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HomeMy WebLinkAbout37391-Z ao l Town of Southold Annex 3/12/2013 =4 �� P.O.Box 1179 N x 54375 Main Road o • ,�� Southold,New York 11971 4%�l CERTIFICATE OF OCCUPANCY No: 36168 Date: 3/12/2013 THIS CERTIFIES that the building WINDOWS Location of Property: 18375 Route 25,Mattituck, SCTM#: 473889 Sec/Block/Lot: 115.-2-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/10/2012 pursuant to which Building Permit No. 37391 dated 7/24/2012 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: window replacement and new electric service in an existing one family dwellingas s applied for. The certificate is issued to William&Judith Barker (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37391 2/26/13 PLUMBERS CERTIFICATION DATED Autho ' d Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT T coTOWN CLERK'S OFFICE oy • 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#: 37391 Date: 7/24/2012 Permission is hereby granted to: William & Judith Barker PO BOX 728 - Mattituck, NY 11952 To: Alterations to a Single Family Dwelling; Window Replacement, as applied for. At premises located at: - 18375 Route 25, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-2-12 Pursuant to application dated 7/10/2012 and approved by the Building Inspector: To expire on 1/23/2014. Fees: CO -ALTERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION Total: $250.00 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 follovi►ing: A. For new building or new-use: 1. Final survey of property with accurate'location of all buildings,property lines,streets,and unusual naturafor 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 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 spmpleted application and con-sent 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. Ftes 1. 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$50.00 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. New Construction: Old or Pre-existing Building: '0/1) O"25 (check one) Location of Property: I�3 7� /n eu h OU — 17la-H7)?W C 4. House No. pp Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No*1000,Section Block Lot Subdivision Filed Map. Lot: Permit No. 7 7�� Date of Permit. Applit; Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: VX (check one) Fee Submitted: $ S-0. ca t Sign Town Hall Annex p� OGy Telephone(631) 765-1802 54375 Main Road o Fax(631) 765-9502 P.O. Box 1179 0 • Southold, NY 11971-0959 y�jpl �.ap! roger.richert(@town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Judith Barker Address: 18375 Main Rd (rt-25) City: Mattituck St: NY Zip: 11952 Building Permit* 37391 Section: 115 Block: 2 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: homeowner DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph 200a Heat gas Duplec Recpt 42 Ceiling Fixtures 19 HID Fixtures Service 3 ph Hot Water GFCI Recpt 11 Wall Fixtures 13 Smoke Detectors 5 Main Panel 200a A/C Condenser 1 Single Recpt Recessed Fixtures 15 CO Detectors 2 Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt Ij Emergency Fixtures Time Clocks 00a Disconnect 2 Switches 49 Twist Lock Exit Fixtures TVSS Other Equipment: 200a overhead service, 3-exhaust fans, 1-40a oven circuit, 6-ARC fault circ. Breal Notes: Inspector Signature: Date: Feb 26 2013 Electrical Certificate.xls pF SOpT�olo COUMy,N // 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 9�j ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) RE\\MARKS: DATE v INSPECTO ` oF souryo� couHiY,� 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 v ZG' C IN P S ECTOR ` , 3 �1 OF SO pryo�o cOUMY,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION 1 ST [ ] 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: ,C �• n DATE — INSPECTOR FIELD INSPEON REPORT DATE COMMENTS FOUNDATION(IST) w - -- ------------------------- -- FOUNDATION(2ND) op c� rA • v1 ROUGH FRAMING& y PLUMBING INSULATION PER N.Y. H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS p` rn ti i . 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 Wi A TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 3 73 ? Survey SoutholdTown.NorthFork.net PERMIT NO. Check �5 p'0 0 Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 7- 2 20 Single&Separate Storm-Water Assessment Form u r ' Contact: Approved 20 Mail to: Phone,q Expiration '20 r1011, DC `' Q Building Inspector JUL 1 1 2012 PPLICATION FOR BUILDING PERMIT Date , 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. £ 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. o , d (Signature of applicant or name, if a corporation) x 7.;2�3 , 10,dll 17, Gi /43-Z (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Wi l ha m em (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: / --3 7.s ma in c !L House Number Street Hamlet q 3ggq //,5 _ ,_2 - / :)L-. County Tax Map No. 1000 Section Block Lot 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work A)/i)100 __5 (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 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 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X i 13. Will lot be re-graded? YES1 NO -Vs Will excess fill be removed from premises? YES NO 6/// a jud.,4 14.Names of Owner of premises b/1QK�2 AddressAo37a8,iratlihcc _ Phone No. 03/• 7loS- 3vv Name of Architect Address Phone No Name of Contractor-k�qgra,_ ean5*y'crcfi';pr) Address TVS/(0o3i,hughoza Phone No. -7&s-- -37VY 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, (S)He is the (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 day of 20 Notary Public Signature of Applicant q Sol Town Hall Annex Jf W75 Main Road Telephone(631)765 1802 ,ax Q2 P.O.Box 1179 ro er dchert tOWtI.S.outA ldVn . Southold,NY 11971-0959 r r BUnDING DE*PARTMENT t L Z- TOWN OF SOU MOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: Address: -phone No.: JOBSITE INFORMATION: Ond.icates required information) *Name: J ud(� Bah--k-e,- *Address: *Cross Street: ClQ I � V *Phone No_: (p-/ 7 o S_ ^ 5 3 a O Permit No.: 3�73cj r Tax-Map District: 1000 Section:- Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly). jPlease Circle All That Apply) -*Is job ready for inspection: YES Rough In Final *Do.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 af.Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION .82-Request for Inspection Forth N SURVEY -.DF PROPERTY ��OSKI AT MATTITUCF� - HENRY.R .�Oskl TOWN OF SOUTHOLD awrr of SOUTM°� _ SUFFOLK COUNTY, 'N.Y. T M = P 1000 115-02-12 • SCALE.• 1'20' 120.p0 .SEPTEMBER 21, 2010 N O ,31E ewcK cL G-E Z 1�9IL ONE S%p GARAGE. wL HOUSE = x _ 1_0 Y t5.9, 0 b T �C 4•31 TO �o i JAH S LAN . r N 1 0.. ,vq ©f NEW I- IN ]ROAD C 40 M� R 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ECONIC - OF SECTION 7209OF THE.NEW YORK STATE EDUCA77ON LAW. (631) 765-5020 F 65-1797 _ EXCEP_T AS PER SEGWN.7209-SUBDIVISION 2. ALL.CEK7IFTCAAONS _ — - -- =HERE-6N-ARE-M - -M'�NAP-AND,_COPIES THEREOF ONLY=1. P.O. FT _. ._ ER —_ — -_- -' SA7D�ffR COPIES-BEAR_THE IMPRESSED SEAL OF THE SOR O7L -- -.. AREA=11,369. 80. FT.. - ' WHOSE_MIMA7UR�APPERR NEREON.- -- -- _ -_ - TNOLD_,.._N_.Y 1197 1T� �4- - T . �.. ._ \2D X sE x e Y g5 w y, _5q vv 19375 ►y1 at n