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Home My WebLink About41598-Z Town of Southold 10/4/2017 3 P.O.Bog 1179 0 �•, x 53095 Main Rd �'d�,�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39265 Date: 10/4/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 105 Fleetwood Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 137.4-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/27/2017 pursuant to which Building Permit No. 41598 dated 5/3/2017 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: _ bathroom alteration in an existing one family dwelling as applied for. The certificate is issued to Donahue,John&Caroline of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41598 9/14/2017 PLUMBERS CERTIFICATION DATED 9/19/2017 eth Dano A t ed Signature �SUFEo�,r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Irv- • 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#: 41598 Date: 5/3/2017 Permission is hereby granted to: Donahue, John & Caroline 105 Fleetwood Rd Cutchogue, NY 11935 To: alter an existing single family dwelling (bathroom renovation) as applied for. At premises located at: 105 Fleetwood Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 137.4-8 Pursuant to application dated 4/27/2017 and approved by the Building Inspector. To expire on 11/2/2018. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTE TO DWELLING $50.00 ota : $250.00 i 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 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: (� ��' ` CIk L House No. Street Hamlet Owner or Owners of Property: (�I`y I G RC( Jae k- bona--V Suffolk County Tax Map No 1000, Section 3 Block �f Lot Subdivision Filed Map. Lot: Permit No. L+ S� _Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check one) 'Fee Submitted: $ s Applicant Signature SO!/Ty®!o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA P.O.Box 1179 G Q Southold,NY 11971-0959 .ol�� ® roger.richertt town.southold.ny.us �UNTV, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: John Donahue Address: 105 Fleetwood Road city:Cutchogue st: New York zip: 11935 Building Permit#: 41598 Section: -137 Block. 4 Lot: 8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Rich the Electrician License No: 43120-ME 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 Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceding Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches 3 Twist Lock Exit Fixtures TVSS Other Equipment: "Bathroom Alteration" Notes: Inspector Signature: Date: September 14, 2017 0-Cert Electrical Compliance Form.xls f so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 1 Southold,NY 11971-0959 BUILDING DEPARTMENT D RQ�0'V[E TOWN OF ITS' I. OCT - 4 2017 ]BUILDINGDEFr. CERTIFICATION TOWN oFSOMUOLD Date: Building Permit LA Owner: aRo �ono_h� (Please print) Plumber: Ng%(Azu Agoto (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (PluAlepr's Signature) Sworn to before me this day of Cpm LOIS E BURCH Notary Public-;State of New York 6 8 0 Notary Public, -,Cquaty, N0.01BU6289740 Q uallf?. C Is s au County ualified In Nassau County xp Commission = Expires s Sep 0. 0 My Commission Expires Sep 30.2017 OF SO//T TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECION [ ] FOUNDATION 1ST [7- ROUGH PLRG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECT I L (FINAL) r�,^,. REMARKS: AW4 �naV� OK f�,4SV{rte (o) #809, 691.9w hv&�o y is DATE INSPECTOR OF SObTyOlo 1 ��y000NT1,�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ j ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR 500' 1 - �� yO�o cou H O i TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL 604VMnl /'�v • [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ov*l VA �. • �o� !co DATE 0 ?J INSPECTOR lir �: ► �'�*�'�' , : __ �_ LIM I • e; I STATE ENE-ROY cbDF, — ,, M MA r TOWN„OF S!�UTHOLD 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) 765-1802 Planning Board approval FAX: (631) 765-9502 �% Survey Southoldtownny.gov PERMIT NO. I Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 1200C- 0 F3 t�, Y ¢� Single&Separate ��(-% � � UNLAWU 11FUL Truss Identification Form Storm-Water Assessment Form Approved 520 OF C PANC s Mail to: Disapproved a/c Expiration 11- Z• "�d' 20 l Building Inspec APP 2 6 2017 APPLICATION FOR BUILDING PERMIT BUILDING DET Date �PV I ( , 20 2 TOWN �')k7'SOUTHOLD 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 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. APPROVED AS �JOTED_ 77 (Signature of applicant or name,if a corporation) ATE. &khooue � (Mailing address o applicant) .OTIFY F9UILDING �� `Rl AGENT AT State whether ap licq%is own'er;,AleN&,1akent, architect, engineer, general contractor, electrician, plumber or builder 1. F0UNDA110N F Name of owndKoff��r>✓i�7ses 0� � , ' , n� �� ' D 2. ROUW - (As on the tax roll or latest deed) If applicant Is IN” � �ION i elof3-duly authorized officer o1 ,iir,-,L ' t;�,Fvn ALL CODES OF 4. FIN Y C�.,,. - - FOR C 0. 1 — - STATE- TOVdPCODES (Na t0V')v9P-,(k0 Vofdte'1 - r_ IRE AS rns.i�i-r�r,�i�GF Builders LicRi gjTg.%AT - 1E DESO NEW AS REQUIRED ��---�° Plumbers Lic( 6 ATE. ' ` r SOL] A A m Electricians Df k K. r en!iTuni n i n�eini oi. ARD Other Trade's License No. !!-�� i EES � , 1. Location of land on which proposed work will be done: (OS �V- JZOCk-r4 coq tc House Number Street VHamlet County Tax Map No. 1000 Section 3 7 Block ( Lot ,� 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 res(dea ; C� I b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work F224-hrWM (Y11_X)V9;h0)'� (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 Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of loot: Front Rear. Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated �j 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO /\ 13. Will lot be re-graded? YES N04_Will excess fill be removed from premises?YES NO 14. Names of Owner of premisesCOj-6i Addressjoi F-W pwd U . Phone No. Name of Architect Address k Phone No Name of Contractorlw('im$�YlidllN) I 111�.fAddressal LAI�rfGhd Phone No. hojL,V_ 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 Bu REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO g� * 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 G,tdaL,- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (' nrT & ry(L— (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 ]lei ' day of 2(L 20 LORETTA LAZROVITCH�� Y PUBLIC-STATE OF NEWRi. No. O1LA6234943 Qualified in Suff of y Public My Commission Expires January 31. iu,i Signature of Ap "licant -4 UFFQ Scott A. Russell �� , �� SUPERVISOR IMLA.-N-A .G GEM E T SOUTHOLD TOWN HALL-P.O.Box 1179 p 53095 Main Road-SOUTHOLD,NEW YORK 11971py0 - Town ofSouthold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) , IOsol -MS--PRo-jEOY'--INVo Ii rH1'FDIXOWINci ---=_--- -— YeS (CHEQi ALL THAT APPLE ❑ 'A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑ B. Excavation or*filling involving more than 200 cubic yards of material r within any parcel or any contiguous area. El Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. El D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. _ ❑ . Site preparation within the one-hundred-year floodplain as depicted on--FIRM Map of any watercourse.. ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check hist Form to the Building Department-miilL-your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) - S.C.T�vI. _ OOO Date Diitrict NAME Section Block Lot FOR BUILDING DE_PARTNNI N-T LSL_ ON1.i Contact Information: . _ Reviewed By: Date- Property Address / Location of Construction Work: — — — — — — — — — — — — — — - — — %^� �^��p 9 �o�� AMpproved for proce�stng Budding Permit (� L r/ qC( Stormwater Management Control Plan Not Required C (�� Oc� 'j -ey Slornrvater Managen;en: Central (Forward to Engineering Department for Review) FORM SMCP - TOS MAY 201.1 - 1 , ' oF soUlyol ' Town HaU Annex .1L 3 � 54375 Main Road t �� I cn 1 D P.O.Box 1179 G, Q ro enrich town.sout hol .n .us Southold,NY 11971-0959 i �yCpp ,�c� SEP - 8 2017 BUILDING DEPARTMENT 'RUTLDINC DEPT. I: TOWN OF SOUTHOLD TOWN OF SOI1'1HOLD 1 APPLICATION FOR ELECTRICAL INSPECTION - REQUESTED BY: Date: Company Name: 1AIC, i Name: License No.: - Address: ��— Phone No.: �- ' I JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: Uod AA)-,,�Lr *Phone No_: Permit No.: Tax Map District: 4000 Section: Block: Lot: *BRIEF DES 1PTI N OF WORK(Please Prin)Clearly) (Please Circle All That Apply) *Is job ready for inspection: (2)/ NO Rough in Final *Do you need a Temp-Certificate: YES! NO 1 Temp Information (if needed) *Service Size: 1 Phase • 3Phase 100 150 200 300 350 400 Other I . *New Service: Re-connect. Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION I - U"L .A ; \' �• 82 Request for Inspection Form ;- I Wqo I I pF SO!/l�ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 'Q October 4, 2017 �yCOUNTY+� BUILDING DEPARTMENT TOWN OF SOUTHOLD Lex Construction 91 Lakeland Ave Patchogue NY 11772 Re: Donahue, 105 Fleetwood Rd, Cutchogue TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. /0' Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 41598 — Bathroom Alteration f t.fix'-'i.4 L��.#i n•1�'.:$' adV Py,�r"t ,�'X'I��7*'Y'# i V. loci •Tn ''a '� .i 4', 1 'L 8i Development, Inc. 91 Lakeland Avenue, Patchogue, NY 11772 Phone: 631-289-6450 Fax: 631-218-6811 Licensed and Insured Suffolk Lic# 31 237-H Nassau Lic# H18G8690000 NYC Lic#1296018-DCA R Re: Building permit # 41598 Carol Donahue 105 Fleetwood Road Cutchogue, NY 11935 Attn: Town of Southold Attached is the Solder Certificate from our plumber who worked on the plumbing for bathroom renovation for the above mentioned location. Please attach this document as part of the closing process for the building permit. We are just waiting on final building inspection at this point. Thank you. Sincerely, s Kiran Magsood kiran magsood@lexconstruction.net Compliance Manager Lex Construction & Dev, Inc. 631-289-6450 Ext. 1005 (Monday-Friday 8-4) a ONSTIRCT ON 8E Development, Inc. 91 Lakeland Avenue, Patchogue, NY 11772 Phone: 631-289-6450 Fax: 631-218-6811 Licensed and Insured Suffolk Lic# 31237-H Nassau Lic# H18G8690000 NYC Lic#1296018-DCA 8 Attn: Town of Southold We will be doing a bathroom renovation for: Carol and Jack Donahue 105 Fleetwood Road Cutchogue, NY 11935 The scope of work is as follows: • Complete gut to the studs and sub-floors • Install Durock for tub area • Insulate and sheetrock walls • Install 3 pc direct replacement (toilet, trip lever, lavatory set, shower body and shutoffs for toilet and sink) • Standard electrical package to include 1 GFI, 1 switch, 1 circuit and installation of medicine cabinet lights Contractor: As listed above Electrician: Richard Santiago — Suff lic # 43120-ME E Plumber: Robert Wissing — Suff lic # 57860-MP Thank you. Sincerely, 'Kiran Magsood kiran magsood(ablexconstruction.net Compliance Manager Lex Construction & Dev, Inc. 631-289-6450 Ext. 1005 (Monday-Friday 8-4) u`v�,� ll 6 a� ��Gu y�g, �tr4 t ` � .. .. I „» r OWN �*OIL R = f. } x k• t �u ri � a �4 7 f } C44 �t �� !��`a ,i _ _ � � I� I � 4 �� __�, '� « _ Y ` r� r* � -. I } i ,� { '' .. " , �� ` �, ti � 5 S � r • - � `�" rt. '1 .y., - � t +� ` ,. �� { z r . a �, � , �� , � ;� ., .� ., r ,l I1 ! � I i j i l� 1� � A �.. • "�.. �,j�i.. rl � .1 .,.�t � �j i 4 h. f 'L e F 4 s d