HomeMy WebLinkAbout33550-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33085
Date: 06/10/08
THIS CERTIFIES that the building ADDITION
Location of Property: 745 STANLEY
(HOUSE NO.)
County Tax Map No. 473889 Section 106
RD
(STREET)
Block. ~
MATTI TUCK
(HAMLET)
Lot 13
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
NOVEMBER 16, 2007 pursuant to which
Building Permit No. 33550-Z
dated
NOVEMBER 27, 2007
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 ROOF OVER EXISTING DECK AS APPLIED FOR.
The certificate is issued to SPIRA & KELLY GATANAS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPAR'l'MEIIIT OF HEALTH APPROVAL
N/A
m:.ECTRICAL CERTIFICATE NO.
08-3385
OS/23/08
PLUMBERS CERTIFICATION DATED
N/A
~"~
Rev. 1/81
Form No.6
TOWN OF SOU'rHOLD
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 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.
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 ofOccllpancy - $50.00
5. Temporary Certificate ofOccllpancy - Residential $15.00, COIrunercial $15.00
Date. ~_. ~cJr
New Construction:
~
Old or Pre-existing Building:
Location of Property: :/-rS S'r/J/!/LC
House No.
( check one)
'T / -'-""C-/C
/V / /'1 r2
Hani.let
Owner or Owners of Property: ~ ,,:-.'"
tf'.4C.:2,..,,,<..J
<./
Suffolk County Tax Map No 1000, Section
Subdivision L".4.P r- /< / <> b
ID~
Block ~
Filed Map.
Lot 13
Lot:
Permit No. 33550
Date of Pennit.
Applicant:
Health Dept. Approval:
Planning Board Approval:
,,<..II Ir
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate: ~
(check one)
Fee Submitted: $
Ce:> 2:- ':)'3 D~
(kC/ILiLlL{ I
~:r~L: )j~~,,-,
Applicant Sigllature
g ft7 " "-' it S.
5 5550 ~-
l. ELECTRICAL INSPECTORS, INC. is not responsible for the existing conditions at the subject premises.
2. ELECTRICAL INSPECTORS, INC. is not responsible for corrections, upgrading or replacement of existing
electrical violations at the subject premises. Any corrective work shall be solely the responsibility of the property
owner. ELECTRICAL INSPECTORS, INC. DOES NOT WARRANTY OR UNDERWRITE THE
ELECTRICAL CONDITIONS AT THE PREMISES.
3. ELECTRICAL INSPECTORS, INC. only recognizes the National Electric Code, Building Code of the State
of New York all Volumes and Local Municipal Codes, as Authorized by The Department of State Codes Division,
via Village, Town or City Board Resolution.
4. AN ELECTRICAL SURVEY consists of a visual examination of the premises ONLY: Electrical Inspectors
Inc. will comply with the requirements ofNFPA 73, latest edition Chapter I, Section I-I, 1-2. If violations exist, a
Notice of Violation (NOV) will be issued requiring correction by a licensed electrical contractor. After the
violation has been corrected, a re-inspection will be conducted and if approved a certificate shall be issued.
5. A SURVEY CERTIFICATE does not examine the actual wiring or devices unless all --:alls are opened and
wires and devices are exposed prior to the survey being conducted.
6. A CERTIFICATE is non-transferable.
7. AN ELECTRICAL INSPECTION consists of an examination of wiring and installations during the rough
stages of construction. After completion of the construction a fmal inspection will be conducted at which time a
certificate will be issued provided no violation exist. In the event no inspection is requested during the rough stages
of construction ELECTRICAL INSPECTORS, INC. will perform a CLOSED WALL SURVEY that
consists of a visual inspection of the wiring and installations only. Since access is limited, ELECTRICAL
INSPECTORS, INC. shall bear no responsibility for any defects or violations at the premises.
8. ELECTRICAL INSPECTORS, INC. shall not be responsible to remove any walls in order to conduct an
electrical inspection.
9. ELECTRICAL INSPECTORS, INC. will only release information, certificates and reports to the applicant
after payment for services rendered have been paid in full.
10. ELECTRICAL INSPECTORS, INC. assumes no liability for the results of its inspections.
II. The agreement may not be changed orally.
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.
33550 Z
Date NOVEMBER 27, 2007
permission is hereby granted to:
SPIRA & KELLY GATANAS
11-22 143RD PLACE
WHITESTONE,NY 11357
for :
CONSTRUCTION OF A ROOF ADDITION OVER AN EXISTING DECK AS APPLIED
FOR
at premises located at
745 STANLEY RD
MATTI TUCK
County Tax Map No. 473889 Section 106
Block 0008
Lot No. 013
pursuant to application dated NOVEMBER 16, 2007 and approved by the
Building Inspector to expire on MAY 27, 2009.
Fee $
200.00
\
ORIGINAL
Rev. 5/8/02
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
Storm-Water Assessment Form~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.N orthFork.net
PERMIT NO. 33550 23
Examined
,20
Approved
Disapproved ale
,20
Contact:
Mail to:
Expiration
,20
Phone:
~
'.~' is r~l I.~: i'll'
J r-"'-
\:JiLI6
APPLICATION FOR BUILDING PERMIT
Date
1/. .-
I"'"
,20EL-
INSTRUCTIONS
~~.s -C( j
(Signature 0 pplicant or name, if a co oration)
c:l.50J;'hvj &uJ.lH. /'J,.,$firk.
(Mai'ling address of appJ(cant) ny / I r r L
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
.'ff~"/
Name of owner of premises ~;,.." 4"'7?T;v~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:
7/fr S'I""" ...L 4-
House Number Street
T /7 yv{ I( r
Hamle
II'Irz-
Lot_I"?'
Lot
County Tax Map No. 1000 Section _'0 Co
Subdivision
...~~
/10"0;) JItoIIul ft, blldilIwO
... ;, i "."6M ,..<jlH;!ll fiOlll,mmoO
(Name)
2. State existing use and occupancy of premises and intended use and OCMUP cy of proposed construction:
a. Existing use and occupancy s ,,, C0- _ __________ ~
o tJ
b. Intended use and occupancy S hv-
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
77
Alteration
QlI4 k--.
(Description)
4. Estimated Cost
::{ , tJ Gu:J
,
Fee
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
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front ' ..2 "
Height Number of Stories
Rear .;< ~
Depth
Ie,
9. Size oflot: Front
/'0 D
Rear
/ &u
Depth -2do
10. Date of Purchase ,:2606
Name of Former Owner
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO [....../
/1/,/ II--
13. Will lot bere-graded? YES_ NO_Will excess fill be removed from premises? YES_ NO
_ J1 n-
14. Names of Owner of premises S~:?I;" 9d~1J) Address 'It(r ..J~/L Phone No. .
Name of Architect J. ~~ AddressLUu.or. i; rr- PhoneNo
Name ofContractor.('1 k/' / - Address OlJo [,..-.,L ~{), 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 MAYBE 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.
18. Are there any covenants and restrictions with respect to this property? * YES_NO_
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
L'21.f ~ ~"br"- - being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
AI- CI t!'r7 zf-
(Contractor, Agent, Olrj5orate 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
I (., day of AJOlle<NIluA.... 20 O-=f-
~Jl. ~
Notary Publi
/LL. ':6~AL
....~If;..... Signatur~pplicant -
lIllIIIIClln Cllunlv
CllmmIISion fJpires h 19. 10 I L
,
I':
3
l
Date: April 29, 2008
'j'
. lfMESJ. DEERKOSKI, P.E.
\ 260 Deer Drive
~' , ,Mauituck, N.Y. 11952
,~-
(631) 298-7116
T 0: Town of Southold Building Dept
Re: StrappinWFraming /Footing Inspections
Spiro Gatanas
745 Stanley Rd.
Mauituck, NY 11952
Permit# 33550Z
To Whom It May Concern:
This letter certifies that all wind strapping on the above mentioned project is in tact, and
meets all state and local building codes. A Framing /Footing Inspection was also
Performed on this Structure, and all framing and footings were done correctly and also
meets all state and local building codes. Any questions please feel free to call.
..~.
\ncerelY
.~''''O'1U PE
;3 35>0 :z..
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRucnoN
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
~ FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
~
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DATE
S-i-dg'
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INSPECTOR
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FIELD INSPECTION REPORT DATE I COMMENTS \jJ
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FOUNDATION (1ST) 1 7~ ----' 0'\..,
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FOUNDATION (2ND) ( uqt'J
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PLUMBING ..,
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INSULATION PER N. Y. t'J
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STATE ENERGY CODE
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ADDITIONAL COMMENTS =I?
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titpp v D AS NOTED
DATE: /(,'2 BP.#~.<;7)-'2:..
FEE: ~lS BY ~
NOTIFY BUilDING C::oARTMENT AT
765-1802 8 AM TO 4,oM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONST9UCTION MUST
BE COMPLETE Fei:: C.O.
ALL CONSTRUCTION SHAll MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
-"".-
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERT/FICA TE
OF OCCUPANCY
ALL CONSTRUCTIO,\} SHALL
MEET THE REQUIREMENTS 0;: THE
CODES OF NEVi Y':J~:: ,; t.TE.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
REAR ELEVATION
SCALE: 1/8" = 1'-0"
RIGHT ELEVATION
SCALE: 1/8" = 1'-0"
LEFT ELEVATION
SCALE: 1/8" - 1'-0"
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COVERED ROOF OVER EX. DECK
5PIRO RE5IDENCE, 5TANLEY RD., MATTITUCK
5CA~e " 1'0"
November 02, 2001 1/4 .
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EXISTING
FOUNDATION
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, 12" DIA. CONC. PIER w/ 24"X24"X12"
: CONC. FOOTING 3' BELOW GRADE (MIN.)
, ON UNDISTURBED SOIL. PIERS TO BE
:LOCATED DIRECTLY UNDER POSTS ABOVE
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FOUNDATION PLAN
SCALE: 1/4" = 1'-0'
COVERED ROOF OVER EX. DECK
SPIRO RESIDENCE, STANLEY RD., MATTITUCK
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November 02, 2001
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5FIRO RE5IDENCE, 5T~NLEY RD., MATTI TUCK
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SCALE
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STORM WATER MANAGEMENT DETAILS
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DRY WELLS REQUIRED AS PER TOWN CODE:
NEW ROOF AREA: 481.4 SQ. FT.
DRYWELLSTOBE lO'MIN,
AWAY FROM HOUSE
@100% WATER RUNOFF: 8004 CU. FT.
PROVIDE 8' OIA. X 2' DEEP DRYWEU
(CAPACITY: 83.5 CU. FT.)
EXISTING
Roor
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November 02, 2001
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November 02, 2001
5CALE
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JD
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