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HomeMy WebLinkAbout29956-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30198 THIS CERTIFIES that the building ALTERATION Location of Property: 190 NORTH DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 106 Block 6 Subdivision Date: 05/14/04 MATTITUCK (HAMLET) Lot 33 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 17, 2003 pursuant to which Building Permit No. 29956-Z dated DECEMBER 17, 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 ENCLOSE EXISTING BREEZEWAY IN SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEVEN & KIM SWEENEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 1192127 02/05/04 02/11/04 STEVEN SWEENEY e"-4 ) -- 1'4-� Auth i ed Agnatu34 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. 29956 Z Date DECEMBER 17, 2003 Permission is hereby granted to: STEVEN & KIM SWEENEY 190 NORTH RD MATTITUCK,NY 11952 for : ENCLOSE EXISTING BREEZEWAY AS APPLIED FOR. THIS PERMIT REPLACES BP#15293. at premises located at 190 NORTH DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0006 Lot No. 033 pursuant to application dated DECEMBER 17, 2003 and approved by the Building Inspector to expire on JUNE 17, 2005. Fee $ 150.00 Rev. 5/8/02 ORIGINAL FORM NO. 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) O 1529 Z Date ..... .........%c.�,r....�=........, 1924 Permission is hereby granted to: �1.`... ....................... ................................................................................................................................................................ of premises located at ...1. CIAO ..... A).0-,.. �Agr� ......... .'..n.4;.ak............................. ................................................................................................................................................................. County Tax Map No. 1000 Section ..1.. ..W....... Block ..... C). ...... Lot No. +......... pursuant to application dated .... ................ 19.1. , , and approved by the Building Inspector. Fee Building Inspector MPKAIR Rev. 6/30/80 Y � � � � Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT t 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 New Construction: ✓ Location of Property: Old or Pre-existing Building: House No. Street Owner or Owners of Property: r �f 1 o r- 1(jim Date. 104 (check one) , C� Hamlet Suffolk County Tax Map No 1000, Section l Block �o f Lot �, 3 Subdivision Permit No. Date of Permit. Health Dept. Approval: ,/ Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ C 0 -2,38)g8' Filed Map. Applicant: Underwriters Approval: Final Certificate Lot: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 6 TOWN HALL 765-1802 4. APPLICATION FOR CERTIFICATE OF OCCUPANCV— 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 New Construction: Location of Property: Date. Old or Pre-existing Building: (check one) House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section I b(pQ Block (P Lot 3-3 Subdivision Filed Map. Permit No. 15�o Date of Permit. ld - V %, n Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Lot: Final Certificate: (check one) A Lica ature Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Permit No. / 5-6 Owner: (Please print) Plumber. (Please print) lead. Date: ^ Fax(631)765-9502 Telephone (631) 765-1802 I certify that the solder used in the water supply system contains less than 2/10 of 1% Sworn before me this Notary Public, County al- _ BrIqLLIJ�tyll yXXUT MBM State of New Toth No. 82.0391845 OAjW b Suffolk C RWY BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET -- NEW YORK, NY 10038 CERTIFIES THAT Upon the application of RAYNOR FRANK L. 1800 HARBOR LN./BOX 1065 CUTCHOGUE, NY 11935, Located at 190 NORTH DRIVE MATTITUCK, NY 11952 Application Number: 1192127 Section: Block: Lot: upon premises owned by STEVEN SWEENEY 190 NORTH DRIVE MATTITUCK, NY 11952 Certificate Number: 1192127 Building Permit: BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 5th Day of February, 2004. Name QTY Rate Ra in Circuit Type Miscellaneous AS BUILT -1987 KITCHEN -BEDROOM -2 -BATHES Alarm and Emergency Equipment Sensor 1 0 Smoke Appliances and Accessories Exhaust Fan 2 0 F.H.P. Dish Washer 1 0 1.2 KW Wiring and Devices Receptacle 16 0 General Purpose Switch 12 0 General Purpose Fixture 8 0 Incandescent Paddle Fan 2 0 Dimmers 2 0 Receptacle 3 0 GFCI A visual inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. OF SOUTHOLD PROPERTY RECORD CARD )WNER STREET VWAGE DIST. SUB. LOT �3 of //4-W :ORMER OWNEk L,mc(\ d2yvlcs�`7 - NE 1cw u(vc.> j�l„lr ASB _ S W Drtv TYPE OF BUILDING al- :S2_j p SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 16 0c) 3900 , .5,500 8/x/7 6/3o/-7 SdL4 403 Soo fitNAA/ C, KSan/ % r GO 2�) bSa�a�it a,is:lo 0&4) Yaua��c �o r�y»,a / c tv, '� y , tr 3 L -95o I P-441 ` 9$-ptsSrlSS - i/o3 0`� liable FRONTAGE ON WATER 'oodland FRONTAGE ON ROAD eadowland DEPTH ouse Plot BULKHEAD )ta l �G -- - -NI \1 - --111� Is R6 0 ID M. Bldg. Foundation Bath 0 00 gV Exte'ns�ic(n 2-1 Z7 41aO) Basement Floors Extension 7 Y Ext Walls Interior Finish Extension Fire Place /16 Heat FaA Porch A. e h Attic 300 Porch Rooms Ist Floor Ll Breezeway Patio Rooms 2nd Floor 2,0 Driveway O. J Soo rAvcgtjt7 144oL-j,,,,c -5^-d/4" fiec w�2l1 rOWN VILLAGE DISTRICT SUB. LOT ` FOR, ER OWNER E ACREAGE rh6 4c tr S, Ll y� S W TYPE OF BUILDING RES. / SEAS. VL. FARM COMM. I IND. I CB.IM, LAND IMP. TOTAL DATE REMARKS Xel + e a- `? 6 '00 3.t)0 o� •�" as � , 62 3 3 e e 3 2,,PD �" 3 f-14 &t kGE 3 p BjqyN NEW NORMAL ,BELO f ABOVE Farm Acre Value Per Acri s-' Value a Tillable 1 Tillable 2 Tillable, 3 - Woodland Swampland Brushlan House Plot Total JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (516) 298-5506 Re: Steven Sweeny North Drive Mattituck, NY 11952 Permit #29956 To Southold town Building Dept; After a plumbing inspection of the above mentioned home, all Plumbing has been done to code. A plumbing drawing has been supplied which includes the two baths, and kitchen sink. Any questions please feel free to call. 7tS-1tA2 BUILDING DEPT. � INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION [�FRAMINfi 2ND [ ] INSULATION [ l FINAL DATE INSPECTOR C:;) SIP f M-1802 BUILDING DEPT. --INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ I FOUNDATION 2ND [ ] INSULATION [ 7 FRAMING [ ] FINAL REMARKS: it DATE INSPECTOR �7W M-1102 ����UILDING DEPT. INSPECTION [ ]FOUNDATION 15T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [INSULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR ass-1soz suauiNG DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ I FOUN TION 2ND [ SOLATION [ ]FINAL REMARKS: :/2n /1%�d SS L < n . l) DATE INSPECTOR Al M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ,y� q,�-G re"A,,TC4 �) X765-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE l BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: G DATE / IN8PECTOR ' M-1802 BUILDING. DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. C I FOUNDATION 2ND [ ] INSULATION [ ) FRAMING [ ] FINAL REMARKS: N DATE � INSPECTOR ass-ieo2 tmRu--DLP r. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ J 1 TION [ FINAL DATE � INSPECTOR r1\V�Lq IX FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT` - TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: �76�5-1802 Examined . Zo 19; `�q�✓I ��� Received...... ....... 19... _" Y ApprovedS j�,,,,Q,,�,� a •, 14A Permit No. 4411* Disapproved a/c ..................................... �J ? (Building Inspector) C� �f APPLICATION FOR BUILDING PERMIT Date .......... ....q ., 19 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 buil ' oes, relationship to adjoining premises or public streets or areas, and giving a detailed description of lay o t r p n p emisstIrawn on the diagram which is part of this appli- cation. c. The work covered by this applicatio of b e ore issuance of Building Permit. d. Upon approval of this applicatio a issued a Building Permit to the applicant. Such permit shall be kept on the premises availabl ec ' o e work. e. No building shall be occ any purpose whatever until a Certificate of Occupancy shall have been granted by the B hoe APPLICATION IS HEREBY MAQXq Building Zone Ordinance of the To o Regulations, for the construction of bid The applicant agrees to comply with all admit authorized inspectors on premises 'Woment for the issuance of a Building Permit pursuant to the County, New York, and other applicable Laws, Ordinances or or alterations, or for removal or demolition, as herein described. s, ordinances, building code, housing code, and regulations, and to for necessary inspections. .............................................. I nature of aplican or name, if a corporation) . .. ... . . . .............. (mailing adress df.appiicant)....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..............OJT:??..................................................................... Name of owner of premises ..�: � ?e •� • • • • • • • • • • TEL) (as on the +tax roll or lates> 6M If applicant is a corporation, signature of duly authorized officer. Or,iE: (Name and title of corporate officer) Builder's License No. .... ................... Plumber's License No . ........................ Electrician's License No . ...................... Other Trade's License No . ..................... FEE � T6 ' --- "" Z-'"'..._ NOTIFY BUILD"�}.; LIAR -KT n v 765-1802 4 TO 4 ?rd, POLL.OWING INSPECT 0'1'S - FOUNDATION TVAU Hifi POLMFDr CONCRE re 2 ROl1GH FRAMIPNU & PLUMBING 3. INSULATION 4. FINAL Cof4STRUC $ tON MUST BE COMPLETE FOR v 0 ALL CONSTRUCTION SHAI.1. tJ►EFT THE. REOUiPIMENTS Of- THE N.Y 1. Location of land on which proposed work will be done . ................STA. t;y " I r, 8 ENERGY coves. Nofi I�rt8PONsN ENERGY" CG vs ....... .......... . House Number Street Hamlet County Tax Map No. 1000 Section ...I.Q(,P. :. M.... Block .... 0(P.,. 0Q.... 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 occupancycr r1C`�•� .. ••f'•�• �'•'�� .�.-�� •!�` 'i i 3. Nature of vygFk (check which applicable): New Building ......... Addition ........ Alteration ..�/..... . Repair ............ Removal .............. Demolition .............. Other Work ............. -� (Description) 4. Estimated Cost .... .......................... Fee ..� .... "-......................... . (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. Number of dwelling units on each floor ............. . Ifgarage, number of cars ........................................................ .......... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... IV A . �...... . r .`� 7. Dimensions of existing structures, if any: Front ...�. .......Rear ...�. , , , .... Depth � . Height ....... 3....... Number of Stories ................. Dimensions of ame structure with alterations or additions: Front .� . (!� ............ Rear �.. ... . Depth .... ...:..........Height . , .... j// ......Number of Stories .... ..... ... . 8. Dimensions o �ntire new construction: Front ...... �...... Rear .. l R. . Depth ....... Height ... &.......... Numb r of Stories ......... .. 9. Size of lot: Front Rear ...�: / ..... , , .. Depth s�lp' 10. Date of Purchase ...... Name of Former Owner Ovjr \ 11. Zone or use district in which premises are situated . ................... . 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... N.Q..................... 13. Will lot be regraded ..... lv P .... Will excess fill be removed f m premises: Yes IN, 14. Name of Owner of premises avw.e ` �Ln<'-y-� .. Address P0.4. �Y >Y?: H Phone No � �. . Name of Architect ........................... Address ................... Phone No............... . Name of Contractor• . Address .. .. Phone No. ...... . 15. Is this property located within l.00 feet of a tidal wetland? *Yes ..... No� * If yes, Southold Town Trustees Permit ma be required. PLO DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set -back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. S isle l//6411, OF 11OUSs - rF 5k PPS 1 r � s 42 wry STATE OF NE Y K, S.S COUNTY OF .......... ............... S ff u +i .��W F� n ........ . (Name of individual signing contract above named. being duly sworn, deposes and says that he is the applica Heis 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 & application; that all statements contained in this application are true to the best of his knowledge and belief; and that tl work will be performed in the manner set forth in the application filed therewith. Sworn to before me this n � ........... l.... ........ day of ....... 19 �o Notary Publi-4-'L-.:.' «? ;� County ALICE K 8HAUQHNE :S . Nobly Pudno. Ststs d NOW Malt -7, OUIM Na In Su ftttpa r • (Signat of applicant EXISTING HOUSE LEGEND RENOVATION WALLS I EXISTING WALLS III® UAI__5 TO BE REMOVED E - - - - :1 -- A 23 .-e 1. P56 � -------- CA), FLOOR PLAN C, C CROSS SECTION C.O. II 4 ul�J HOUSE TRAP NOTE: SLOPE" 114" PER FOOT RTCH TO DRAM WORK DONE PRIOR TO 2002 MEETS AL CONSTRUCTION ,{ DOGE REQiJIREMEN iS AT PLI.YUV BB NG SQ�--OEMAYTVQ THAT TIME v v N,T.S, C.O. I U /At-muVL:D SEPTOC SYSTEM