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Home My WebLink About22724-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26117 Date: 11/17/98 THIS CERTIFIES that the building ADDITION Location of Property: 650 BAY AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 143 Block 3 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10, 19 pursuant to which Building Permit No. 22724-Z dated APRIL 11, 1995 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 TWO STORY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Z.B.A. #4276. The certificate is issued to DALE & STACEY MOYER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 454296 05/22/98 PLUMBERS CERTIFICATION DATED N/A //Ui7ng Inspector 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) Date 19... N2 22724 Z Permission Is hereby granted to; , ffl?ze to. i~ f ..,/.rW . A . i~ at premises located at...... ~0 ® ........4..L........................................................................ County Tax Map No. 1000 Section 1--13 Block 47.- . Lot No. /...~L................ pursuant to application dated 19..............., and approved by the Building Inspector. Fee $...y. uilding Inspector Rev. 6/30/80 rorm ivo. o TOWN OF SOUTHOLD NIOV 1 6 9 BUILDING DEPARTMENT l TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. 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 a 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 $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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date § 9 .~4 New Construction...... . ~ Old Or P Ulaly.. kJay. e-existing Building.... .....................QU~f Location of Property... Ye House No. St/rree/et Hamlet Onwer or Owners of Property...... slaw. ..m& . IL/'.q k//V/~ • • • /~y~ • ......''ff........... • • • • • • County Tax Map No 1000, Section.10........ Block... 0j......... Lot.../9! Subdivision (fled Map..........c\....L/~ot.+.. .........J...... Permit No.~!?c ..Date Of Permit.. /./V .Applicant.1 W. Y/. Oq/. :.,9 Or • . Health Dept. Approval ..........................Underwriters Approval..V Planning Board Approval Request for: Tempor4aryyyCertificate Final Certicate.~........ Fe Submitted: PVV C4 0 -7 GAPPLIC o~OgUFFO~,~C O Gyp Town Hall, 53095 Main Road °y 2 Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 6, 1998 Dale Moyer 650 Bay Ave. Mattituck, New York 11952 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) XX No Underwriters Certificate on file. / XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT #22724Z SEE ATTACHED Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. O~Og~FF011re c~ Gyp N S Town Hall, 53095 Main Road p • Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. Box New York 9 11971 Southold, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 5, 1997 Dale & Stacey Moyer 650 Bay Ave. Mattituck, N.Y. 11952 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) XX No Underwriters Certificate on file. XX The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22724-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1 114 APPEALS BOARD MEMBERS ~O Gym o Southold Town Hall Gerard P. Goehringer, Chairman to m 53095 Main Road Serge Doyen, Jr. W- P.O. Box 1179 71 James A. Vzio, illa - y~ol c ~aO! Southold, (516) 765-1823 Robert Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD November 14, 1994 Mr. and Mrs. Dale Moyer ~e 650 Bay Avenue sQ~~ Mattituck, NY 11952 Re: Appl. No. 4276 - Variance (North Side Yard) Dear Mr. and Mrs. Moyer: Please find enclosed a copy of the determination rendered by the Board of Appeals on November 2, 1994 and filed today with the Town Clerk's Office concerning your variance application. A copy of this determination has also been furnished to the Southold Town Building Department pertaining to their pending building permit application request. However, it will be necessary for you (or your representative) to contact the Building Department (765-1802) to be sure your application request is returned to their re-activation rack. If you have any questions, please feel free to call. Very truly yours, -gym j ~P~n r., Linda Kowalski Enclosure - Copies of Decision to: o '~0 St~E Building Department y'. APR ? 11995 ~OSpfFO(k~oG APPEALS BOARD MEMBERS hy0 y~ o Southold Town Hall Gerard P. Goehringer, Chairman co 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 James Dinizio, Jr. y O~ Southold, New York 11971 Robert A. Villa Fax (516) 765-1823 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS DATE OF ACTION: November 2, 1994 APPL. # 4276. APPLICANTS: Dale and Stacey-Wagner Moyer OWNERS (if different than applicant): N/A LOCATION OF PROPERTY: 650 Bay Avenue, Mattituck COUNTY TAX MAP DISTRICT 1000, SECTION 143, BLOCK 3, LOT 12 BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated 9/8/94. GROUNDS OF DISAPPROVAL: "Proposed Construction will have insufficient total sideyards." PROVISIONS APPEALED FROM: Article XXIV, Section 100-244 RELIEF REQUESTED: 15 ft. x 20 ft. two-story addition to dwelling with a setback at 12 feet from the northerly side property line and more than the established front yard setback as shown on sketch submitted with the variance application. Three-ft. variance is requested for reduction from the required 15 feet to not less than 12 feet. MOTION MADE BY: Gerard P. Goehringer, Chairman-Member SECONDED BY: Richard A. Wilton, Member ACTION/ RESOLUTION ADOPTED: Granted setback at 12 ft. from the northerly side yard for a proposed 15` x 20 addition, maintaining the same or greater front yard setback as shown on sketch submitted with the variance application. VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member James Dinizio, Jr., Member Richard A. Wilton, Member Gerard P. Goehringer, Chairman-Member Absent: Robert A. Villa (out-of-state). This resolution was duly adopted (4-0 GCHAI N roN cOUJDATION (1st) P - - ti ro rOUtJDATIOtJ (2nd) 2. G ~ v--- •-r~Zr~ C. ~ z4,\ O ROUGH FRAME & ~J PLUMBING 3. cl INSULATION PER N. Y. y STATE ENERGY CODE ,-ev r 4. c m FINAL v~ 1<1 vy o p~ ADDITIONAL C MMENTS: _ /J p ro H~ l 1+~ y x t:v M 'v H r let ~a zi ~d 17 I ~ i 4 ENERGY COUL CALCULATIONS (For Non-Electric Heat) Design Criteria 6,000 Degree' Days O.A. 1O°F I.A. 70°F FOR: _ Dal PER: BeAg~ ~n,b- y/d7/ DATED: &-J, w rJ, z ah SUBSYSTEM AREA DESU RATING IGN RATINGGL REMARKS ExLeriol: Wails (Opaque) (03 p`77 Glaziny X, Doors Ceiling/Roof (Opaque) - 31 Z- 0 - - ----Skylights ~ ~ - Floor 3 / L u~ G Foundation Walls Slab Insulation TOTAL r 11;j kc, Notes: 13uild.ing 1lnvelope Systems to meet requirements of 7815.2 tP 11995 IIVAC Equi.pement to meet requirements of 7815.11 11VAC SysLems to meet- requirements of 7815.12 Duct Systems to meeL requirements of 7815.13 Ventilations Systems to meet requirements of 7815.19 lnsulatlon of Piping Systems to meet requirements of 7815.15 Service Water Heating Systems & Equipment to meet requirements of 7815.21 Electrical & Lighting Systems & Equipment to meet requirements of 7815.31 rr To the best of my knowledge, belief, & professional judgement r these plans are in compliance with the code. FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. APR I 1 1995 NOTICE OF DISAPPROVAL Date .19 C7`. PLEASE TAKE NOTICE that your application datedG ~y , 19... for permit to po . ' . ~J at Location of Property ..........L. Ha use No. • • • • • Str et " " " County Tax Map No. 1000 Section , Harmer .......Block Lot . Subdivision Filed Map No. . LotNo.................. is returned herewith and disapproved on the following grounds -161 X I- ....d..-..7.......x.... .G,...... • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • 9 • . . . . . . . . . . . . . . . . . ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~OIC~ e~~1Gsj ' 1; _ x4j gdin nspector RV 1/80 765-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ; INAL [ ] FIREPLACE & CHIMNEY REMARKS; DATE C"~( INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ! INSPECTOR / 2A ~ L~- 7GS-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAR S: YGZn~r^-- , 4 DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGH PLBG. LATION [ ] FOUNDATION 2ND [ ] PINAL [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: 6y::~Cfo DATE C INSPECTOR e.P D, q THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 T, BUREAU OF ELECTRICITY I I 40 FULTON STREET, NEW YORK, NY 10038 'Date ' MAY 22 ,1998 Application No. on file 15962298/98 N 454296 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DALE MOYER, 650 BAY AVE., MATTITUCK, NY . in the following location; ® Basement TO Ist Fl. ® 2nd Fl. OUT Section Block Lot was examined on MAY 18 ,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 13 20 1? 12 1 1 F f YERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS M LTI UTLET DIMMERS N.W. OIL H.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 20 SERVICE-DISCONNECT- NO.OF - -S - E ~ - - R-- - V - I - -C-- - -E - - - - METER NO. OF CC COND. A W G. A. W. G. A. W. G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W pER 0 OF CC COND. NO. OF HIAEG OF HI-LEG NO OF NEUFRALS OF NEUTRAL OTHER APPARATUS: SPECIAL RECEPT. PAP.30-1 G.F. C. I:-2 JIM SAGE ELEC. INC. LIC.#3635- L, PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. C} L 14 BOARD OF HEALTH FORM No.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY _ . BUILDING DEPARTMENT CIIECI . . . TOWN HALL SEPTIC PORN < SOUTHOLD, N.Y. 11971 6 TEL.: 765'1802, t:OC CALL . . Examined MAIL 199,1 TO: oft Approved . IS~U Permit No..... / . . f s- Disapproved a/c .......E>,°.~~'>~ J, Bu binspe or).,. 6 ~9n APPLICATION FOR BUILDING PERMIT 'j (rl ,o. Date J 14 DLDG. DEPT. L-~~D- INSTRUCTIONS TOWS OF SOU i NOLG"~ a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 Pets 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 br areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 4~cation. 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 issued 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 any purpose whatever until a Certificate of Occupancy shall have been granted 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 insp tions. ( J ignature app 'cant o am- if a c poration) ( iling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . Name of owner of premises ?D (as the tax roll r 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. . Electrician's License No . . Other Trade's License No. 1. Location of land on which proposed work will be done. ~ t ..............~a House Number Street Hamlet ! f e County Tax Map No. 1000 Section . Block S/ Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition . X...... Alteration Repair Removal . Demolition Other ption. . 4. Estimated Cost . s!, VV... Fee . P..................... ) ~J (to be paid on filing this application) S. If dwelling, number of dwelling units Ob......, , Number of dwelling units on each floor ....I If garage, number of cars 6. If business, commercial or mixed occupancy, speoffy nature and extent of each type of use . Dimensions of existing structures, if any:'FroOt d... Rear A., d'....... Depth . Height Number of Stordes . Dimensions of same structure with altertid&s or additions: Front Rear . . Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height . . . . Number of Stories , 9. Size of lot: Front Rear ;v{0 D h t~ . IO.;Date ofPurchase / Name of Fo er Owner 11. Zone or use distra ct in which pre are situated . , 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded .......may . Will exc ss f 44 be r ove rom premises: No 14. Name of Owner of premises' remises .X , , Address .54 ~ one Name of Architect / Address Phone No............... . Name of Contractor Address Phone No............... . 15. Is this property within 300 feet of a tidal wetland? *Yes........ No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all ;buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. elf a~ . 5 NOTED FEE: F3Y: DlCt'?I 4 fSCI NG [~EPARTM AT d'cs:F..l80,i fi,r AIVl 1() 4 fM I- TIME P u;SL i:t 'iFiltnffS INSPECTION& 1. F C)i4NDATBOIvi - 'fl A) PEOUIRED FOR POURED CONCRETE 2. Fd()t)GH - FRAMING & PLUMBING & INSfiLPTION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL. CONSTRUCTION SHALL. MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S .S COUNTY OF (Name individual signing . ' ' ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant contract) above named. Heisthe.'6 (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. Sworn to before me this .......day of.. . 19 Notary Public, CountyS WILLIAM C. ARANEO NOTARY PUBLIC, State of New York No . . No, 4095257 Qualified in Suffolk Countyg5 T(Si6griai 4 re of a plicant) Commission Expires Nov. 30. W N _ { NAB ~ ;k9 cA O N ~ G:,r D oz x vL,0 ~ O ti yJOI 0 M mi 001 ~~~8 w wnd w pal! / x ~JZZ N / 0 59~`~ N }1/ ~ 1 N V Z O V W O V W \ O W' m r{ N O O 3 w ~ a W 0 O D B~Y~ ~ O 1 nF io\ >:m a v ov u~ ~ N p c ox ~ Y ll~ N W O 2 W o9q• " N 0 3 r j O R M U ynt\\ 'ya 3~y )o 3„N1!AMN C D T m~F \ N f oz \ Q NO '"0 Ao i. s \ \ ``o NO 0b9yoel5 r C O z o \ \ o\ 1` 3.. N 1:k m e C) ;u SP n. N r\ \ i D 90 O 3 o~9y J815 Ave m < Z -C z Q w og s z m ~ m o~C D A ` MC D G1 m O s z A Sz s C =go G) Jnd O m ~`0 ? m woE f s o~c ,y ~ ~aa o {yn ~I'dmfY 90 O 0 i ~ x 'Y Vno /m d C f t C y~ 1 I I -I - - - _ n~,n,znsaWATidr~ oROERwRITERSCFmIEicniE" ' UPAN-%Y OR REQUIRED OCG j US0 IS CEG~O ICR~S PANCY i ' F OF OCCU ~eiCb; ! ~ r SYYRr Fn+.r 14 c ~ anas H r stew Ii>D ~5 .t_5p @ 2' 4 1 i 7~" 'p'fd 4V tlyt1 I. , `~P, ~ll k3FIATGN Lxls. i4oop, t, evuA i -1 PROVIDE OPENINGS FOk I EMERGENCY ESCAPE AS 0 { e4 RE,QUIRED BY PART ZIS Qa~ fro 2"ate N.Y. STATE BUILDING C e s'° T~r~P d ' ^C%R19 C+iry '{~(_GQXsi. ~'!.'mN' r p"l;, _ i r• °'7iaz~5ar '~'k 'k' '.CU.` '6RgF HP~~ I li r ~ I~ a F&4N9 ; NCG rc S.a1 /A y G0,n',25 7n '~7B p2,7SH - i 11 ~ ~ - L4 L-- T'!t M F`/~'YIl AEh - `x"'4.7 R -m--'., EXISTING NIL • , a y' . LIE Ljlllio ~n g IMV, o- ~ E ski I ~~P~R~, IVY t k~#4 S`s_ :AZ irgt a " ~ i t • w.,~„~ a4 ..~...ell:.~.fi~itr~4.~....5'Z.u.~.~J.'.~Y~~c.. +ai~.., Yc S 3 ~ - n llol~ 1 ~ '7En7, /srE rs ' ~ -Lil L,CO ~I 7 C it s~ s~. 66, ea32 zYHz - ~l aDuJ. w Y 1' -3VT u HAL 2 t. ' f LGSvat ' ~w lzpQrl f cs NI ^f ' 'ELEC. PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS, P MEAGEpC`t E ~p~E~ OF t i V REQUIRED BY'PARL714OF N.Y. STATE BUILDING COOL aEQU\R~EB~ \p1NG~0~ t~ z e~4h _ 'qtp - &"f 4(, 24 9`(a _15,0 4. ~ rfll~RE~~RfIIFM~~ITE P l~ Yo k. cr( P~ R cP!, IUUUio ROO w lip Ll I- L - o 4Vf6404T7,04OL1 APC Pi All M I- QRTENFQtt , NY, ~ tg h