HomeMy WebLinkAbout42861-Z �o�pS�FF01'�.00, Town of Southold 8/9/2018
3 P.O.Bog 1179
c 53095 Main Rd
p01 �ao�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39834 Date: 8/9/2018
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 2350 Paradise Shores Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 80.4-10.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/10/2018 pursuant to which Building Permit No. 42861 dated 7/13/2018
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:
"as built"alterations including windows doors and electric and an"as built"outdoor shower stall to an existing one
family dwelling as applied for.
The certificate is issued to Sciscente,Rose Ann
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42861 7/19/2018
PLUMBERS CERTIFICATION DATED 17 A
w
t d ignature
�o�guF�nc,r�oTOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
y 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#: 42861 Date: 7/13/2018
Permission is hereby granted to:
Sciscente, Rose Ann
C/O John Sciscente
77 Silverbrook Rd
Shrewsbury, NJ 07702
To: legalize "as built" window and door replacements as applied for.
At premises located at:
2350 Paradise Shores Rd, Southold
SCTM # 473889
Sec/Block/Lot# 80.-1-10.1
Pursuant to application dated 7/10/2018 and approved by the Building Inspector.
To expire on 1/12/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -RESIDENTIAL $50.00
Total: $450.00
linagspector
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
jinx o 2(51P
New Construction: Old or Pre-existing Building: (check one)
Location of Proper 2Z-5-C) F,4R, W,_S7� �i s J2��� ���`j,40 Gp
House No. Street Hamlet
Owner or Owners of Prope
Suffolk County Tax Map No 1000, Section 190 Block 0 / Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant-
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
pf SOVj�®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ,® ® �® roper.richert(GD-town.southold.ny.us
cou ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Rose Ann Sciscente
Address: 2350 Paradise Shores Road city,Southold st: New York zip: 11971
Building Permit#: 42861 Section: 80 Block. 1 Lot. 10.1
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 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 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 2-30A Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 2- Laundry Units - 1 on 1st Floor, 1 in Garage.
Notes: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS".
Inspector Signature: Date: July 19, 2018
0-Cert Electrical Compliance Form.xls
�O�aOE SOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
- 1 NSPEOTION
[ ] 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)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
ig
(-zLvvwq�>elr,
DATE �� INSPECTOR
FIELD INSPECTION MPORT7 DATE COMMENTS
FOUNDATION (1ST),
'FOUNDATION (2ND) D
� o C7
�o
ROUGH FRAMING&
PLUMBING H
INSULATION PER N.Y: H
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS �
LIK
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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
FAX: (631) 765-9502 _ �Q/ / � Survey
Southoldtownny.gov PERMIT NO. Q(Q / Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
2 l Flood Permit
Examined ✓ 20' l ' ,. Single&Separate
Truss Identification Foran
Storm-Water Assessment Form
Q� Contact:
Approved 111920 y Mail'to:•
Disapproved a/c
7 16
-
Phone:
Expiration 20
D {5 mg pector
APP TION FOR BUILDING PERMIT
JUL 1 0 2018 r
Date 7u/-/ /o 20 1 �
BIDING DEPT. INSTRUCTIONS
a. This appl1TWW%T- b FWely 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 l 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.
(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
0w.,%J fi�p,
Name of owner of premises R ots e A r7 7 Sc /s &— r 7�c
:y (As on the tax-roll or latest deed)
If applicant is a corp6ration,;signature"of duly authorized officer
C/o
(Name and title of corporate officer) % (nAv—U
Builders License No. P
Plumbers License No. -V0
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
233.'® 1?*rn1 ®SC sloe awes 'bac/ Se U-117®
House Number Street Hamlet
County Tax Map No. 1000 Section g 0 Block 0 Lot /0- 1
Subdivision PiledMap No. Lot to. f
2. State existing use and occupancy-of premises and intended use and occupancy of proposed construction:'
a. Existing use and occupancy A E-_3 t,DE-:t47-1 AL_-
b. Intended use and occupancy P_45-.s i=D C-14TI l A L
3. Nature of work (check which applicable):New Building Addition Alteration
Repair Removal- Demolition Other Work WI iv60ws 9'-,SLW+4,1-c R 4WP4.
®®— (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. Num/beer of Stories
8. Dimensions of entire new construction: Front Rear �_-DeptiC , , ._-
Height Number of Stories' lU
9. Size of lot: Front Rear Depth '"' 1'''
10. Date of Purchase 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
13. Will lot be re-graded? YES NO Will excess fill be,removed.from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address- Phone No
Name of Contractor Address Phone-No.
( 5)
Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO F YES, SOUTHOLD TOWN'TRUSTEES'&D.E.G. PERMITS MAYBE 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
being duly sworn,deposes and says that&s)he is the applicant
(Name of individual signing contract)above named, C NNIE D. BUNCH
Notary Public,State of New York
No.01 BU61 SW60
(S)He is the Qualified M Suffolk Counjy
(Contractor,Agent, Corporate Officer, etc.) commission Expires Apra 14,2tQG
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 o 0 L 20_/K_
A
Notary Public V Signature of Applicant
BUILDING DEPARTMENT- Electrical Inspector
�p C TOWN OF SOUTHOLD
c�
Town Hall Annex - 54375 Main Road - PO Box 1179
o ` Southold, New York 11971-0959
p� Telephone (631) 765-1802 - FAX (631) 765-9502
al roger.richert(aDtown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: - - -- - - Date: 10 2 Df8-
Company Name:
Name: jgO-S ,��i✓ sGISc d-/V7-457
License No.: email:
Address: •$6-0 IVY 11`77)
Phone No.: C3 — 7C-5- 6O/
JOB SITE INFORMATION: (All Information Required)
Name: A oS ,1-ihf SCiSCe/l-Ae
Address: 2Z,5-0
Cross Street:
Phone No.: Cee. 63 f• 6 0- / 86 D
Bldg.Permit#: Ll a I email:
Tax Map District: 1000 Section: $ Block: ® / Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) -i q's/��r
Circle All That Apply:
Is job ready for inspection?: CYYES)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 490
Pik)/ t6
Request for Inspection FormAs
APPR UaED AS NOT D
DATE: 3 0 B.P #
FEE: res DEPART TAT RETAIN STORM WATER RUNOFF
NOTIFY BUILDING DEPURSUANT TO CHAPTER 236"65-1802 8 AM TO 4 PM FOR THE OF THE TOWN CODE.
")L LOWING INSPECTIONS:
FOUNDATION - TWO REQUIRED
F0; POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
? INSULATION
4 F=INAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
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