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HomeMy WebLinkAbout36700-Z z+,Zz=r ,�,jfFpt Town of Southold Annex 10/26/2012 P.O.Box 1179 54375 Main Road ' ► �w Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36022 Date: 10/24/2012 THIS CERTIFIES that the building ALTERATION Location of Property: 22950 Route 25, Orient, SCTM#: 473889 Sec/Block/Lot: 18.-5-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/9/2011 pursuant to which Building Permit No. 36700 dated 9/21/2011 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: existing attached garage converted to living space in an existing one family dwelling as applied for. The certificate is issued to Hernandez,Jose (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36700 10/21/12 PLUMBERS CERTIFICATION DATED oriz Sign re TOWN OF SOUTHOLD . BUILDING DEPARTMENT TOWN CLERK'S OFFICE 'a • �+�:' 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 #: 36700 Date: 9/21/2011 Permission is hereby granted to: Hernandez, Jose 22950 Route 25 Orient, NY 11957 To: replace door with windows & covered entry to an existing single family dwelling as applied for At premises located at: 22950 Route 25, Orient SCTM # 473889 Sec/Block/Lot# 18.-5-10 Pursuant to application dated 9/9/2011 and approved by the Building Inspector. To expire on 3/22/2013. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 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 ar topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 forte__ 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 2110 of I Wlead. 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"hind usesi 1. Accurate survey of property showing all property lines,streets,building andunusual 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. Certificaie of Occupancy-blew 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 Occ pancy-Residential $.15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: e� �j V -0 C� � }� House No. Streei Hamlet - Owner or Owners of Property: Suffolk Eounty Tax Map No 1000,Section / Block _ Lot / Subdivision 2 Filed Map. Lot: Permit No. :) (O Date of Permit. 9 2l - Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ ��� _.._....__ ADolicant ipnature so�jyolo Town Hall Annex Telephone(631)765 1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 roger.riche rt(cD-town.so utho Id.ny.us Southold,NY 1 197 1-0959 �lyOUNT1,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jose Hernandez Address: 22950 Main Rd City: Orient St: NY Zip: 11957 Building Permit#: 36700 Section: Block: Lot: 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 Indoor Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling 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 Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: convert garage to living space, only 2 recpticles added Notes: Inspector Signature: Date: Oct 21 2012 81-Cert Electrical Compliance Form.xls hO��pf SOUTyo� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ FOUNDATION 1 ST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL(FINAL) REMARKS: DATE INSPECTOR �o��►Of SOUj�o6 7�O TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUND AT ON 1ST [ ] ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [ ' FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ai; '��OIIN1'1, TOWN OF SOUTHOLD BUILDING DEPT. 7654 802 INSPECTION ( ] FOUNDATION 1 ST [ ] R3pW PLBG. [ ] FOUNDATION 2ND NSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION ( ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Az, z<3y� DATE '`� INSPECTOR i OF SOI/r��� 1 y TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRICTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: z z DATE ANSPECTOR i I D� oF soulyo6 �- TOWN OF SOUTHQLDLf3lUIlLDING DEPT. -1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH BG. [ ] FOUNDATION 2ND [ ] IN L [ ] FRAMING/STRAPPING [" 1 L [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE z INSPECTOR Z�& Of S0co- 1/lyo� TOWN OF SOUTHOLD BUILDING DEP V 765-1802 INSPECTION [ ] FOUNDATION 1 ST ROUGH PLBG C ? [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) REMARKS: I BATE INS'ECTGR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) Q11, - ------—--T-—-------- L - •C FOUNDATION(2ND) z oc �o ROUGH FRAMING& �y- PLUMBINGQYN ro y 9J Q t� INSULATION PER N.Y. STATE ENERGY CODE ll� 001, FINAL ADDITIONAL COMMENTS i� z cc m - p Eli V� W � N � � z 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 -\i 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 2 y Survey South oldTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Single& Separate Storm-Water Assessment Form Contact: Approved 20�r' Mail to: Disapproved a/c Phone: 2) 1 Expiration 120 1-3 FCSEP E �' Building Inspector - g 2011 ICATION FOR BUILDING PERMIT Date 20BLDG.DEPT. INSTRUCTIONS WN 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 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 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 1-0 5C �-e K1\,ay"�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: , House Number Street Hamlet County Tax Map No. 1000 Section Block Lot (� 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 �j �� f Ci b. Intended use and occupancy � � S -�-- �i/�..�.Q_ (;� e�� CK�,n b a� 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work r- (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 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 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'-'j * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAC' 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 (S)He is the Notary Public,State of New YO* No.Al BU618MM (Contractor, Agent, Corporate Officer, etc.) Qualtiied in&MoikCounty ©1� Commission Expires April 14,2 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. Sword to before me thi � day of 2011 Notary Public Sig na Applicant *pF SOUryolo Town Hall Annex Telephone(631) 765-1802 54375 Main Road CIA (631)765- 50` P.O.Box 1179 • Q roqer.richertrc'iown.sout�ho�d.nv.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �, � �,,4�( Date: /"5 z� �y Company Name: Name: License No.: Address O �'Jc /9ba S 6.Lv ( f 5 7/ Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: W.�, r1,944 V cz— �c i.��a-9 *Address: -2_ZCi'50 *Cross Street: *Phone No.: Permit No.: _3'(,7Cx!> Tax Map District: 1000 Section: _ Block: ice_ Lot: 1 p *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES / NO Rough In Final *Do you need a Temp Certificate: YES / NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overh d / Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form 01 Ta ho��,oF so�lyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1 97 1-0959 'Y10UNT`1,�1cc� BUILDING DEPARTMENT TOWN OF SOUTHOLD October 15, 2012 Jose Hernandez 22950 Route 25 Orient, NY 11957 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) ZElectrical Underwriters Certificate. (contact your electrician) 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#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 36700 - Windows i NEW ROOF OVER EXISTING NEW DOOR. NEW ROOF OVER (PITCH TO NEW DOOR. MATCH PITCH TO MATCH EXISTING) _E EXISTING. V EXISTING 5TRUC+RE i 2"x4" EXISTING 4"x4"ACQ 56"O C. (2)2"x 12'HEADER I WIN OWS I POSTS CLAD IN IN AZEK WITH " EXISTING GYP.BD AND CDX INSULATION TO REMAIN. PLYWOOD I EXISTING STRUCTURE 4 301b 2"x4"SLEEPERS ON FLAT I G"O.C. OVER BUILDING G MIL. POLY VAPOR BARRIER. COVERED PAPER. WITH 4" PLYWOOD. R-1 5 BATT INSULATION TO MATCH I-1/2"TH.GYP.BD. EXISTING 4"x4"ACQ P05T5 z_ IL EXISTING GARAGE DOOR OPENING CLAD IN I"x AZEK EXISTING SLAB TO BE ENCLOSED 1-7"TH.DOW RIGIDE A"RW EWMENOTO INSULATION BETWEEN SLEEPERS. l� �G'7y� E LEV AT I ON DATE B.P.#__� 7_'12 ELEVATION I FEE:A-0- --BY '— J O S E H E SCALE : I/4"=I'o" NOTIFY BUILDING DE ARTMENT AT RN AN D EZ 765-1802 8 AM TO 4 PM FOR THE SCALE : 1/4"=I'0" 1OFOWING INSPECTIONS: UNDATION—TWO REQUIRED SECTION FOR POURED I ING,PLUMBING. i STRAPPING.ELECTRICA; '-a!lI-. IN';� PARTIAL SCALE : 1/4"=1'0" 3. INSULATION EXISTING 5TRUCTURE 4 FINAL-CONSTRUC"!C�'. s E'-EC CM MUST SE COMPLETE =-,P CONSTRUCTION SHALL "` T E 2"x4"5LEEPER5 ON FLAT I G"O.C. OUIREMENTS OF THE C�' G MIL. POLY VAPOR BARRIER. COVE WITH I. PLYWOOD. YORK STATE, NOT RESPON DESIGN OR CONSTRUCTION ERRO S. - - - _ - - - - _ - - HERNANDEZ 05/OG/2010 OccupMcy 0rig GONCOOOB OCKON POUR�(pSENG. IS UNLAWFU� WITHOUT CERTIFI��T� FAIRWEATHER-BROWN WIT PLAN of nr�^ . i-- DE51GN A550CIATE5,INC. I 205 BAY AVENUE SCALE : 1/4"=I'0" GREENPORT, N.Y. 1 1944 PARTIAL G3 1 -477-9752 (Fax) G3 1 -477-0973 NY5 ROUTE 25 58G°54120"E 1 71 .00' TIE= 14G, I 1 39.5 P FND. N89°07'40"E s MTONE ON. TTI Ln I N /- - ( 1 W ' > I /� w > ILI I Q I I / Q GO'-G" I W 1 I / 2e.2' U N/0/F I I15 I I < m I w PAPANTONIO '� / N E I O PROPOSED XISTING I/ ALTERATION 120.0 7.4' 1 STORY p STING RESIDENCE I ARAGE q I F�-fl cm lL 56.3' /, CONC. CONC.5TOOP Z 2 o f lI I L o U Y o ( rug i I Z a I N N/O/F i o O I a 0 LATHAM Z II O 1--1 — - - - - • - - • - - • — - - - - - - — -- - - - - - — FND. FEN PIPE STOCKADE FENCE 5 1.4' 589053'20"W 2 13.45' N/O/F TABOR BA5ED ON SURVEY OF DESCRIBED PROPERTY 51TUATF 51TE PLAN ORIENT, TOWN OF SOUTHOLD 5UFFOLK COUNTY, N.Y. 1 11=30'-O" TM 1000- 18-05-10 SURVEY BY: 5TANLEY J.I5AKEN, JR. SURVEYED JULY 19, 2001 AREA= 2G,25 1 .424 5Q.FT. OR O.G03 ACRE5 H ERNAN DEZ 05/OG/2010 FAIRWEATHER-BROWN J05E * IVONNE HERNANDEZ DE51GN A550CIATE5,INC. 205 BAY AVENUE GREENPORT, N.Y. 1 1944 G3 1 -477-975 2 (Fax) G3 1 -477-0973