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