`�- - .tea'�.. •�1'`-c - -�. �•Y• _ eU Y2 .'s•'=�`S - _ ^=�3= :f.M `a�z=:�.-:&_e—et� 'Lsz.,- .Y.. -"`.,='`�t rc•_•_ £`x' v.-``,;,;r��V •?y?."� r'.•y. 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