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HomeMy WebLinkAbout37735-Z �Qg�f lKcp Town of Southold Annex 5/13/2013 P.O.Box 1179 CM y 54375 Main Road oy � Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36234 Date: 5/13/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 605 Saltaire Way,Mattituck, SCTM#: 473889 Sec/Block/Lot: 100.4-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/2/2013 pursuant to which Building Permit No. 37735 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: KITCHEN ALTERATION IN AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kalich,Richard&Motto,Mary (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37735 03-13-2013 PLUMBERS CERTIFICATION DATED A o ' ed gnatu o�Sut�ca� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • 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#: 37735 Date: 1/8/2013 Permission is hereby granted to: Kalich, Richard & Motto, Mary 605 Saltaire Way Mattituck, NY 11952 To: Kitchen alteration in an existing single family dwelling as applied for. At premises located at: 605 Saltaire Way, Mattituck SCTM # 473889 Sec/Block/Lot# 100.-1-19 Pursuant to application dated 1/2/2013 and approved by the Building Inspector. To expire on 7/10/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -RESIDENTIAL $50.00 Total: $250.00 Building Inspector Ip O'LtIV G Form No.6 — l� TOWN OF SOUTHOLD BUILDING DEPARTMENT a 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: I. Finaf 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). J. 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: l. 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 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 150.00. 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 $15.60,Commercial $15.00 ` Date_ .1 - New Construction: ✓ Old or Pre-existingBuilding:mg: (check one) Location of Property: lj 5 ����— House No. Street Hamlet Owner or Owners of Property:_ 11)IQ ki N/ e7rro Suffolk County Tax Map No 1000, Section /d t) Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. J $ - /3 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: TemporaryCertificate 1� Final Certificate: (check one) Fee Submitted: 4 4Ap Signature �agUFFO(,�c0 Town Hall Annex O Gy Telephone(631) 765-1802 54375 Main Road o Fax (631) 765-9502 rn z P.O. Box 1179 0 • Southold, NY 11971-0959 P, �y roger.richert(a)-town.southol d.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Kalich Address: 605 Saltaire Way City: Mattituck St: NY Zip: 11952 Building Permit#: 37735 Section: 100 Block: 1 Lot: 19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Duffy Electric License No: 44991-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 8 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: Notes: Inspector Signature: Date: March 13 2013 Electrical Certificate.xls 7 73, Of SOUTyo urm,��'� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I CATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: r DATE INSPECTOR FIELD 32tSPEG N RE?OR3' DATE COMMENTS �OUNDA�oN(1sT) J FOUNDATION(2ND) (� . O ROUGH FPAMMQ& y PLUMBING INSULATI©N PER N.Y. . H STATE ENERGY CiDDB FINAL ADDITIONAL COMMENTS T a Qrrv�-$ aft Vc '�o g (3 / C•� - Oct o 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 Southolffown.NorthFork.net PERMIT NO. ���35� Check Septic Form N.Y.S.D.E.C. lk ® L�(� V(� E Trustees - U LC Flood Permit Examined 20 1A1�`�1 qq Storm-Water Assessment Form JAN C LU[3 act: Approved ' ,20� Mail to: Disapproved a/c BLDG. DEPT. ioxTOWN OF SOUTHOLD Phone: - Expiration 7 o ,20-4 `-7) Building Inspector APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS 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 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) G11 L4,k,1u h, /4/r- �j e (Mailing address of applicant) A)q >/7?f State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 6e,ner4 I 3;1 �t Name of owner of premises Pary /-� a/-/ 0-� - (As on the tax roll or latest deed) If=AC�rpo°a 'on, sigVureffuly authorized officer (Name and title of corporate officer) Builders License No. a 3 17 - Plumbers License No. ,`3 15 - M P Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done:('96� -Aa J I n /Q vyd� �"I cl—ko House Number Street Hamlet County Tax Map No. 1000 Section 160 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 tft/&--y,Ce_ b. Intended use and occupancy r"66 iQ e 141-`e 3. Nature of work(check which applicable):New Building Addition Alteration_ Repair Removal Demolition Other Work y� (Description) 4. Estimated Cost - 6Co 6' � ���j 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 13. Will lot be re-graded?YES ,1 NO Will excess fill be removed from premises?YES NO r !� 14.Names of Owner of premises M Y Address�05 5JI4J IYP one No. q 17. Name of Architect Address done No Name of Contractor ��tjt&Lzj4 Address / OkrkmlD c° Phone No. &V 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 . � NdlebQ VY) 6eAAk�� ' being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the C614�Q (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 bffore me this d f ' 20 Notary P lic LORETTA LAZROVITCH Signature of Applicant Notary Public,State of New York No.01LA6234943 Qualified in Suffolk County Commission Expires 1131! 15 D � � � JAN 2 5 2013 OF SOj BLDG.jj..��PT. d TOWN OF SO Annex 1 ( Telephone(631)7651$02 -- 75Main Mau . 2-N: �mLTlin11.7 owsouo50Qtl V.usP.O.Box 1179 rogr.richert Southold,NY 11971-0959 BUILDING DEPARTMEW TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: 1�CW-N Date: Company Name: Q. 1��,v��E� �c �Q Fj A is Name: Nj License No.: Address: 2--�I 10 SV S Rw G-T IS s Phone No.: . LA - 20 6 5 6_+1 JOBSITE INFORMATION: ( `Indicates required information) *Name: c �ss . V'NCi.1\ *Address: GO5 Sc� ae�rL, wa,� e �c�, i�•�c(�� NY ` 19SZ *Cross Street: $ow,\c6 i tvv (A R- *Phone No.: 17� - G 6 3 Permit No.: ' 77 Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION O`F,WORK(Please Print Clearly) � Ou�x& V�r (Please Circle All That Apply) *Is job ready for inspection: YES NO. Rough in Final *too-you need a Temp Certificate: YES NO Temp Information Of neededl *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 100%n CD's Dec. 24, 12 �FF IC( r v� 0 ®ccuPANcYoR � APPP®VED'As NOTED USE IS UNLAWFUL , DATE: / /3 B.P.#WITHOUT CERTIFICATE FEE: BY: cq 3 OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT o . � z 765-1802 8 AM TO 4 PM FOR THE C Co FOLLOWING INSPECTIONS: o a 1. FOUNDATION - TWO REQUIRED o tn 0 CD co �i FOR POURED CONCRETE :Z 2. ROUGH - FRAMING & PLUMBING _�dl)ti�j���I�fJ Will 3. INSULATION ja►��r' rNi� _ _ _. 4. FINAL - CONSTRUCTION MUST FF4cf11 i�i f'a BE COMPLETE FOR C.O. �e)Llo �I��� 3%2x�5���(�-�-�P'� ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW 00 � P1E� \ a n i� — YORK STATE. NOT RESPONSIBLE FOR �2/ I 14 v 1 DESIGN OR CONSTRUCTION ERRORS. 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