HomeMy WebLinkAbout46826-Z �o�OS11FFOLK o, Town of Southold 2/5/2022
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P.O.Box 1179
V' z 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42427 Date: 10/9/2021
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1055 Harvest Ln, Mattituck
SCTM#: 473889 Sec/Block/Lot: 120.-3-8.35
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/20/2007 pursuant to which Building Permit No. 46826 dated 9/15/2021
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:
alterations and additions, including roof deck and two car garage under,to existing single family dwellingas applied
for.
The certificate is issued to Hyland,Patrick
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 119634C&46826 12/7/07, 9/22/21
PLUMBERS CERTIFICATION DATED
Aut orize gnature
��suFFoi oc I TOWN OF SOUTHOLD
ay �UILDING DEPARTMENT
C* g TOWN CLERK'S OFFICE
y . , 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#: 46826 Date: 9/15/2021
Permission is hereby granted to:
Hyland, Patrick
1055 Harvest Ln
Mattituck, NY 11952
To: addition/alterations to an existing one family dwelling as applied for. Replaces BP
38923
At premises located at:
1055 Harvest Ln, Mattituck
SCTM #473889
Sec/Block/Lot# 120.-3-8.35
Pursuant to application dated 8/20/2007 and approved by the Building Inspector.
To expire on 3/17/2023.
Fees:
PERMIT RENEWAL $125.00
ELECTRIC $90.00
Total: $215.00
Building Inspector
TOWN OF SOUTHOLD
�ofFot,��aG�
BUILDING DEPARTMENT
y s 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#: 38923 Date: 6/2/2014
Permission is hereby granted to:
Hyland, Patrick
1055 Harvest Ln
Mattituck, NY 11952
To: ADDITION/ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
REPLACES EXPIRED BP 36952
At premises located at:
1055 Harvest Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 120.-3-8.35
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 12/2/2015.
Fees:
PERMIT RENEWAL $100.00
Total: $100.00
'-DV
Building In or
s�F TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
ce
SOUTHOLD, NY
�dl � �a4y
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 #: 36952 Date: 1/27/2012
Permission is hereby granted to:
PATRICK R. HYLAND
1055 HARVEST LANE
MATTITUCK, NY 11952
To: ADDITION/ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
THIS PERMIT REPLACES B.P. #35053.
At premises located at:
1055 HARVEST LANE
SCTM # 473889
Sec/Block/Lot# 120.-3-8.35
Pursuant to application dated 10/7/2009 and approved by the Building Inspector.
To expire on 7/27/2013.
Fees:
PERMIT RENEWAL $100.00
CO -ADDITION TO DWELLING $50.00
Total: $150.00
Building Inspector
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35053 Z Date OCTOBER 7, 2009
Permission is hereby granted to:
PATRICK R HYLAND
1055 HARVEST LANE
MATTITUCK,NY 11952
for
ADDITION/ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR. THIS PERMIT REPLACES BP33345 .
at premises located at 1055 HARVEST LA MATTITUCK
County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008 . 035
pursuant to application dated OCTOBER 7, 2009 and approved by the
Building Inspector to expire on APRIL 7, 2011.
Fee $ 200 . 00
Authorized Signature
COPY
Rev. 5/8/02
N~„
j FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
'-�5-053
PERMIT NO. 3345 Z Date AUGUST 23 , 2007
i
Permission is hereby granted to:
PATRICK R HYLAND
1055 HARVEST LANE
MATTITUCK,NY 11952
for
ADDITION/ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
,j,,at premises located at 1055 HARVEST LA MATTITUCK
County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008 . 035
pursuant to application dated AUGUST 23 , 2007 and approved by the
Building Inspector to expire on FEBRUARY 23 , 2009 .
Fee $ 200 . 00
x
thrizEtd Signature
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ORIGINAL
Rev. 5/8/02
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: m 5-� Aq"gmT 7/ _/7_U2 1-<
House No. Street Hamlet
Owner or Owners of Property: Q,f,2�,e,/� �-/�(/6,171�
Suffolk County Tax Map No 1000, Section Block �J Lot p -3 S�
Subdivision Filed Map. Lot:
Permit No. 5661'52—. Date of Permit. 1-Z, Z - licant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certifi(caate' Final Certificate: (check one)
Fee Submitted: $ a )v
,
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j'3'7 1fpplicant Mgnature
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.deviini'a-town.southold.ny.us
Southold,NY 11971-0959 ® a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Patrick Hyland
Address: 1055 Harvest Ln city.Mattituck st: NY zip: 11952
Building Permit#: " I 38-9H Section- 120 Block: 3 Lot: 8.35
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 X Basement X 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 10 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 5 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 13 CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan 2 Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED 4 Exit Fixtures Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " Addition / Garage Under House
Inspector Signature: Date: September 22, 2021
S.Devlin-Cert Electrical Compliance Form
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Electrical ee1e Inspection
recti®Sleie+Ir p•Certificate❖J0 i�+oi+•'•.:••11N+�+ :•�•eee/+1 1+fr0 i4
Issue®ate Electrical Inspection Service,Inc. Application'iVNO:u�J
r1++r/1e+•ePb>iep•rJ
12/7/2007 375 Dunton Avenue 119634C
East Patchogue,New York 97772
(631)266-6642 1 `::.�'"+"•�r•�
'
Issued To: Mr. Patrick Hyland
Street: 1055 Harvest Lane
Village: Mattituck Zip: 11952 Town. Southold ,
Section: Block: Lot: _=
6 Contractor: Floyd Harbor Electric Inc. (L) Llc. X 39294-ME �.
Was examined and found to be in compliance with the national Electrical Code.
❑ Commercial ❑ NV Defects ❑ Pool A] 9st Floor ® Indoor ® Basement ❑ Hot Tub
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IX ,r ® Residential ❑ Det.Garage ❑ Attic ❑ 2nd Floor ® Outdoor ® Addition ❑ Survey � y
AN
c Switches Receptacles Fixtures GFI Heaters A/C Fans
- z 9 9 18 3 2
,fy Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves e,
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
r 1
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
<<
Bldg. Permit. 33345
r Other Equipment
1-Garage Door Opener .,
K Hugo S. §6rdi
--- President
Rough Inspection: 10/17/2007 ''-_-�'-�g
Inspector: John McMahon III
,��'• : Final Inspection: 12/05/20071
Inspector: John McMahon III =`
Cy`C4`- �xf'
_ This certificate must not be altered in any manner. Inspectors may be identified by their credentials oyi
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
XFOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE 7 INSPECTOR
SO�jyOlo
333 ��z
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c0UNT1,�
TOWN OF SOUTHOLD BUILDING DEPT.
768.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
1
DATE INSPECTOR
OF SOUTyolo
rourm,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY /[\] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
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DATE s — '9
® INSPECTOR
SOUjyo!
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
RAMIN STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
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04- �-
DATE INSPECTOR
so
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION IST [ ] ROUGH PLOG.
] FOUNDATION 2ND O�INSULATION
] FRAMING / STRAPPING FINAL
] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION FIRE,RESISTANT PENETRATION
REMARKS:
DATE , INSPECTOR.
so
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
I FOUNDATION IST ROUGH PLI3G.
FOUNDATION 2ND INSULATION
FINAL
] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTMT CONSTRUCTION ] FIRE RESISTMT PENETRATION
REMARKS:
DATE d-7,4 7 - INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PL13G.
XFOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE INSPECTOR
'�0 a Po��OF SOUI,yv
* # TOWN OF SOUTHOLD BUILDING DEPT. =
765-1802
INSPECTION'
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ `] FOUNDATION 2ND [ ] SULATION/CAULKING-
[ ] FRAMING/STRAPPING FINAL J�"t l>S 6k:,tr.
[ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE a°�' aha i INSPECTOR
OE SOGTy�Io -`78 [/ [ 0 5 5—
# # TOWN OF-5SOUTHOLD BUILDING DEPT.
`ycourm '' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH 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
REMARKS: r rrtZ%A
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DATE �� INSPECTOR r< ��---
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PELLET FUEL BURNING ROOM HEATER MFG.BY:
-MODEL: 25-PDVCl55-SHP10- ENGLAND STOVE WORK
SERIAL N0. P•O.BOX 206
cC��, MONROE,VA 24574
'•••.,,..�'� MFG.DATE
WIN 02200
TESTED T0: ASTM E 1509.93:OREGON 814-23-900 THRU
81423-909 AND ULC S827•M90-UL 1482 INSTALL WITH MINIMUM
TMISPELLETFIREDAPPLIANCEHASBEENTESTEDANDLISTEDFORUSE CLEARANCES TO WALLS
IN MANUFACTURED HOMES. AS SHOWN.
"FOR USE WITH PELLET FUEL" 13"
INPUT RATING:38.000 BTU ELECT RATING:120V,80HZ 3A �
O NOT REMOVEOR •
■KEEP DOOR 8 HOPPER LID CLOSEDTIGHTLY DURING OPERATION. 6STOVE
■UNR MUST REPLACED ON ANON-COMBUSTIBLE FLOOR PROTECTOR
EXTENDING OUT 6"TOTME FRONT AND 4`TO THE SIDE ANO 1"TOTHE BACK.
■CONTACT LOCAL BUILDING OR FIRE OFFICIALS ABOUT RESTRICTIONS 8 SIDE WALL-BACK WALL
INSTAlLAT10N INSPECTION IN YOUR AREA. INSTALLATION
■INSTALL 8 USE ONLY IN ACCORDANCE WITH THE MANUFACTURER'S
INSTALLATION AND OPERATION INSTRUCTIONS.
■CHIMNEY CONNECTORS:3DIAMETER MIN.PELLETVENT PIPE INSTALL
AT LEAST 3"FROM WAIL OR CEILING. 16"
■REFERTO LOCAL BUILDING CODE 8 MANUFACTURERS INSTRUCTIONS
FOR PASSING A CHIMNEY OR CONNECTORTMROUGM ACOMBUSTIBLE 3" •
WALL.
■MEETS EPA PARTICULATE MATTER REQUIREMENTS FOR WOOD HEATERS 6..
BUILT AFTER JULY 1,1890.
•• • CONNECT TO A CHIMNEY
CORNER INSTALLATION
ANOTHERFLUE SERVING
LIGHTING INSTRUCTIONS:PLACE A HANDFUL OF PELLETS IN BURN
POTWITH FIRESTARTER AND IGNITE.CAUTION:TIGHTLY CLOSE DOOR i•
AND HOPPER IID.SET HEAT ON MEOIUM ONCE FIRE IS BURNING WELL.
OPERATETHIS UNIT ONLY WITH THE FUEL HOPPER LID ClOSEO.FAILURE --
TO DO SO MAY RESULT IN EMISSION OF PRODUCTS OF COMBUSTION 4 4
FROMTHE HOPPER UNDER CERTAIN CONDITIONS.MAINTAIN HOPPER
SEAL IN GOOD CONDITION.DO NOT OYER FILL THE HOPPER.
CAUTION 6
t,, DO NOTTOUCH.MOTWHIlEOPERATING.
KEEP CHILDREN AND ALL COMBUSTIBLES FLOOR PflOTECTION
�1 AWAY FROM UNIT. MIN.SIZE 31"X 62"
' _ . MAY CAUSE SKIN BURN.SEE INSTR.MANUAL. II
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DF
P.A RTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHO)765-1802 Planning D,NY 11971 ����� 4 sets of Burldmgns
TEL: 631 Board approval
FAX:(631)765-9502 Suryey
www.northforLnettSouthold/ PERMIT NO. �J�� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined
ZO � Contact:��'�`
Approved 20 to:
Disapproved a/c
Expiration —20
Buildin ct r ®
APPLICATION FOR BUILDI PE 1/V QLD'} D
F EP,
Oc® zo
INSTRUCTIONS
-�t
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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 to 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,h using cod and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
li
ALu��
A
gnature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant-is owner,lessee,agent,arAitect,engineer,general contractor,electrician,plumber or builder
Name of owner of premisesff(79 (_K 2I VW P i AAJ064,�A—T, I+Y/_1d D
(As on the itax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. 2�7 36G tt 5U
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
10 �5 Ed &1 /5T- LAO— 1N1 A 1 PU S
House Number Street Hamlet
County Tax Map No. 1000 Section � Block Lot 0 d ��
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. r
a. Existing use and occupancy (ZZ,�5(D-W T I A/ --,-) 10 9 LAC 5 'lWU 4-
b. Intended use and occupancy t-�L z�� � �jj
3 Nature of work(check which applicable):New Building Addition 1/ Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling unitsNumber 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.
D
7. Dimensions of existing structures,if any:Front � � � Rear � Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear 16
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
i
9. Size of lot:Front 5� Rear ZW?• 3 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 V I ill excess fill be removed from premises?YES�NO_
'
14.Names of Owner of pre ses a4v����° 46d Address 1O'5 �yC/Sa 4c_ Phone No.
Name of Architect r uj3 Address Phone No 6 S t 2 0 3 5 j f
Name of Contractor t G(4&tk V1VVW\-aL t Address Phone No. l Z 6 2 g2
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.0 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.
STATE OF NEW YORK)
SS
COUNTY O o 11
UeA�6 (�'Zalylit "t being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(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.
VSw �o\ ore me
V day of ,— 206')
(e,
Notary t!b c Sig lure o t
MELANIE DOROSla
NOTAR No.01 DR6346 0®w
Qualified In Suffolk County
Commission Expires September 302b U
06-16-2007 06:25 SOUTHOLD BUILDINGa DEPT 16317659502 PAGaE1
o � Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
V6 ) —
yc PROPERTY LOCA7M! S.C.T. THE FOLLUMNO ACTIONS MAY REQUIRE THE SUBMISSION OF A
I Opp �:�,� _� ��STO ATE al 1!!G!,0!AINAGE AND EROSION CON OL PLAN
District section Stock Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THR,STATE OF NEW YORK.
----------------------------------------------------
itemitem Number (NOTE: A Cherie Mark(j)for each Question is Required for a Complete Application) Yes No
-----------------------------------------
— ————Will Project Retain All Stoma-Water Run-Off Generated by a Two(2")Inch Rainfall on Site? ———--J�—
I this
(This item will include all run-off created by site Clearing andfor construction activities as well as all Site
Improvements and the penTmnenl creation of impervious surfaces.)
2 Does the Site Plan andlor Survey Show All Proposed Drainage Structures Indicating Size e.Lowilon' L ❑
This Item shall include all Proposed Grade Changes and Slopes Controlling Surfam WaterFlowi
3 Will this Project Require any Land Filling,Grading or Excavation where there Is a change to the Natural 1/
F-Asting Grade Involving mora than 200 Cubic Yards of Material within any Parcel?
Q Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of V
Five Thousand(5,000)Square Feet of Ground Surface?
5 Is thara a Natural Water Course Running through the Site? u✓
Is this Project within the Trustees jurisdiction orwithin One Hundred(100')feet of a Welland or Beach? F-1
6 Will there be Site preparation on E6dsting Grade Slopes which Exceed Fifteen(15)feet of Vertical Rise to ❑
One Hundred(700')of Hortznntal Distance?
7 Will Driveways,Parking Areas or other impervious Surfaces be Sloped to Direct Storni-Water RumOff l�
into and/or in the direction of a Town rlght-of way?
Will this Project Require the Placement of Material,Removal of Vegetation and/or the Construction of Elr'✓
any Item Within the Town Right-of-Way or Road ShoulderArea? —
(This Item will NOT include the Installation of Driveway Aprons.)
9 Will this Project Require Site Preparation within the One Hundred J1 130)Year Floodplaln of any Watercourse?
NOTE: If Any Answer td,Questions One through Nine Is Answered with a Check Markin the Box, a Stortn Water,Grading,
Drainage&Erosian Cbntral Pian Is Required and Must be Submitted fur Review Priorto Issuance of Any Building Permiti
----------------------------------------------------
EXEMPTION: Yes Nn
Does this project meet the minimum standards for classification as an Agricultural Project?
Note: Ir You Answered Yea to this Question,a Storm-Water,Grading,Drainage S Erosian Control Plan Is NOT Required! _
----------------------------------------------------
STATE,OF NEW YORK, S U�Foz�
(7011 iN'C'Y Or...........................................SS
7'luxt I,.................. heir duly sworn,dcpvsc arta says tll:ul br/shr is the applicant for Pcrtnit,
(Name or indmdual at9mg DvamicrN)
Aildthat he/she is the 1 �Z �.................................... .... ... . ......................................................................
(owner,Contractor,Agent.Cowmde Officer,oic,)
Chimer and/or repro-5eutative of the Owner of Owners,and is drily authorized to petforni or have performed the said work and to
make and file this application;that all sudezients contained in this applic:atiwt are true to the best of his knowledge:and befief;mid
dial the work will be performed in llte manner act forth in the application tiled hel'ewith.
Sworn to�bleff)oic me this;
............ .•` k.J. .........day of.,. S -...,2
NotaryPublic: ......... .. .. . V :v^ -C.(.................. - ..... ....... ........................
(54piature of Appkerit)
FORM -06107 MELANIE DOROSKI
NOTARY PUBLIC State of New%yk
No.01Db4634870 ttyy
CommissionifExpires September 3A,
o�OSUffot,reo BUILDING DEPARTMENT- Electrical Inspector
y. Gym TOWN OF SOUTHOLD
y = Town Hall Annex- 54375 Main Road - PO Box 1179
"r Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a_southoldtownny.aov -- seand(aD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Name:
License No.: email:
Phone No: ❑I request an email copy of Certificate of Compliance
Address.:
JOB SITE INFORMATION (All Information Required)
Name: 9A'21 C /J4 u l,,
Address: D -S A/h/2V i S
Cross Street: L LCI4 tIV
Phone No.: ? _ p 7 p
Bldg.Permit#: email: r0 6[ @ AOL..
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) P O,JI T/ F4
Check All That Apply:
Is job ready for inspection?: PYES ❑NO []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 ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION C
lz�9
Electrical Inspection Form 2020.xlsx %
PERMIT# Address:
r t
Switches J
Outlets
G F I's
Surface
Sconces i
H H's ��,:�
U"
UC Lts
Fans 1 Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Coo kto p Transfer
AC AH Hood Service
Amps Have Used
Special:
Comments
gUFF04 Southold Town Building Department
�Q� cGy 54375 Main Road Permit#: 35053
R. x Southold,New York 11971 Permit Date: 10/7/2009
o (631)765-1802
4,a o� ` Expiration Date: 4/7/2011
Parcel ID: 120.-3-8.35
BUILDING PERMIT RENEWAL LETTER
Dated: 1/17/2012
Applicant: PATRICK R. HYLAND
Location: 1055 HARVEST LANE
Work Description: ADDITION/ALTERATION
ADDITION/ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
THIS PERMIT REPLACES B.P. #33345.
A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: PATRICK R.HYLAND
Address: 1055 HARVEST LANE
MATTITUCK,NY 11952
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
�o�gtlPFO(�Cd� P.O.Box 1179
Permit#: 36952
54375 Main Road
o _ ,S Southold,New York 11971 Permit Date: 1/27/2012
y�ol dao¢` (631)765-1802 Expiration Date: 7/27/2013
s `. Parcel ID: 120.-3-8.35
BUILDING PERMIT RENEWAL LETTER
Dated: 5/23/2014
Applicant: PATRICK R. HYLAND
Location: 1055 HARVEST LANE,MATTITUCK
Work Description: ADDITION/ALTERATION
ADDITION/ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
THIS PERMIT REPLACES B.P. #35053.
A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: PATRICK R. HYLAND
Address: 1055 HARVEST LANE
MATTITUCK,NY 11952
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold,New York 11971
C E U T
MAY 3 0 2014
BLDG DEPT.
TOWS j OF SOUTHOLD
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
R4F 01,101 1000-/20-03-008-35 SEC.SHD JO 690 22
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o i � i � ��•49.55 -
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< < o �E[ oSH,4` 5 [AIVE)
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5UR V OF PROPERTY
situated at Surveyed by
JW A TT/T IJCl< SMITH 9 JUNG
TOWN OF 50UT110L PLEASE 6�0e0— ` — - - --- -
f�OTE —p P1,0 05510 aI L Ind Surveyor
SUFFOLK GOON � dicesspool iis to be
we�l 20 bIEDFORO AVE. .
NEW YORKe 1�0 feet. PATCHOGUE, N.Y.
SCA LE: 1"=30' Phone 475-3192
Survey Certified tO L 0 r A/0,5• SNOwN HEREON REF'E SToc1 FANO rB,4,?A4yEU
PATRICK R• N '[AND X550C/ArE.S�-FILED SEPT /, 1989 /1
8.
4"DRE,4 T NYLAND SEE CERTIFICATE OF CORRECT/®N FILED
PEEPLE55 A86TRCl CORP 990655
- - y11// AAon
i
A �
EL92,51 Proposed removal of existing deck EL 100
Proposed construction of a one story
addition with garage under and a roof deck.
All roof water run-off to be drained away rn
from the house to the center of the property.
No Change in the eixsting grading of the property
New Roof Area = 602 SF C.0
o
Path of water running A.G.
from the new roof gutters j 102.0
New
Roof Deck
��p 51' 9.82" U
New rr 105.0
145' 3.48" GF 96.0
O
Existing 10'Dx 8'Drywell for
M Existing retaining walls- no change driveway pitched towards house
(Garage under)
EL 95,39 Existing Driveway- no change EL 98,15
0
Job Number
Drawn By:
Date:
8/07
Scale:
1"=30'
Rev. Date
All information taken from field observation
and Smith and lung survey March 20, 1999 Sheet:
1
®2005 Can-Do Enterprises,Inc
A�
Cs TIFICATIOECTTIoNS
SJA��-ANO &CpNN
REQUIRE®' All OO ED AS NOTED C'��
DATE: B.P.#
FEE: BY:
NOTIFY BUILDING DEPAR T AT
7 -1802 8 65 AM
FOLLOWING INS INSPECTIONS:
FOUNDATION
4 FM FOR THE � o
FOUNDATION - TWO REQUIIRED �] °
�+rt�"�t�,Ct'�� FOR POURED CONCRETE
� rTn
4 o 2. ROUGH - FRAMING & PLUMBING x/11
GUP ANDY 3. ION
4. FINALATCONS7RUCTION MUST o g
BE COMPLETE FOR C.O. d
ALL CON57RUCTIOtI
SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW Q °
YORK STATE. NOT RESPONSIBLE FOR
r DESIGN OR CONSTRUCTION ERRORS. n
rt
. Ua N GAP E�EN��
1. ��NGE�CpDE• COMPLY WITH ALL CODES OF
12 �`" ODP SOWN NEW YORK STATE & TOWN COD O
3 SvU1�pLD AS RECJ,,RED ANS? Gti.�"::-)TIONS OF
SOUr, .moi O,. ,- o
p ZNE�Ow�SOD N.Y.S.Dco
� A �
UNDERWRITERS CERTFI:
tt
TABLE RR 301.2(1) 2"X 6"Hold Do
CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA 111o
SUBJECT TO DAMAGE FROM � rI 1 N Existing 1 st Floor
GROUND WIND SESMIC WINTER ICE SHIELD FLOOD
SNOW DESIGN FROST DESIGN UNDERLAYME T HAZARDS
LOAD SPEED CATEGORY WEATHERIN i LINE TERMITE DECAY EMPERATU E REQUIRED 5/4"Cedar Decking
(MPH) DEPTH
MODERATE SLIGHT OF NON 2"X 4"A.C.Q.on Flat Fiberglass Roof Shingles Existing 2nd Floor, c�
45 PSF 110 MPH C SEVERE 3 FEET TO HEAVY MODERATE I f F YES FLOODPRON g g 3
EPDM Roofing 'Cie
o
TABLE 3.1 WFCM 1995 TABLE R301.4 3/4"Plywood Subfl '
NAILING SCHEDULE MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS 1/2" CDX Plywood Roof Sheath'
NUMBER OF (IN POUNDS PER SQUARE FOOT)
JOINT DESCRIPTION OMMONNA SNAIL SPACING 211 X loll F.J. 1 ,11 O.
USE LIVE LOAD 1 1/2" Air Space Typic ® CS20
u. 3 iso .. P��Ra.� Double Box Beau-- - 't✓/11
Rafter To T . lot ce-Nailed)ed EXTERIOR BALCONIES 60 Lbs./S.F. '
Ceilin Joist ToT Plate foe-Nailed 3-8
Per DECKS 40 Lbs./S.F. .�{` 5/8"Type X G.W.B. Q
Ceilin Joist To Parallel Rafter Faced-Nailed 5-16d Each La -
Ceilin Joist La s Over Partitions Faced-Nail 5-16d Each a PASSENGER VEHICLE GARAGES 50 Lbs./S.F.
Collar Tie To Rafter aced-Nailed 3-8 Per Tic ATTIC WITHOUT STORAGE 10 Lbs./S.F. 4' Dar
Rlockin To Rafter Toe-Nrtiled 2-8d he a ;�r - R-38 Kraft Face Q O
Rim Board To Rafter End-Nailed 2-16d Each En ATTIC WITH STORAGE 20 Lbs./S.F. N
0Lbs./S.F. New Garage Exists g ar g Vented Soffits ypi Fibe g ss Insulatio 10' 6" M exxm�aInnum 10 S�CS 20 Strap Fastened�Connnion" m pro
ROOMS OTHER THAN SLEEPING AREA 4 :� 'I7 G a e r i a
To+Plate To To Plate Fare Nailed 2-16d er 001 SLEEPING ROOMS 30 Lbs./S.F. ~ T
CS 20
To Plate At Intersections(Face-Nailed)_ 4-]6d Joints-Each Side — — Wrapped Under-a'Stl nn a n at ilsssadetl
STAIRS 40 Lbs.I S.F. r1 11 (n In odor suAace)Of sin Hem (5 Nall=Each Sm.) la
Stud To Stud(Face-Nailed) 2-164 24"O.C. r]r Mini 10•aE Common Nails
d s GUARDRAILS AND HANDRAILS 200 Lbs./S.F. '[ (D 2 X 12 Roof Rafterip SNalla Eecn aloe
HcadcrTnHcadcr Fecc-Nailed R-15 Kraft Faced Ex sting 1st Floor es2o
To Or Bottom Plate To Stud End-Nailed 2-16d Per 2"X 4"Stud @ 16" �.0 o0
Fiber lass Batt Insulation Sim sonCS2oStra in Detail sum CsrnToS20 in Detail
3-16d Per 2"X 6"Stud 9 ST (Muds-,aoxoeam To se d) N.T.S. ST (Mudsn,eoaheam To SWd) N.T.s �%�(jam
4-16d Per 2"X 8"Stud
Bottom Plate To Floor Joist Band'mst TABLP.R301.6 _ `_ 2" X 4" Exterior Wal
E'nd'oistorBlockin ace-Nailed 2-16 Per Foot ALLOWABLE DEFLECTION OF STRUCTURAL MEMBERS W/ 1/2" CDX Plywood Sheating p1411 cod Subfloor ,
yVl/ LSSU28 o
i T ill T Pl rf i r T - it 4-8d Per Joist STRUCTURALMEMBFR F.FLECTIO 2771
" X 10" Box Bea,
Brill in To Joist oe-Nailed Each End
Blcekin To Joist Too-Nail d 2-8d Each End RAFTERS HAVING SLOPES GREATER TI IAN 3112 L/180 Ledger Oar
RlockinrTnSillOrTo Plate(Toe-Nailed) 3-16d WITH NO FINISHED CEILING ATTACHED TORAFfE 5 Deck Section 2" x 6" ACQ Sill Plates—l ed cr Stri oB3-16dEach Joist INTERIOR WALLS AND PARTITIONS H 1180 r2 Roof H2 alp Fastened From Root Ra
Joist(fiLedger ToBeem Tc�eNailed 3-8d Per Joist w/Termite Shield & Sill Sealer LL AwaaTopplamaToSRa O
L1360 =y Minimum l0-ad Common Nab
Band Joist To Joist End-Nailed 3-16d PCrJoist FLOORS AND PLASTERED CEILINGS R (5 Nails Each sw.)
Band Joist To Sill Or To Plate Toe-Nailed 2-16d Per Foot ALL OTHER STRUCTURAL MEMBERS L/240 A 1/4" = 1' - 0"
– 2" X 10" Floor Joists @ 16" O:G.– Hz Lag bolt Ledger T
EXTERIOR WALLS WITH PLASTER AND STUCCO FI ISHI1/360 - Existing House Framing
Structural Panels 8d 6"O.C. EXTERIOR WALLS-WIND LOADS WITH BRITTLE FI IS}t/240 R-38 Fiberglass Insulation
Diagonal Board Sheathing — r 5/8"X 3 1/2"Staggered Pattern
EXXOr 1"X 8° 2-8d Per Su ort EXTERIOR WALLS-W[ND LOADS WITH FLEXIBLE N19W 120 rt 3-8a Per Su �'�`!r Exists arer gg im H2 Stra in fail ��or wia n G a eSTS Wallboard ooersLU
Sum on LSSU28 Han er li
(RaRarTop Hate 70 Stud) N T a. ST FOUNDATION NOTES: 8" Foundation W (RsRer7ul-ed0er) N.T.e.
StructuralPanels6"O.C.
To Be On Virgin Undisturbed Ioil Or Controlled Compacted Fill Below Frost Line (36" Below Grade) 3000 P.S.I. Concrete .t 4000 P.S.I. Concrete Slab
7116" 6d 3"Edge Footings/6'Ficld
25/32" 8d 3"Ede/6"Field Verify In Feild Minimum 2000 P.S.I. Soil Eearing Capacity 6 Mil. Vapor Barrio/ & 6 X 6 W.
Gypsum Wallboard 5d Coolers 7"Ed re/10"Fiel ;;)d.
Hardboard 8d 6"O.C. Minimum Soil Conditions: Sand, Silty Sana, Clayey Sand, Silty Gravel, Clayey Gravel Or Better 8" X 16" Poured Concrete Footil ly
Particleboard Panels 8d 6"O.C.
Dia onalB ardShcathin All Footings And Foundations To Be Mininum 3000 P.S.I. Concrete cured for 28 days 3000 P.S.I. Concrete
1"X6"or 1"X8" Per Importwith XOn 6 Mil. Polyethylene Va or Barrier
I"X10"Or Wider 3-8d Per Su rt All Concrete Slabs To Be Minimum 4000 P,S.I. Concrete wit 6 6 W.W.M.W. p j Living Room Section ~"
Structural Panels1/4" _
8 6"Ede 112"Fiel 1' -
0"
Greater Thanl" 10d 6"Edge/ 6"Fiell
Diagonal Board Sheathing
I"X 6"Or 1"X 8" 2-8d Per Support
1"X 10"Or Wider 3-8d Per Support
I Nailing requiremcala arc based on wall sheathing milod Van crnlcr at the panel edge.Irwaa shading is/.Boll •m o ator 141011
41011 141011 -^•y
lithe panel edge..
obtainhigher elaer cepeciaas,nailing requirements for smlenral members shall be daubled, artctiare 361 011
colinceton,such mstroer plata,shall 1.used to neantam the load Path. (1 1'-0"X#5 Dowells 1'O.C.Vertically
2 Who wall shathingisoondraowoverclianxiedtr obers,lic%WatednumberofneilsshMNponniaedto reduccdin Drop Foudation&Deck: 9"
1.16 d stil per fool
2 2 Cl. Cl. so
48
New
0
- Roof Deck
= C�
o =a: Drop Foudation&Deck: p
5/8"X 12"Atichor`3o i J=__I C� _ s
la Spaced 32" O.C.And HD2A Hold Downs
Within 12"Of Corners ". \ �t
e-•
rr N 2 - 2arX8ra -�l I
2 - 2X8 8
16"X 8" Poured Concrete Foo' . 3068 304
tr ��. 2"X 10"F.J.
8 Concrete Wa ,) „ Family Room016"O.C, 2 X l2 R.R. Kitchen
h; @ 1 1611 O.C. Na�
°i A- @
CS 20 Strap Fastened To Exterior Or _ "1
Wrapp rd Under SurfaSill Plate AndPlatF asCeded Simpson BP/LBP Bearing Plate A �• Insul -D 2"X 6"C.J. O O {
11
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