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Home My WebLink About44347-Z gUEFO(,-49 Town of Southold 2/28/2021 0 P.O.Box 1179 53095 Main Rd ojfjo� ��0� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41856 Date: 2/28/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2655 Wickham Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 139.-2-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/21/2019 pursuant to which Building Permit No. 44347 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: "as built"oil to gas conversion, hot water heater and windows as applied for. The certificate is issued to Agarabi Ali Revoc Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 10/17/2019 Rescommn �0�4 0 . Signature TOWN OF SOUTHOLD hyo ay BUILDING DEPARTMENT y TOWN CLERK'S OFFICE 0 0 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#: 44347 Date: 10/29/2019 Permission is hereby granted to: Agarabi Ali Revoc Trt PO BOX 101 Mattituck, NY 11952 To: legalize "as built" oil to gas conversion & hot water heater. At premises located at: 2655 Wickham Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 139.-2-5 Pursuant to application dated 10/21/2019 and approved by the Building Inspector. To expire on 4/29/2021. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 ELECTRIC $85.0 Total: -X533-A0 v bcp 2uildrinag Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GALL 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. z New Construction: Old or Pre-,existing Building: (check one) ' Location of Property: r�6 D I,vr p House No. Street Hamlet Owner or Owners of Property: //-Jl �f�/f 6 � Suffolk County Tax Map No 1000, Section .� Btock [ Z Lot .� Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Certificate: (check one) Fee Submitted: $ Appliiccant Signat W✓ Town Hall Annex +�• Telephone(631)765-1802 54375 Main Road " Pax(631)765-9502 P.Q_Pox 1179 Soudwld,NY 11971.0959 BUHMINO DEPARTMENT T 'WN OF SOUTHOLD . 44 F wild Permit Na; ., t ` Ownen (Please inti , 4 Please pririfi} I cortify that the solder used in the water supply system contains less than 2/10 of 1% g lead. ` 9 i - -s Signature} Sworn to-before me this,_,_11 Clay of D04,MV, : 20J-1—1DEMRE GALLO Notary Public, State of New York $ 4 Registration#01 GA6344883 i Qualified In Suffolk County 9 ' Commission Expires July 11,2020 z f 1�dtary Public, pdty' i r i t pF SO//l�o� # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 K -I NSPECTI O-N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. A ] FOUNDATION 2ND - [-/] FINAL NSULATION/CAULKI/NG FRAMING/STRAPPING [ 4M✓. g� d; 7 T6 6e [ ] FIREPLACE & CHIMNEY .° [ ] FIRE SAFETY`INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: V _ _ DATE INSPECTOR oF sours -- --- - -------- —– - - _ * # TOWW OF,SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATIONA ST [ ] ROUGH PL13G.- [ ] FOUNDATION 2ND [ °] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION = [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)- [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 111 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS -►d FOUNDATION (IST) -------------------------------------- FOUNDATION (2ND) � O CIO H ROUGH FRAMING& m , PLUMBING y 0 r INSULATION PER N.Y. y STATE ENERGY CODE V tit FINAL ADDITIONAL COMMENTS ;3 nekP Vl) lszrs rzn ro H O Z H x d TOWN OF SOUTH OLD � 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) 765-9502Surve 1 L y South oldtownny.gov PERMIT NO. ( Check Septic Form MY S D E.C. Trustees pVA C.O.Application Flood Permit Examined 20 Fli# �� Single&Separate Truss Identification Form U Storm-Water Assessment Form n2 1 Contact: Appioved 20_1 Mail to: Disapproved a/c ] f Phone5( � Expirat+oo - �_r Building n ' IV\ .�` �. OCT 2 1 2019 APPLICATION FOR BUILDING PERMIT Jm- . Yz 2',' '`=�u Date b 7-0 , 20� :-Pt"2>�t1F '" a__°> 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 I 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;housin ode,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. S 114^^ RI" y" 68rk (Signature of applican ame,if a corporation) /s� UATP: '_] 6,P.## _ (Mailing a6dress of applicant) Ri� ' )P1ta 1D=PARTNA+E(�l' AT State whether aapplied !i�s'`�w, � esls�eie,Iplent?iarch>Yqct, engineer, general contractor, electrician, plumber or builder ✓U'C�=--7�5 t°` C31}oda T.lii ' ,.T"ti'O REEQ'JiREt� • 4' Name of owner-of pierr> ses �•�,.trn -r��aaiC ;C% '�� l Ft�h � �' • ._ �, �� ' 'nSl`(�As on the tax roll or s 2. ROUGH - FR;�,i"I+N,(( & r L'U1,A , , 8 (f�*V ►ITH ALL CODES OF If applicant is a corpora t1gignature of duly authorized officer NEW YORK STATE & TOWN CODES c+nidi _ t;C'ii\l� 1�U TC;11O1J ;�ilU�.' (Name and title o coJipo#alefoffi&nr,)c�. As REQUIRED ® CON®ITIONS Builders License No. i i rONSTRUC_11O� SIIIA?L f�f+l Tw 1+�� r SO DTOWNZBA ` Plumbers License No.r; Or ' _i ' �'� rC�U;R�k�rENT S GBOARD Electricians License NOORK STtJ E Nt-'' Other Trade's License YcNGN OR 1. Location of land on which proposed work will be done: 7/u- House Trumber Street Hamlet County Tax Map No. 1000 Section / 3 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 occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ( G �On i escription) 4. Estimated Cost Fee l� h ( 1 ;� D (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 y Rear Depth Height Number of Stories 3 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8.- Dimensions of entire new construction: Front Rear Depth a Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 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? * YES NO * IF YES, PROVIDE A'COPY. STATE OF NEW YORK) CONNIE C.BUNCH SS: Notary Public,State of Now York COUNTY OF ) No.01BU6185050 Qualified In Suffolk County Or o Cnmi^ission Expiry^Rnril 14,2 ` being duly sworn, deposes and says that(s)he is the applicant (Name of individualsigning contract)-above named, (S)He is the s: r ` '; 47-1 INSTAL LATI-ON , OPERATING AND � SERVICE INSTRUCTIGNS FOR • - • - - qtr<''��,-, � _ � C i` �» For service'or repairs to ,boiler, call your heating contractor. When seeking information on boiler, fi ,provide Bailer Model Nur0er and Serial Number as shown on Rating Label. Boiler Model Number Boiler Serial Number Installation Date 15 F jgating Gontrac =; Rhone fVumber ha ` rrooks U: 8061, r ir+airtpanyj•Inc.. 'fes . ' L4-'tQ107 Price $5.00 • 2° r ambos w 1 cw" - fjLov-r 00-02 THER AITRUR ' Unit and RoughOpening Sizing DOORS Single with 2-10" Sidelites -Continuous Wide Mullion or Boxed -6/6, 6/8, 7/0, 8/0 Single-with 2 Sidelites--Inswing---Continuous Wide--Mullion or Boxed 6ritkinoiitdDitiii " =, rr;;`:SSi118"`.a'' ' ,..` r ' - - - - 8- -- - "&1rf18,,.,,,,- �.1?6"�, ~:`�:;rr,s` ?;-' R{oo h 0 enln = - "53:318 :55'318';-'^„;: •57 318 , •4' ": 9 P g` =59'318" 67 3l8 r a ;U it Dimension - ' 52 5f8" 54 518" 56 518" 585/8"' BO 518" ' 68 518" I �� 616 ,•,< ,`:_.�_i , f" 1� i� 11 � RNi��;;�Y 1�-A i< 214 216 218 2110 110� 316 3�`_x,:� `i ^�t,� 4t� —•;r�, ;�� '�it� J., j �~4 1 1 �7 ) i i', w �' ;��„•�,,�,�.TMaN,a i!' fit• + � ( ``;�i � rr rte"'” •'a j.'4'"a i 214 2i6 216 2110 310 316 ^ 710Aj i i fi3 �,,7' i� 1? •� J'.' ,=:1"rn'i 2t4 216 2r8 21", 110 i 31fi M1Y. _ 1 It•1 is i �n y 'V,"'�^„W".Oi: _ gOS`O} GT t't r) 5 3.1 I`f,t €( r it_ .1'1 �,�) 14 t5 n �;_ :m.l ._'o' i; �_. _ - �-t�. ht9 Z"6 2f8 2 io 3,0 3f6 52 518" 54 518" 56 518" 58 518" 605181, 66 518" Unit Dim. r 5 318° 55 318"--„ „5g 318°=• 59 31$° -`67 318"" - 67318"':,; Rangh'O'penirig `�'F, 5 ,��` r�' 'S7 !8*' 7,� ;- 9.x/8 � ,fi1aS16 6358"rte•�� 6��5t$�,,w° --. �t�ric o d�D m.�,� Single with 2 Sidelites-Outswing- Continuous Wide Mullion or Boxed For Spread Mullion Configurations: Add the total spread amount to width listed.For example,the unit size of a 310 unit with two 10"sidelites and two mullions spread 3/4" each would be: 60.5/8"unit size+3/4"spread-+314"spread=62 1/8" Units can be spread 0"to 3"per mullion in 1/4"increments(0"to 6"per unit in 1/2"increments). -Spread mullion only available in 3/0 inswing. Hand Designations (Viewed tram the enter or). F Fixed Panel L Left Rand R Right Hand Inswing_ FLF- FRF- Outswing ! i s FLF FRF �_. 201S( SIZE)- ArcK1. 02 ® V C . 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