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HomeMy WebLinkAbout37810-Z �o�c,�}FFOt,i-co Town of Southold Annex 9/26/2013 Gyp P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36536 Date: 9/26/2013 THIS CERTIFIES that the building OTHER Location of Property: 35 ORCHARD ST.,NEW SUFFOLK, SCTM#: 473889 Sec/Block/Lot: 117.-5-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/14/2013 pursuant to which Building Permit No. 37810 dated 2/14/2013 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: 100a overhead electric service and accessory generator as applied for. The certificate is issued to MICHELE CHAUSSABLE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37810 1/28/13 PLUMBERS CERTIFICATION DATED Authorized Signature suFFncr TOWN OF SOUTHOLD 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#: 37810 Date: 2/14/2013 Permission is hereby granted to: MICHELE CHAUSSABLE P.O. BOX 117 NEW SUFFOLK, NY 11956 To: INSTALL AN ACCESSORY GENERATOR AS APPLIED FOR. At premises located at: 35 ORCHARD ST., NEW SUFFOLK SCTM # 473889 Sec/Block/Lot# 117.-5-32 Pursuant to application dated 1/14/2013 and approved by the Building Inspector. To expire on 8/1612014. Fees: ALTERATION OF ACCESSORY BUILDINGS $100.00 CO -ACCESSORY BUILDING $50.00 ELECTRIC $85.00 Total: $235.00 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$50.00. 2. Certificate of Occupancy on Pre-existing Buildi - 100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. J i ) 3 New Construction: Old or Pre-existing Building. (check one) Location of Property: House No. Street q Hamlet '/fin Owner or Owners of Property: t a ` I Lkp l Q, Cha M;Cl-601 Suffolk County Tax Map No 1000, Section 1 7 3jg Block ) S 3 a Lot Subdivision Filed Map. Lot: Permit No. 0 Date of Permit.J- 11-`3 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: '1/ (check one) Fee Submitted: $ 0=-.'Q Applicant Signature o��pF SO(/lyol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.riche rtRtown.southo Id.ny.us Southold,NY 1 1 97 1-0959 OM NI BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Michele Chaussabel Address: 35 Orchard Street City: New Suffolk St: NY Zip: 11956 Building Permit* 317 8 10 Section: 117 Block: 5 Lot: 32 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 TVSS Other Equipment: 100a overhead service, 7 kw stand by generator with automatic transfer switch Notes: Inspector Signature: Date: Jan 28 2013 81-Cert Electrical Compliance Form.xls OE SO(/l�olo e0y,Nc� fv - 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 I INSPECTOR ZG FIELD'INSPECTION REPORT DATE COMMENTS EOU"AnON(IST) - --- --- --------------------- FOUNDATION(ZND) z ROUGH FRAMING& � y PLUMBING . Cq INSULATION PER N.Y. STATE ENERGY CODE Y FINAL .ADDITIONAL COMMENTS G � o Z . m 0 6- Z z ;. a'` TGWN 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. 37 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 20 73 Single&Separate QStorm-Water Assessment Form JAN 14 2413 Contact: Approved c( ,20, Mail t aa Disapproved a/c jocw BLDG. DEPT. ,. r TOWN OF SOUTHOLD Phone: Expiration /, 20 r Building Inspector APPLICATION FOR BUILDING PERMIT Date 1 11 ) 3 , 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 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. qJ 65 ppU rye, � p (Signature of applicant or name, if a corporation) a t=• n (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eJectr clan, plumber or builder 2 B Y ` OTlll BUILDING DEPARTMENT AT Name of owner of premises {� t � Lk r 1/L�� 01 F1302 g r^�✓I.,, Tr, 4 PNI FOR THE (As on the tax roll or lategodlh�IING INSPECTIONS: If applicant is a corporation, signature of duly authorized officer 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE (Name and title of corporate officer) 2. ROUGH-FRAMING,PLUMBING,STRAPPING, ELECTRICAL&CAULKING Builders License No. 3. INSULATION Plumbers License No. 4. FINAL-CONSTRUCTION &ELECTRICAL Electricians License No. I nor MUST BE COMPLETE FOR C.O. Other Trade's License N ti ALL CONSTRUCTION SHALL.MEET THE �pv�g tzztw r L � ? REQUIREMENTS OF Ty,- C:!DES OF NEW YORK STATE n10T RESPONSIBLE FOR 1. Lq ation of land on which proposed work will be done: DESG O IF,CEFdRORS. House Number Street Hamlet County Tax Map No.`1'000 Section 47 33 BB Block � � � * � � Lot � � Subdivision Filed Map No. Lot r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Y C S-1 ck� r o b. Intended use and occupancy Il 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work-NS'fA(-_ (Description) 4. Estimated Cost �'� o Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units I 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 5"6 Rear S O Depth -D;b ' Height 30 ' Number of Stories `?- 8. Dimensions of entire new construction: Front Rear---- Depth Height Number of Stories --- 9. Size of lot: Front l 5 Rear A 6 Depth � S� 10. Date of Purchase I Dj-7 Name of Former Owner N Cl W O (y\i2AV0_'L--L 11. Zone or use district in which premises are situated `� 2 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 this property? a` YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY Oro . 1 —h7i A ri_S S a�i� / being duly sworn, deposes and says that(s)he is the applicant (Name of indivi ual 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 to before me theI /! day of_.lqu'�r.�a� 20 / JANETV.STEWART NOTARY PUBLIC STATE OF NEW 0 SUFFOLK COUNTY f C- NO-524M3486\' v �C Notary Public Comm.EXPIRESNovombor30 Signature of Applicant i' *OF 300, Town Hal!Annex Telephone(631)765-1802 54375 Main Road (631)765 g5Q2 P.O.sox 1179 G roger.richert own.soutlloltl.nV.us Soatla0id,NY 11971-W59 C4UIIj'l.� BUILDING DEPARTMEW TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION L Q REQUESTED BY: —qaj b Date: company Name: Lo : �-� - Name: 'j ©D License No.: Address: Phone No.: JOBSITE INFORMATION: (Indicates required information) *Name: /Y�/G Z cx/00 E,5-A �2— - *Address: S72<ZZ;-r *Cross Street: .w L i . N,1'' 19 *Phone No.: Permit No.: Tax-Map District: 1000 Section: Block-_ _ Lot: 3 *BRIEF DESCRIPTION OF WORK(PI ase Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: <Ji�_ NO Rough In Fina ( Do-you need a Temp Certificate: NO Temp Information.(if needed) *Service Size: 9 Pha 3Phase Cjgp 150 200 300 350 400 Other 'New Service: Re-connect Underground Number of Meters Change of Servic Overhead Additional Information: PAYMENT DUE WITH APPLICATION LAI 11'ei/;-G_ 7 /(w 82=Request for Inspection Form 1 o��OF SC��jlyo Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q roger.richerte 0 1.SOult1016.ny.us Sou old,NY 1197I-4959 VV1Ii�1►, BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: j / Date:8 Company Name: U,Lo Name: ,j ©0 License No.: (Vj, Address: / j jf_�_ !,( ��Z �1_ J 1 Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: ��— *Address: ,PG ,q-�LjJ S-72�sT *Cross Street: !� L / , N 1', 19 *Phone No.: ' Permit No.: .3 rig Tax-Map District: 1000, Section: Block: — Lot: 3 2 *BRIEF DESCRIPTION OF WORK(PI ase Print Clearly) H 5�71 cS � /Ns7f��C 7 ' .(Please Circle AN That Apply) � *Is job ready for inspection: �NO. Rough In Fina ( Do-you need a Temp Certificate: NO Temp Information(if needed) *Service Size: 1 Pha 3Phase 100 150 200 300 350 400 Other .. *New Service: Re-connect- Underground Number of Meters Change of Servic Overhead Additional Information: PAYMENT DUE WITH APPLICATION eq B2=Request for Inspection Form G PEOONIC SURVEYORS, P.Co P.O.Box 909 1230 TRAVELER STREET SOUTHOLD,N.Y. 11971 631-765-5020 • FAx 631-765-1797 John T.Metzger,L.S. February 4,2013 RE: 35 Orchard Street New Suffolk,NY 11956 Ms. Michelle Cusumano To Whom It May Concern: Please be advised the generator located on the above property, SCTM# 1000-117-05-32, is at elevation 7.2 NAVD 88 and is shown in FEMA Zone X as designated on FIRM 36103C0501H. Sincerely, John T Me Peco ' �• -:� t•S. Y 7a-.J .7'+F' .ram'� / l Lc d.— v ' `c.l v V •.J. _ :']ti."T • +'�G i'• - 0. _-w�:. .;�,`j.a�'�`:'�:L 6 � ! l :Y"S l,• Y lii.� vy"v, ], -q 47 Oxfs 3. Ar- ILJ "n .{ ^. � •�-:.`=-l�� al '407 BEARING 'V.`a.`i.k./ SEAL OR i 'CONSIDERED 'N SHALL RUN 'L-' `--+� •-� I ii ' OM THE SURVEY \LF THE kL GEWr AND :U ;YEOP4 `^ 'IINGlNS71- - :: i �`' Y� .l�L .it i•i� ,st�,'1k'A:Y••y•-�7, i TO ANSIZpAgU ., =A ."U ;�, �' '�• E3rr.`v'-- "";-�:-*� . �aL.� -.�;- ��.`+•-w �. � .r.., •- ;$. .• .. •t1:-i•. .e::•'•�"a'.' •I�: Y.-sxjr k�f.!?'' _�,'T^". � _1� eI; ZONE AE r ZONE X SPECIAL F JOINS PANEL 0163 140 0 : 72°28'07.5'; BY THE 10/ 41°00'00" The `' �,> WICKS �. �` .. � ' s'•r ! � . a •' ; STREET `- F chance of being flood (100-year fl • equaled or exce, 3 a ZONE;AE• 'i •. ar ea rea subject m flooding by the 1' . < . •° °� «, � sQMIT OF�MODERATEz Zones AE, AH, AO, AR A99, r, « "GRATHWOHL ROAD f` OZONE X 1/UAVE�Ar¢CTI el o � z ) ON elevation of the 1/o annual chance ROAD't ZONE A No Base Flc .. . .• • a �-- ' ; ,ZONE,X ZONE AE Base Rood . . .' aa•a � � r , '�.� e Z rn LIMIT OF MODERATE,< .. ,'j° ' ' � ZONE AH Flood de OAD c Relations HILL e ZONE AO • R �, _. o : �,. Flood dep r' �. cledetermined• ° ' ZONE AE 7 ° -ZONE AE' ZO o w�, ZON ZONE AR < a , ,�• E'X v EVE dial FI �O,p A, (EL8) flood by a f Indicates t ZONE X Protection $ �FST GEORGE ROAD ��, �� CUTCH�GU�' ZONEA99 Area t0 be protection ' • `" determined � ZONE X '� ` - ZONE AO zoNEv Coastal fl •• >.� (DEPTH 2') B elation da p • FANNING ROAD + & • � `) ZONE VE w Coastal fl .� r � e Be✓atiOns f y .' j "`�0 ` ... ZONE AE (EL6 ® FLOOD • ) WAY The flOOdway is the channel of a sk } - s. _ _ _ _ •, _ - -C r r�T -t- 1� of acroachment so that the 1/ r � in flood heights. ORCHARD - t J ET; (DEPTH OTHER FL C7 < LI STRE $ i � ZONE X M T O IF M'�Df=RHi�� average age de 9 , ° . , WAVE ACTION 1 are C;` Ee < _ square mil 1 c"`E rrT -,� 45 OOOm OTHE R A • _ � M.r ��� i m ZON _ E X Areas dF# ZONE%AE s : . EL ) KU0120 ZONED Areas in . N 1 W i s C1 K . . c COASTAL • •' c ,, ` �` OTHER WLS a _ .^•• jA srREE! f � •.`Dn s'� • CBRS areas and CPAs are normal , •a, IMOGENEN aNT - E �'••.•r.. xROAD ` 0 • . •, ZONE X - '?4 AE — — ICU _ V,E IFKIMOGENEN , r 513- B (EL 987) in Home Generator Systems ' r s 24 fjI k -41 I K 7kW Autornati� Horne Generator Systems Don let its size fool you!.Thanks..to a space saving design and a Briggs` • . &Stratton engine-, our AW home . a y generator proves big power can come a>. in a small package„riggs &Strat B ton automatic home. "generators provide permanent, backup protection from power outages for your home, and your family. Briggs &Stratton has been providing reliable engine power for close to 100 years. Trust the,power experts at Briggs &. 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IL Circuits I - NEMA 3R, 10100 — (� List ed ---- - = 50A�—__._ —Service Entrance Disconnect* i — — — No —Dimensions(L x W x H]�+ 14.5 x 5.4-x 29.2- Weight I, 30 lbs. *Review local codes to determine if a transfer switch with separate service entrance disconnect is required. .c- F G AVAILABLE ACCESSORIES :1=1l!j I III 4yk-iAi111IfAPJAILT11 • • $I�e��71A:7[IY�f�G]•7 � .■ ■ tT1111f���111_1d_[��:d 1f■■ ��■I I�kL - . .. . .. . . rmrr. villa mimiiaii BRIGGSESTRATTON POWER PRODUCTS GROUP, LLC BRIGGS&STRATiDN POST OFFICE BOX 702 MILWAUKEE, WI 53201 USA HGS0007 2-1/1 2 Copyright©2012.All rights reserved. THE POWER WITHIN"