HomeMy WebLinkAbout31918-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32147
Date: 01/19/07
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 1240 LOVE LA
(HOUSE NO.)
County Tax Map No. 473889 Section 140
(STREET)
Block 1
MATTI TUCK
(HAMLET)
Lot 23.1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 3, 2006 pursuant to which
Building Permit No. 31918-Z
dated
APRIL 18, 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" INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to LI SOUND OYSTER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APFROVAL
N/A
ELECTRICAL CERTIFICATE NO.
109054C
12/11/06
PLUMBERS CERTIFICATION DATED
10/02/06 DANIEL KRESKOWSKI
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uthorized Signature
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
- . I 765-1802
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':'i0L~~PPLICATION FOR CERTIFICATE OF OCCUPANCY
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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:
I. 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 I % 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:
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
'e. 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
Date. / ~6,A7
,
New Construction:
x
Old or Pre-existing Building:
(check one)
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Location of Property: I,.. 4 0
House No,
1 Oil (: L.1I,Jlj/(
Street
/h /11' f) 1// Cfa
amlet
Owner or Owners ofproperty: L- J SOU (U [) () Y <; 1 d I<.
Suffolk County Tax Map No 1000, Section / LJ () Block
00;
-
Lot ?-.3 "j
Permit No. 5/9/ R
Date of Permit
Filed Map. Lot:
7' Ii ~ )06 Applicant: {){,~ /V t/..?
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Underwriters Approval:
Subdivision
Health Dept Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $ '2-~ . 00
~~~
' Applicant ignature
62wc-7 ~ fe (j'
Co~3~li7
Electrical Inspection Certificate
Issue Date
12/11/06
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11n2
(631) 286-8642
Application
109054C
Issued To:
Street:
Village:
Section:
Mr. Kevin Anderson
1240 Love Lane Extension
Mattituck
140
Block: 1
Zip: 11952
Lot: 23.1
Town: Southold
Contractor: Elec Tee Inc.
Lie. # 4814-E
Was axamlned and found to be in compliance wilI1lhe National Electrical Code.
o Commercial 0 NV Defects 0 Pool 00 1st Floor 00 Indoor 0 Basement 0 Hot Tub
iKi Residential 0 Del Garage 0 Attic 0 2nd Floor 0 Outdoor 0 Addition [J Survey
Switches
Receptacles
Fixtures
GFI
Heatars
AlC
Fans
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps
Microwaves
Furnace Oil Gas Circulators
Metar Amps Phase UGlOH Jacuzzi
~/
Bldg. Permit: 31918
Other Equipment
Smoke Detactor
Bell Transformer
Television
CO Detactor
Hugott:tJf
President
1~.~
Rough Inspection: 06106/2006
Inspector: Dennis Brandi
Final Inspection: 09/1312006
Inspector: John Me Mahon III
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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CERTIFICATION
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Date: /gh;06
Building Permit No. 3 / 91 f/
Owner: M.hA~ 4A/~~~ st/.;./
(Please print)
Plumber: f)AA//(f~ KR~S..f'~/S/fI'
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
~~.
(Plumbers Signature)
Sworn to before me this ~~
dayo~ ' 20~
~~dA~~
BARBARA ANN RUDDER
NOllry Pub<<., State of New York
No. 4855805
Qualified in Suffolk County
Comml..lon Expire. Apr<< 14. ~ 16
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.
31918 Z
Date APRIL
18, 2006
Permission is hereby granted to:
LI SOUND OYSTER
PO 392
MATTITUCK,NY 11958
for :
AS BUILT INTERIOR ALTS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR; FLOOD PMT INCL.
at premises located at
1240 LOVE LA
MATTI TUCK
County Tax Map No. 473889 Section 140
Block 0001
Lot No. 023.001
pursuant to application dated APRIL 3, 2006 and approved by the
Building Inspector to expire on OCTOBER 18, 2007.
Fee $
442.00
I~~
I Authorized Signature
ORIGINAL
Rev. 5/8/02
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JAMES 1. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of Southold Building Dept.
Date: June 12,2006
Re: Insulation Inspection
L I Sound Oyster
Love Lane
Mattituck, NY 11952
Permit# 31918
To Whom It May Concern:
After an Insulation inspection was preformed on the above property, it is deemed that all
Insulation was installed correctly, and meets all building codes. Any other questions
please call.
James\).{~rkoski
L'
JJN \ A ,- S
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, JAMES J. DEERKOSKI, P.E.
---1 260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
Date: June 7, 2006
To: Town of Southold Building Dept.
Re: Plwnbing Inspection
L I Sound Oyster
Love Lane
Mattituck, NY 11952
Permit# 31918
To Whom It May Concern:
A Rough Plwnbing inspection was preformed on the above property. A pressure test was
performed on the plwnbing system, and vent stack filled. Any other questions please feel
free to call.
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING P<t FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
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DATE
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FIELD INSPECTION REPORT DATE COMMENTS ~
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FOUNDATION (1ST) Al///- 5\~
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FOUNDATION (2ND) /f//Jl- ~g0J
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INSULATION PER N. Y. 1;;
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STATE ENERGY CODE
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FINAL
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PERMIT NO.
~Iqlfb
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
Check
Septic F ann
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthoIdI
Examined
Approved
Disapproved ale
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Expiration
I D(iS ,20Q1
MailtoJ]\on\l+':::> ~
Po ~)C ~cr'"2- lMI1\TlLl~ 111'52-
Phone: S\b -1.\\\') -c.,'Oe;g
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APPLICATION FOR BUILDING PERMIT
",.
"; Date~
t INSTRUCTIONS
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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 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 B\lilding Permit pursuant to the
Building Zone Ordinance of the Town ofSo.uthold, 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.
Ll, ~~ ~
(Signature of applicant or na e, if a corporatIOn)
~o lL.:y ~'2... N'l1\-rT\\U't... ~ \ f]~}
(Mailing address of applican
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~
Name of owner of premises ~PfS v...... ~~ ')
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
~\\'S K \\-~~ . ~i-.e\t\R.'(
(Name and title of corporate officer)
Builders License No. z.zs~\'?:>-\-\
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land ou which proposed work will be done:
\2...,,\0 fLtAJe... 4'9-~c .
House Number Street
ln~nrrd_K_
Hamlet
County Tax Map No. 1000 Section \ 40 .
Subdivision
'. . Bl~~k_'
Filed Map No.
Lot 2-3. ,
Lot
(Name)
2. State existing use and o.ccupancy o.f premises and intended use and o.ccu ancy o.f pro.po.sed co.nstructio.n:
a. Existing use and o.ccupancy '- 0
Owe.Ll.-\iVG
b. Intended use and o.ccupancy 5\iVGLe
fum\L-Y
3. Nature o.fwo.rk (check which applicable): New Building
Repair Remo.val Demo.litio.n
Additio.n Alteratio.n
OtherWo.rk~"" \~r-N ~'(
S~ ~Descriptio.n) i..;';cnf\~
4. Estimated Co.~ 20.0:::0 Fee
(To. be paid o.n filing this applicatio.n)
5. If dwelling, number o.f dwelling units ---1--- Number o.f dwelling units o.n each flo.o.r =----.l
If garage, number of cars
6. Ifbusiness, co.mmercial o.r mixed o.ccupancy, specifY nature and extent o.f each type o.fuse.
7. Dimensio.ns 2f existing structures, if any: Front 4c
Height \ ~ Number of Stories
\
Rear_l\O
Depth~
Dimensions of same structure with alterations or additions: Front ~O Rear ~ 0
Depth ~ Height \S Number of Stories---J
8. Dimensio.ns o.f entire new co.nstructio.n: Fro.nt Rear Depth
Height Number of Stories
/ ".-
9. Size o.flo.t: Frond ~ ...26 Rear 22-\.\. ~ Depth JS""O. t)O'"
10. Dateo.fPurch~se ~ 'Z2-. ~ameo.fFo.rmerOwner JB-ue. ful,s6 Cafi>PrrV1 ~ 'NC
11. Zo.ne o.r use district in which premises are situated
n^\z.-.
12. Do.es propo.sed co.nstructio.n vio.late any zo.ning law, o.rdinance o.r regulatio.n? YES_ NO/"" .
13. Willlo.t be re-graded? YES_NO /""Will excess fill be remo.ved fro.m premises? YES_NO ~
14. Names o.fOwner o.fpremiseSl\lfm1\<'-, Y-. p;~dress(b ~'2;,'t2.. lY\~e No..5\to 4-~ ')--0~
Name o.f Architectrl\\C\\f'd..fI\~ AddressW?, ~~ ~o.ne No.'3\ 64-4- 2$4-I~
Nameo.fCo.ntracto.r G~ Pd..f\~ Address \sq ~~o.neNo.. 727 -'1$1-3
",~~ ~q - 2..\ 7 0
15 a. Is this property within 100 feet o.f a tidal wetland o.r a freshwater wetland? *YES /' NO _
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet o.f a tidal wetland? * YES /' NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Pro.vide survey, to. scale, with accurate fo.undatio.n plan and distances to. property lines.
17. If elevatio.n at any po.int o.n property is at 10 feet o.r belo.w, must provide to.po.graphical data o.n survey.
STATE OF NEW YORK)
SS:
COUNTYO~
'~5 Y-- ~~~ being duly swo.rn, depo.ses and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the c'e..f("~ ~O\..-.~
lContractor, Agent, Corporate Officer, etc.)
Qf said owner or owners, and is duly authorized to. perform Qr have perfQrmed the said wQrk and to. make and file this applicatiQn;
that all statements cQntained in this applicatiQn are true to. the best Qfhis knQwledge and belief; and that the wQrk will be
perfQrmed in the manner set forth in the application filed therewith.
SWQrn ~re me this
'I day Qf 4 j!l/?j '-
m,.~ /~~
. NQtary Public
20~
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Sigrtature Qf Applicant
MARY PIETERS
Notary Public. State of New York
No. 4839205
QuaHfied in Suffolk County
Commission Expires July 31, 2009
I' SURVEY OF PROPERTY
.. SIlVA 1E: MA TIIl1JC,K
TOWN: 5OlJ11-IOLD
SUFFOLK COUNlY, NY
SURVEYED 05-14-2004
SUFFOLK COUNTY TAX #
1000-140-1-23.1
CERTIPIBD TO:
LJ. Solmd 0y81I2' u.c
Aqucboque Abstract Corp.
Fide1ity NIIIioDa1 '1itIc Ins1mml:e
Company of New Yodt
FiIIll'ioDecr FBDD ClediI, ACA
NOTES,
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MONUMENT FOUND
AREA = 33,bOb Sr OR 0.15 ACR:'S
GRAPHIC. SC.ALE
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6 EAST MAIN STREET N.Y.S. LIe. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\04-199.pro ___
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TOHN: SOUTHOLD
SUFFOLK COUNTY, NY
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SURVEYED 05-14-2004
SUFFOLK COUNTY TAX #
1000-140+23.1
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MONUMENT FOUND
AREA = 33.80b SF' OR 0.18 ACRi:'S
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NYS. Lie. NO. 50202
6 EAST MAIN STREET
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\~19~1'r~___._.__.",.-,--_.
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