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Home My WebLink About43858-Z zr=rZ ��p�gUPFOt,�coGy Town of Southold 7/11/2019 !I P.O.Box 1179 o - d' 53095 Main Rd o4%0p� { Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40491 Date: 7/11/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 800 Midfarm Rd., Southold SCTM#: 473889 See/Block/Lot: 70.4-38 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/31/2019 pursuant to which Building Permit No. 43858 dated . 6/13/2019 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: "AS BUILT"ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Knowlden,Richard&Margaret of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 19-60638 07-08-2019 PLUMBERS CERTIFICATION DATED Au ho e Signature osuFFnc�� TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE SOUTHOLD, NY �p12r�rf�' 'SSS fBUILDING 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#: 43858 Date: 6/13/2019 Permission is hereby granted to: Knowlden, Richard 800 Midfarm Rd PO BOX 820 Southold, NY 11971 To: legalize "as built" alterations to an existing single family dwelling as applied for. At premises located at: 800 Midfarm Rd., Southold SCTM # 473889 Sec/Block/Lot# 70.-4-38 Pursuant to application dated 5/31/2019 and approved by the Building Inspector. To expire on 12/12/2020. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,216.00 CO - E TION TO DWELLING $50.00 PTotal: $1,266.00 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 supper 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 similarrt buildings and installations,a ceificate 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. 0' Date. New Construction: Old orrr Pre-existing Building: ✓ (check one) Location of Property: \"\��-� �'P1 S 0�-» House No- Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section � Block Lot Subdivision (� Filed Map. Lot: Cj Permit No. O 0 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: /Applicant S gn ture L) U71 7r-) Certificate of Compliance PO CERTIFIED ELECTRICAL INSPECTIONS, INC. JUL 1 d 2019 ` 188 PARK AVENUE AMITYVILLE, NY 11701 B DUB . 'PT' P: (631) 598-5610 11N-OF Q ri, um, CERTIFIES THAT Upon the application of Upon premises owned by Richard Knowlden Richard Knowlden 800 Midfarm Road 800 Midfarm Road Southold, NY 11971 Southold, NY 11971 Located at: 800 Midfarm Road, Southold, NY 11971 Application Number#: 19-60638 Certificate#: 19-60638 Electrical License#: Section: Block: Lot: Building Permit#: 43858 Described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 2nd Floor(Bedrooms-2/Bathroom) A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein,was conducted in accordance with the requirements of the applicable code/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 8th day of July 2019 Electrical Inspector: Christopher Ceriello �•�\o\'rV d-I -L'./�/��i APPROVED) This certificate is not valid unless raised seal is present. Certificate of Compliance ................................................................ ...... .......................... ...... ..................................................... CERTIFIED ELECTRICAL INSPECTIONS, INC. 188 PARK AVENUE AMITYVILLE, NY 11701 P: (631) 598-5610 ........................ ........ ............................................................... .........................................................................._.... CERTIFIES THAT Upon the application of Upon premises owned by Richard Knowlden Richard Knowlden 800 Midfarm Road 800 Midfarm Road Southold, NY 11971 Southold, NY 11971 Located at: 800 Midfarm Road, Southold, NY 11971 Application Number#: 19-60638 Certificate#: 19-60638 Electrical License#: Section: Block: Lot: Building Permit#: 4-a8 q'b1�5-S-3 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 2nd Floor(Bedrooms-2/ Bathroom) A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 8th day of July 2019 Electrical Inspector: Christopher Ceriello OCA�•'!/V//�/��G r. PIZ �. P This certificate is not valid unless raised seal is present. JUL 1 5 2019 ruin NIG DET7a �o Jiu a0f Solf? hod yO�o TOWN OF SOUTHOLD BUILDING DEPT. `ycouffm 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING /STRAPPING [ ] FINAL AAWol' [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATIONnn [ ] r(A KING1REMARKS: � V�' • 1/ L;� FilvJiv n G, buy DATE INSPECTOR FRANZESE ARCHITECT July 3, 2019 John J. Jarski J U L 1 0 2019 Senior Building Inspector Southold Town Building Department �tJ::---D! ` , D„ ;�I. 54375 Main Road � ' Southold.NY 11971 Re: 800 Midfarm Road,Southold NY(Knowlden Residence) Dear Mr. Jarski: To the best of my knowledge and belief, the rough plumbing at 800 Midfarm Road was installed to be in compliance with the governing New York State and local building codes of the time(1978). To the best of my knowledge and belief, the insulation was installed in compliance with the governing New York State and local building codes of the time(1978). Sincere) ViolandaVzefse ct AF Cy�� Fpf NFA f,:li ;F.; rte:, ^ ,l,., _c` ,'._.c,, r DESIGN FIELD INSPECTION REPORT DATECOMMENTS :r . -' X FOUNDATION (1ST) .................................. 'FOUNDATION (2ND) z • O ROUGH FRAMING& PLUMBING y , vv INSULATION PER N. Y; y STATE ENERGY CODE on K)Wl FINAL a 9 ADDITIONAL COMMENTS l •c z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applymg9 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 Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form AY 3 1 2019 Storm-Water Assessment Form 1 Contact: r Approved I 20 .'_Er b` ' -; s'•1 Marl to: �cm"IIts Disapproved a/c OF Phone. Expiration ,20 n ector APPLICATION FOR BUILDING PERMIT Date , 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 toi 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 fq removal e li n as herein described. The applicant agrees to comply with all applicable laws, ordinances,buildin c u gulations, and to admit authorized inspectors on premises and in building for necessary inspe (Signature licant or name,if a corporation) (Mailing address of ap rcant) State whether a plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premiseAI�C` \ \ (As on the tax_ roll or latest deed) 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. 1. Loc tion of land whch proposed rk'will be done: House Number Street r Hamlet }, County Tax Map No. 1000 Sectionn'V "Block , Q>i \ Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of prpqilses and intended use and ocQupancy of proposed construction: a. Existing use and occupancy ®• tl b. Intended use and occupancy RNRS� w �, Gg 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost g ,t P ��:Fee 1 1& �;x (To be,p�id on filing this application) 5. If dwelling, number of dwelling units "1 "__Number of dwelling units ori each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. \z► N •M l'1�.. i ,'J 7. Dimensions of existing structures, if any: Front Rear' Depth Height Number of Stories Q_ 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 3 Name of Former 11. Zone or use district in which premises are situated l 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 (\ �- Addresshone No. Name of Architect Address Phone No Naive 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 BFB 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 dataon survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO V/ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS. COUNTY OF�•,4 '� `(har-J I VMW M being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, i (S)He is the LO�{ � (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 T�.before me this -�T day of Q 2019 IAV 'A VAR J4 aq -� �b , otary Public TWA'' Signature of Applican 0t hKft@419,� cF k A@.-MiPW8WWW 6441€j€9 IN OUFFOLK COUNTY 6®MMII§§I@AI 0XPIRES JUNE 30,2_022 BUILDING :PERMIT SUBMISSION :] :QUIRED 00 USS PLACARDiNG fjf� m TR t.0 W4 9 OD r., 14 Z:n r."I'N'l 1,T COMPLY WITH ALL CODES OF A!If 39 N CODE NEW YORK STATE & TOWN CODE 151-41" _51fl 4111 F__4 04 2 4 2 AS REQUIRED A GONDITI 0 'J r, t P(D; ___mLu Tc 3 en Ln ob to x ID 00 0 V_01'� C.10 Al_(.. , U C PV27 T!I 'o CPlHECC'D[-'S0; INEW CASPMENT DOUBLE-HUNG I Y09r', STi"J'E, N01 riESP0i'\!SlF;!_E FOPi C (1)2'-1"x 4'-0- (2)3'-3"x 4'-4"' OESIGN OFF U',KR& -i CE13TIFICATION ------------- BEFORE 1' N LEAD CONTENT B OF OCCUPANCY TE AFF.2'-4 T1 0 R j,'FICA Fq LDER USED jp� V�ATER JDAi 11 1 p( , [ID �rl li _"LA�ATUL TEM CAMN10-1 %' 4;YS Bait DxAwrNGs AND Spzcmamom, 8'-0"CLG.HT. AS INSTRUMEMM OF BzjEvjL 1,REMAIN lo L I THE PROPRZrlr OF C 6n 0 --'OUT CL ii to R7 E BEDROOM#1 Lo VzOL&"A FkANzzn ABoHmar,P.C. co 0 8'-0"CLG.HT. CpU PLT.HT.5'-61/2" 9r LA I Gry I CL —0 C-4 4� TRAY CLG. puivira UNAUMORTZED U81,CHANGES OR + PUBIMATION 18 PROHIBITED UNLESS :( 16 04 pu LIN. 6"p 1 -4 A EM08SLYAPPROVED,IN WMING,BY H r -I A ':' - - • ViOLANDA FiANnsit AxamTz(rr,P.C. —IC,4 �_7-? I- Additiona I I_-_-- %. - 1! tJ4 0 —J, + ob -b z 00 iOn Cerf1fical BEDROOM #2 C? m ed. 0 _�peq z Px 6 8'-0"CLG.Hr. STAIR HALL 1 STAIR TO 8'-0"CLG.HT. ATTIC 6x 68 N =- - 12 C? I L REQUIRED .4 c?) 1"smcnoll �D 0 M . 0 6 --------------------------------------------- : 2 x 68 —H4 00 0 '.0 M : C41: IDN CL 0 ------------------------ _O llI , iI OI CN!" A n -- ----- ------ -------- 0 TRAYCLG. -------- ------------ (2)40x CL BI-FOLD DOOR ---- ---- ----- PLT.HT. 5'-41/2" 1 Z lb! '4V z + 0 6x 8 ------ - 6,2 --- ---- ....... --------- DRESSING RM 8'-0"CLG.HT. 6 i rr,\� MASTER oU I 9 Z BEDROOM -.04 0 r------------------ �j 8'-0"CLG.HT. . ce) x 4'-4" I DOUBLE-HUNG 6 0 O MASER L --- -------------------- --- - --------------------- -----+-- BATH 00 L- - - --------- VJ - 8'-0"CLG.Hr ----_-_--_-- -------------- ----- -- (1)TA-x 4'-4" (1)3'-3"x 4'-4" (1)T-31 x 4'-4" DOUBLE-HUNG DOUBI.F-HUNG DOUBLE-HUNG z 2'-41' 6t-61? f It Al—If 13t-oft 2 2 5 _01 12� 15F-5f' 0 Ir Ir KEY PLAN D SRC AS-BUILT SECOND FLOOR PLAN NOTES JL SCALE: 1/4" =1'-0" 1. R-19 INSULATION IN CEILING ��C`Q"g `� 2. ASSUMED R-15 INSULATION IN WALLS(NOT VISIBLE SITE VISIT) N NO. DATE REVISIONS xxxx INSTALL SMOKE DETECTORS SO AS TO COMPLY WITH NYS /2\ UNIFORM FIRE AND PREVENTION AND BUILDING CODES. /3\ /4\ PROVIDE CARBON MONOXIDE DETECTORS AS PER NYS CODE /5 /6\ 7 OMM.NO.: TO THE BEST OF MY KNOWLEDGE&BELIEF THE SECOND FLOOR OF THIS DATE: MAY 02,1978 SCALE: AS NOTED SINGLE FAMILY DWELLING WAS CONSTRUCTED AS PER NEW YORK STATE,AND DRAWN BY: LOCAL BUILDING CODES OF THE PERIOD IN WHICH IT WAS BUILT (1978). NECKED BY: HEEr TITLE AS-BUILT LIGHT &AIR CALCULATIONS SCHEDULE SECOND FLOOR 04 PLAN SECOND FLOOR S.F.AREA LIGHT LIGHT AIR AIR (DIMENSIONS) REQUIRED PROVIDED REQUIRED PROVIDED (8%) (4%) BEDROOM#1 199 SF 15.9 SF 42.25 SF 7.9 SF 21 SF u BEDROOM#2 251 SF 20 SF 28 SF 10.04 SF 14 SF MASTER BEDROOM 234 SF 18.75 SF 42.25 SF 9.36 SF 21 SF DRAWING NUMBEIL- ARCHITECT NOT RESPONSIBLE FOR CONDITIONS NOT VISIBLE DURING SITE VISIT. 0 > 0 0 A-1 ,0 u