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Home My WebLink About42488-Z Town of Southold 8/3/2018 P.O.Box 1179 a 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39818 Date: 8/3/2018 THIS CERTIFIES that the building ALTERATION Location of Property: 420 Three Waters Ln, Orient SCTM#: 473889 Sec/Block/Lot: 15.-6-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/12/2018 pursuant to which Building Permit No. 42488 dated 3/26/2018 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: ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Englert,Urban&Monika of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42488 07-17-2018 PLUMBERS CERTIFICATION DATED 07-18-2018 Jos Whitecavage s o ' e Signature S�FFoI� TOWN OF SOUTHOLD BUILDING DEPARTMENT y a TOWN CLERK'S OFFICE oy_. SOUTHOLD, NY �ipl,� Sao 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#: 42488 Date: 3/26/2018 Permission is hereby granted to: Englert, Urban 360 1st Ave Apt 14-C New York, NY 10010 To: to make alterations to an existing dwelling as applied for. At premises located at: 420 Three Waters Ln, Orient SCTM # 473889 Sec/Block/Lot# 15.-6-26 Pursuant to application dated 3/12/2018 and approved by the Building Inspector. To expire on 9/25/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 n 1 t-', ding I spec 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: ��jU C)VN House No. l Street p Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000 Section Block Lot Subdivision C�J\ � -� �-20� Filed Map. Lot: Permit No. �Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: heck one) Fee Submitted: $ 60 0 (2, ppli nt Signa r pF SOU�yolo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 �Q roger.richertRtown.southold.ny.us Southold,NY 11971-0959 Q lyC®UNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Englert Address: 420 Three Waters Lane city,Orient st: New York zip: 11957 Budding Permit#: 42488 Section: 15 Block 6 Lot 26 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Paul Burns Electric License No: 3897-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 14 CO Detectors Sub Panel A/C Blower Range Recpt 20A Fluorescent Fixture Pumps Transformer Appliances pW Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches $ Twist Lock Exit Fixtures TVSS Other Equipment: Kitchen/ Bathroom Renovation Notes: 1- Range Hood, 2 Combination GFCl/ARC Fault Circuit Breakrs, 2- GFCI Circuit Breakers. Inspector Signature: Date: July 17, 2018 0-Cert Electrical Compliance Form.xls o*V SOUly Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 t�COUNT- BUILDING DEPARTMENT D 9!C[20'V[R TOWN OF SOUTHOLD DD JUL 3 1 201 BUH•DMG DEFT. Towim OP fi'o7 b. tJ1l.D CERTIFICATION Date: l Building Permit No. Owner: (Please print) Plumber: JCS E e- tj v ice cy s c (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ° (Plumbers Signature) Sworn to before me this day of 20 / Notary Public, County 6kSTIE HALWA; -4:- Notary Public,State of-Ne Vb* Nott 4$31950,Suffolk Chun I<ignitaiSsiplt Expires May 31,7 b TS _ BOE SO(/l�, al CCU TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECPON [ ] 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: Z S� 1� ins •d DATE I J Yc7l 2� INSPECTOR ._.,. ho��,oF souryolo couNT1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPEC 10111 [ ] 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) RE RKS: v� Yvl �► " r�� A2�z j DATE INSPECTOR 0]A OF SO(/l�°� # TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1602 INSPECTION - [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR T Of sou", do �o TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 _ INSPECTION = [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ rIULATION FRAMING /STRAPPING [ AL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: �,,S e,& C"g LIZ DATE INSPECTOR )Q" '� Y /�FIELDINSPECTIONREPORTJDATE I COMMENTS FOUNDATION (1ST) ------------------------------------- 'FOUNDATION (2ND) z -� d ROUGH FRAMING& y 6~ PLUMBING i INSULATION PER N.Y. H STATE ENERGY CODE 166 1 Lit JVVD FINAL : ADDITIONAL COMMENTS Z1 O II lv Z!'� o 2 V• t p~ z Q °z d b H 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 FAX: (631) 765-9502 � ++ Survey Southoldtownny.gov PERMIT NO. Z`'l� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form (� Contact: ii A Approved ,20 Mail toGy,SVO �Ak \ k Disapproved a/c Q Phone:19 Expiration 2 20 i c1 czq�� - D C7,TV � 1 D Building Inspector MAR 12 2018 APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS TOWN 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. 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 steal 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 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. (Sign ture of applicant or name, if a corporation) (M ling address of applicant) State whether applicant is owner, lessee, agent, t�hitect, engineer, general contractor, electrician, plumber or builder { Name of owner of premises 0(1-)C"" (As on the tax roll o atest deed) If applicant isco orat' n, signature of duly authorized officer (Name and title of co orate officer) Builders License No. s \c,Ce,"`A Plumbers License No. Electricians License No. Other Trade's License No. 1. Loc tion ofland_on wh h proposed work will be done: a House Number Street Hamlet County Tax Map No. 1000 Section �� Block Lot VKD Subdivision 061&-.� A-' G— 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 occupancyN,,.� . 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work c,�k Ng,aN I- �n.5,f.p (Descrip i n) 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 lot: Front \� Rear Depth \� 10. Date of Purchase Name of Former Owner "U 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO?5�' 13. Will lot be re-graded? YES Nq!�LWill excess fill be removed from premises? YEF?' NO 14. Names of Owner of premises Address4t '�l�cf�ianl Phone No �1-1�$- Name of Architect Address Phone No Name of Contractor(°_( CN Address Lk,;zg v9 , Phone No.9q -SS9 - `�\t� 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) r S: COUNTY OF d( being duly sworn, deposes and says that(s)he is the applicant (Name of individual signinl contract) above named, (S)He is the a -t,,,� C 4- (o—op r (Contracto ,Age t, 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. `FRACEY L. D'Ul YER f,49TARY PUBLIC,STATE OF NEW YORK Sworn to before me this I , C NO,01DW6306900 C1/o�- day of I ► 1(.�ec 1 20 �� Uf�SSION E SUFFOLK COUNTY n �9(�IIVIISSI91�EXPIRES JUNE 30,201-9 /I Notary Public Signature of pplic � cP BUILDING DEPARTMENT-ElectricaiLInspector TOWN OF SOUTHOLD ® Town Hall Annex - 54375 Main Road BOx 01 Q`V VJ� �y Southold New York 11971 9 / Telephone (631) 765-1802 - FAX (631) 76d-Won 2018 roger.richert(&,town.southol d.ny.us - B�DII�1G DRPT, APPLICATION FOR ELECTRICAL INSPECTION TowN OF SOUTHOLD REQUESTED BY: Bob Burns Date: 4/27/18 Company Name: Paul Burns Electrical Contractors Inc. Name: Paul R Burns Jr. License No.: 3897-ME email: pbumsjr@optonline.net Address: PO Box 1061 Southold,NY 11971 Phone No.: 631-365-4735 JOB SITE INFORMATION: (All Information Required) P Name: Englert Address: 420 Three Waters Lane Orient,NY 11957 Cross Street: Parkview Lane Phone No.: Bldg.Permit#: 42488 email: Tax Map District: 1000 Section: lS Block: Co Lot) BRIEF DESCRIPTION OF WORK(Please Print Clearly) Wiring Kitchen/Bathroom rennovation Circle All That Apply: S. Is job ready for inspection?: Y . NORoughiri 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 82-Request for Inspection Fmm.As y2n e I�-' 6,400 490 hO��pF SO(/j�Ql 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 'Q BUILDING DEPARTMENT July 25, 2018 TOWN OF SOUTHOLD Constantine Rigas 400 Greenway West Orient NY 11952 Re: Englert, 420 Three Waters Lane, Orient TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Electrical Underwriters Certificate A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#795-1892) Final Planning Board Approval. (Planning#795-1938) 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 — 42488 - Alteration d1U,V11[3Lei`S CERTIFICATION ON LEAD CONTENT BEFORE RIGAS�!F=FCATE OF OCCUPANCY e �" D r� L'LDER USED IN WATER DAT9 j �,;� � - Bedroom 2 building company ,:U' PLY SYSTEM CANNOT PEE _ �? v.._. t-vt�E-EP 240 OF 1% LEAD. Bedroom i NOTIF BUILDII I� Dr:� IT fiT L.d�V�..�Lr' bn. 765-1802 B F'M TO :PIJI FOR T-IE FOLLOWING INSPEOT;ONS: 1. CUNDATION - TWO REQUIRED PL��gING FOR POURED CONCRETE 420 MBING WASTE 2. ROUGH - FRAMING & PU UIVIBING ALL PCOR , Three Waters Lane I�,,ES NEED\jEPI�sG s, irisU>_ATloiv Orient NY �= CQ 4. FINAL - CONSTRUCTION MUST BE COMPLETE S=CR C 0. Bedroom 3 ALL CONST;UCTION SHALL MEET THE �CN�®,�GNREQUIREMENTS YORK STATE.' . NQT RES QNSIB�� W FOR S�Pt�SSR ��p,P�ER Bathroom �B DESIGN 9R CONSTRUCTION- EC 'J �i: 96E,S\ 4iMA Gp u F- - - - - ® Existing Enclosed Breezeway j. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES -- - AS REQUIRED- �SOL�W IDT J S1 Fireplace 3/12/18 t VJIT UT CE T1FI F E U ��r 01 MPANCY P RIGAS Bedroom building company Bedroom 1 - Four New Anderson Windows in Existing Openings 420 - Two New Anderson Doors in Three Waters Lane New Anderson 400 Series Existing Openings Orient NY AR21 In existing opening, U-Factor 0 29 SHGC 0 28 New Anderson 400 Series 10311 In existing opening, Bedroom 3 - New Light Fixtures & Associated U-Fedor 0 30 SHGC 112 t New Fy inishes&Fixtures Wiring in Kitchen r On Existing Rough In's ' uJ r- -B45 ,-C') i - New Rough In for Kitchen Sink, N connected to existing drain line Proposed ® in cellar and to existing vent line Enclosed Breezeway I in attic, with new supply lines from below in cellar. New Cabinets&Finishes New Ceiling lights New Anderson A Series In this area FW OD2768 in existing opening, zerno.,mrn 1.1-Factor 0 30 SHGC 0 21 Fireplace 3/12/18 a[ I New Sink sn on New Rough In New Anderson 400 Series —� TN2330 In existing opening, I 1.1-Factor 0 30 SHGC 0 28 J F:D1 ILL- New Anderson A Series P2 FW0027881n e opening, U•Factor0 SHG 30 SHGC 0 21