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Home My WebLink About31697-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 08/28/06 NO: 2-31790 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 5780 OREGON (HOUSE NO.) County Tax Map No. 473889 Section 95 RD (STREET) Block 3 CUTCHOGUE (HAMLET) Lot 8.1 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 23, 2005 pursuant to which Building Permit No. 31697-2 dated DECEMBER 28, 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MATTITUCK FARM HOLDINGS LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 10907C 08/03/06 PLUMBERS CERTIFICATION DATIID 08/09/06 EXCELSIOR PLUMB.&HEATING ~.~ ~. d ' Aut or~ze S1gnature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~~ 751-1- '-lD{,t0 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 2/1 0 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-existiug" land uses: I. 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 I. 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: Date. "" Old or Pre-existing Building: y. -:57P1::> ~b>N~ House No. Street ~ - D -ex." Location of Property: (check one) UnLHCG.u ~ Hamlet Owner or Owners of Property: I.~D (I P.J;-;; f:C- Suffolk County Tax Map No 1000, Section q 5 Subdivision ----1J., A- PermitNo.12~17 ~ Date of Permit. Health Dept. Approval: NA Planning Board Approval: N A- Block 3 Filed Map. ~ Lot ~. I Lot: --bl A,.. Applicant: Underwriters Approval: .!:j~ Request for: Temporary Certificate Final Certificate: /-)(' (check one) ~ Fee Submitted: $ cx.~.76~G I (~ 't.3rHO 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. 31697 Z Date DECEMBER 28, 2005 Permission is hereby granted to: ISLAND CREEK PROPERTIES LLC 1251 AVENUE OF THE AMERICAS NEW YORK,NY 10020 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 5780 OREGON RD CUTCHOGUE County Tax Map No. 473889 Section 095 Block 0003 Lot No. 008.001 pursuant to application dated DECEMBER 23, 2005 and approved by the Building Inspector to expire on JUNE 28, 2007. A " Fee $ 276.60 ORIGINAL Rev. 5/8/02 - . f 7 E~ectrical Inspection Certificate Issue Date 8/7/2006 Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631) 286-6642 Application 109073C Issued To: Street: Village: Section: Morton Building 5780 Oregon Road Cutchogue Block: Zip: 11935 Lot: Town: Southold Contractor: Celi Electric Lighting (Ll Lic. # 1022-E Was examined and found to be in compliance with the National Electrical Code. D Commercial D NV Defects D Pool 00 1 st Floor 00 Indoor r~ Basement [] HotTub 00 Residential D Det. Garage D Attic 00 2nd Floor D Outdoor D Addition D Survey '-----::-"" Fixtures i Switches Receptacles I 33 50 26 Dishwasher Washer/Amps Dryer/Amps 1 1 20 1 30 Furnace Oil Gas Circulators GFI 6 Heaters AlC Fans 2 Oven Range/Amps 1 40 Microwaves 1 Smoke Detector 8 Sell Transformer Meter Amps 1 200 Phase UG/OH 1 / [J<I Jacuzzi Television CO Detector 2 Bldg. Permit: Other Equipment r- "lAmp S,b p"o' ({if / iAJ~\ Hugo S. Surdi President Rough Inspection: 06/06/2006 Inspector: Dennis Brandi Final Inspection: 08/03/2006 Inspector: Dennis Brandi This certificate must not be altered in any manner. Inspectors may be identified by their credentials. ; 11 Fax (631) 765-~502 Telephon. (631) 765..1fi02 Town Hall, 53095 Main Rood P,O,.Box 1179 Southold, Now York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIJ,'ICAT,10N Da(I,;__~1~~o.~ Building Permit No, '6 \ foG... \..k.____..___ Owner:Deh/-e.de,e .Q~~~i.J"'\<\ IY\"". LLC. (Please prilll) -0 Plumber: E'XC'Je\:")\ 0" 2.~!\ 1 ..J...,o..C_~ (Please pri nt) I certify that the solder used in the waler ,mjlply systmn contains leSH than 2/10 of 1 % lead, Lr.: Sworn to before me this 9 A- ~~~20~ Notary PUblic" ;7"tJ iIOuLCOlU1ty VlclallaA. Kirkpatrick NaIIIy PuIIIc. State of New York No.011C1612S480 Q I ~U In SulI'aIk CcuIly '1 <:Usll" 11 ......AprIJ 18. 20 0 I ~ 'd 20S6 S9L ,E9 ~Nlallna alOHlnos W~2v:L0 90, 60 ~n~ 310/72- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING ()<f FINAL A: ~..:;t&!___ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS;.fT~ REMARKS: F~~,~olr I e~ r--f~ ~ ~~~ DATE t - 7 ~ 0 h INSPECTOR ~ ~ 3/~cr1 Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~ ~ ~ r / DATE ~~ ~fJA ~, '&" ~ i r () f, INSPECTOR ~ ~ 3/fo97 Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND M'INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE '-7-o? INSPECTOR ~ ~ 31~7'7-c- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECT ON [ ] FOUN ATION 1 ST [. ROUGH PLBG. [ ] F NDATION 2ND [] INSULATION [ FRAMING I STRAPPING [ ] FINAL [ ] FIREP~E & CHIMNEY [ ] FIRE SAFETY INSPECTION ~ - - REMARKS: -- .J DATE INSPECTOR -.- ---- 3/~17 '7 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. rA FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: D~ L4- ok Lrr ~; 3---;-!-o' DATE INSPECTOR ~~ ~ 3/b~7 :Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION o FOUNDATION 1 ST [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION :r-~ 0' , '~ DK -C:e:-~~-, DATE }- r _Ob INSPECTOR~ ~ FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL .. DATE r.....;r-t, r.. I -d' V. 'U COMMENTS W JJ <;._ 'fr1P~/Yr- V. diD -;g )ofn,7 -:Jlf/ ~ ~ ..-J::l 'It . ~..."lrOb , , . '1.. - . ~p -.,b C>~ f)~' J/ T1J6 d v ., JI. u. .Ilf VA.' ,1/ D , , (/ =B,~ ~\J\t>'l s/r/66Ullfl..n.......+oPl'. /n f'~. t'lJDlIJ::'JQ,a,/Tr. ._,'.. (2) n,r-" "" .. .. (J~ ,...::. 1.\... J ,'/) .' J ('.l\ f<.I,lT T. Q,,~... d (,,,;, ~,,- :-."..J, '-" r h~"7- 1/ \; ":/A/-7~ ll. 0.-' / '" l "- ~ /J)s( I ~~'l/ (/ rr;:r:FAX.. I J -!fA. 1/ 1\11.4"> J M 5'f;; 0 .8 , d ... ~ _D 04--1 ~ D b .l.!.LI-" U.. ~~. :x ~ .ffL:();' "(j ~ ~.Jf.ro b /1 -',,'--. -. R.4 tJ'\..~t P;-:t-h. ~.,..g.oI '-..~ ~.ff]f-4-~ . fi~ eO_A.. ~ -;J:-PtI/A. f),;' r>~~ ,v F~Fl ~ /) J.r /l. 7llf ~ ~ I'~J . '.......././. '1!1' )' (/ ADDITIONAL COMMENTS z p (]\ -.J", ~~ t>'l .., o ~ /3 ~~ t'" t>'l .., [ r \I ~ - p ) Sb o f~ ~ cS? .u (j""o~ , ... (j...I- "('l5: . .., ~~ == t>'l ~~ == $1 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,~Y 11971 TEL: (62\,)-765-1802 FAX: (63f) 765-9502 www.northfork.netlSouthold/ PERMIT NO. ~ /?f:7-- Z; BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Cheek Septic Form N.Y.S.D.E.C. Trustees Contact: Examined Approved Disapproved ale ,20 ~ ,20 ) Mail to: 7f~ ,20~ Phone: ~\~ ~ c..'\ "1s-'?\'"'\ ~ <J.r\ . Expiration c' :\" ----- "~ r I"~:, ,. 23?F' APPLICATION FOR BUILDING PERMIT Date-1)6c.. 'z.} \ , 200 9i INSTRUCTIONS '---IT) ",_-0 a. ThihppttfafioriMUSTbe 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 oflot 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 inspectio . e, if a corporation) 12-')\ Aw U{-(J'vA1ltUUi;,)I N 1\\\ 1[0;:0 (Mailing address of a plicant) architect, engineer, general contractor, electrician, plumber or builder ( e of dulvla\ltho . - VlLf fficer) Builders License No.~ ?,? -, (.;; -/dJ Plumbers License No. Electricians License No. Other Trade's License No. I I. Location of land on whic~roposed work will be done: .ELl 8c> ~'(LE("tON ~O House Number Street Section~Block ? Filed Map No. MAfTITUG~ Hamlet r" ",,""AD~."'W, Lot :)fO';' 1I10' ,~1 :'t~~,_ .;. _,"ovli ~.ll'qd~:) -.M County Tax Map No. 1000 Subdivision ~ . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy ClNE. FAII1I'--< 12.€:SIOY"I'JC.t: b. Intended use and occupancy S,ING,\..-€: '" F A(VI. I \..... -C (2- E ':> \ P IZ-r-i C .fi 3. Nature of work (check which applicable): New Building Repair V Removal Demolition V 4. EstimatedCost-$1d, 000 Fee . Addition Other Work Alteration ~ (Description) 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ;, 1 ~ 1 ~ 4'\ Rear ? 1 ~ 1 V 4 ~ Depth A q \- 1 \ '/4 te Height '2 8 ~ 711 Number of Stories "2- Dimensions of same structure with alterations or additions: Front ?-'i '- ,7;( '1,e Rear ~ 7\-7'>/4 v Depth 4-41~ It l( 4- ~ Height "2 {) ,- 7 I' Number of Stories L 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Sizeoflot:Front I!{IO.?S' Rear_l/4-8L61IDePth 1,14{P,41' 10. Date of Purchase ':;I fiT. '2..06$ Name of Former Owner ? C; 14 "'" loTI 11. Zone or use district in which premises are situated A-G 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V - - 13. Will lot be re-graded? YES_ NO~Will excess fill be removed from premises? YES_ NO V ~<SY:1I"'~SII..<'" C. 1'>'1/U7 14. Names of Owner of premises l-sLAj'Jl) ~c.. Address ['2." \ A"l!'.cf'~ltI:.A~Phone No. "2 ('Z- - 1~7.-7o'7t:. NameofArchitectP-<>NA'-O \~...>opPA""A Address t.et"l':'lL"'''LfySTPhoneNoS"(c...-7''1) -8<'/'1 Name of Contractor I?l'-'- K-f1:..l..( Address ~_;:; f'~~;r:;"1. ~ ~hone No. (,,?I -1?4 40'-" '-~ T ....~ 6"- '" f<.( ttrJ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ---'L- * 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 V * 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 Wt:<71~e;-r~ e-f(:'f2.. . -r L;I being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contra t) above named, (S)He is the Ar:::r~-r (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-- ( day of 20 [/r;' Q~ USA M ClACHOR NoIaly Plac . Stote 01 New York NO. 01CZ6135833 QuaIJlb..ll In WNtchestel 0 tv MIl COl.... Ill. EIIpIres to ~~ Y1D? ~ Pennit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheck Software Version 3.6 Release 2 Data filename: E:\Program Files\Check\REScheck\Oregon Road.rck PROJECT TITLE: Mattitiuck House COUNTY: SulDlk ST ATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric WINDOW 1 W ALL RATIO: 0.13 DATE: 12/27/05 DATE OF PLANS: December 19, 2005 PROJECT DESCRIPTION: Renovation of a Existing house 5780 Oregon Road Mattituck, NY DESIGNER/CONTRACTOR: Ronald Kuopplala Architect 48 McKinley Street Massapequa Park, NY 11762 COMPLIANCE: Passes Maximum UA = 484 Your Home UA = 469 3.1 % Better Than Code (UA) Gross Area or Perimeter Cavity Cont. R-Value R-Value Glazing or Door U-Factor .l.!.8. Ceiling 1: Flat Ceiling or Scissor Truss Wall I: Wood Frame, 16" o.c. Window I: Wood Frame:Double Pane with Low-E Door 1: Solid Floor I: All-Wood Joist/Truss:Over Unconditioned Space 1327 2956 383 40 1327 0.330 0.240 46 225 126 10 62 30.0 11.0 0.0 0.0 19.0 0.0 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Prorssional has stamped and signed this page, they are attesting that to the best ofhislher knowledge, belie!; and proi:ssional judgment, such plans or sPecificat~.on are in compliance with this Code. . Ill^--- '-- I~ ((1 (0'- BuilderlDesigner Date /