HomeMy WebLinkAbout36784-Z �-1404/r Town of Southold Annex 8/22/2012
P.O.Box 1179
N 2
54375 Main Road
oP ��w Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35902 Date: 8/22/2012
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 315 Fleetwood Road, Cutchogue,NY,
SCTM#: 473889 Sec/Block/Lot: 137.4-14.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/28/2011 pursuant to which Building Permit No. 36784 dated 10/28/2011
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:
accessory one car garage as applied for.
The certificate is issued to Giniger,Evan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36784 6/27/12
PLUMBERS CERTIFICATION DATED
AiWrizedXgnature
f TOWN OF SOUTHOLD
�saFFoc,r�o
BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
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#: 36784 Date: 10/28/2011
Permission is hereby granted to:
Giniger, Evan &Walsh, Gerry
305 E 91 st St
New York, NY 10128
To: Demolition & Construction of an Accessory Building;
Detached Garage, as applied for.
At premises located at:
315 Fleetwood Road, Cutchogue, NY
SCTM # 473889
Sec/Block/Lot# 137.-4-14.1
Pursuant to application dated 10/28/2011 and approved by the Building Inspector.
To expire on 4/28/2013.
Fees:
CO -ACCESSORY BUILDING $50.00
ALTERATION OF ACCESSORY BUILDINGS $574.50
Total: $624.50
Building Inspector
Form No.6
TOWN OF SOUTHOLD.
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICt1TE 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. *Swom statement from plumber certifying that the solder used.in system contains less than 2/10 of 1% lead. .
S. 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$1.5.00,Commercial$15.00
Date. D D a
h/
New Construction: Old or Pre-existing Building:' (check one)
Location of Property: J �G �if��INUr/.b /ZY> C U a yr
House No. Street Hamlet
Owner or Owners of Property: L/�"/t� C� //V/ r, e/e-
Suffolk County Tax Map No 1000, Section . 13 Block 6 Lot 14 , 1
Subdivision Filed Map. Lot:
Permit No. 7 Date of Permit. 119'2-7- / Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
iZequest for: Temporary Certificate Final Certificate: check one
Fee Submitted: $ 5 �/
Ap ica Si ature
SO(/r�olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
G Q roger.richert(aD-town.southold..ny.us
Southold,NY 11971-0959
cDUNT'1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE.LOCATION
Issued To: Evan Giniger
Address: 315 Fleetwood Rd City: Cutchogue St: NY Zip: 11935
Building Permit* 36778-36784 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN.COMPLIANCE WITH THE NATIONAL ELECTRIC CODE.
Contractor: DBA: BJ Electric License No: 2670-me
SITE DETAILS
Office Use Only.
Residential X Indoor X Basement X .. Service.Only
Commerical Outdoor. X 1st Floor X Pool .
New Renovation 2nd Floor X Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph 200a Heat 1-ga Duplec Recpt 57 Ceiling Fixtures 22 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 15 Wall Fixtures.. 22 .. Smoke Detectors
Main Panel 200a A/C Condenser 1 Single Recpt. Recessed Fixtures 26 CO Detectors
Sub Panel 2 ANC Blower 1 Range Recpt Fluorescent Fixture 1 Pumps
Transformer Appliances dw Dryer Recpt 20a Emergency.Fixture Time Clocks
Disconnect 200a Switches 59 Twist Lock Exit Fixtures TVSS
Other Equipment: 200a underground service, 4-combination smoke/co detectors,.2-paddle fans
1-GFCI circuit breaker,4-ARC fault circuit breakers
Notes:
Inspector Signature: Date: June 27 2012
81-Cert Electrical Compliance Form.xis
pf SOpl�o�
cOUM`1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
NSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
J
REMARKS: lr4
DATE / ( INSPECTOR Z/a4l
a SOpl�ol
IycOUNi'l,Nct�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FO TION 2N [ ] INSULATION
FRAMING/ TRAPPING [ ] FINAL
[ ] FIREPLACE A C [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICA AL)
REMARKS:
DATE L INSPECTOR
OF SO(/1�,06
G Q
�2d OUNi`I,
i
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
J ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE 3 �� INSPECTOR
OF SO(/T�O
�o
o�yco ,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU TION
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:-C co
DATE �� INSPECTOR '�
FIELD INSPEeTLON REPORT DATE COMMENTS
yy���� N
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FOUNDATION(18T)
--»---»-» -------------- �
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FOUNDATION(2ND)
� z
ROUGH FRANING& H
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE C
Y
FINAL
ADDITIONAL COMMENTS
Z e�W
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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 1 'r �^ 4 sets of Building Plans
TEL: (631) 765-1802 W ��-1/V V Planning Board approval
FAX: (631) 765-9502 Survey 1
S outholdTown.NorthFo rk.net PER ' Check
Septic Form
/ �f !� N.Y.S.D.E.C.
PERr't 1T ti1 Q, " �O I 6 Trustees
C.O.Application
G/ZG/` Flood Permit
Examined 1 0 ,20 I Single&Separate
Storm-Water Assessment Form
10 Contact:
Approved ,20 ( Mail to: /ilA',e 4 .rc b w,176.
Phone:
Expiration a"LT,20 0
Building Inspector
APPLICATION FOR BUILDING PERMIT --
Date
INSTRUCTION'
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 building4shall be occupied or used in w oleo r1ln
State whether applicant is owner, lessee, agent archite , engineer, general contractor, electrician,plumber or builder
Name of ovvner of premises I//-1'hJ Al (o,5—i2
As on the tax roll or,latest,deed
If applicant is a corporation, signature of duly authorized officer
(Name'and till ,of orp tate officer)
t
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 treet Hamlet
County Tax Map No. 1000 Section ( � Block ¢ Lot !'
r
`Subdivision Filed Map No. Lot
2. State existing.use and occupancy of premi-ses and intended use and occupancy of proposed construction
a. Existing use and occupancy N CL
b. Intended use.and occupancy
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
a,
6. If business, cocial 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: Fron`f / Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated (� ¢ U
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOY
13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES x NO
14. Names of Owner of premises � yI G jXi2 Address Phone No. 9/7 713 3f.3 9
Name of Architect_SG &44<# T Z Address Phone No 7,3l� ¢/e1"
Name of Contractor C�/2/s Address, Phone No. Yam/— Z..' Z J."
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 MAYBE REQUIRED.
(S)He is theNa nim mil G Notary-P eta e. a ---- ---
(Contractor, Agent, orporat Officer, etc.) Qualified in Suffolk County
Commission Expire 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.
Sworn to before me this
day of
'Notary Public Signature of plicant
betW. Cff"
BUILDING PERMIT EXAMINER CHECKLIST 'Date Submitted: f Date Reviewed: 1® )_�(
��
o ,
Applicant: /;&A QQomnL Owner:
g
Architect(En ineer.- Estimated Cost:
1�T3 , 7- -i93g s Po p
SCTM# 1000 - 07 s�'� �� j Subdivision: Zone: Conforming? AVO
Property Address: 'R 1S �'/� Gv714 A City: .Pre C.Os?
Building Permits (open/E pired): BP r--- -Z/00 Z- ,Info: BP -Z/C/o Z• ,Info:
BP -Z/GO Z- , Info: BP -Z/C/0 Z- ,Info: BP -Z/Go Z- ,Info:
Single&Separate Search Required? Y o Determination: -STnR)A. �n//, :.R+0N-4,FF:
REQ. Lot Size: q-0 K ACT. Lot Size: �`�, S $-S REQ. Lot Cov.do jo ACT: Lot:(;ov. aft
REQ. Front ACT. Front 0 K R�Q Side /S' ACT. Side 4 4C REQ. Rear_L� c> PROP. Rear
REQ. Height. 3 5/ ACT. Height ,/ off Re ct. BOTH SI D �� A C T 0
Vrojj�ect )a -
Description: / .,�
3 8aq1j- E,; 1.
Waterfront? or fO a- X,
If yes, water body: 4- Panel# food Zone: X Vulkhead/Bluff:Distance:
ADDITIONAL APPROVALS REQUIRED QLAN S (+f) SIGNED, SEALEDS4PVE �w. Selic6)N
- o
p �_woo
Suffolk County Health: or N- If yes, *Bed#: -3 *Date: f c/ � �( *Permit#: /\ -
- If no certification required: Y or N Received: Y/or N B
q Y
NYS DEC: PRE-DEC9/1/7 6Yr N - Date: 9/�1/ /I Permit#: r NJ Letter- Notes:
Southold Trustees: Y oDate: /� /� Permit-#: o NJ Letter Notes:
o
Southold ZBA: Y or( Date: _/ / Permit#: -Notes:
Southold Planning: Y oo bate: '/ . /� Permit#: -Notes:
Town Landmark C of A: Y o NN TE: _/ /_ *NYS CODE-�ompliance(page 2): Y or N
CoNTRA<T,oR IICENSt D15/fBJLI Y� L.1/tB1�1TY � JC/!1ENS CoMp�/�S.gT/oN
Notes:
0 D ,
2.0A, eo Y 361 0
..-,-�74,so
off.`
Fee Structure: Calculation: Nov
DWELI.1NG DET�EA GAMGE DEMOLITION CadSTI
Foundation: SF L�55 X $ , 4 9ox'l
First Floor: 1 40 9 SF I ST R.00p 36 o SF DWEI-LI 106 + Initial Fee, $ 1,00,00 a0 o,c
Second Floor: 8 6 SF bEMot.ITnoN SF E '. . I '7 6.I SFA •30 $Sa�.3 00 a
Other: DEMoLITI01V 1711 SF ® 439 SF X$ ,30 =$.13o,So ROOD Tol
Total: aa5,5 SF GARAGE +Initial Fee:.$. I-0 0,d0 A 1 60,c
$ I .b
C of 0 FEES O.00-f- SD, �o RLooD' ZONE 0014
As 13 u I LT FEE -e- TOTAL:
DO NOT PROCEED WITH
FRANUNG'UNTIL SURVEY
OR FOUNDATION LOCATION
BE `APPROVEO.
-
�._ ELECTRICAL
INSPECTION REQUIRED
fv OTIF, Cull_Cr , OCCUPANCY OR
gFOLL01NIf�; USE IS UNLAWFUL
O UI QED
2. FOR '-`") ` :'„TE WITHOUT CERTIFICATE
S RAPPIN,, ELECTRICAL&CAULKING OF OCCUC" ANC i 3. INSULATION
4. FINAL-CONSTRUCTION &ELECTRICAL
MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE -- -- —_ — --.— _
REQUIREMENTS OF THE CODES OF NEW —
YORK STATE. NOT RESPONSIBLE FOR a
DESIGN OR CONSTRUCTION ERRORS. —
? COMPLY WITH ALL CODES OF -=
NEW YORK STATE & TOWN CODES y
i AS REQUIRED AND CONDITIONS OF _
r SOUTHOLD TOWN ZBA -- - L ==
SOUTHOLDJOWN PLANNING BOARD - ELL I 1
_ SOUi HOLD TOWN TRUST'EES N.Y.S.DEC
RETAIN STORM WATER RUNOFF 4 s
` PURSUANT TO CHAPTER 236
OF THE TOWN CODE. - - - -
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BUILD UP GRADE
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DRIVEWAY
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2'-4Yz" 10'-3" 2'-4'/A"
LMAD THE FIELD CONDITIONS,AND SHALL REQUEST CLARIFICATION BEFORE COMMENCING WORK. CONTRACTOR SHALL VERIFY ALL GENERAL CONT
EI T AND MATERIALS,AND REMEDY ALL DISCREPANCIES WITH ARCHITECT PRIOR TO THE COMMENCEMENT OR CONTINUATION OF WORK, I ROUGH ELECTR
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1).PLATE HEIGHT AT 9'-0"UNLESS OTHERWISE
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3).EXTERIOR SHEATHING TO BE 1/2"THICK F
; 4).DOUBLE UP FLOOR JOISTS UNDER PARALL
_ FLOCKING AT 8'-0"O.C.AND MIDSPAN.
1 1
5).PROVIDE 2-2X10 DF#2 HEADERS OVER AL
OTHERWISE NOTED.ALL OPENINGS OVER
ON EACH SIDE OF OPENING.PROVIDE 3 J/
' 1 i MICROLAM.HEADERS.
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1 1 6)•REVIEW PLANS FOR OPENINGS REQUIRING
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7),SHOWER WINDOW TO HAVE VINYL JAMB
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i (2)2XI0 DF#2 HEADER , ; HARDWARE.
---- 101-01,
7'-6» 7'-671
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EF1',PCHiT.ECT OF ANY DISCREPANCIES BETWEEN THE DRAWINGS,THE SPECIFICATIONS,AND THE FIELD CONDITIONS,AND SHALL REQUEST CLARIFICATION BEFOI
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2XIO RIDGE
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2X8 DF#2 CJ Oa 16"OC
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FIRE-RATED
SHEETROCK '
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2X6 ACQ SILL PLATE
COP-R-TEX TERMITE SHIELD
FOAM SILL SEAL
(SLAB TO SLOPE TO OH DOOR)CQ'
. TYPICAL GARAGE FLOOR: —
�.. 4"CONCRETE SLAB C/w
BUILD UP GRADE
FIBRE MESH REINFORCEMENT .�
z 8"PC WALL e; 6 mil POLY VAPOR BARRIER AS REQUIRED FOR
► COMPACTED GRANULAR FILL a,
DRIVEWAY
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4
16"X8"CONC.FTG.
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CATIONS,AND THE FIELD CONDITIONS,AND SHALL REQUEST CLARIFICATION BEFORE COMMENCING WORK. CONTRACTOR SHALL VERIFY ALL I GI
Y OF EQUIPMENT AND MATERIALS,AND REMEDY ALL DISCREPANCIES WITH ARCHITECT PRIOR TO THE COMMENCEMENT OR CONTINUATION OF WORK. R(
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K. CONTRACTOR SHALL VERIFY ALL I GENERAL CONTRACTOR TO COORDINATE MEETING WITH OWNERS FOR APPROVAL OF ALL I GENERAL CON.