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
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FOUNDATION(IST) U�
FOUNDATION (M)
ROUGH FLtAMMQ.7& H
PLU-TYMING K
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MULATION PER N.Y.
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STATE ENERGY cbDE �
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FINAL
ADDITIONAL COlYIl4mm
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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
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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
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