HomeMy WebLinkAbout42976-Z �o�OSUFFO(,�� Town of Southold 9/19/2018
P.O.Box 1179
W { 53095 Main Rd
�4,, �a r Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39909 Date: 9/19/2018
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 325 Indian Neck Ln,Peconic
SCTM#: 473889 Sec/Block/Lot: 86.4-4.22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/21/2018 pursuant to which Building Permit No. 42976 dated 8/28/2018
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"PARTIALLY FINISHED BASEMENT IN AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR
The certificate is issued to Reitman,Joel&Anne
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 4028302 05-22-2009
PLUMBERS CERTIFICATION DATED
ut o ' ed Signature
Lam. TOWN OF SOUTHOLD
�SUFFO(p�oGy BUILDING DEPARTMENT
s TOWN CLERK'S OFFICE
oy • oR� 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#: 42976 Date: 8/28/2018
Permission is hereby granted to:
Reitman, Joel & Anne
PO BOX 528
Peconic, NY 11958
To: legalize an "as built" basement alteration as applied for.
At premises located at:
325 Indian Neck Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-1-4.22
Pursuant to application dated 8/21/2018 and approved by the Building Inspector.
To expire on 2/27/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $864.80
CO -ALTERATION TO DWELLING $50.00
T $914.80
Building Inspector
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.
New Construction: 2 Old or Pre-existing Building: (check one)
Location of Property: J�S i j C6 h kectGt L,.,', Peeo V1 i
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block I Lot -r�-
Subdivision Filed Map. Lot:
Permit No. qaqq� Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ �Zil�
1�k_
pplicant Signature
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- C�� -,;EY, THIS-CERTIFICATE. OF COMPLIANCE--T HE,
NDERWF ERS
SUREAU"OF ELECTRICITY-
-40 �'lJLT01� STF�EET =fIIEW Y+ORYC, ",I\1 1,0038-
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-- - ;-
!CERTIFIES =THAT
-- - 'Upon the application of upon premises..awne,d_by-y:
- - Y=-DANIEL VILGENSKI-ELEC.CON'TR, JQFl REUMAN 5
PO�BOX1319 = = 325 INDIAN NECK LN --
': - LDS NY,41971,. -
SOI THfl - P_ECONIC;
=325,WDIAN NECK'LN':P,EGONIC;NY 11858
5_ APPlication-Numbeh:-_ _ _ - . - _ Certificate Nuintoer.
442$302 -4028302 5,
Block. -�- � .' Lot:_
- -. _Building Permit:.
5 Described as a= = Residential = occupancy,wherein the prerz_tises-electrical-system consisting,of
electrical:devices and'wiririg, descrabed'!bel6 Jdcated,iNon the premises at -
5 , - -.Basement;• - „_ _- - ,, _ : , __ , L
A visual `inspection of the_premises--el'ectr,'ieal system,�li'mited-to electrical;devices,and,wir<i_ng,',to=the, extent-detailed =_
#ierei,n;. luras"con udted'- in.W accordance .With the regv%remt?nts ._vf_£he. applicable-;code andlor _standard`- 5
-- 5romu,1gated ;by the;Sfate-of _New'Y.ork,__Deparfinent.'of S'tate-Code:Enforcement'and:Administratlon;'or-other 5,
auth'r�hav_trig;turisd"' io'1;,=and-fotindfo Ub'iirco(npl•ian_de`therewtttt tin•theUIId =Day=-f'-1Ma , 2004;
--Name- ;i f _ -_- _; v �. -_Q--' Rate: Rutin Circmts :-- r -T-
A
T -
5 Ala;,m-aitil em_eigency eclvipm nt = - -
„ Sensor,> - - _ 1 0 0 _ .Smoke
5 -
:M
_4 as built 2006'-
.finnished basement:--
2.
Fixture 10 0 _e -- - _
+- ''IOu'tlet i' :�I; _!i -., --- ;I• ;I- - -- - -;Fluorescent-., -
5 10 0: _ Fxture' -
-'S �„ Outlet ,. 17- 0 - - ' If 5
5 `Gen,Purpose`
Receptede -+ ___i,- :,_-_-, - 16 4
I- -
5 _switch - 4 Gen,Purpose - -.
__. - ---
/1n as built visual inspection,of the delineated electrical installation,determined that.an obvioits hazard is not present-and the installation is-
believed
s
5 - 5
believedto_bein,confoanancexviththeapplicable-retbrence,standardforthe-estimated period or construction.ofthepremiseswirmgsystem._
5 This certificate-may-not be altered in-any-way-and-is validated-only-by the presence of a'.raised seal at the loc`ation=indicated'.'
OF SOUT,yD
# TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULA/T�I_O/N�
[ ] FRAMING /STRAPPING [ FINAL {-!5 �►J�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
Q� c (F)
DATE �' INSPECTOR
@P -
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) J
------------------------------------
'FOUNDATION (2ND)
v"O
ROUGH FRAMING&
PLUMBING
1
Uj
INSULATION PER N.Y-.
STATE ENERGY CODE
t
FINAL
ADDITIONAL COMMENTS
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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 Survey
South oldtownny.gov PERMIT NO. ®�-� _ Check
Septic Form
N.Y.S.D.E.C.•.
Trustees
C.O.Application
Flood Permit
Examined '20Single&Separate
Truss Identification Form
Contact:Storm-Water Assessment Form
�� l � • -
Approved 20
Mail'to:
Disapproved ac
Phone-Mi
Expiration _,20
D L5� Building Inspector
AUG 2 1 2018 APPLICATION FOR BUILDING PERMIT
Date 20
I3UILDVG DEFT. ,
T� ff-V�; �Og,D 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
3hal I be kept on the premises available for inspection throughout the Wo*rk.
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 thq,Bui1dir1gil)epartment 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.
(Si a e o 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)Qbe-1 - !'fY1 Vl� �,{� (r1'1�
(As on the tax boll or latest deed)
If applicant is a corporation; si'gna'ture of,duly authorized officer
(Name and title of cotporatd�'officer)
Builders License No. '
Plumbers License No.
Electricians License No.
Other Trade's License No. ,
1. L2ocation,of laud on which proposed work will be done:
J �J SCG L p �2�' 7Y!/rG
House Number Street Hamlet
County Tax Map No. 1000 Section Block l Lot �Z • t��d�
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
tended use and occupancya,5 6c1J+_CO3AC4 41Sked &Se
3. Nature of work (check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(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 Number of Stores `Q .
8. Dimensions of entire new construction: Front Rear : i Depth
'
Height Number of Stories' A
„rig ,
'
9. Size of lot: Front Rear Depth
• Ali'-'i�'���r.-r� .._'_•,� .
10. Date of Purchase Name of Former Owner
�;1 �"
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.
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 )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, CONNIE D.BUNCH
Notary Public,State of New York
(S)He is the No 01 RL161859x8
(Contractor,Agent, Corporate Officer, etc.) Qualified in Suffolk County
Commission Expires April 14,2jDA Q)
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 thi
41 6k day of iYl 20
L d
Notary Public Signature of Applicant
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FEE: � .�'_ .. By .._� �,..� WakrM REAICR. WA-LL's FI�rsN -
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NOTIFY BUILDING L_r AR H r�' AT �' ��' �'
765-1802 8 AM TO !Piv� FOR THE Oq�" IAG�UDI�� c e v Y
FOLLOWING INSPECTIONS: �AU- FIu�6wckt��. m
'I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION :cxl4 uDOW
4. FINAL - CONSTRUCT ION MUST ori. w�-L• -
BE COMPLETE FOR C 0.
ALL CONSTRUCTION SHALL MEETIV44g-ADt- OW 5;aLlb Com EXISTING-
REQUIREMENTS LO
OF THE CODES OF�}F39fL �� s�t� GtAStie- ENLAPIf Exp. �Itico�
YORK STATE. NOT RESPONSIBLE FOR �`� oprrl�� la D �I N. R F1bM ;tea
- RECREATION ROOM � s xr�. op�Nl►.]Cr w rorty glrFoe>r s% � �
DESIGN OR CONSTRUCTION ERRORS. ���` 02nmQQr WWWO,. 2 3-0'
tlD GW 1¢ 2.10 -4's',� 4-o'/i'�+
COMPLY WITH ALL CODES OF 2 4" QD. ST�� 7-3" GLS. N�►c�u� cxi - x L M
NEW YORK STATE & TOWN CODES 16" a.,c.. v/ �'234"
AS'REQUIRED A Rrl3 ` �2���. . _
so ' EXISTING �.� . E4ePZ"bE 2D�_p�I,su2 rl4Z TWA . 2`�� _ __ - -C (I
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SOUTHOLD T TRUSTEES
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. . UlJ�1GtZstD G o)` Si"Af/L �` LA I rJGr,
CY OR Additional N�.w G�rz�o>J >��xl�� =
CUPAN Certification - sly rLt✓ �pErEC��... ,N AtJD�ns�), GW►�. 02 GXI�- ("x G" Qc�2. u4►LED 0 �
5�_ wikmov,) WOF12M EXt C. w Laub5c6 pg spil:�S. (n
IS UNLAWFUL May Be Required. _ _ _ � � _� Ro. W��N R.o. N�rl�r
m IS 4=0X2;
�� IFICATE - —
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ITHOUT CERT
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SECTION — WINDOW WELL
BASEMENT PLAN -753 SGL, Fr. 0
NOTE . W-DVIDE FtecuNcf Sots vepr►cAt,
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AS-BUILT BASEMENT CONVERSION FOR
Mr. Mrs. J. REITMAN ���, � . 2/, 8
N IAN NECK LANE PECONIC NY 1195$ = it p�tE_ �SrMQ� 2009- ° �
325 I
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