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Home My WebLink About36694-Z Town of Southold Annex pg�FFOt�c� 12/28/2012 P�o� goy P.O.Box 1179 co 54375 Main Road Southold,New York 11971 „rz CERTIFICATE OF OCCUPANCY No: 36098 Date: 12/28/2012 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 160 Apple Ct, Southold, SCTM#: 473889 Sec/Block/Lot: 70.-1-6.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/8/2011 pursuant to which Building Permit No. 36694 dated 9/16/2011 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: Covered porch addition to an existing single family dwelling as applied for The certificate is issued to Mozer,Terri&Mozer,Brian (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36994 11/13/2012 PLUMBERS CERTIFICATION DATED A horizeA Sign ure TOWN OF SOUTHOLD �gUFFO(,�coG l moo y BUILDING DEPARTMENT y 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#: 36694 Date: 9/16/2011 Permission is hereby granted to: Mozer, Terri & Mozer, Brian 160 Apple Ct Southold, NY 11971 To: construct a porch addition to an existing single family dwelling as applied for At premises located at: 160 Apple Ct, Southold SCTM # 473889 Sec/Block/Lot# 70.-1-6.7 Pursuant to application dated 9/8/2011 and approved by the Building Inspector. To expire on 3/17/2013. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $252.00 CO -ADDITION TO DWELLING $50.00 Total: $302.00 Building Inspector Form No.6 TOWN OF SOUTHOLD: BUILDING DEPARTMENT TOWN BALL 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 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€or 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"lied usesi 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 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.ft 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 S15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing p u a17�0� Building:g Ii� (cheek one)° - Location of Property: _ l G O 1p, P P L 2 C 0 U R. U V 714 6 LD House No. Street Hamlet Owner or Owners of Property: 1;�J ik 1-A n d• 1�Q R i b 2Qt� Suffolk County Tax Map No 1000,Section 76 Block J Lot �j• 7 Subdivision Filed Map. Lot: Permit NQ. O Date of Permit. 16 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: .$ "� f� •�� -- J ADVlic?nt $itynature SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.richert(ab-town.southold.ny.us Southold,NY 11971-0959 olycou BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mozer Address: 160 Apple Ct City: Southold St: NY Zip: 11971 Building Permit#: 36694 Section: 70 Block: 1 Lot: 6.7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Shaw Electric Inc License No: 33381-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 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 Fixtures Time Clocks Disconnect Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: porch addition, 1-paddle fan, other work was existing Notes: Inspector Signature: Date: Nov 13 2012 81-Cert Electrical Compliance Form.xls SOUTyo� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [/ FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION. [ ] ELECTRICAL (ROUGH) [ ] E ECTRICAL (FINAL) REMARKS: DATE INSPECTOR o��OF SOpl�o - - - -- -- G �y�OUNi`I,N� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL [ ] FOUNDATION 2ND [ ] IN TION* [ ] FRAMING/STRAPPING [ ' FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: C_ Ck2 G DATE INSPECTOR FIELD INSPECTXON REPORT DATE COMMENTS / FOUNDATION(1ST) - ------------ ------ FOUNDATION(2ND) ' � z C rA G � H ROUGH FRAAnNQ& PLUMBING �' y C 70 o H INSULATION PER N.Y. �- STATE ENERGY CODE Y FINAL ADDITIONAL COMMENTS N �1 i L+-I, -. � l z log-- m • W z n ' 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 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net. PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 l� Single& Separate Storm-Water Assessment Form Contact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration 20 Building Inspector P ICATION FOR BUILDING PERMIT Date q�$' , 20 "11 INSTRUCTIONS a. This applicatioi�.N'T`'JTST be comple ely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pl � a s, H •D ccording 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 hot 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) 0 LPLf- C:� •, S6U-rtt 0LD (Mailing address of applicant) . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ►A n R n A \ 2eii 1 ` ► (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: 160 � PPC_e_ Coves t o� TtloLD House Number Street . Hamlet County Tax Map No. 1000 Section 7 0-,orh '.Block4 ;w a9 '`�s"''� Lot 6 , 7 Subdivision ;IV1ap5IIo::, 3 Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy _7T I n A LP ft r-0 1 L y d 0 1 I G b. Intended use and occupancy ec96Rr 1'1 S D D (7/0 n 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 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 2. 0 Rear 2 0 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�Q511>Z0-7(A c.. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO--A—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 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 u u \A n 07..LP. being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the r 5w(\eA- (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 to before me this y of 20� DA S.CARLS Notary Pubic otarY Public,State of New York Signature of Applicant No.01 CA6137178 Qualified in Suffolk County .Commission Expires Nov. 14,90, � o Town Hall Annex l j: Telephone(631)765-1802 54375 Main Road pax ,9 0Q2 P.O.Box 1179 G . roger.rlChert t(x(6 SOU n01 ny.u8 Southold,NY 11971-0959 �' �� BUILDING DEFARTMW TOWN OF SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY:. �, S�'1/-1 i.J Date: Company Name: A w C�l.c can f c Z,v 'c Name: vJ License No.: 333 R - h_► t EF Address: le r wx/ 2�i Phone No.: nT JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: J&C *Cross Street: *Phone No-: Z I- S-S-3 - 5-3 Y? Permit No.: 3 �6 Tax-Map District: 1000 Section: -j O Block:�_ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) onc n . i ( VAC 5/ ,Q_.k T C� (;UY�. `A SWtiiC�. JwcrrA�l r ca'\ WQ -r C4. 1 - J131ease Circle All That Apply) *Is job ready for inspection: § �' �. '' NO Rough in (F:inal *Do•you need a TempCertificate: YES 160:�) Temp Information(If needed) *Service Size: 1 Phase 313hase 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 SCDHS REF. # 92 SO 51 t, to a n , tor - s 0 R L 5 2p'3p-E +�1 p0 L�25.3� w♦r c\ s �b M /N.9 . h' V C J { N pr'pGh �S 3 V ss Po' w2sflhc°s� Oih O w c pM Or � r �.. < ts�1,rty*hSr,Y�kJ t f i � M ✓ASS � - � , �� AREA = 12,804 sq.ft. ' CERTIFIED TO+ WAL FER NC;BERRY MICHELLE A,.BERRY THE.LONG RAND SAVINGS BANK FSB SUPERloR ABSTRACT CORPORAWN SURVEY OI TRW-S-54,3938-!4 "MAP OF S ALAS" I �DJUNE25, 1992 ANY.A4 OR ADDITION TO THIS SURVEY IS A VIOLATaN /� TOUTHOL r OF EC `OF THE NEW YORIKT�4 TE EDbGA IMO�-W. `L$sox � V1�0�, K CO�� N Y PEARS HEREON. ADDI" Y TO;.ci LY WITH$4�p..LAW TERM 'A.LTEREO BY • 1Ob MUS h:. AND ALSIJ�tVEYORS`' 'TL/ZWG A COPY OF ANO,�'IiER• OIR'S HA'P. MS SUCH'.WSPECTED '.AND BROU�#LT_ - r0 - DATE 'ARE NOT W CONPL/ANCE WITH THE W. 40 March t1, egg JUL Y 15. i►95�2 foundation) The location. of wells and cesspools shown hereon are from field r observations and or from data obtained from others. OCt. 23,19� ' p`� Qgj Zo� °pa.r yOo:ray, .) F PECONlC URVE�YOR.S, fC 502p FAX (631fJ T65 l79+7 P. o. eox 9D5� ,l 1223Q TRAVELER .STREET revise 0911112002. SOUITH. Lb; iY. 119T1 revise lax number 12108192. 93 ,_ 114