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HomeMy WebLinkAbout38273-Z ��uEFOj,fr� Town of Southold Annex 9/20/2013 �Q Gy P.O.Box 1179 co 54375 Main Road '�^ • Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36455 Date: 9/20/2013 THIS CERTIFIES that the building GENERATOR Location of Property: 1215 Country Club Dr, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 109.-3-2.31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/15/2013 pursuant to which Building Permit No. 38273 dated 8/21/2013 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: accessorygenerator as applied for. The certificate is issued to McCullough,Linda (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38273 9/10/13 PLUMBERS CERTIFICATION DATED Authorized Signature SUFrntx_ TOWN OF SOUTHOLD �o� Camay BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o� • a� 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#: 38273 Date: 8/21/2013 Permission is hereby granted to: McCullough, Linda PO BOX 794 Cutchogue, NY 119350794 To: Installation of an accessory generator per manufacturer's specifications as applied for. At premises located at: 1215 Country Club Dr, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-3-2.31 Pursuant to application dated 8/15/2013 and approved by the Building Inspector. To expire on 2/20/2015. Fees: ACCESSORY $100.00 CO -ACCESSORY BUILDING $50.00 Tota . $150.00 Building Inspector f 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 1. 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: CA U_)b V House No. Street Hamlet Owner or Owners of Property: L-1 i1 CQ o MQ_L O LL Suffolk County Tax Map No 1000, Section Block 3 Lot o2 Subdivision 2 �+ ? Filed Map. Lot: Permit No. 3 p a Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: check one q p y ( ) Fee Submitted: $ 5 Q .� Applicant Signatur �O'of SO(/j�olo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.riche rtCaD-town.southo Id.ny.us Southold,NY 11971-0959 COUMY,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Linda McCullough Address: 1215 Country Club Drive City: Cutchogue St: NY Zip: 11935 Building Permit#: 38273 Section: 109 Block: 3 Lot: 2.31 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: DLT Electric License No: 4966-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 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 11 Twist Lock Exit Fixtures 11 TVSS Other Equipment: 20KW stand by generator with 200a transfer switch Notes: Inspector Signature: Date: Sept 10 2013 81-Cert Electrical Compliance Form.xls SOUTyo� V , TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) C)I-ELECTRICAL (FINAL) REMARKS: DATE INSPECTORY� • • .' IVIlVlENT3 ' FIELD WM �N- POA'r DATA CO 6ro FOUNDATION(IST) � FOUNDATION(2ND) a � �i �C4 ROUGH FPAAMQ& PLUMBIl�iG � c INSULATION PEIt N.'Y'. H STATE ENERGY COME M FINAL , rV L-L ADDITIONAL c0MYMNTS G g VD f 2 !G G !3 Q O • m ------------------ s 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 SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees r Flood Permit Examined 20 l Storm-Water Assessment Form jj Contact: Approved 1 20 , / Mail to: P1 0, 49-1 Disapproved a/c I.i as--© i J Phone: 631 '1 15L46�_Q 6 S7- ((( Expiration 120 �- Building ns for APPLICATION FOR BUILDING PERMIT AEG 1 F 2013 \ /� , 20��`�Date INSTRUCTIONS . BLDG DEPT. L a. Tlq�i;fgpan 'o � completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 se , 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ) 1� Od) (As on the tax roll or latest If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section i O9, Block � Lot Subdivision Filed Map;No._ Lot /�6' 2. State existing use and occupancy of premises and int nded use and occup cy of proposed construction: a. Existing use and occupancy ( �e p�— b. Intended use and occupancy e S 6'��41G ' Ylc_r Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work �-_ (-- 'oa© (Description) 4. Estimated Cost Fee �\ (To be paid on filing this application) 5. If dwelling, number of dwelling units Nuipber 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. Dimensionslof 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 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. 18. Are there any covenants and restrictions with respect to thi's 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, (S)He is the (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 o before me this day o R 20 _ c Notary Public VIC OTH Signature ofApp ican Notary p is of Now York QuaVW f Suffolk Counttyv QQmmISShn Dnims lulu aQ 4tt paa Town Halt Annex Telephone(631)765-1802 54375 Main Road (631)765- 51�2 P.O.Box 1179 G Q roger.rlctlert .1'o`wnsout�io d.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT ` TOWN OF SOUTHOLD ' APPLICATION FOR ELECTRICAL INSPECTION ' REQUESTED BY: Date: !G Company Name: ;.. Name: ✓ c� ': i License No.: Address: VM6 R® © / Phone No.: 6% JOBSITE INFORMATION: (*Indicates required information) *Name: l *Address: *Cross Street: *Phone No.: Permit No.: --- Tax Map District: _ 9 000 Sectiow-Laq.00 Block r, _ Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 20 kAl i (Please Circle All That Apply) *Is job ready for inspection: YES ir%[D�l Rough in Final *Do-you need a Temp Certificate: YES Temp Information(If needed) I .. 'Service Size: 1 Phase Whase 100 150 200 300 350 400 Other I . *New Service: Re-connect' Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION zz/, .82=Request for Inspection Form B- ZZ- 13 Town Hall Annex Jlir Telephone(631)765-1802 is 54375 Main Road N (631)765- 5 2 P.O.Box 1179 G Q roger.richerte �'o`wn.soutfioQd.ny.us Southold,NY 11971-0959 �O BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ��� Date: !G Company Name: Name: / i License No.: f Address: 0 ' Phone No.: o JOBSITE INFORMATION: (*Indicates required information) *Name: O ' *Address: ve I� S *Cross Street: ! *Phone No.: 6 I Permit No.: c a - Tax-Ma District: 1000 Section:p �00 Bloc lc Lot: ()o C *BRIEF DESCRIPTION OF WORK(Please Print Clearly) O �/ r di Piil,C (Please Circle All That Apply) Is job ready for inspection: YES ANC�� Rough in Final *Do•you need a Temp Certificate: YES Temp Information(if needed) *Service Size: 1 Phase . 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number i g . ber of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION .20 kV o v e 241 Al .82=Request for Inspection Form I I i L�189.50 - N.790 55'10"W �389.60 WZ 2No- Q R=25.00 0 `I L=37.24 V) O 3� Q w gyp° O O • Z � > U} J� Q Q Oyy\ z S 1 O 0 ;v Z Y O WELLIAlG - OJZ dry' ,M - Q. 9 <0 11/ 0 0 o F _j S O� 90 ON \ �4�. .(\ <,o \T• / yy�/ 0, o \ �o O O�O O,\ s ; DnO ��.' _ •• 'F .}«_-.,.i a,?S «",ti'#' _._ _ _ ;,�raw-a:,.:y,'hl:ai..dtiv .'.sek3�.,;, G2. y 01 kt, 1101 oNov. 41 00 Si:r'411{;;LS EUFr=OLK Cif NT'v ?'F1,RTMENT FAMILY DWELL114C C:q VURVEY FOR low H.D. REF. NO.H.D. W BER LOT 10,"C UNTRY CLUB ESTATES " MAY 9,1985 NOV.2l,1986 DATE '�V 1 AT. CUTCHOGU DATE JAN 4, 1985 —EaF EAU IOLD SCALE'1"-- 50' THE SEWAGE DISPOSAL AND WATER SUPPLY I=ACII .IfNU F�� r PUN Y NEW PORK No 84- 1.323 LOCATION WAVE BEEN INSPEe i i:J BY 7 ;;j !ii.. ' .• ' `. ��" e FOUND TO E SATISFA Tp y' �I I FIViIZEAO.ALT RATION OR ADDITION TO THIS Pt6 OF NFL, �. SURVEY aA.VIOLATIO OF SECTION 7209 OF THE C�1 {J" NEW'f PORK STATE EDUC!AYION LALAW 1 COPIES OF-THIS SURVEY NOY BEARING THE LAND J INKED S4AL OR EtIBOS3ED SEAL SHALL Q O t f o6 lNasteW8t4r �/Jst1�a�,;;t„�;)� M)T-4E CONSI ED TO aE A VAL10 TRUE COPY � G XGUNRANTEIES INDICATED HEREON SHALL RUN ONLY TO Z HEALTH DEPARTMENT-DATA FOR APPRO THE PERSON FOR WHOM THE SUMICY 19 PREPPREP � RYf"MF'tYf3'�EI4AlF 40 THE TITLE COtsP,ANt,Gp:'rxtN- U NEAREST WATER MAIN—MI a NSOURCE OF WATER: PRIVATE X PUaL.IC_ MENTAL AGENCY AND LENDING INSTITUTION LIfiTED D 9UFF CO. TAX MAP OIST I,QOO SECTION IDS—I LOCK_0-4-LOT 2.31 , HEREON.AND TO THE ASSIGNFF.S OF THE I_ENVIAG IeTHEINS Tilt I1Cf& GUARANTEES ARE N,^)y 1P!^ :f_::1,0,E CIHE9 ARE NO E SHOWN WITHIN 100 FEET OF THIS PROPERTY TO ADDITICNAL INSTITUTIONS ON SUOS:CU lNr !� N4, 45893 LINER THAN THOSE SHOWN HERfOt*% O Ii THE WATER SUPPLY AND SEWAO£ DISPOSAL SYST£19 FOR THIS RESIDENCE WF1F_RS OISIANCES SHOWN HEREON Ft30t:; hI:^P(:^T`•' LtPaES ;':ILL CONFOOM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE F(I`I A �"L:11';C G;HEALY" SERVICES. PURPOSE AND ARE NOT TO LE USED T'.', C;);-LICANT- PROPERTY LINES OR FOR THE ERECTIOP C? t CFXZ:S ADDRESSOSTRANDER VENUE YOUNG / ---•— A l TEL I O U N G a YO U i V G RIIVVERHEAD, NEWAYORK NOTES: ■=MONUMENT$ ,=STAKE ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON OCT 17, 1978 AS FILE NO.6736 AND LAND SURVEYOR N Y_S.LICENSE NO.12845 HOWARD W.YOUNG, LAND SURVEYOR #THE LOCATION OF WELL(W),SEPTIC TANK(ST)&CESSPOOLS(CP)SHOWN HEREON L14N.Y S.LICENSE NO 45893. ARE FROM FIELD OGSERIAATION3 AND OR DATA OBTAINED FROM OTHERS BRANDIS & SONS INC. 1046