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Home My WebLink About28814-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29576 Date: 07/15/03 THIS CERTIFIES that the building ALTER3kTION Location of Property: 550 BAY AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 5 Lot 11 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8! 2002 pursuant to which Building Permit No. 28814-Z dated OCTOBER 9, 2002 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 ALTERATION TO AN EXISTING ACCESSORY GAR3~GE AS APPLIED FOR. The certificate is issued to JOAN R TECHET of the aforesaid building. (OWNER) SUFFOLK COUNTYDEPARTMENT OF~LTHAPPROVAL N/A ELECTRICAL CERTIFICATE NO. 1137525 06/20/03 PLUMBERS CERTIFICATION D~r~u N/A 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. 28814 Z Date OCTOBER 9, 2002 Permission is hereby granted to: JOAN R TECHET PO BOX 1397 RICHMOND VA, 23218 for : ALTER3~TIONS TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR at premises located at 550 BAY AVE County Tax Map No. 473889 Section 144 pursuant to application dated OCTOBER Building Inspector to expire on APRIL Fee $ 75.00 MATTITUCK Block 0005 Lot No. 011 8, 2002 and approved by the 9, 2004 . / ~ Authoriz'ed Signature ORIGINAL 5/8/02 TOWN OF $OUT~/OLD BUILDING DEPARTMENT TOWN HALL 76.%1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must bc 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, propmTy lines, streets, and unusual natural or topographic features. Z. Final Approval from Heahh Dept. of water supply ,,ut sewerage, dispnsal (S-9 form). Approval of eJectrical installation from Board of Firc Underwriters. 4. Sworn statement from plumber certifying that thc solder used in system contaim las than 2/10 oi[ 1% lead. 5. Commercial building, industrial building, multiple residences and sirailar buildings and imtallafions, a certificate of Code Compliance from areJ~itec! or engineer responsible for the building. 6. .qubmit Platming Board Approval of completed site plan requircmcnts. B. For existing buildings (prior ro April 9, 1957) non-conforming uses, or buildings and "pre-exlsting~ land uses: 1. Accurate survey of property showing all property lines, streets, building and unuaual natural or topographic fcature~. 2. A properly completed applicatlon and a consent to ir,~p~ct signed by the applicant. If a C~a'tiflcate of Occupancy is denied, thc Building Lnspector shall state thc reasons therefor in wiiting to thc 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 aceeasory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pro-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Tea'nporary Certificate ofOcaupancy - Residential $I5.00, CommerCaal $15.00 Old or Pre-existing Building: ,- Str~.~ Suffolk County Tax Map No 1000, Section Subdivision Block C' Filed Map. Lot: Hc~ Dcpt, Approval; ?,((k :~,~: Und~ters Approval: Piing Board Approval: Fee Submitt~: $ :~ 5" (check one) Hamlet Ncw Cons~'uc~./on: Location of Prope~o': ..'1 .~ ;.j: House No. Owner or Owners of Property: -.,' r; ,,~ %~: BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by PAUL R. BURNS JOAN TECHET P.O. BOX 1061 550 BAY AVENUE SOUTHOLD, NY 11971-0932, MATTITUCK, NY 11952 Located at 550 BAY AVENUE MATTITUCK, NY 11952 Application Number: 1137525 Certificate Number: 1137525 Section: Block: Lot: Building Permit: BDC: NS11 Described as a occupancy, wherein the premises electrical system consisting Residential electrical devices and wiring, described below, located in/on the premises at: First Floor, Detached Garage, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 20th Day of June, 2003. Name QTY Rate Rating Circuit Type Wiring and Devices Receptacle 8 0 General Purpose Switch 2 0 General Purpose Fixture 8 0 Incandescent Receptacle 1 0 20 amp Appliance Paddle Fan 2 0 seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: ~ DATE REVIEWED: ~o / ~o /0 DATE SUBMITTED: ~o / ,~ /0 SCTM#DISTRICT: 1,000, SECTION: Iqq ,BLOCK: ~- , LOT: ti STREET ADDRESS: ~5~--0 'EB,~5 ~we, o~ CITY: PROJECT DESCRIPTION: '6'~'r~'~'~°~s -to E~-r,~..~ SUBDIVISION: ESTIMATED PROJECT COST: ~ IO g-- ARCHITECT/ENGINEER: ~o ]^ FAST TRACK?_~o _,, SINGLE & SEPARATE CERTIPICATION-REQUIRED? va NOTES: ~ LOTS 40,000SF -100-24. Lot recognition(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/] ZONING DISTRICT: REQ. LOT SIZE: 4o REQ. FRONT ~o REQ. REAR t 0 ,,to WATER FRONT? PANEL #: CONFORMING? ¥ ACT. LOT SIZE: ,4o,o"4~ REQ. LOT COV. oo~o PROP. FRONT + REQ SIDE to/to PROP. REAR ~ REQ. HEIGHT Ve-~ DESCRIPTION: FLOOD ZONE: ACT. LOT COV. ACT. SIDE + ,O/,o PROP. HEIGHT APPROVALS REQUIRED SUFFOLK COUNTY HEALTH D~EPT: YES or ]~I3ED #): DTE: / / PERMI1' #:RI0- TOWN SEPTIC RECEIPT: Y o¢) NEW YORK STATE DEC: ~m~-~c ~a/7s YES o~_~Q~ SOUTHOLD TOWN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES or~ TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES oN(.N~ NYS ENERGY: YES O NR~: ~ F_,GRESS (I 8 H min.? 4 sq total) "2/"q-VENT (SQ. FT. X 4%) BUILDING PERMITS OPEN/EXPIRED: BP ~ -Z / C/0 Z- HAVE PRE CO'S: YORN BP -Z/C/0 Z- , NOTES: LIGHT (SQ. FT. x 8%) /o//~ FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 1. ( SF)- ( SF)= SF X $ 2. ( SF)- ( SF)= SF X $__ SF SF SF SF INIT OTHER TOTAL SF FEE FEE FEE =$ +$ =$ +$ +$ = $ +$ = $ 7G5-'~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOU~NDAI~ON 2ND [ ] INSULATION [ ~}-"FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNE~I~ REMARKS: ~~ DATE INSPECTOR~ _~ FO~A~ON (2~) - ~ PL~G ~ ~S~A~ON PER N.Y. - ~ ~ STATE ENERGY CODE ~ ~ r , ~D~ON~ C0~S ~ TOWN.OF SOI~THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved PERMIT NO. aQUa5 t ~ :~-- 20 Z 20 ~ BUILDING PERMIT APPLICATION CRECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Marl to: ..~7~ Phone: ,~ Building Inspector 2002 ~ ' APPLICATION FOR BUILDING PERMIT "n ~sl Date ~}o.~WD~ESI~. INSTRUCTIONS t~ ,20 D~.~ 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 plma to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on prem/ses, 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 a Certificate of Occupancy is issued by the Building Inspector. 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 applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner o£premises (as on the tax roll or latest deed) uthorized officer ~"~an~o~ate officer~ Builders License No. ~- ~,z_~ f-~ ~ ~ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which_proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Subdivision ...,<;a,~'T (Name) Section ~'~c Z[- Block ~- I~,~.~ ~ c_c.~,¢~ Filed Map No. Lot ti 2. State e'x~sthal~ Use and occupancy of premises and intended use and occupancy of proposed constr~ctioh:' a. Existing use and 0ccupancy ~'~ff.. t='^~t~'~ b. Intended use and occupancy ~t ~ ~t-~ ~'~ ( t~N ,l>voEL~ ~- 3. Nature of work (check which applicable): New Building. Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost /(~)d O 00 ~, ~ Fee (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units Iq ~ Number of dwelling units on each floor A3 & Ifgarage, number of cars ~O~,O,. C_:,~P.~oq~ 'T~ tc.,~,~ c:~x~;~ If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existin~ structures, if any: Front ~ZLO~' Rear - .Depth Height. [(~'~" Number of Storie~' Dimens!ons of same structure with alterations or additions: Front 5~-)-C> '' Depth 2~ ~-C)" Height I ~ i_ (~ Number of Stories bdo ~3 ~./ 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size oflot: Front I~-(O- IDr Rear t~l ,$-'-[ Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated KE~t r>~rq"~ ,~, t~. 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re,graded b3 0 14. Names of Owner of premises ~ ~ ~T. Name of Architect Name of Contractor Will excess fill be removed from premises: Address ~"50 ~&"/' A,q~ Address Address Phone No. Phone No Phone No. YES ~ 15. Is this property within 100 feet of a tidal wetland? *YES x// NO * IF YES, SOUTHOLD TOWN TRUSTEES 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 OF SO~ 't> I:::"'["~~ ~'"UO~I~O~- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ~ontmctor,~gent, Corporate Officer, etc.) ofsaid 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. Sworn to before me this ~ . ~ ,~ day of ff-.~' 20 0 ~" (/Notary PuBl{c '- JOYCE M. ~IN8 N~ Publ~ S~e ~ Term ~i~ June 1~ ~o~ Signature of Applicant - ADD NEW WINDOW UNIT 2 - 2 X 12 HEADER WORKSHOP ( NHEATED SPACE) / ADD COMPO~TE FLOOR OVER ~o EXISTING SL~B ~ TO WALLS AN ~) CEILING I 10 MEET FI~E COI)E APPROVED AS NOTED I ~~~:~GE 0CCUPAI~CY NOTIFY BUILDING 765-1802 9 AM TO 4 PM FOR THE r USE IS UNLAY' ~ FOLLOWP, IGINSPECTIONS: [WITi~0UT CERT~ ~: ~* :, FOUNDS?ION . TWO REQUIRED, 0F 0CCU~ ~' 2 R(~~ ,~H - FRAM NG & PLUMBING ~ ~ FINAL - CONSTRUCTION MU~T~ BE COMPLETE FOR C.O. / ] [ ~ ~ ~c T~ ~ ~ ALL CONSTRUCTION SHALL MEET ~ UNDB~W~ffERS ~ERTIFICATE THE REQUIREMENTS OF THE N~Y. ~='"' ~ STATE CONSTRUCTION & ENERGY NOT RESPONSIBLE FOR ~ CODES. DESIGN OR CON;TRUCTION ~OR8t ~ TECHET GARAGE WORKSHOP PLAN 1/4" = 1'0" 10.02.02 ENVIRONMENT EAST INC. EXISTING ROOF & WALL FRAMING - NO CHANGES ~ EXIST. WALLS & CEILIN08. --~ 2 X 4 SLEEPERS ON EXIST. SLAB ~/4' SUBFLOOR ~OMPOSITE FLOOR7 EXIST. SLAB & MASONRY FOUNDATION .,' TECHET RESIDENCE WORKSHOP SECTION 1/4" = 1'0" 10.02.02 ENVIRONMENT EAST INC. 2 X 12 HEADER NEW WINDOWS TO CODE ADD NEW WINDOW CENTERED ON GABLE R.O. 7'5-3/4" X 4'0..1/2" 2 - 2X12 HBADER ADD 2X6 CqA SLEEPERS Q 12' O.C. ON EXIST. SLAB. 3/4" PLYWD. SUBFL. ADD FIRE-R ~TED SHEETROCK 3:: TO WALLS 1 ,ND CEILING I '0" x 6'8" FIRE DCX)R I EXISTING GAJRAGE NO CHANGE~ I I I TECHET GARAGE WORKSHOP PLAN 1/4" = 1'0" 10.02.02 ENVIRONMENT EAST INC. REVISED 1.15.00 REVISED 1.28.03 REVISED 3. 5. 03 wO? ., ,,,p¢...cO ·