HomeMy WebLinkAbout27911-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29206 Date: 01/21/03
THIS CERTIFIES that the building ADDITION
Location of Property: 1560 WESTVIEW DR MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 107 Block 7 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 29, 2001 pursuant to which
Building Permit No. 27911-Z dated NOVEMBER 19, 2001
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 SECOND STORY ADDITIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to ANTHONY F & LISA MOSCATO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1079250 12/20/02
PLUMBERS CERTIFICATION DATED 12/13/02 BURTS RELIABLE, INC.
A hori ed Signature
Rev. 1/81
i
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. 27911 Z Date NOVEMBER 19, 2001
Permission is hereby granted to :
ANTHONY F & LISA MOSCATO
1560 WESTVIEW DR
MATTITUCK,NY 11952
for .
CONSTRUCTION OF SECOND STORY ADDITIONS TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR
at premises located at 1560 WESTVIEW DR MATTITUCK
County Tax Map No. 473889 Section 107 Block 0007 Lot No. 017
pursuant to application dated OCTOBER 29, 2001 and approved by the
Building Inspector.
Fee $ 339 . 90
Authorized Signature
COPY
Rev. 2/19/98
-u: Ro. Go"?r 1%-
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$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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00
Date. l 'i n 1)u3
New Construction: Old or Pre-existing Building: (check one)
Location of Property:
House No. Street / �nn'. Hamlet
Owner or Owners of Property: �`{ * ) —UW aTy
Suffolk County Tax Map No 1000, Section 1� Block Lot
Subdivision Filed Map. I ' Lot:
Permit No. ADate of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ _(
6 3 a Applicant Signature
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5 BY THIS CERTIFICATE OF COMPLIANCE THE + I S
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
C5 BUREAU OF ELECTRICITY C5
40 FULTON STREET — NEW YORK, NY 10038
cI CERTIFIES THAT
5 Upon the application of upon premises owned by S
5 VAN BINSBERGEN ELECTRIC ANTHONY M SCAD c5
5 P.O. BOX 1518 1560 WESTVIIEW DRIVE 7�
5 E. HAMPTON, NY 11937, MATTITUCK, NY 11952 5
5 Located at 1560 WESTVIEW DRIVE MATTITUCK, NY 11952 5
5 Application Number: 1079250 Certificate Number: 1079250 5
5 Section: 107 Block: 0007 Lot: 017 Building Permit: BDC: NS11 5
5 5
5 Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located inion the premises at:
5 Second Floor,Outside,Pool/Spa,
5 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
5 found to be in compliance therewith on the 20th Day of December,2002. 5
5 Name OTY Rate Rating Circuit 1 we
5 ej Alarm and Emergency Equipment
Sensor 1 0 Carbon Monoxide 5
5 Sensor 4 0 Smoke
5 Appliances and Accessories 5
5 Exhaust Fan 1 0 F.H.P.
5 Pool/Spa Bonding
5 Wiring and Devices 5
5 Receptacle 15 0 General Purpose 5
SSwitch 12 0 General Purpose
ej Fixture 6 0 Incandescent
5 Receptacle 3 0 GFCI L�
5 (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
5 frequent test and/or repairs made by a qualified person. �J
5 5
5 seal 5
5 I 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 5
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{ =moo Gym
Hall, 3095 Main Ro 3 2f�;a2
Town 0
H x Fax (516) 765.1823
P. Box;1179 _ Telephone (516) 765-1602
Southold, ew York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE:
Building Permit No. -7 90 z
owner: 61's.9 -t /v,,7 o S C i9 7/0
(please print)
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers Signature)
Sworn to before me this
Ag day of -,52eeu7)Ger 19 oZ00a-L.�*
Notary Public, County
Notary Publ cY State of New York
No. 4940985-Suffoik County
Commission Expires A P7 1-
13NERGY COVE CALCULATIONS
(tor Non-Electric [seat) Design Criteria G , 000 Degree'.Days
/ 1 O.A. 10°r• I .A. 70°r
FOR: b /ybsc 970 PEIt: P-ehA ��� h� � 222 0
/u c DATED: d b/
SUBSYSTEM AREA DESIGN '1HELU4EL REMARKS
"U" RA'Z'ING
xt'erioi: Walls (Opaque) 77 _
31aziny 7 3 2 6 t.Sc, 5�_. 1>-�+w s�
)dors
leiliny/Roof (Opaque) 71 -7 �� d
3kylighL•s I g
3r r
Floor
Foundatlon Walls
flab Insulation
TOTAL / 3
lutes.,
3uildlny Envelope Systems to meet requirements of 7815. 2
IVAC Equipement to meet requirements of, 7U15. 11
IVAC SysL•ems to meet requiremerlLs of 7815. r2
)uct Systems to meet requirenleftts of 787.5 . 1.3
delltilaLiolls Systems to meet requirements of 7015 . 19
Lnsulatlon of Piping Systems Lo meet requirements of 7U15 . 15
Jervice Water Heating Systems & Equipment to meet requirement's of '7U15 . 21
3lecl'rlcal & Lighting Systems & Equipment- to meet requirements of 701.5 . 31
,,LOF NEW
To the best of my knowledge, g�P4Nce
belief, & professional
judyement• , these plans are in 3 •
compliance wiLli Lhe code. - W
032254-1 V`
9OFESSI0NP
NOV-22-2002 17:13 THU2BER LUMBER r.vllua
MMMT emerge
G"Mia-PWAC Corporadml
52 No INA-st
VM10 a ae.dr NY lis»
(sal)aas•ms I phone/h,
(91s)2ss-"gym wear
ingeovgs®�gapac.cmm
Georgia-Pacific Corporation
November 22, 2002
Thurber Lumber Company
Rocky Point, NY
To Whom It May Concern:
This letter is in reference to the Moscato Residence at 1560 West View Drive
in Mattituck, NY.
I visited the site on 11/8/02 with Tony Pagan and was shown slight
scratches in the bottom of the bottom flange of our 9 Ya"WI-40. The
scratches were insignificant in my assessment and do not need to be
addressed by repair.
I was told that the scratches in the flanges were made by a box cutter type
wallboard knife when the ceiling was cut open. These cuts in my estimate
would have been less than 1/60 of an Inch in dept, and would not affect
the integrity of the joists.
If there are scratches or cuts greater than the ones that I was shown, this
letter would not reference those areas.
Sincerely,
5
Michael George
OutWde Technical SupportCn
h J
Georgia-Pacafic Corporation
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. THORP CONSTRUCTION ' `
Carpentry • Roofing • Siding • Masonry
Box 5
East Marion, New York 11939
(5 16) 477-1248 r u X "a,a
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TOWN OF SOUTHOLD PROPERTY RECORD CARD _ r
000 /v 7
OWNERSTREET 5 ,J VILLAGE DIST. SUB. LOT
FORMER OWNER N E /- ACR. f
' W TYPE OF BUILDING
RES. SEAS. L! FARMCOMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
f?
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7
p AGE BUILDING CONDITION
kEW NORMAL BELOW ABOVE
R.M Acre Value Per Acre ]::!t::
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH �3s�
House Plot BULKHEAD
Total '-" i y►' �-+ DOCK
177
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Foundation Bath >✓va Dinette
arch p z X 3 Q Basement a`/� Floors i�dx K.
irch J Pr> r Ext. Walls ;�.� , Interior Finish ��, 4 ., LR.
l4� x !r = s7
eezeway Fire Place ��e✓ Heat W, DR.
irage 6 J 2 i Type Roof Rooms 1st Floor BR.
do Recreation Room Rooms 2nd Floor FIN. B
B. / Dormer Driveway
,tal J
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: to /3 r /O1
' ` .DATE SUBMITTED:io/z-1 /01
APPLICANT NAME: Anrr�.touY
SCTM# DISTRICT: 1,000 SECTION: toa BLOCK: LOT: I
STREET: If6o WesT CITY: O.rrTmwjr- SUBDIV.NAME: A,,
PROJECT DESCRIPTION:
ARCHITECT/ENGINEER 1 vrHt1 FAST TRACK? No
SINGLE & SEPARATE CERTIFICATION-REQUIRED? Q 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/U83)
ZONING DISTRICT: R- -(o CONFORMING?
�o�U ivi890 o
REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV.
REQ.FRONT---3 r PROP. FRONT Hy ' REQ SIDE ,o/=s ACT. SIDE
REQ.REAR � PROP. REAR
(oZraa rL-ootL E}DD ITtoN t.►o G{F Q' )
WATERFRONT? uD l DESCRIPTION:
PANEL #: g/ FLOOD ZONE:,
AGENCY PERMITS REQUIRED FOR REVIEW
APPA VALS REQUIRED:
SUFFOLK COUNTY HEALTH DEPT: YES or", (BED#): DTE: / / PERMIT#:R10-
NEW YORK STATE DEC: PRE-DEC 911n5 YES o
SOUTHOLD TOWN TRUSTEES: YES o
TOWN ZONING BOARD APPROVAL:YES o
TOWN PLAN. BOARD APPROVAL: YES o
TOWN HISTORICAL PRE (SPLIA): YES of
NYS ENERGY YOE OR NO : t 5f
EGRESS (18 H min.?4 sq total) SENT (SQ. Fr. x 4%) LIGHT(SQ. FT. x 8%)./
BUILDING PERMITS OPEN/EXPIRED: BP 55 3 -Z/C/0 Z- N 5 3 N /D
HAVE PRE CO'S : Y OR N BP -Z/C/o Z- ,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR g p/ SF
SECOND FLR q pc) SF INIT OTHER TOTAL
TOTAL: y3 3 SF FEE FEE FEE
OT( I H SF)- -LU SF)= 6`�' SFX$ .3O =$/F� 9U +$ l C� +$ =s 9 G�
�< �•i~.� O ^T 7 •� '� '- ;}I Ifl tl tom` ��M�'�^!+{M'��iff` Y p , i•
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765-1802
BUILDING DEPT.
LECTION
[ FOUNDA ON 1ST [ ] ROUGH PLBG.
[ FOUNDA [ J INSULATION
[ ] FINAL
[ l
FIREPLACE & CHIMNEY
REMARKS:
DATE B ` INSPECTORzlt7
765-1802
BUILDING DEPT.
INSPECTIO N
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ j FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
f� r S �
DATE INSPECTOR
79 '1
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUN TION 1 ST [ ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
( FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR
l
765-1002
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ j ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ j FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: C
DATE �� Y INSPECTOR
� q-1
1
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH. PLBG.
[ ] FOUNDATION 2ND [ ] IN TION
[ ] FRAMING INAL
[ ] FIREPLACE & CHIMNEY
REM�IIRKS:
DATE 15----INSPE
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ j FOUNDATION 2ND [ ] IN N
[ ] FRAMING [ ] FI AL
[ ] FIREPLACE & CHIMNEY
REMARKS:
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TOWN OF SOUTHO.LD. BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need tht folio sing,before applying
TOWN HALL Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: 765-1802 Survey '�
PERMIT NO. Check4_&GO
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ////� 20�L_ Contact:
Approved �/9 20� Mail to:
Disapproved a/c
Phone:67 jg —,,;7eV 7
DBuilding Laspecter
OCT 2 9 MI ExAmi ,e
- BLDG.DEPT P (.
APPLICATION FOR BUILDING PERMIT
Date oj)ce( J I , 2001
INSTRUCTIONS
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 in whole or in part for any purpose what-so-ever until a Certificate of Occupanq
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 adroit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
gss japplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or.builder
(I, I)e(
Name of owner of premises DA Lisa E ay—CA
(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. - '� )O. d .
Plumbers License No. b_d .
Electricians License No. b-Q(
Other Trade's License No.--t
1. Location of land on which pro osed work w'll n
I` > 1it� Is -� I� !Jam?
House Number Street Hamlet
County
County Tax Map No. 1000 Section _Block �>� Lot 'rli 1
Subdivision Filed Map No. Lot
(Name)
!. State existing-use•attd occupancy of premises and intended ed a and occupancy of proposconstruction:
a. Existing use and occupancy.
(I
b. Intended use and occupancy aJ I ( (�M ff_
S. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
I. Estimated Cost 4 w,ox Fee
(to be paid on filing this application)
>. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
i. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 31 'Q 9 Rear 3c1' a9 _>Depth a
Height Number of Stories �-
fj
Dimensions of same structure with alterations or additions: Front 1 _. Rear
Depth Height Number of Stori(§d"" '"- --
3. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories Q
�. Size of lot: Front Rear Depth ,/� k
10. Date of Purchase 3) 31 QR Name of Former Owner__[ � t�l(n U' .jd
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: K)�
13. Will lot be re-graded Will excess fill be removed from premises: YES NO
14. Names of Owner of premises (t r(lAQCI ddress01 y, Phone No.
Name of Architect Ill 1 Pr Address Phone No
Name of Contractor Address Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES, NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MA QUIRED
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.
iTATE OF NEW YORK)
SS:
OUNTY O> ZLI
Lino]fit K_ ftl COY lJ 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.)
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
)erformed in the manner set forth in the application filed therewith.
;worn to before me
yof tL 20C�) k
taryPublic Signature of Applicant
LYNDA M.BOHN
NOTARY PUBLIC,State of New York
No.01 B06020932
Qualified In Suffolk County
Term Expires March 8,20
UNDERW ITERS EURTIFICATE
APP 0 D AS NOTED J
DAT�E(•- E
B.
ATE ,
FEET-,�J.3 BY: 1
NOTIFY WILDING DEPARTMENT AT
765.1602 9 AM TO 4 PM FOR THE
"FOLLOWING INSPECTIONS: -�
- 1. Ff�tSNDATION
TWO REQUIRED
rr•� '._URED CONCRETE
2. 4131 ,H - FRAMING & PLUMBING d I
3, INSULATION
4. FINAL - CONSTRUCTION -MUST - k
BE COMPLETE FOR C.O. ,,ALL CONSTRUCTION SHALL MEET it
_THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY ,,
CODES. NOT. RESPONSIBLE FOR V-+- - {;
_ — DESIGN OR CONSTRUCTION ERRORS V -A 1r
OCCUPANCY OR
USE IS UNLAV;T W-
�s�ITP4UT CERTZI-I '7E
OF OCCUPANCY
1
PLUMBER CERTIFICATI
OA!LEAD CONTENT
CERTIFICATEZF-OCCUPANCY
SOLDER USED IN WATER
rUPPLV SYSTEM. CANNOT
--- - �' ,-PEED 2110 of 1% LEAD.
IJEl+I tUF1> �w �r I 1 , (� q�a
d t, 10 W PPer[IIDI i8 used T.
I :
}�for water distributingsab
sYSiSDS:pTOm9 SfiBll be
$
oftypes IEor L ori
- UNDERWRITERSFRED CERTIFICATE
ZI. D
W LUMBING
�4'tLL R LINE WASTE j
. -14 ' • i r � � ". ..- _ � A WATER LINES NEED >, ,
T NQ
pppppppp����
TESTING BEFORE COVE
RATED SEP
APROVIDE RAT FIRE,
I I SEPARATION TO
PART: 717.3 (f) (1) OF
N.Y. STATE BUILDING CODE.
PROVIDE ANTISCbLD AND%OR
I THERMALSNOCR PREVENTING 10i
DEVICES AS,TO PRT. 902.fi(R) PROVIDE,OPENINGS FOR
„i.
N.Y. STATE,BURPING CODE.- NIERGENCY ESCAPE AS !r;
REQUIRED BYPART. 714 OF
N.Y. STATE BUILDING CODE.
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ALARIA DEVICES
S 10 PART. 7211 .1
iU1LDING CODE.
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