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HomeMy WebLinkAbout31667-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31360 THIS CERTIFIES that the building ADDITION Date: 12/29/05 Location of Property: 705 KNOLLWOOD LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 107 Block 6 Lot 7 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 8, 2005 pursuant to which Building Permit No. 31667-Z dated DECEMBER 9, 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 INSTALLATION OF HEAT TO AN EXISTING FINISHED PORCH ADDITION OF EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CATHERINE E BARLEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2082782 12/13/05 PLUMBERS CERTIFICATION DATED N/A '—'-4 1, Z� - ut rize Signature Rev. 1/81 FormNo.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 Depattmentwith the followit g: 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 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: Old or Pre-existing Building: (check one) Location of Property:JKtbo House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section cJ lock -- 0,0 40 _ Lot Subdivision __. _ Filed Map. _ _ Lot: _ Pennil. No: --' Date of Penn t./-1 � f� _ Applicant:__ uRw_ �c c 1�.. / ` ✓L�. Health Dept. Planning Board Approval: Request for: Temporary Certificate _ Fee Submitted: co -t- 3 3(o0 Underwriters Approval: Final Certificate: _ (check one) Applicant Signature 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 PETER EARLEY 16 N. IRVING ST. RIDGEWOOD, NJ 07450 Located at 705 KNOLLWOOD DR. MATTITUCK, NY 11952 Application Number: 2082782 Section: Block: Lot: CATHERINE EARLEY 705 KNOLLWOOD DR. MATTITUCK, NY 11952 Certificate Number: Building Permit: 2082782 BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, Porch/Deck, 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 13th Day of December, 2005. Name QTY Rate Ratine Circuit Type Miscellaneous as built -1984 enclosed porch Wiring and Devices Outlet 3 0 Fixture Fixture 3 0 Incandescent Outlet 7 0 General Purpose Receptacle 6 0 General Purpose Switch 3 0 General Purpose Paddle Fan 1 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. seal I 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. 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. 31667 Z Date DECEMBER 9, 2005 Permission is hereby granted to: CATHERINE E EARLEY PO BOX 1265 MATTITUCK,NY 11952 for : INSTALLATION OF HEAT TO AN EXISTING FINISHED PORCH ADDITION AS APPLIED FOR at premises located at 705 KNOLLWOOD LA MATTITUCK County Tax Map No. 473889 Section 107 Block 0006 Lot No. 007 pursuant to application dated DECEMBER 8, 2005 and approved by the Building Inspector to expire on JUNE 9, 2007. Fee $ 300.0 1 Authorized Signature ORIGINAL Rev. 5/8/02 Town of Southold Building Department P.O. Box 1179 Southold, NY 11971 December 9, 2005 Re: Earley Residence 705 Knollwood Lane Mattituck, NY To whom it may concern, 3i6(o -7 I have inspected the sun porch at the Early residence that was built in 1983. I am certifying to the best of my ability that the existing sun porch meets the energy code that was in affect in 1983 when the original permit was issued. The owner has told me the construction materials that were used during the period it was built. If you have any questions please don't hesitate to call my office. Thank You Sincerely, Ronald Kuoppala A.I.A. RONALD KUOPPALA A. I. A., 48 McKinley Street Massapequa Park, NY 11762 A R C H I T E C T Phone/Fax 516-797-8317 DEC -109-2005 02:19 PM RK ARCHITECTS 5167970317 .. ._ _ P.02 Town of Southold Building Department P.O. Box 1179 Southold, NY 11971 December 9, 2005 Re: Earley Residence 705 Knollwood Lane Mattituck, NY To whom it may concern, I have inspected the sun porch at the Early residence that was built in 1983.1 am certifying to the best of my ability that the existing sun porch meets the energy code that was in affect in 1983 when the original permit was issued. The owner has told me the construction materials that were used during the period it was built. If you have any questions please don't hesitate to call my office. Thank You Sincerely, Ronald Kuoppala A.I.A. RONALD KUOPPALA A. I. A., ARCHITECT 49 McKinley Street Massapequa Park, NY 11762 Phone/Fax 516-797-8317 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) r� W � --- -- ------------------------------------- FOUNDATION (2ND) — ROUGH FRAMING & PLUMBING p O "yy C� y C �1 INSULATION PER N. Y. STATE ENERGY CODE (- J 6 FINAL ADDITIONAL COMMENTS — or Z FAA tyA 9 s H � o Jz � c - d b H f- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (1631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey wtivw. riorthfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C._ Lxamined20 AS Trustees Contact: Approved 1 2Ji , 200S' Mail to: �• � �� �d Disapproved a/c Phone :1 9=E"1 -')7_L_ Expiradon_____�L!J__, 20 (97_ Building Inspector APPLICATION FOR BUILDING PERMIT Date AQ, , 2005 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. 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, and regulations, and to admit authorized inspectors on premises -and in building for necessary inspections. (Signa turreof applicant or name, if a corporation) 1'o ^4 La. ( din address of )ppli@fmt) Iii State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises in C_ 6v,' l to (As on the tax roll 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. latest deed) Location of land on which proposed work will be 1 done: ^l. n/l _ 705 nol\Wood 1�• House Number Street Hamlet County Tax Map No. 1000 Section �_�_Block 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 occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition OtherWork' j�� bGSG%dar rc; d L&Aor (DTscription) 4. Estimated Cost Fee I (To be paid on filing this application) 5. If dwelling, number of dwelling units l __Number of dwelling units on each flonr- If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Heicaht Number of Stories Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories Q 9. Size of lot: Front Q d r Rear 54.90' Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re -graded? YES NO Will excess fill be removed from premises? YES NO 14. Nantes of Owner of premises Address Phone No. Nance of Architect Address Phone No Name of Contractor Address No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * 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 * 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) SS: CO TY OFSj _ 41 _Ut"1V I "if ut n0 being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the !L 1- G 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, 4> day of 20 of Notary Public BARBARA ANN RUDDER Notary Public, State of New York No. 4855805 Qualified in Suffolk County Commission Expires April 14, 2W)a Signature of Applicant TO OUTSIDE POST LIGHT S'-02" EX IST INC -x F=LOOiR f'L- 4N SCALE: 1/4" = 1'-0" EXIST, ASPHALT SHINGLE ROOF EXIST. WOOD FASCIA W/ ALUM. GUTTERS t LEADERS EXIST, HOUSE EXIST, WOOD SIDING T.O. SLAB GRADE `� EXIST. ------------ FOUND. WALL FFTG. --- L 1Zlr-*4T SIDE ELr=VATION SCALE: 1/4" = I'-0" I I'-0"' ELE�,4TION SCALE= I/4" EXIST. ROOF CONSTRUCTION EXIST. WALL CONSTRUCTION GRADE EXIST. FOUND, SECTION "�-.4" SCALE= 1/4" = I'-0" EXIST, ASPHALT SHINGLE ROOF /EXIST- HOUSE FASCIA EXIST, WOOD FASCIA W/ ALUM -GUTTERS !LEADERS EXIST. WOOD SIDING T.O. SLAB � GRADE \ EXIST. L FOUND. WALL 6 FTG. EXIST. ALUM. GUTTERS t LEADERS EXIST -FIBERGLASS INSUL \t WOOD FASCIA EXIST. CEIL. JOISTS w CONT. SCREENED 6' W SOFFIT VENT � Q F EXIST- CONC. SLAB EXIST. ROOF VENT EXIST. ASPHALT SHINGLE ROOF EXIST. WOOD FASCIA W/ ALUM. GUTTERS t LEADERS EXIST. WOOD SID T.O- SLAB GRADE EXIST. FOUND. WALL < FTG-— — — — — — — - L----- - OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY L EST EXIST- HOUSE ALL CONSTRUCTION SHALL NEWTHE REQUIREMENTS OF THE CODES OF NEW YORK STATE. APPROVED AS NOTED 3 /( 'c L� FPF— 361._ SY UNDliRMTERSCERTIFICATE NOTIFY EUILo Dr v- AT 755-1802 8b'! 0 THE REQUIRED FOLLn!'MG 'J IS°ECl' 1. FOUNDA`'�N -'iV -" �,ED FOR POURED Cr 2. ROUGH - FRAMI; jMSING S f D E V� T I ON 4 FINAL - CONS` ! MUST SCALE= 1/4" - I'-0" BE COMPLET� J. ALL CONSTRUC W LL MEET THE REQUIREMENT` -CODES OF NEW YORK STATE. -SPONSIPLE FOR DESIGN OR Q,�,a(RUCTION ERRORS,