HomeMy WebLinkAbout41742-Z �O�g11EFQt�CpG Town of Southold 10/4/2018
P.O.Box 1179
0
Go 53095 Main Rd
G4?4 p� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39938 Date: 10/4/2018
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 900 Goose Creek Ln, Southold
SCTM#: 473889 See/Block/Lot: 78.-8-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore fled in this office dated
6/12/2017 pursuant to which Building Permit No. 41742 dated 6/19/2017
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:
accessory_gars garage with pergola as applied for.
The certificate is issued to Solution East LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41742 8/22/2018
LUMBERS CERTIFICATION DATED
ut Signature
o�S�F nF taco TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
4lpl � 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#: 41742 Date: 6/19/2017
Permission is hereby granted to:
Solution East LLC
110 Eastside Ave
Mattituck, NY 11952
To: construct accessory garage with pergola as applied for per Trustees & DEC approvals.
At premises located at:
900 Goose Creek Ln, Southold
SCTM # 473889
Sec/Block/Lot# 78.-8-2
Pursuant to application dated 6/12/2017 and approved by the Building Inspector.
To expire on 12/19/2018.
Fees:
ACCESSORY $296.80
CO -ACCESSORY BUILDING $50.00
Total: $346.80
.Buil in ctor
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. &I 1 Z1I-7
New Construction: `� Old or Pre-existing Building: (check one)
Location of Property: 10D 6005Z 62CEjr I. AN-4
House No. Street Hamlet
Owner or Owners of Property: Gµt4 ei.ES k l T 7,
Suffolk County Tax Map No 1000, Section r]Qj Block Lot
Subdivision Filed Map. Lot:
Permit No. "'7 Date of Permit. Applicant: r'-iAzZA&C.`TM Ghy!m peo W
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: t-O"" (check one)
Fee Submitted: $4o
Applicant Signature
�O,*pF SOUTyoI
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 �Q roger.richerM_town.soLitho Id.ny.us
Southold,NY 11971-0959 Q
IyCnii ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Solution East LLC
Address: 900 Goose Creek Lane city.Southold st: New York zip: 11971
Building Permit#: 41742 Section: 78 Block: 8 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Raymond Electric License No: 5141-ME
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 Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 3 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 40A A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 3 THnst Lock Exit Fixtures TVSS
Other Equipment:
Notes:
Inspector Signature: Date: August 22, 2018
0-Cert Electrical Compliance Form.xls
coum,0cc�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ FOUNDATION 1 ST4�mwf [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE L INSPECTOR
4.
�pE SOOT
um,�c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] OUNDATION 1 ST [ ] ROUGH PLEIG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
R ARKS:
rovA6A-alkl
r6 A ►'
DATE INSPECTOR
OE SO(/T�o
�yCOUM'1,�
TOWN-OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] OUNDATION 2ND [ ] INSULATION
[Y FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRIC (FINAL)
REMARKS: -
DATE Y � INSPECTOR
pF 50Ulyo�O
# TOWN OF SOUTHOLD BUILDING DEPT.
`ycOUrm N 765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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:
DATE INSPECTOR'S
pF SOUTy��
# TOWN OF SOUTHOLD BUILDING DEPT.
courm��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULATIION
[ ] FRAMING /STRAPPING [ FINAL kM
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE GI �� INSPECTOR
t
YAIW
1
f7• •
Y
•
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: 631 765-9502Surve
Y
Southoldtownny.gov PERMIT NO. p- T 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:
Approved iq '20 Mail to:
Disapproved a/c
Phone:
Expiration '20
D ���B'V[E Building Inspector
�
JUN 12
2017 DAPPLICATION FOR BUILDING PERMIT
Date QI 20�
BUILDINGDEPT- INSTRUCTIONS
TOWN Q!SOUTHOLD
a. s app ication 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
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
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 ndne, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
A ec+ITL-&T
Name of owner of premises C-1+P eAZe=, k tT Z
(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:
900 6&051: e-eze-v— L
House Number Street Hamlet
1,
County Tax Map No. 1000 Section 8 Block S Lot 0 Z.
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 i N &-t a �—�%bE Wt-6
b. Intended use and occupancy L',1 0(.LC- fn wt t w I-tcllj cc
3. Nature of work (check which applicable): New Building�X, Addition r 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 _i Rear Depth
Height Cf-_-- Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth i Height Number of Stories.--.-,..,
8. Dimensions of entire new construction: Front 1 Rear
Height I (v I Number of Stories ,'
a�, tit �J
9. Size of lot: Front Rear Depth
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—)<1
13. Will lot be re-graded? YES NO-,X Will excess fill be removed from premises? YES NO-,,V
l 1 o E145,T 51 A C Av
14. Names of Owner of premises C0IIES. K.1 TZ Address M►4Tr1 ruUc Phone No. !®3 I -7,19 , 6 2 3
Name of Architect �L'm 1,4&wtp't-,0 N Address 7-50 M Ire4CP-4;T sob phone No q 1-1 -194 g- 19 4 f
Name of Contractor ki t?.1G6 N Go NS't(Z Address I dO Z Phone No. 51 - 17
110 6011PT SkvE AW,, Mf41T1TX -K-
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V 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 O
1 z,c&Z+ �,DVV being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the 0,f d\-'�Viz- CA-
(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 tQ before me this /
day o 20 l`�
MELANIE-DOROSKI
IC,State of New
Nota Pu c No, 01 D04634870 Signature of Applicant
Q691ified in Suffolk County
Commission Expires September 30,
BOARD OF SOUTHOLD TOWN TRUSTEES
A
SOUTHOLD,NEW YORK
PERMIT NO. 8864 DATE: AUGUST 17 2016
ISSUED TO: SOLUTION EAST LLC
PROPERTY ADDRESS: 900 GOOSE CREEK LANE, SOUTHOLD
SCTM#,1000-78-8-2
AUTHORIZATION
Pursuant to the,provisions. of Chapter 275 of the Town Code of the of Southold and in A,- ,
accordance with'the Resolution of tfi6lioard'of Trustees adopted afthe meeting heldon-,August 1-7,,,2016,and
in consideration of application fee in the sum of$250.00 paid-by'S61ution-East LLC, and.subject to-the Terms
and Conditions,as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the
'following:`
AS
Wetland Permit to reconstruct the existing two-story dwelling in-place; construct a
10'i163' seiWard'addition;and construct 4`10'x24'seaward open porch-for•a'total of'a
1,305sq.ft.first floor footprint; construct a 10'x24'•seiaw2jtd°di&;;and 6 construct a+I-
6' wide pergola off of front entry leading to a proposed+/-151X201 garage..;with the
condition to-establish,and,perp etuillyMaintain' a 10"wide non"-'ttirf Buffer landward of
-
the-concrete wall;pnd as,depleted on Page 2 of the site Calan prepared by klizAbeth Q
Thompson,-Architect revised-on August 30,.2016,and stamped approved on
September 2, 2016. "'0
IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Q6rpor6te Seal to be affixed,
and these pres6hts.to be subscribed by a.majority of the said-B oar dr/Q.as
.of this.dat,
AIL-
Z7_
WD
4Z
X
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Plk
kxQ�SO(/l�O Town Hall Annex
Michael J.Domino,President �
54375 Route 25
John M.Bredemeyer III,Vice-President P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski ` Telephone (631) 765-1892
Greg Williams Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1509C Date: Seotember 19,2018
THIS CERTIFIES that the repair/patch aanroximately 114 linear feat of existing concrete
seawall including two(2)t2'"returns• and+-6'x8'concrete stens including in-kind/in-place replacement
of small broken sections where needed
At 900 Goose Creek Lane,Southold
Suffolk County Tax Map#1000-78-8-2
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated September 14.2017 pursuant to which Trustees Wetland Permit#9103
Dated Qctober 18.2017,was issued and conforms to all of the
requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is for the mR&/patch approzamateiy 114 linear feet of existing
concrete seawall including two'L2)+-2' returns• end:WW concrete steps including in-kindlin-place
replacement of small broken sections where needed.
The certificate is issued to SOLUTION EAST LLC c%ANNE MARINO&BERNARD TELSEY.
MEMBERS owners of the
aforesaid property.
Authorized Signature
!EW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04476
PERMIT
Under the Environmental Conservation Law (ECL)
F- Dp--:++-e nr+� �nn"ily Y�+�n...r.nl- n.+■LLI. Q11U 1 "I-A11L,' 111101 lII LL LIV II
Permit Issued To: Facility:
SOLUTION EAST LLC MARINO PROPERTY
440 WEST 44TH ST##2 900 GOOSE CREEK LNISCTM 1000-78-8-2
NEW YORK,NY 10036 SOUTHOLD,NY 11971
Facility Application Contact:
EN-CONSULTANTS
1319 N SEA-RD
SOUTHAMPTON,NY 11968
(631) 283-6360
Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold
Facility Principal Reference Point: NYTM-E: 717.227 NYTM-N: 4547.335
Latitude: 41°02'53.8" Longitude: 72°24'55.2"
Project Location: 900 Goose Creek Lane - Watercourse-Goose Creek
Authorized Activity: Replace existing two story single family dwelling. Construct additional porches,
first floor addition, sanitary system, garage and driveway. All authorized activities must be in strict
conformance with the attached plans stamped NYSDEC approved 4/24/2017." (JRP)
Permit Authorizations
Tidal Wetlands-Under Article 25
Permit ID 1-4738-04476/00001
New Permit Effective Date: 4/24/2017 Expiration Date: 4/23/2022
NY8DEC Approval
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict
compliance with the ECL, all applicable regulations, and all conditions included as part of this
permit.
Permit Administrator:MARK CARRARA,Deputy Regional Permit Administrator
Address: NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY 11790 -3409
Authorized Signature: � � � Date 4 /-2K
Page 1 of 6
ra � -� �� oI� � ' 17 tq
s �°S11�I ST�O>�[ZN[WAT]E R,
Scott A. ussell�
SUPERVISOR 1\\4ANA.G 1EIMI IEN'7F
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971
�Q Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes No (CHECK ALL THAT APPLY)
❑K A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑� B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑(7[ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
[:]EDD. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑[ E. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
El El F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date-
/n� Disci ict
NAME / 0 �tRfiW( � ai I
Section Block Lot
p.<=< I-OR BUILDING DEP A R,'I:M[JNT ONL'Y . '>
Contact Information 1��— ��� � 19-41
� ���1 �. IM^ n
`G�A('l^'
•rda,non�wmnrn )�
Reviewed By:
- - - - - - - - - - - - - - - - - -
Property Address / Location of Construction Work: Date.
— — — — — — — a — — — — —
Q G Approved for processing Building Permit
1
ilpl� Stormwater Management Control Plan Not Required.
�� � ❑ Stormwater Management Control Plan ib Required
(Forward to Engineering Department for Review)
FORM * SMCP-TOS MAY 2014
SUFFQL,trcoG
Town Hall Annex �� y� Telephone(631)765-1802
54375 Main Roado -< Fax(631)765-9502
P. O. Box 1179 N z
Southold, NY 11971-0959
,y O`r
dol � �a
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: I7i�1�
Owner: T Z.-
Location of Property: °(yb •6cWSZ 4k �,thI4 s-e�:0 CH&t,6
U.
r a:
Please takenoticethat the{check applicable line):
New commercial or residential;structure
--,''Addition to existirig•dommercial;:or residential strUGtutd`
4 - Rehabilitatis�ii to•an existing'comriiercial or resid6tialkstructure
:. ; .
to be' const'ucteir!`or performed at the subject property reference:above will utilize
(check appiica"''-Nino):
Truss type`construction (TT)
Pre-engineered-wood construction (PW)
Timber construdiion (TCY.
in the following location(s) (check epplicable,line):
Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roof,framing (FR)
Signature:
A�m=g-
Name (person submitting this form): r:�-V1?�f4Sff tP% 14ow-i�5�f�W.,14 1Te-Z7
Capacity(check applicable line):
Owner
Owner representative
TrussReg15.docx Effective 1/1/2015
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Town Hall Annex 11 f ! Telephone(631)765-1802
54375 Main Road Q
P.O.Box 1179 G • 0 ro er.richert town so7ut�ioAn .us
Southold,NY 11971-0959 'Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Z r Date:
Company Name:
Name:
License No.: _
Address: ly Gu - V 6 iwx
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: 9� �S Ggfc sib .
*Cross Street:
*Phone No.: — —
Permit No.:
Tax-Map District: 1000 . S ctior Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Pri ea
U G�sz r�Y
(Please Circle All That Apply)
Is job ready for inspection: �/ NO �ough Final
*Do.you need a Temp Certificate: YE
Temp Information(If ed) �
*Service Size: 1 Phas 3Phase 00 150 20 300 350 400 Other
*New Service: Re-tonne U
Re-connect erground Number of Meters Change of Service Overhead '
Additional Information: PAYMENT DUE WITH APPLICATION
�ns
82-Request for inspection Form
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GOOSE CREEK ROAD
(',,PRIVATE- ROAD
AUG 1 1 W17
BUMDING DEPT.
8-8-2017: LOCATED FOUNDATIOIOWNOFSob=OLD
THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE
PROPEiiiY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT JOB NO. 15-251 FILE NO. 975 F
INTENDED TO'GUIDE THE ERECTION OF FENCES. RETAINING WALLS, POOLS. PATIOS,
PLANTING AREAS, ADDITION TO BUILDINGS OR ANY OTHER CONSTRUCTION. SURVEYED FOR "
` UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION
7209 OF THE NEW YORK STATE EDUCATION LAW.
GUARANTEES`INDICATED HEREON StIALL RUN ONLY TO THE PERSON FOR WHOM THE
SURVEY IS,PRE PARED,'AND ON_HIS'BEHALF,TO THE TITLE COMPANY, GOVERNMENTAL SITUATED AT BAYVIEW _
AGENCY AND-LENDING INSITMON LISTED HEREON, AND TO THE ASSIGNEES OF THE
•LENDING INSTITUTION. GUARANTEES ARE'NOT TRANSFERABLE TO ADDITIONAL INSTITVTIONS TOWN OF SOOTHOLD • - -
:OR•SUBSEOUW OWNERS
' SCALE 1" _'f 30' ' DATE 1273-2015
_COPI6:OF.TkUS SURVEY-MAP NOT BEARING,THE LAND SURVEYOR'S INKED SEAL OR -
EMBOSSED SEAL SHALL. NOT-BE CONSIDERED TO BE A VALID TRUE COPY - +
FILED MAF,No. DATE
pF NEW
CERTIFIED 'ONLY �•'s� TAX MAP 'No.'(REF ONLY) 1000-79-8-2 DISK 2015
h'
02 .� „HARCILD-F- TRANCHON 'J`R. P.C.
LAND SURVEYOR
P.O. 80x 616 -
��° Al ` `�� �� 1866 WA DING' RIV ER—MANOR RD: WADING RIVER,
oNEW YORK, 11792 ;
LIC. No. 048992- 631-929-4695
HAROLD F. TRA N Opo s NN. LIC. No.'2115-E-
I �
LOT AREA = 19,356 SQ. FT. GAR. ELEV. = 9.7 1,7-178
AREA LANDWARD TIDAL WETLANDS BOUNDARY = 17,763 SQ. FT. FFL. ELEV. = 11.4 18-193
AREA SEAWARD TIDAL WETLANDS BOUNDARY = 1,593 SQ. FT. DATUM N.A.V.D. 1988 ZONE l
TOTAL LOT COVERAGE = 13% 0
(using area landward of total wetland boundary) 0q
GOOSE CREEK '
Al 83-
40'24 dredged canal 52. 2'' m
E SO'32' N 58 35 44 E
4
roxirr�ote high waterEl
lag
flag flag A,:x
E7 flag marsh vegetation
E2 " TIDAL WETLAND 13 r% QO
fla33g /x AS DELINEATE Z
wall �X6 __ flag flag E?C EN-CONSULTANTS, 1 M-2016
z 0.6'W �XF5 E4 wall _7
N 2.6'W
FC
O /'10 wid:NO�_TURFt BUFFED 0.3'E
N FC U
O 1.3'W
natural areas In z
OZ (Plantings) O
x 0
O lawn .J
70 lawn �
O_9 1 sty, w/ 2nd Q
;U sty roof deck
a�
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10'x24' o \ ck 16 0' 19.3 0
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'a 19.5' ?¢' N �y 27.5' o _
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D A 19 39.6' 16 O' Pergola on c° c pad NO '
B 39.6 16• O L.v
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B 46.6 A 37 Q
(pergola R�
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gravel
driveway
B 57.6 n ucte
B 58 pole W _—
'drain " meter Z
overhead wires ,
FC FC water ravel FC 866.65,
1.0'N� 1.0'N meter I g 10.6'N
post and rail fence, drive 0.5-W
0.6'W /o,2'w xP x x
S 67'53'50"W 74.09' S 64°08'50"W '25.91
GOOSE CREEK ROAD
( PRIVATE -ROAD
NOTE: CESSPOOL, SEPTIC TANK & WATER
SERVICE LOCATIONS BY OTHERS.
THE DTISTENCE OF RIGHT OF WAYS AND OR EASEMENTS 8-17-2018 FINAL SURVEY
OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 8-8-2017 LOCATED FOUNDATION
THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE
PROPERTY LINES ARE FOR A"SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT JOB No. 15-251 FILE No.''975 F
INTENDED TO'GUIDE THE ERECTION OF FENCES, RETAINING'WA!.S, POOLS, PATIOS,
PLANTING AREAS, ADDITION TO BUILDINGS OR ANY OTHER CONSTRUCTION.
SURVEYED FOR JOSEPH A. ORLANDO',&
7209 OF THE ALTERATION OR ADDITION TO THIS SURVEY Is A.wounoN OF sEcnoN BARBARA J. CATALANO-ORLANDO
7209 OF THE NEY!YORK STATE EDUCTION LAW.
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON'FOR WHOM THE
SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVIRNMENT•AL SITUATED AT BAYVIEW
AGENCY AND LENDING INSTITUTION LISTED'HEREON, AND TO THE ASSIGNEES OF THE
LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE T'0 ADDITIONAL INSTITUTIONS TOWN OF SOUTHOLD
OR SUBSEQUENT OWNERS.
COPIES OF THIS SURVEY MAP NOT BEARING'THE LAND SURVEYOR'S INKED SEAL OR SCALE 1 = 30' DATE 12-3-2015
EMBOSSED SEAL SHALL NOT BE'CONSIDERED TO BE A VAUD 1RUE COPY.
FILED MAP No. DATE
CERTIFIED ONLY T0: TAX MAP No. 1-000-78-,8-2 DISK 2015
JOSEPH A. ORLANDO &
BARBARA J. CATALANO-ORLANDO HAROLD F. T.RANCHON JR: P,C.
OLD REPUBLIC TITLE 'INSURANCE COMPANY LAND SURVEYOR
ALL NEW YORK TITLE AGENCY, 'IN_C:
P.O. BOX 616 '
��� �Q� ?"- '�rn�� 1866 WADING RN ER—MANOR. RD. WA DWG RIV ER,
NEW YORK, 11792
HAROLD F. TRANCHON JR. PENN. LIICNNo. 2115,—Eo. 963
1-929-4695 ;
Residence Renovation
900 Goose Creek Lane
Southold, NY
Lot: 4000-78-8-2
r
O
First Floor Finish Elevation: +10.4 ft (existing & proposed)
l 0
0 Total Lot Area: 19,356 sq. ft.
Total Lot Coverage: 2,314 sq. ft. @12%
D
List of Drawings.
P a Site °�,s 1 Zoning & List of Drawings
—� do 2 Site Plans
e
- 3 Garage & Pergola Plan & Elevations
4 Garage Typical Wall Section
+ 5 Existing Floor Plans with Demolition
°P 6 Basement Plan w/Electrical & Roof Plan
7 First & Second Floor Plans
8 First & Second Fl. Reflected Clg. & Electrical Plans
9 Attic Plan w/Electrical & Lighting Schedule_
10 North & East Elevations
COMPLY WITH ALL CODES OF ED 11 South& West Elevations
NEW YORK STATE & TOWN CODES DRAINAGEContact TOS
-1560REQUbefore
Conffict TOS Engineering at 7fi5-i56o before 12 Door& Window Schedules
AP R_ VED that the drainage has been installed to Code.AS NOTED AS REQUIRED AND CONDITIONS OF Backfill,OR Provide Engineer's Certification 13 Typical Wall Section & Plumbing Riser Diagram
DATE: B.P.# 14 Foundation & First Floor Framing Plans
FEE: � � BY: TRUSS PLACAMINGiREGUiRED 15 Second Floor & Roof Framing Plans
NOTIFY BUILDING DEPART , AT SOUTHOLD TOWN TRUSTEES 16 Structural Notes
765-1802, .8 AM TO 4 PM FOR THE 17 Structural Notes
FOLL6wING INSPECTIONS: N.Y.S.DEC ;DO NOT PROCEED WITH
1. FOUNDATION'. TWO,REQt11RED ��,„a FRAL�II�G LII�l7lL SURVEY 18 Structural Notes & Details
FOR POURED`CONCRETE , `OF-FOUNDATION LOCATION 19 Structural Details
2. ROUGH - FRAMING & PLUMBING h fAS'EEEN"APPROVED... _ � � m
3. INSULATION OCCUPANCY OR
4. FINAL- CONSTRUCTION,MUST USE IS UNLAWFUL
BE COMPLETE FQR C.O. Job Date em
ALL CONSTRUCTION SHALL MEET THE WITHOUT CERTIFICATE Elizabeth Thompson . Architect fid® �,�@ �� L�,�+E
REQUIREMENTS OF THE CODES OF NEW �����17
YORK STATE. NOT RESPONSIBLE FOR 'OF OCCUPANCY 14y
DESIGN OR CONSTRUCTION ERRORS. 165 'East 118" St. Suite 7A Title Scale
ELECTRICAL New York, NY
INSPECTION REQUIRED 10035 917-848-1541
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' 165 East 118" St. Suite 7A
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Elizabeth Thorr_c'§on a Architect
250 Mercer St. B806 917-848-1541 Title Scale
New York, NY 10012 T"01144
www.elizabeththompsonarchitect.com -- �� � �I®� '� �►eT�