HomeMy WebLinkAbout45362-Z �SUFF
�o coGy Town of Southold 6/16/2021
0
P.O.Box 1179
o - 53095 Main Rd
y oma,s Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42097 Date: 6/16/2021
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1365 Bay Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 143.-5-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/9/2020 pursuant to which Building Permit No. 45362 dated 10/21/2020
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"additions and alterations, including conversion of existing porch to two bedrooms,to an existing single
family dwelling as applied for.
The certificate is issued to Regan,Mary&Ors.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45382 3/9/2021
PLUMBERS CERTIFICATION DATED
Ari ed ignature
�SUFFQcq.oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z 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#: 45362 Date: 10/21/2020
Permission is hereby granted to:
Browne, Eileen
c/o Ryan
35 Combes Dr
Manhasset, NY 11030
To: legalize "as built" additions and alterations to an existing dwelling as applied for.
At premises located at:
1365 Bay Ave, Mattituck
SCTM #473889
Sec/Block/Lot# 143.-5-3
Pursuant to application dated 10/9/2020 and approved by the Building Inspector.
To expire on 4/22/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $963.20
CO-ADDITION TO DWELLING $50.00
Total: $1,013.20
Building Inspecto
®��oF so���®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® sean.devlinCD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. Mary Regan
Address: 1365 Bay Ave city,Mattituck st. NY zip: 11952
Budding Permit#: 45362 Section 143 Block: 5 Lot 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Fran McCaffery License No: 1145ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 21 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 5 Wall Fixtures 3 Smoke Detectors 3
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures 4 CO2 Detectors
Sub Panel A/C Blower Range Recpt Gas Ceiling Fan Combo Smoke/CO 3
Transformer UC Lights Dryer Recpt 30A Emergency Fixtures Time Clocks
Disconnect Switches 7 4'LED Exit Fixtures Pump
Other Equipment, Fridge, Gas Oven, Hood, DW, W/D
Notes " AS BUILT NO VISUAL DEFECTS " Whole House
Inspector Signature: ` Date: March 9, 2021
S.Devlin-Cert Electrical Compliance Form As
Of SOut, -
# f TOWN OF SOUTHOLD BUILDING DEPT."
765-1802
INSPECTION .
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
" [ ] 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:
cvA_944hze�
ov q,�qc 10041
lGA i
40L,—
DATE tKI
9
OF SOUTyO LA 5 3 (� J C� -� � ' C,(
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] 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
REMARKS:
r�
bleel I- V�2ak, cw-j d- rnalog �r 4-
0 /A Ae rr P
\p/\
rA
o
DATE fry . INSPECTOR `
ho�aOE SOGTyo6
f TOWN OF SOUTHOLD BUILDINGDEPT.
courm ' 765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] -ROUGH PLBG.
[ ] 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
REMARKS: AS
DATE `Z A INSPECTOR
Condon Engineering, P.C.
New York State Licensed Professional Engineers
1755 Sigsbee Road 631-298-1986
Mattituck,New York 11952 Fax 631-298-2651
condonengirieering.com"
MAR 1 8 2021
March 17, 2021
Mr. Mike Verity
Chief Building Inspector
Southold Town Building Department
53095 Route 25
P.O. Box 1179
Southold, New York 11971
Re: Regan/Lovett Residence- 1365 Bay Avenue, Mattituck
Dear Mr. Verity:
I inspected the water supply and waste plumbing. Inspection found the supply and waste
plumbing to be free of any leakage and properly installed.To the best of my knowledge the
plumbing was installed in accordance with building code standards that were in effect at the time
the work was done.
The installed insulation is in accordance with the plans dated September 29, 2020.
If you have any questions, please call me at 631-298-1986.
Yours truly,
on on, .E.
J'EQ 051684
FIELD INSPECTION REPORT DATE CWZiENtTs•
QINE
FOUNDATION(IST)
------------------------
FOUNDATION
--------------------FOUNDATION(ZND)
i7M
ROUGH FRAMING.& y
PLUMBING
INSLLATION PER N.Y. H
STATE ENERGY CODE ,
.. �•
FINAL t
E S.
a`1 01
m
X
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying9
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 1 n Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 1 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
n Contact:
Approved ` 20 G Mail to:
Disapproved a/c
Phone
«Expirati n 120
m1 -1 63p
Building Inspector
2020 �� APPLICATION FOR BUILDING PERMIT
Date /A' 20
INSTRUCTIONS
t: , ! aTlus,applicaho MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate`plN 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
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 plicant o ame,if a corporation)
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
�Z_,_jti/,!5i5 �• /
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer aa
(Name and title of corporate officer) S'�L,A64-1,0 U�� � � l 2�/tiay� i � L� 7L
Builders License No.
Plumbers License No.
Electricians License N0.11q AA
Other Trade's License No.
1. Location of land on which proposed work will be done:34 ��...i- G
34-,5- /3r�y /4 d� /LIQ �
House Number Street Hamlet
County Tax Map No. 1000 Section Block /� Lott
Subdivision /� .�- Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of roposed construction:
a. Existing use and occupancy tv e—u/'/✓ /Al 6-L-- F /L 1, ®Ge 5 �
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition terati tfeAl'
Repair Removal Demolition Other Work�`� �f X- •1P
eo (Description)
4. Estimated Cost zaOb 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 /1/
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Frontt D, 5- Rear ' Depth ®�
Height /Number of Stories /
Dimensions of same structure with alterations or additions: Front Rear�C
Depth 5RA9� Height Number of Stories
8. Dimensions of entire new construction:Front.5 /7/qC Rear
!�/9— e—Depth
Height ;:j /l/ lYe-- Number of Stories j
9. Size of lot:Front--25( Rear / Depth //d
10 Date of Purchase Name of Former Owner. �S G�✓zu DOp P
11 Zone or use district in which premises are situated d
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 v
14.Names of owner of premises J 19e /"Address!' ®/te d W Phone No.4-3)--2 S�
Name of Architect 4-,-,Zee-,I /e!// Address Phone Nom 3/
Name of Contractor eg Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES_
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES O
*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.
C14 STATE OF NEW YORK)
0 N SS:
c c
COUNTY OF 5 L14
LZ 00 U d 1"l 0-'-Lt ff being duly swom,deposes and says that(s)he is the applicant
p 00Y (Nam f individu igning contract)above named,
st �y 00 O 0
' (S)He is the b
U . -J to (Co ctor,Agent,Corporate Officer,etc.)
U0 S r-
W C "® 0 of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
OD
0 .2 M
W a Z e y that all statements contained m this application are true to the best of Ins knowledge and belief;and that the work will be
i ; performed in the manner set forth m the application filed therewith.
ca
00
Z Swornto before me this
day of com r no �0
G�
Notary Public Onature ofXpplicant
BUILDING DEPARTMENT-Electricahll Spector ;
TOWN OF SOUTHOLD �C( 2, 6 2020
Town Hall Annex- 54375 Main Road - PO Box 1179 ;
t a f= h Southold, New York 11971-0959 p�TTCte''!'•
Telephone (631) 765-1802 - FAX (63 1)� -&3502 , t t'f
= �° :ro err southoldtowran_ ov.� seand southoldtownn ov..
- _ IP�LI=Ct� ON FOR-ELECTRICAL INSPE
ELECTRICIAN INFORMATION (All Information Required) Date;
4-jZ_Z
Company Name: .f�4/ f��� - -- -- - - --- -- i
- -_ -
-
License No.: /1.��'/y email: E
Address:-
Phone No.. - -
- - -_-e _ �.. _ __ _ _esa .tet+.�-c_-.....-�....-....i.--w......,-_ '+�..w.-... —r -..�-------------`-�vve a...-«.w•.f--+—m-u . _—_ _ 3
JOB SITE INFORMATION (Ail Information Required)
Name: ! eitJ �2G�u� Jf L
Address:
Cross Street: ---- - -
Phone No,:
Bldg,Permit#: email: $
Tax Ma p District�.w 1000 Sectiorrl __ _ Block-,'
- d y _ - -= - _ _
-_--- _ ,
BRIEF DESCRIPTION,OF W- RK (Please-Print Clearly)
- g
Circle All That Apply: -
Is job ready for inspection?: YES / NO Rough In Final
r
:I
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 FormAs
to I
PERMIT# Address:
Switches I
Outlets
GFI's '
Surface
Sconces
NH's
UC Lis VUA/
Fans Fridge HW
Exhaust
Oven ! '—�/ Dryer
Smokes �� ' DW Service
Cir Micro �Gdderator
Co•oktop
AC- AH - Mini' - - -
• J
SpecLar:
Comments:
LOT AREA –'9050 SQ. 'ET
bld S; 1`9'29'00"E 75.00''. .
,0.8;gS FD bldg. FC• •0.1 W MON 0;1 W0.2'E Post wire fence [0541'E-
& 1.4.S
10.4rvofed over '
' 8.1
masonry, FD
FC
W - FC J 1 STYE 10.' MON 0.5'W ,
O. otios 1.1'S
BLDG.`°� -In •20 -- _ • .' "
z- 0.2'W `C
20.3' E
0.5 S CD
i p
• Q - 1 STY k
masonry, FR �.
stoop DWELL 2'
_ "o O"
20.5' a –�
9.4'
�:
Z
U O — pole_ Q
�•" fence FCS -FC
0.5'N �1.7 W 0.4'W` . };
J
x meandering split rail fence bld w
W' 9
= N' 19°29'00"1N 65.00' - I 4,2 s o
O I o
FC
Q pole,_` O
E O Yr Z
W o _o r�
-� Z r I OO
t =140.00' =
jj�� :;
i 0.00'"
'N l9'2-9'00"IN'
` - BAY AVENUE
f " THE oFFSEis (OR WMNSIM) SHO" HEREON FROY-Tf1E STRUCTURES TO TriE i
PROPERTY LPIES ARE FOR A�rIC PURPO`sE AID USE Arra THETtFFORE ARE'NOT.
_ Tn nW OF MgES RELAMIN WA" POMA,PATIOS., JOB 'No. 2b-206 -FILE No: 1046 F
I' PIANTR�O AREAS, ADORIOM TO BUNAINGS OR WY OMER'CONSTRUMN.
SURVEYED' FOR'
UHWMORLW ALTERATION OR+ADDNION TO"PHLS SURVEY IS A VIOLATION-OF SECTION
I _ 7209 of THE.NEIN YORK STATE EDUCATION INN. f
_ GUARAMEES RmTCATEI)MEREON SML RUN ONLY TO THE PERSON-FOR YATbN M
- SURVEY Is PREPARm,Arm oN,Ns 0EWF TO,THE TTTLE•OOMPA , GOVE ITAL; SITUATED AT MATTITUCK
AOF?7CY AHD LD0M,INSTIIVrION'USTM HE(iE k AND TO THE AZ M[FS.OF THE
LEmm wmninow +�ARE HOT'TKANSFumx_To Abmok&wsn�u TOWN OF,SOUTHOLD, SUFFOLK COUNTY,,.N.Y.
OR COPIES suRVEir-ww-rior BEARa+c THP Lam SURVEYOR$RocEv sEN at SCALE 1° = _^30', 'DATE, 10-1-2020
C" E48655fb"SEAL SSWl:►NDt.BE COk5IDF7tED To BE A VALlD TRUE•GOPtf.,-'. -- - `- i
FILED MAP No. DATE; I
CERTIFIED ONLY TO:=-,: " TAX MAP No. 1006-14.3– DISK 2020"
HAROLD! F.,TRANCHON JR. P.C.,
LAND SURVEYOR.
rrfd P.O. BOX-616 1
` 1866, WADING'RIVER—MR NOR RD. 'WADING RIVER'
" NEW YORK`; 11792
M1 HAROLD.F.'TRANCH�f 0 04gL o:-048992 Y' , 631-929-4695 `
R aP �. No. 2115-E ?
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