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Home My WebLink About44047-Z Town of Southold 8/8/2019 ' P.O.Box 1179 o � - a'a 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40602 Date: 8/8/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: , 10530 Sound Ave.,Mattituck SCTM#: 473889 Sec/Block/Lot: 122,-2-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/1/2019 pursuant to which Building Permit No. 44047 dated 8/8/2019 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 dwelling as applied for. The certificate is issued to Mercier,Thomas&Barbara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au 0 ed S' ature %ofFot TOWN OF SOUTHOLD �o gay BUILDING DEPARTMENT 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#: 44047 Date: 8/8/2019 J Permission is hereby granted to: Mercier, Thomas PO BOX 1423 Mattituck, NY 11952 To: legalize as built alterations to an existing dwelling as applied for. At premises located at: 10530 Sound Ave., Mattituck SCTM # 473889 Sec/Block/Lot# 122.-2-15 Pursuant to application dated 8/1/2019 and approved by the Building Inspector. To expire on 2/6/2021. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 (Z otal: $450.00 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 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 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: ((953L) �na 1(fr AA*( rr (Nik House No. T Street Hamlet Owner or Owners of Property: IyW 1Ve � Suffolk County Tax Map No 1000, Section 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: $ AAAUeA Applicant Signature �� SOF SOUTy hod 06 # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [/ROUH PLBG. FOUNDATION 2ND [ ATION FRAMING /STRAPPING [ Wfncw(� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 7 I _ p DATE INSPECTOR 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 Southoldtownny.gov_ PERMIT NO. _' Check Septic Form N.Y.S.D.E C. Trustees C.O.Application Flood Permit Examined 20 1 R.• ?; ;', �r Single&Separate Truss Identification Form 2Q19 Stonn-Water Assessment Form Contact: Appioved ,20 s � Narnc, 4,lftilt : oyxa�, Ivl�YC1C� Disapproved a/c Phone: Expiration ,20 1Cto r APPROVED AS NOTED PLICATION FOR BUILD IT DATE: B.P.# `� FEE: �rED — BY: Date , 20 NOTIP�Y NG DEPARTMENT AT INSTRUCTIONS M TO q PM FOR THE -- L� II� � Sr�LlllT be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ofT ,l a6cAu�rla e�ploit��an,to{; a(lp-[Fee according to schedule. �acatron of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, 2n� .�t,QRV �sRAMING & PU MBING c or covered by this application may not be commenced before issuance of Building Permit. 3.dIP. nal IU 1�f<t#r• ,n ion the Building Inspector will issue a Building Permit to the applicant. Such a Oen-nit FI `� - ,�.T ` nPlafi shall bg'k1 e r �$� �a�ai�able for inspection throughout the work. e LoIs 11 b �uccu i r 'i p yp purpose g p l gl ,ccu . 1)0 in whole or in art for an u ose what so ever until the Building Inspector issues i i t1 50Ur Ra1RODES OF NEW issuance Ke ll i%Ter 1 1, tr dhe work authorized has not commenced within 12 months after the date of I� $> � ��r pjlietgdWittfimMfbonths from such date. If no zoning amendments or other regulations affecting the propert� ve een 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 I v iO"ACI,S I — rC I-CK (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer rUr CY CR (Name and title of corporate officer) p�1 LAWFUL Builders License No. .F � �i9 P�llf l'I Plumbers License No. WITHOUT CERTIFICATE E Electricians License No. Other Trade's License No. U XUPA C i 1. Location of land on which proposed work will be done: 10 530 Sou✓d INV-,(- House Number Street Hamlet County Tax Map No. 1000 Section a Block Lot 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 occupancQ�, 3. Nature of work(check which applicable): New Building A n suPlitettion I Repair Removal Demolition Other Wor S '� (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 exisfing structures, if any: Front Rear Depth Height Number of Stories Dimensions of sames cture with alterations or additions: Front Rear Depth Height Number Stories 8. Dimensions of entire new constructs : Front Re Depth Height Num r of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase e of Form Owner 11. Zone or use district in premises are situated 12. Does pr ed construction violate any zoning law, ordinance or re ES 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 ofa 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? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFS1 0 K MPP C4 �� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the O W nf I— (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. Swor lorbefore me this p day of �` ` 20 TRACEY L. DWYER _y, otary Public INIUIAKY PUBLIC,STATE OF N Signature of Applicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30.2Vaa 9Y23 v W96,1 pdg Silver Line Windows - Abbreviated Quote Report Silverbydrse NFWW - 15350 SOUND AVE MATTITUCK- wneewa•000ie• _ _ Quote#: 4127 Print Date:04/13/2017 Quote Date: 04/13/2017 SL iQ Version: 10.1 Page 1 Of 4 Dealer: Florence Corporation Customer: Quick Quote 643 Long Island Ave Address: Medford,NY 11763 , United States 631-758-4800 Phone: Fax: Sales Rep: Contact: Item Qty Item Size(Operation) Location Unit Price Ext.Price r I� 0001 1 8601,Double Hung KITCHEN 202.93 202.93 Unit Size=31"W x 53 3/4"H -7 RO Size=311/4"W x 541/2"H rj SII Standard,White, Low-E, DP40,Standard Glass, Standard Glass, Half Screen,Double Lock, Foam Around Frame,Sill Angle, Head Expander 0002 2 8601,Double Hung DINING RM 212.33 424.66 ,.' Unit Size=31 1/4"W x 571/2"H RO Size=31 1/2"W x 581/4"H Standard,White, Low-E, DP40,Standard Glass,Standard Glass, Half Screen, Double Lock, Foam Around Frame,Sill Angle, Head Expander r' z� 0003 4 8601,Double Hung FRONT RM pp� " 212.33 849.32 Ij Unit Size=313/4"W x 571/2"H RO Size=32"W x 561/4"H Standard,White,Low-E, DP40,Standard Glass,Standard Glass, Half Screen, Double Lock, Foam Around Frame, Sill Angle, Head Expander � 0004 2 8601,Double Hung LIVING RM k�etYlh-€`II 210.44 420.88 Unit Size=31"W x 571/2"H RO Size=31 1/4 W x 581/4 H Standard,White,Low-E, DP40,Standard Glass,Standard Glass, Half Screen, Double Lock, Foam Around Frame,Sill Angle, Head Expander rz•.,. -I 0005 2 8601,Double Hung LIVING RM 212.33 424.66 u� II Unit Size=313/411 W x 571/2"H RO Size=32"W x 581/4"H - j Standard,White,Low-E, DP40,Standard Glass,Standard Glass,Half Screen, Double Lock, Foam Around Frame,Sill Angle, Head Expander Silver Line Windows - Abbreviated Quote Report Silver Line bYAndersen NFWW - 15350 SOUND AVE MATTITUCK WINOOWS•000111 � C i� Quote#: 4127 Print Date:04/13/2017 Quote Date: 04/13/2017 SL IQ Version: 10.1 Page 2 Of 4 Dealer: Florence Corporation Customer: Quick Quote 643 Long Island Ave Address: Medford, NY 11763 , United States 631-758-4800 Phone: Fax: Sales Rep: Contact: Item Oty Item Size(Operation) Location Unit Price Ext.Price — --=, 0006 1 70RCPW1,Casement Picture Window LIVING RM 265.80 265.80 Unit Size=481/4"W x 571/2"H RO Size=481/2"W x 581/4"H White, Low-E, DP50,Standard Glass,Sill Angle, Head Expander 0007 2 70RCPWI,Casement Picture Window STAIR 161.26 322.52 Unit Size=30 3/4"W x 23 3/4"H ROSize=31-'Wx241/2"H White, Low-E, DP50,Standard Glass,Sill Angle, Head Expander 0006 1 8601,Double Hung UP HALL 186.03 186.03 Unit Size=27 3/4"W x 47 3/4"H RO Size=28"W x 48 1/2"H Standard,White, Low-E, DP40,Standard Glass,Standard Glass, Half Screen, Double Lock, Foam Around Frame,Sill Angle, Head Expander ff 0009 2 8601,Doubie Hung SR 189.79 379.58 Jl Unit Size=29 3/4"W x 47 3/4"H RO Size=30"W x 461/2-'H Standard,White, Low-E, DP40,Standard Glass,Standard Glass, Half Screen, Double Lock, Foam Around Frame, Sill Angle, Head Expander 0010 1 8601,DoubleHung BR 197.29 197.29 Unit Size=28"W x 53 3/4"H RO Size=281/4"W x 541/2"H Standard,White, Low-E, DP40,Standard Glass,Standard Glass, Half Screen, Double Lock, Foam Around Frame, Sill Angle, Head Expander Silver Line Windows -Abbreviated Quote Report Silver Line � `•, byAndersen NFWW - 15350 SOUND AVE MATTITUCK wix°ows•000 • Quote#: 4127 Print Date:04/13/2017 Quote Date: 04/13/2017 SL IQ Version: 10.1 Page 3 Of 4 Dealer: Florence Corporation Customer: Quick Quote 643 Long Island Ave Medford, NY 11763 Address: 631-758-4800 Phone: United States Sales Rep: Fax: Contact: Item tatty Item Size(Operation) Location 0011 2 8601,Double Hung MID BR UPrice Ext.Price 199..11 7 398.34 Unit Size=28"W x 541/2"H j RO Size=281/4"W x 551/4"H Standard,White,Low-E, DP40,Standard Glass,Standard Glass, Half Screen, Double Lock, Foam Around Frame Sill Angle, Head Expander 0012 2 8601,Double 199.17 398.34 Hung FRONT SR Unit Size=27 3/4"W x 541/4"H RO Size=28"W x 55"H Standard,White,Low-E, DP40,Standard Glass,Standard Glass, Half Screen,Double Lock, Foam Around Frame, i a e,S II Angle, Head Expander � - , 0013 1 8601,Double Hung KITCHEN 202.93 202.93 II 3 II Unit Size=31"W x 53 3/4"H I RO Size=31 1/4"W x 541/2"H Standard,White, Low-E, DP40,Standard Glass,Standard Glass, Half Screen, Double Lock, Foam Around Frame,Sill Angle, Head Expander Subtotal4673.28 Customer Signature Tax(8.63 Grand Total 5076.58 Dealer Signature