HomeMy WebLinkAbout32090-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southo1d, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32392
Date: 06/11/07
THIS CERTIFIES that the building ACCESSORY POOLHOUSE
(STREET)
Block 3
MATTITUCK
(HAMLET)
Location of Property: 1910 BAY AVE
(HOUSE NO.)
County Tax Map No. 473889 Section 144
Lot 40.4
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 8, 2006 pursuant to which
Building Permit No. 32090-Z
dated
JUNE 9, 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 ALTER EXISTING ACCESORY GARAGE TO POOLHOUSE WITH COVERED PORCHES AS
APPLIED FOR.
The certificate is issued to SEAN H PETERS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
106247C
07/13/06
PLUMBERS CERTIFICATION DATED
N/A
~~~~
thorized Signature
Rev. 1/81
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Form No.6
TOWN OF SOUTHOI"D
BUILDING DEPARTMENT
TOWN HALL
765-1802
-rwd 35-0 tJ r5tafft W'111
tltV')'G! nl,1J, ~.
10010
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be tilled in by typewriter or ink and submittcd to tlic Building Department with the t()llowing:
A. For new building or new use:
I. Final survey of prope.1y 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 trom plumber certifying that the solder used in system contains less than 2/10 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. Accur81e survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect sii,'lled by the applicant. If a Cel1iticate of Occupancy is
denicd. the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fecs
I. Certiticate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25_00,
Swinmling pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certiticate of Occupancy on Pre-existing Building - $100.00
3. Copy ofCertiticate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certiticate of Occupancy - Residential $15.00, Commercial $15.00 ( { ti-
Date. I ~/u
/
Nev\o' Construction:
Old or Pre-existing Building:
Ii /0 81'.'1 AVENUe
Street
(check one)
I'1IrJrr1Vc/(
Hamlet
Location or PropL'rty:
House No.
(hvner or Owners of Property:
.5;:kN II.
It'!
,
?e7?:~S
Suffolk County Tax Map No 1000, Section
Block
3
Lot (J '/0 .00'1
Subdiv"ision
Filed Map.
Lot:
5edJr I/. 7e/eO
Permit No. }!-O '10 l-
Date of Permit.
bf't~7-
,
Applicant:
I1calth Dcpt. Approval:
Underwriters Approval:
Planning I10arcl Approval:
Request for:
Tcmponll)' Certificate
rinal Certificate:
(check one)
Fee Submitted: S
CD? ?1J.3Cj d-
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.......- Applicant Signature
Electrical Inspection Certificate
Issue Date
7/13/2006
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 286-6642
Application
106247C
Issued To:
Street:
Village:
Section:
Mr. & Mrs. Peters
1910 Bay Ave
Matlituck
Block:
Zip: 11952
Lot:
Town: South old
Contractor: u;:,i .:iectric ill Lie. #
Was examined and found to be in compliance with the National Electrical Code.
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.---1 Commercial [J NY Defects 1)(1 Pool 1st Floor Indoor Basement U Hot Tub
Iii Residential 1-] Del. Garage Attic 2nd Floor Outdoor Addition Survey
---------
Switches Receptacles Fixtures GFI Heaters AlC Fans
4 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
Bldg. Permit:
Other Equipment
~~()AmpspecfaTty Receptacles, Aqualink :
IPanel, Electric Pool Cover, 2- Gas Healers, 60
f'\mp Sub Panel
f{/47/ ~~~
Hugo S. s~~c:ij~ ----.
President
Rough Inspection:
Inspector:
Final Inspection: 07/11/2006
Inspector: Dennis Brandi
This certificate must not be altered in any manner. Inspectors may be identified by their credentials
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.
32090 Z
Date JUNE
9, 2006
Permission is hereby granted to:
SEAN PETERS
1910 BAY AVE
MATTITUCK,NY 11952
for :
CONVERSION OF AN EXISTING ACCESSORY GARAGE TO AN ACCESSORY POOL
HOUSE AS APPLIED FOR
at premises located at
1910 BAY AVE
MATTI TUCK
County Tax Map No. 473889 Section 144
Block 0003
Lot No. 040.004
pursuant to application dated JUNE 8, 2006 and approved by the
Building Inspector to expire on DECEMBER 9, 2007.
Fee $
111.00
, nature
ORIGINAL
Rev. 5/8/02
3t-Oloz-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
] FRAMING I STRAPPING ~INAL
] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ,e> (~ /<,~ Cf/ct~
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INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~ FINAL !f.t:
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
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DATE .~-7--o7 INSPECTOR ~( ~
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
] FRAMING I STRAPPING JXlFINAL!fe- '.
] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: I ~ ~
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DATE INSPECTOR ../ P ('7-t(J!J2,~/
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of Southold Building Dept.
Re: Foundation! Framing! Strapping Inspection
Sean Peters
1910 Bay Ave.
Mattituck, NY 11952
Permit#32090
To Whom It May Concern:
After a Foundation, Framing, and Strapping inspection was preformed on the above
mentioned property, it is deemed that all work performed was completed to plans and
meets all state and local codes. Any other questions please call.
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'..Sincerely
James );~~-k\(Ski
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FOUNDATION (1ST)
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COMMENTS
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FIELD INSPECTION :R,EPORT DATE
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INSULATION PER N. Y.
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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PERMIT No:3;J(fl () 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
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF ">OUTHOLD
:L
BUlLDIN(.>E1ARTMENT
TOWN HAr;L
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoId/
Examined
Approved
Disapproved ale
,20~
,20~
Mail 10:
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,20_
Phone:
Expiration
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JUN j)'
APPLICATION FOR BUILDING PERMIT
DateS U .'\J'L {'
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INSTRUCTIONS
---..--1
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 pennit 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.
-
pplicant or name, if a corporation)
2.1GC j)(~E<2.. JJQ..y~e.... rf\'ArrlTo~L
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
If N<:':' I 'N f..~1l....
Name of owner of premises StC\;N P €:'I' ~J2- S
(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.
I. Location of land on which proposed work will be done:
f) 10 e.RvI f,w~.~-.'Q:..
House Number Street
County Tax Map No. 1000 Section
Subdivision
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(f),111 il vlll......
Hamlet
5 Irt1f rzJ8~1 , ) \j 'L\'
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Block .nl 1~1C., ' "., .'
Filed Map No. too, ~t;~...t . .' ~t, '"
"......- nc..ZI'IIIllIIO
(Name)
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2. State existing use and occupancy of premises and intended use and occupancy of proposed constructi":
a. Existing use and occupancy C'Iv.I.5lk'~~
b. Intended use and occupancy fJ '" ~t11~;O
<.."t;.t
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost
fD,<JI:.cl..'
.
(Description)
Fee
(To be paid on filing this application)
Number of dwelling units on each floor 0
5. If dwelling, number of dwelling units
If garage, number of cars
CJ
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
Depth '2..e;,
7. Dimensions of existing structures, if any: Front J '2...
Height 13, () I Number of Stories I
Rear 1'2..
Dimensions of same structure with alterations or additions: Front :22-
Depth? '1 Height I '~. d Number of Stories
Rear Z Z.
8. Dimensions of entire new construction: Front 22-
Height I ~ ,c/ Number of Stories I
Rear
2..2-
Depth
'^"2,Ci
9. Size oflot: Front
is'O .OC
Rear ;~, I~
Depth 4()1 -,t\l~1 ~
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated R1':;, olt..v"")JAL
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ./
13. Will lot be re-graded? YES_NO ~ Wi!! excess fill be removed from premises? YES -No'J
- --
14. Names of Owner ofpremises'S61rl P,,-rttQ..5 Address ;'~AVJ A:-.lE:.. (fV,lI'l'\\;i;."Phone No.
Name of Architect S A.....~J D6~1i.:&w)... Address "''''';V:-~~...~'''..;:e Phone No '71 \j '73Sr?~
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet ofa 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_
* 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.;) u..:F{C)lr _
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being duly sworn, deposes and says that (s)he is the applicant
med,
(S)He is the
r
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.
Sw~rrr~o re me th's
day of 200
etA.-
Notary Pub!'
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OWNER
TOWN OF SOUTHOLD PROPERTY IEe-ORD CARD
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.vILLAGE
DIST.
SUB.
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FORMER OWNER
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TYPE OF BUILDING
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LAND
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TOTAL
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DATE
REMARKS
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Extension 12 K4f3 ~ :'3'" \2 Goo
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Extension
Foundation oc, Bath R, Dinette
Porch Bosement >- Floors 1(, ,~
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:~h~) ~ !.fOG Ext. Walls .,_........----(\~ ,nterior Finish 6[\2.- LR. /
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Garage \2 X20 ,21/-0'0'=" ) \~ 300 Type Roof Rooms 1 st Floor BR. 2. 2e .\~
Patio 1/-' Recreation Room Rooms 2nd Floor B( ~.\.;" -.$~,j), FIN, B
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