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HomeMy WebLinkAbout33513-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33282 Date: 09/22/08 THIS CERTIFIES that the building ALTERATION Location of Property: 305 OLE JULE LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 114 Block 12 Lot 14.2 subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 2007 pursuant to which B~ilding Permit No. 33513-Z dated NOVEMBER 5, 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 ALTER GARAGE TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & BETSY A PERKINS ( OWN E R ) of the aforesaid building. S~3FFOLKCOL~I"fDEPART~ENT OF }~ALTHAPPROVAL N/A ELRC'~RIC3%L CERTIFICA~ NO. 3056225 09/04/08 PLI~MBERS u~TIFICATION DATHD 08/22/08 RICHARD PERKINS Authorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or irk and submitted to the Building Department v4ith A. For new building or new use:/ l. 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 1% lead. 5. ColmnerciaI building, iudustrial building, multiple residences and similar bullrings and installations, a ce~ificate of Code Compliance kom architect or engineer responsible for the building. 6. Submit Pla~ng BoNd Approval of completed site plan requirements. B. For existing buildings (prior io April 9, 1957) non-conforming uses, or buildiugs and ' ' ' ', pre-existing land uses: 1 Accurate survey ofprope~t) showing all property lines, streets, building and unusual natural or topog~aphi,: features. 2. A properly completed applicaticm and conseat I(* inspect signed by the applicant, Ifa Ceitificate of Occu?aacy is denied, the Building lnspeclor shah state the reascms therefor m writing to the applicant C. Fees I CeltificateofOccupanc3 -New dwelling $25.00, :\dditions to dwellmg $25.00, Alterations to c we ng$2';.00 Swimmiag pool $25.00, AccessoD, building $2500, Additions to accesso~3, buildiug $25.00, Businesses $50.00 Certificate of©cculmncv on Pie existing [3~filcling - $I00 00 3 Copy of Certificate ofOccupanc) - $25 4 Updated Certificate of ()ccnloanc5 $5000 5. Temporary C ~mficate of Occuloancv - Residential $15 00. Comme c a $15.00 Date. New Constm?on _ ~ Old or Pre-existing Building: ~ Locatiou of Prope~y: ~-.~Oq- O/al' O'~/e ~ House No. SI~ eot Suffolk Cdunty Tax Map No 1000, Section ]1~ .~ Block Subdivision ~ ~ ~ ~ ~. Filed Map. (check one) /?- Hamle( Lot ~-- Lot: Health Dept. Approval: Plamfing Board Approval: Request for: Temporary Certificate Fee Submitted: $ Undem, riters Approval: Final Certificate: c~ (check one) Applicant Sig,ata~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING P~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33513 Z Date NOVEMBER 5, 2007 Permission is hereby granted to: for : RICHARD & BETSY PERKINS 305 OLE JULE LA MATTITUCK,NY 11952 GARAGE ALTERATION TO HABITABLE SPACE AS APPLIED FOR. at prenk~ses located at 305 County Tax Map No. 473889 Section 114 pursuant to application dated OCTOBER Building Inspector to expire on MAY OLE JULE LA MATTITUCK Block 0012 Lot No. 014.002 24, 2007 and approved by the 5, 2009. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1197N0959 'Fax (631) 765-9502 TelephOne (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Pemdt No. 33 ~ ~ ~ Owner: Plumber: Date: (Please print) 7%/9 (Please print) I cmtify that the solder used in the water SUloply system contains less than 2/10 of I% lead Sworn to befoleme this Notary Public, ~.~/(C- County PATRICIA C. MOORE Notary Publi=, State of New York Suffolk County - No. 4861668 Commission Expires Juno 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 application of upon premises owned by RICHARD PERKINS 305 aLE JULE LANE MATTITUCK, NY 11952 RICHARD PERKINS 305 aLE JULE LANE MATTITUCK, NY 11952 Located at Application Number: Section: Block: 305 aLE JULE LANE MATTITUCK, NY 11952 Certificate Number: 3056225 3056225 Lot: Building Permit: 33513 BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, 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 the4m Name OTY Rate Alarm and emergency equipment Sensor 2 0 0 Appliances and Accessories Exhaust Fan 2 0 Wiring And Devices Fixture 9 0 OutJet 9 0 Outlet 21 0 Paddle Fan 2 a Receptacle 2 0 Receptacle 14 0 Switch 8 0 Day of September, 2008. Rating Circuits Tyro Smoke F.H,P Incandescent Fixture Gen, Purpose GFCI Gen, Purpose Gen, Purpose I of I seal 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 DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [~,',~FI NAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~'- ~'-~"~- ~ c~ INSPECTOR~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~/~INSULATION [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT COI~UCTION [ ] FIRE RESISTANT PF.N ~E'[RATION REMARKS: //~ ~/~ !, ~--~ f~- DATE FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) ROUGH F~G & ~S~ATION PER N. Y, STATE ENERGY CODE ~DITION~ CO~NTS~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY'l1971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork, net/Southoid/ Examined Approved Disapproved a/c Expiration PERMIT NO. _~ ~/3 ~ ! Buil[ti~g Inspector 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: Mail to:~y[--~--4~ P~/~t' ,%'~ 0 Phone:C~_ ,.~D~(~ ~6{.~ --~ ~. ~ AP_~ICATION FOR BUILDING PERMIT Date INSTRUCTIONS 20 0'-) . a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 l 8 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 ora 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. // (Signature ~a~licant or name, ifa corporation) (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises (Q~\£k4~q~tb ¢ ' (2°eT,~[ ft. /D6~/c-I*)O- (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. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision xc~-~aO~ IX~O~ (Nathe) .... Hamlet Block ~ Filed Map No. Ok ~o~'} Lot f-d_ ~ Lot ~ 2. State existing use and occupancy of premises ~and intende~l use and occupancy of proposed construction: a. Existinguseandoccupancy f'k..-~ c~ o ~ r~,~,~ L,.~ b. Intended use and occupancy C.A,T.)cx ,3XA--~cte~x c¢,r_x_~c~ ?,~ ~ 3. Nature of work (check which applicable): New Building. Addition Repair Removal Demolition Other Work 4. Estimated C, os, t u , ,~-- 5. I f dwelling, ffumber of dwelling units If garage, number of cars Fee Alteration (Description) (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 Height. Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front [ ~ O I Rear ~ ~ ~ Rear .Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES__ NO __ Will excess fill be removed from premises? YES NO__ 14. Names of Owner of premises{~,c~e>~vaz)t~Address. Phone No._~6?~ Name of Architect '~ ~ ~.~; \ ~ (3 Address Phone No Name of Contractor ~o~:~.-~ x~co~-~a~,~ Address Phone No. "D 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __N~ * 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 ~k~U/- ) %~TSq ?~-~L I ~3 being duly sworn, deposes and says that (s)he is the applicant (Name of in~lividual~ signing contract) above named, (S)He is the (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 of otary Public 20 Gq PATRICIA C. MOORE Notary Public, State of New York Suffolk County - No. 486166~8,/,~ Commission Expires June 16, ~ Permit Number Checked By/Date REScheck Compliance Certificate New York State Energy Conservation Construction Code REScheckSof~are Version 3.5 Release 1 Data filename: C:~Program Files\Check~EScheek~Perkins Residence.rck TITLE: Perkins Residence COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric DATE: 09/17/07 DATE OF PLANS: September 17, 2007 COMPANY INFORMATION: Donald G. Feller o Architect COMPLIANCE: Passes Maximum UA = 110 Your Home UA = 104 5.5% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U~Factor UA Wall 1: Wood Frame, 16" o.c. 623 11.0 0.0 Window 1: Wood Frame:Doubhi Pane with Low-E 97 Door 1: Solid 18 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 576 21.0 0.0 45 0.320 31 0.190 3 25 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 Professional has stamped and signed this page, the~,.~are attesting that to the~best of his/her knowledge, belief, and professional judgment, such plans or Builder/Designer ~/'~-~ ~.~ Town Hall Southold, ix NEW SUFFOLK 53095 Main Road LO RES~o~gWN OF~yUTHOLD S ,92' 27' 20"E S 82' 27' 20"E LOT ~ HOUgE UNDER CONSIT~UCOON 225.00' 225,00' SURVEY OF LOT 2 MA T [I FUCK, TOWN OF $OUTHOID E SUFFOLK COUNTY, N Y. Tele "OPEN SPACE" VACANT LAND GUARANTEED TO x (631) 765-9502 hone (631) 765-1802 NOTE: 1. 22 JUNE, 2000 LOCATE POURED CONCRETE FOUNOATJON 2. O! JUNE, 2001 FINAL SURVEY TOWN OF SOUTHOLD PROPERTY RECORD CARD O~WNER STREET -~ O~ VILLAGE DIST. S-U~B. LOT ~.. ACR.. ~ ,EMARKS TYPE OF BLD. -. ~ ~ ~. PROP.C~ . LAND IMP. TOTAL DATE I ~ . J FRONTAGE ON WATER T~LA~ FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TO~AL TRIM' 114-12-14.2 02/02 M. Bldg. Bq~{I~ Foundation PC ~x~n~ -- ~.'~ 5~ Basement ~L'~L Floors Extension FirePlace ~ Heat Patio Woodstove BR. ~ Dormer I Fin. B' ,~ Deck , Attic / Breezeway _ __ __ Rooms 1st Floor Garageo. B.. ~ /~: ~ ~riveway Roo~s 2nd Floor Pool State of New York ) ss~ County of Suffolk ) RICHARD PERKINS AND BETSY PERKiNS, being duly sworn, deposes and say: That we are the owners of premises known as 305 Ole Jule Lane, Matittuck, New York (sctm: 1000-114-12-14.2) That we have a building permit to renovate our existing attached garage into additional living space. That this living space is for our personal family needs and will not be rented as an apartment. This affidavit is made knowing it will be relied upon by the Town of Southold Building Department in the issuance of a Certificate of Occupancy. Richard Perkins ~etsy Perk~ Sworn to before me this PATRICIA C. MOORE Notary Public, State of New York Suffolk County. No. 4861668 Commission Expires June 16, FROM :DONALD G. FEILER * ARCHITECT FaX NO. :G~l 298 1~80 Nov. 02 200? 01:~BPM P1 DONALD G, FELLER ,ARCHITECT November 2, 2007 Mm. Patricia Conklin Town of ~out~K~ld Building Department Town Hall, Main Road, Southold, NY NOV Re: Proposed im.~mvements to the Perkins Residence 350 Ole Jule Lane, MatUtuck, New York Dear Mrs. Conklin: VV'~h regard to ltm above mentioned project, I can certify that designs of new spaces are to be non-sleeping areas, and that tt~e dwelling will remain at a total of four bedrooms, I. I -'eiler 11-02-2007' 1~:19 SOUTHOLD BUILDING DEPT 1631765950B P~GE1 FL. O0 , 0 ,a '"~t~.2L~'~t.~..'.NG i:~:~Y~ .2 ___ .~:,NCRETE ~ ~l~meva.,4a.~*~ .,nm~,l*-~*,,~l. i'h*i~e-I~,~mi~'~i~'~UGH ' F~AM~NG & PLUMBING ~ ~ ~ ~,~~ ~~U~TiON. ~ ~ ~.~ ~~~~.OOMPLEm . ~.~ ~.~. i ~~t~.t~: ~-~~- [~REQUIREMENT8 OF tHE )E$OFN~ Z . . ..... , YO~'8~T~ N~. RE[ ~81BLE FOR 0 ~ ALI CAS ~ ~ ~ PLUMBER NEED lING