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Home My WebLink About37744-Z `S11FF0(��, Town of Southold Annex 11/8/2013 P.O.Box 1179 54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36602 Date: 11/8/2013 THIS CERTIFIES that the building ALTERATION Location of Property: 15437 Route 25, East Marion, SCTM#: 473889 Sec/Block/Lot: 23.4-6.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/1/1900 pursuant to which Building Permit No. 37744 dated 1/11/2013 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: alterations to an exitisting single family dwelling as applied for. The certificate is issued to de la Vega,Frederick&Higgins,Lawrence (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37744 9/12/13 PLUMBERS CERTIFICATION DATED 10/14/13 Mattituck Plumbing A ed ignatur �giiFFot,r�, TOWN OF SOUTHOLD jo �ay� BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • 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 #: 37744 Date: 1/11/2013 Permission is hereby granted to: de la Vega, Frederick & Higgins, Lawrence 344 W 23rd St New York, NY 10011 To: Alterations to an exitisting single family dwelling as applied for. At premises located at: 15437 Route 25 SCTM # 473889 Sec/Block/Lot# 23.-1-6.1 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 7/13/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 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 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 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: 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 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$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 $15.00 Date_ ( 19_ 'Z-) New Construction: Old or Pre-existing Building: P---- (check one) Location of Property: House No. Street Hamlet ,vP Owner or Owners of Property: '�, 1Y IA \ Ci� / L ��t S Suffolk County Tax Map No 1000,Section 2.3 Block Lot Subdivision Filed Map. Lot: Permit No. 2 t- 1- Date of Permit. Applicant: Health Dept.Approval: � Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ A p cant Si na ure SO�jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 117 �� roger. Southold,NY 11971-0959 riche rt(a-town.southo Id.ny.us �' C4UNTl,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Fred DeLaVega Address: 15437 Route 25 City: East Marion St: NY Zip: 11939 Building Permit#: 37744 Section: 23 Block: 1 Lot: 6.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Ice Electric License No: 4586-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 16 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 4 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 24 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 1 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 11 Twist Lock El Exit Fixtures TVSS Other Equipment: 3-paddle fans. 1-exhaust fan Notes: Inspector Signature: Date: Sept 12 2013 81-Cert Electrical Compliance Form.xls .r.'Hall, 53095 Main Road Fax (631) 765 P O Box 1 179 Telephone (63 1) ��•.• .•. New York I4971.0959 •• ti BUILDIN(7'DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: �� Y Building Permit No. . 37r744 0��•ner: LAw�cn�>• N•��.�i n5 .. .��• Plumber; (Please print)• I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plum Ignature) Sworn to before me this •i, It j.1y of �� , 20� i-; DENISE KING _ Notary Public, State of New York Registration #011<16041757 Qualified in Suffolk County _.._..._._.__..._....__.___„..,...._._.._. _.. ,__._- .._:._. My-Commission Expires May 15,2 /__._.. . Al .Votary Public; • County • r OF SO�jyo�o 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 INSPECTOR ` ` OF SOUj�o� coulm, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTp ON [ ] FOUNDATION 1ST [ ROUGH PLEG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: - DATE INSPECTOR /�� cOUMY,N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION i ST [ ] R GH PLOD. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUC�, H) [ ] ELECTRICA REMARKS: �� f DATE ��' ` INSPECTOR OF SOUjyolo ` coutm,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] 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 INSPECTOR<!r 377 q SO(/ly0 �ycou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I ATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: C d DATE f� 3 INSPECTOR FIELD INSPEC'1`XON REPORT DATE COMMENTS FOUNDATION(1ST) FOUNDATION(2ND) 1T i UQ . 1 H ROUGH FRAMING& y PLUMBING -7� 7-0 INSULATION PER N.Y. H STATE ENERGY CODE r r Y FINAL ADDITIONAL COMMENTS (b ems. z e 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. � � Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined lit ,20 /3 Single&Separate Storm-Water Assessment Form J Contact: Approved 20 /j Mail to: Disapproved a/c Phone: �1�•3s33-59g� Expiration ?h5 20_jy / _ 8bikhrig Ins ctor CE E PPLICATION FOR BUILDING PERMIT JAN — 9 2013 Date l , 201'7. INSTRUCTIONS E3LDG.DFPi. a. This applidfifib }1V1lD1CT 1 pletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ohplrn� , 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 wort: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 5ironths from such date. If no.zoning aniendnaents 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) ' �o Lek t�tS3 �1 S 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 F— v be L^ Var^A 4 _z AAtcy, nAS (As on the tax roll or latest deed). If applicant is a corporation, signature of duly authorized officer M,e-,2.IL V'��ecA<1,A ,,J (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: House Number Street Hamlet County Tax Map No. 1000 Section Z3 Block Lot_LA 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 ��g� �- 6•,L• b. Intended use and occupancy �S'l �"T1 Qt. 3. Nature of work (check which applicable): New Building Addition Alteration ✓ Repair Removal Demolition Other Work (ntTp1L It,2 gg,.l6VAMe,.rs (Description) 4. Estimated Cost boy oa�� Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor /�/s� If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. &1A 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Z 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 '�S�t- 1r1. 2 3 R'DgT 14. Names of Owner of premises , bF—i:.:a,VE Address AF' RH fb Phone No. Name of Architect Address t4(511 Phone No Name of Contractor ►,.6 Address ?a,8ats 1453 Phone No. �� •531� 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES_V'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) r SS: COUNTY O1U_ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract above named, CORIRlIE D. BUNCH Notary Public State of New York (S)He is the No.01666185050 Qualified in Sqffolk Cum ty (Contract , Agent, Corporate Officer, etc.) Cormrnission'E=xpires April 14,2_oAo 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. Syron o before me this day of , GO CN 20 1c)— / V Notary Public Si nature of Applicant • ��pF SD�ryo Town Half Annex 41 Telephone(631)765-1802 54375 Main Road (681)76595,76 P.O.Box 1179 G roger.richert own.salft .ny.us Sontfiold;NY 11971-0959 Q • Y� BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: AS, Date: Company Name: �c Name: License No.: Address: �'r- Phone No.: JOBSITE INFORMATION: (*Indicates 7,, iced information) *Name: %'/P� �c' *Address: /S r/ *Cross Street: &IWAO& Cis, 4%orCk . *Phone No.: 63/ Permit No.: -7? ' Tax-Map District: 1000 Section: Block:_ Lot: , *BRIEF DESCRIPTION OF WORK/(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: NO. Rough I Final *Do-you need a Temp Certificate: YES4!a O Temp Information Of needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of �ni � verh�ea a f Additional Information: PAYMENT DUE WITH APPLIC TI 1-4 MAR 19 203 V BLDG. DEPT. 82=Regtiest for Inspection Form � "�SY (� _ TOViN OF SOUTHOLD • �j�G�UO� /ylf�l/v��IZ�f�"��S S,�'E?C:i�irC�77��i7S �.� � ;c� EELECTAICAL APPROVED AS NOTED DATE: i/ /� B.P. FEE: 76)0 BY: NOTI BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE OCCUPANCY ®� FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED USE IS UNLAWFUL FOR POURED CONCRETE 1�,. 2. ROUGH - FRAMING &, PLUMBING WITHOUT CERTIFICATE 4. FINAL - COONSTRUCTION MUST OF OCCUPANCY BE COMPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. r e R��2 SLIDINS DOCK ' MASTER BEDROOM \\ r� BEDROOM M RFY) NEW GL05ET UNDERNIT.SINS, ° I -- 1-1/4°STONE SLAB, WDOD GAB BELOW � I GL05 GLGS BATH MASTER DRG5Iu6 BATH -ROOM (TILE R J WOE)FLF) m IV m1RlTY ---- UNDERAIT.TUB SECURITY f32'X669,1-I/4' STONE SLAB R54G 2-IIMOOWS ° I r STAFRHAL — I I N�y sH®.vrs ri) HALF MALL f m � CA 1H6A17 i 2ND FLOOR PLAN - PROPOSED __.__....._._.. .._. . _.-_- Au ��►a5 .?.,oGw , ks -T4u;G H10 INS / DE LA VEOA RESIDENGE SGHULTE PARK ARGHITEGTS DEGEMBER 3, 2012 212-242-6852 PEGk MASTER BEDROOM BEDROOM El BATH GLOS GLO5 BATH BEDROOM E LL ! - ------------- 5TUDY i 2ND FLOOR PLAN - EXISTING _-..:._._..__...-----..-.. . HIC70INS / DE L4 VEC5A-RESIDENCE SCHULTE PARK ARCHITECTS DECEMBER 3, 2012 212-242-6852 i VELK MOVE i 2No PLOOR AEU& LIM&ROOM t N�i��1_4 t'��V� FMUR B®ROM t a' eC'dm to LAO P� unliff ROOM OM Ma S � WALK-IN GA5 _3�'-�� HI661N5/PE LA MEGA RE51PENGE EXISAN6 FIR5T FLOOR PLAN 5GHULTE PARK ARGHITEGT5 JULY 21,2011 1694 9.f. 212-242-6852 a