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Home My WebLink About31151-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-30960 Date: 06/03/05 THIS CERTIFIES that the building ADDITION Location of Property: 1235 FACTORY AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 2 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 2005 pursuant to which Building Permit No_ 31151-Z dated MAY 19, 2005 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" DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF ROBERT O'BRIEN, P.E. DATED 5/13/05. The certificate is issued to DEBBIE PINKALL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 Form No.6 TOWN OFSOUTHOLD BUILDING DEPARTMENT TORN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCt�U_ MAY 1 6 26 _ 1 This application must be tilled in by typewriter or ink- and submitted to the Building DepaTen�t�lthe follotti'ing: J A. For new building or new use: L 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 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. I£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, Switnming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - S100.00 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. May 13 , 2005 New Construction: Old or Pre-existing Building:as–built de(Wieck one) Location of Property: 1G35 factory Avenue , Mattituck, NY House No. Street Hamlet Owner or Owners of Property- Debbie Pinkall Suffolk County Tax Map No 1000, Section—1 22 Block 2 Lot is Subdivision Filed Map. Lot: Penuit No. Date ofPertttit. Applicant: Robert O'Brien P. E. Health Dept. Approval: Undenvriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: S Applicant Signature Co0g60 ��o�pFSO 6' Ulm, TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL c� ") [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: '-'`'"'" DATE S I 0-5� INSPECTOR 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. 31151 Z Date MAY 19 , 2005 Permission is hereby granted to : DEBBIE PINKALL 1235 FACTORY AVENUE MATTITUCK,NY 11952 for 'AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1235 FACTORY AVE MATTITUCK County Tax Map No. 473889 Section 122 Block 0002 Lot No. 018 pursuant to application dated MAY 16, 2005 and approved by the Building Inspector to expire on NOVEMBER 19, 2006 . Fee $ 300 . 00 ^/ Authorized Signature ORIGINAL Rev. 5/8/02 -__ ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD. P.O. BOX 456, LAUREL, NY 1194B 631-298-5252 May 13, 2005 Southold Building Department Southold, New York Re: Certificate of Occupancy for As-built Deck Pinkall Residence 1235 Factory Avenue, Mattituck, NY SCTM No. 1000-122-2-18 Gentlemen: To the best of my knowledge, belief and professional judgment, the above- captioned deck was constructed in compliance with the New York State Building Code, when it was built in 1990 Very truly yours, 4QS�OF NEW YOR 5 ��t F. O 9 � 1 * Robert O'Brien P. E. Z`�p hQ 0521�M �r -11)�OfESSIOWI , :UHVEYFFI FC1H ��' '✓ -G' /'i r".� _1 ,,il L!� 9 I �i Z- ilf LULAIED Al t.^A'?T :T!_1� K CJT MAP ()F A «I("1V�j SCALE I' - cu ZVI- 1,4 L9 Ti'Y{'�1`'9 - 31 4 m a i _71 4.L- 2flr z3' G �nn ' I' r. N i y G ?`= brA-Z- SURVEYED 20pf BY WILI IAM RIR((EN 111, S P C IME11 EAST IS"UP. L 1 , N Y 1 1 73L) (631) 581-1686 Fax (631) 581-1691 FILE NU PAGE GRIU A r �• ' :� .1� �,.fir.• • '. j f 4 , '111- .� , / I r r r • • • • 41 • r f Y • • 11 •I ! � ! r 1 1 • 1 • . ► 11 � • 1 1 ►• ►1 1•. •• 11 • 1 / t • • � 1 1 • r 1 1 1 1 • • r • 1 1 / 1•• 1 ! • . 1 •• / • 1 1 1 11 ..rrr• � • •• 1.1 •1 11 / 1 1 1 .'.•.�.1•••r r 11.1 ! • • • • •••••1.1.1.1.1.1.1.1• jfi 1 • f^a�^`� r {' iM>,:� ^' ., ,�� '..`� . _� � * t. via 0. �.�I...• � -' t �. rS� .,• 3 ..•'!�1 r h" s � /'r P .{{) � �"w i T1 J. , ` _ _ � ar. ��s�{{.'��i..a_ f/ 1 I )/ � T. f I•' i < J4hl T / �S Y� /' • �} 5!f +" !•1-- � 'pr rf I•t 1,� r /. '•j�•.. p *t�R .�� \ f.. _ ♦ .,f+ T 6 if�� .I' rr, . ! 1 r - jYh7i C // •`R�e N _ k 5 t L�''9l'. ``?�� 1 S � .2 11 - � I- ♦L�,y ♦ ♦�i`l♦ `♦ �rr -*1fh .: y G , 1 A S fi . l � t �\� �.. ♦ r ,, t_ /f .�lrl ` ; y�1r_ TZA�'s11.+.5 Af taa• -jib. / y .-`�.. � f'"G�l�'.*.{� L Y�f''�1.� • � /Sc.f'.•�1�wGi*� 1 rY7u�1k•!(iy� FIELD INSPfCTION REPORT � DATE COMMENTS wro m FOUNDATION (1ST) ---- -- -- - --------- -- —— -� -------------------------------------- FOUNDATION(2ND) ------------------- m z _ o ---- --- — -------- uuj ROUGH FRAMING& -- PLUMBING m INSUi.ATION PER N.Y. — STATE ENERGY CODE - --- ------- — S-a - --- — O -- - ---- ----------------------- FINAL. — ------- ---------- -- ADDITIONAL COMMENTS Z ----------------- ------ Z m ---------- --- ----------- -- ---------—---- A ---------- --------- ----- X 35 O O -- -------------------------------- ro TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before 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 PERMIT NO. 11 SF E Check Septic Form N.Y.S.D.E.C. T stees Examined , 20_Q�� Co .Approved ,20 to: Robert O 'Brien P.E. Disapprovedac u R'f, 11948-0456 Ph e: 631-298-5252 Expiration ,20� r— Building Inspector llLE MAY 1 6 20 �- APPLICATION FOR BUILDINGVII 1 Date May 13 , --' 2005 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 pan for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. I. 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 lations, and to adtnit authorized inspectors on premises and in building for necessary inspections. �:ap 2 (Signature of applicant or name, if a corporation) PO Box 456 , Laurel, PIY 11948-0456 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Engineer Name of owner of premises Debbie Pinkall (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: 1235 Factory Avenue , Mattituck House Number Street Hamlet AW w ;I County Tax Map No. 1000 Section 122 Block 2 Lot 18 Subdivision Filed Map No. t Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy residence b. Intended use and occupancy residence as–built 3. Nature of work(check which applicable): New Building Addition deck Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 82,000.00 Fee (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 14 .2 Rear 18.5 Depth 52.4 Height Number of Stories 7— Dimensions of same structure with alterations or additions: Front 14. 2 Rear 18 .5 Depth 68.8 Height Number of Stories 2 8. Dimensions of entire new construction: Front 18.5 Rear 18 . 5 Depth_ 16 .4 Height 11 2" Number of Stories 9. Size of lot: Front 50 Rear 50 Depth 217 10. Date of Purchase l0/29/91 Name of Former Owner Zilda M. Miller 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X 13. Will lot be re-graded? YES_NO%Will excess fill be removed from premises? YES NO X 1235 Factory 14. Names of Owner of premises Debbie PinkallAddress Avenue , Matt-Phone No.298-5656 Name of &; Engineer: R. O'Brien Address2074 Main Rd, LP14oneN0298-5252 Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO f * 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 X * 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) S: COUNTY OF Robert O 'Brien P. E. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Engineer (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. Sworn to before me this 1,1yt day of 20_ Notary Public Signature of Applicant ANNA CARINO Notary Public,State of New York No. 01 CA6018748 Qualified In Suffolk County Commission Expires January to,20_8' Y - V 1 t X ti - -� I � J . , r I �. OCCI�#�NCY OR -. USE If UNLAWFUL - '`" - -- - - - WITH UT CERTIFICATEt w 1 b I N OFO CUPANCY ATE v / - _ ,F 1 9 3 f51 r o Y. EE RY• ? ,T OF NEW . . 6: ?. P 'ri�•, dRTF rN riE B.p ItI I L— G V. ST R FOUREC C ETL ROUGH - FRP.' PLUMBING 3. INSULATI^K 4. FINAL . COh�T N MUST F�' Scr/h � EY✓7z,00poz '/8 .o I�. I '--'-` "` - F ►'�' ALL CONSTPU` , -HALL MFFT TH i !) OF N2- O'eRIEr4 a.W.ORK STATE NO - °ONSIELE FO NSIhJCTION ERROR i CONSUL liNu ENGINE EFIINQ SERVICES ' -` -- -- - SCALE / ��: NAICONI LING & CECTIONS -� i• PS 77M 6,sST a F/Y7Y AAAal Z006.�' Bfio6f 3 / _ DRAWN BY z ,�j'�6 �� G•wl, Sf. -- - moi-- /ui /-o SS/c, e4 -7t-0aAFLe-1 - 1 4T- DATE,j /U OS REQUIRED. REVISED i ,71 G/K Bri IS ! /o -- /�/ .I ,/�LAhF I'.f moi✓ ca.n PLM�.� (w/�/-0y .,}AY/�/R�G6� (Y � y6t�ssnrr.Cr..fco�-� GvOE id �`ffrcf /�iN,�[c //I�.fid�Nc� /9SBu/cT ®fGt /9oDiT/o�v r ALL CONS: - IU .� /G-BC1a�r A✓E DRAWING NUMBER �- — f�/rz. - r"� Iui�ETTHER_r 1E" - THE /�9ArrPfcick ivy ?aa s— / 3T DRAFTING FORM NO.IUIEI Applicant/ � D � Date. . Owners Naai�e:, 1 ''lr� _ Reviewed: Architect/ Qate Submitted: 5 SCTM N: District: 1.000 Section. C 2-2---131ock: _Zi Lot: _ Project -7� Subdivision ' Location: 1, 3 tC T,,L /�lq l{�P:_ -� =— Nance: Sink 8, separate Required celltfi.catiolt: (Yo f Nol — _ Rrq ttcq. / ZonintOislricl: 1,1,01 size: (L.olcovcragc -A•Proposed / Req, j ReqReq. _/ / (f-,fon(Yard )'Propoicd: L/ (Side Yard //� Proposed: �' I (Rear Yard_� I'roposcd•d� Project Description: 14, oo• ACEINC'URRMTTS c if 1L UltRED FOR REYTE N.A.. `1✓I4_ YES I�Iumber Suffolk County Health Dept. Now York State . D. E:C. Town.Trustees Town Zouing Boatel approval: Town Plimdug Board approval: _ _-- Flood klane Elevation 77? Flood Zone: x �� r