HomeMy WebLinkAbout38074-Z O S1IF Town of Southold Annex 8/29/2013
FQL,f���
P.O.Box 1179
y 54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36476 Date: 8/29/2013
THIS CERTIFIES that the building GENERATOR
Location of Property: 8581 New Suffolk Ave, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 116,14.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/28/2013 pursuant to which Building Permit No. 38074 dated 6/5/2013
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:
accessga generator as applied for.
The certificate is issued to Brush,James&Brush,Nancy
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38074 8/28/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
z` ' TOWN OF SOUTHOLD
o�g11FFOt,��oG
BUILDING DEPARTMENT
y z 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#: 38074 Date: 6/5/2013
Permission is hereby granted to:
Brush, James & Brush, Nancy
8581 New Suffolk Ave
Cutchogue, NY 11935
To: install a Generator a as applied for
At premises located at:
8581 New Suffolk Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot# 116.-1-1.2
Pursuant to application dated 5/28/2013 and approved by the Building Inspector.
To expire on 12/5/2014.
Fees:
ACCESSORY $100.00
CO -ACCESSORY BUILDING $50.00
Total: $150.00
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 2119 of 1% lead. .
5. Commercial building}industrial building, multiple residences and similar buildings and installations,a certificate
of Code Compliaiice-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 Epmpleted 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 eaie 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. y�ay aU/3
New Construction: Old or Pre-existing Building:' (check one)
Location of Property: ' �8/ J u //C_1 .
House No. Street Hamlet
Owner or Owners ofProperty:
Suffolk County Tax Map No 1000, Section ( I (� 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 one)
Fee Submitted: S
Ap icant Sign un
SO�jyo�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • �0 roger.riche rt((Dtown.southo Id.ny.us
Southold,NY 11971-0959
�lyC4UM`I,�ct�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: James&Nancy Brush
Address: 8581 New Suffolk Ave City: Cutchogue St: NY Zip: 11935
Building Permit#: 38074 Section: 116 Block: 1 Lot: 1.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Alan Hubbard Elec License No: 4285-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 14KW standby generator with automatic transfer switch
Notes:
Inspector Signature: Date: Aug 28 2013
81-Cert Electrical Compliance Form.xls
DF SOUjyolo
��'YOOUM`l N�
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 I3 INSPECTOR
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMI NT 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. ��pz� Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O. Application
_ Flood Permit
Examined 20a Single&Separate
Storm-Water Assessment Form
Contact:
Approved 61& ,20 Mail to:
Disapproved a/c 11
Phone:"�Z:�
Expiration 120
C' Building Inspector
I �
1
MAY 2 8 2013 APPLICATION FOR BUILDING PERMIT
I Date o2 , 20/,�3
SLOG.DEPT. INSTRUCTIONS
TOWN U SOUTHOLD
a. its 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 \vork.
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 riot 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, Suffoll: 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, bUllding code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
NCY OR
p (Sir ture of applicant or name if a corporation)
e,4 7el Xlq�t
4 ,C. T e.,. (Mailing address of applicant)
ROT
State whether applicant is owner, lessee, agent, architect, engineer, general coat gt r electrician plurn er or builder
IDATii
OW n C►2 F�-
V�?€f�/�OR;TiI/aErvli
Name of owner of premises . lv �y��� - le Cc S 7tW1802- 8 A-N -r0 4 Pft/l+ �rQCt
As on the tax roll c rRatest de&d T 101RSS
If applicant is a corporation, sinature of duly authorized officer It` � 1'VNO R�q.1,ik.
pp p g )b
(Name and title of corporate officer) ELMTiR,1' &QA,1�
Builders License No. 1. 1 �11®►NI
Plumbers License No. 4. � L
Electricians License No. �� � � �
Other Trade's License No. EL F P,1VZREM'M W1WtM WKEVY
1. Location of land on which proposed work will be done: l�l�y'QA2I0MI� �I10J11 WM
Aeed S u ff--//< 4y f
House Number Street Hamlet
County Tax Map No. 1000 Section Block 0 Lot 1 i rZ
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
b. Intended use and occupancy eiv e2&7-i!yy� �c c -t�� .t�u cr4,16-, �p
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 natui and extent of each type of use.
7. Dimensions of existing structures, if any: Front ear Depth
Height Number of Stories
Dimensions of sam structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new con ruction: Front Rear �� Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase N ne of Former Owner
11. Zone or use district in which premises are sitL lted
12. Does proposed construction violate any zoning la , ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess 1 be removed from premises? YES NO
14. Names of Owner of premises 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 MAYBE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? YES NO X
* 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, CONNIE D.BUNCH
Notary Public,State of New York
(S)He is the No.01BU6185050
I -
(Contractor, Agent, Corporate Ofi�icer, etc.) Commission E;Kpirea Rptil 14. 10_
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
L
Notary Public —� ign Lire of Applicant
'SUFFOLK co m^L ir"-pt :mT.
71154
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REV DATE D N COVFOS TE DIGS.SEC PART NO.FOR REVISION[Evil 5Y IIE, A KOHLER CO METRIC PRO-E
10.24-11 NEW DRAWING 192089-11 DDH 11 N-1 A': poFi.R 6rGT6N4. NOxt FR,n 6)0<4
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8 5-30-12 SEE SHEET 3 OF A. ECT149921 GFR I�N4!ES• s' / ' PRDPEITe AIa vx Sn xC USED EXCEPT1.
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NOTE
DIMENSIONS IN [1 ARE INCH EQUIVALENTS.
A —— A
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<<z 'z 2) EXHAUST IS NOT DIRECTED AT PLAY AREAS, PATIOS OR
OTHER AREAS WHERE PEOPLE CONGREGATE.
B 3) THE NEAREST WINDOW. VENT, DOOR OR SIMILAR STRUCTURE B
m< — OPENING IS AT LEAST 5 FEET FROM THE EXHAUST END OF THE SET.
'a o 4) SET HAS PROPER OFFSET FROM STRUCTURE.
NOTE: 5) WINDOWS 8 DOORS ON ADJACENT WALLS ARE CLOSED.
,Q 1) THE REQUIRED DISTANCE FROM A
,EP STRUCTURE IS DEPENDENT ON STATE AND 6) FURNACE AND OTHER SIMILAR INTAKES ARE AT LEAST 10 FEET FROM
LOCAL CODES. NFPA 37, STANDARDS EXHAUST END OF SET.
FOR THE INSTALLATION AND USE OF 7) WEED BARRIER AND 3 INCH THICK GRAVEL BASE LOCATED TO PREVENT
e STATIONARY COMBUSTION ENGINES GRASS 8 WEEDS FROM GROWING TOO CLOSE TO THE SET.
AND GAS TURBINES, STATES THIS 8) NO PLANTS, SHRUBS OR OTHER COMBUSTIBLES ALLOWED IN
DISTANCE SHOULD BE AT LEAST 5 FEET GRAVEL AREA. (MINIMUM 4 FT. FROM EXHAUST END).
FROM A COMBUSTIBLE STRUCTURE.
2) FOR INSTALLATIONS NEAR NON-COMBUSTIBLE 9) SENSITIVE PLANTS, PATIO FURNITURE, ETC. ARE AT LEAST 8 FEET FROM
STRUCTURE, A MINIMUM DISTANCE OF 18" IS EXHAUST END OF SET.
REQUIRED TO ENSURE PROPER GENERATOR COOLING. 10) REFER TO OWNERS MANUAL FOR OTHER INSTALLATION CONSTRAINTS.
A II) N8 PLANTSOF SHRUBS OR OTHER COMBUSTIBLES ALLOWED WITHIN A
REV DATE ON COMPOSITF DNOS.SEE PAST NO.FOR REVISION LEVEL BY ILtla[I, KOHLER CO METRIC PRO-E
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