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HomeMy WebLinkAbout37938-Z ��SUEFat�co� Town of Southold Annex 7/10/2013 e P.O.Box 1179 CM 54375 Main Road oy • o*ifs Southold,New York 11971 g al # -40 � rrf�1 CERTIFICATE OF OCCUPANCY No: 36391 Date: 7/10/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 295 Fanning Rd,New Suffolk, SCTM#: 473889 Sec/Block/Lot: 117.4-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/5/2013 pursuant to which Building Permit No. 37938 dated 4/15/2013 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 Leoniak,Peter&Leoniak,Valerie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37938 6/20/13 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD �SUFFoc,r�o BUILDING DEPARTMENT y = ' 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#: 37938 Date: 4/15/2013 Permission is hereby granted to: Leoniak, Peter & Leoniak, Valerie 295 Fanning Rd New Suffolk, NY 11956 To: install an accessory generator as applied for At premises located at: 295 Fanning Rd, New Suffolk SCTM # 473889 Sec/Block/Lot# 117.-4-10 Pursuant to application dated 4/5/2013 and approved by the Building Inspector. To expire on 4/15/2014. Fees: ALTERATION OF ACCESSORY BUILDINGS $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 V 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 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 1% lead. . 5. Commercial building*industrial building, mtiltiple 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 property 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. 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. Certifcate 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 Dahl -0 - 13 New Construction: Old or Pre-existing Building: (check one) Location of Propel : 9-q f�AW �J ) tj House No. Street p Hamlet Owner or Owners of ProP�tty;J �" I y%t\ V � F li-F Suffolk County Tax Map No 1000, Section Block Lot 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 on .) Fee Submitted: 1 5Q, e Ap icant Signature Town Hall Annex p� 0�� Telephone(631) 765-1802 54375 Main Road c Fax(631)765-9502 P.O. Box 1179 O • / Southold, NY 11971-0959 'y?jpl �.a0! roger.richert(cDtown.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Peter Leoniak Address: 295 Fanning Rd City: New Suffolk St: NY Zip: 11956 Building Permit#: 37938 Section: 117 Block: 4 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Pumillo Electric License No: 2300-me 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 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 100a 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 100a Switches Twist Lock Exit Fixtures Ll TVSS Other Equipment: 100a overhead service, 10KW standby generator with transfer switch Notes: Inspector Signature: Date: June 20 2013 Electrical Certificate.xls SO(/T�O� cOUHTI,�`� 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) b4 ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR�� FIELD Il�ISPE (f N REPORT DATE Comm-NTS FOUNDATION(IST) ul k C FOUNDATION(2ND) • j . ROUGH FRAMING& PLUMMING INSUL•ATION PER N.Y. H STATE ENERGY CODE i Y V FINAL ADDITIONAL COMAgNTS / 6 Vd • m 4� . z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN-:ALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans _ r z)C.k u_}Le TEL: (631) 765-1802 Planning Board approval FAX (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3 793 Check M0 ,C)Q Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact: Approved 5,20 � Mail to: Disapproved a/c Phone: Expiration / ,20 l�1 Building Inspector APR — 5 2013 APPLICATION 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. 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 pen-nit 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,an regulations, and to admit authorized inspectors on premises and in building for necessary inspections. - OCCUPANCY OR a�� w I11�j l j A (Signature o applicant or name, if a corporation) AWFUL kJgJ i*H� U�a p._b1 1-i i—Kj E 11 iant) State whether applicant is owner, lessee, agent, architect, engineer, general[gTtmc�IBGRT41=kor-builder FEE/ --BYf�F-- �_ Fdt 5- 02 8 AMTO 4 PMFOf TNT Name of owner of premises V �� ��� INSPECTIONS: (As on the tax roll or lateq@UU9pATiON-TWO RPQUIR If applicant is a corporation, signature of duly authorized officer FOR POURED CM CPL FE 2. ROUGH-FRAMING.PL'JIdI:' (Name and title of corporate officer) STRAPPING, ELECTRICAL 3. INSULATION Builders License No. 4. FINAL-CONSTRUCTION & Plumbers License No. MUST BE COMPLETE FOR C 0 Electricians License No. � � �f ALL CONSTRUCTION SHALL NIFET T��,L REQUIREMENTS OF THE CODES OF �„_ Other Trade's License No. . , „ ,gam �„y�„,,,; fi , YORK STATE. NOT RESFb1VSIGLE FOR DESIGN OR CONSTRUCTION ERRORS. 1. Location of land on which t c�propose work will be nw V FF�,L4Q "y I h1 Ouse.Number Street Hamlet County Tax Map No. 100.0 Section Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:7' a. Existing use and occupancy Intended use and occupancy 021__ Q� 3. Nature of work (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 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 NoX Name of Architect Address Phone No Name of Contractor Address Phone No. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B 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, CONNIB D. BUNCH Notary Public,State of New York No.01 BU6185050 (S)He is the 13.ff_ _.-_-. (Contractor, Agent, Corporate Officer, etc.) Commission- Expires A.pr' d� 3 1 2�_ �o 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. Sorl�to before me thi � —�� day of,, 20 )3 r___P _X L 6q /"—(A Notary Public Signature of Applicant Terra Halt A,nnu Telephone(631)765-1802 M75 Maio ltoad CA U �q P.O.-Box 1179 • • roger ric O �.SQLI[rtoRny.us Southold,NY 11971.0959 Q� S/) ..� I ter•. vv .� BUR DING DEPARTNR T TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: CMet-­,2 l Date: -- -- Company Name. u M i Z) Name: ©17 e,t►'�� License No.: Address: Tj0 Phone No.: ; l �O �O JOBSITE INFORMATION: (1nd.icates required information) *Name: �jl/I i�. �LD tJ *Address: tJ 1 G �=� , Nam. �u L GLJ. *Cross Street: *Phone No.: Permit No.: Tax-Map District: 1000 Section: 1 Block: Lot: 0 *BRIEF D CRIPTION OF WORK(Please Print Clearly)/o .�f (' �akAL) is7' a� l G (Please Circle All That Apply) *is job ready for inspection: Y-W NO. Rough In Final *Do-you need a Temp Certificate: Temp Information(if needed) ' �44*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other ;%ew$erviCe: Re-connect Underground Number of Meters Change of Service Overhead Additional Information' PAYMENT DUE WITH APPLICATION tj CA I 82=Request for Inspection Form Town Hall Annex 7f ( Telephone(631)765-1802 54375 Main Road P.o.sox 1179 O rager.dchertdrow 1.SOut11oltl.nV.us Sou fiold,NY 1197I-0959 Q� BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: .�,,D C"' C(� . Date: Company Name: aN j ���", C. Name: =©D e,t r,.E License No.: Address: Phone No.: JOBSITE INFORMATION: (Indicates required information) *Name: ��_T�: ' (� *Address: F" M l *Cross Street: � *Phone No.. Permit No.: aj Tax-Map District: 1000 Section: 11- Block: Lot: _ 'BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES/ NO. Rough In Final *Do-you need a Temp Certificate: YES Term 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 Ov ead Additional Information: PAYMENT DUE WITH APPLICATION 82=Request for inspection Form �� 1 Cif•_,F�c;�_ .. K> 1 a J 47 tv a u fl ' J of L! LIE sr 0 U i _I Y • co m tD t F'i st-ic:Fa } Ni(t'1 f (F-l-•u 6, Pi. FLO Ri-t.tCE ' �R/ i-t-c tip.ot-i j— A-r ` 1 a• 'TpWty P� Oa�Ttar]1_U N.Y 1; I _r C�LJ At+c^N7'ii&'.(� •'rl, -ff-I aC IN Tt���CPv Mt'�( 1lTa,.ri ' i.'+a•Ial:f+.�.�Y d. „•,01[YY�A(:.� C_ir. \wf li 1'1�(: •I C- // J� (" JC.ntik = ^I� ���lr•1 aJ l,]a.G. iAYI�!(L S. (��A/.111 A-� �.lJ fl'V k:'t L:1.] ! U. Itre.N f'fryJ'� I,>7'-t'�� ',a1.lf%�t•(;.Jvt. C =ioN i 1-•1e=G rt•J:te.b 1 n.nJG JVJT,•.4Ye1F