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HomeMy WebLinkAbout37737-Z �aguFF Town of Southold Annex 2/14/2013 o 2 P.O.Box 1179 y z 54375 Main Road iy Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36141 Date: 2/13/2013 THIS CERTIFIES that the building OTHER Location of Property: 908 Birds Eye Rd, Orient, SCTM#: 473889 Sec/Block/Lot: 17.-2-1.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/28/2012 pursuant to which Building Permit No. 37737 dated 1/8/2013 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 generator as applied for The certificate is issued to Joseph&Leslie LaVecchia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37737 2/4/13 PLUMBERS CERTIFICATION DATED Authorized Signature =' TOWN. OF SOUTHOLD ,oSUFFOIX BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o • 0 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#: 37737 Date: 1/8/2013 Permission is hereby granted to: Chierchie, Steven & Chierchie, Patricia PO BOX 400 Southold, NY 11971 To: install an accessory Generator as applied for At premises located at: 908 Birds Eye Rd, Orient SCTM # 473889 Sec/Block/Lot# 17.-2-1.5 Pursuant to application dated 12/28/2012 and approved by the Building Inspector. To expire on 7/10/2014. Fees: ALTERATION OF ACCESSORY BUILDINGS $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 Building Inspector L� Form No.6 ZB�� 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 Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C_ Fees I_ 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 $15.00, Commercial $15.00 Date. �?--` Zq �Z New Construction: 011dd�oraPre-existing Building: (check one) Location of Property: \1 OAS House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000,Section �� Blo k Z `4� Lot 0,01 ,Q Subdivision Filed Map. Lot: Permit No. -3 Date of Permit. %'—�� 1 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate:�_ (check one) Fee Submitted: �C Applicant Signature SUFF�I� Town Hall Annex p� COGS Telephone(631) 765-1802 54375 Main Road o Fax (631) 765-9502 P.O. Box 1179 0 • Southold, NY 11971-0959 �'7j �,�p! roger.richert(a)town.southold.nV.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Leslie&Joseph LaVecchia Address: 908 Birds Eye Rd City: Orient St: NY Zip: 11957 Building Permit* 37737 Section: 17 Block: 2 Lot: 1.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Daniel Wilcenski Electric License No: 4723-me SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1 st Floor 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 Twist Lock Exit Fixtures TVSS Other Equipment: stand by generator, 10kw generator with auto transfer switch Notes: Inspector Signature: Date: Feb 4 2013 Electrical Certificate.xls FIELD INC N REI'1ORT DATE COmm.NT3 . . . J i J FOUNDATION(IST) U� FOUNDATION (M) ROUGH FLtAMMQ.7& H PLU-TYMING K Rt\\ MULATION PER N.Y. H STATE ENERGY cbDE � c FINAL ADDITIONAL COlYIl4mm . rn d 6 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. 37737 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined /�Jg',20j Single& Separate Storm-Water Assessment Form Contact: Approved ,2015 Mail to: Disapproved a/c Phone: -I �s lC Expiration 20 C Il v Building Inspector DEC PLICATION FOR BUILDING PERMIT . . bDate , 20 BLDG.DEPT. INSTRUCTIONS TOWN 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 wort: 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, oE�Ilraia ees, building code, I oUSln code, d regulations, and to admit authorized inspectors on premises and in building fof necessary, i ections. (Signature of applicant or name, if a corporation) (6 r I'll Ali'r 's`o:l app.icarlt) � � iarrrb�b Ilderrchite en inState whether applicant is owner, lessee a en "a . eer, generw P FEE: lrn7. EPARTMEN-i' /\,T Xl�t__� 1802 iuI TO 4 PM FOR Trite Name of owner of premises v� �. ' gECTIONS: L1I V H -. ..fir, _ RE E3 (As n the to roll or latestt'di POURED CO{�iCRETE If applicant is a corporation, signature of duly authorized facer 2. ROUGH-FRAMING,PLUMBING, f"),0(1 " r' :�'p� �� �s� STRAPPING, ELECTRICAL&CAULKIN. (Name and title of corporate officer ,v, 3. INSULATION to gt� 9 F;",, �rrry� yk Builders License No. �_ e i S ,a `ti "ta" ' 4. FINAL CONSTRUCTION &ELECTRICAL a MUST BE COMPLETE FOR C.O. Plumbers License No. a,u--fl ;r�- I #` L- I Cp F� I � ALL CONSTRUCTION SHALL MEET THE Electricians License No. _ REQUIREMENTS OF THE CODES OF NEUA/ 1 Other Trade's License No. _ I ''` � '; YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, 1. Locatio of op which propose�orlc wi�l be done: n A c p�� C VV House Number St et Hamlet L T County Tax Map No. 1000 Sectionq , B;ho ,�;�� wla Lot • �� Subdivision Filed Map No. Lot 2. State existing use and occupancy of premise and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy �8�9.%�� , 3. Nature of work (check which applicable): New Building Addition Altera ion Repair Removal Demolition Other WorlclI\S-� C (Description) 4. Estimated Cost S �� � 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 4 tflb6th v'j 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 * 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 ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public:,, 'state of New`fork (S)He is the No.o, ')61850;>o (Contractor; Agent, Corporate Officer, etc.) Qualified ouffolk,County commission L ,,,pirg s April 14, 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 t us a day ofP¢eQ .Lt-\, 20- Notary Public Signature of Applicant P of S., �^ - Town Hall Annex lr Telephone(631)765-1802 54375 Main RoadN. �c(63117655Q2 P.Q.Box 1179 G� @ ro er.d er d-foxi E765 o .ny.uS Southold,NY 11971-0959 vtl�e WADING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ` .�, ��.� C_'� Vc Date: Company Name: y Name: mac•-` License No.: Lt Z3 i;1,1 F Address: Phone No.: 6 3 l S.._ > �" 11 JOBSITE INFORMATION: (*Indicates required information *Name: S��e, a_,J OS h �,�-t�1jf--Ic ; C-1 *Address: *Cross Street: *Phone No.: R Permit No.: Tax-Map District: 1000 Section: 0)11n Block:_ Lot: 0 Ok .on *BRIEF DESCRIPTION OF WORK(Please Print Clearly) -v, r � (Please Circle All That Apply) _ Is job ready for inspection: �S/ O Rough in Final *Do-you need a Temp Certificate: YES t NO Ternp 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 I i � z {is(s j i # _: GE Home Ger�e �� ��� s 10,000 Wait Home Generaar ........... - .. .. ..... . . .......... .. . O g, i . . ....... rt` Produc,tecScao ns Rated Mgximum Load Current*(at 25°C/77°F.LP)): at 240 Volts: 41.7 Amps Rated AC Voltage 240 Volts Phase Single phase Rated Frequency 60 Hertz_, Normal Operating Range -20OF(-28.80C)to 104°F(40°C) Output Sound Level 70 dB.(A)at 23 ft.(7 m) at full load Shipping Weight 401 lb(182 kg) *Natural gas rating will depend on specific fuel but typical derates are between 10 to 20%off the LP gas rating. This generator is rated in aixar� 2200Istationary engine generator assemblies)and CSA(Canadian Standards Association)standard C22.2 No.100-4(motors and gerter a�s..t ,.....: . 25 w WAY id Es `OF m 30� R GHNO- o> I5oa° _.. ... 6 r 9 9 Cl a . 0 Z F � r�g —7 f t f r t Z8 r a LOT NUMBERS REFER , M MINOR SUBDIVISION, '`�— — ------R�� WELL ' F 4- AND FILED J-D STERN IN THE TOWN OF SOUTHOLDS CRICS OFOFFICE.LE W �AT6"U-�. iRfiS f�EF-N1k -- $ ig Wka8u dapmal and war su ---------- Departnalntaifll/er ,Es 6Q re QI(QI Bnfm®I I� �f ni ISOQd� t Sfk - WELL a OP OVER 100' r\'r/i N / 0 / F STERN i Y sA a tea ' -f `, b � ]�`� Kt t�•lL��{it� +�y'�/ ��i3�it y?. �i,2 "�r'C3� £.d � b l �� - -_.__.• - - . 'y •` - -- — = ?`ITLE` fltGL:12��S.�3,2_ ;:, S��•�� - ���r _�Q� ..:� _.__ _`�.:._ , — OR STEVEN CHIERCH IE J U N E 2-4, 1986 � w TO N G V fD�T,M zfi �'