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Home My WebLink About37890-Z o�saffoleIre, Town of Southold Annex 4/8/2013 3 y� P.O.Box 1179 y x 54375 Main Road 4,o Southold,New York 11971 Ol�t V CERTIFICATE OF OCCUPANCY No: 36181 Date: 4/8/2013 THIS CERTIFIES that the building ALTERATION Location of Property: 1285 Bayberry Rd, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 118.-3-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/15/2013 pursuant to which Building Permit No. 37890 dated 3/28/2013 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: "as built"alterations to an existing one family dwelling, including boiler, hot water heater, electric and screened porch converted to enclosed porch, as applied for. The certificate is issued to Dipillo,Danielle&Dipillo,Frank (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37890 3/25/13 PLUMBERS CERTIFICATION DATED i Auth razed Signatume— TOWN OF SOUTHOLD BUILDING DEPARTMENT x TOWN CLERK'S OFFICE • �r SOUTHOLD, NY y'f101 � �a�f 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#: 37890 Date: 3/28/2013 Permission is hereby granted to: Dipillo, Danielle & Dipillo, Frank 12 Roberts Rd Warren, NJ 07059 To: alterations to an existing one family dwelling, including boiler, hot water heater, electric and screened porch converted to enclosed porch, as applied for. At premises located at: 1285 Bayberry Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 118.-3-9 Pursuant to application dated 3/15/2013 and approved by the Building Inspector. To expire on 9/27/2014. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $90.00 Total: $340.00 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 following: A. For new bulding 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 1% lead. - 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliancetrom 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" IAnd uses: 1. Accurate survey.of property showing all property lines,streets,building and unusual natural or topographic features- 2. A property completed applicatin and consent to inspect signed-by the applicant- If a Certificate of Occupancy is denied, the Building Inspectors.hall state the reasons therefor in writing to the applicant. C. Fees - 1. Certif cafe 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: 12- House No. Street Hamlet— Owner or Owners of Property.. N-PI L Suffolk County Tax Map No 1000, Section /I'Y Block --� Lot / Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: A11A Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: I w Ap lica t Signature Or Town Hall Annex p��SUFFOL/C'ea Telephone(631) 765-1802 54375 Main Road y x Fax (631) 765-9502 P.O. Box 1179 w� Southold, NY 11971-0959 ��j�! �,�p� roger.richerta-town.southold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Dipillo Address: 1285 Bayberry Rd City: Cutchogue St: NY Zip: 11935 Building Permit Section: 118 Block: 3 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential x Indoor x Basement x Service Only Commerical Outdoor x 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 200a Heat oil Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200a 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 200a Switches 11 Twist Lock Exit Fixtures TVSS Other Equipment: 200a overhead service, replaced oil furnace Notes: Inspector Signature: _. Date: March 25 2013 Electrical Certificate.xls Of SOUT,y�� - �y�OUNf`l,� 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 / 2 f 3 INSPECTOR - ` �� -- g�o F SO �o cOUHTI,� Q TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY. [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: (f� DATE ®� O �3 INSPECTOR " 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. 3 7 F5 O Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20/-_ Single&Separate Storm-Water Assessment Form Contact: Approved ,20 /L Mail to: Disapproved a/c Phone: Expiration ,20 nE CBuilding Inspector LJ� MAR 2 7 2013 PPLICATION FOR BUILDING PERMIT Date 2 T ., 20 or g� DEFT. INSTRUCTIONS TOWN or 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 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 file 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. (Sign ture of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder a, z Name of owner of premises (M 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. Lam' i S 'r , cnlll f` 1. Location of land on which proposed work will be done: I-- House.Number Street Hamlet County Tax Map No. 1000 Section Ye Block 3 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended us and occup y of proposed construction: a. Existing use and occupancy b. Intended use and occupancy lo" d&&_4_L_e 3. Nature of work (check which applicable): New Building Addition Alteration ✓ Repair Removal Demolition Other Work 6 0_T65 L `1_W_ 00& A✓U / c�lI�Ct,0,06 --:> //OT W47F t / T£k ( escription) 4. Estimated Cost C�J J � 00/WH ee SUpoe 5� Ting 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 Z 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 1/ 13. Will lot be re-graded? YES NO ✓ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Pl Pl L1-o, 6�4N/G 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 >EQUIRED. 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. 'c 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 ) 14V/Abeing duly sworn, deposes and says that(s)he is the applicant (Name of individual gigning contract) above named, CONNIE D. BUNCH (S)He is the Notary Public,State of New York No.01 SU6185050 (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County nn rr / Commission Expires April 14,2LL to of said owner or owners, and is duly authorized to perform or have performed the said wort: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 NJI-P Notary Public ignature of Applicant 03/14/2013 16:20 6312984214 GOGGINS PALUMBO PAGE 01/01 Town iA Anna Tfthorre(6311)7�655.11802 5437S Mawr►Rmd f0�®niche OW(t�1�1oUt1L� ' S P.O.Box 1179 $oudwld,NY 11971-0959 . s BLUDING IMAM= TOWN OF SOiT HOLD APPLICATION FOR ELECTRICAL INSPECTION EST�D BY: yl. pate: REQU --- Company Name: Name: U9oense No: Address. Phone No.: . t� c JOBSITE INFORMATION: (Indicates required information) 1 10 *Name- fit! I ./6,0,UAJ U 21,21 S�-Q , *Address: /�css �4Y u *Cross Street: /'t ^1 � *Phone No.: 3 Permit No.: 1011! District: 1000 Section: j� _ Block:�3 — Lot:- *BR iF DESCRIPTION OF WORK(Please Print Clearly) (please Circle All That APPIA Rough In pinal d fbr inspection: ! No. u0 is job rea y , *DO-you need a Temp Certlflrate: YES 1 10 anon(if needed) Temp lrtfotm . hase 3Phase 100 150 240 300 350 40o Other Service Size: 1 P 'New 5ervlce� fie-canned Underground Number of Deters Change of Service Overhead AddjUonai InformaWn= PAYMENT QUA WITH APPLlCAYION 8241equest for Inspection Form