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HomeMy WebLinkAbout28458-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29824 Date: 11/07/03 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 2245 MARLENE LA LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 3 Lot 13 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 2002 pursuant to which Building Permit No. 28458-Z dated JUNE 13, 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 ENCLOSED PORCH ADDITION, ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD W & LINDA S MORTIMER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 70012C 06/04/03 PLUMBERS CERTIFICATION DATED 10/27/03 THOMAS AZZARA i ut rize Signature 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. 28458 Z Date JUNE 13 , 2002 Permission is hereby granted to: DONALD W MORTIMER 2245 MARLENE LANE MATTITUCK,NY 11952 for ALTERATIONS AND ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2245 MARLENE LA MATT/LAUREL County Tax Map No. 473889 Section 144 Block 0003 Lot No. 013 pursuant to application dated JUNE 4 , 2002 and approved by the Building Inspector to expire on DECEMBER 13 , 2003 . Fee $ 594 . 00 Authorized Signature COPY Rev. 5/8/02 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. ISP O V. - . d 0 0 3 New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: ,;) o> LE ME 4 /V,., /4,4 T l/TV CK House No. Street Hamlet Owner or Owners of Property: D O AJ4(-) A j D L.�/U 59 M OR-I I M 6/L— Suffolk County Tax Map No 1000, Section Block 3 Lot Is Subdivision ?p Filed Map. ^ Lot: Permit No. O)g y S $ Date of Permit. - I J- d a- Applicant: 0 )/(11-) & Q V-1/fN rA, Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ pp icant Signature �grlFFot,(4, d+ x Town Hall,53095 Main Road • Fax(631)765-9502 lTelephone(631)765-1502 Southold,New York l 971-0959 y, * .���� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: OC-1 1 90 C Building Permit No. <� / Owner: Dona I M f (Please print) Plumber: )1 oweg S Z ZCZ (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumb ignature) Sworn to before me this day of 20 ANNIE E, of of NaNe Notary PubUc 8tata wlbrk No.OltS5078083 �' I' Qualgied In Suffolk County NotaryPublic, J IBJ t1 LCounty Commission Expires May 19,2007 Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application Number 06/04/2003 375 Dunton Avenue 70012C East Patchogue, New York 11772 (631)286-6642 Issued To: Mr& Mrs Mortimer Street: 2245 Marleane Lane Village: Mattituck Zip: 11952 Town: Southold Section: Block: Lot: Contractor: Tortora Electric Lic. # 3968-E Was examined and found to be in compliance with the National Electrical Code. ❑ Commercial ❑ NV Defects ❑ Pool X 1st Floor ❑X Indoor ❑X Basement ❑ Hot Tub X❑ Residential ❑ Det. Garage ❑ Attic ❑ 2nd FloorX❑ Outdoor ❑X Addition ❑ Survey +. Switches Receptacles Fixtures GFI Heaters A/C Fans 27 34 25 7 6 "ck - Dishwasher WasherlAmps DryerlAmps Oven Range/Amps Microwaves 1-20A 1 20 1 20 1 gas 1 = Furnace Oil Gas Circulators Smoke Detector Bell Transformer w' 1 x 3 5 Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: Other Equipment Hugo S. Surdi President Rough Inspection: 12/03/2002 Inspector: Ed Scavelli Final Inspection: 2003 Ed Sc Inspector: Ed Scavelli This certificate must not be altered in any manner. Inspectors may be identified by their credentials. Applicant/ Owners Name: D• m � Date Lti•L� i ;I Reviewed: (d doh Architect/ Cngirteer: Td���p,;=, Subrtiitted: �X � SCTM #: District: 1.000 Secljon: L -f— Block: �— l,ot: Project Subdivision Location. c2,=,2 �� ; _��— Name: Sin&le & separate Required _// certification: (Yes/No) .44?A/ , + Req. Req (I.olsize: _nf: _7oningOisrid rQ lcuaLl -- (Lot covcra6c I rop<scc 2` r q• R s r •� ((�9oolfl'ard �CJ�( Proposed (Side Yard Proposedn� n J (Rear Yard J / Proposed t z roposed y. Project Description: (/ AGENC2KRE MUS Permit RQUIRED FOR-REVIEW -.A. NO Number Suffolk County Health-Dept- New ealthDept.New York State D. E. C. .Town Trustees Town Zoning Board..approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone. and"'.61 Dotes: - f DONALD G.2t$Q • ARCHITECT 11725 Main Ra•Bax 1692•MatMuck..NV 1452+�69l298 5453•Fax 2981380 v��o June 10, 2002 : n i Mr. Michael Verity, Building Inspector `` ✓ Southold Town Building Department Town Hall, Main Road, Southold, NY Re: Proposed Addition to the Mortimer Residence 2245 Marlene Drive, Mattituck, New York Dear Mr. Verity: 1 have investigated the existing sanitary system at the above mentioned project, and can verify that its capacity is adequate for the proposed additions to the existing single family dwelling. I thank you for your consideration to this matter. Very truly yours, al{e t V u A �� 0158v"b �e ass-i8o2 BUILDING DEPT. NSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL CE & CHIMNEY REMARKS: S/- DATE INSPECTOR suaoiNa DEPT. INSPECTION [ J FO DATION 1ST ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: ! DATE INSPECTOR pus-saoz suauiNa oar. INSPECTIO"-- [ ] FOUNDATION IST [ ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: elf DATE fl INSPECTOR saLuiNa DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � �t�! DATE �� INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL ( ] FIREPLACE & CHIMNEY REMARKS: DATE � 03 INSPECTOR �, � M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING ( FINAL [ ] FIREPLACE & CFIIMNEY REMARKS: CO DATE az INSPECTOR FIELD INSPECTION REPORT DAJF CoArdEm FOUND9TION(1ST) y AO a C FOUNDATION(2ND) z it o z ROUGH FRAMING& y PLUbIEING r x a r r INSULATION PER IN.Y. STATE ENERGY CODE 0 FINAL ADDITIONAL CONIIYTEM O 1 � m mm h ry a� N c ..3 z x x d b y TOWN OF SOUTHOLD '-- `'i BURRING PERMIT APPLICATION CHECKI BIIILDING DF PARTNRU i Do you have or need the following,before appl: TOWN BALL J A � ! Board of Health SOUTHOLD, 1 ori __J 3 sets of Building Plans 91-DG. i)WrT. Planning Board approval TEL: (631) 16 1802r of Survey FAX: (631) 765-9502 PERMTTNO. H�45�, Chock Septic Form N.Y.SM.E.C. Tmstees Examined 6 /D,20� Contact Approved �T,20 D,.�- Mato: Disapproved a/c Phone: Expiration t I✓' 20 D3 Building mn(Ar�, APPLICATION FOR BUH DING PERMIT �y Date �y `7 200 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 we rk covered by this application may not be commenced before issuance ofBuilding 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, i e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. 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,if a corporation) ajyC14- vi- rrie L/v,, 1gRrrn-vr—i (Mailing address of cant) State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Q W W c Y1_— Name of owner of premises D O lU A ,- o bi . Fg L i N ba � , M d 2 r l M "— (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 No. 1. Location of land on which proposed work will be done: House Number Street ( J Hamlet County Tax Map No. 1000 Section y 7 Block 3 Lot L 3 Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended a and occupancy of prop7d construction: a. Existing use and occupancy Iz sl a c'N 0 E /v G F FAn/ I y 1 b. Intended use and occupancy Nature of work(check which applicable):New Building Addition ✓ Alteration—v//' — Repair lteration ✓Repair .Removal Demolition Other Work ,yy (Description) Estimated Cost 4r S U1 O O o Fee (To be paid on filing this application) If dwelling, number of dwelling units G k c Number of dwelling units on each floor if garage, number of cars O /v 6 If business,-commercial or mixed occupancy, specify nature and extent of each type of use. ? I `f' Dimensions of existing structures,if any Front �7 t Rear 57 Depth 31 Height a �t Number of Stories o x Dimensions of same structure with alterations or additions: Front 67/ + Rear G 7/ -r Depth � r Height Number of Stories a + p/ + Dimensions of entire new construction:Front � " - Rear 67 r - Depth + f I Height d d r t Number of Stories 0 Nc5- Size of lot: Front /0 0 1 Rear /00 Depth 3. Date of Purchase y-71' 0 Name of Former Owner SJR/�Z L. E 7-0 A/ 1. Zone or use district in which premises are situated. 2. Does proposed construction violate any zoning law, ordinance or regulation?YES_NOV�- 3. Will lot be re-graded?YES_NO ✓ Will excess fill be removed from premises?YES L/40- 4. / NO4. Names of Owner of premises! �.,bj, MO2T/AVr address I4A rT/r u c lc Phone No. 07 V a 6 ed Name of Architect AD w,4 D :'E/4 E0,L Address /t�TT/t u c� Phone No S ft- Sy �;-3 Name of Contractor Address Phone No. 5 a. is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAYBE REQUIRED. 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below,must provide topographical data on sure ey. TATE OF NEW YORK) SS: 70UNTY OF ) 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, iat 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. wom before me this day of U-") et- 20 O 2 Gv Notary Public Signature of Applicant ELIZABETH A STATHIS NOTARY PUBLIC,State of New York No.01 ST6008173.Suffolk County Term Expires June 8.20.Q7/ N/F ' FLANAGAN F N 69' 20' 50" E 147.33' mi Eo.5ARTLEY RD. FD C CavC. voewAV.. eNo sielorag (PRI VA TE) 0 40.00 J75. I o N/F MAURO 0 O ASPHALT DW GARAGE � ^ 34 ao LOT 8 —J I1 STORY Eta li J WOOD o MAP OF FRAME r LIDA BARTLEY h RES. �1 � FM# 770 j n43.4; z..X oFILED 1UL Y 21, 1922 N 2 N ENO FfNC£�� N 0.4' W 7.1" AV o S 69' 20' 50" W 147.84' � t� N/F McASSEY w TCmFD PECONI C BAY BLVD. SURVEY OF SURVEYED 22 MARCH 1999 SCALE 1"=30' BESCRIBED PROPERTY AREA- 14,758.261 Sf TM 1000-144-03-13 OR SITUATE 0.339 ACRES MATTITUCK, TOWN OF SOUTHOLD Guarantees indicated here on shall run r " only to the peracn for whom the survey is preocred, and on his behalf to the �;tb: rempcns. Povern,entcl 'Ag eney, If sed h:raon, and SURVEYED FOR JOSEPH F. SINGLETON tha c s rocs of tha lendi;:.7 institution. MARY LOU SINGLETON Gucresteas are net trans'cr;:hle to odditbnal institutions or subsequent owners GUARANTEED TO SURVEYED BY JOSEPH F SINGLETON MARY L.OU SINGLETON CHI CA GO TITLE INSURANCE CO STANLEY ;1. 1SAKSEN, JR. TOWN OF SOUTHOLD P.O. BC#' _2.8d NEW. t,f ALF f 19956 Unauthorized alteiaiion or addition to thisCopies of this survey map not bearing survey iz a violation of Section 7204 o% the Land Si- lid embossed sent shall 10E'�1�y L the New York State Education Law, not be considered to be a valid tNe N/ Y,S t �' - YOR copy, F784 T 'd 9LE9-Z6S-SIS S33NnOS3N -iHNOIlH0f103 e9a :80 00 GO qad c. l /' CitCo GN 145 b 4 FWN3I�BD I v 7 -7 Z _O I v aO OG�'�oEG FUNnlcn>a Fwu21c,�C 247'I[` __ _ .,y tlt r ! �oiz,c!A D !TIDI + r ----- - _ - LL !- i owl I �wIsT . Isiti- cw� INy 2,.9, ti J - IS ^" I30 I v I _ yZ l� I7c IE1� ! J0 Q 4 W N ,1 Is I u 16 P"L NEw Flrr�: Nr�T -(a1'InTcy 1 f',ec,e rf sT�u Lpuv cowMN t-� L L 4 `�J E - - f' III j I Q.co I II P'L- o T PIS z -- -- - cj' F- mp / it n T STJ>tiI1154' 156KSEN v �j' yE 1 D- tY� cL7� - I � � Y M I � — - T t'P I - - � N W ZONE. IZ - SO - - - _ -+a^I - - - - - - - -Q W F4xvu�'lt_. x NLoP aGl a3coaplra -5�}�`10 -�- t N _ " ��) 4' o�.,l 4• I ry N Iyp d' A-1 NOTE C-0hfTR6LTp0. TD Mc ITMN MIN _----- � ?15' ANT yn¢p � V- LV D lL.JI I Lo W '1 �' -F, I I GI• � Ca13o" sem. 41 in — 17' LINEN p LLJ 1 I' Ili 2KG c.+ • 16'•0. �` �Lw anR 24 4� 2.4 .4c" 24 4 g z _ CR N =� L FG if �� t r ON 11 CONTENT Vi6 Fv APPR D AS NOTED D § . I a ' �. -o tom' o ' �� I ER USED /N .r. , O Ju V _ WeVSYSTEM CAN. A10T NOTIFY BUILDING D PARTMENT AT o ' L-L) 2110 r o Lt. , , A -1602 111 AM TO LLOWING INSPECTIONS: PM FOR THE . 2>La sLEt�'R Bfcopper tubing is use FOUNDATION - TWO R ED �. for water distributing Q 9 I FORPOUREDCONCRET Y- em;piping shell be! ROUGH - FRAMING PL INO n ALL PLUMBING WASTE of types K or L only. i INSUWTION 0UI PLUMBING � � FINAL • CONSTRUC 1 MUST NEW &WATER LINES NEED NDER fIC MPLETE FOR C.O �k1sTINy #�CSEMEtiT CRowIL TESTING BEFORE COVERING U WRITERSCERTI ATE BECO - -_- _— - - - __ v I REQUIRED ALL REQUIREMENTS CONSTRUCTIONS ALL MEET `7,\ \ I I � THE REQUIREMENTS OF THE N.Y. /'' STATE CONSTRUCTION 8 ENERGY PROVIDE ANTI-SCALD AND/OR CODES. NOT RESPONSIBLE FOR +1 -----___—__-__----- ------_---�----^------ ---- ------�— THERMAL SHOCK PREVENTING DESIGN OR CONSTRUCTION ERRORS _ _ DEVICES AS TO PART. 902.6(K) L_ C- G� 1= ll )G, E T . N.Y. STATE BUILDING COD�yE3GYsoDEs.QMZ II OCCUPANCY OR - , CoDesign by eorrawwuwm �walwwnn(o=416 ISUNLAWFUL w New Yea Sole Conservation Cana ComWill require Sell MWW thMmnUCERTIFICAT PRbffDE- � HR. FIRE building envelope dealpn shall be m 4u than zoro. OF �1 OCCUPANCY Fo-N �ua11 -�w, c1, -urfr ToYE,- i_ 26fCRATF*PARATIONTO _ Thermal y I a O c, sM^tet. T=�l�-�`f%'F' .I_ti�=PAR'r717.3 (f) (1) OF Area U lue Raft Table Iij Not Walls 1'�BSSF 044 h�24 6"t �.,aL — iu _e i _. _ N,Y. STICTE BUILDING CQNI&dng 33b 3" yq GSI 6 DOpn 7— PROVIDE SMOKE-DETECTI NGRooficeiling PRDVIDESMOXE-DETECTINGRooncealnq 236e -ALARM DEVICES Sky ghla 0 5 o_ro ��--� AS TO PART. 721.1 noon Y.S BUILDING CODE. ' 6z N• Total Thermal Rallnq o(BullOinq Enw,bpe �j ^� O ^ p 1L 'tel I, co ti11F �F, TU Nlclhlr/'�1-1 MWIMuM �' FPCMTYIFJ C��I Te oabestuelnw 1plitl balllfnmtle.W neAI I���, CO�� CLT�--' a riJ,l,,-7�,1 T� -r,� MIEN �G r, ,1 PROVIDE OPENINGS FOR AY"'Q 3. �N�I r-1F-#,ccs wMtf.r=:c= T� eE i°c.;���I �,'•,�i E - o K IoF EMERGENCY ESCAPE AS DO NOT PROCEED WITH A T7�'ornlo-V-, ��1 � 7o F,F, D1, ; 41 , REQUIRED BY PART. 714 OF FRAMING UNTIL SURVEY or GE , �F , _ - N.Y. STATE BUILDING CODE. OF FOUNDATION LOCATION HAS BEEN APPROVED. • W I ,• M"' X W9s3 ,( I u- f,{fy.l RIVT 7D "TH z J12"aAena' , O C-fYFIcoU) I � / ham' VINYL SIOINy \ / / I I I d ►Ll FRcF. CGaDI nuH 1_ FR,OP, 1 vPITn^t P cciE µc-,7 To MNi" fu f r NCO. P-�NMrN MYDlP*Ay ;e. = /w El 13 0 Z 10 Ea poo ITIo — Iwol�. LccnoN �- ' ' l "" � LL.1 T -1 � l_- �/ d T i C) l� I V /S NSW 2,aG Rr R, - 16,•moi, �} 1 y " NEW wcy E. 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