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30965-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31465 Date: 03/03/06 THIS CERTIFIES that the building ALTERATION/REPAIRS Location of Property: 11535 MAIN RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 142 Block 2 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 18, 2005 pursuant to which Building Permit No. 30965-Z dated FEBRUARY 18, 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 DECK REPAIR AND WINDOW REPLACEMENT IN AN EXISTING DENTAL OFFICE AS APPLIED FOR. The certificate is issued to FRANCIS & CHRYSTYNA KESTLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELBCTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uthorized Signature Rev. 1/81 Fonn 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. 3 New Construction: Old or Pre-existing Building: (check one) Location of Property: I t 5 3 S (Arun R6 t (tCH� �u Ck N 119 5 2— House No. Street Hamlet Owner or Owners of Property: Frzu,\It 15 es+-te r Suffolk County Tax Map No 1000, Section ( (� Block CC)O 1- Lot 0 I to Subdivision __ _Filed Map. Lot:_ Permit No. 36 7 to S Date of Permit_ I Applicant: Vn h c , ; LQs}1p✓ Health Dept. Approval Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate _ Final Certificate: (check one) Fee Submitted: $ G/ pI (� 4plicolt Signature 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. 30965 Z Date FEBRUARY 18 , 2005 Permission is hereby granted to: FRANCIS KESTLER PO BOX 1650 MATTITUCK,NY 11952 for ALTERATIONS/REPAIRS TO EXISTING DECK & STAIRS AND WINDOW REPLACEMENT AS APPLIED FOR at premises located at 11535 MAIN RD MATTITUCK County Tax Map No. 473889 Section 142 Block 0002 Lot No. 016 pursuant to application dated FEBRUARY 18 , 2005 and approved by the Building Inspector to expire on AUGUST 18 , 2006 . Fee $ 150 . 00 Autho ' zed Si ORIGINAL Rev. 5/8/02 Condon Engineering, P.C. New York State Licensed Professional Engineer 1755 Sigsbee Road 631-298-1986 Mattituck, New York 11952 Fax 631-298-2651 February 8, 2006 Mr. Michael J. Verity Principal Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Subject : Dr. Frank Kestler— Permit#30965Z 11533 Main Road, Mattituck New York Entry porches and window Inspection Dear Mr. Verity : I conducted an inspection of the new windows and the side and rear entry porches installed at the Dr. Kestler office building. The windows were found to be installed in accordance with the plans and the plywood storm panels are stored in the cellar of the adjacent cottage. The windows and the storm panels are in accordance with the New York State Building Code. Inspection also found the rear and side entry porches to be constructed in accordance with the plans and in accordance with the New York State Building Code. If you have any questions please call me on 298-1986. Yours truly, an, P.E. far cp2 C .' (151684 FR�fESSIO' P�, 8 Condon Engineering, P.C. New York State Licensed Professional Engineer 1755 Sigsbee Road 631-298-1986 Mattituck,New York 11952 Fax 631-298.2651 February 15, 2005 Mr. Damon Rallis Plans Examiner Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Regarding—Dr. Kestler- 11535 Main Road in Mattituck Dear Mr. Rallis: As discussed, the new window installation proposed for the Kestler building will conform with the high wind and projectile requirements specified in the New York State Building Code and will either be windows meeting those requirements or plywood panels will be cut and prepared for each location. If you have any questions please call me on 298-1988. Yours truly, Jo J. ndon, P.E. Copy Dr. Frank Kestler FEB 17 ,' b ( !� �o�y OF SOf/Tyolo 3101 / 6 7jTOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [FINAL [ ] FIREPLACE & CHIMNEY [ ] _FI'RE SAFETY INSPECTION REMARKS:--&-- X�9 a 3 1 0, DATE 3 - � � �^' INSPECTOR � l FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) -------------------------------------- FOUNDATION ------- - -------------------FOUNDATION (2ND) 04 ROUGH FRAMING& PLUMBING l - - -- --- - - - vl x INSULATION PER N.Y. 3 STATE ENERGY CODE ---- _- - FINAL r ADDITIONAL COMMENTS 1 N C - r o A COO - � y x d ro y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT JAN _ 6 Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Q Trustees Examined O S ,20 Contact: Approved 1 20 Mail to: Disapproved a/c Phone: Expiration z4r ,20 b m pe r APPLICATION FOR BUILDING PERMIT Date — Q 20 Of 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 t ad ' authorized inspectors on premises and in building for necessary inspections. (Signature of applican r name, if a rpon ion) � D. Box /65D Morrrww, l' i19s,2 (Mailing Adress of applicant State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Q wne Name of owner of premises 6Iu cis A— Kes�-(e,- (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: f 153 S blhll/ A Mkr-rfilm House Number Street �[ Hamlet / County Tax Map No. 1000 Section 7 a Block o Lot / (O 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 es 1 der,C't b. Intended use and occupancy es i&-V)C e- 3. Nature of work(check which applicable): New Building Addition Alteration SU, Repair Removal Demolition Other Work (Description) 4. Estimated Cost S Q Q 0 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units IVA Number of dwelling units on each floor AIA- If garage, number of cars At A- 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 Z (o Number of Stories 2 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 /() 1 . a -71 Rear 4G , d -/ 1 Depth 23 3 .21-7. jg 10. Date of Purchase /✓o✓. 1 y, a003 Name of Former Owner Nl u w�el l ev P i n h a�d f 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO T 13. Will lot be re-graded? YES I NO—Will S_ll excess fill be removed from premises? YENO _ 14. Names of Owner of premises FP-ANCLs fmV-Address OArT i Tr-12- Phone No. 5 6 a 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) SS: COUNTY OF ,Svff014 )''// 1��>Q N C IS T�£STLdf being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing signing contract) above named, (S)He is the O Vd � p� (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 tq before me this to day of Q.r�� 20 Nota Public Signature of Applicant ,V,ARIE A.W0004 Notary Public,Snc,of Nev York No 0 °r0631 Q.IT IF !i 7t 11 ,nty kn 01,w r s A9 q 15.20 BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: g /j/04 ,rte APPLICANT: Kesler DATE SUBMITTED: Z/8/( ,s SCTM#DISTRICT: 1,000, SECTION: I y� , BLOCK: Z , LOT: \ (6 SUBDIVISION: NIA ADDRESS: I I �r� s� t` + CITY: � ZONING DISTRICT: CONFORMING? BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z/ C/0 Z- , INFO BP -Z/ C/0 Z- , INFO BP -Z/ C/0 Z- , INFO /BP -Z/C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83 REQ. LOT SIZE: ACT. LOT SIZE:2M REQ. LOT COV. ` ACT. LOT COV. REQ. FRONT -40 PROP. FRONT REQ SIDE 15" ACT. SIDE REQ. REAR 5' PROP. REAR REQ. HEIGHT PROP. HEIGHT PROJECT DESCRIPTION: ' ESTIMATED PROJECT COST: ARCHITECT/EVER: WATERFRONT? DESCRIPTION: PANEL # FLOOD ZONE:/< APPROVALS REQUIRED SUFFOLK COUNTY HEALTH EPT: YES oto (BED #): DTE: / / PERMIT#: TOWN SEPTIC RECEIPT: Y �i NEW YORK STATE DEC: P E-DEC9/1/75 YES o1�z DTE: / / PERMIT #: SOUTHOLD TOWN TRUSTEES: YES o- = ,. ' DTE: / /_ PERMIT #: TOWN ZONING BOARD APPROVAL: YES or ,O DTE: / % PERMIT#: TOWN PLAN. BO/ARD APPROVAL: YES or DTE / / PERMIT#: TOWN HISTORI(?AL PRE (SPLIA): YES oro NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( SF)- (SF)= SFX$ =$ +$ . +$ _ $ 2. ( SF)- (SF)= SFX $ =$ +$ +$ _$ 3. ( SF)- ( SF)= SFX $ =$ +$ +$ _ $ FINAL TOTAL: $ NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed: 120MPH Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: AI-H Decay: S-M Design Temp: 11 Ice Shield Underlay:YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: Y/N DESIGN LOAD CALCULATIONS: Y/N LIVE: Y/N DE4D; Y/N SNOW: Y/N SEISMIC: Y/N WIND: Y/N WINDOW AND'D.00R SCHEDULE: MISSLP,°NEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) , SITE DATA IS00150 0 300 600 900 1200 1500 1800 2100 24Ln i LOTAREA 2, 406 SQ.FT =0506 ACRE ( i I CURRENT ZONING. RO-RESIDENTIAL OFFICE KFV _&4AP -i PARKING CALCULATIONS: REQUIRED 5STALLS/ONE(1)DENTIST SCALE.. 1"=600' -_v (1 HA"-VDICAP STALL INCLUDED) SOUND AVENUE .� ACC.APARTMENT. (2 STALLS) 3) TOTAL 7 STALLS REQUIRED PROVIDED, 7 REGULAR STALLS -O (1)HANDICAP STALL \� 8 STALLS TOTAL PROVIDED i EXISTING LANDSCAPED AREA. 3 681 SQ.FT = 164 % EXISTING LOT COVERAGE 3,182 SQ.FT. = 14.2% �c��G`V rv•s ���j {COTTAGE,HOUSEBR.PATIO,DECKS) \ I PROPOSED ADDITIONAL LOT COVERAGE: SEE ADDITIONAL PLAN(SHEET P-2)FROM CONDON ENGINEERING,P.C. DATED 11/22a004 FOR GRADING AND DRAINAGE. I f Fqo\ I ?<FG/p�yROq��m IZONING R-40 LAND NOW OR FORMERLY OF m ZONING R-40 ,-C;iOLK & LAND NOW OR FORMERLY OF I WENDY PACHOLK / MARTHA KEiJNELLY / Y 1 T �a z �o� ; m - 4 c !14 m EL11.9' m z Ji-38'2 ' E w.�4� ELI,.."- V I CONIC �iP Ii' s 3C a0+ cii z PROPOSED VEGETATIVE SCR �NING e" s UNN CVEY O �m ( BLUE SPRUCE OR APPROV�� EQUAL) Iz I I z DEJiC IMED PROPEI:T:• �' - ExLcnnlG o i m� 1 LANDSCAPED AfR, �1i�1 �� n � I Gsi • d e e e - � a� i I I C MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 'r —I FP POSED o 1"'.*:crKcow m -- s' 81 ENTRANCE p Alm^ ��—: DLMMPSTFR m: IT I _ S.C.T M DIST. 1000 SEC 142 SLK. 02 LOT 16 N. 4 � � 8 ENCLOSURE =i" � "- NTS 7 suaFacEaow ��Im ISI 10 5 0 10 20 30 40 50 60 70 80 ¢p 1 —1 - `o`'z z rt 1m EXIT ^ 1 � I mom SCALE 1"=20' DATE. SEPTEMBER ., 2003 O N ' 161 oz o 1 � li frn Do T 1 � � �alCY 00 FRCkOSEDmm moll m �Il z Iv m ASPHALT PARKINGiI ss Q. I z LOT p t rpi �Iupl z �o IL -6 I 5 I 4 3 II 2 m �I 1 ��; °�` m � �° � � N Vyy' m I I D c+D=,ELE 'eL m z POP=4 CURB I Y) � -- m 1=p � � C7 W EXIST.LA o. ° mmX Yl il� *1 F7 �= - n CA NG r p cn W v r n iPll G cn - 1 --TO BE IS TRANSPLANTED PINE o O-+ � V I �1 ONSITE �m--t .� -�1 .�.. m mz j) m . - �� - cn � no Z pm � �� oo m�aOFT r— 01 LI ZJJN Z � �- o� 1`= mam 11 r= C) co no 'lo A mm - m�= � � m „ � I� Z mA moi i l7 z! —{ T1 ��a l am=. Ir-- S m i m n m �P, Q_ G) � m r ' �� HEDGE p (n [q _— v "R;., ST C"EEN PnRr_.H II Cn co y IIIA m _Cmi) IISj O 1 IIS_$, PATIO 8.4' i RENCLOSEO ^' Z y �7 y WOOD 0 � , m PLAi�T€PS m n G) 12.3' 10 d 7 Aim C) m m z 1S70RY 1 � T r FRAME sol 193' m tv � � I BUILDING m ('STORAGE) Z. F.F. = 159' � � I� 41 3J' OVERHEAC WIRES /y�-r� mD0 OWNER OF RECORD � 1 n �A �, � � ro n n0 a A �� i ll ll FRANCIS A KESTLER 1i o jn m .� 0 O -0 P 0 BOX 1650 mI i_ — �- o i { / C:IATTITUCK, NEW YORI 1195_' n �I _ Z "#' A p co ITI FF T I.f4 O.V L_ J - N' AA I� � u N' pSCAPED AREA ILAri �v CONC3..,�o9DlT FL.1A7CJId�3—s45 �Uy�_V .f DROP 2' INLET B—�N � �}! , EDGE OF FI'AVEMENT EL 14 CERTIFIED TO FRANCIS A. KESTLER -� EXISTING SCREE BED COUNTRY WIDE HOME LOAN nom', _ 1 Tp BE NCL BED HOME BUYER ABSTRACTSERVICES, LLC pART OF EXIsiING BRICK WALKwpY �n� Ep137 �D BE—=.,i FPF©VVp AP JOB NO. 2003-397 -3,yy000 R� Ess, MAP NO. OF NTIV FILED, 25) REVISIONS REV SITE PLAN i A�'� 0� � pni1TE WIpTH) 1111112004 E (STATE z ^ A BLE RE'v S.. PLAN 12/17/2004 ^ _ Di kVn REV.SITE PLAN 12130/2004 _'"` A 1 K 1 Q LICENSE N6.050363 j nEET HANDS ON SURVEYING ZONING O NERAL DROc�,Fss " I I H ROAD HAMPTON BAYS, NEW YORK 11946 I I TEL: (631)-723-1954-F..j 631)-723-1329 1 MARTIN 0 HAND L S I 1