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'