HomeMy WebLinkAbout29166-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29337 Date: 04/01/03
THIS CERTIFIES that the building ADDITION
Location of Property: 700 RUTH RD MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 106 Block 5 Lot 31
Subdivision Filed Map No_ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 27, 2003 pursuant to which
Building Permit No_ 29166-Z dated FEBRUARY 27, 2003
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" SUNROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to ILSE MURPHY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO- 1115310 02/21/03
PLUMBERS CERTIFICATION DATED N/A
Au orized Sig ture
Rev. 1/81
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. 29166 Z Date FEBRUARY 27, 2003
Permission is hereby granted to:
ILSE MURPHY
PO BOX 864
MATTITUCK,NY 11952
for
AS BUILT SUNPORCH ADDITION AS APPLIED FOR
at premises located at 700 RUTH RD MATTITUCK
County Tax Map No. 473889 Section 106 Block 0005 Lot No. 031
pursuant to application dated FEBRUARY 27, 2003 and approved by the
Building Inspector to expire on AUGUST 27 2004 .
Fee $ 300 . 00
ut o ize ignature
COPY
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENTTOWN HALL
(�
76 J.
APPLICATION FOR CERTIFICATE OF OCCUR Cy l
l
A. This application must be filled in by typewriter OR ink and submidZt4 build¢r.
inspector with the following: for new building or new use: 4
1. Final survey of .property with accurate location of all buildings, property links
streets, and unusual natural or topographic features. J
2. Final Approval from Health Dept. of water supply and se ra d�!disposal(S-9 form)
3. Approval of electrical installation from Board of Fire Un erwriters.
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 buildi
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 a
"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 a consent to inspect signed by the applican
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 $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date - 9— . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .. . . . . . . . . Old Or Pre-existing Buildiag-X . . . . . . . . . . . . . .
Location of Property. . dR. . . .S uTf4.9.Q . . .. (Y1�411 ITU G1�, , , , , ,
. . . . . . . . . . . . . . . . . .
House No. , 1 Street Hamlet
Onwer or Owners of Property..Lj.. .. 5;rkkt4O� . . . . . . • • • • . •• • • •
.. . . . . . . . . . . . .. .. . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . . . . . .Block. d.`a. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . .
Permit No.Z�� OR . . . . . .Date Of Permit. 7, V:. . . .Applicant • . • • • •
Health Dept. Approval. . ,. . . . . . . . . . . . . . . . . . . .Underwriters Approval.`A. . . . . . . . . . . . . . . .
Planning Board Approval. .N!A . . . .. . . . . . . . . . . . . �(f
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate./. .: . . . . . . .
Fee Submitted: $. -z`Ja . . . . . . . . . . . . .
'��3
APPLICANT
Condon Engineering, P.C.
New York State Licensed Professional Engineer
1755 Sigsbee Road 631-298-1986
Mattituck, New York 11952 Fax 631-298-2651
March 20, 2003
Town of Southold
Building Department
Town Hall
53095 Main Road
Southold, New York 11971
Gentlemen:
I have inspected a footing for the sun porch at the Schneider residence at 700 Ruth Road in
Mattituck, New York and found it to be at a depth of approximately 3 feet below grade as shown
on the filed plans.
If you have any questions regarding this letter please call me on 298-1986.
Yours truly,
on on, S` .
C` E�
OJ rJ�r�cnr�rJ�r�rJ j@j 1�rirPrJ�rJ�rJ�rJrJ�rJ�lJ: E EE ar�u�cnrJ�rJ�r�r R fAJ�rJ'arJ art arJ�rJrJ�J ar�rlrJrJ�rJ�rJ arJrJrJ�rJ�r�r�rrarJ�rJ�rJ�rJ�i nrJ`�rJ arJ�Pr�rJrJrP o�
5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
C5 BUREAU OF ELECTRICITY r5
40 FULTON STREET — NEW YORK, NY 10038 rsj
r
5 CERTIFIES THAT 5
5 Upon the application of upon premises owned by 5
5
5 JENNIFER WOJTA JENNIFER WOJTA C 5
5 5 700 RUTH ROAD 700 RUTH ROAD 5
MATTITUCK N.Y. 11952 MATTITUCK, NY 11952 5
Located at 700 RUTH ROAD MATTITUCK, NY 11952 C5
75 Application Number: 1115310 Certificate Number: 1115310 5
rsl5 Section: Block: Lot: Building Permit: BDC: NS11 5
Described as a Residential occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 First Floor, Outside, 5
5 55
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
rj found to be in compliance therewith on the 21st Day of February,2003. 5
Name OTTY Rate RAing Circuit Type 5
5 Wiring and Devices rj
5 Receptacle 3 0 General Purpose 5
5 Switch 2 0 General Purpose 5
5 Fixture 1 0 Incandescent 5
5 A visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to be
5 in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5
5 5
5 5
5 5
5 5
5 seal 5
5 1 of I 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
orJ arJ arJ�rJ�rJ arJ arJ�rJ arJ arJ�rJ�rlrlarJ arJ�rJ�rlcJ ar�rJ arJ�r PcPr�rJ�rJ�rJ�r farJ�rJarJ arJ arJ aclarJ�rJcJ acJ arJ arJ�rJ�r f arJ FFJ arJ a�farlarJ�rJr�rJ�rJ�cJ a�fa�farJ�r fart a rJ�rJ arJ� 7L7
Ludlow Homes Contracting company
P.O. Box 781
Mattituck, NY 11952
(631) 298-5080
December 6, 2000
To whom it may concern:
This letter is in regards to the existing addition to the residence located at 700 Ruth Dr.
Mattituck,New York, 11952.
The owner Cindy Schnieder does hereby give authorization for Thomas M. Ludlow D.B.A.
Ludlow Homes Contracting Company to act as their agent in obtaining any needed permits as
required by Southold Town for the above referenced project.
Thank you for your cooperation and prompt attention in this matter.
Sincerely,
0
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PL
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
Al
DATE INSPECTOR
FIELD INSPECTION REPORT DATE CONINIE n
� ro
FOUNDATION(1ST)
1 �
------------- C
5
FOUNDATION(2ND)
- 0
g .
ROUGH FRAMING&
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE
l000r
3/ p
FINAL
ADDITIONAL COMMENTS
O
m
z .
y
a �
x
BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971 DEC . . . . . . . . . . . . . . . . . . . . ... . . . .
TEL: 765-1802 TRUSTEES . . . . . . . . . . . . . ... . . . . . .
NOTIFY'.tiM ;2 9 S—
CALL . . . . . . . . . . . .
Examined.................. 1n.... MAIL TO: . . . . . . . . . . . . . . . . . . .
Approved.................. Permit No. ................ ..................................
Disapproveda/c .................................. ..................................
......................................................
. ................................
-'! (Building Inspector)
( APPLICATION FOR BUILDING PERMIT
ff
Dater . . . . . . . . . . . 2GC
2 .
rE� INSTRUCTIONS
a. '.This application must beetely filled in by typewriter or in ink and submitted to the Building Inspector w
3 sets o`l plarus;;._.aMcccurate plot plan to scale. Fee according to schedule.
b. plan showing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of
this application.
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
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 arty purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATICN 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, horsing c
regulations, and to admit authorized inspectors on premises and in building for "'mar inspect i
specti
(Si a of applicant, or mare, if a corporation)
t C� 0L.tF- ,JJ1-1 I-". M( TTVfU C
.............................................K,.-..
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil.de
....� .....................................................................................................
DEV
Now of owner of premises ...fi l-r.QL I�16...... JZ �.a ......................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License Mo. ....................
1. Location of land on which proposed work will be done....!" ......................................................
�.............ZQ � .............................� . .!. ..............
House Number Street /� Hamlet
County Tax Map No. 1000 Section ...� P.`. >.... Block ........ Int ..............
Subdivision ...................................... Filed Map No. ............... Int ...............
(Rare)
2. State existing use and occupancy of premises
+ a`nndd- intended use and occuppancyy of proposed construction:
a. Existing use and occupancy ...�?`.INg (r ems.r�....�J M��-4....?a:V K�N��................
b. Intended use and occupancy .... SJ.�C�...�—PJ?`�a�.. ^'�.V.i pcJ;��� ................
Repair ............ Removal Demolition Other Work .Y p i l�1:. X-&
(Descri
Estimated Cost fee ..............................................
yy (to be paid on filing this application)
if dwelling, 1....... tl�er of dwelling units on each floor 1
number of dwelling units .... •••--•-•••-•••••
Ifgarage, number of cars .....................................•
If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
Dirrensions of existing structures, if any: Front....Y! ....... Rear .!E3 v........ Depth .> .............
' ' i
Height ....... ................ Number of Stories ................... j p
Dimensions oltI same structure with alterations or additions: Front JS. ......... Rear .Ll v..........
Depth ... DS!........... height ...jf5.............. Nnber of Stories A............
pp �
Dimensions of entire new construction: Front ...ZA..ii ..... Rear ...Z�........ Depth l�.''�......
Height -10.2 .................. Naber of Stories
...Y..................
Size of lot: Front ...I UV— .... Rear �. Y ......... Depth .V-2-5=...... A�
I. Date of Purchase ..�E'] . '........ Name of Former Owner
I. Zone or use district in which premises are situated ..1`.�.:-:.....................................................
!. Does proposed construction violate any zoning law, ordinance or regulation: I.Y.LI..................
{. Will lot be regraded ...lX P........... Will excess fill be removed from premises: YES V
Names of Owner of premises �iY1S l Ir(.�,•5�}�i"i mess ....•• Phone No. ?5.... US
Naeof Architect .................................... Address .............................. Phone No. ..............
Nae of Contractor ................................... Address ................,,.rr...............Phone No. ..............
i. is this property within 300 feet of a tidal wetland? * YES .......... NO ......
*IF YES, S[IIDIID IM TRUSTEMS P&t]IT MAY BE RR(i[)UM.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
-an property lines. Give street and block number or description according to deed, and slow street names and indicate
nether interior or corner lot.
ME OF NW )RK, - SS
UNLY OF
........................being duly sworn, deposes and says that he is the applicant
am of individual signing contract)
ave named,
isthe ...................................................................................................
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
plication; that all staterrents contained in this application are true to the best of his knowledge and .belief; and
at the work will be performed in the manner set forth in the application filed therewith.
orn to before me this
......� ].......day of 2003•• /
Notary Public daLZA--,� �.�... :-
Monica Cerise (Signature of Applicant)
NOTARY PUBLIC,State of New York
No. OtCE6069403
Qualified In Suffolk Countyy
Commission Expires May E9,20
_ SURVEY OF PROPERTY
SITUATED AT
O LD MATTITUCK
cla-D TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SUBDIVISION YAP OF S.C. TAX No. 1000-106-05-31
"CAPTAIN KIDD ESTATES" SCALE 1"=30'
1 BLOCK 15 MARCH 28, 2002
FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY
ON JANUARY 19, 1949 AS FILE No. 1672 _
LOT 188 LOT 189 ARii = 12,500.00 sq. ft
m
N
S 87'1 1 '00" E z 100.00'
FOUND FENCE D FENCE
CONC. NON. 3.1 N. FENCE 0.9'N. F INCE 1.3'E.
i CHAIN LINK FENCE
:VRE
N
N 5 FENCE AROUND GARDEN
0
W I � C RT1FI D T0:
ANDRZEJ WOJTAS
Q4
WOOD PIAT. DECK s• Dur JENNIFER WOJTAS
F16.6, 23.1 3.9 ri p D K 0.6' OUT ¢
et w in SUOf
N ROOMS F
L_______ 20.1, 15.2' O'G
N Q2� J491.50'
1 STORY FRAME MOUSE t OA70D ��; 16.5' 23.9' HOUSE No. ]OD�� wCAP01 Zto N 87.11'00" W "E"•V0b' srATF,.vo
CONCFOMOW N 870'm'06° vV 100.00' CONI°MON.
EDGE OF PAVEMENT
SII
RUTH ROAD
V N.Y.S. Lx. No. 49666
I roUMMM1oN201904Y�'rplAruN�"'D"
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and Surveyor
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�Ispl„U,bu,IDm"1» F9K (631)727-1727
m 1�ASpS,Qy a T koq �' PHONE (631)T2T-2090
NOON.OFRIeR'A/1016 A,Mar W VAFVt L YVLING ADDRESS
THE DOSTENCE OF MOW OF WAYS OFFICES LOCATED AT P.O. 6ok 1931
ICOMO. EMi136D ROANOIO:AVDNIE� PoverMeeNew Yank 11901-0965
RNEAD. N" Y
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'OCCUPAANCYOR �� -���Ui�7 C� / N..__US AS-UNIAWlF-ULcCAITHOUTCERTIFICATE2 '.�.x4 �`- 'i Ma { f s
OF OCCUPANCY61�`aX(� Vw of NEn✓``7y0%,
_
A PR VEDASNOT ^yvtYs� ,r�11� � ,viz 2w6 T7EcK;Nj o� � , "�y -
j DATE PM BtiK�
NO FY BUILDING DEPARTMENT�AT
G.G.h,(l:..lr765-1802 9 AM TO 4 PM FORIryyE �: l'?. 5 tir •~WY� _�,
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---_..,_ _---'----- -
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REOPRUFESSIQ,l* '
FOR POURED CONCRETE �C?� O ��Ne-S � � '-- .-
2. ROUGH - FRAMING & PLUMBING _ ry
3. INSULATION
H I 0. FINAL - CONSTRUCTION MUST _
BE COMPLETE FOR C.O.
�^-• � '�' '"":' ,f r `! . , . hL � '.. ., ___. _ ALL CONSTRUCTION SHALL MEET
oAwwn WTHE REQUIREMENTS OP THE N.Y.
STATE CONSTRUCTION & ENERGY ^"" I - y ALE: ?PPWVEC v:
CODES. NOT RESPONSIBLE FOR „ Y 1 14
DATE.
DESIGN OR CONSTRUCTION ERRORS' -- -- - - - - - - -- gkviSEo
W,
Do ING NUM
�U.G of