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HomeMy WebLinkAbout33037-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~2~TMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z 33452 Rte: 12/18/08 T~IS CERTIFIES that the building ADDITION Location of Property: 520 pARK AVE EXT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Ta~ ~ap No. 473889 Section 123 Block 8 bt 28.4 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 2007 pursuant to which Building Pe~it No. 33037-Z dated MAY 15, 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 PILE FOUNDATION UNDER AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~me certificate is issued to ~ COLLIGAN of the aforesaid building. ( OWNER ) S[;F~LKCO[~%~I~fDEPAR~TOF ~J~-P~O~-~J~ N/A ELEC~RIC3%L CERTIFIC3kTE NO. 125726H 11/20/08 PLUMBERS u~TIFICATION DA'r~a3 N/A /Authorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOV, rN HALL 765-1802 APPLICATION FOR CERTIIqCATE OF OC( ~N~c -3 2008 This application must be filled in by typewriter or i~ and submitted to the Buildi g D~pamnent with the f~low~ng: ~D~ DEPT. A. For new building or new use: ~N QF ~?~O~ 9 1. Final su~ey ofprope~y with accurate location of all buildiogs, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (~-9 3. Approval of electrical installation from Board of Fire Unde~riters. Sworn statement from plumber cegifying that the solder used in system contains less than 2/10 of 1% lead. 5. Cm~nercial building, industrial buildiug, multiple residences and similar buildings and installations, a ceaificate of Code Compliance ~rom architect or enginem responsible for the building 6. Submit Planing Board Approval of completed site plan requirements. B. For existiug buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accm-ate survey ofprope~y showing all property lines, stieels, buildiog and uuusual natural or topographic features. 2. A properly compieted applicatmil and conse~l m mSl>eCl signed h3 thc applicaut Ifa Certificate of Occupat~cy is denied, the Building Iuspecto~ shall state lhe ieasrms Ihere~]~l in wntiug to the applicant C. Fees 1 Certificate ofOccupanc3 New c xxc* ;~ $.25 II;~ .x, dd:iol~; Io d',;cflliilg $2500, Alterations to dwelling $25 00. Swiimning pool $25.00, Accesso~y building $25 (. Addilious tu accessory building $25.00, BusmessesSS00( 2 CeiXificateofOccupancyonlhc existingBmlcling $I0000 3 Copy of Ceaificate of Occupancy - $25 4 UpdatedCeHificaicofOccupancy $5)00 5 Tcmpo~m y Certificate of ()ccupancy - Rc sidcnti,l $15 0{L (7(mm~cicial ~1500 New Construction: Old or Pre-existing Building: . ~ (check one) House No SI~ eet t Han~et Ownm or Owners of Pmpe~%,: ~ ~OCC [~ Suffolk C6unty Tax Map No l000, Scclion (2 ~ . Hh,ck ~ ~ Lot ~ ~, ~ Subdivision ~ ~,, liicd Map I o1: Health Dept. Approval: Undem~rimrs Approval: ~ Plamdng Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Cel tificate: (check one) FROM : MarkSchwartz,AIA-Architect PHONE NO. : 6317342110 Nov. 19 2008 12:l?PM P2 Electrical Inspection Certificate 375 Dun~n A~m,a EaM ~h~ue, ~w YO~ 11772 ~eued To: Diane Jeffrey S~ee~ 520 Pa~ ^venue Ex~nsion ~l~ge: Ma~tuck ~ectlan; Block: Contractor: Zip: 44962 Town: Soutbold Lot: ~ ~ grid ~u~ to bo In ~"n~,li~m~ with the Nett~N~ Ele~'le, al (~o~. l'~ (::emmerr, l'ai ; I aVD~m~ : I Pool [xj t~tPIoor ~ In;leer ~x } Re~,ldeftU;ll 3 Furnace Oil Gas Cimul~tora .~meke Detector Bell Ttan~rmer Amps Pease uG/OH Jacezzl l'elev~$1on / Other Equipment Combo Hugo 6, Surdi President 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. 33037 Z Date MAY 15, 2007 Permission is hereby granted to: AiqN COLLIGAN 829 C~34INO ROAD # 102 DELRAY BEACH, FL 33445 for : CONSTRUCT PILE FOUNDATION UNDER AN EXISTING SINGLE FAMILY DWELLING TRUSTEE # 4265 12/6/93.DEC # 1-4738-00855/00001-0 1/13/94 REPI2ICES BP # 21978 at premises located at 520 PARK AVE EXT MATTITUCK County Tax Map NO. 473889 Section 123 Block 0008 Lot No. 028.004 pursuant to application dated MAY 10, 2007 and approved by the Building Inspector to expire on NOVEMBER Fee $ 200.00 15, 2008. ~--~ut hori z e~S ig~ Rev. 5/8/02 ORIGINAL 21978 Z FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPAI~'MENI TOWN HALl. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLEtiON OF THE WORK AUTHORIZED) Permission Is hereby granted to: ...:.f.~..~..~....~....~.~..~.~.~.. ...... ~./...c....~.~,~ ~,~ ..... ~..~... ...... ~.~...~. ...... ~...~i: ................ Z~..:.~...,~.~..~~ ...... ~.....x.x..~/. .............. ,o.....~~..~ ......... ~ ....... ~...~~.~ ....... ~~ ................... .... ~....~~ ....... ~ ........ ~.-.~:.~ ........ ~./.-.~ ....... ~ ....... .~..::~......~mi~..~..~ ~ ................ ..x..~/..~/~ ............................................ CountyTax Map No 1000 Section /o2..~' Block O~C; LotNo °~)..~...~... Building Inspector. and approved by the Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INOCULATION [ ] FRAMING/STRAPPING [/FINAL ~ ~_ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE R,~.SISTANT ~)II~[RUCTION [ ] FIRE RESISTANT PENETRATION REMAi~K$.~ ~ /~ - / DATE INSPECTOR Mark K. Schwartz, AIA - Architect, PLLC p.O. Box 933 ~o,mm~ C~td~ogue, New Yc~k 11935 Phone: (631) 734 - 4185 Fax: (631) 734 -2110 October 7, 2008 Southold Town Building Depa~tuient Main Road - Town Hall Southold, New York 11971 Re: Colligan House 520 Park Avenue East Mattituck, New York Bldg Permit # 33037 To Whom This May Concern: I have been to the site and reviewed the as-built conditions of the pier foundation. The pier foundation was built very similar to the approved plans with minor changes to the beam and joist systen~ The piers locations are installed as per approved plans. We have not determined the depth of the piers. Additional work has been completed to upgrade the as-built foundation to equate the design of the original plans. Cross-bracing (2"x 8" ACQ w/z.max coated ¥2" diameter bolts, washers and nuts) have been added in both north to south and east to west directions, deck bracing added at north and south decks and joist to beam connectors will be installed at 32" on center (min.). The existing north roof over the lower deck area will be bolted to the 6"x 6" posts (were only nailed) and the connection to the house has been upgraded with lag bolts and joist hangers added. With this additional work complete, I certify, to the best of my knowledge, the pier system meets or exceeds the design as approved on the original building permit. Please call this office if you have any questions or require additional information. Vel~ Mark Schwar .t~ ColliganBldgDept2.doc II FOUNDATION__-- __ --~ ._J_(lst.~_) FOUNDATIOr.! (2nd) 2. ROUGH FRAME & ,PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FL,AL TOW~ OF sotrn~ Examined .....'~./.' .~. ,19 ~. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 .~ .~mermit No. d..'.'~...~., . Disapproved a/c ..................................... 05uilding InsPector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. CALL ............. HAIL TO: · Marc/~ct Date .... b. ,?.3)( ......... INSTRUCTIONS 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buitding 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 in~ections. -- (Signature of applicant, or name, if a corporation) c/o zoung & Young .4.qq .qs. ty.a.n.c]ey..A.v.e...,..R.i.v.e.r.h.e.a.d.,...I:~.., .1.1.9.0.1. ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ?.h.o .i~. ,~..C :..Wo. 1..1~. r. t. t.. P.: g... (. ~. p. p. 1. i. c..i~.~ t..a.a,.a.g..e.n.~, f.o.r..o..wr~.e.r. ..................................... Name of owner of premises . ~.r..c~.o.r. J:.c.k..~.... a...,~...C.o.l.l.i. 9. a.n. .............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly auth¥orized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber s License No ......................... Electrigian's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done. Marratooka Point 520 Park Avenue Extension Mattituck House Number Street Hamlet County Tax Map No. 1000 Section ....... .1.2.3 ........ Block ...... .8 ........... Lot .... .2.8: 4. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...R.e.s.i.d.e.n.t.i.a.1..u.s.e.p.c.c.up.i.e~...app.rp.x.i.m.a.t.e.l.y' .6..m?..n.t.h.s.p.e.r..y.e.a.r ........... b. Intended use and Occupancy Same as existing use and occupancy 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ...X. ...... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost $5,000.00 'l~'i~ . (Description) (to be paid on ~l~,t~9~p~lication) 5. If dwelling, number of dwelling units .iq?./.1. .......... Number of dwelling units on eacfi"~'.~? .N./.A. .......... · If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use N/A 7. Dimensions of existing structures ifanv- Front 45 Pt. n~,r 30 Ft. ' ....... gg'' i )i i ..... - -' .............................. Depth . Ft Height ...2.0 ........... ~umber of Stories ....1 ............... 21 .................................... Dimensions__of same structur,, with alterations or additions Front 5 Pt. Rear 30 Pt. Depth ~ Pt. Hei.ht 23 Pt. ' ' ' ~; ' ' ;' ' ' ~ ;.~' ' ' ~ ................. 8. Dimensions of entire new construction: Front . .N./.A ........... Rear ............... Depth ............... Height ............... Number of Stories ........................................ 9. Size of lot: Front ... ~5. Fl;, ............. Rear .... J-O2. FI:, ........... Depth ... J-~6. F~: ......... 10. Date of Purchase .... .1.97.9 ..................... Name of Former Owner J. Parker Wickham ' ' ' I I. Zone or use district in which premises are situated Residential 12. Does proposed construction violate any zoning law, ordinance or regulation: ...N9 ............................ 13. Will lot be regraded ..... .Y.e.s .................... Will excess fill be removed from premises: Yes X No 2 ~ r ~v Ex~, 2~.8r.9.4~9 ....... 14. Name of Owner of premises .F : . .& . .A .. . .C .o .1.1 .ig.a.n .... Address ~a~t~ckk;. ~ .... Phone No. Name of ~t Egg, ;. Gor090. K,. Ab.1~rO,. P~. Address Jamesport,. NY ...... Phone No. 722~3227. Name of Contractor . Davis. CoI~$t,. II~¢ ......... Address 6Q P~ Ave~,~t. cbc~ue,_ N~ Fame: 75~-3226 15. Is this property within 300 feet of a tidal wetland? *Yes..X. ..... No ......... *If yes, Southold Town Trustees Permit may be requited. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. (SEE ATTACHED SURVEY) STATE OF NEW YORK, . COUNTY OF...S.u.f.f.o.l.k ........ S.S Thomas C. Wolpertt PE. ............................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .Agent (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 ill this application are true to the best of his knowledge and belief; and that the work wi]| be performed in the manner set forth in the application filed therewith. Sworn to before me this 23rd ~ March 19 .9.4. ........................ day oi ................ Notary Public,' ~ '~:~' · '~A'~' · '~' · ':/~'~.~. County · ' "'J SUSAN J. TOPPIN~ ........... Notary Pub~k, State of N~ Y~k (Signature of applicant) .~. ngom 50- suna~ NEW YOR~.~ATE DEPARTMENT OF ENVIRONMENTAL COHSERVATIOP~ D~C PERMIT NUMBER 1'47~8-00855/00001-0 FACILITY/PROGRAM NUMBER(S) PEI TI AIT Urger the Envirorm~nta( EFTECTIVE DATE January 13, 1994 EXPIRATION DATE(S) January 31, 199Z ITYPE OF PERMIT I Neu O Renewal O Modification D Permit to Construct D I Permit to Operate Article 15, Title 5: Protection of Waters 6NYCRR 608: Water Quality Certification Article 15, Title 15: Water O Article 17, Titles 7. 8: SPDES 0 Article 19: Air Pollution Article 15, Title 15: Water Control Transport B Article 2,, Title 27: Mined Lend Article 15, Title 15: Long Reclamation Island Wells Article 15, Title 27: Wild, Scenic and Recreational Rivers ! Article 25: Tidal Wet[ands Other: Article 27, Title ?; 6NYCRR 360: Solid Waste Management Article 27, Title 9; 6NYCRR 37'5: Hazardous Waste Management ArticLe 34: Coastal Erosion Management Article 36: Ftondptain Management Articles 1, 3, 17, 19, 27, 37; 6NYCRR 3DO: Radiation Control PERMIT ISSUED TO TELEPHONE NC~4BER Frederick W. Co[Ligan 1516) 298-9490 ADDRESS OF PERMITTEE 520 Park Avenue Extension, P.O. Box 2?0, Mattituck, NY 11952 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Themes C. WoLpert, P.E., of young & Young, 400 Ostrander Avenue, Riverhead, NY 11901 1516) 727-2,03 NA~E ANO ADDRESS OF PROJECT/FACILITY CoLtlgan Property - 500 Perk Ave. Ext., Matt[tuck Ham[et, Southotd Town (Marratooka Point) LOCATION OF PROdECT/FACILITY SCTM #01000-0123-08-028.4 COUNTY TOW# WATERCOURSE NYTM COORDINATES SuffoLk Southold Deep Hole Ct. on G.P.R. E: 709 7 N:4 539 9 Raise an existing Bungalow approximately 3 feet to e[evation 10± and secure to a new pile foundation in accordance with pLsn$ prepared by Young& Young dated Augue, 5, 199, (stamped BYSDEC approved on 1/12,94). ~ (~ ~ 0 ~ BLDG. DEPT ..... ~'..'©VVN OF SOUTHOL[~ By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the Genera[ Conditions specified (see page 2) and any Specie[ Conditions included as part of this permit. DEPUTY REGIONAL PERMIT ADMINISTRATOR: George W. Hammarth ADDRESS BLdg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE Jonuory 13, 1994 Page 1 of 4 Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 'L/O~(~'~ DATE: ... 12/6/93 ..... ISSUED TO ..... Ft{EI).ERICK., & .ANN..,COLLIGAN ............... Pursdant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893: and Chapter 404 of the Laws of the State of New York 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:" and in accordance with the Resolution of The Board adopted afa meeting held on . 12/./~/93 ..... 19 93.., and in consideration of the sum of $ 150..00 . paid by FREDERICK AlflN. COLLIGAN Of ....... Ma.[ti'~.U, qk N.Y. and subject to the Terms and Conditions listed on the reverse she hereof, of Southold Town Trustees authorizes and permits the following: To raise the existing bungalow approx. 3' and secure it to a new pile foundation. Deep Hole Creek all in accordance with the detaiJed specifications as presented in' the originating application. IN WITNESS WHEREOF, The said Board of Trustees h~ie- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. ' New'York State Department of Environmental Conse~ation Building40--SUNY, Stony Brook, New York11790-2356 (516) 444-0365 YAX (516) 444-0373 January 13, 1994 Thomas C. Jorling Commissioner Frederick W. Colligan 520 Park Avenue Extension P.O. Box 270 Mattituck, NY 11952 RE: 1-4738-00855/00001-0 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. JW/ja enclosure Very truly yours, n Wieland Environmental Analyst 1 I II 4[I / ~- ~ ~o = , , =:~ I~/ ~, X,~IJ J !~a '~h i' 1-i ~',~ --'~'~-~,~ ~ i 'L=e _ i I~Ii ~ ALL CONSTRUCTION SHALL MEET '~ '-~ t ~-~ 4 '-~ ,{.',,~--~-~4~-~ ~-~ "~ ~ &~l_ &Il ~_ ~11 DETA I I ~ ~ so~: ~" = a'o'. PROP SUPPORT PLAN ' ' .... S~,,ml'e: 1/4"' = 1'0: Engineer's leal and signature lnglneer not retained for construction, lupervlsIon, or Inspection. GORDON K, AHLERB only good lor inltlal use of draw- ~C~rLE A~--.~ ,~Ol~.4~'i~l~) , , SHEET lng. Change., alterations or revl. SUPPORT STRUCTURE FOR TH,E: lions 10 or re-.,. Ot drawing, DATE ~ / ~ / ~ ' Professional Engineer ,,,land sl,nalure on same. DWlI. BY~ CHK. BY~ COLLIGAN RESIDENCE RE~ ;SIONS BOX 6, 188 MANOR LANE, JAMESPORT, "Alteration of Ihl. document , NEW YORK, 11947 516-722-3227 Subdivision 2,~.Y. SIM. Educe- tlon ~w. MATTITUCK. NEW YORKI OF X I it I It I--RAI IING PI AN [ [ year ~u. ~.~ : . . ~Bmlm: 1/4" = 1 '0" Ill " [ ' ' [! II !] , ![ !t II 31 it II ti. II , It II It II 'It .,~l" [t l[ If; II,, ,II. .It . It '. ' ~. ' -- ............. ~ L Il S DATE SCAbE R~VISION~:, Sc aa I ~[m: I /4" ,INEER 'NOT RETAINED FOR CONSTRUCTION SUPERVISION :OR INSPECTION ' {][ Fi' ' '~ ' ~ ~UE, (EXTN)