Loading...
HomeMy WebLinkAbout37958-Z ;�OSU I' Town of Southold Annex 6/12/2013 P.O.Box 1179 C 54375 Main Road oy Southold,New York 11971 �Ypl CERTIFICATE OF OCCUPANCY No: 36295 Date: 6/12/2013 THIS CERTIFIES that the building RESIDENTIAL REPAIRS Location of Property: 1175 E Cedar Point Dr, Southold, SCTM#: 473889 Sec/Block/Lot: 90,348.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/18/2013 pursuant to which Building Permit No. 37958 dated 4/19/2013 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: minor repairs from storm damage as applied for. The certificate is issued to Harmon,Jeanne (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37958 6/3/13 PLUMBERS CERTIFICATION DATED /Au&rized Signature TOWN OF SOUTHOLD S�FFnt,r�° 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#: 37958 Date: 4/19/2013 Permission is hereby granted to: Harmon, Jeanne 32 W 76th St New York, NY 10023 To: construct minor repairs from storm damage as applied for; electric permit enclosed At premises located at: 1175 E Cedar Point Dr, Southold SCTM # 473889 Sec/Block/Lot# 90.-3-18.1 Pursuant to application dated 4/18/2013 and approved by the Building Inspector. To expire on 10/19/2014. Fees: ELECTRIC $90.00 Total: $90.00 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: Ar 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 2110 of I% lead. . S. 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 a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling.$50.00, Additions to dwelling$50.00,Alterations to dwelling S50.00, 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.Oecupancy-$25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy -Residential $1 .001 Commercial $15.00 Date. L New Construction: /�DOld/or Pace-existing /Building:' ✓ (check one) Location of Property: �I r S C��OIC�/Z�iitJr k//2. `UCI�J� s��t a d— House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot4LV Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for. Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ Applicant Signature SufFoc� Town Hall Annex 0� COGS Telephone(631) 765-1802 54375 Main Road c Fax (631) 765-9502 P.O. Box 1179 0 - Southold, NY 11971-0959 'y�JfOd �a0� roger.richert(c-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jeanne Harmon Address: 1175 E Cedar Point Dr City:Southold St: NY Zip: 11971 Building Permit#: 37958 Section: 90 Block: 3 Lot: 18.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation 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 3 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 3 Twist Lock Exit Fixtures TVSS Other Equipment: repair storm damage Notes: Inspector Signature: Q,L Date: June 3 2013 Electrical Certificate.xfs OF SOUTy�Io � 7 e TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] F NDATION 2ND [ ] INSULATION FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: * DATE / J INSPECTOR Of SOUry�� • �o l TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR71&t22z�- pF SOpr�Olo • ao courm, '' 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) �J ELECTRICAL (FINAL) REMARKS: DATE f INSPECTOR l e OE so(/r�o �o • Q TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARK 6 DATE INSPECTOR FIELD MON REPORT DATE COMMENTS FOUNDATION(1ST) ..«..*........w...........r.. FOUNDATION(2ND) . O J rA ROUGH FRAMING& n y PLUMBING H INSULATION PEP.N.Y. . STATE ENERGY CODE 0 FINAL .ADDITIONAL COMMENTS Z . rn �I X n Q O • z 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 South oldTown.NorthFork.net PERMIT NO. 9�$( -Check Septic Form N.Y.S.D.E.C. Trustees D E C E U E C.O.Application Flood Permit Examined ,20 Single&Separate APR 18 2013 Storm-Water Assessment Form C ntac : Approved ,20 1) BLDG. DEPT. ail to: TONJN OF SOUTHOLD Disapproved a/c /,, C� Phone:�/�.(! b 0!X ff' Expiration �D ,20f y Building Inspector APPLICATION FOR BUILDING PERMIT Date L , 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 hnspector 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.]8 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 necess ry inspections. C ,CU l'"AigC°Y 0 s r. 6. t INLAWFU Si nat e of applicant or name if a corporation) IN .F "ro.�a REQUIP",W TRO T CERTIFIC- APPROVED AS NOTED r aplicant)C s 3� PANC,, 7 ._ State whether applicant is owner, lessee agent, architect engineer, general contrac Ee: 1. � 1b 7s e..rr NOTIFY BUILDING DERARTMEENT AT al 700=1802 0 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ��� 1: FOUNDATION-TWO RE-QUI{RED Name of owner of premises �� 1�? EAF3 BAI IBEiI OeHeRETE (As on the tax roll or latest degd)R©UGH,FRAMING PLUMING, If applicant is a corporation, signature of duly authorized officer STRAPPING, ELECTRICAL&CAULKING 3: INSULATION (Name and title,o`f`c�• �orate officer) 4. €iNAL=CONSTRUCTION &ELECTRICAL O. Builders License No. ' `7� / S .UON BE COMPLETE FOR MEET I_I . CNSTRUCTIBN SHALL MBBT THE Plumbers License No. F,:'UJIREMBNTS OF THE CODES OF f M Electricians License No. °+'C RIB STATE, NOT RESPONSIBLE FOR Other Trade's License No. DES510N OR CON TRUCTION ERRORS: 1. Locatign/ofJand on whn proposed workpLI.be done: House Number Street G Hamlet County Tax Map No. 1000 Section /� Block Lot 0 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises d i tended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of won (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (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 [er 11. Zone or use district in which premises are situated ( 6 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 premis 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. i 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF W Y )�) !�-S:. COUNTY O �/ 1 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (cC retractor,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 t9fore me this day of 20�VICKI TOTH fdoltaryNO.01�'0 190of696 w Yo ualfied in Suffolk Coun Notary P is fission pines July 28,2 Signature of Applicant z Town HO Annex �if 1�( Telephone(631)76571802 54375 Main Road 11 76�9 U2 P.O.sox 1179 �. roger.richert(-lrolasoutriottl.ny us. Southold,NY 1197I-0959 BUILDING DEPARTMENT TOWN OF SOUT HOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: 6 71 ( Date: l l 13 Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information:) *Name: *Address: *Cross Street: *Phone No.: Permit No.: 01 Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 1 r 1 (Please Circle All That Apply) *Is job ready for inspection: ugh 1n Final *Do-you need a Temp Certificate: YES J NO Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other ;tNew Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82=Request for inspection Form f TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET,/ %5 VILLAGE DIST. SUB. LOT 2 FORMER OWNER N E ACR. 1 n n a ,?)ai r" n CS Wa,( ldg, Cc7rP S W TYPE OF BUILDING RES. a/ VV� _ / SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS vN•+ Cam*' 'L /'.�•-0'3'?'�`1 !"iO . �6�� epI,S/r', r r?. 7 �; _ u L 477-- 0 1-tsar-r E54. 46 �oyp��H �In1-t,�taP�t-t Et� l3'9 " t � taq,, 46 vlkArAs va� L �,C��a�! NJ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre JJ Tr ��! l r fe.rr9 d C) Tillable 1 Tillable 2 �� � ' /✓J� '��� a '.` GF Tillable 3 Woodland Swampland -FRONTAGE ON WATER LIZg�y Brushland FRONTAGE ON ROAD 1 / House Plot DEPTHe c BULKHEAD r Total IDOCK ■■■■■■ ■■N■■■■N■■■■■■■■■ ■■■■■■ �N■■■■■■■■■■■■■■■■■ ■■MIME■ --- ■■■��■■■■■■■■■■ MEREEMS ■■MEIN■_ ■©'ONO■■■■■■■■ F ; ,y' f ui asp sx r ■ i■, ■�1■■■■■■1!■■■■■■■■■■■ ■■■■■■■ ■■■■■■■■■■■■NN■■N■■ Foundation asement Ext. Walk Fire Place •' R.001 ••• •• e • AFFIDAVIT Jeanne Harmon, being duly sworn, deposes and says: 1. I am the owner of property located at 1175 Cedar Point Drive East, Southold,NY 11971. 2. Hurricane Sandy caused substantial damage to the property because of several feet of salt water caused by flood tide surge which entered the house through the garage. 3. 1 retained William Toth of Wm Toth Construction and Management Corp. to repair the hurricane damage as described in drawings prepared by him. 4. William Toth is authorized to act as my agent in permit matters regarding the work which will repair the hurricane damage. Jeanne Harmon Sworn to before me this day of April 2013 VICKI TOTH Notary Public State o Now York No.OI`t0619 3 96 Qualified in Suffolk County Commission Expires July 2.8,2 I LOT NO'S.2EFEI�7pMAP OF LEUA(L 1jE'AC}i f A(21L,FILE✓IN 1{{L. SUFFOLK CO.HEALTH DEPT.APPROVAL IFF.CO.0.EF9c'-�C1FFfCE A5 MAF Sb.�O N. PO Yc�RF,F�:f� ._"---_-.. .. •iAfj .. / I111,._.-- �, y' •i IIIIV1I� NOV 2 1 Ik6 gLCG.DEPT. TOWN OF SOUTHOLO STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS F�j[N-E. Q',I' OR THIS RESIDENCE WILL ,Qvl�'�`�. �•�\ /• A2 F1.7 AO, CONFORM TO THE STANDARDS OF THE pr IRON PIPE SUFFOLK CO.DEPT.OF HEALTH SERVICES. (S) AMLICANT SUFFOLK COUNTY DEPT. OF HEALTH -_-. NOCTmom OpIIi19 f�ALTA QEPAgTkERf SERVICE5 —FOR APPROVAL OF �o CA OCT 30 1985 R D.REP # SO�T rJJ \ / CONS TRUCTbN ONLY Ilk DATE: 'r Th.as-nos•!r- C / / H.S.REF.NO.:.i-50--Z45 .. a:xro m2-1 ,-., •. - . .S P T �sl APPROVED: "L3 Ja'r_YJ cd 1 ,IQ � 1nsFect?i!y:.::�.: :.�" c n :Goad ._ F \� to hen� !' J SUFFOLK CO.TAX MAP DESIGNATION: Chief of General FnglneerLAV DIST. SECT. SL�OCK PCL �� SOrvlve9 gq I:JCX:'`( 09U _ P/016 OWNERS ADDRESS: O �OUT'li9.G.NYIty.'1 . ti- P A-°b• 2 :. ;�_,�---._ '765.•7335 DEED:L.3626 P.4Cy CeEF) Rt C TEST L4 AMEN DEJ-F.Et3.. -JUNC a7�i465 ��`. 1871 MAP AMENDED-OCT.15,QES •1��'�•, @�(1 _ aJ<.,� a 'SAND P .p"„mnem°aw wo m°ml°'°° .. .,.m...uw wrr.ma.a 5uf:_VF-Y't1JF(i1<'_ . `\ ;'a+r•r , 524 VL..i•"_I �_�,�•- i------._....... _ .._) C• S.Sb°10'20 - "„°sm"N�rw :'.ww.a«w SEAL + A-. •'\ �.O V C ..... rr _ v. { LICENSED LAND SURVEYORS OREENPORT NEW YORK STATEMENT OF 1, THE WATER SUPPLY AND St HIS 7=A,: CONFOR 0' T�- SUFFOL CO T P 'lArf JOAO SUFFOLK COUNTY DEPI ! SERVICES - FOR Al DATE:— H.S.REF.NO. t.t, APPROVED:— SUFFOLK CO.TAX MAP-& DIST. SECT. RL OWNERS ADDRESS vc I'D OEEID.L.S�5?c P. '7 cc) Ile wad o 2i � i kE 21 / block, wtMl / i �n�sTiNG GE. 8,4 � I �r, � Utir=i��tSh4�E-D �f i i t 7- 2-6/ i f 77-17/ Erlsf I U T,4-E- Fier, \ I 6n Id,, g !.I UP �3 R � � 3',�+• 3 -ems A ��ves Alc s_ yF'anF-/-T.. TO :f S J ~`�'pf- k S14E-x.-T k'ock- i '4 Alf._V✓ ZR�,R Fizc—V5c P, �FrvJtftJ �.���t,f ^nfr.. �_,s4r "tF.n]i It -arc L • ,��., � �l 5,��f_7 rT ark .9-�f?�,�F� j� �,�4'.d� �./�i S Cam, SCALE: I/ APPROVED BY: DRAWN BY DRAWING NUMBER I