HomeMy WebLinkAbout42162-Z ��o�1gtlFFOtkC�G� Town of Southold 1/10/2018
m P.O.Box 1179
a
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39442 Date: 1/10/2018
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 75 Wells Rd,Peconic
SCTM#: 473889 Sec/Block/Lot: 75.-6-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/13/2017 pursuant to which Building Permit No. 42162 dated 11/20/2017
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"INTERIOR ALTERATIONS FOR CONVERSION OF ROOM ABOVE GARAGE TO LIVING SPACE
IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Munafo, Joseph&Jodi
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42162 12-27-2017
PLUMBERS CERTIFICATION DATED 11-14-2017 W 'am Knoernschild
A t ed Signature
Fill/ TOWN OF SOUTHOLD
cpG BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
y 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#: 42162 Date: 11/20/2017
Permission is hereby granted to:
Munafo, Joseph
PO BOX 275
Peconic, NY 11958
To: legalize "as built" interior alterations to existing single-family dwelling as applied for.
Additional certification will be required.
At premises located at:
75 Wells Rd, Peconic
SCTM # 473889
Sec/Block/Lot# 75.-6-3.1
Pursuant to application dated 11/13/2017 and approved by the Building Inspector.
To expire on 5/22/2019.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $840.00
CO -ALTERATION TO DWELLING $50.00
Total: $890.00
Buil Ins or
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. 11111 Cl
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property:t 5yK� QA 1'1Px1�ti c_ I(Q J2)
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section �75 Block Lot t
Subdivision Filed Map. Lot:
Permit No. Lf0 ��✓ Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
4Applicant Signatur
pE SO!/ry®l
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road cis Fax(631)765-9502
P.O.Box 1179 • iQ roger.richert(cD-town.southold.ny.us
Southold,NY 11971-0959 Q
l'�COUNT`d,�c�
BUE.DING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Joseph Munafo
Address: 75 Wells Road city,Peconic st: New York zip: 11958
Building Permit#: 42162 Section: 75 Block: 6 Lot: 3.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G &S Electric License No: 578- ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 6 Ceding Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 2 CO Detectors
Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 5 Twist Lock Exit Fixtures TVSS
Other Equipment: "Living Space Above Garage"
Notes: 1- Paddle Fan, 1- Heat Lamp.
Inspector Signature: Date: December 27, 2017
0-Cert Electrical Compliance Form.xIs
o�'\pf SO�To
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 0
Southold,NY 11971-0959
ly���INn,�1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
DD
NOV 1 4 2017
CERTIFICATION
Date:
Building Permit No.
Owner: TCS S 2T V\ M o v-\ O F O
, (Please pri t)
l
Plumber.
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of I%
lead.
(Plumbers Signature)
Sworn to before me this 13
day of ( (i)\& , 20_A2_
DOREEN KOLEINI
NOTARY PUBLIC-STATE OF NEW YORK
No. 01 K06295372
Qualified in Suffolk County
MV Colrimission Expires January 06, 2018
Notary Public, County
OF SOUTyo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I SULATION
[ ] FRAMING / STRAPPING [ FINAL th Avg*6-
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
4n&hg
+cam
DATE INSPECTOR
OF SO�I�o�
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: ix
DATE l/� 1 INSPECTO
Condon Engineering, P.C.
New York State Licensed Professional Engineers
1755 Sigsbee Road 631-298-1986
Mattituck,New York 11952 Fax 631-298-2651
condoneng i neeri ng.com
November 21, 2017
2D
Mr. Mike Verity
Chief Building Inspector NOV 2 8 2017
Southold Town Building Department
53095 Route 25
P.O. Box 1179 T,1U aD,'ZIi,G 131; 71
Southold, New York 11971 T0wN®F S®.U,T oLD
Re: #42162Z-75 Wells Road, Peconic-
Dear Mr. Verity:
I inspected the playroom and bathroom above the garage and found the work to be in
accordance with the plans. The plumbing fixtures in the bathroom were also found to be
operational and free of leaks.
If you have any questions, please call me at 631-298-1986.
Yours truly,
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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 ,4 sets of Building Plans
`TEL: (631) 765-1802 Planning Board approval t
PAX: (631) 765-9502 42 ''Survey' '
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees -
C.O..Application
Flood Permit
Examined mined 20 Single&Separate
Trus's Identification Form
Storm-Water Assessment Form
Contact:
Approved ,20/'
0 Mail to:
Disapproved a/c
Phone, �
Expiration 20
17 n B spector
NOV, 1 3, 2017, APPLICATION FOR BUILDING PERMIT , ;
,Date ;2o
P,i~j E.�•J '��;?�';~•�;:=�'a INSTRUCTIONS
TO 14 OF SOUTHOLD
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. ; • 11
1 1 ' '
c.The work covered by this application may riot 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
issue's a Certificate of Occupancy:
f.Every building permit-shall expire,if the work authorized;Lias 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,SuffolkCounty,New York,andother applicable Laws,:ordinances or
Regulations,for the construction of buildings;additions,or alterations', 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
(Sign ture of applican or name,if a corporation)
r �+ s
Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises
(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. Location of land on which propose work will be done:
�-2��CSl.�C.
Hamlet
House Number Street "1 '` , , r
A
County Tax Map N6.-1000, Section `-]��;,,, ,Bock=. :�p., Lot .
Subdivision , Filed Map No. Lot . I
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy - �Arn1 IN�yJ�
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work Orn QmA p
(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 -2-
6.
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Seo r Rear' ^Depth
Height Z oNumber of Stories Z '
Dimensions of same structure with alterations or additions: Front ��IC_i < 'Rear' Qo 4blarat
Depth'%J�C— Height IC_ Number of Stories o C_
C&
3
8. Dimensions of entire new construction: Front U c.. Rear 1J L Depth „ 1J L
Height yd 1C. Number of Stories Q L
9. Size of lot: Front 3 Rear Depth
10. Date of Purchase ' G 13 I zo►`f 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 /G
13. Will lot be re-graded?YES NO V Will excess fill be removed from premises?YES NO v
Ndress � I l 4
14.Names of Owner ofpremises.JoS� i�1 YV Ad �. D 811E a7S Phone No. �1 Io-77r7-(p01L
Name of Architect Address 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.
STATE OF NEW YORK)
SS:
COUNTY OF aIVV _
t
p �1(1ir nQ 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
94^ day of Nnoeyn6t4 20Vj LISA QUINN
NOTARY PUBLIC-STATE OF NEW Y RK
No. 01 AU6222447
Notaryb i ualified In SUT101K Counlye of Applicant
Commission Expires May 24, 20f,
so�lyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Nax(631)765-95!)2
P.O.Box 1179 • gger_richert fown.soufh015 nM.us
Southold,NY 11971-0959
Y
BUILDING DEPARTMENT =
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION '
REQUESTED BY:
. Date: ;
Company Narge: '
Name: A
L-LID
License No.:
Address: �,o o r� j o I
' Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
J "5
�5 2
*Address: s S - s e
*Cross Street: G�i.i1
*Phone No.:
i
Permit No.: Z,
Tax-Map District: 1000 Section: _qjc�' _ Block: p Lot: _
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
3
*Is job ready for inspection: YES NO. Rough in final
*iso you need a Temp Certificate: YES NO '
_ I
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
J:1L
82-Request fortnspection Form � � •
Jl
t
o�SufFoc,��oG
Town Hall Annexy,� Telephone(631)765-1802
54375 Main Road c < Fax(631)765-9502
P. O. Box 1179 _^
Sontliofd;'NY'1'1'971=0959 41-
- viol
- -- BUILDING-DE-PARTMENT- -NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Datq: 1 I ct Zbi"l
Owner: JOS2��(1 Joy iAt�A�b
Location of Properly: 1 5 Cl J�j
Please take notice that the (check applicable.line):
New commercial or residential structure
Addition to existing commercial or residential structure
Rehabilitation to an existing commercial or residential structure
to be constructed or performed at the subject property reference above will utilize
(check applicable line):
Truss type construction (TT)
Pre-engineered wood construction (PW)
Timber construction (TC)
in the following location( (cbigo_cLepplicbMe line):
Floor framing, including girders and bea s
Roof framing R
Floor and roof framing (FR)
Signature:
Name (per n submitting this form):
Capacity applicable line):
Owner
Owner representative
TrussReg15.docx Effective 1/1/2015
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APPROVED AS NOTED -yOCCUP ',i�
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DATE: y-) USE IS UNLAWFUL
FEE: �� �; ;;,ENT AT WITHOUT CERTIFICATE w N
V NO PLUMBLH GLh 1 it"
I -- -- ------- 765-1802 13 A�vi .I .) ,;'.a FOR THE
FOLLOWING INSPECTIONS:
OF OCCUPAN"Y ON LEAD CONTENT Bt •`"o
r 1. FOUNDATION • TWO REOUIRED CERTIFICATE OF OCCC� `:
I FOR POURS'!? "' =RETE SOLDER USED IN Wr %n
2. ROUGH - PLUMBING
s. WSULA SUPPLY SYSTEM CA" O
w MUST ELECTRICAL EXCEED 2/10 OF 1% L.
a. FINAL INSRI~CTION RECUI�QED
BE COiv;
I ALL CONS' SHAD. MEET THE
REQUIREME, ME CODES OF NEW
YORK STATE_. AOT RESPONSIBLE FOR L
00410 DESIGN OR CONSTRUCTION ERRORS. PLUMBINC3
ALL PLUp9Bi dG 4�J,:S7E •� Z
CW 15 &WATER LINES Iv>w"C y
I r/
TESTINIG BEFORE CO's Lrl,,. ; N •
k COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES •D 0
AS REQUIRED AND CONDITIONS OF C
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