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HomeMy WebLinkAbout30086-Z FORM IdO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N-Y. CERTIFICATE OF OCCUPANCY No: Z-30313 Date: 07/27/04 THIS CERTIFIES that the building ADDITION Location of Property: 2615 BAY AVE MATTITUCK (HOUSE NO_ ) (STREET) (HAMLET) County Tax Map No_ 473689 Section 144 Block 4 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 13, 2004 pursuant to which Building Permit No. 30086-Z dated FEBRUARY 13, 2004 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 SUNROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MURRAY & CAROLINE GREENFIELD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1040002 03/19/02 PLUMBERS CERTIFICATION DATED N/A 42 //A ho ize ignature 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 COMPLECTION cOF� THE WORK AUTHORIZED) j�,�rW-C4 S�7U� PERMIT NO. 27889 Z Date NOVEMBER 9, 2001 Permission is hereby granted to : MURRAY GREENFIELD 131 PRINCE STREET NEW YORK,NY 10012 for NEW SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2615 BAY AVE MATTITUCK County Tax Map No. 473889 Section 144 Block 0004 Lot No. 007 pursuant to application dated NOVEMBER 2 , 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No.6 TO'vVN OF SOUTHOLD , BUILDING DEPARTMENT TOWN ILUL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department wit -the=RolloSuine' 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 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 PIanning 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 sun ey 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 f 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. 7 New Construction: V Old or Pre-existing Building: (check one) Location of Property: 2_6I_5� B)Y Ayt. dAAT-n-rte House No. Street Hamlet Owner or Owners of Property: A4 `)tZJ24!1f Suffolk County Taft Map No 1000, Section -/7.3 $8 9' Block p p p y Lot 007 Subdivision _Filed Map. Lot: Permit No. 360 g?6y Date of Permit. 7//J/0� Applicant: A4J942-A7 GP_*MAJF GZX> Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: - Temporary Certificate Final Certificate: %./ Waeck one) 00 Fee Submitted: $-_ Z�, �� App Iicant/8t [ure f tJ�rJ000�rJ arPrJ�r�rJ�r�r RrJ�rJ9�rPrJ�r�rJ�rJ�rJ�rJ�rSr�r_rrJcPrl9�tJ�rJ�rJ�tJ�r1�r1�rJrJ�rJ�rJ�tJ�rJ7 0' a ' .„ k 5 BY THIS CERTIFICATE OF COMPLIANCE THE it 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY e5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 7c Upon the application of upon premises owned by S 5 LOWELL ELETRICAL CONTR. MURRAY GREENFIELD 5 136 OREGON AVENUE 2615 BAY AVE MEDFORD, NY 11763, MATTITUCK, NY 11952 r Located at 26,15 BAY AVE MATTITUCK, NY 11952. r5 Application Number: 1040002 Certificate Number: 1040002 5 7c -Section: Block: Lot: Building Permit:27889 BDC: NS11 5 Described as a Residential occupancy,wherein the premises electrical system consisting of ej electrical devices and wiring, described below, located in/on the premises at: 5 Fust Floor, Outside, 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 rj found to be in compliance therewith on the 19th Day of march, 2002. 5 Name QT)_ Rate Ranng Circuit Tie 5 Alarm and Emergency Equipment 5 Sensor 1 Smoke Wiring and Devices f� L�+U Outlet 6 Fixture LJ Receptacle 6 General Purpose Swiicn I General 5 n,,,,,r�- e ,,. Fixture 6 Incandescent 5 5 Receptacle 1 GFCI 5 0 5 5 5 _ 5 5 seat 5 j I of 1 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. D rJ7rlAJ7rJrJr��rJ�rJ�rJ�rJrJ�rJ�rJ�r�rJcPr�r�rJrJ�rJt�r�tJ�rJ�r�rJrJ�rJ�rJ drJrJ�rJ�r�r�cPr�rJ ar�rJ 3tJ�rJ�rJrJrJ]rJ�t�rJ�tJrJt�rJ�tJ�rJ�r�rJ�rlatJ�rJ drJ a l7 y _ Z-7 TOWN OF SOUTHOLD PROPERTY RECORD CARD - a� OWNER STREET - 5 VILLAGE DIST. q SNUB. p LOT K"re t I / ! tq / // /GC I L n 4.A 6 y [. ✓/ FO MER WFd R N 0E ACR. a rxae. *vd 71�jI - i�t r +7 g W TYPE OF BUILDING S. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ff � 6 u-o `f 7da ,- ot,57, Dedi-Tf'roG %d . MoNzaM�'k' 'k 1,1)/" , Da 10o S9C � 1= I �I1I��l�rlFADrner�! �� C�ree�� °et�la�T /3 Jr©o c7 30o z /,3 2 - I "a - G meg. <c e „s AGE BUILDING CONDITION r n f n IEW NORMAL BELOW ABOVE (0- C I j a� �Y� l�' �1.0(A _ ARM Acre Value Per Value Acre lable i lable 2 able 3 oodland mpl.and FRONTAGE ON WATER shland FRONTAGE ON ROAD ( gob ase Plot DEPTH c� BULKHEAD .al > DOCK ■■ ■■�■■■■■■■miROOM►.�1 J �T ■■■■■ ONE■ ■■■■� ■VMS■■■■■■■■■■■■■■■S� J1i13 ■■■■■■■�1IiIF�■■■■■1Urlf�■©®®SSSS■S■■■■ ■■SSE�tS ■Id0■■1•:1JS■■■■■■■■■■■ SEEM LIN RRIOMMOVIVAMMEMOMEMEN ��.: `l ' " '�' � .�' �: : ;; ■SE■■■■6J■■■Slid]■■■■■■■■■■ ■■ EMMEEM■i ■■■■■■■■■■■■■MEi MC■ 9 • • rr ® ® Extension __ r ® •• Porch r • . •.. .. �® PorchDormer® Breezeway __ • Garage Total / BUILDING PERAUT EXAMNER CFIECK LIST DATE REVIEWED: t 1 / ' /Ol rDATE SUBMITTED: o /Z /01 APPLICANT NAME: SCTM# DISTRICT: 1,000 SECTION: i'I'-s BLOCK: 14 LOT: _ STREET: �5- ttg t t CrrY: -kio ' SUBDIV_ NAME:• PROJECT DESCRIPTION: cXdC cstJ� Ls a�2 e�r� ARCHITECT/ENGINEER: u 41 FAST TRACK? 1-%° SINGLE & SEPARATE CERTIFICATION-REQUIRED? A-)c� NOTES: LAYS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1963),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83: ZONING DISTRICT:7?:�-H 0 CONFORMING? OJ REQ_LOT SIZE:�Opco ACT. LOT REQ. LOT COV. ACT. LOT COV. kfor�=rl _ REQ. FRONT 'qO PROP. FRONT�REQ SIDE i � 3S ACT. SIDE BS REQ. REAR Yc3 PROP.REAR HZ' WATERFRONT? ESCRIP ON o��� a PANEL #: L/_ .fg/ FLOOD ZONE: X, �IS'75c. a AGENCY PERMIT'S REQUIRED FOR REVIEW APER0YALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES tir�'(BED #):_DTE:—/ / PERMIT#:R10- ' NEW YORK STATE DEC: rRE-DEc 9/1/75 YES o O SOUTHOLD TOWN TRUSTEES: YES orr, TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES o . NYS ENERGY: YES OR NO EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT (SQ. FT.x 8%) BUILDING PERMITS OP : BP I t�_-Z/C/0 Z- U Q ;,.i CQ_C�,i_A . HAVE PRE CO'S : Y OR N BP -Z/C/o Z_ NOTES: J 7DLia "t FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR :cQ6 t�3 SF SECOND FLR : SF INTI' OTHER TOTAL TOTAL: c_Cdr SF FEE FEE FEE SF)= — SF X-$— _$— +$ j 50 +$ _$ 1ST �ac`hip 765-1802 BUILDING DEPT ON [ OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS. � v 4 DATE INSPECTOR n 6,y�• n ; n F{i 765-1802 BUILDING DEPT. INSPECTION { ] FOUNDAT�ON IST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL { ] FIREPLACE & CHIMNEY REMARKS. C ! 44' /r= c� DATE l �',� _ l� INSPECTOR C, 765-1802 BUILDING DEPT. 114SPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ C] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: n + 7 J � / f J C � f0.S Lz.r�P G4^� P eL`, , .� / Tj .YTG 2s JG bAQ1 J'c=`r-417'r a 14-c— cr, C 17c.+ajP "'A �p,l�.ss. /1 7 Ze- DATE INSPECTOR _- If 765-1002 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] 'R GH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACfE)& CHIMNEY REMARKS;-- DATE EMARKS-DATE INSPECTO / ' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEYS e / REMARKS: p ` ✓ `��� r i� DATEc/, INSPECTOR 765-1802 G DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 1 `L DATE 3 bwINSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LAT [ ] FRAMING [ FINA [ ] FIREPLACE & CHIMNEY [ ] FIRE SA NSPECTION REMARKS:- DAT EMARKS:DATE / r- INSPECTOR f f - ,� u.I FIELD INSFECTION_REPORT-' DATE _ __ __ ___ COMriKNTS J ti Ali FOUMATION (1 7 �G Nz- / U ROUGH FRAME 6 d✓.✓/ �/✓', PLUMBING . - Gl rA s --- f1^y Sy t%�' Fps l.y�f -S/i227�erC — f'�tJ��� ✓.L: C:�P4�G..fP !S--S rAe— INSULATION PER N. Y. o<e rerx7��s- �r t ri sc Srerc STATE ENERGY CODE qc 6eE p FINAL rk A aADDITIONAL CONEIENTS: ~ r T �4't - w I' 'r � i TOWN OF SOUTHOLD BUILDING PERITITfi APPLICATION CHECKLIST . BUILDING DIPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD NY 11971 nG� titi � 3 sets of Building Plans TEL: 763-1802 �J� Survey PERMIT NO. 2 7 check- Septic heckSeptic Form N.Y.S.D.E.C. Trustees Examined ,206/ - - Contact: Approved Y/'/f 20o� Mail to: P,. �GEdtstn� Disapproved acP.D.Bo�t3ElFl�o Jwy Li4S� Phone:L�-31) 3 2--3-3 1356 323 -2-4-06 Building Inspector APPLICATION FOR BUILDING PERMIT Date 14 rA(3cyL L, 20 b INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of platys, 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 propose what-so-ever until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY M,,1DE 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. /5 G (Signature of a p ant or me,if a corporation) SAc i LAkt Ld�WGA�@ Tucklll/ ��g$L (IVlailing address of applicant)' State whether applicant i owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Cif}-(Z o LWeI 90k/i j5-4 F/ELJJ (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. (p Q i�7 F i Plumbers License No. Electricians License No. Other Trade's License No. 1_ Location of land on which proposed work will be done: 4l_7t- L&Kc— I /its ( &i Tl(c)eLG House Number Street Hamlet County Tax N1ap No. 1000 Section _Block Subdivision Filed Map No. Lot (Name) w 1 2. State existing use and occupancy of premises and intended use and occupancy ofproposed-tonstmiction: a. Existing use and occupancy I F' kr=s r ; F-= b. Intended use and occupancy t P-_A-_MtT Lgr s , 0 r-„,c 3. Nature of work(check which applicable): New Building Addition I/- Alteration Repair Removal -./ Demolition Other Work N g�w zoo F (Description) 4_ Estimated Cost I ?s o . o a Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units 1 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 3j. '7 . Rear 35.'J Depth 4-6, 4 Height Z 7 1 Number of Stories R Dimensions of same structure with alterations or additions: Front 3 y Rear .35.9 Depth 6I- Height 7_7 Number of Stories 2 8. Dimensions of entire new construction: Front I q Rear I I Depth 14. z ti Height 13 ',& Number of Stories ! 9_ Size of lot: Front 'z- 0C) Rear 7—D0 Depth f '7 P- if 17L.52 10_ Date of Purchase Name of Former-Owner --- -tg t ►P�2T �1 G't4,-Eg--r-re c:� u - 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: K) a 13. Will lot be re-graded ro o Will excess fill be removed from premises: NO 14.Names of Owner of premises hJ R. aeaEw - Er "ddress i ' t Peo rcta s T Phone No. 7-1 Z z y:-Qo 7� Name of Architect_ Address_ Phone No Name of Contractor 4 LL-t'�-O Address _----Phone No.�! 3L - 3 sSt 15. Is this property within 100 feet of a tidal wetland? *YES NO i/ • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS 1VV\Y 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) cc SS: COUNT'S.'OF5yFt-9,(,- ) ��fa ��ce�E ®owuc3� P4 rj�Ez being duly sworn, deposes and says that(s)he is the applicant (Name of indi "dual signing contract) above named, (S)He is the OW N t= 2 c (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duty 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. Sworn to before me this /' kilS-C� day of � F � 20 _ CSG Notal} Public Si e of Appl cant iMCMM.90 FESi1N �ar.dim TOM EVft - N80500 2°p p0 rlY o aV( t► '� 1t pp 6' 7z tj n > 13 J , ` J L A L1 L ,. Agr SA o or _ 6 pAp; 10 .c ALDtN W.YOl 1� � ►wo►cltt�oM�t c' LAND 1vwKior �( . SURVEY FOR. „r,.r,Trr���o atT[rr1rT10r e�.oaTTor To PHIL/P M� ' tru9 wR„ct rs • VMLATrar p ;[char S-'ZE O f N�`y,j LAW. or trc rr[w rwa!T•Tc cetruTror LOT NOS It o "MAP OF L mm*s4atD Mr' r0 rt coNn a TKn Krtvcr r.e wt womcp L am rp ZTJ�1fcF.f—A E A1*7 /�`!IC c,Ootluo f ssu-tr.t. Noi a oowarocwcr AT To K A YetM TMC co" XTENS'/ Ma�f 200/ w•�.rTtc!woMATco Ncrcor awtL AM TOWN Or rtr oTo INC VCR"" rap 0t10tl :.. . _ ftltv[v b ►�•er0 on rtr!Kral! TC INC ,T[ CCWP"r.#ovctwYb/Tat'o Lf f♦ 9� rarc�ir w.:»et o a�!lswr a oigt,Ticc� z .. SUFFC _..tj0 - tcwaro �>.frrtvtar. ouM '�r,,•:. FSC—ALt- LA � I f WOW x'4ox�>�--�—//��� , /C1ld �••ss9�-c7-9rE*r rat S.7Y Cir tc?�dn `G �c'Slgn ,f/rm r`55/Cn_J /4c OCCUPANCY 0 's - TSI j DATE' 1i�5©s as .01. , E FEE: �>� �ro pri NOTIFY BUILDING DEPARTMENTA 765.1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: t FOUNDATION - TWO REGUIRED \ FO^POURSDCONCRETE P ` F CP N; G$ PCR j' 2. ROUGH - FRAMING & PLUMBING eNCY ESCAPE AS Ii a fI`d"sULAT10N ✓AUIRED BY PART. 714 OF IL FINAL - CONSTRUCTION MUST N.Y. STATE BUILDING CODE. f j� 1+— A6L�E' 3NfiT41U& ORTiON SOFIA uAmrr-- ! THE REQUIREMES OF THE N.1� NTJ --� STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLEIFOR ._ — --- --- --y- DESIGN OR CONSTRUCTION 5RHORS =LZAAR AN LE — i I ', I Ij ' I J'[rzHIIDW t ?--;-- i e I I• I , i I N p r I $jQrGK i1 r— -- ---- - / i - 3Z sFFTERs- r£�CL'REv RO:OFJ�IN/sff 7-0 AtA7CX:kXIST11V6- ,�- .-. - - _ - -- --- -- _ IZ—Ir�__C--EI.L• [/,�Su[. ]. X6,csoL.91uS. 16ac �, k,!-f7'�RS�" Al _MAI.�Nr} 'Row ?N7/VooiV TYPE 284, /^1ffG.rSCRk �I it , 9 , I � •� { � I' EXTERN,tL WALL ry '`� WND �- III �•R�/wA-LI � P. T�+it+s m.aT I: ? I SHINffiLES `V -- /2-x 4- 1 �a,OS 6`10. �• ill meq.. ; r t1NS'f1t 'T�nN �{ ---- I IT ..` ... 2Eio X6-�'� SII. ----- ---- 371....1•-. 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I ` ,.. _ I p- __- �_ -i'-_i__. � '�' i i�- 1I pIppp ISfIII 11� -._— III F �C1O1N&LCr .7T i I '-CrZa4�F�P-A90it I MArO f --AIXTIA44- Ac7FRW�LL' ¢IPJ. - EX/tTF.vb �XrE•v;/oN.(se� Gedf � FtA.f BV HA-PF[,- I j i i -11EXTENSa'pAll q I r-a tea- ArmozvAp. I . VflTl'�11_ 4 eE. : r'n" - / S,3.L7- LAXjF LSF uf- M A7'T/7-VcK. .4OJVLf lSL,+ND - A4=-'W YDRK narlY2oo/ i I s I