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HomeMy WebLinkAbout34219-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33422 Date: 12/09/08 THIS CERTIFIES that the building ADDITION Location of Property: 2405 WELLS AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 4 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 10, 2008 pursuant to which Building Peri,it No. 34219-Z dated OCTOBER 10, 2008 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to O'DONNELL TRUST (OWNER) of the aforesaid building. S~FOLK CO~DEP~R~ENTOF HF~%LTHAPPROIS~L N/A EL~-i-KIC3%L CWd(TIFICATE NO. 4017606 11/13/08 ~L~ERS CERTIFICATION DATED N/A ~~ut rlzed~ Rev. 1/81 ~"'""~,i O~P~. ; -- / ____~T~..S~U_mOt 9 ,x P~LICATION FOR CERTIFICATE OF OCCUPANcy This application must be filled in by typewriter or ink and subnfitted to the Building Department with the follown~g: A. For new building or new nse: 1. Final storey of prope~y with accm'ate location of all buildings, property lines, streets, and unosual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 3. Approval of electrical installation from Board of Fire Unde~iters. 4. Sworn statement from plumber cmiifyJng that the solder used in system contains less than 2/10 of 1% lead 5. Co~mnercial building, iudustlSal buildiug, multiple residences and similar buildings and installations, a celSficate of Code Compliance fi'om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements B. For existing buihlings (prior 1o April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I Accurate survcy oflxope~y showing all propel%, lines, sheets, building and tmusual natuial o~ topographic features A [xopctly completed application mid consent lo mspecl sigmcd by the applicaut If denied, theBuildm~Inspec , shall slate thc reasonsthereFoi in w~ting to the npplicam C. Fees Cc~tiJScateofOcctt ney N~w dwelling $25 00, Acldihons~odwelling$25. 0, Swhnnmlg pool $25.00, A(cessor3 building $2500, Addiiions to accesscxy b ildim, $2500. Businesses $59 00 2 Certificate of Occupancy on [qe-existing Building $100.00 3 Copy of Cemficale of'Occupancy - $.25 Updated Certificate of Occupancy - $5000 5 TenaP(xa~5 Cmtificate of()ccupancy - Rcsidemial $15 00, Conmae~cial S1500 ate,////-o/ New _ onstru,ctlon; Old or P~e-existing Building: ~ (check one) House No ,' . -- -- Hamlet Owne~ o~ Owners oflhoperlv: ~,~ ~/~ Suffblk County Tax Map No l 000, gecmn ?Q __ Blnck ~ _ Lot /Z Snbdix isxm Filed Map lot: Heallh Del)t Approval; [ h~dcm']]le~s Approval: Plamfing Boa d Approval: Requesl for: Tcmporalw' emficate _ _ Final Ce qcate _ ..... (check one) Fee Submitted: $ Applicatff'Signature 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 DENNIS O'DONNELL THOMAS MONAHAN po BOX 550 26350 MAIN RD CUTCHOGUE NY 11935 SOUTHOLD, NY 11971 Located at 2405 WELLS RD SOUTHOLD. NY 11971 Application Number: 4017606 Certificate Number: 4017606 Section: Block: Lot: Building Permit: . 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, 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 13th Day of November, 2008. Name OTY Rate Rating Circuits Tvoe Amount AdditionalCharges as built 1999 $0.00 bump out one wall add 2 general $0.00 receptic~es FUEL SURCHARGE $5.00 Wiring And Devices Receptacle 2 0 Gen, Purpose $0.00 Invoice Total $80,00 An as built visual inspctaion, of the delineated elech'ical installation, determined that an obvious hazard is not present and the installation is believed to be in conformance with thc applicable reference standard for the estimated period of construction of the premises wiring system. seal I of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 34219 Z Date OCTOBER 10, 2008 Permission is hereby granted to: O'DONNELL TRUST PO BOX 550 SOUTHOLD,NY 11971 for : ~ TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 28241. at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated OCTOBER Building Inspector to exl~ire on APRIL 2405 WELLS AVE SOUTHOLD Block 0004 Lot No. 019 10, 2008 and approved by the 10, 2010. Fee $ 150.00 Authofized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN 0P 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. 28~41 Z Date APRIL 4, 2002 Permission is hereby granted to: TRUST O'DONNELL PO BOX 550 SOUTHOLD,NY 11971 for :~ At~T~EF~ATiGNO TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at prer~ises located at 2405 County Tax Map No. 473889 Section 070 pursuant to application dated APRIL Building Inspector. WELLS AVE Block 3, 2002 Fee $ 150.00 SOUTHOLD 0004 Lot No. 019 and approved by the Rev. 2/19/98 ORIGINAL JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: December 6, 2008 To: Town of Southold Building Dept. Re~ Framing/Footings/Insulation/Strapping Inspections Wells Rd Southold, NY Permiff434219 To Whom It May Concern: After a Framing, Footing, Insulation, 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. Sincerely James ~l. Deerkoski TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [~ FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE /~- ~' o ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] INSULATION ~FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR '~' ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN~SULATION [ ]FRAMING / STRAPPING [ ~ FINAL [ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARK. S: ~,~ ~'~. ~~ DATE l~/~y'~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOU/NDATION 1ST [ ] ROUGH PLBG. / [/. ]/~/OUNDATION 2ND [ ] INSULATION [C.,/]' FRAMING [ ] FINAL [ ] FIREPLACE,~f,~CHIMNEY R~EMARKS:~~~G~ ~/~"'- Fn;LD e~S~'ECT~ON Rn'ORT FOUNDATION (1ST) FO~ATION (2ND) ROUG~ F~G & ~S~ATION PER N. Y. STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved a/c BLD~EPI. " / OLO j BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of~g Plans f Survey Check.3~ Septic Form N.¥.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date /~lC~lb I INSTRUCTIONS · 20 a. This apphcation MUST be completely filled in by typewriter or in ink and submitted to thc 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 premi.qes 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 a Certificate of Occupancy is issued by the Building Inspector. 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 Southotd, 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 of applicant or name, if a corporation) (Marling ~ddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eleclrician, plumber or builder Name of owner of premises ' '~.~(k.2! ~ (as on the tax roll or latest deed) If applicant is a corppration, signature of~duly authol'ized officer (Name and title of corporate officer) Builders License No. ~"Lt.)U ~7.,~ ( CP' Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) 7O Block 0 ~ · Lot Fil(xt Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'~ I~ i 1'9 ~lx9 0 ~c~ b. Intended use and occupancy ~'~ 3. Nature of work (check which applicable): New Building Addition I~~ Alteration Repair. Removal Demolition Other Work Estimated Cost '~ ~F.~ tgCD If dwelling, number of dwelling units If garage, number of cars Fee (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 Rear Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Rear Depth. Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear .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: M) O 13. Will lot be re-graded k)O fJ~ Will excess fill be removed fi.om premises: YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15. Is this property within 1 O0 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOVv2q TRUSTEES 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 ) ~ /~'IK) ~)(.14 ~ L.}/I being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, iS)He is the (Contractor, Agent, Corporate Officer, etc.) >f said owner or owners, and is duly authorized to perform or have performed the said Work and to make and file tkis application; :hat aH statements contained in tiffs application are true to the best of his knowledge and belief; and that the work will be ~erformed in the manner set forth in the application fried therewith. gwom to beCre me this Notary Public ..... ~-- , ~ i-uo;m, State of NewYo~k No. 4951364 Qualified in So[folk Count~. Cc,~mUs$ion Expires May 22° =~ ~O~.~ Signature of Applicant FOR: ENLRGY CODE CALCULATIONS Design Criteria 6,000 Degree'.Days O.A. 1O"F i.A. 7O°F · SUUSYSTEM 5xterio,: Walls (Opaque) Doors Skylights % Floor ~oundation Walls Slab Insulation D~.S IGN AREA ~0 TOTAL THE[LMEL REMARKS · oY IIATING Building Envelope Systems to meet requirements of 7~15.2 HVAC Equipemen% ~o meet requirements of~ 7U15.11 HVAC Systems ho meet requirements of 78!5.1'2 Duct Systems to meet requiremehts of 7815.13 Ventilations Systems ~o me~h requirements of 7815.14 I.sulation of Piping Systems to meet requirements of 7U15.15 Service Water Heating Systems & Equ~pnent to meet requireme~ts of 7U15.21 t requirements of 7U15.31 ~.[ectr3.cal & Lighting Systems & Equ~p~en' to meet To ~he best of my knowledge, belief, & profEssiQnal juduemenk, I.:hasa plans are compliance wlti~ the code. New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 · FAX: (631) 444-0360 Website: www.dec.state.ny.us LETTER OF NON JURISDICTION-TIDAL WETLANDS Erin M. Crotty Commissioner Denis O'Donnell 2405 Wells Avenue Southold, NY 11971 March 25, 2002 Re: Application #1-4738-02958/00001 O'Donnell Property, 2405 Wells Avenue, Southold, NY Dear Mr. O'Donnell: Based on the information you have submitted, this Department has determined that: The property landward of the 16' elevation contour as shown on the survey prepared by Joseph Ingegno dated January 25, 2002, is beyond the jurisdiction of Article 25 (Tidal Wetlands Act). Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no permit is required. Please be advised, however, that 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 Tidal Wetlands 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 be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Mark C. Garrara Permit Administrator cc: Karen Oxholm BMHP file Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 ~0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 15th, 2006 O'Donnell Trust P.O. Box 550 Southold, NY 11971 RE: 2405 Wells Ave. SCTM # 070 0004 019 Attn: O'Donnell Trust, Please be advised that your Building Permit # 28241 issued April 4th, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax(631)765-9502 Telephone(631)765-1802 BUILDING DEPARTMENT TOWN OFSOUTHOLD December 27th, 2007 O'Donnell Trust P.O. Box 550 Southold, N.Y. 11971 2nd NOTICE RE: 2405 Wells Ave. (Alterations) SCTM # 70.-4-19 To Whom it May Concern: Please be advised that your Building Permit # 28241 issued April 4th, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the strncmre. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILD1NG DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ New York I 1971-0959 Telephone (631) 765-1802 Fax (63 l) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD FINAL NOTICE September 30*h, 2008 O"Donnell Trust P.O. Box 550 5outhold, N.Y. 1!97! I~E: 2405 Wells Ave. (Alteration) 5CTM # 70. -4-19 To Whom it May Concern: Please be advised that your Building Permit ~ 28241 issued April 4th, 2002 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit please submit o fee of $150.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions please call us et 631-765-1802 Respectfully, 5outhold Town Building Dept. CC: LEGAL DEPT. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FOR/v~ER~ OWNER LAND ACR. TYPE OF BUILDING /,5-00 SEAS. IMP. VL. -I TOTAL · FARM DATE VILLAGE E W COMM. CB. MICS. Mkt. REMARKS SUB. LOT House Plot I BULKHEAD Total ~ 0OCK Meadowlond Woodland DEPTH FRONTAGE ON ROAD AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER COLOR '~., ~,::~ TRIM M. Bldg. Exten,sion Extension Extension Dinette ~orch ~ Breezeway .~aroge Patio Foundation Basement t~,~~ ~ L, Ext. Walls ~, .~ :. Fire Place l'ype Roof Recreation Room Dormer Both Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway LR. DR. BR. FIN. B _CE.RTIFIED TO: DENIS B O'DONNELL MARY E O'DONNELL SURVEY OF PROPERTY $ITUA TED A T SOUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-04-19 SCALE 1"=20' JANUARY 25, 2002 AREA = 50,169.79 sq, ff. (TO TIE LINE) 0.693 ac. NOTES: 1. ELEVATIONS ARE REFERENCED EXISTIND ELEVATIONS ARE TO N.G.V.D. 1929 DATUM EXISTING CONTOUR LINES ARE SHOWN THUS: 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No, 56105C0166 G ZONE AE: BASE FLOOD EL~ATtONS D~ERMINED ZONE X*: AR~S OF 500-Y~R FLOOD; AR~S OF 100-Y~E FLOOD WiTH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AR~ LESS THAN 1 SQUARE MILE; AND AR~S PROTECTED BY L~EES FROM IOD-Y~R FLOOD. ZONE X: AR~S D~ERMINED TO BE OUTSIDE 500-Y~R FLOODP~IN. / / / Joseph A. Ingegno Land Surveyor PHONE (631)727-2090 Fox (631)727-1727 APPROVED AS NOTED__. ~GI DEPARTMENT AT I:'~" 7sE.18o2 o AM TO 4 PM FOR THE FOLLOWING INGFECTrONG: ~ 1. FOUNDATION FOR POURED IZ ROUGH . FRAMIF k FLUMBiNe ,~4, FINAL . CONSTRUCTION MU,BT i BE COMPLETE FOR C.O. iALL CONSTRUCTION SHALL IIIEE'F ~THE REQUIREMENTS OF TN !STATE CONSTRUCTION & E N [ tGODES. NOT RESPONSIBLE ~EEION OR CONSTRUCTION ERRORS OCCUPANCy OR USE IS UN~WFUL WITHOUT CERTIFICATE OF OCCUPANCy rM,efcrt Zx:~, FJs , -0'