HomeMy WebLinkAbout46578-Z ,%V 49, Town of Southold 8/24/2021
P.O.Box 1179
0
o 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42269 Date: 8/24/2021
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1515 Donna Dr.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.46-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/4/2021 pursuant to which Building Permit No. 46578 dated 7/19/2021
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 finished basement(office, bathroom and recreation room)and"as built"central air conditioning to existing
single family dwelling as applied for.
The certificate is issued to Marron,Thomas&Janet
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46578 8/11/2021
PLUMBERS CERTIFICATION DATED 8/16/2021 ich Mato,AIA
uthori d i tore
o�SUFFot,��o TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
0
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#: 46578 Date: 7/19/2021
Permission is hereby granted to:
Marron, Thomas
1515 Donna Dr
Mattituck, NY 11952
To: Legalize as-built finished basement at existing single family dwelling as applied for.
At premises located at:
1515 Donna Dr., Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-16-14
Pursuant to application dated 6/4/2021 and approved by the Building Inspector.
To expire on 1/18/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,044.80
CO-ALTERATION TO DWELLING $50.00
Total: $1,094.80
Building Inspector
o�aOF SOGIyo! �1 &
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# TOWN OF=SOUTHOLD BUILDING DEPT.
`ycouto, 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: $, v f ��
1,AJ p�
DATE - INSPECTOR ���-
®��OF OU�y®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road jr Fax(631)765-9502
P.O.Box 1179 ® sean.deviina-town.southold.ny.us
Southold,NY 11971-0959
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Thomas Marron
Address: 1515 Donna Dr city,Mattituck st: NY zip: 11952
Building Permit* 46578 Section: 115 Block: 16 Lot- 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 19 Ceiling Fixtures 5 Bath Exhaust Fan 1
Service 3 ph Hot Water Gas GFCI Recpt 3 Wall Fixtures 4 Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 16 CO2 Detectors
Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 13 4'LED Exit Fixtures Pump
Other Equipment: Dehumidifier
Notes: AS BUILT NO VISUAL DEFECTS " Finished Basement
Inspector Signature: Date: August 11, 2021
S Devlin-Cert Electrical Compliance Form
o��pF SOUj�o
# # TOWN OF SOUTHOLD BUILDING' DEPT.
765-1802
INSPECTION.
[ ] FOUNDATION 1ST j ] ROUGH PLBG.
[ ] FOUNDATION 2ND, - [ ] INSULATIOWCAULKING
st
[ ] FRAMING/STRAPPING [ FINAL f 11Pr 9
[" ] 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 g l INSPECTOR
Richard M . Mato , Architect
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TOWN OF SOUTHOLD
Building Department
54375 Main Road
Southold, New York 11971
June 3, 2421
RE: 1515 Donna Drive
mattituck,N.Y. 11952
TM# 1000115-16-14
To whom it may concern,
T have visibly inspected the above mentioned residence and have prepared a
set.of"As-Built" drawings and to the best of my professional ability the construction
is in compliance with the applicable codes in affect at the time of construction,
Should you have any questions regarding the enclosed,please feel free to
contact me,
Sincerely,
Richard Mato,Aj.A
P.P. Box 2284
Aquebogue,NY 11931„
Tel: (881)523-5879
E-Mail: rmatoarchitect@gmail.com
Richard M . Mato , Architect
_01
11"L"', ECC;
TOWN OF SOUTHOLD AUG 1 7 2021
Building Department
54375 Main Road
Southold, New York 11971 F -
August 16, 2021
RE: 1515 Donna Drive
Mattituck,N.Y. 11952
TM# 1000-115-16-14
To whom it may concern,
I have visibly inspected the above mentioned residence with regard to the
installation of insulation and pex rough plumbing. And to the best of my professional
ability the construction is in compliance with the applicable codes in affect at the time
of construction.
Should you have any questions regarding the enclosed,please feel free to
contact me.
Sincerely,
Richard Mato
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HARI) C',S,
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P.P. Box 2284 j 0 N
Aquebogue, NY 11931 Fp 1861
Tel:(631)523-5879 ANEW YOR'�
E-Mail: rmatoarchitect@gmail.com
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CAUTION _ ___ - --
AUG 1 2 2021
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FIELD INSPECTION REPORT I DATE COMMENTS
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FOUNDATION (IST)
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FOUNDATION (2ND) SV^i N
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INSULATION PER N.Y.
STATE ENERGY CODE
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ADDITIONAL COMMENTS
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o�osuci°lrr�oG TOWN OF SOUTHOLD--BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy�o! Sao Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownu.go_v
Date Received
APPUCATION FOR RUMO G PERNT
11V9 �
For Office Use Only
PERMIT NO. !EE7 Building inspector: '4 ' JUN — 4 2021
Applications and forms Must be filled out in'their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an -'LT11r DMC-DEPT.
Owner's Authorization form(Page 2)shall be completed,,
Date:
OWNERS)O PROPERTY:
Name: 100,4 i JAdOr H i4 hJ , SCTM#1000- Q j (� - 14-
Project Address: ej`) 004 ? H.4-1-T
Phone#: (�3 ( � - �j�j Email: W 6-7@
Mailing Address: B 7 0�j VO IN VZ.
CONTACT PERSON:
Name:
Mailing Add ess: ,p, j6� ZZ
Phone#: �Z� I �2?j j.7Gj Email: P- CA41te�r® m,44L.G�
DESIGN PROFESSIONAL INFORMATION: '
Name: 44 H . 't-A A-t—o Al�CM-17liG"r
Mailing Address: ,�, •�jQ �2 $'�.•
Phone#: �j?� l �Z?, 5"�7� Email: 1-4A d A
CONTRACTOR INFORMATION:
Name: iN
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
VewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
ther �t411S / -Afe "f ul0( ' -�0� $
Will the lot be re-graded? []Yes S40, Will excess fill be removed from premises? ❑Yes M10,
1
PR'OPERTY14011MATION '
Existing use of property: .7,4*6 Intended use of property: 414lv� f,4tAIL`( ICY
Zone or use district in which premises is situated: Are there any covenants restrictions with respect to
this property? ❑Yes Ro IF YES, PROVIDE A COPY.
Sir'Check Box' After Reading:, The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code, APPLICATION IS HEREBY MADE to'the Building Department for the issuance of a Building Permit purs11 uant 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,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(s)for necessary Inspections.False statements made herein are
punishable as a Class,A misdemeanor pursuant to Section 210.45 of the New York State Penal Law,
Application Submitted By(print name): �1 � �w� Authorized Agent Owner
Signature of Applicant: Date: I/y
;�®.21 4
STATE OF NEW YORK)
5S.
COUNTY OF �r �I )
1')AllkAola being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 0 W M
GQ-
(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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of , 20,7 _ Tf A.�,
Notary Public
RICHARD M MATHEW
1010 Public,State of New York
PROPERTY OWNER AMOROZAT OGN No.02MA4797583
Qualified in Suffolk County
(Where the applicant is not the owner) CammWonExpitgso&M2OZ4
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
z
�soFOL,��o BUILDING DEPARTMENT- Electrital spector
=�0 Gy` TOWN OF SOUTHOLD JUL 0 2021
o Town Hall Annex - 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959UUTT,DTNGF,,I—,.
O� Telephone (631) 765-1802 - FAX (631 65-951[2`'1 T,' ` €, ;
rogerr(a)_southoldtownny.gov - seand(ab-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 7 kOki
Company Name:
Name: ¢ Om ao U)fjeA
License No.: email:
Phone No: 01 request an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (All Information Required)
Name: lRnmill j M 60OWt'
Address: 1571 1) .1Se wWvr 6 0-- A)� INS-
Cross
N Cross Street: New 5 U FPO)I= AV f
Phone No.: &3I — 11<974
Bldg.Permit#: LiG 57 8 email: -t-NA004g'7ftermej,' ao
Tax Map District: 1000 Section: 115, Block: I& Lot: P)
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Pis 6 0.1CL,1 t i X01 S"
Check All That Apply:
Is job ready for inspection?: YES ❑N ❑Rough In ❑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 ❑ Service Reconnect ❑ Underground ❑Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? ❑Y ON
Additional Information:
PAYMENT DUE WITH APPLICATION \
Electrical Inspection Form 2020.xlsx V I�
PERMIT# I Address:
1 Switches
Outlets
l
G FI's
Surface
L
Sconces
H H's
UC Lts 1 _ ! �. �/1✓
Fans Fridge HW
_ 1
Exhaust Oven Dryer
Smokes DW Service
•r
Carbon Micro Generator
Combo Co_oktop Transfer
AC AH Mini
Special:
Comments ko
r
S
i
Richard M . Mato, Architect `
TOWN OF SOUTHOLD
Building Department
54375 Main Road
Southold, New York 11971 '
July 15,2021
RE: 1515 Donna Drive
Mattituek,N.Y. 11952
TM# 1000-115-16-14
To whom it may concern,
Enclosed please find revised"as-built"plans for the above mentioned
property.
Should you have any questions regarding the enclosed,please feel free to
contact me.
Sincerely,
Richard Mato,AIA
P.P. Box 2284
Aquebogue, NY 11931
Tel: (631)523-1119
E-Mail: rmatoarchitect@gmail.com
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ARE NOT GUARANTEED
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GUAWANTEES INDICATED HiRh JOB NO. 98 26 FILE NO.DEEP HOLE CREEK EST
•HOWN HEREbN FRO* TH8 SHALL RUN ONLY TO THE PERSON
STRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRS• SURVEYED FOR
INM ARE IM A MMFIC PUR- PARED, AND ON NIS Di;HALF TO
°OSE AND USE AND THEREFORE THE TITLE O"ANY, GOVERNMTN ,
%RE NOT =14M TO GUIDE THE TAL AGENCY AM LENDING INSTI- LOT NUMBER 60
TO
NALLS, POOLS,OCTION OF F PATEIOS,REFITAAINNING TING THE1 ASSIGNEES O HEREON,
LENDING
AREAS,
ADDITION TO ESTATES-
BUILDINGS INSTITUTION GUARANTEES ARE
MAP Of' DEEP HOLE CREEK ESTATES•
i. �RANt'OTHEROONSTRUMON, NOT TRA"RAW TO ADDITIONAL
JNAUHIORIZED ALTERATION OR OwmRRSUTIONS OR sullsEouENT SITUATED AT M AT T I T U C K
jADDmoN TO THIS SURVEY Is A TOWNOF SOUTHOLD SUFFOLK COUNTY NY
'IOL MIN of SECTION MDP OF COPIES OF THIS sNI) S MAP NOT
I W t1�Y YOIOL STALE EDe1CATIOLE BEARING THE LANb SURVEYOR'S ,
INKED SEAL OR EMBOSSED SEAL SCALE 1" = 40' DATE 1-20-98
j 3RAU. NOT BE CONSIDERED To Lu
A��v.Icmer FILED MAIC NO. 4256 DATE 1.218.1°165
GUARANTEED g4tTAX MAP NO. 1000.115-16•14 (REF.ONLY)DISK 179
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JANET S.M 0 HAROLD F. TRANCHON JR. P.C.
FIRST AME ICA IT ANi£ CO LAND SURVEYOR
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SCALE: %4"=['-O”
APPROVED AS NC►T D USE IS UNLAWFUL
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DATE: 7 L. B.P.#= �s WITHOUT G�RTR€=EG�`�T�
�RL U f"I B I N C->• RISER D I A G R A i"( �+
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FEE: If BY: OF OGGurl,"A�' E ICY PUMP
NOTIFY BUILDING DEPARTMENT AT - _
SCALE: N.T.S.
765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
C��c' Pal M. h�TF
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE ,PLY
2. ROUGH - FRAMING & PLtJMBiNG �� �' `�'�'' � f WITH H ALL CO_
t,4
3. INSULATION ,LW YC RK STATE & TOV�i�I C0DL
4. FINAL - CONSTRUCTION.MUST AS REQUIRED AND CONDITIONS C
.,�.
BE COMPLETE FOR C.O. SOUTHOLD TOWN ZBA
s��TFof e
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW Sill MraDTOWN PLANNING BOAF
YORK STATE. NOT RESPONSIBLE FOR 5 , �I�'TRI ICTFES
DESIGN OR CONSTRUCTIO14 ERRORS.
,Additional
Certificttlon
May Be RequiiraL
PLUMBER CERTIFICA i
ON LEAD CONTENT BEF0#`;"
CERTIFICATE OF OCCUPAIV I-'. I 7/14/21 REVISED
SOLDER USED lnr VIA r
o. Date Title
„ F -i'V' '
REVISIONS:
SUPPLY SYST
EXCEED 2110 r Drawn By:
Date: 5/4/21
Drawing No.:
J U L 1 4 2021A I
BTil ,DNG Drl"'lr.
OF I SHEETS