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HomeMy WebLinkAbout37325-Z �'S�pppL,fc Town of Southold Annex 7/16/2012 P.O.Box 1179 c 54375 Main Road o 4� Southold,New York 11971 ?:xrzr CERTIFICATE OF OCCUPANCY No: 35819 Date: 7/16/2012 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 770 Moores Ln, Greenport, SCTM#: 473889 See/Block/Lot: 33.-2-41 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/13/2012 pursuant to which Building Permit No. 37325 dated 6/26/2012 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: "As Built"finished 2nd Floor in an existing one family dwelling as applied for. The certificate is issued to Daniel&Nancy Melhado (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37325 7/9/12 PLUMBERS CERTIFICATION DATED 7/6/12 Nick Soullas AutlaArized Signature TOWN OF SOUTHOLD �gUFFO(�co� BUILDING DEPARTMENT o - TOWN CLERK'S OFFICE Py . V ¢ 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#: 37325 Date: 6/26/2012 Permission is hereby granted to: Melhado, Daniel & Melhado, Nancy 770 N Moores Ln Greenport, NY 11944 To: construct "As Built" finished 2nd Floor as applied for At premises located at: 770 Moores Ln, Greenport SCTM # 473889 Sec/Block/Lot# 33.-2-41 Pursuant to application dated 6/13/2012 and approved by the Building Inspector. To expire on 12/26/2013. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,352.00 CO -ALTERATION TO DWELLING $50.00 Total: $1,402.00 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: E`.- For nevv building or new-use: 1. Final survey of property with acetirate'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. -Sw.Orn statement from plumber certifying that the solder used In system contains less than 2110 of 1% lead. - 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliaftce-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 L Certificaie 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$50.06_ 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: 7-7 a �� � (/'ry�f�� House No. Street Hamlet Owner or Owners of Property: e + Suffolk County Tax Map No-1000,Section_ J� Block o2 Lot Subdivision Filed Map. Lot: Pemnit No. 31 3 a� Date of Permit. Applicant: Health Dept.,Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5 6 � Applicant Signature OF SO!/T�OI Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.richertCaD-town.southold.ny.us Southold,NY 11971-0959 olyCOUNN BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Daniel S Melhado Address: 770 Moores Lane North City: Greenport St: NY Zip: 11944 Building Permit#: 37325 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 X Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 20 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 3 Smoke Detectors 4 Main Panel A/C Condenser Single Recpt Recessed Fixtures 8 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer ARppliances Dryer Recpt Emergency Fixtures. Time Clocks . Disconnect Switches F14 Twist Lock Exit Fixtures TVSS Other Equipment: 2-exhaust fans Notes: Inspector Signature: Date: July 9 2012 81-Cert Electrical Compliance Form.xls Jul 06 12 01:36p Dan 631 477-6133 p.1 Town[tall Annex . Telephone(63.1)•7b5-1$0 54375 Main Road .P a.Box 1179 N Fax(63 I),765-9502 �e Southold,New York 11971-095970 y0� BUILDING DEPARTMENT _ TOWN OF SOUTHODD -CERTIFICATION Date: Building Permit No. c� / Owner: (Please print) Plumber: (Please print) I certify that the solder used in.the water supply system contains 1 ss-tint 0 a 1°l0. lead. -(Plumbers.Signatare) Sworn to before me this dayof�-lb. 20� ' •• .. ALBENA R MITOVA •1kiXe- U\UVA Notary Public-State of NewYolk N0.01 MI6249841 ' Oualified in Suffolk ounty FMY Commission Expires s �a �� 1 NTotary Public, County OF SO3UTy�� o • �o 'y00UNi'l,� - TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION .-— [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: . . DATE �T � INSPECTOR ��' OF SO(/T�,o� \� TOWN OF SO UTHOLD BUILDING DEPT. I 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] 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 INSPECTO ' M FIELD INSPECTlQN REPORT DATE COMiV1ENTS . tIN FOUNDATION(1ST) . Ul - --------------------------------- FOUNDATION(2ND) . z C) ROUGH FRAHM& H PLUMBING t� INSUL•ATION PER N.Y. STATE ENERGY CODE • 4 FINAL ADDITIONAL COMMENTS OO • V G • m l� 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 a ' - Planning Board approval FAX: (631) 765-9502 r Survey SoutholdTown.NorthFork.net PERMIT NO. 3-131 J Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20j2_ Single&Separate Storm-Water Assessment Form Contact: Approved 2(/ Mail to: �ig9KC PC Mc,4,e f Z Disapproved a/c Phone: .3Y' t G Expiration / 20f Building Inspector APPLICATION FOR BUILDING PERMIT Date aC /�3 / r2 , 20 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 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. Evpry 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 zoriing'atn6ndments 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'inonths:,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 Ordi,n4nce 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, age t, architect, gineer, general contractor, electrician,plumber or builder Name of owner of premises (As on the tax r 11 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 and on which proposed wgrk will be done: 770 k House Number Street _ Hamlet County Tax Map No. 1000 Section 3 Block Lot - / i 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 914) G L 6 rA/r'1 (( L4 /46 f b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work A. g y L(�T (Description) 4. Estimated Cost Fee ���y.`Ix 14 "o ltib (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, ;n umber,of cars 6. If business, commercial or mixed occupancy, s ecify 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 /1&4—0 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 /40(i Address Phone No. Name of Architect Address Phone No Name of Contractor % Address Phone No. 724 / 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 B EQUIRED. 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_J� * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF c,. being duly sworn, deposes and says that(s)he is the applicant (Name o individual signing contract)Wove named, (S)He is the C (Contr ,ctor, Age t, Corp ate 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. LAUREN M.STANDISH Sworn t before me this Notary Publio,.State of New, " day of No.01ST516400 20 Qualified in Suffolk un t y Commission Expires April 9, Notary Public m Sian ure Applicant Town.Hall Annex 54375 Main Road Telephone(631)7631802 CA P Q:Boz 1 79 rocter.fthert(a�town sout�015 ny us Southold,NY 11971-0959 l ��j BUILDING DEPARTMENT• TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION' REQUESTED BY: OqAJ� L �/1s��—G f Date: Company Name: Name: License No.: Address: `Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: �� S A *Crass Street: a 7/ *Phone No.: 61 Permit No.: ?i23 Tax-Map District: 9000 Section: Block: Lot *BRIEF DESCRIPTION OF WORK(Please Print Clearly) I lease Circle All That Apply) *Is job ready for inspection: YES / NO Rough In .Final *bo•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 ,82=Request for Inspection Form OF SO!/Tyo Town Hall Annex ~� l� Telephone(631)765-1802 54375 Main Road Fax(631)76579502 P.O.Box 1179 Southold,NY 11971-0959 • �O �ycOUNT`I BUILDING DEPARTMENT TOWN OF SOUTHOLD July 6, 2012 Daniel & Nancy Melhado 770 Moores Lane North Greenport, NY 11944 TO WHOM 1T MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of.Occupancy. (Enclosed) -(9/Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) 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: 37325 — "As Built" Finished 2nd floor .21 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET '' ) VILLAGE DIST. SUB. LOT44 Md h4jo 1�o o re�7/s A,,,),L- ����r <. FORMER OWNER N Er ACR. '01 asue V. loam S W TYPE OF BUILDING P ES. /0 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 4- A, r oV ;i' {.y.,'Z.i,. 4r ..[; '.1K' , ®+ gel tf; r' •'G•�;ma`s'._?_-../(.!•C:[,f. mod. ` V ,(,..hY. ^�� �o a7/7 , 000 To-rsKY 1-�✓f= %p �.V. /3 �a i 9� �tI�' P 2-29 5 9rLl-L !z l 5LI6 - ba�e ��/�G�d �3-Z o©� 3t 7 111 -SC d —5 9,5O AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Noodland FRONTAGE ON ROAD f , bleadowlnnd DEPTH House Plot BULKHEAD Total DOCK w w 0, 0 ME MENNEN ME MEMMEMOMMMEME Tj ra'; mom No All, mom NOMME No N -2.V *...... NEEMMOMME MOORNOWNEWEENEEN MEN E mom M eve .0 Interior-Fln�--] - ire Place Type Roof Rooms I-st Floor IVA We Recreation Room Rooms 2nd.Floor REVISIONS: 13'-2" 11' 10" b i in 0 0 RESchedr Software Version 4.4.3 Compliance Certificate BEDROOM BEDROOM o .".t,. B.-g" 4'-5" 1 3'-11" 7'-11" o emw Cod[ 2010 New York Ene10y Conxnratw n Co n ruobn Code :oCi00+: Sunlloo&County.Ner York ' Co— TMAdd4oNANe alion U ro I 0. f; I C.; Won Ste C—Age t 0*",w.'Catttractor ArCNed f _ x 4 Il C( wk:ana o a a-a. j c $ F fi' RC.Bo. _I iV 4. d� {} nlgpN. Gl NY 11936 Wrm U CAIp1aCe:1xell BOX 771NI Cede WAOR—Uk 173 Yoe u&171 n e —== — Q I Iuf- 0 Cent,-FIX Ctlnq or 9cNWThes m7 300 0.0 30 N Cenn92 Ci�eM>I CON373 X0 0.0 7J Wa1,:WPOd F—,16'do I"0 110 (.0 as O r vWdlow 1:VON Fro wOadR PM va Lowe 97 L= 79 O U " Dow 1:Can $3 0310 to cl- 4'-0" 9'-4" 4'-0" 3'-10" 3'-10" 'v Q t. Ow10ae1@BIeNeNte:7YVidodYtl7�TdePdMdllNB mdlrllMlPA K"/1s,;ePdbtdlS ame1N � V2 YwNwrwwwOwdYe om M 9wwa�Ma9wL The�1M O1MBM eewlMona 00020m101Yw Yaw BaPpJ C.M.N. - Cd1PalYdlCwM�wRBdNQYelwwltA]nw to Mply wo Ne umWUMwy�4b N Me ROOM OI Cewdrt � Nwo 11@ oft BAT j 4� o e � M w U � � `' BEDROOM h PLUMBING �yS�� �p/�/ j�� r �t pQ a ALL PLUMBING WASTE z o &WATER LINES NEED �= RIND/Y NiG4T Q ¢ " TESTING BEFORE COVERING �` a �t)PPLYSYSTEM CAM*f� s� x - _ ffXOEED 94n OF 1%LEAS?.o z - -- - ----------------- uqq. w 1 1 ILL -a z ---- _ m nww[GVNP1daBN1B RIP" aaMtaPt 17.-q'. 7.-8.. N BALCONY CERTIFICATION OF NAILING & CONNECTION = APPROVED AS NOTED REQUIRED. � FLOOR PLAN SCALE: 1/8" = 1' DATE 6 B.P. #, 73�-57 _ O FEE: 5 BY F- NOTIFY BUILDING DEPARTMENT O 3 Q 765-1802 8 AM TO 4 PM FOR Tr:�= � �611/2+,114 W ni•FOLLO%MNG INSPECTIONS' ,1. FOUNDATION-TWO REQUIRED u�. "` rl A H e H eui• FOR POURED CONCRETE OCCUPANCY OR �` '"` 2. ROUGH•FRAMING,PLUMBING, L 2 3 STRAPPING, ELECTRICAL&CAULKING USE IS UNLAWFUL `� 3. INSULATION 4. FINAL-CONSTRUCTION &ELECTRICAL 1 r` ' ,o �D DRAWN: MH/MS MUST BE COMPETE FOR C 0. WITHOUT CERTIFIVAT='" vcl TOP OV M DRAWSCALEN: l/H/MS^ ALL CONSTRUCTION SHALL MEET THNE OF OCCUPANCY PLUMBING SCHEMATIC TRAP OUfE LOB#: REQUIREMENTS OF THE CODES OF NEW `� ° May 23,2012 YORK STATE. NOT RESPONSIBLE FOR ELECTRICAL SHEET NUMBER: DESIGN OR CONSTRUCTION ERRORS. INSPECTION REQUIRED A-1