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HomeMy WebLinkAbout42077-Z Town of Southold 11/28/2017 P.O.Box 1179 53095 Main Rd 4'�,tj yrb� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39364 Date: 11/28/2017 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 315 Fourth St.,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.40-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/23/2017 pursuant to which Building Permit No. 42077 dated 10/23/2017 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: ADDITION INCLUDING WOOD LANDING TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Rogers Cornelia P Revoc Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42077 11-16-2017 PLUMBERS CERTIFICATION DATED (1h, . ed Signature �gVEEUE��� TOWN OF SOUTHOLD 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#: 42077 Date: 10/23/2017 Permission is hereby granted to: Rogers Cornelia P Revoc Trt 315 Fourth St PO BOX 616 New Suffolk, NY 11956 To: Construct Addition to Existing One Family Dwelling as applied for. Replaces BP# 14523 At premises located at: 315 Fourth St., New Suffolk SCTM # 473889 Sec/Block/Lot# 117.-10-16 Pursuant to application dated 10/23/2017 and approved by the Building Inspector. To expire on 4/24/2019. Fees: ELECTRIC $125.00 CERTIFICATE OF OCCUPANCY $50.00 PERMIT RENEWAL $25.00 Total: $200.00 r Bui in pector irmg NO. 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN WALL SOUTWOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) , a N° 14523 Z Date ..� ie. /� .:...... ......... Permission is hereby,granted to• Z _ �7 .... ....... Q ......�.�........... ..?.......... ���.. to .............C-0. ..... of premises located at .......43.�o............ .C/! F -...... <••••. .................................. ................................................................................ ................. ../ .. z=en-�.r. .�.�.� ................................................................................................................................................................ County Tax Map No, 1000 Section ......1J.7........ Block ..../.0........... Lot No. .......... pursuant to application dated t.......................................... 19(x...'.., and approved by the Building Inspector. Fee .. .................. .Building Inspector......................... Rev. 6/30/80 Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.riche rt(a-town.southoId.ny.us Southold,NY 11971-0959 ® a BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Rogers Cornelia P Revoc Trt Address: 315 Fourth Street city;New Suffolk st: New York zip: 11956 Building Permit#: 42077 Section: 117 Block 10 Lot: 16 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 Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 13 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 4 CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 3 Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS" Notes: 40 ft. of Lighting Track, Outside Post Light, .Stair Lights(7), 1- Paddle Fan. Inspector Signature: Date: November 16, 2017 ,f 0-Cert Electrical Compliance Form.xls ass-isoz BUILDING DE". INSPECTION c ]FOUNDATION 157' [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: i/'_/ -�/IYCe�(/� (%� t l� DATE 3 3/ �� INSPECTOR.,/—)-��A rM-1802 BUILDING DEPT. INSPECTION FOUNDATION ROUGH FOUNDATION ,- INSULATION FRAMING FINALRMARKS: Ataj z DATEINSPECTOR r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: a DATE INSPECTOR ` q-q000, pF 50(/T CA TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] RO GH PLEIG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: VY flojAo-(,.01 _ e DATE l0 INSPECTOR WV%. OE SOUI,y�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLEG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ( ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION- [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE �f 1 INSPECTOR / FIELD INSPNTION DATE COMMENTS FOUNDATION ( 1st ) FOUNDATION ( 2nd ) 2 . `. o � ROUGH FRAME & �I o PLUMBING � � c �C0 _ Zit 3 . _ r INSULATION PER N . Y . y STATE ENERGY CODE x � a y 4 . h 1 41 1 FINAL V ADDITIONAL COMMENTS : rd '' H H 1 i I � • x r� a r H x •r y r= ' 'FORM NO. 1 TOWN OF SOUTHOLD a 11085 BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BLDG. DEPT. TEL.: 765-1802 TOWN OF SOUTHOLD Examined . .�-�� . :. . . . ., 19 Received . . . . . . . . . . . Approved . 2.( . . . . . . . .. 19�. Permit No. . . . . . . . . . '�®7 Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4. . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 1 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. . V.6.1"J.a. irl. .&fix .A+✓a . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) 177 (Mailing address bf applicant) I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 2.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .lvl�'.�. . 'C�s� �.`✓ . . . : . . ��"- 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) � Builder's License No. . . . . . . p�217./. . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. ... . . . . . . . . . . �.c�/�. L. . . . ®�. . . . . . . . . .,/ . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet J County Tax Map No. 1000 Section . . . . . .1. . . . . . . . . . Block . . . . . . . . . . . . . . . Lot . . . . . �. . . . . . . . . . . . . / Subdivision . . . . . . . . . . . . . . . . . . ... . . ... . . . . . . . . . . . ... ilea Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use a hd ocatpancy of proposed construction: J i 'L . . . . . . '�•�. Existing use and occupancy . . . . . . ��,l.L�. .%ls�'�` .f`—. . . . .;`���-. C '`:`;, �–,`�, . . . . . . v b.1 tended use and occupancy . . . . . . . . . . . . . .P,- .i1 .1. . .`.J.' J.�, i x {W�NY x.,t 3. NAW (check which applicable): New Building . . . . ... . . . . Addition . . .�. . . Alteration work i Re(piair lry�. . , a Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . ^Qr (Description) 4. Estimated Cost . . .�. �.EP.�. ®. ... .f1.�. . . . . . . . . . . . . . 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 . . : 1 ". : .'. . Rear . . . I. . . . . . Depth . . . '�=, . . . . . . Height . • !. . . • . . . . Number of Stories . . . . f � Dimensions of same structure with alterations or additions: Front .40 . . . . . . Rear . . . . . ... Depth . . . . ...7 ii . . . . . . . . . . . . Height . . . . . .�.�� Number of Stories . . . . . . . . i; -- 8. Dimensions of entire new construction: Front . . . r �. Rear . . . . . . . . . . . Depth . . . . . . . . . . . . Height . R4 l. . . . . . Number of Stories Q i, 9. Size of lot: Front .r . .��c � Rear . . . . .?. ..� . . . . . . . . . . . Depth . . . `P4-!. . . . . . . . . . . . . .. . . . . . . . . . P 10. Date of Purchase v�- l�, � . Name of Former Owner CH� !� -✓t� . . . . . . . 'i 11. Zone or use district in whit h premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •12. Does proposed construe on violate any zoning law, ordinance or regulation: . .VV . . . . . . . . . . . . . . . . . . . . . . . . ii 13. Will lot be regraded ,S. . � . Will excess fill be removed from premises: Yes ,J/ No 14. Name of Owner of premises �o � . . Addresses 1L3r._ Phone No. � 4:7 74, Name of Architect � j. �. �',T®!�!Address3.97 ft ri . ily & aPhone NoAM-7 96 6 ff Name of Contractor ®6 tis. sP. f r� . . Address(R�.� •A'b.5 t i.Phone j,i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from j property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. OP C U 0L1� 1 STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . . . . . . . . • • • • • • • • . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis 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 \ . . . . . . . . . . . .. . .: . . . . . . .day of. . . . . . . . . . . . . 19 5 Notary Public, . . .�t ` �-'t-!, !�.t �- Ute,, Counb) UYSJL6YV IL Vl�YNG i r . . . .`\. . . . . . . . . s . .—•l/.v-./^•K.V%. . .�"°J'• .`C. NOTARY PUBLIC,She of CXca Vc-:', (Signatu of applicant No.4707878,Suffolk Co Term Expires March 30,fl 1 Oct 23 1710:31 a Environment East Inc 631 734 5812 p.2 4 � - oF sa�ryof Town H Tcicphonc(631)765-1802 �R375 Main Road oad - � c� ax(631)765-g5 P.O_Box 1179 s ro er.richert tawn.southolln .us I Southold,NY 119714959 BLUDING DEPARTfiffiNT TOWN OF SOUT HOLD � APPLICATION FOR ELECTRICALINSPEC{-ION . s REQUESTED BY. All.c7 IZ iJ c?f i Q a �s Date: 101-2-3,19C.1 I Company IVatrie: �� S S Narne- � License Na.: Address: Phone No.: �. JOBSITE INFORMATION: (*Indicates required information) "Name: k?R's, CC,0 r J 'Address: _ o (A S r' *Cross Street: C i` --- 'Phone No-: G 's 1 7 Pen-nit No.: Tax-Map District: • 1000 Section: j 1'2 . Block: Lot_ 'BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough In Final To-you need a Temp Certificate: YES( NO . i Temp Information (it needed) "Service Size: 1 Phase 3Phase 100 950 200 300 350 400 Other . `New Service: Re-connect. Underground Number of Meters Change of Service Overhead E' 4dditionai Information- PAYMENT hUE WITH APPLICATION �_ ."Mo .82-Request for inspection Form ` nor — - 0 dt/ea p �e��6' d• 8 � �- r 8 rn Q .Gp M __AL 1 I t THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE (U SIhUCTURES TO THE PROPERTY a Y LINES ARE FOR A SPEW IC PUR- POSE AND USE AND THEREFORE u ` r,,.E tJOi INTEfJDC!? TO GUIDE E.vECTION Gr FENCES, RE- WALLS'aPOOLS,PATIOS. \� z1 i -, •il,,G ARIA , iii)O ION TO °Q _ BUILLAN6S OR ANY OTHER t GONS-i„UCTION. -uarantees indicated hereon Shap ►ilii pZ, to the person for whom the survey Is pt pared,and on i,s hehalf to the titlecomoap )i IW!ufl� Iled n h er,:% "Id Ic NI!nq IInst'!n rg rCr,-, and to the ass,r icj the lendm",T !nst+fu'lcn G"arantees are n U transfcrabtc to additional institutions t subsequent owners. flNOPc�L►/ gavDigLb ullautnonzed aneiauun or addiltan Of (trig isurvey is a violation of Section 7209 of the New York State Educat.cn Law. Copies of this survey map not bearing tt, Land Surveyors Inked seal ur eoibdssed sea; shall not be considered to be a valid true RE-DATED nov MAP �� OF PROPERTY1�NAL J. .r. L. S. SITUATE TOWN OF D�/�`�/cC - SUCCESSOR TO - // Suffolk County, N Y ✓�� 2� / D RICHARD WILH c L550CIATES SORvEYED/ -7-- ! - ----------- --- LICENSED L FOR (���� �% ����`�C✓ Center Moriches, N. Y. 119 4`' �P�n wooarU Y. 1717 GUARANTEED TO. Tel. 87 120 J2 - 16A PER Auth r�e Sign ca C�O� ho 3Bg�g ��O Measurements U S Standard u ) Stale I" L � � 3� S, JOB s — JOB NO. _— FILE NC /..��.c ,��t��� � ����`� ��°' �-�Ute✓lJa�-i/.��A Cole i- s Fix -5 plc //o 01,111C Tr 45 1 1 a I� i€ t �\ t r 1 ,. . . L L �: i.9 W if cop cs tulst:�g is use for water ributin II be � �'s.e n�; piping shall or L only _. types of �� t 7 TP OCCUPANCY CERTIFICATEi -r, SOL K,Ute._,D PPLY SYSI 1,/W GA1�T I EXCEED 211.0 f LEAD. _y - w , v AP q O¢a" ;G ED AS NITED ( _ A:_ E -� B.P. [, • DATE • - I FEE: BY: NOTIFY BUILDING DEPARTMVNTAT CJ 765-1802 9 AM TO 4 PM FOR THE r A¢ WING INSPECTIONS: FOLL 4 J. FOUNDATION - .TWO REQUIRED FOR P CURD CONCRETE 1 : 2. ROUGH - FRAMING & PLUMBING 3. INSULATI7N FINAL CON'S T,ZU,. I ION MUST Ai _ -- - BE COAADf ETE FOR CO , ALL CONSTRUCTION SHALL MEET THE RE01,fl ,^.1',rNTS OF THE N. Y. STATE .CONSTRUCTION & ENERGY I CODES. NOT REPONS'BI_r; FOR DESfGN OR CONSTRUCTION E..F >ROBS. d , vq , I • :. .,.. .r„�,�,..�,�..��:�,�.�;�x:—,,,n,�,:...`....,-x-�---�-�---:,-T--_max_•-�-,�•�•+�---• ••..--,•.,,. -..>a-.�•=, Dn t , - _ � �I j .•.-.,..�...�....1...�..,.....+....r.� .a.•,w+.w+......,.w....,...,w.,,..d..+.a� � � >� ,r... � ,rte? ,eC; ; 1 � � � ��. -� F. Elizabeth Thompson - Arc;.Meet ` :I 1 , - ► ,�.�- E YN.Y. ont . N.Y. Nevi ark; N. Q T�tlr Sc�1c .. r� ,�; ,a.a,, , r=�:> "`' .�r•=� �,'�' J �. � r it /. _.,' "1 .P �'�� ,1•� k r �. -j.: r,�j �t.. �� d 2.12-966-G999 567 23-3 1 87 3 s / .- t..o �' .,: �. e 'q' 'F.Ja: ! �r '"` ', .` �. i' ,; s•�'Y'Pt r�.. I - _ « xw.:.w.+u..••se.,4. 11 _'. . - - _.- -.,--'-. - - ..--- --�- ,-,,-.—,� � �,. - - - -_ . .. - - —- , - _ ---- --_ - . _ _, a .0 , 9 , - I — i, . . , I . . I , , . -- . . I. '_ . _ K ^e- — .\,7 t . , . 11 I {, I? 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