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HomeMy WebLinkAbout42607-Z �4SUFF0(,�cpG Town of Southold 6/5/2018 y� P.O.Box 1179 a 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39681 Date: 6/5/2018 THIS CERTIFIES that the building OTHER Location of Property: 1160 Oakwood Dr., Southold SCTM#: 473889 Sec/Block/Lot: 70.-12-29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/20/2018 pursuant to which Building Permit No. 42607 dated 4/25/2018 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: central air conditioning in an existing one family dwelling as applied for. The certificate is issued to Simmons, Stephen&Carpenter,Lynda of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42607 5/10/2018 PLUMBERS CERTIFICATION DATED Authorized Signa e �gitfFnt,r�, TOWN OF SOUTHOLD ��o oay BUILDING DEPARTMENT a TOWN CLERK'S OFFICE o . SOUTHOLD, NY • y�ipl � .pa°�4 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#: 42607 Date: 4/25/2018 Permission is hereby granted to: Simmons, Stephen & Carpenter, Lynda 195 Carl! Blvd Colchester, CT 06415 To: install a Central AC unit as applied for per manufacturer's specifications. At premises located at: 1160 Oakwood Dr., Southold SCTM # 473889 Sec/Block/Lot# 70.-12-29 Pursuant to application dated 4/20/2018 and approved by the Building Inspector. To expire on 10/25/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $90.00 Total: $340.00 R ing nspector ®F Sovey® ' Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 ® �Q roger.rich ertcD-town.southold.ny.us Southold,NY 11971-0959 Cow N' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To- Simmons (Gregory Ramsey) Address: 1160 Oakwood Drive city:Southold st: New York zip: 11971 Building Permit#: 42607 Section: 70 Block: 12 Lot: 29 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 Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches Twist Lock Exit Fixtures 9 TVSS Other Equipment. "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes: 1- A/C Unit. Inspector Signature: Date: May 10, 2018 0-Cert Electrical Compliance Form.x s 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$15.00 l Date. New Construction: Old or Pre-existing Building: (check one) — Location of Property: l l bo ©l 4`"v,-_3 oo a2, -!,>'o vwt House No. Street Hamlet Owner or Ownersof Property: _. Suffolk County Tax Map No 1000,Section Block 12 Lot 2� Subdivision Filed Map. Lot: Permit No. Q Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted:$ Applic gnature OF SOUI'yo� # TOWN OF SOUTHOLD BUILDING DEPT. °ycoum, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. �lJ [ ] FOUNDATION 2ND- [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [D` ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: CyAE� t 16 DATE 1 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) ------------------------------------ 1p c � FOUNDATION (2ND) . Z O ROUGH FRAMING& PLUMBING y INSULATION PER N.Y. H STATE ENERGY CODE FINAL • r ADDITIONAL COMMENTS e a Z � rn d 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 C-sits of Building Plans TEL: (631) 765-1802 -Hanning Board approval FAX: (631) 765-9502 Survey Southoldtownny.gov PERMIT NO. ' a Check Septic Form N.Y.S.D.E.C.• Trustees ' C.O.Application Flood Permit Examined ///,21 Single&Separate 1(rte' Truss Identification Form /,�7 D � � Storm-water Assessment Form APR 2 0 ' Contact: Approved ,20 2R1R -}+ }to: 6eey))M4 Disapproved a/c \ WN OFSOU'rg0 Phone: Expiration '-20� Building Inspect9 APPLICATION FOR BUILDING PERMIT Date , 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 shal I 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 completedwithin 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,housin&code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (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 5 i w��„�0 v,S (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 proposed work will be done: House Number Street , . ' ;Hamlet County Tax Map No. 1000 Section /U Block / Lot a 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition ]H� � (Deq�Aip Estimated Cost Fee (To be paid on filing this application) If dwelling, number of dwelling units :Number:of;dvuelling uniis on each floor If garage, number of cars 's° �� If business, commercial or mixed occupancy,gpe�ify nature.and extent of etch type of use. Dimensions of existing structures, if any: Front Read Depth Height Number of Stories=' 7— .r- . ... .,.4.Z Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories \. Dimensions of entire new construction: Front Rear Depth Height Number of Stories �. Size of lot: Front Rear Depth "10,. Date of Purchase Name of Former Owner 1h11Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES N07� _Will excess fill be removed from premises? YES NO� Names of Owner of premises Address Phone No. Name ofArchitect 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 N07- * 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�- t -P a C �omna--Vbeing duly sworn, deposes and says that(s)he is the applicant (Name of ndividual sig ' c act)above na ed, (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 P D-t day of Apr 1 20�ACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 otary Publi QUALIFIED IN SUFFOLK ature of COMMISSION EXPIRES JUNE 30,268 Sign SOFFpt,�� BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD - Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert@-town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION -- REQUESTED-BY: -- -- - - -- — ---- ----- - - - -- -Date: - - -- -- - - - %!� - 1�r Company Name: Name: License No..: email: Address: Phone No.: JOB SITE INFORMATION: (All Information Required) Name: XAtAf Address: It kO ® 61-V09 PA(Vg -60w U Cross Street: A- (71 Nr✓ N°&46 Phone No.: q l ( +:o Bldg.Permit#: qj_�O-/ email: Tax Map District:- 1000 Section: Block: l Z Lot: Z BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect - Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection FormAs �� C6 ®��oF sorry®l Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 rl ly�4UNT`1,� ' BUILDING DEPARTMENT TOWN OF SOUTHOLD May 23, 2018 Gregory Ramsey 1160 Oakwood Drive Southold, New York 11971 TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy. ��// Application for Certificate of Occupancy. (Enclosed) X Electrical Underwriters Certificate. (Electrical Inspector 631-765-1802) A fee of$50.00. Final Survey with Health Department Approval. 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. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT: 42607-Z HVAC unit i ` I PROPERTY O 'THOLD , �O UTHOLD ' T Y, NEW YORK -12-29 O 1'=30' � N 31 2018 V b I E D R N/0/F ! EL�NE ?IERNEY I i► irr EDS 3O'Evr. - 2 ,J M�OMAS -f �. FE. 151.$3 E y� oF33 oto 320• 0 oil, Nat22ti0 E� m� rqc, 5f0 CSS. O�S N. ,•ro�rn� iaw SSE. � �Q'� �+ O /c4-co N, ap o� 0� ® A, 7° O V r Ul 44.0' i 1F' rn ' F s h W � 4 so G��� ??F N/O/SEN TRUSS toG� / L SER ti s o o Ate. EVELYN ti Z 21 C,MF i F^ IGKET.."FE ::,'-s'; .' -;aF?,='z', _...,..— _ .— -"• ` ;g =say;:^ 6/Q�, 0121-y lzhm5t�- zq d vntovf L/ 9V �7, �� oAz 03- 911 mY R IS OLAJFOL 6T 'OUT CER n X11.WSPEMON REQUp" or- 03 6 r036 1fJo 120 Y A PP Orf ED ASNIM ED COMPLY WITH ALL CODES OF NOT -Y BUTAM T DEPARTMENT T AT 765-i 802 R AM TO F NEW YORK STATS S&t'� I�C�� FOLLOWING INSPECTIONS: SKEW RED A !. FOUNGATIGN - TWG EOt FOR POURED CONCRETE 2. ROUGH - FRAMING a PLUMBING T PLA NQQ.DA M 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. NY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR- CONSTRUCTION- ERRORS.