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HomeMy WebLinkAbout37022-Z �sufpat�, Town of Southold Annex 4/13/2012 P.O.Box 1179 54375 Main Road c► ,� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35536 Date: 4/13/2012 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 180 Booth Pl, Greenport, SCTM#: 473889 Sec/Block/Lot: 41.4-20.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/21/2012 pursuant to which Building Permit No. 37022 dated 2/28/2012 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: basement converted to recreation room in an existing one family dwelling as applied for. The certificate is issued to Kidby,George (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37022 4/4/12 PLUMBERS CERTIFICATION DATED /�"6rize, sign&ure Jam' • TOWN OF SOUTHOLD �O�g11FFOlA'caG BUILDING DEPARTMENT y TOWN CLERKS OFFICE oy • 0� 9 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#: 37022 Date: 2/28/2012 Permission is hereby granted to: Kidby, George 180 Booth PI Greenport, NY 11944 To: convert basement to Recreation Room as applied for At premises located at: 180 Booth PI, Greenport SCTM # 473889 Sec/Block/Lot# 41.-1-20.1 Pursuant to application dated 2/21/2012 and approved by the Building Inspector. To expire on 8/29/2013. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $540.40 CO -ALTERATION TO DWELLING $50.00 Total: $590.40 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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,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: ' �3 O'D iFP PD R House No. �^ Street �J Hamlet Owner or Owners of Property: r f?Zt� � %� 1 Suffolk County Tax Map No 1000, Section Li l Block Lot Subdivision Filed Map. Lot: Permit No. 3e'7 0 a Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5, 70. fn J_� l F-A (A a g �� licant Signature o��OF SOUryol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G �Q roger.richert(a--)town.southold.ny.us Southold,NY 11971-0959 UNT`1,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: George Kedby Address: 180 Booth PI City: Greenport St: NY Zip: 11944 Building Permit#: 37022 Section: 41 Block: 1 Lot: 20.1 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 Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY . Service 1 ph Heat Duplec Recpt 6 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 6 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4 Twist Lock Exit Fixtures TVSS . Other Equipment: finnish basement Notes: Inspector Signature: Date: April 4 2012 81-Cert Electrical Compliance Form.xls oF souryo� ,3709-P-- courm,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (R/ UGH) [ ] ELEC ICAL (FINAL) // REMARKS. l%- d DATE �� INSPECTOR pF SOUT,yolo 3 7o �� o • TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND XINSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 1 DATE '� f INSPECTOR t pF SOA) (/l�o� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE `� f� INSPECTOR 7 0 O�yco ,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING/STRAPPING [L INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR -__ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD, P.O. BOX 456, LAUREL, NY 1 1946 631-29B-5252 p E C E MAR - 1 2012 February28, 2012 BLDG.DEPT. TOWN OF SOUTHOLD Town of Southold Building Department Southold, New York SCTM No. 1000-41-1-20.1 180 Booth Place Greenport, NY To Whom It May Concern: With respect to the construction of the proposed recreation room at the above- captioned residence, I hereby certify that it will comply with the insulation requirements as listed in Table 402.1.1 of The New York State Residential Energy Efficiency Code for a conditioned basement space. Le truly Men P. E. FIELD REPORT DATE COMNZNTS FOUNDATION(1ST) � FOUNDATION(2ND) • z O ROUGH FRAAMNQ& PLUMBING f-e " ` r ~ � INSULATION PER N.Y. H STATE ENERGY CODE V FINAL ADDITIONAL COMMENTS oa �G . � o c 1�) Q 0 �z m 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 SoutholdTown.NorthFork.net PERMIT NO. 7D a Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined Z S' 20_ Storm-Water Assessment Form Contact: Approved 7 20Za Mail to: Disapproved a/c C hone: 'ratie i ® - )� -qsa Building Inspector �! �� -2—C� - 5�- F E BfDEPT APPLICATION FOR BUILDING PERMIT Date ,20 BLINSTRUCTIONS TOWompletely 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 ©QNX:(_ Name of owner of premises CF 0 R 6 L 7 ) )_w (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. Lo ation of la d on which proposed work will be d n !^ I Op %®bs)4 TL_ GR pr-►D PO?, House Number Street I i ` Hamlet `County Tax Map No. 1000 Section I I Block- 1 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupanQy of proposed construction: a. Existing use and occupancy �WN b. Intended use and occupancy %i L �4 �r— - 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work F L° PZbN (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 zo ' g 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 sur y. 18.Are there any covenants and restrictions with respect to this property?* YES NO *IF YES,PROVIDE A COPY. STATE OF NEW YORK)) COUNTY OF:S je j& being duly sworn,deposes and say(;ONe®,tint (Name of individual signing contract)above named, Notary Public,State of Now York No.01 BU6185050 (S)He is the Qj--alified in Suffolk County , (Contractor,Agent,Corporate Officer,etc.) 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. Swo�pto before me this L _day of N-1 i 20 1 d- �r.....p Notary Public`� Si ture of Applicant o��aF SO�jryo! � o Town Hall Annex 41 4 Telephone(631)765-1802 54375 Main Road c�+ dxW3 )765th5Q .P.O.Box 1179 roner.richert ns0Ugg0ny us Southold,NY 11971-0959 Q �� BUILDING DEPARTMENT i TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. F,p�b� ��"Jn3/ Date: Company Name: Name- License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: G E o R 6C *Address: BObi Per G R F Fdj", . *Cross Street: f�S *Phone No.: Permit No.: Tax Map District: 1000 Section: I . Block:�_ Lot: �O= / *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) Is job ready for inspection: YES/ Rough In Final *00-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 Overhead Additional Information: PAYMENT DUE WITH APPLICATION B2-Request for Inspection Form �� �� SO!/jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 yCOUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD April 6, 2012 George Kidby 180 Booth Place Greenport, NY 11944 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: / Application for Certificate of Occupancy. (Enclosed) ✓ Electrical Underwriters Certificate. (contact your electrician) d A fee of$50.00. ®� Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT : 37022 — Recreation Room 7Ar1 r / l/-Y r •.. rt'M it p i _ _ fi. 1 ---------- ---------- � SAl - - 1 x a ;{ I , } t 3 , TJI f 2 i�-TJI 2341 - _.x Y 41 be L3'-8- �= Il'- -`- --i 11'-5• i8• 9 ♦ .. I L I !a �' t ; � 77 , — ef (,7-0qt-,-!ec ' r.�-,Q$si /tJI'd e X .-FS L�c/G�.r S r —. VI• D IA.Tum LA:z STEEL r�/3�t fIa✓ b✓�h-rGS ORoj� GB/t.. C aa� '� ?a BE R/?/� - ON 24"x 24•x n'DEED OCCU"ANCY OR A � � � U�E �r- UNLAWFUL HIC UT CERTIFICA -¢ 4 I...1 I �- — — _ I t — ANCY� ' _1 1 n�1��•x�tr!•rfcraot�Arl° - , � ` �:..' a `P � I I `^L aD ^L _ i i —�_i _,i 1' ' ,�CQ`/, .i�f'�iG'� w/�'LG•5,,,/ e C PPR D AS NOTED _ ' -m :45DATE t 1 • L — °'� �KIOTI Y BUIL ING DEPARTMENT �'g A ` i _ i I F _I 7 i 1 765:1 02 8 M TO 4 PM FOR T Il' _ (, FOLI WING NSPECTIONS: I ?._m, 1 F 1 UNDAT�ON—TWO REQUIRED_:'. r ' E E F R POU ED COC• T - s 2. R UGH-FR NG;"PLUMBING, G — i.. _.. _ = _ HULKINGi.C61f,� S RAPPIN ,ELECI�RICAL&C 3. INSULATION 4— FINAL-CONSTRUCTION &,ELECTRICAL MUST BE COMPLETE FOR C.O. OF NE{y ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ��,�'f F• 6 YORI OT RESPONSIBLE FOR rtROBERT O'BRIEN P.E_ • �O FZ * SIGN OR CONSTRUCTION ERRORS. coliSULTINo ENGINEERING BERVICEs TO THE BEST OF MY KNOWLEDGE;BELIEF AND PROFESSIONAL JUDGMENT, THESE PLANSARE IN COMPLIANCE WITH THE NEW YORK STATE BUILDING CODE. Main Road.Laurel.N.V. 77948 -- - _. _---- ELECTRICAL w OWN ��`� INSPECTION REQUIRED SCALE DRAWING NO. SNEEL T I - 2 ,�v. r.s. ,Y DATE -