HomeMy WebLinkAbout44348-Z �Q�guFFQ�q�COG. Town of Southold 2/25/2020
o -
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41095 Date: 2/25/2020
THIS CERTIFIES that the building ALTERATION
Location of Property: 1350 Woodcliff Dr,Mattituck
SCTM#: 473889 Sec/Block/Lot: 107.-8-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/22/2019 pursuant to which Building Permit No. 44348 dated 10/29/2019
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:
INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Piecuch,Brad&Kathryn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44348 02-20-2020
PLUMBERS CERTIFICATION DATED 02-12-2020 Brad Piecuch
0
ignature
�SufFgL41'0 TOWN OF SOUTHOLD
moo �y BUILDING DEPARTMENT
H x , 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#: 44348 Date: 10/29/2019
l
Permission is hereby granted to:
Piecuch, Brad & Kathryn
1350 Woodcliff Dr
Mattituck, NY 11952
To: interior alterations to an existing dwelling as applied for.
At premises located at:
1350 Woodcliff Dr, Mattituck
SCTM # 473889
Sec/Block/Lot# 107.-8-1
Pursuant to application dated 10/22/2019 and approved by the Building Inspector.
To expire on 4/29/2021.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $232.00
CO -ALTERATION TO DWELLING $50.00
Total: $282.00
B Iding Ins
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. 10 261q
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: ot d i F f �h Vf- M aff iU(' K
House No. Street Hamlet
Owner or Owners of Property: B1� �1rO d Fel C(AC
Suffolk County Tax Map No 1000, Section b 1 Block O g Lot 01
Subdivision Filed Map. Lot:
Permit No. qq__Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
e
Applicant Signature
®�aof sovey®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G o roper.riche rtCaD-town.south old.ny.us
Southold,NY 11971-0959
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Brad Piecuch
Address: 1350 Woodcliff Dr City: Mattituck St: New York Zip 11952
Building Permit#. 44348 Section- 107 Block- 8 Lot 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Mariner Electric License No. 45056-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1 st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 4 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 2 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Pi Twist Lock Exit Fixtures TVSS
Other Equipment "BATHROOM ALTERATION"
Notes 1-bath fan
Inspector Signature: ` Date: February 20 2020
81-Cert Electrical Compliance Form As
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Town Hall Annex Telephone(631)765-1802
54375 Main Road -Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Of
BUILDING DEPARTMENT (' -
TOWN OF SOUTHOLD
FEB 1 2 2020
CERTIFICATION
Date: 242L 020
Building Permit No. 11y3y8
Owner: Pi ecu G�)
(Please print)
Plumber: Brad Piy vc.k
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
w
(Pl tubers Signature)
Sworn to before me this 1 D-+k
day of 'Fr-b�c1. ) 20 0
CONNIE D.BUNCH
Notary Public,State of New York
No.01BU6185050
Qualified in Suffolk County
Notary Public;Wr County Commission Expires April 14,2 ba-D
5fso
f
* 'TOWN OF S.OUTHOLD BUILDING DEPT.
°`ycouMv N�' 765-1802
= 1NSPNC N
[ ] FOUNDATION 1ST [ GH PL13G.
[ ] FOUNDATION 2ND -.INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ]' FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[
] .ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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DATE INSPECTOR
44
� OE SOUIyo�
- * * TOWN OF'SOUTHOLD BUILDING DEPT.
765-1802
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INSPECTION
[ ] FOUNDATION 1ST [ ]:. ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] I ULZFETY-ITECTION
NG
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRES
[ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATEa' °�"v INSPECTOR
pf SOUTyo6
- # # TOWW OFSOUTHOLD BUILDING DEPT.
�ycouer+ti�' 765-1802 1�
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INSPECTIO
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[ ] FOUNDATION 1ST [ '] ROUGH PL13G. �
[ ] FOUNDATION 2ND , [ ] INSULATION/CAULKING-
[ ] FRAMING/STRAPPING- [ ] FINAL
[ ] FIREPLACE &"CHIMNEY j ` ] -FIRE SAFETY INSPECTION
[ ] -FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
JAMES J. DEERKOSKI P.E.
260Deer Drive
Mattituck,NY 11952
(631) 774 7355
Date: October 28, 2019 '
To: Southold Town Building dept. OCT
1 2019 ter.
Re: Piecuch Residence
1350 Woodcliff Drive { :�
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Mattituck NY 11952.
To Whom It May Concern:
For the above mentioned renovation the exterior walls will receive R-11 insulation in the
form of spray foam. Any questions feel free to call.
F NEW Y
x a ncerely,
07 � `�� s J Deerkoski P.E.
�ESS�
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FIELD INSPECTION REPORT I -DATE COMMENTS
FOUNDATION (1ST) o�y
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FOUNDATION (2ND)
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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 G Survey
South oldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
I Trustees
C.O.Application
Flood Permit
Examined 20 i t_� ' "' y 1 t J Single&Separate
/Loe
2019 Truss Identification Form
/ Stonn-Water Assessment Form
Contact: �p Q
Approved7 20 <j' AI&K-t-e: �0U' ► ►-CIBCV
Disapproved a/c
Phori :10,N
Expiration 120 r
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 10- 19 , 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 Pen-nit 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)
I ZQ WOOdcl q fir• MaHWCK,M 1052
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises L;1(CAd t-e-C U 01
(As on the tax roll or latest deed) ,
If applicant is a corporation, signature of duly authorized officer
(Name and title olf corporate officer)
Builders License No. CA rVAu&tbZV,\
Plumbers License No. 5oAA.? M
Electricians License No. M E-®y 605�o
Other Trade's License No. '
1. Location of land on which proposed work will be done:
113f;'o Irl b o do ll F - DY. Maf-i I kw
House Number Street Hamlet
County Tax Map No. 1000 Section �"O-] Block b Lot UO
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 calnfw
b. Intended use and occupancy Cep W-0-
3.
-03. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
Estimated Cost Fee
rr (To be paid on filing this application)
fy'���1 � t
5. dwelling, number of dwelling units Number of dwel±�ing;uits on each floor
If rage, number of cars
6. If busine s, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions existing s ctures, if any: Front Rear Depth
Height Number of Stories
Dimensions of sa e structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of ntire ne construction: Front Rear Depth
Height Number of Stories
/Does
ont Rear Depth
ase Name of Former Owner
istrict in which premises are situated
d construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO
VAO-Ihlucke M( /igS2
14. Names of Owner of premises &Y(t B eco(*J Address Phone No. &31- 'NO-01-ll l
Name of Architect 2ae-h WicG olsoyn Address Phone No
Name of Contractor F-d N,e hoiso v1 Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO k
* 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 A
* 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 OF Su4W-e1K )
&obm h P, e ` being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the �AIAA V'0-
(Co actor, 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 2019
TRA Notary Publ EY L. DWY Signature o pplicant
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2 `2
.J
1:710 �Q 1 BUILDING DEPARTMENT- Electrical Inspector
V44') ' ' ® N19
C 3 TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
l'elephone (631) 765-1802 - FAX (631) 765-9502
s; rogerrasoutholdtownny.gov- seand a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION'
ELECTRICIAN INFORMATION (All Information Required) Date: d JEJ 201
Company Name: tneL -i -,er Ej-1 -
Name: - -
b�r+ f3. Sfian�v�e.h
License No.: ME- 99705-lo email: 5-1 tv --I
Address: 41 r e rade- Oov _ Y ( D)
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: 13 cue
Address: LMVCI 52
Cross Street: y .m.1
Phone No.: (0 31 - CA 0 - ULI - -Bldg.Permit#: 3 email:
Tax Map District: 1000 _Section: -107 0'1__ Block: 0-0- Lot: (�
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for,inspection?: YES NO Rough In x Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form As
z;•,`v'tL�P_1Cr
L t; t IF►CATION
�,.. LEAD CONTENT BEFORE
-FI IF ICATE OF OCCUPANCY
SOLDER USED IN WATER
"UJFl-'L1`SYSTEM CANNOT A'PPP'P �E � 1� NOTED
14-10 1/2 ll'-23/4" CEEp /10 OF 1% LEAD,Ei DATE. '_ '
HALF HEIGHT WALL PORT WINDOW s`
NO IFUILD;N<, ;_,r,�� c��<cN I
AT
0 0 0 0 BENCH 765-1802 8 ASE TO 4 P vi FOR THE
x 3 0 ( ( FOLLOWING INSPECTIONS:
72 a c L� U - 1. FOUNDATIal - TWO REQUIRED
Z = 3 VA-Ne FOR POURED CONCRETE
2. ROUGH - FRA,NIING & PLUMBING
NEW MASTER BATH 3. INSULATION
4 1. FINAL ION MUST
00
BE COviPLE'i E FOR 0.
04 EXIST. IVNEW 13.
- EXIST. EXIST. `.LL CONSTRUCTI(-)IV SHALL MEET THE
rI w C3 MASTER OPEN 000
Q DINING KITCHEN PQUIREMENTS OF T HE CODES OF NEW
SHELVES ORK STATE. NOT RESPONSIBLE FOR
N z BEDROOM � ,i PRD � M ROOM ;�f�SIGN OR-CONSTRUCTIO
N ERRORS
2'-0" 2���� s�-o° C:)��lf'LY WITH ALL CODES OF
NE YORK STATE & TOWN CODES
��T
a yo AS REOUIRF.AND CONDITI(�f�� OF
Z O Z --- IT•
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LINE OF - i NEW MASTER i CLOSET
1N
EXISTING --
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CLOSET WALL -------- -------------------------------------------- ------------------
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EXIST. € -
OCT 222019 `-
'
REUSE EXISTING
LIVING
7
CLOSET DOOR ROOM
EXIST. UP
0o GUEST
BEDROOM
FIRST FLOOR PLAN ?��o ,`
i'-0°
PIECUC ` IDENCE
INTERIOR RENOVATIONS
i PROJECT LOCATION DATE DESCRIPTION
N PIECHUCH RESIDENCE 09.12.19 SKETCH i
1350 WOODCLIFF DRIVE 09ABA9 SKETCH 2 �_
MATTITUCK,NY 11952 09.20.19 ISSUED FOR PERMIT
I