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Home My WebLink About31479-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31227 Date: 10/17/05 THIS C~TIFIHS that the building DORMER ADDITION Location of Prc~)erty: 210 DEEP HOLE DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County TaxMap No. 473889 Section 115 Block 12 Lot 3 Su]sdivision Filed Map NO. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26~ 2005 pursuant to which Build/ng Permit No. 31479-Z dated OCTOBER 5, 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" DORMER ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM & DIANE EDGETT (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOFHEALTHAPPROVAL N/A ELEc£KICAL CERTIFICATE NO. 2072690 PLUMBERS CERTIFICATION DA'£~u N/A o9/26/o Authorized Signature Rev. 1/81 Form ~o. 6 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 · 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 fi.om 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 applicanL 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 access6ry buildil~g $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, Cotm'nercial $15.00 Date. New Construction: Old or Pre-existing Building: X (check one) LocationofProperty:~gt9 ~)W~2:~/~/ff2 3~t~' ~'~,~-t~. 7LgJ(~ ~, /~? Hamlet House No. Sti'eet Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. 3 ~ ~ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: t~ Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~ (check one) App~-ant Sig~re 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 upon premises owned by WILLIAM EDGETT WILLIAM EDGETT 200 DEEP HOLE DRIVE 200 DEEP HOLE DRIVE MATTITUCK, NY 11952 MATTITUCK, NY 11952 Located at 200 DEEP HOLE DRIVE MATTITUCK, NY 11952 Application Number: 2072690 Certificate Number: 2072690 Section: Block: Lot: Building Permit: BDC: ns 11 Described as a Re~qdenti~l El~gtri~:~,l Survey . occupancy, wl~erein the premises electrical system consisting of electrical devices and wiring, oescrmeooelow, mcated m/on the premises at: Second Floor, 1 room addition, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 26th Day of September, 2005. Name QTY Rate Rating Circuit Type Miscellaneous as built 1995-l-second floor room Wiring and Devices Outlet 8 0 General Purpose Receptacle 7 0 General Purpose Switch I 0 General Purpose Paddle Fan l 0 An as built 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. No visual defects: an elctrical survey has been made of the exposed electrical equpmant in the premises indicated. No obvious unsatisfactory condition was found. seal 1 of l ertificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 31479 Z Date OCTOBER 5, 2005 Permission is hereby granted to: WILLIAM & DIANE EDGETT 200 DEEP HOLE DR MATTITUCK,NY 11952 for : "AS BUILT" DORMER ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at prem/ses located at 210 DEEP HOLE DR MATTITUCK County Tax Map No. 473889 Section 115 Block 0012 Lot No. 003 pursuant to application dated SEPTEMBER 26, 2005 and approved by the Building Inspector to expire on APRIL 5, 2007. Fee $ 300.00 Authorized Signature ORIGINAL Rev. 5/8/02 Condon Engineering, P.C. New York State Licensed Prof~tenal Engineer 1755 Slgsbee Road MaUJtuck, New York 11952 631-298-1986 Fax 631-298-2651 October 4, 2005 Ms. Pat Conklin Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Mattituck New York Dear Mr. Conklin: I conducted an inspection of the dormer addition on the second floor in the Edgett Residence and prepared the attached drawing which shows the existing conditions. Based on my inspection and to the best of my knowledge, the addition is in accordance with the. New York State Ene~ly and Buildin~l Cedes that were in effect at the Ume of construction. The .floor space requirements and I~ht and ventilation requirements are also in conformance. If you have any questions please call me on 298-1986. Yours truly, - '" ' TOWN OF SOUTHOLD BUILDING DEPT, 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE /~--/ff-~" __INSPECTOR~ ~ ~F_I~D INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH F~G & PL~B~G ~S~ATION PER N. Y. STATE ENERGY CODE F~ ~D~ON~ CO~ENTS FO~ NO. I TOI~N OF SO~ITHOLD BUILDING DEPARTHENT TO~N' HALL SOUTHOLD, 'N.Y. I 197 [ ~._~.~.~, () $./Li ;;-,OLD (Building Ins~ctor) APPLICATION FOR BUILDINC PEP, HIT INSTRUCTION~ BOARD OF HEALTH ............... 3 SETS OF PLANS SURVEY .................. CNECK ......... SEPTIC FOP, H . DEC ............. TRUSTEES ........... . CALL ~ .o~.., a. This application mint be c~mpletely filled in b~, ~iter or in ink and submitted £o rite l~dlding Inspector w b. Plot pl~ abo~h~ location of lot aed of buildi~'c~ Impish,, relatloo~hip to adjoining praises or p~blic streets or areas, a~d givi~ a d~tailed description of 1~' o! prol~, r~y rmst be dra~ on the diagram wh{~b is p~r~ of this applicati~. '~' ' ' ' c. The work covered by this application my not be .c~eced before issuance of Building Pemit. d. Upa, ~val of this application, the Buildir~ ~lnspector ~ill issue a Building Permit to the applican£. Such pemit shall beke~ on the l,~ises available for inspection thmJghout the ~rk. ~e. No building simll be occupied or used in vt~ole or in part for any purpose daatever tmtil a Certificate of 0ccu~a~ ahall have becu granted by me Buildi~ Inspect,or. APPLICATIC[I IS m~m'/~ to the Buildi~ l]eparm:at for the isle of a Building Pemit pursuant to the Buildiug Zorn ~ o~ the T~m of Seuthold, Suffolk.~ty, I~/York, and other applicable La~s, Onlimm~.es or described, lhe applimt aSziea /o eomPly ,~ith all applicable l~s, ordl. moces, building code, housing cocked regulations, aed to ~lt ontber~"d bu (Sigr~turs of appHcan£, or na~, if a corporation) (liailing address of applic~t) State whether a~ulic~mt is csmer, lessee, a~eut, architect, eugimer, {~mersl coutractor, electrician, plud~er or builde: ..... ................................................................................................. . ....... ...... .................... ......... ... (a~ on O~ tax roi1 or late~t deed) If applic~t i~ a ~tion, ~igt~ture of duty authorized officer. (Nsme and title of co. orate officer) Plumbers Liceme No ....... Electricims Lic~se No ..................... . ~. ~tion or ~ on.i~ ~ work ~n be ~..-....... ......... :. lia~se lil0ber Street * IL:~tlec ~~. ~ ~tion ...1~.5 ........ ~ ..I.~ ........ ~ .~ ............ int~ m ~ I 2. State ~sti~ ~ ~ ~ of ~s ~ ~ ~ of ~ ~ ~. ~,~ ~ ~ ~ ....~tu.~S~ .... ~.h~ ..... ~ ................... ~. ~ ~ ~ ~ ......... ~ .............. a~.~ ............. 4, Estimated Cost ........................ fee (to be paid on filing this application) 5. If d~elling, rabbet of d~elling units ..... '(. .... Number of d~elling tmlts on each floor ................ If garage, nlmt~er of cars .. i~. ............................... d.~'~'~Z ~. If I~si~ess, ommercial or nu~ed occupancy, specify naku~re ~md extent of each t~oe of use.. ~.r'.. ............. 7. Dimensions o[ ~xisting structures, if any: Fro~t..~.~. ....... Rear ..~..~. ........ Depth ..~...t...?. ....... llelghto...~... .................. l~mher o[ Stories .... ~.. .......... Dimensions o[~t~cture ~/th al~e. rsttons or n~l,lltlons: Front ....~...~. ....... Rear .~...". .......... Rept,, ....~.¥.'_~ ........ ~i~ht ....~.~ ............. ~b~r o[ Stories ..~.'i .......... ~. ,,.,,_ o~ enti~ ~ ~t~ti.: Mt ..~.~ ........ Rear ~.:.~ ........ ~ ~e ...... Beight ................... ..~. Nt~ber of Stories ..................... ,..~i~ o~,ot, ~t .... ...,:~.....:~... Re., ~..(~.~ ...... ~,,z'z.~ ............. 10. ~te of ~ ...~.~.~ .......... ~ of Four ~r il. ~ or ~ distriCt i~ ~i~ ~i~ ~ ~t~' ..~..1~-- ' ~ ...................................... 12. ~s ~o~ ~t~ti~ violate ~ ~i~ 1~, o~i~ ~ ~latt~: .~ .................. 13. ~ill 1o~ ~ ~ ...... ~ILLI~ ....... 9ill o, ... ............................ . .... ..... _........... ......... ............... 15. Is Offs p~r~flun' ~ f~t ora ti~l~tl~l ~ ..~a~ ......... ~' ' '" PLOT ~ate clearly ~ dlsti~tly all ~ildi~, ~r ~isti~ or ~, ~ i~iat~ ail ~t~ d~i~ F,a, ~r~ liras. ~i~ st~t ~ bl~ ~r or ~riptim ~i~ to ~, ~ ~ st~t ~s ~ i~i~te ~r interior or ~r lot. ..,~ ~ ..--?~...c.r:o.~.~ ....... --~~A~ ~ of i~ivi~l si~itg ~tr~t) ..... .......................................................................... (~t~tor, ~nt, ~mte o~fi~r, etc.) ~id ~r or ~rs, ~ is ~ly ~t~ri~ to ~r~m or ~ ~rfo~ ~ ~id ~ ~ to ~ ~ file this licati~; ~at all stat~nts ~ta~ in ~is ~li~ti~ am t~ to ~e ~st o~ his ~1~ ~ ~lle~ a~ ANN PACE Nota~ Public - S~e of New Yo~ No. 01PA6~9959 Commission Expires O~, 30, 2~ ~"O Bolt at 4x4 C (2) 2x6 Attic Master Bedroom R-11 Insulatio R-19 Insulation in F Att 2x10 RF 16" SC A~ic 16. r RoofI Room Built in 1995 Second Floor Plan View 16" CC ~%'--2x10 FJ 16"OC Section View 14'~3½" 16" SC 1 Edg 2x10 F, 16" CC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY First Floor Plan View NAILiNg Scope of Work Completed in 1995 OF NEW YORK STATE. * Installation of new dormer * Finishing of attic space Total F leer Area: 186,6 sf Area with Ceiling, Height > 5': 171.8 sf °4 of Floor Area with Ceiling Height > 5' = 92.1% Lighting = 24,75 sf of Glazing = 14,4% of Floor Area REQUIRED APPROVED AS NOTED NOTIFY 'qUILDIH; '~EFARTM~/~r AT FO C'WING INSPECTIONS 1. L..,UNDATiO~. - ,'O REOU'RED CC~MPLY WITH CHAPTER J ~ FLOOD DAMAGE PREVEN~I 2. ' ~ ' -.AI,.,~,~ ~ p_ '3lNG S~UTHOLD TOWN OODE, R£ LJlREMENT£ OFTHE CODEBOYNEW YCRK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Ventilation = 12 sf of Window Opening: 6.9% of Floor Area Plan~ are prepared by Condon Engmeaflng, P C, It is a viols/~on of the New York State Educagon Law, ArtMe 145, Section 7209, for any person unless ~9 under the daestion of a licensed Professional Engineer, Amhltect, or Land Surveyor, to altar any item In any way, If an item hearing the seal of an Engineer, Archite~ or Land Surveyor altered, the altering Engineer, Archite~t, or Land Sun/cyst shall a~x to fie item hi.er seal and the notation "Altered by" followed by his/her e~gnaL'ure and I~e date of such alterations, and a specific description of the altem~n. ~ ! Sca'e:{"=1"0' J Condon Eng'neer'ng, P.C. I Edgett Residence i Drawn by: JJ'-'~'-~, 17S~SlgsbaaRoad I 200 Deephole Drive I S'l __ ~ Ma~(~k~)~.~,~tt952 I Maffituck,New York ' L Date: 10-4-2005