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HomeMy WebLinkAbout38318-Z guFFOt,� Town of Southold Annex 11/19/2013 P.O.Box 1179 x 54375 Main Road oy �g Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36611 Date: 11/19/2013 r THIS CERTIFIES that the building GENERATOR Location of Property: 390 N Sea Dr, Southold, SCTM#: 473889 See/Block/Lot: 54.-5-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/4/2013 pursuant to which Building Permit No. 38318 dated 9/13/2013 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 Belica,Paul&Belica,Deborah (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38318 9/24/13 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . 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#: 38318 Date: 9/13/2013 Permission is hereby granted to: Belica, Paul & Belica, Deborah 129 Kilburn Rd Garden City, NY 11530 To: install an accessory generator as applied for At premises located at: 390 N Sea Dr, Southold SCTM # 473889 Sec/Block/Lot# 54.-5-18 Pursuant to application dated 9/4/2013 and approved by the Building Inspector. To expire on 3/1512015. Fees: ACCESSORY $100.00 CO -ACCESSORY BUILDING $50.00 1 Total: $150.00 1 Building Inspector t Form No.6 TOWN OF SOUTI]OLD 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 I%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 lnspector`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- $106.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 .5. Temporary Certificate of.Occupancy-Residential $15.00,Commercial $15.00 Date. New Construction: ev C;�,,-�Old or Pre-existing Building: (check one) Location of Property: �� House No. Street Hamlet Owner or Owners of Property: p Y: Suffolk County Tax Map No I 000,'Sectio n 5�7 'Block O Lot ` Subdivision Filed Map. Lot: Permit No. �' � ( K —Date of Permit. `�'/ 3 " /3 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board-Approval: Request for: Temporary Cerfificate• inal (check one) Fee Submitted:$ ��Z App scant Signature O��pF SOUryol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �o roger.riche rt(D-town.southo Id.ny.us Southold,NY 11971-0959 olyC4U ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Paul Belica Address: 390 North Sea Dr City: Southold St: NY Zip: 11971 Building Permit#: 38318 Section: 54 Block: 5 Lot: 18 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC'CODE Contractor: DBA: Custom Lighting of Suffolk License No: SITE DETAILS Office Use Only Residential X Indoor 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 HTwist Lock Exit Fixtures TVSS H 11 Other Equipment: 20KW stand by generator with 200a transfer switch Notes: Inspector Signature: ,tom _ Date: Sept 24 2013 81-Cert Electrical Compliance Form.xls OF SOUTyolo 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) ELECTRICAL (FINAL) REMARKS: DATE �`t` f INSPECTOR t FIELD INSPEMON REPORT DATE COMMENTS FOUNDATION(1ST) (yl FOUNDATION(ZND) � O ROUGH FRAMING& y PLUMBING � r A ro 1 OVI� INSUL•ATION PER N.Y. H STATE ENERGY CODE O - G FINAL ADDITIONAL COMMENTS _ i - Town Hall Annex 1 Telephone(631)765-1802 54375 Main Road , P.O.Box 1179 G Q roger.richert dtaown.so 6ulgl5o9d ny.us Southold,NY 11971-0959 �O r �yColl BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION' REQUESTED BY: G�' Date: 611,7Zw_7 Company Name:. Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: �i` �.�/ ��•. *Address: *Cross Street: *Phone No_: Permit No.: I g Tax-Map District: 1000 Section: Block: Os Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YES/ Rough In Final *Do-you need a Temp Certificate: YES J� Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 30 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION .82=Request for Inspection Form T%L Q TJN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? OWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. 3K 3/ 9 Check f©O -�- 15-0 Septic Form N.Y.S.D.E.C. Trustees Examined ff, 12013 Contact: Approved 20J'�' Mail to: - z, Disapproved a/c j Phone.�/� 44,12 .3/7q F � E uilding Inspector S - 72013 - EP APPLICATION FOR BUILDING PERMIT BLDG.DEFT. TOWN OF SOUTHOLD Date , 20 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 a Certificate of Occupancy is issued by the Building Inspector. 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 ari irr,bu[ld,in,g;for.iiecessacy inspections. v. S a `agg�l��d �1 (Sign a re of applicant or name, if a corporation) F �� .'° (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generAM 4t&r,,electrician, plumber or builder ae��—#-ne el a✓ DATE' "OBB.P k--. l S/ FEE: /072. —BY— Name of owner of premises (as on tN4 tax 4 PNi FOLLOWING INSPECTIONS: If a cant ��Woration, si ture o duly autho ' d officer I• FOUNDATION-TWO REQUIRED FOR POURED CONCRETE ROUGH-FRAMING,PLUMBING, (Name and title of c rporate officer) STRAPPING, ELECTRICAL&CAULKING 3. INSULATION Builders License No. d9_ 4. FINAL-CONSTRUCTION &EUEC T Rlur- MUST BE COMPLETE FOR 0 Plumbers License No. AU CONSTRUCTIC'. REQUIREMENTS OFr Electricians License No. PORK STATE. NOT REAP .1.BIBLE FrP DESIGN OR CONSTRUCTiOP. .=F:RO,= Other Trade's License No. ELECTRICAL 1. Location of land onA which !!proposeed�work will be done: / INSPECTM E U� D 10 `) /Yd,/'R Sp,2 V✓ "--e K.G(C House Number Street ,l,hamlet County Tax Map No. 1000 Section -Block "DSO""'`"'`' - - Lot_= Subdivision Filed Map No. Lot— (Name) 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 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 St Dimensions of same s ure with alterations o ;ddr: Front Rear , Depth Height Numb r of Stories 8. Dimension of en 're new st cti o Rear Depth Height NVnber of Stories 9. Size of t: Fro t Rear epth 10. Date of urchase Name of Former ner 11. Zone or us district in which premises a ated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded Will excess fill be removed from premises: YES NO 14. Names of Owner of premisesliLov Address 99d &Aaf,,I, V,,,_,Rhone No-e! V Name of Architect Address Phone No Name of Contractor,,_T `•� Addres a i„D /��9 Phone No./7/ 2 7D2 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant ame o individual signing c ltract) 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 this day of 20 l Notary Public SANM:i.8SRRY ignature of Applicant t4dary pjg*,Stain of Novi Yak W.n16S46946M .� pwlifielt ko SuEfottcCount T-.m Oftes D.MMW 31 S.C. TAX No. 1000-54-05-1 8 SCALE 1 "=40' MAY 1 1 ,. 2010 NOVEMBER 3, 2010 STAKE SANITARY SYSTEM WALL �\ \ srT MARCH 12, 2011 STAKE EAST PROPERTY LINE, WALK RADIUS &�BE JQo� , �� OCTOBER 5, 2011 FINAL SURVEY ` 'E' ti \��`�:�� so• CERTIFIED TO: Q 2 p < S6, AREA = 42,598 sq. ft. CI PAUL BELICA �b 4 ego a m°C� ��\ Y y���� �,�� F DEBORAH BELICA as SEPTIC SYSTEM TIE DISTANCES �`� Ry�o \ •a a9t A °2° C COVER HOUSE CORNER"A" HOUSE CORNER"B" HOUSE CORNI �/. s SEPTIC TANK o�0cy OSsp y�F� oa�ov� JJ• ph�hq OUTLET COVER 35.5' 30' S p, INFILTRATION CAMBER �,c• v <. °� ��h. �o°° O°y ?J. CORNER 1 33' 28' 28' .�22 Sp `��i�, e°Qg4 ry�ryy �Ja ' F,�o`` ,�°o�- se>. INFILTRATION CAMBER, 2 J o �?. y o 37' 28' 28' v> Q Q4 J y a°o CORNER 2 INFILTRATION CAMBER CORNER 3 35' 33' 33' INFILTRATION CAMBER 40' 36' 36' OOD CORNER 4 ?. 0 STEPS p Gf ,ypl, 5.8 f Sl DO 6� PREPARED IN ACCORDANCE WITH THE MINIMUM �j� 'ps 0QP ry0, STANDARDS FOR TITLE SURVEYS AS ESTABLISHED °2° N C O• FORTHE L A LL.ES�.gAyNB'AP1 PRROVED K AND AADOPTED D 41 ° ROL't'O TITLE ASSSO 'e") �"q'^ w NIF 4- VIP N.Y.S. Lic. No. 50467 �O' VP� Nathan Taft Corwin III UNAUTHORIZED ALTERATION TI ADDITION ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Land Surveyor EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR Ri�j nD0 EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. sue. �t�0 ODD Successor To: Stanley J. Isaksen, Jr. L.S. CERTIFICATIONS INDICATED HEREON SHALL RUN Joseph A. Ingegho.L.S., ONLY TO THE PERSON FOR WHOM THE SURVEYIS RED, AND ON TO THE Title Surveys — Subdivisions. — Site Plans Construction Layout TITLE COAMPANY, GOVER MIENTAL AAGENCY AND G'I' LENDING INSTITUTION LISTED HEREON, AND PHONE (631)727-2090 Fax (631)727-1727 TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Q OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 Jamesport, New York'11947 ANY, NOT SHOWN ARE NOT GUARANTEED. 0 NSA \ •.}L +��y•�tA���. '. \,� •..1`•♦ \ ���+ ! 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