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HomeMy WebLinkAbout31756-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31756 THIS CERTIFIES that the building ALTERATION Date: 02/14/06 Location of Property: 530 WOODCLIFF DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 8 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 17, 2006 pursuant to which Building Permit No_ 31756-Z dated JANUARY 26, 2006 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" ALTERATION (ENCLOSE PORCH) TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STANLEY F & LORRAINE F ZAVESKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A 2085391 01/11/06 i\ A horized Signature JAN 30 Form No. 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 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 Date. U, apa New Construction: Old or Pre-existing Building: ,i (check one) Location of Property: �2 TiTy�/� House No. Street Hamlet Owner or Owners of Property:5xLyJ4rc� w 4�2/L4ix_ 74r/rEUc Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. 0(o Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) ac Fee Submitted: $ CC) �31y3S- � �, o K+? C (:8715 - Applica ignature O �l arJ�cPrJ�rJ@n �ncnr�cncnrJ�rJ�rPC lic 1; 1;.. 1; Pcncnr5 � E:I .rJ�rJr nrJcut r. Jr.91 rar�cnr JOE r.nrJ�rJ@ncnr:rJrrdcncPrJ@nrJcPrJRPRPMr rR01 RPPJRPr. X07 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS S BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 c5 CERTIFIES THAT 5 Upon the application of upon premises owned by 01 5 STANLEY ZAVESKI STANLEY ZAVESKI 5 530 WOODCLIFF DRIVE 5 tj 5eS MATTITUCK NY, 11952 MATTIOTUOCK,LNY 119 2E 5 5 Located at 530 WOODCLIFF DRIVE MATTITUCK, NY 11952 5 5 5151 Application Number: 2085391 Certificate Number: 2085391 5 Section: Block: Lot: Building Permit: BDC: ns11 eS ��) Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at:51 C5 First Floor, closed in porch, Outside, 5 5 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 5 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other S 5 5 authority having jurisdiction, and found to be in compliance therewith on the 11th Day of January, 2006. Name QTY Rate Ratine Circuit Type 5 5 Miscellaneous [5 75 5 5 as built -1962 -porch Wiring Devices 5 5 and Outlet 4 0 Fixture 5 Fixture 4 0 Incandescent 5 5 Outlet 5 0 General Purpose 5 Receptacle 3 0 General Purpose 5 5 5 Switch 4 0 General Purpose 5 An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to 5 5 be in for comformance with the applicable reference standard the estimated period of construction of the premises wiring system. 5 5 5 5 5 5 sea/ I of I 5 r� 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. 5 o f�� ��� �s� ��� ��� v O rPrJ acPr�r�[PrJ ar�rJrJrJ arJ acPrJrJ arPcPrJ�rJinrJ acPrJrJcPrJ ar�rJr�tPrJrJrJ arJarJ�r�rJ arJ ar�r�rJ arJ�cFrJcPr�rJ armor !rJ arJ arJ armor PLrL3 r3rPrJr?PrJQPrJ�rJPLO ri ' BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY 40 FULTON STREET -- NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by PECONIC ELECTRIC CORP 2195 STANLEY RD MATTITUCK, NY 11952, Located at 530 WOODCLIFF DR. MATTITUCK, NY 11952 Application Number: 2092286 RICHARD WRIGHT 530 WOODCLIFF DR. MATTITUCK, NY 11952 Certificate Number: 2092286 Section: Block: Lot: Building Permit: 3 175 b BDC: ns11 Described as a Residential 600-1199 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: f {�-3(-7_s _ Basement, First Floor, Detached Garage, Outside, �I (/ -3 ( -7 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 18th Day of September, 2006. Name 2 Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide Sensor 4 0 Smoke Appliances and Accessories Oven 1 0 50 Amps Dish Washer 1 0 1.2 KW Pump Motor 1 0 1 H.P. Furnace 1 0 Oil Air Conditioner 1 0 36.000 BTU Exhaust Fan 1 0 F.H.P. Panels 1 50 12 Wiring and Devices Outlet 21 0 Fixture Fixture 21 0 Incandescent Outlet 50 0 General Purpose Receptacle 40 0 General Purpose seal Switch 14 0 General Purpose Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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 PECONIC ELECTRIC CORP 2195 STANLEY RD MATTITUCK, NY 11952, Located at 530 WOODCLIFF DR. MATTITUCK, NY 11952 Application Number: 2092286 Section: Block: Lot: RICHARD WRIGHT 530 WOODCLIFF DR. MATTITUCK, NY 11952 Certificate Number: Building Permit: 2092286 BDC: ns11 Described as a Residential 600-1199 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Detached Garage, Outside, 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 18th Day of September, 2006. Name OTY Rate Rating Circuit Tyre Dimmers 16 0 GFCI Circuit Breaker 1 0 20 amp Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp Dryer Multi Outlet System 7 0 ft Disconnect 1 0 60 amp Air Conditioner Receptacle 6 0 GFCI Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters 2 of 2 seal 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. 31756 Z Date JANUARY 26, 2006 Permission is hereby granted to: STANLEY ZAVESKI 530 WOODCLIFF DR MATTITUCK,NY 11952 for : "AS BUILT" ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED at premises located at 530 WOODCLIFF DR MATTITUCK County Tax Map No. 473889 Section 107 Block 0008 Lot No. 013 pursuant to application dated JANUARY 17, 2006 and approved by the Building Inspector to expire on JULY 26, 2007. Fee $ 300.00 —� Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING/ STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE © �`� INSPECTOR I FIELD INSPECTION REPORT DATE COMMENTS W FOUNDATION (IST) •e J� ks1 y -------------------------------------- FOUNDATION (2ND) z ROUGH FRAMING & PLUMBINGcp 0 o� y d - INSULATION PER N. Y. STATE ENERGY CODE l�7 3 FINAL 0 ADDITIONAL COMMENTS J7 L z rn 3 �y 0 0 x y ro y _ P TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO./ 757v Examined20 t,4/6 Approved/Jy/yG , 20_6 Disapproved aicc BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval -^J Survey —`v Check 37, Q . <! —,.' 4E 2 �,� . 0Q) Septic Form N.Y.S.D.E.C. Contact: Mail "- Phone: ,7Q�.ude7,J Expiration__ OY , 20� -- Building nspector 7 APPLICATION FOR BUILDING PERMIT Date 200 fO n - 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. n. (S' a[u of applicant or name, if a corporation) (Mailing ad ess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Z (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: h'�J W 0.0&cl�\awn _ �\N=Trvz- House Number Street County Tax Map No. 1000 Section \,J Block Lot Subdivision Filed Map No. (Name) 2. State existing use and occupancy of premises and intended use and a. Existing use and occupancy LO V\\1 kV!'c b. Intended use and occupancy of proposed c 3. Nature of work (check which applicable): New Building Addition Alteration__ Repair Removal Demolition Other Work 1-4 (Description) 4. Estimated Cost 1t 6 04 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 _Rear Depth Height Number of Stories 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 9. Size of lot: Front Rear 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 oC Will excess fill be removed from premises? YES_ NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * 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) COUNTY OF W\` S: \ 1 p` A'1��1 �t�4Mgxv`Q 1 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ,O vJ 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 s N� d 20-0(3 otaryublic GARY FLANNER OLSEN Notary Public State Of New York No. 020L2959600 Qualified in Suffolk County Commission Expires March 30, 202� Signature of Applicant 01/26/2006 10:58 6317347712 STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) r,; -SEN & OLSEN,LLP A F F I D A V I T Re: Zaveski to Wright Title No. Stanley Zaveski and Lorraine Zaveski, being duly sworn, deposes and states as foiluws: As the owners of premises located at 530 Woodcliff Drive, Mattituck, New York (District 1000, Section 107, Block 6, Lot 13) hereby certify that the conversion of the original porch into part of the kitchen took place before 1965. ey Sworn to before/me this 17 day, f nuaryy, 2006. GARY FLANNER OLSEN Notary Public State Of New York No. 02OL2958600 Oualified In Suffolk County Commission EXPires March 90, 20-122 PAGE 02 RZNR NZE�� wEs`� N/O�pSTANZ 0 13ARHAM AY DRNEWAY Biz 0 o \ • Z v� i � 2A l a i vies N s Y � a i • L+ STOP P GP • Z CONO gR1GK Lh 5(EP L C 4`CE V ' 1 `J GMMmEY S 4\ %% 2.A U.MPPOST _. p � KEY`' ON 0E5TONE •OISAVE.L GRAY E CANG .. . XEYSTONE E gD/ Ul 0 D FC� MON 1s q,2' �p S � s•1� dldm ST01�1yGE � FRAME N. R m N/o/F'loll' jma g KLgiN SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-107-08-13 SCALE 1"=20' AUGUST 2, 2005 d a 2 O � Iz O 275_ IV Q C0 Ul METAL �. 9 m SHED � _ Gbn FOUHO oRAME rENGE pp W,FiE , 5p HED ME1 A� SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-107-08-13 SCALE 1"=20' AUGUST 2, 2005 AREA = 17,121.42 sq. ft. 0.393 ac. PREPARED ACCORDANCE WITH THE MINIMUM STANDARDS OR TITLE SURVEYS AS ESTABLISHED BY THE LI LS. AND APPROVED AND ADOPTED F THE NEW YORK STATF IAND <1;6" A� QIP. �NGwwFG yy U Joseph A. Ingegno Land Surveyor Title Surveys Subdivisions Ste Plans or tun 1 oc 37, PHONE (631)727-2090 `ar .5S', fir. "7' OFFICES LOCATED AT MAIL MC ADDHE S 322 ROANOKE AVENUE °)0. Bo. '.93I RIVERHEAD, New York 1190' RIVertlacd, New Yo K 1190' .19b`_ d a 2 O � Iz O 275_ Q C0 Ul METAL �. 9 m SHED � _ Gbn FOUHO rENGE pp W,FiE , 5p ME1 A� I UNAUTHORIZED ALTERATION OR ADDITION !I TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THF NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHAU. RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI— TUT70N. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. AREA = 17,121.42 sq. ft. 0.393 ac. PREPARED ACCORDANCE WITH THE MINIMUM STANDARDS OR TITLE SURVEYS AS ESTABLISHED BY THE LI LS. AND APPROVED AND ADOPTED F THE NEW YORK STATF IAND <1;6" A� QIP. �NGwwFG yy U Joseph A. Ingegno Land Surveyor Title Surveys Subdivisions Ste Plans or tun 1 oc 37, PHONE (631)727-2090 `ar .5S', fir. "7' OFFICES LOCATED AT MAIL MC ADDHE S 322 ROANOKE AVENUE °)0. Bo. '.93I RIVERHEAD, New York 1190' RIVertlacd, New Yo K 1190' .19b`_ lafatn2'�. t�R