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HomeMy WebLinkAbout32721-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Bo: Z-33215 Date: 08/13/08 mIS CERTIFIES that the building NEW DWELLING Location of Property: 3329 GRAND (HOUSE NO.) County Tax Map Bo. 473889 Section 107 AVE (STREET) Block 1 MATTITUCK (HAMLET) Lot 12 SUbdivision Filed Map Bo. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 26, 2007 pursuant to which Building Permit No. 32721-Z dated FEBRUARY 12, 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 ONE FAMILY DWELLING WITH COVERED PORCHES, SCREENED PORCH, SECOND FLOOR DECK AND SLATE PATIO AS APPLIED FOR. The certificate is issued to MICHAEL & BETH NEUMANN (OWNER) of the aforesaid building. SUFI.'OLK COUNTY DEPARTMERT OF IlEALm APPROVAL R10-06-0084 08/05/08 BLBcmIClIL CERTIFICATE 1110. 3047849 06/05/08 PLUMBERS CERTIFICATION DATED 08/12/08 PERFECTION PLUMBING ~d:!:!!::- Rev. 1/81 - -y-- . JiO~'-pILL ()#-'~ ?/--f 'Sd-11 APPLICATION FOR CERTIFICATE OF OCCUPANCY Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 2/10 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) lion-conforming nses, or bnildings and "pre-existing" land uses: I. Accurate survey of property showing all properly 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. Cel1ificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Cerlificate of Occupancy - $50.00 5. Temporary Celiificate of Occupancy - Residential $15.00, Commercial $15.00 New construptl~ Location ofP~operlY: '332-- 4 House No. Date. ?J ( I ( 10 l' Old or Pre-existing Building: (check one) (,v( A. rr ITlA ~ Hat et ~'" f) A/I[ Street Owner or Owners of Properly: (VI I let: "1 &..t'^ Suffolk County Tax Map No 1000, Section I 0 1 Subdivision Ne.ul/II\./7, ^''''-'' Block 6 7 Filed Map. Lot 1'- Lot: Pelmit No ~ 1-- '11- I Date of Penn it. _ Applicant: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ --- tD -2; '33d..-1-S Q.eG'iLl-11I re 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. 32721 Z Date FEBRUARY 12, 2007 permission is hereby granted to: M & B NEUMANN 240 RIVERSIDE BLVD. #5H NYC,NY 10069 for : DEMOLITION & CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH PORCHES & TERRACE AS APPLIED FOR PER TRUSTEES PERMIT at premises located at 3329 GRAND AVE MATTI TUCK County Tax Map No. 473889 Section 107 Block 0001 Lot No. 012 pursuant to application dated JANUARY 26, 2007 and approved by the Building Inspector to expire on AUGUST 12, 2008. Fee $ 3,246.00 ~c~ ./ Authorized Signature ORIGINAL Rev. 5/8/02 TEL. 765-1802 TOWN OF SOUTllOJ.D OFFICE OF BUlWING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLI>. N.Y. 11971 .._ u._o__._.___ -~, !': '.1 , ' " I l ,. j ~ \ L-J C E R T I FIe ^ T ION , . I L _ . ~--~-" . . Date ~ .12.,O~ Duilding permit No. "3;J... 7 rl Owner tf/8V~~"vJ (please print) l'lu,"her~;.., p/- 6,,y alk..177 (please print) , I certify that the solder used in the water supply system contains less than 2/10 of 1\ lead. ~ !/;T{1U~ (plumber's signature) Sworn to before me this _et0---day of ~~~---, ~ -,; d~Dy Notary PUblic,~ffQ~-- County J. j~__ No~ary Public IWlCYVUSClO NaIIry NIle. 511. GIIM. ~lFll4882475 Comm....~~ 0\ "1""" ..~. .' lID.lID ~ < . ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ i NEW YORK BOARD OF FIRE UNDERWRITERS i ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ ~ ~ G & S ELECTRICAL CONTR MICHAEL NEUMAN ~ ~ P.O. BOX 215 3329 GRAND AVENUE ~ ~ SOUTHOLD, NY 11971, MA TTITUCK, NY 11952 ~ ~ Located at ~ ~ 3329 GRAND AVENUE MATTITUCK, NY 11952 ~ ~ Application Number: 3047849 Certificate Number: 3047849 ~ ~ Section: Block: Lot: Building Per BDC: ~ ~ 107 01 12 32721 ns11 ~ ~ Described as a Residential occupancy, wherein the pre rical system consisting of ~ i electrical devices and wiring, described below, located in/on the premises at: i ~ Basement, First Floor, Second Floor, Detached Garage, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 2008. ~ ~ ~ QIY Rate Ratinll ~ Im ~ @I AdditionalCbarges @I ~ 1-steam unit @I ~ INSPECTION FOR EXTRA SQ. FOOTAGE ~ @I 1,000 SQ. FT Ii!] ~ ~~~aDd~ri~ ~ ~ Air Conditioner 4 0 Above 1500 BTU ~ ~ Dish Washer 2 0 1.2 t<JN roJ @I Exhaust Fan 7 0 F.H.P ~ ~ Furnace 1 0 Oil ~ ~ Hydro Massage Tub (Therapeutic) 2 0 ~ ~ Oven 1 0 4.5 KW ~ ~ Pump Motor 1 0 1 H.P ~ i Panels 100 8 i ~ ~ ~ ~ Service Disconnect: 0 200 cb ~ ~ Service1Phase3wService ~ ~ Rating400Amperes ~ ~ ~~~ ~ I ~ Continued on Next Page I of 2 ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I lID~ii!re!IE!Iii!~~~lID '!~.i,,,,,,,,o"!I'f"!"'rr~-;,:' ~","'~" T-__nn__- @I emm- @I ~ ,.' . ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ ~ ~ CERTIFIES THAT ~ I Upon the application of upon premises owned by I ~ ~ ~ G & S ELECTRICAL CONTR MICHAEL NEUMAN ~ ~ P.O. BOX 215 3329 GRAND AVENUE ~ I SOUTHOLD, NY 11971, MATTITUCK, NY 11952 I ~ Located at ~ ~ 3329 GRAND AVENUE MATTITUCK, NY 11952 ~ I Application Number: 3047849 Certificate Number: 3047849 I ~ Section: Block: Lot: Building Permit: BDC: ~ ~ 107 01 12 32721 ns11 mJ ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ I Basement, First Floor, Second Floor, Detached Garage, Outside, I ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 2008. ~ ~ Name QIY Rate Rating ~ IYI>< ~ ~ Fixture 2176 00 Incandescent ~ ~ GFCI Circuit Breaker fa!J ~ Outlet 176 0 Fixture ~ ~ Outlet 201 0 Gen, Purpose ~ ~ Paddle Fan 5 0 mJ ~ Receptacle 1 0 20a Appliance ~ ~ ReceptacJe 1 0 30a Dryer ~ ~ Receptacle 22 0 GFCI ~ ~ Receptacle 112 0 Gen, Purpose ~ ~ Switch 130 0 Gen, Purpose ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ 2 of 2 ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I @I~.@1 ./ / James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Building Dept. FROM: Board of Trustees DATE: June 13, 2008 RE: MICHAEL & BETH NEUMANN 3329 GRAND AVE., MATTITUCK SCTM#107-1-12 With regard to the above-referenced property, an inspection was made and it was determined that the single-family dwelling, porches, decks, patios, and detached garage were constructed in compliance with Wetland Permit #6473 dated October 18, 2006. If you have any questions, please do not hesitate to contact us. lo)i,,-:pn\1fr<r-, o ~ L' IL _ ~._J-2_I''-.1 nil! ., I'" I ~<i! ~ I 32008 II Ii) ?.J1 1-- lLDC )[n1. TOWN OF SO:.JTHULD .Du') il m ~ f)nry' " IWG-2~-tJ7& L-l.Qy,/I,;" [c~ I --__.y,' ,::;n"THn _...,._.:~-_!"'-~-' Date: October 21, 2007 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Building Dept. Re: Plumbing Inspection Neumann 3329 Grand Ave. Mattituck, NY 11952 Permit# 32721 To Whom It May Concern: A pressure test was performed on the plumbing system, and vent stack filled, all tests meet all state and local codes. Any other questions please feel free to call. \Olr 1-1)- Sincerely J 1FllllmllEIIIDCOC: ~OIJIEIiI'ii' WEBER 52 NOYACK PAlH. 0'0 BOX 13741. WATER MLL. loEW YORK 11976 41 EAST MAPLE ROAD. GREEN...AWN. tEW YORK. W40 Ta 631.754-5555 FAX 631.261-1064 AIIIClHllmCT September 8, 2007 Town of Southold Building Department PO Box 1179, Main Road Southold, NY 11971 RE: NEUMANN RESIDENCE 3329 GRAND AVENUE, MATTITUCK, NY, SCTM #1000-107-01-12 PERMIT NO. 32721 Z Building Department: As Architect for the Neumann Residence, I have reviewed the building strapping installed in the construction with the contractor. To my best information and belief it conforms to the requirements of my drawings and the Residential Code of the State of New York. - :1.I._~ ~ ~'~L-''- \.,~p~. , ~..l-Q15':.illiQ..!) -' . .' .' .,...... ..,...~ - ~ .. ,"",. ~ -.' .... 3;L 7f)-1 Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION lX1' FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: N~~~~ ~~~~. 1.4t:. . <" I ~ -Gr- , C fE~ DATE i~3o~o7 INSPECTOR ~~ -. -- ~.. --- -- ... - - . 38-70>-1 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST D<(FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ]) [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ o!\ i:;:. ~~ ~. )>0 )Jar ");0 4./1/1' -rtfffll1/NG! C v-r.J;:;t ~). DATE S - 3 - 07 INSPECTOR ~ ~ ~-- 't. .~ 3?-7~( Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION ~8tt....-- f" I _ [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRlJCnON M ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON REMARKS. ~ ~ ,L C:;;:~~ ~~ ~~~ ~~~ DATE 7~ ;-'f- d 7 INSPECTOR ~ ~ 'l" - 3 G>-7 ~I 2- (jj~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND ~INGljSTRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUC'nON REMARKS: , \ Q [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON \~ ) aiQ --b:-fo J ~ ~ L-.~ U<- D~ DATE IO-~S-D7 INSPECTOR ~~ --.--- 3;).- 7~[ Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. j>4JNSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS:~. I'l tJ~ ~ ~ ~rO~ ~Q DATE \ ~-7/ t>1 Vc)L , INSPECTOR h~ ;37~1 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 [ ] FIRE RESISTANT CONSTRucnoN [ ] FIRE RESISTANT PENETRATION ~ J rl-fl ~~ DATE " - ~ - I r INSPECTOR d0~. ~ 3~7 ~I :z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRlJCnON REMARKS: r~~' @t I" - (i--o y ~ DATE [ ] ROUGH PLBG. [ ] INSULATION rP(FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENE1RAnON " oK \..ej:l. ; INSPECTOR ~~ ~ -7-- ., " FIELD INSPECTION REPORT DATE COMMENTS Jh. '2,O--fJ 7 A/I'D.! //. ~ //. ~ ---. ~-," 4 , Il ~ "" . ~~ ~ .. 'I-JI n V ~ _ ~_ - . Q . J J\ ,jJ j}n ~ ~ .....l ;::: FOUNDATION (1ST) /....tA'--- L" ,'V. ~ fhtv ~d ~ ~ __m____m_________________ .r6~... A~;"/lJ. v. "')~\. ~~'UV, W 5-g,AJ 1 'A~' ...~ 1-:-~ -.;1, .~'C ~ J(.,' r, #f -t~ .-.' cP,. III/'!' iJ /J A.'".. V\..-. '> 0 FOUNDATION (2ND) ~ f/...... . .> J.!)(r' ~ ~ ~ i:41!- r:L.... -K , _.' ~./) Q d {v.-di. ~ f7.~.Vb~.J (/././y Z 14iF'''f) '1 7/.. d.> u. \ A >J..- "A - "-h ,10 ;-;, ,01< p :..J\ ~ L:... 0 U l..,- U ~ _n A -:'t ../..O::J. q:.. vJ I.. fl..' -;tj\ p.T ~;7'1i ~ ~ , ~ , .... ..p i;l lA~ O.V. \ ~ -"V" J . Or~- 17*" ; .. j ^A \4- C?i(. r-~~ 0 v.u T a.h ;;t;......~ (J) ~ r..,,,'n~ a f)d _n~lI. .-t..... ft.. (;f II -.M'.J ~ (Anl1 ~ J' , 11" ~ \..... ...... III_/~ ,.4.. /J ;'<Fi,,; ^ . ~ A _ . \A ) rrt'\AI,,~ R.. 1> ~ "^ ~y .n IJ. () ~ ~ ':('...." \, ~ UCT l V f7/'V ~ ., ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE . 3 jj?f/_ , "" ") '7 jJ.d.~t\ _ 'lJ h I ~ ~ r.Pk~~ ,/} fD _.// '..-i=' ..:...... - '- <l !;) \ _ I ^, . r'?c?_ } A . .//./ r ~ II . ~ ../ ~..-tCl....AJ\ v;.6~ ./')n'" 1\1 ~ I.. . tJ (/{pJ)..- d A :;z::; '1/ C. Ll. .AA.,7 ~ ~ fib ~~ > ./..4 ~tl \ "^ rw -r:::.y 1 ,t.: - . ~ ok. ~.P1> n)~\/h~1 V , ~ ~, " tl 'L';l-'(J FINAL l-vll-D ... ,~ ... ....Q tvJ -, n....~ L t~/ \J R A r(/ff N...: " (J f;" ,."ni M " . ADDITIONAL COMMENTS ~ . e..Jl ~ - /0 --2If-C'/ ~ ./"~ / '7 b ... ~ 0 :> ~ z :> m ;lJ 3 (){)l"i \ :>< "" - ... 9-.1 5;: \ ., ... . () 0 DOZ 70 0 := l"i \ ~ ~., l := o 0 ~ ~ ., j:.' " . ~':" ~ . ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ ~ Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ = = I 1iI~~~ . iii - BY THIS CERTIFICATE OF COMPLIANCE THE I NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ = ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ = ~ I ~1iI CERTIFIES THAT Upon the application of upon premises owned by G & S ELECTRICAL CONTR. P.O. BOX 215 SOUTHOLD, NY 11971, MICHAEL NEUMAN 3329 GRAND AVENUE MA TTITUCK, NY 11952 3329 GRAND AVENUE MATTI TUCK, NY 11952 Application Number: Certificate Number: 3047849 3047849 ns11 Block: Lot: rical system consisting of Building Per BDC: 107 01 12 Described as a Residential occupancy, wherein the pre electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Detached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 2008. Name OTY Ratin!! Rate ~ 1= AdditionalCbarges 1-steam unit INSPECTION FOR EXTRA SQ. FOOTAGE 1,000 SQ. FT Appliances and Accessories Air Conditioner Dish Washer Exhaust Fan Fumace Hydro Massage Tub (Therapeutic) Oven Pump Motor Panels o o o o o o o Above 1500 1.2 4 2 7 1 2 1 1 BTU i<MI F.H.P Oil 4.5 1 i<MI H.P 100 8 Service Service Disconnect: Service1 Phase3WService Raling400Amperes Wiring And Devices o 200 cb seal Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ . imi'i!' ~ .' ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ; .@1 ~ i i i i ~ i i ~ i ~ ~ i i ~ ~ i i i i i i i ~ i i i i i i ~ ~ ~ i ~ ~ ~ ~ ~ ~ ~ ~ ~~il!Iii!il!Iii!iiMil!Iii!~iiMil!Iii!~~~@1 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the appl ication of upon premises owned by G & S ELECTRICAL CONTR P,O. BOX 215 SOUTHOLD, NY 11971, MICHAEL NEUMAN 3329 GRAND AVENUE MATTITUCK, NY 11952 Located at 3329 GRAND AVENUE MATTITUCK, NY 11952 Application Number: Certificate Number: 3047849 3047849 Section: Block: Lot: Building Permit: 32721 ns11 BDC: 01 12 107 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Detached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 2008. ~ QIY Rate RatulI! ~ ~ Fixture 176 0 Incandescent GFCI Circuit Breaker 2 0 Outlet 176 0 Outlet 201 0 Paddle Fan S 0 Receptacle 1 0 Receptacle 1 0 Receptacle 22 0 Receptacle 112 0 Switch 130 0 Fixture Gen, Purpose 20a 30a Appliance Dryer GFCI Gen, Purpose Gen, Purpose seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. 3;> 7<).1 t7 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: Examined Approved Disapproved ale ()!; ,20QL )~ ,20-.!2 Mail to: ExpJation 1/,}. ,~- Phone: -26" I Building Inspector ) <I' I:l/. . _...-tt~ I I APPLICATION FOR BUILDING PERMIT Date ,20_ 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 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 South old, 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. " nO ~~ ~ture of applicant or name, if a corporation) 4\ \ ~. ...v<f\..e.. t(.:>,IcC G.~NLJ<\AlN. 1-.1:-(. \\1+0 (Mailing address of applicant) State whether applicant is owner, lessee, agent~hit~ engineer, general contractor, electrician, plumber or builder ~~\vK R. We'6~. ) kan1l::.Vl- Name of owner of premises 111t:.HA.a +- ~Tt-i NE.~IV\Aj>..Jt-J (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: 'Y"L I:) G~ND Ave.. House Number Street k.ktil1Uvt. I Hamlet N.l( . County Tax Map No. 1000 Section Subdivision Len Block 0 I Filed Map No. Lot I'L Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy <e>1t-JlOUd rM\'-''\ O\Ne.~ b. Intended use and occupancy S\t.1/QU::, f~'1-4 DW~ , 3. Nature of work (check which applicable): New Building ><. Repair Removal Demolition ><. Addition Other Work Alteration 4. Estimated Cost 11 0~o,,,~ (Description) 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. If business, commercial or mixed occupancy, specify nature and extent of each type of use. - 7. Dimensions of existing structures, if any: Front '?4' Height Number of Stories 1. IC"" 1:XIf>j1.v1i! .s~\.lIU:.. ."" E*- ~~ Dimensions of same s"lructure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions or.e,p~re new construction: Front 1(c1~ ) Rear 1 (c' ~ ) Height 1h};El Number of Stories '2... 1.\tl~) Rear '? <\- \ Depth~ Rear Depth 44-'a) 9. Size oflot: Front Rear ~Ii) Depth I Il.~ 0:) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO X 13. Will lot be re-graded? YES L NO_Will excess fill be removed from premises? YES_NO X ~ t l!:E:Oi ~ ~1'4l<R.~lt>e h"p.) Afr: Stf 14. Names of Owner of ~~ NN Address 1--1:-(. ,\0.1:-(. IDP'" Phone No''LI~ l~") - ~ 1 I.':} Name of Architect ~~ Address :!~:; ~~ ~"I4lY1one No(,"~I) "1&\-- '2.555 Name of Contractor &t.~12lR.. CPN~~~ Address '-'1.100 ~~ <l6 Phone No.C"1.I) 1!4-51J..\'1 ~( ,w>(.lm6 l' ..,.1/00)<. "J '" ) 15 a. Is this property within 100 feet ofa 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. Ifelevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ss: COUNTY OF ) ~~\J -'C.... ~. W~~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S@sthe ~ (~\1i;;Wt"\ (Contractor, Agent, COrPohte 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. ~.-~.. ~ .~ da,o _ m:d q- Notary lie ~fAPPh'''' LYNN FORRESTER WALLACE Notary Public, State of New York No. 01 WA6027009 Qualified in Suffolk County /',q Commission Expires 06/28/2O!...t..1 , Ii New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409 Phone: (631)444-0365' FAX: (631)444-0360 Website: www.dec.state.ny.us LETTER OF NON JURISDICTION TIDAL WETLANDS ACT ~ .... ~ Denise M. Sheehan Commissioner Michael & Beth Neumann 240 Riverside Blvd., Apt. 5H New York, NY 10069 October 25, 2006 Re: Application #1-4738-03631/00001 33329 Grand Ave., Mattituck Dear Mr. & Mrs. Neumann: Based on the information you have submitted the Department of Environmental Conservation has determined that the property landward of the line labeled "crest of bluff' or the 10' contour, whichever is greater in elevation as shown on the survey prepared by Joseph A. Ingegno, Nov. 29,2005, is beyond Tidal Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely. CAF ,-"""> // /1 ~.r \0 '; lt~ R~er Evans Pe-,--,-. it,<\dnlinistrator cc: F. R. Weber, R. A. BMHP II 1FIRlIEIIlIIEIRIDC[J( IRlOIi~lRll' WEBER 52 NOYACK PATH.lPO BOX 13741, WATER MLL, N:W YORK 11976 TR. 631.754-5555 41 EAST MAPLE ROAD, GRI33ILAWN, I€W YORK, 11740 FAX 631.261-J0a4 ~IRlCIHID'Il'IEC'lJ" .:ThJ. 'Lbl ~-, t-c:1'. ibiAJN Or ~-r\tD~ ~'L.D\"'~ ~ g~ We\.l~N R~\~ ~,!>Q..~ 6AAt-lD ~e. tIlVrir~~ , N.~. S.vt, W\. ...... I~ - \<:::>"1 - 0 \ - \ 'L ~hjo\. E5Ub'n~ \~,^,i:€ CON~"r{lMcr "'~ ~1.4~\;:. ~5~~~ ~ ~ f'\1VC> ~ fb~lt-J~ t:A::CM m~ t Pt2ItWl~S Su~trreC> ~ A lbulUOll\l1l ~rr:. \...... I2>ulvOlt0lP p~V\I\.rr ~~1)cN/ ~I~~ 'e:>4.,~ItJ(, r~~IT I<f't'u~"",,' ~ ~ 1-- 0-) SlCfb or ~\.$<N? 1.- ~ ('Vr- MN.~~~DIt:_1JZltJ l1?Df'I' ~~.~. 'D~. 4;-- .'fPlNlV -or ~:x-\:\lWLC> I TV2M4~ fl3'Z.Mf\ ~- f,1I\~~ {...,uN1'-\ H~ ~I\ ,,- ~'^-'R.\1 ~ ! _ ~ to \'1bvJ~ OF spUI-\\pvJ:/". .. e> - 'Re'S~ e~~,"\ CPo6. i~\C.. V\PlA. ~\ \I11:eo VJ~ \ ~,j::.c. New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409 Phone: (631) 444-0365 . FAX: (631) 444-0360 Website: www.dec.state.ny.us .. .... ~ Denise M. Sheehan Commissioner LETTER OF NON JURISDICTION TIDAL WETLANDS ACT Michael & Beth NeumalU1 240 Riverside Blvd., Apt. 5H New York, NY 10069 October 25, 2006 Re: Application #1-4738-03631/00001 33329 Grand Ave., Mattituck Dear Mr. & Mrs. NeumalU1: Based on the information you have submitted the Department of Environmental Conservation has determined that the property landward of the line labeled "crest of bluff' or the 10' contour, whichever is greater in elevation as shown on the survey prepared by Joseph A. Ingegno, Nov. 29,2005, is beyond Tidal Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. CAP S incerel y. .--, j/ i/~ ~~ ,e..,1', Adn.lnlstrator cc: F. R. Weber, R. A. BMHP A. ~ ~ ~ ~ u ~ Co) ::> t: E-t ~ ~ - .II I~~ \ .II .II .II S tn ,,. orr E .II I - 83-4' .II .II .II , . . , , .II , , .II .II .II , I , . , . .II . , . , .II , , .II , . ~ ,..: III .. i ~ r ' . J ! I .II . , III : . t-------- "J .II.. S V 9 s: :z I . .II , , . , , .II I> :ll i 'i Cl ~g ~iR z~~ N ..1>'" :"~1l - ..' "'" l'!'" c' ..~ 11\;;\ , . ~ // ,R-/ ,/ ~ // 1iI '1!iIP-\<i :f:///'// -- { ,.; -_..- /'- --------~--------------------_.--- \... ISO' ""DRJS DA "fE, SEPT 29, 200' r,.. LEACHINC. FREDERICK R. WEBER. ARCHITECT POOLS N.Y,S. ~ICENSE #IS5'8 'II E. MAP~E ROAD GREEN~AWN, NY TE~ ('3D 1S'I-SSSS FAX, ('3D 2"-108-4 " .II .II .II il .II N N ~ " ~f()l'. tl/O/!....... ~S ~&~sE ~~tI ~""'~~1 SIl\E PLAN ffi .II .II ... cI1 'l!f 51" ii- . "0'-0" SANIT ARY NOTES, PUMP OUT AND ABANDON EXISTING SANITARY SYSTEM PER SCDHS REGU[ATIONS. SANITARY SYSTEM TO BE SET BACK 10 (MIN. FROM SURFACE WATERS, PROPERTY OWNER:: tIICHAEL il BETH NEUI1ANN muATR. nATTITUCK 10lIl Of" SOUTHOLD &UPPQU: COUNTY, Hell TORt::. eWOllU1AWNo /It. IMGI!GMO. SURVnOR IIfOMOKI! Ave.. ~. NT euw:vnB>< MO'VeIe8 21. 2001 AODI!O TOfIOCaiItAIDMY, .... .. 200.. aEVA"1'tOMS AIU! ~~ TO M.G.V.o. d I't2"t OATur'I "LOOD ZONE nwOlttfTlON TAKEN AtO". FLOOD IH!IURANCI! ."18 MAP MO. ~Ol'" G Z'*- All. IlAM PLOOO aavATION5 ~ ~!'!Il.'l!l._1JP\'l2;'!!l'!_~,#,"..3..'l11';;;l!1l!' W.K. ~....... __~ 8'" LeWH~IOO-y;...r-1'LOOD ~ X. NIeAS ~ TO ea OUT'- IOO-ftAlt I'LOOD ~ 6CT"" ,OOCHO'-Ot-12 LOT ARI!A::T1,Jt8.08 SOP. 0.115 ACReS) ~JI),,=--C~~I!A> -'....50... h.. ~~H.~~~~.~(1f ADJN:IMT AnA. ~~~~~."~~A--=M~,,~ (W AD.lACStT nooo ZONES: Ae 1eL. I). X*. X ALL COMSTRUCl'fOH TO OCCUR IN 'lOOD ZONE X Qt X* 0# % s '" N. q E ~~~ ~ PAGE 1 OF 2 . . DATEJfi[o7 \ APPROveD TOTAL IMUM BEOROO.' _ p OVAL ^~_".. !\=CrAP, R Tu~<::Eyr::A.'?"~~"J ,I. "I;. , ,_' ..-' EXPIRES Co,,"" '-' '::'u~_u _..,U__ ,u'" t_____. -. - ,.... ,.-- '..,.... -' ." TEST HOLE DATA nEST HOLE DUG BY MC DONALD GEOSCIENCE ON JUNE IS. 2004) I' I1IN. I 2' MAX. FF HOUSE CONCRETE EL +23.5' CHIMNEY DEPTH INVERT. ~... APPROVED HOUSE PIPE. I/i" PER FT. EL +18.0' MIN. PI CH :. INVER EL +,,' T FLOW , BAFFLE ;. LOCKING CAST IRON COVER TO GRADE TRAFFIC BEARING SLAB GRADE EL +11.5' i"" APPROVED PIPE. 1/8" PER FT. MIN. PITCH PALE BROWN FINE TO COARSE SAND (SW) 8'-0' INVERT ~NVERT EL +15.5' lEL +15.2' , '3' MIN. :COLLAR , , , I , 8'-0", (2) LEACHING POOLS <> , .. EL +23.0' O' 3' BROWN SILTY SAND (S11l "~ T PALE BROWN FINE TO MEDIUM SAND (SP) PROPOSED SANIT ARY SYSTEM I I I , 3' : 8'-0" (MIN'> I L____________________ ______~ l' '1' PROPOSED (i) BEDROOM SINGLE FA MIL Y RESIDENCE IINST ALL SYSTEM TO ALLOW FOR FUTURE EXPANSION) 1500 GAL. SEPTIC TANK iOO S.F. SIDEWALL AREA OF LEACHING POOLS (2) POOLS, 8' DEEP. 8' DIAMETER MEET ALL S.C. DEPT. OF HEALTH SERVICES REGULATIONS. EXISTING SANITARY SYSTEM TO BE PUMPED OUT. FILLED WI CLEAN SAND AND ABANDONED DA TE. SEPT 2'1. 2004 FREDERICK R. WEBER. ARCHITECT N.Y.S. LICENSE _15548 ~I E. MAPLE ROAD GREENLAWN, NY TEL (431) '5~-5555 FAX. (43D 241-108~ PAGE 2 OF 2