HomeMy WebLinkAbout23247-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26747
Date: 10/14/99
THIS CERTIFIES that the building RELOCATION
Location of Property: 714 COX NECK RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 113 Block 12 Lot 10.3
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated . JANUARY 29, 1996 pursuant to which
Building Permit NO. 23247-Z dated FEBRUARY 14, 1996
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 RELOCATE AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to THOMAS K TALBOT
(O~ER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0001
ELECTRICAL CERTIFICATE NO. N 503212
PLUMBERS CERTIFICATION DATED 10/05/99 CHRIS TALBOT
09/10/99
10/07/99
%~ul~/din~g~nspector
Rev. 1/81
FO~M NO.3
TOWN OF $OUTHOLD
SUILDING DEPARTMENT
'[OWN HALL
$OUTHOLD, N.Y.
Ne 2324? Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date
CountyTax Map No. 1000 Section ...... /./..~.. ........... Block .....,~.. .............. Lot No ..... ./., .~,.:..,-~.. ..........
pursuant to application dated .............. ..~./...'~.. ,~,, ............................... 19....~.d..., and approved bythe
Building inspector.
Fee $...../.~....~.. :../. ~ .....
Rev, 6/30/80
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
inspector with the following: 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 1% 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.
For ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'!pre-existing" land uses:
i. 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 applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons t~erefor 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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~ -~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ~. -~..~.~..f.~ ~.' ..........
New Construction........... Old Or Pre-existing Building .............. ...
,-- , ......................
Location of Property .........................................
House No. Street Hamlet
of Property '~. ~: ~-~ ~./~.~' ...........
Onwer Owners ~ ~'~ · ' ·
· ..
County Tax Map No 1000, Section ........... Block ............. Lo~'. ...........
· . '4a,f ~.~, ,'~ /~f /~.~t '.~ /.~.?/..Lot..- -/.~.'>. ·
Subdzvismon. ~ ..... ~. ..... ~ ...................... Filed Map ...............
Permit No..~. ~.~..~.~.%.~-..Date Of Permit.. ~//5//f?... ~ / ·
.......... Applicant../. ~..-~?~..~....'. ~/~'/~'~' · · · '
Health Dept. Approval ............ Underwrmters Approval .........................
Planning Board Approval ...... .~/.~. ..............
Request for: Temporary Certificate ........... Final Certicate .... ~ ....
Fee~0S, ubmit ted: ~ a~ ~q $ ....... : .................... . .~..'...~,. ~, ~'----~'~/~
~f~ APPLICANT
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
DATE
Building Permit NO.
Owner: I ~.o ,~,~ ^~
(please print)
~-please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(t~l~mbers Signature)
Sworn to before me this
County
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
September 17, 1999
Thomas K. Talbot
P.O. Box 1193
Cutchogue, NY 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XXNo Underwriters Certificate on file.
The check is (not on file.)$25.00
XXNo Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23247-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
~z, Om
FEB I 8 I.o, gff
BLI)G. DFPT.
TOWN OF SOU I'HOI D
James De Lucca,R.A.
12 Linda Lane East
Riverhead, N.Y. 11901
(5L6) 727-1611
February 7, 1998
Mr. Thomas Talbot
714 Cox Neck Rd.
Mattituck, N.Y. 11952
RE: Alterations to the single family dwelling ~ 714 Cox Neck Rd.
Mattituck, N.Y.
Dea£ Sir - -
Upon my site visit on February 4, 1998 of the above referenced
dwelling, the following items were inspected:
~(A) Kitchen, Foyer, and Living Room (3) (2x12) header.
(B) Living Room stair well (2) (2x8) header, with 1/2" ply wd.
between.
(C) Front shed roof ventilation.
The following corrections should taken for the above listed
items.
(A) Kitchen, Foyer, and Living Room (3) (2x12) X 22'-1" header.
(1)
A 1 3/4" x 14" Micro Lam header must be added to the
existing header, with 1/2" dia. lag screws 1'-0" min.
or 1'-6" o.c. max. staggered. Micro Lam must be
installed as per manufactures specifications. The Micro
Lam and the existing header must have full bearing at
ends.Header over a/c unit and under Micro Lam on West wall
must be~a minimum of (2) (2x10).
(2)
If Micro Lam is not added to the existing (3) (2x12)
header, a center 3 1/2" steel lolly column must be
installed with a proper concrete support footing.
Support column must be a maximum of 12'-0" from either
side exterior wall.
1 of 2
(B) Living room (2) (2x8) with 1/2" ply. wd. between x 13'x 5"
long stair well header.
Single steel face mounted hangers must be installed on
each floor joist that is perpendicular to the header,
and double member faced mounted hangers at each end of
the header as required.
(C) Front shed roof ventilation.
(1) Ail roof rafters must be drilled at the top of each
rafter at the hi§hest point of the roof, to allow free
ventilation between each rafter bay. A minimum of three
roof louvers must be installed as required at the highest
point of the roof to allow free ventilation.
Installation of items A~B, a~d C must conform-to the building code,
approved by building department and be inspected by buildin9 department.
IT I can be of any further assistance to you, please do not
hesitate to contact me.
James De Lucca,R.A.
2 of 2
I~OIl(;ll I;tJAI'ilC &
I~l,IJi"llJ ! N(;
IN,'JIII.A'I'JOI'I I'1~.1~, I',l. ¥.
S'I'^'I'I':
COI)it.
AI)I)I'I' l OItAI, COI-II'II~/I'I~'S:
765-1802
BUILDING DEPT.
[ I/] FOUNDATION 1ST [ ] PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR ~~/~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INS~T)~F
[ i.~I~AL
765-1802
BUILDING DEPT.
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTION
[/~OUGH PLBG.
[ ] INSULATION
765-1802
BUILDING DEPT.
'NSPECT!O
[ ] FOU/NDATION 1ST [//] ROUGH PLBG.
[ ],/,FOUNDATION 2ND [ ] INSULATION
/
[/] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
INSPE~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST [ ] ROUGHPLBG.
] F./OUNDATION 2ND [ ]INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE /*//~///~'~/~ INSPECTOR/-~'cr-.,c-'~ '/~~/
THE NEW YORK BOARD OF FiRE ,UNDERWRITERS
1185146 BUREAU OF ELECTR
~- 40 FULTON STREET, NEW YORK~ Ny-10038
r D.~. OCTOBER 07, 1999 AppliCa'ia. NO. O./ile 1'9097099/99 N 503212
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant najne,d on thb abov~ applicaiion n.mber is in the premises of
THOMAS K,TALBOT, 714 COX NECK ROAD, MATTITUCK, NY
in the following location; [] Basement [] Jst Fl. [] 2nd Fl. OUT Section Block Lot
was examined on SEPTP,,~I~llI, R 29 ~ 1999 and found to be in compliance with the'Natiohal Electrical Code..
FIXTURE
OUTLETS
21 21
DRYERS FURNACE MOTORS
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
FLUORESCENT OTHER
iPECIAL REC'PT. UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
OTHER APPARATUS:
WELL PUMP
G.F.C.I:-8
SMOKE DETECTOR~ -3
TRACK LIGHTING, -6
*NOTE~ This is a partial, not a
complete certificate.
RAYNOR, FRANK L.
P.O. BOX 1065
1800 }~aaRBOR LA/~E
s E
NO. O~ CC COND.
PER ~
R ,A/, 1,,.
OF HI-LEG
NO, OFNEUTRALS
OF NEUTRAL
LIC. #4926
GENERAL MANAGER
CUTCHOGUE~, NY, 11935 .~ Per 11
This certificate must not be altered In any manner; return to the office of the Board if i~nc0rrect, inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFI* IN ANY MANNER,
THE NEW YORK BOARD OF FIRE UNDERWRITERS
40FUL ONS EE , ,/' ~1 '38 ''
r OCTOBER 05,1999 1'36720~7/97 N 502878
Date Applicaiion No. on file
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant tt~ed on*the'abO~e applica~on number is in the prem~es of
THO~ K. TAROT, 71~ COX NECK RO~, HOUSE, ~ITUCK, ~ . ,; :
loc ' ~' se nt 1st FL ~ 2nd FL OUT
w~ examined on and found to be in compliance with the NaMonal Electrical Code..
FIXTURE FIXTURES
OUTLETS FLUORESCENT OTHER
2i
SERVICE DISCONNECT
AMT. AMP, TYPE
1 200 CB
)THER APPARATUS:
PARTIAL PINAL-i
ROUGH ONLY- 1
FUTURE APPLIANCE FEEDERS
RANGES
MT, K.W.
SPECIAL REC'PL
XyT:,, A~PS: TRA
DRYERS FURNACE MOTORS
O. OF S
1, . X 1
AMT. AMP,
R
L UNIT HEATERS MULTI-OUTLET
~S. NO. OF FEET
EXHAUST FANS
AMT, H.P.
DIMMERS
4/0 .": :" '~ '. '. '
2/0
*NOTE: This is a partial, not a
complete certificate..
50 PAT LANE
This certificate must not be altered In any manner; return to the office of the Board if ihcorrec~.'lnsPectors may De identified by their credentials.
COPY FOR BUILDING DEPARTMENT, TH~S COPY OF CERTIFICATE ~MtgST-NO7 BE ALTERED IN ANY MANNER.
FORM NO, 1
TOWN OF SOUTHOLD
" i'OWN HALL
SOUTHOLD, N.Y, 11971
TEL.: 765.1802
Approved .......... 19 e it No ....
Disapproved a/c ................................... ;.
· (/g'ui~ng I tor)
APPLICATION FOR BUILDING PERMIT
B~)ARD'OF HEALTH ....
3 SETS OF PLANS ........
SURVEY ........
SEPTIC FOR/'I . .~. ........
INSTRUCTIONS
a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lo~ and of l~uildings on premises, relationship to adjoining premises or public s{}eet
or areas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appl5
cation.
o. ' The work covered by tkis applioation may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm!
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 whatever until a Certificate of Occupanc:
shall have been granted l?y the Building Inspector.
' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th(
Building Zone Ordinance of the Town of Southbld, .Suffolk County, New York, and other applicable Laws, Ordinances o
Regulitions, 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 tc
'. -- (Signatur~ of applicant, or name, if a corporation)
:, ' ?...
' (Mailing address of applicant)
State Whether applicaff.f.is owner, lessee, 'agent, architect, engineer, generai 'contractor, electrician, plumber or builder.
Name of owner of premises or,~,cb /. .
(as on the tax roll or latest deed)
If applicant is a corporation, signature Of duly authorized officer.'
(Name and title of corporate officer) '
;
Builder's License No ..........................
Plumber's License No ............... · ..........
lectrlclan s hcense No .......................
Ct er Trade s Lmen~e No... .................... __
I. Location of land on which proposed work will be'done ....... .~.~/ Z err /'~'no.d? 5?.~J;¢;.~tog ff~i~ ~ ..
....... ....... , ............................... > ............. .............
House Number . Street . Hamlet
Cou~ty Tax Map No. 100OSection ...: .......... Block ..... i... Lot...~0:~ ..........
Subdivision n~"~ n55oc"~[~ ' Fi]edMapNo.' al2/?/ Lot
(Name)
2: Stat~ existing use and occupancy of premises and intended use and occupancy of proposed constructiom
a. Existing use and occupancy ' ~~J
b. Intended use and occupancy ...... ~ ..................................................
3. Nature of work (check which applicable): New Building . 2 ....... 2 fiiddition .......... Alteration ....
Repair .............. ' Removal ............. Demolition ..... Other Work ,,~..e, Zoe4~//o
~. G ~ o~ (Description)
4. Estimated Cost... ~,. ·,.., Fee
, (to be paid on filing this application)
5. If dwelling, number of dwelling flnits ..... ! ......... Number Of dwelling units
If garage number of cars ~ ' on each floor ................
If busin.ess co.mm, ercial or mixe occupancy specify nature and ~tent of each, type of use
7 Dimension's ot ex,sting struct~re~ if any ' ~ · ' ....................
· ' Front W ~ 3- Ct '
'. Number e~; "'~z~ ........ -,ea~ Depth
Height l ? ............... ' ,. , "' ' ',"~ ' '" ' ' ' ' ' ' ' · · · .' ·
Dimensions of shine structure wi~h alterations or additions: Fron[ .......................................
· . ............... Rear ..................
Depth .......... . ........... ~ · Height ........... , ........ :., Number of Stories ....... ' ' o
of entire new construction: Front .... ~q ...............
Dimensions ....... ; Rear .. ~7 .......... Depth ....~. ..........
,Height ,, ./.? ...... ~. · · · Number of Stories /. ?.~. .
S~ze of lot. Front ,. 25 5'J: .9.~: , . ..... ~ ~, <'r. ,~-, ,' ,,
r~,+~^tr~-.~,. .... z~;,-}d,~ ' .......... ~...~.e ........ .ueptll ...;s.p.M...'., .......
,, · ...... 1'. .............. Name~of Former Owner .~ .'(~. ~,~ /9~o
,~one or use district in which premzses are situated ... ~.-~: .~q ,~.2 ~:~ , , .
Does proposed construction violdte any zoning law, ordinar~ce or regulation..... '.~.~ ...... '
Will lot be regraded .. ~.~, ........... , ......... ' , ,' ' " ...............
· ~, ? ....... Will excess IIU De remove~ from premises: Yes
~ame of ,Owner of premises . Z2tw.~.. ~..~&,~. ..... Address X~.o. . .//.~ ~ ~.'{ .... Phone No ff./~. A~.sTff..;.~.
~ame of Architect ...... ! ' ~,~,, .... ' ~_ , '
· · ~ · ,, ....... ,~.uuz~s .................. Fllorl~ INO ........... '.; ....
Name of Contractor ......... 4 ......... Address ................... Phone No ............ '.,
15. 19 this property within 300 feet of a tidal 'wetland? ~Yes ........ No....~..... "
~If yes, $outhold T~w9 Trustees Permit may~ be required.
'l PLOT DIAGRAM
Locate Clearly and distinctly ali buildings, Whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block
umber or description according to deed, and show street names and indicate whether
interior or corner lot. /i~! ! '
lbove named.
being duly sworn, depose~ and says that he is the applicant
:[e is the . .:.... ................. . ..
(Contract rporate officer, etc.) .
' e~ave performed the said work and to make and file this
~f.s. md owner or .o, wners, and is duly iauthor/zed to p
~ppdcation; that au statements contained in this'application are true to the best of his knowledge and belief; and that the
~ork will be performed in the manner get forth in the application filed therewith, '
~worn to before me this ~,
.......... da o .
, . ........... ,, .
Note~/P o 4879505 ~ ,*~[~ ' ........................................
' Oualil:~ i.~ $ ~ol~ome~rn~ 19 J.~ , ' ' (Signature of applic~t) ·
' Commission exp{res [ ', ,
STATE OF NE,.~g-~OP,(I:~,_ []? 'SIS '
coum:y , .
........ .... . .........
(N of indMdual sig~:g contract)
<=AREA = 90,000 sq. ft.
The Iocalions of wells ~,n.d cesspools.
shown hereon ore from field observations
and or from d~l~ obloined from others.,
CONTOUR LIN~S ARE REFERENCED
TO FIVE EASTERN TOWNS TOPOGRAPHIC
MAPS
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
J 1
I ~m Iom/INr w~lh Ihe STANDARD~ F~R APPROI ~L
AND CONSTRUCTION OF SUBSURFACE
DISPOSAL ~YETEMS FO~ ~INGL~ FAMILY
on8 will ab/de by lhe cond/lions sel /orlh lherein end on the
perm/l Io conslrucl.
LOT
. .....
GENTILE x, ~
LOT 3
"~OR SU~VISDN FOR ADAM ASSOCIATES"
A T MA TTITUCK
MIDDLE ROAD ( C,.R. 48 )
CERTIFIED TO'
THOMAS TALBOT
NATIONS TITLE INSURANCE OF NEW YORK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000- 113- 12- 10.3
Scale, 1" = 60'
Dec. 15, 1995
ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION .... ~-
OF SECTION 7~09 OF THE HEW YORK STATE EDUCATION LAW~ ~.,
EXCEPT AS PER SECTION ?~09'SUBDIVISJOH ,~o ALL CERTIFI~ TI~ ~. Y:
~REON ARE V~LID FOR THI$ MAP A~ COPIES TH~E~ ~ Y ~ ~~ ~
SAID MAP OR COPI~S 8~ T~ ~RESS~ S~L OF THE SURVEYOR ~ ,~ '~
WHO$~ SI~N~ TUR~ APP~S HEREON. 0~.
ADDIHONALL Y TO CO~L Y FITH 3A~ LAW THE T~M "AL T~ BY" ~.~
MUST 82 ~ED BY ANY ~ ALL SURVEYORS UTILIZ~ A C~Y ~P-~ ~
OF ANOTHER SURVEYOR'S MAP, TER~ SUCH AS ~PECTED' ~D ~. _
'BROUGHT-TO-DA TS' ~E NO T IN CO~L~NCE WITH THE LA F.
P. 909
1230 TRAVELER STREET
SOUTHOLD~ N,Y. 1192'1
AREA = 90,000 sq. fL
The Ion, Dijon= of wells end cesspools
shown t~ereon ore from field observollons
end or from dole obtolned from olhers..
CONTOUR LINES ARE ,
.,TO FIVE EASTERN TOi
MAPS
et
50'
om Iomilio, .,l, ,~e rA~~,~Ros'.~r~'~'f~'~;'/~"""' ~ :'~'~"'~,
A~ CO~r, UC
DISPOSAL $YSTEMS Y RES~ENCES
~nd will ~61~ by the condllto~s ~el forth therein ~d on !~
permit Io c~$lrucL
LOT
/
I
I
/
i/
I
?
SC, DHS Ref.# R10-96-0001
MIDDLE ROAD ( C.R. 48 )
CERTIFIED TOt
TITLE INSUR,4NCE OF NEW YORK
81.~Vl~ F'~ ADAM
AT MA TTITUC~
TOWN OF SOUTHOI
SUFF~K COUNT~
Scale. I = 80
Dec. 15, 1995
SECt,foNNY J~J, TERA TION OR ADI~ITION TO THIS SURVEY I~A V~A.~
~09 ~ r~ ~ YORK STATE ~U~T~ LAw,
~T ~ P~,SECT~ ~8~VI~ E. ALL CERTF~
A~/T~LLY TO.C~Y WI~ ~ L~W T~ TER~ 'A~T~
~T ~:~ BY ~ ~ ALL 8~EY~8 UT/LI~ A C~Y