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Home My WebLink About29835-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30137 Date: 04/15/04 THIS CERTIFIES that the building ALTERATIONS Location of Property: 2040 CENTRAL DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 1 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21, 2003 pursuant to which Building Permit No. 29835-Z dated OCTOBER 23, 2003 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 "AS BUILT" BASEMENT ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARRY D BARTH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 83668H 03/25/04 PLUMBERS CERTIFICATION DATED N/A ut rized 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. 29835 Z Date OCTOBER 23 , 2003 Permission is hereby granted to: BARRY D BARTH 2040 CENTRAL DRIVE MATTITUCK,NY 11952 for AS BUILT ALTERATIONS TO AN EXISTING BASEMENT/GARAGE AS APPLIED FOR ADDITIONAL CERTIFICATIONS WILL BE REQUIRED at premises located at 2040 CENTRAL DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0001 Lot No. 026 pursuant to application dated OCTOBER 21, 2003 and approved by the Building Inspector to expire on APRIL 23 , 2005 . Fee $ 300 . 00 A t r' zed Signature ORIGINAL Rev. 5/8/02 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. 29835 Z Date OCTOBER 23 , 2003 Permission is hereby granted to: BARRY D BARTH 2040 CENTRAL DRIVE MATTITUCK,NY 11952 for AS BUILT ALTERATIONS TO AN EXISTING BASEMENT/GARAGE AS APPLIED FOR ADDITIONAL CERTIFICATIONS WILL BE REQUIRED at premises located at 2040 CENTRAL DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0001 Lot No. 026 pursuant to application dated OCTOBER 21, 2003 and approved by the Building Inspector to expire on APRIL 23 , 2005 . Fee $ 300 . 00 A hor ' ze Signature COPY Rev. 5/8/02 Form No.6 r- ' 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 *)pographic features. 2. liinal 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 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 pod.$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. New Construction: Old or Pre-existing Building: L-� (check one) ' Location of Property: -20yp CFN-rrt nL 11 a 1y EAVATT 1 T u t k f / House No. Street Hamlet Owner or Owners of Property: /n R R y D, Gn tz T/1 Suffolk County Tax Map No 1000, Section Ll7 3 8 d Block f Q Ono/ Lot 0.26 Subdivision Filed Map. Lot: Permit No. Z9183S 2- Date of Permit. Applicant: F3n r:V D_ R ltd Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: u000'l (check one) Fee Submitted: $ 9-S-O% p 3 u �_�)? rA,1V- K 9 C_� G sw/"l Applican ignature 1 ys. 'y Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application 3/25/2004 375 Dunton Avenue 83668H r East Patchogue, New York 11772 • (631)286-8642 � • Issued To: Barry Barth Street: 2040 Central Drive ` Village: Mattituck Zip: 11952 Town: Southold ;r .}a , 1tir Section: Block: Lot: +.•rte' r Contractor: Lic. # s Was examined and found to be in compliance with the National Electrical Code. "�, ❑ Commercial ❑ NV Defects ❑ Pool ❑ 1st Floor ❑ Indoor ❑X Basement ❑ Hot Tubi +s Residential ❑ Det. Garage ❑ Attic ❑ 2nd Floor ❑ Outdoor ❑ Addition ❑X Survey +' 11 � Switches Receptacles Fixtures GFI Heaters A/C Fans S +� Pro •`;: "I. � 10 5 4 2 "='? Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer r'f Meter Amps Phase UG/OH Jacuzzi Television CO Detector So9 ",,,,•�� / fir'♦,' aL_ �a.... _ •moi) Bldg. Permit: Other Equipment °•' Hugo S. Surdi 44 President ;ff Rough Inspection: 01/13/2004 :ryN Inspector: Sean P.Hightower = i Final Inspection: 03/24/2004 Inspector: John McMahon III •` This certificate must not be altered in any manner. Inspectors may be identified by their credentials. h IF ppr •'\ k'. ..• ELECTRICAL INSPECTION SERVICE,INC,is not responsible for the existing conditions at the subject premises. ELECTRICAL INSPECTION SERVICE, INC., is not responsible for corrections, upgrading or replacement of existing electrical violations at the subject premises. Any corrective work shall be solely the responsibility of the property owner. ELECTRICAL INSPECTION SERVICE,INC.,DOESNOT WARRAWYOR UNDERWRITE THEELECTRICAL CONDITIONSAT THEPREMISES. ELECTRICAL INSPECTION SERVICE, INC., only recognizes the National Electrical Code, the New York State Building Construction Code and Local Municipal codes. AN ELECTRICAL SURVEY, consists of a visual examination of the premises ONLY: Electrical Inspection Service Inc., will comply with the requirements of NFPA 73, latest edition Chapter 1, Section 1-1, 1-2. If violations exist a letter will be issued requiring correction by a licensed electrical contractor. After the violation has been corrected, a re-inspection will be conducted and if approved a certificate shall be issued. A SURVEY CERTIFICATE does not examine the actual wiring or devices unless all walls are opened and wires and devices are exposed prior to the survey being conducted. A CERTIFICATE is non-transferable. AN ELECTRICAL INSPECTION consists of an examination of wiring and installations during the rough stages of construction. After completion of the construction a final inspection will be conducted at which time a certificate will be issued provided no violation exists. In the event no inspection is requested during the rough stages of construction ELECTRICAL INSPECTION SERVICE,INC., at the inspector's discretion,will handle the situation on a case to case basis. ELECTRICAL INSPECTION SERVICE, INC., shall not be responsible to remove any walls in order to conduct an electrical inspection. ELECTRICAL INSPECTION SERVICE,INC.,wiA only release information,certificates and reports to the applicant after payment for services rendered have been paid in full. F ECTRICAL INSPECTION SERVICE,INC.,assumes no liability for the results of its inspections. The agreement may not be changed orally. Willi cP rJ�cPr�rn�.fcncfrJNfrJ� cPr.PcP�J'� r.P O 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS S S BUREAU OF ELECTRICITY c5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 S 5 Upon the application of upon premises owned by 5 5 5 BARRY BARTH BARRY BARTH �5 5 2040 C NT NY DRIVE 2040 CENTRAL DRIVE 5 5 MATTITUCK, NY 11952 S 5 5 Located at 2040 CENTRAL DRIVE MATTITUCK, NY 11952 5 S 5 Application Number. 1059666 Certificate Number: 1059666 5 5 �5] Section: Block: Lot: Building Permit: BDC: NS11 5 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: S 5 Basement,Outside, 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 l7th Day of June,2002. S 5 5 Name OTY $ tc BAling Circuit LM Service 5 C 1 Phase 3W Service Rating 200 Amperes 5 SService Disconnect: 1 200 cb 5 Meters: 1 5 S 5 5 5 5 S 5 5 S 5 5 seal S 55 S 1 of 1 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 D [J7 a October 20, 2003 Building Department Town of Southold 53095 Main Road Southold,NY 11971 Applicant: Barry D. Barth 2040 Central Drive Mattituck,NY 11952 Tax map number 1000 106 0126 Please accept this letter for purpose of clarification-for the permit for renovation of basement"as built" I purchased this home in January 2003.as is. I am going to use the basement area for additional storage, laundry room, sewing room, anal TV room, and mud room. I have no intention of having person(s)using this space for living space -�C7 � <A Barry D. Barth M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �FINAL TION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS• zz Z9 c DATE /6) j INSPECTOR ^^� FIELD. R$EORT DATE C011�IlViEPTl'S ,,. FOUNDATION(LST) 1 FOUNDATION(2ND) . Z 'ROUGH FBAII�TG& y PLU�NTG WSULATION PER N.Y. y STATE ENERGY CODE Q t . FINAL • ADDITIONAL copdrdF qTs • O ----------------- z ' r ' H O . • . may TOWN OF SOUTHULD' BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,beffre applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. �p Trustees Examined V 20Contact: Approved 16 Ll, 7 ,20 9 Mail to: Disapproved a/c Phone: Expiration 2 20 ---- "�� Building Inspec r y ` APPLICATION FOR BUILDING PERMIT 4 n Date '5J . Z 1 20_A3 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 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. ( 'gna a Papplican e,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Ran-9 (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 Hamlet County Tax Map No. 1000 Section IL3(p Block 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 A5 ,6uiLT b. Intended use and occupan 3. Nature of work(check which applicable): New Building Addition— Alteration Repair Removal Demolition Other Work "A5 AwLl "' 4. Estimated Cost Fee (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations 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 Depth 10. Date of Purchase I d D Name of Former Owner �.nola/(j 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 1' 13. Will lot be re-graded? YES NO V1 Will excess fill be removed from premises?YES NO—V1 14. Names of Owner of premises We y D, 2R Address olaIfo C6Aum,,u, W,phone No. (c_3/- Name of Architect Address Phone No Name of Contractor Address Phone No. 15 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 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 ) 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.) 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. Swot before me this -) Of y 20 CJ State of New York Si a o Applicant o.01060096232 Qualified in Suffolk County Term Expires March 8,20 p� i October 20, 2003 Building Department Town of Southold 53095 Main Road Southold,NY 11971 Applicant: Barry D. Barth 2040 Central Drive Mattituck,NY 11952 Tax map number 1000 106 0126 Please accept this letter for purpose of clarification-for the permit for renovation of basement"as built" I purchased this home in January 2003,as is. I am going to use the basement area-for-additional storage, laundry room, sewing room, and TV room, and mud room. I have no intention of having person(s)using this space for living space 'lJ Barry D. Barth UNDERWRITERS CERTIFICATE FOUNDATION WALL APD AS NOTED REQUIRED 10" THK. DATE: ti B P.p G f USE 3,000 PSI CONCRETE FEE: �� D 28 DAYS- USE 3GR DIA 2" THK. CONCRETE NOT BUILDiNo E PARTME--- T AT DOWEL AND EPDXY GROUT SLAB 765-1802 8AM TO 4PM FOR THE Tp EY�ISTING FOUNDATION WALL FOLLOWING INSPECTIONS: PLUMBER CERTIFICATION SPREAD FOOTING I. FOUNDATION - TWO REQUIRED ON LF_A0 CONTENT BEFORE 1'-0" THK. % 1'-8" WIDE FOR POURED CONG7ETE USE 3,000 P51 CONCRETE U 28 DAYS- USE 3 NO 5 2. ROUGH - FRAMIN,3 s PLUMBING CL'WI 1CA TF OF OCCUPANCY 3. INSULATION SOL DER USED IN WATER BARS 17-6 _ 4. FINAL - CON°TRUCTION MUST BE COMPLETE FOR C.0 S(IPPL Y' SYSTEM CANNOT TOP OF FOUNDATION WALL USE 3/4" DIA STEEL 'ALL CONSTRUCTION SHALL MEET THE Eh�<ED _ '10 OF 1% LEAD. EL. 1'-0" BELOW FINISHED RODS AND DOWEL TO REQUIREMENTS OF THE CODES OF NEW B.. FLOOR 8" EXISTING FOUNDATION WALL YORK STATE NOT RESPONSIBLE FOR REMOVE EXISTING STEPS IDESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL COMPLY WITH ALL CODES OF V`.'iTHOU CERTIFICATE F , NEW YORK STATE & TOWN CODES OF OCCUPANCY 1 ro 11 " b o EXISTING RETAINING AS REQUIRED AND COL,- v a WALL TO REMAIN TIVNS OF SOCTHOLDT)t, ZEA SOUTHOL: TOM DLLNNING BOARD SOUTHOLD TOWN TRUSTEES I N.Y.S.DEC 2'-0' 1 USE 3/4" DIA STEEL EXISTING STORAGE / GARAGE --- RODS _RODS AND DOWEL TO 1 II EXISTING FOUNDATION WALL I 18" DIA X 4'-0" DEEP PROVIDE NEW COLU1 N SUPPORT I PROVIDE 2' WIDE OPENING CONCRETE P5T SUPPORT PER FOOTING JTUNDER EXISTING GI DER I IN EXISTING FOUNDATION USE 3 i/2" DIA % 17/4" hIK. I FOR FOR CRAWL SPACE LINE OF PROPOSED USE 2,500 P51 CONCRETE 2, VENTILATION- 8" DEEP STEEL COLUMN - PROVIDEI A 16" X 16" XB' TF K. CONCRETE BOW WINDOW SEAT I F0011NG.7 ABOVE i I __ -"' 1 ❑ T -J EXISTING FOUNDATION WALL OPENING- PROVIDE PROVIDE NEW COLU N SUPP RT PLN GIR ER UNDER EXIST) _ o NEW 1 OWIDE GARAGE 10 USE 3 1/2" L�A X 1 ' THK DOOR OPENING-AND New , 5'-0" FOR 2(2'-0") BARN d. STEEL COLUMN - PRO V �; :. 1 DOORS. A I X 16" X8" THK. CONCRETE EXISTING STEEL i� FOOTING. COLUMN-VERIFY HEXISTINGDOOR ;0 IN FIELD EXISTING STEEL COLUMN-VERIFY 4-2 SAW CUT AND REMOVE IN FIELD SAW CUT AND REMOVE n 16"X16" CONCRETE SLAB 16"X16" CONCRETE SLABFOR NEW COL. AND FOOTINGFOR NEW COL. AEXISTING BATHROOM5/4" X 8" FRAMED PROVIDE 4 UP 5/4" X 8" FRAME FOR ANCHOR'G. a OF DOORS TO HINGES PROVIDE 3/4" THK EXTERIOR GRADE PLYWOOD- ENCLOSE PERIMETER WITH 3/4" THK. CLOSET COUNTERX 4" CLEAR PINE TRIM BOARD AND DIAGONAL BRACES PROVIDE HEAVY GAUGED HINGES AND LATCHES CELLAR / FOUNDATION PLAN SCALE= 1/4"=1'-0" & "A. Y T S U�0 �98 �� 01795&1 wY'i �1)p rya. r PROJECT ADDRESS JOB NUMBER ARCHITECT REVISIONS PRINT LOG; DRAWING TITLE DRAWING NUMBER: THE BARTH RESIDENCE 2040 CENTRAL DRIVE JOB NUMBER GLENN A. HAASE R.A. 10/8/2003 CELLAR PLAN ADDITION AND ALTERATION MATTITUCK , NEW YORK, 11952 58 JULBET DRIVE , SAYVILLE , NEW YORK , 11782 FLOOR PLAN Q — 7 y oV` TEL: 631-563-3343 FAX: 631-563-3343 / �H�C